Care pathways and plans
Care Pathway
The central aim of Castlebeck is to enable people to get on with their lives with the right support. We believe in the right and need of all people to live like others in community. People come to Castlebeck because their support has been insufficient at a time of great difficulty or because their support has not been right for their needs. Castlebeck works with people, their families and other supporters to understand their needs, make changes and plan to get back to ordinary life just as soon as possible.
We find it useful to think of this as a Pathway - beginning with acute and intensive support and leading to community living with the right kind of support for the long term. Castlebeck usually provides all the support at the acute phase. As people move on, this can be within our services. We also seek to work with others who provide supported living or other community based options to help people move on. There follows a description of the stages of the pathway and the kind of outcomes people can expect to see. It is important to remember that each person has their own pathway. These are guides but times will be different for everyone and some people may benefit from different options at any time.
Care Plans
Each service user has their own individual care plan. They are involved in its design, creation and content. It will look at ways which short and long term goals and outcomes will be achieved. A multi-disciplinary approach is taken to care delivery and evaluation. Care goals and outcomes are evaluated by the team using CPA meetings, case conferences, clinical reviews and other ad hoc reviews.
Information is shared with all stakeholders, including the service user. Progress can be shown through the use of Social Functioning Progress Charts, behavioural graphs showing frequency, intensity and duration of excessive behaviours and comprehensive written reports.
