Women's medium secure services (The Orchard unit)

•    Integrated risk management – The care we deliver is underpinned by a strong emphasis on relational and procedural safety, alongside physical security measures. We aim to balance safety with therapeutic engagement and use collaborative approaches to risk assessment and management

•    Strength-based and person-centred - We aim to build on the individual’s strengths, preferences, and values and to include service user and family voices in all aspects of care and service development

Carer Involvement underpinned by the Triangle of Care. We recognise and value carers as key partners in supporting service users on the road to recovery. We will work with you and support you as much as possible in your caring role.

You can be identified as a carer if you have sustained and regular social contact with a service user. So, you could be a relative, a friend, or someone else who cares for them. If you are identified as a carer, you can be part of their care planning process.

West London NHS Trust is signed up to the Triangle of Care, a national programme developed by staff and carers to ensure collaboration between the service user, professional, and carer.

Find out more about the Triangle of Care on their website.

•    Reducing restrictive practices - The service uses restrictive practices as an essential intervention to support clinical areas. We recognise and acknowledge the possibility of harm or effect this can have on our service users, and as a result, our goal is to use the least restrictive options possible. We are committed to ensuring that where restrictive practices are deemed necessary, they are a proportionate response to the assessed risk. 
 

The Orchard unit is on the St Bernard’s Hospital site in Ealing. 

It comprises:

• Main entrance and reception area 
• Glazed central atrium with a cafe
• Secure garden around the building
• Six wards.

There is a high fence around the unit for security.

We recognise and value carers as key partners in supporting service users on the road to recovery. We will work with you and support you as much as possible in your caring role.

You can be identified as a carer if you have sustained and regular social contact with a service user. So, you could be a relative, a friend, or someone else who cares for them. If you are identified as a carer, you can be part of their care planning process.

The unit offers:

• Medium Secure ward for patients with complex communication needs. This provides five beds for the local and North London Partnership Area.
• Medium secure services and low secure services. These include the 45 beds for the local catchment and North London Partnership Area.

Service users arrive at The Orchard from:

• The courts and prison service
• High secure services
• Psychiatric units with conditions of lesser security.

All suitable referrals will undergo a multi-disciplinary assessment and then consideration via a North London Forensic collaborative women’s admission panel.

For referral submissions or further information, please email: wlm-tr.WLFSreferrals@nhs.net.