Guild Lodge

2016

Contents

Directions

Introduction and Welcome

Brief History

Aims of the Service

Our Values

Promoting Safety

Your Recovery Journey

Your Accommodation at Guild Lodge

The People Who Make Up the Ward Teams

Life at Guild Lodge

Visiting

Care Programme Approach

Mental Health Act 1983

Managers’ Meetings

Mental Health Review Tribunals

Advocacy

Letters and parcels

Service user and carer groups

Activities in Guild Lodge

Life beyond Guild Lodge Community Services

Feedback about Our Service

Volunteers

Guild Lodge Address and Telephone Number

Directions to Guild Lodge

Guild Lodge Whittingham Lane Goosnargh Preston PR3

2JH

01772 773698

A6 Lancaster

A6 Garstang

Junction 32 M6

Preston A6

Pub

Restaurant Petrol

station

Introduction and Welcome

Lancashire Care NHS Foundation Trust includes a

number of distinct services, one of which is known as

the Specialist Service Network. Within this network

Guild Lodge is a secure mental health care hospital

for men and women from Lancashire and South

Cumbria and for some of our services the North West

as a whole. The hospital is located in the grounds of

Guild Park, about four miles north of the City of

Preston in Lancashire.

Guild Lodge includes a range of medium wards

within a secure perimeter area. Other low secure and

locked wards outside this secure permeter are

located within the grounds of Guild Park. In addition,

the service has a specialist community mental health

team supporting people who have left the hospital.

Together these wards and teams provide a seamless

and continuous service from admission to discharge.

Brief History

As a secure hospital, Guild Lodge opened in July

1999. At that time it included just four wards and a

community nursing team. Since then the overall ser-

vice has grown in response to the needs of people

with ongoing and community rehabilitation care

needs. The service now supports people at the re-

quest of other hospitals, the courts and the prison

service.

Aims of the Service

The overall purpose of the service is to provide high

standards of assessment, care and treatment for

people with mental health care needs, and to re-

spond to these needs in a way that safeguard service

users, staff and the general public. Whilst the hospital

is described as secure, and has obvious characteris-

tics that make it look like a secure environment, the

care provided is monitored to maintain high stand-

ards that are tailored to the needs of each person liv-

ing here. The conditions of security are applied only

with safety in mind.

Our Trust and Service Values

Within Lancashire Care NHS Foundation Trust all

staff are required to carry out their work with a range

of key values in mind. These include:-

Respect

Accountability

Teamwork

Integrity

Excellence

Compassion

Promoting Safety

Whilst our values provide a foundation for

compassionate care, the service, as with all mental

health care, has an obligation and a duty to maintain

the safety of everyone involved, including the general

public. When working with people using the service we

provide, we explore appropriate decision making that

supports a safe, individualised recovery journey.

Staff include and involve each service user in

appreciating and understanding the safety issues

represented by their personal circumstances. This

approach to safety takes into account the experience

of living within a secure care environment. Inevitably

where safety is closely monitored, further care is

necessary in order to avoid compromise in other

quality of life areas, such as personal privacy.

Recovery Journey

The journey of recovery within a mental health context

is a deeply personal, unique process of changing one’s

attitudes, values, feelings goals, skills, and/or roles. It

is a way of living a satisfying, hopeful and contributing

life even with the limitations caused by illness.

Recovery involves the development of new meaning

and purpose in one’s life as one grows beyond the

catastrophic effects of mental illness. As a process,

mental health recovery is most helpfully defined by

three core beliefs:

Hope. Recovery is probably impossible without hope. It is essential to help a person stay motivated. It supports personal expectations of an individually fulfilled life

Agency. This is about regaining a sense of control in life. Recovery means gradually taking control over personal problems, the services received and life in general. Agency supports self management, self determination, choice and responsibility

Opportunity. This links recovery with participation in a wider society. People with mental health problems, like anyone else, wish to be part of communities; a valued member of the community, contributing to and enjoying access to the opportunities that exist within those communities

Accommodation at Guild Lodge

Each ward within Guild Lodge provides a care environment

for men only or for women only.

Guild Lodge is separated into men's, women's and men’s

Acquired Brain Injury (ABI) Primary Service Lines, with

each Primary Service Line having a Pathway with medium,

low and step down wards to enable Service users to

experience the full recovery journey.

