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The East Midlands Centre for Neurobehavioural Rehabilitation




Location and Contact details


Warwick Lodge
Warwick Road
Melton Mowbray
Leicestershire
LE13 0RD

Telephone: 01325 252001

Email: neuro@castlebeck.com

http://www.castlebeck.com

Type of organisation

  • Private Company Service

Descripton of organisation

  • Acute Hospital

miles (straight line)
miles (approximate road distance)

Entry last updated

Nov 7, 2012

Further Details

The East Midlands Centre for Neurobehavioural Rehabilitation is situated in Melton Mowbray in Leicestershire.

We provide a specialist service for men and women over the age of 18 with a brain injury who present with behaviours that impede their ability to rehabilitate. The centre provides specialised neuropsychiatric and psychological assessment, positive and consistent approaches to behaviour management and cognitive rehabilitation.

The centre accepts people who may require:
> Physical rehabilitation
> Support with mental health issues
> PEG management
> Tracheostomy management
> Support where there is no functional understanding of language
> Detention under the Mental Health Act

The programme is delivered by our experienced team of in-house clinicians comprising:
> Consultant Neuropsychiatrist
> Registered Nurses
> Occupational Therapist
> Speech and Language Therapist
> Physiotherapist
> Psychologist
> Rehabilitation Assistants

We also offer shorter term admissions, around 12 _ 16 weeks, for assessment only. The average length of stay at the centre is 11 months and 50% of patients are discharged back home with appropriate support. Others are discharged to social care funded placements in the similar timescale. The multidisciplinary neuro-rehabilitation programme focusses on the relearning of functional self-care and independence skills and makes full use of community
facilities as soon as is possible and safe.

Services available

ABI Specialist National Regional Local
Acute Medical Care yes yes yes yes
Advice yes yes yes yes
Clinical psychology yes yes yes yes
Counselling yes yes yes yes
Equipment yes yes yes yes
Family Support yes yes yes yes
Information yes yes yes yes
Leisure Activities yes yes yes yes
Neurology yes yes yes yes
Neuropsychiatry yes yes yes yes
Neuropsychology yes yes yes yes
Nursing yes yes yes yes
Occupational Therapy yes yes yes yes
Physiotherapy yes yes yes yes
Psychiatry yes yes yes yes
Psychology yes yes yes yes
Rehabilitation Consultant yes yes yes yes
Respite Care yes yes yes yes
Speech & Language Therapy yes yes yes yes
Support Workers yes yes yes yes
Training (for clients/patients) yes yes yes yes
Training (for families/carers) yes yes yes yes
Training (for staff) yes yes yes yes
Transitional rehabilitation yes yes yes yes
National = country wide, Regional = offering a service within 150 miles, Local = offering a service within 50 miles

This service adheres to the following Regulatory Frameworks / is affiliated to the following bodies:


CQC
Mental Health
Headway

Referrals can be made by

GP yes
Consultant yes
Healthcare Professional yes
Self/Advocate/Family yes
Other professional eg Social Care/Case Manager yes

How are services paid for?

yes Publicly funded - individually commissioned
Regularly Sometimes Never
NHS noyesno
Social Care Services noyesno
Jointly funded by NHS & Social Care Services noyesno

yes Privately funded (anyone can purchase)
yes Charitably funded (no payment required)

Typical duration that a service is offered

12 week assessment
12 to 18 months length of stay dependent on clients needs

This Service was mapped by Eastern Region ABI. See HERE for more information

Services available are defined by the following EHIG Rehabilitation Codes

For an explanation of the codings please click here

SPECIALIST REHAB IN HOSPITAL

[Code 30]
Patient description
Potentially medically unstable, but does not require critical care - unable to actively participate due to PTA, confusion, rejection, agitation, or low awareness state.

Sites
Major Trauma Centre/ Trauma Unit/Acute Hospital

Description of rehabilitation input
Needs inpatient care and treatment, and environmental and behavioural management, for physical dependency and confusion, and continuous clinical assessment (nursing, medical, therapy) to detect deterioration and prevent avoidable complications, and to facilitate optimal timing of rehab input and referral to next rehab programme.

REHAB IN HOSPITAL

[Code 40]
Patient description
Needs in-patient care due to physical dependency, or the need for specialist therapy equipment, a safe environment, supervision, or intensity of therapy, in a unit with the expertise and experience in rehabilitation of a condition (Level 1)which cannot be provided in a local specialist centre or in the community (Level 2) which cannot be provided in the community.

Sites
Level 1: Regional specialized centre Level 2: Local specialist centre, Acute or community hospital

Description of rehabilitation input
Needs inpatient care due to physical dependency, or need for specialist therapy equipment, safe environment, supervision or intensity of therapy which cannot be provided in community

BEHAVIOUR MANAGEMENT UNIT

[Code 50]
Patient description
Medically stable, but prolonged confusion, amnesia or behavioural difficulties, requiring specialist behavioural management, intensive supervision and secure environment

Sites
Specialist in-patient unit

Description of rehabilitation input
Specialist behavioural management, including high staffing: patient ratio to ensure intensive supervision and secure environment. Access to neuropsychology and neuropsychiatry

A BRAIN INJURY REHAB UNIT

[Code 60]
Patient description
Medically stable, but low awareness or response persists beyond eg 3 weeks after sedation withdrawn, ICP corrected and medically stable. Able to benefit from medical and physical therapy to prevent complications and support recovery.

Sites
Community hospital or specialist inpatient

Description of rehabilitation input
Assessment/active rehabilitation phase which needs to be distinguished from long term care, although planning care increasingly important aim after some (eg 6) months. Patients may go to active participation unit if they improve sufficiently.

This service is defined by the NMDS (National Minimum Data Set) codes as:

For an explanation of the NMDS, please click here

Level 1 (highly specialised rehabilitation services): Treat patients with Category A needs and is led by a consultant trained and accredited in rehabilitation medicine or neuropsychiatry

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