About Learning Disability Services
The Adult Learning Disability Division of the Western Trust provides a range of services across the Londonderry, Limavady, Strabane, Omagh and Fermanagh areas. These services are delivered directly by the Trust or on a contractual basis with the independent sector.
Click on the drop down menus below for more information on the services offered:
Day Care and Day Opportunities
Day Care and Day Opportunities services are provided through a range of regulated and non-regulated Trust and Independent/Voluntary sector services designed to promote choice and independence for adults with learning disabilities. Traditional type day care to meet the needs of those service users with complex health care needs and/or challenging behaviours or those who are older, is largely delivered creatively through our day centres and satellite units.
Within day opportunities a wider range of provision is being encouraged to meet the assessed needs and enhance the potential of younger people transitioning from children’s services. This also includes those currently in day care settings. Day opportunities offer creative work based placements e.g. such as social farming and /or for those whose needs can be best met through accessing a mixed package of care provided within community placements.
Hospital Assessment and Treatment
Lakeview Hospital provides inpatient services for adults with learning disabilities, living within the Western Trust catchment area. The hospital was remodelled in 2016 into a single ward setting providing a total of 10 assessment and treatment beds. Of these beds, 2 are located in an annexed area from the main assessment and treatment ward which provides opportunities to provide more or less intensive interventions depending on the needs of the patient groups.
All inpatients are supported by the relevant members of the multi-disciplinary team as appropriate to their assessed needs to return to their home setting following completion of their assessment and treatment.
Short Breaks (Residential and other forms of short breaks)
Short breaks are available through a range of options. They are offered to families on a planned basis utilising the resources available at the Respite Cottages in Shepherds Way in Derry City and Beltany House in Omagh.
Direct payments are also made to families for short breaks when this is deemed necessary or appropriate based on assessed need. Other residential and nursing facilities are also used on occasions to provide emergency breaks to enable our response to crisis in the community.
Families also benefit from short breaks such as access to befriending and sitting services. Some short breaks will also be provided through the Host Care scheme (see Shared Lives Short Term Adult Placement Scheme below).
Domiciliary care is provided on the basis of assessed need to enable the individual to live at home in the community and to be supported in maintaining critical personal care and daily living tasks. Currently this is offered on the basis of critical need and allocation of the service is managed through a Community Access Panel. Domiciliary Care is provided through Trust Home Care services and a number of independent providers.
Self-Directed Support/Direct Payments
Self-Directed Support is a new policy direction and is being implemented across all cases to ensure the care needs of individuals are met. It will bring about fundamental change to how services and packages of support are negotiated, implemented and monitored. For example; Direct Payments, managed budgets, Trust arranging a service or a mixed package of all three options.
Direct payments are currently being offered to families on the basis of critical need on either a one off or recurrent basis (with built in review periods) to ensure that needs assessment remains current and up to date.
Shared Lives Adult Placement Scheme (Long and Short Term)
The Shared Lives service provides a number of long term adult placements and short breaks through the provision of a host care service. This service is regulated by Regulation Quality and Improvement Authority. This short break provision provides a meaningful break for the service user and their carers. This type of Short Break is provided in the family home of the Shared Lives Carers. A Short Break can consist of a few hours per day, overnight stays or a longer break.
For further information on becoming a Host Carer for eligible adults with Learning Disabilities, please contact Emma Nutt, Social Worker, Lakeview Hospital, Londonderry
T: Community Team, Lakeview: 028 7186 4362 or Shared Lives Social Worker M: 07795224118
Psychological Therapies Service
The Learning Disability Psychological Therapies Service incorporates Clinical Psychology, Behaviour Support and Intensive Support. We provide an holistic therapeutic service which is person-centred incorporating psychological assessments and interventions specific to client need. The service aims to enhance the psychological well-being of our individual service users across all sectors of the programme. We also aim to increase psychological mindedness among families, carers and professionals as we support all those who work with us to optimise quality of life for individuals with a learning disability within our Trust.
Psychiatry services are available for people with a Learning Disability. Consultant Psychiatrists operate inpatient and outpatient service support through Lakeview Hospital and community clinics.
Community Social Work Teams
The role and function of the Community Teams within Adult Learning Disability is to discharge statutory functions and the management of cases appropriately through care management, key working and PQC processes with due attention to the meeting of need and the Safeguarding of Vulnerable adults.
The Community Teams are situated across four localities within the Trust and provide a link/co-ordinating role for service users and their carers in the amount of need, delivery and monitoring of care packages. The Community Team also consists of Forensic Social Workers, Transition Officers, Family Support and Floating Support Workers.
Accomodation Provision (Residential. Supported Living, Nursing)
The Trust provides a range of accommodation solutions for adults with a learning disability – residential, nursing homes, supported living and supports to assist people to live in their family home. The Trust works in partnership with the Northern Ireland Housing Executive and Housing Associations to provide accommodation solutions.
Allied Health Professionals
The programme also has dedicated LD Allied Health Professional input from the following areas:
- Occupational Therapists
- Speech and Language Therapists
Access to Dietetics, Orthoptics, and Physiotherapy services is available through generic Allied Health provision.
Community Learning Disabillity Nursing Team
The Community Learning Disability Nursing Team is based in various locations across the Western Trust area. The Service aims to utilise all learning disability nurses to target health inequalities and health facilitation will be an integral aspect of the work of community learning disability nurses going forward to inspire the health outcomes of adults with a learning disability in partnership with GP practices.
The Community Learning Disability Nurses manage a referral caseload, carry out health assessments, offer care and treatment plans, contribute to diagnosis and health monitoring, facilitate health and well-being plans, offer specialist knowledge and empower, support and advocate.
Community Learning Disability Nursing Roles
Epilepsy Specialist Nurse – Lisa Harris
- Provide clinical expertise, advice and support in relation to the development of Epilepsy Nursing Service.
- Work with the multi-disciplinary team, local and regional epilepsy services to deliver co-ordinated, effective, holistic and patient centred care.
- Provide support and care to people with a learning disability who have epilepsy and their carers through diagnosis, managing treatment and living with epilepsy.
- Offer training in relation to epilepsy.
Hospital Liaison Nurse – Clionagh McElhinney
- Provide opportunities for healthcare professionals to improve their knowledge, understanding and skills in supporting adults with learning disabilities.
- A point of contact for hospital and community staff to support and assist with complex cases, helping to reduce health inequalities.
- Facilitate, advocate and ensure that people with learning disabilities gain full access to the health care they need.
- Provide advice on reasonable adjustments and how to implement them within acute care.
- Provide training and education and raising the profile of
- learning disabilities within acute care
Practice Educator – Niall Gallagher
- Responsible for facilitating education and practice development across Adult Learning Disability Services
- A programme of care developed in collaboration with Service Managers to develop and sustain an effective learning environment for registered and non-registered staff.
- Working within the Trust’s delegation of Nursing tasks, standards and processes, an education strategy will be developed to help ensure all service user’s physical health care needs can be met across community and hospital services.
The Western Trust Forensic service works in conjunction with other agencies to provide safe, secure and responsive services to those individuals with mental health disorder who have a history of offending behaviours or a propensity to offend. This specialist service which is multi professional provides a range of services including consultancy, risk assessment and diagnosis but will not ordinarily take primary responsibility for the care management of individuals referred. There will however be provision for overall case management to a small number of complex high-risk individuals.
As a full member of the multi-disciplinary Forensic Community Psychiatric team will provide a high quality nursing service to adults with a learning disability and forensic presentation within the Western Trust area.
The forensic nurse will work across primary and secondary healthcare services to ensure equity of access for those with a learning disability and forensic presentation.
- The forensic nurse will assess, plan, implement and evaluate high quality care for adults who have a learning disability and forensic presentation.
- Develop specialised programmes of care in conjunction with
- other members of the multi-disciplinary team for individuals and service providers.
- The forensic nurse will provide specialist advice and consultancy to a wide range of stakeholders.