Care Provision

Care provision within the secure environments seeks

to reduce the distress of mental health problems and

related consequences, including the reduced potential

for harm to others. All of our wards include communal

areas such as dining room, TV lounge, laundry, toilet,

quiet room and kitchen. Each ward has a set of

agreed “House Rules” which help to meet everyone’s

needs within the ward community. All accommodation

within Guild Lodge is single occupancy. Within each

room there is space for personal belongings, furniture

and washing facilities. However, some rooms have

more facilities than others do.

Men’s Medium Service

Within the Medium Secure Male Service area the wards

are as follows:

Fairsnape Ward

With accommodation for eight men, this ward provides

assessment and treatment for service users or specific

assessment to help in the management of particular safety

related behaviour. The multidisciplinary team liaise with

other agencies and act in an advisory capacity to other

multidisciplinary teams.

The ward provides an environment for service users who

require particular levels of support and supervision in the

earlier phases of the recovery journey.

Referrals are accepted from local acute mental health

services, the courts, prisons, special hospitals and the

probation service, and from other clinical areas within

Guild Lodge.

Calder Ward

Calder ward provides accommodation for ten men. The staff

team provide assessment and treatment for service users.

This involves the treatment and management of risk

behaviours, including offending behaviour both past and

present and substance misuse.

The ward provides a therapeutic environment that is safe

and effective for treatment of men with acute mental health

needs.

Referrals are accepted from local acute mental health

services, the courts, prisons, special hospitals and the

probation service, and from other clinical areas within Guild

Lodge.

Greenside Ward

Greenside ward accommodates twelve men. The staff

team support service users with particularly

challenging difficulties within a secure environment.

The ward offers a secure environment to enable

mental health assessment and treatment, or would

benefit from a period of high dependency care to

assist in their transfer to less secure facilities.

Marshaw Ward

Marshaw ward can accommodate ten men providing

continuing care and treatment for enduring mental

health needs. This includes the assessment and

management of challenging behaviours, including

offending behaviour, promoting effective

rehabilitation, specific approaches in order to

address risk or offending behaviour and preparing

people for transfer to less secure settings, including

community places where relevant.

Mallowdale Ward

Mallowdale Ward accommodates eight men providing

continuing care and treatment for enduring mental health

needs. As with the rest of the service it deliver high quality

care, driven by the overarching model and Philosophy of

care which is based on recovery.

Compassion

Men’s Low Secure Service

Fairoak Ward

With accommodation for eighteen men, Fairoak Ward

offers a lower secure continuing care environment.

Service Users step down to Fairoak from the medium

secure wards. The focus for care is the provision of

appropriate rehabilitation opportunities and pre-

discharge planning and care. The staff team give

particular attention to issues involved in preparation

for discharge to none secure and dependent settings,

including community placements where relevant. This

involves liaising and coordinating with other agencies

as appropriate.

Dutton Ward

This ward offers accommodation for fifteen men.

Dutton is part of the low secure accommodation that

enables the use of the least restrictive type of

environment in secure care allowing for direct

admissions. The ward promotes close working with

other health, social services and criminal justice

agencies in order to enhance the potential for

rehabilitation and reintegration into local community

and local services.

Fellside West Ward

This facility offers 10 beds on a step down open door

ward for men with mental health needs who have

previously received a period of secure care. The

facility also has five remotely supervised flats that

meets the specific needs of the residents on the

discharge pathway. Fellside West aims to provide a

stepping stone between secure care and discharge

to community placements and accepts referrals of

men for whom discharge within 12 months is a real

possibility.

Men’s Acquired Brain Injury (ABI) Service

Bleasdale Ward and Whinfell Ward — Medium

Secure

The accommodation on Bleasdale ward is for nine

men and on Whinfell ward for nine men. The wards

provide assessment, care and rehabilitation for men

with severe and enduring mental health needs with

significant organic brain changes that affect their

behaviour or treatment. The ward team pay particular

attention to issues involved in preparing the men for

transfer to less secure settings.

Langden Ward Acquired Brain Injury (ABI)

Service —Low Secure

Accommodation is for fifteen men who have a

degree of cognitive impairment and enduring mental

health needs. The specific function of the ward is to

provide low secure rehabilitation care for individuals

who present with challenging and offending

behaviours. The ward team pay particular attention

to issues involved in preparing the men for transfer

to less secure settings as appropriate, or the

community.

The Hermitage Acquired Brain Injury (ABI) Service —

Step down community house

The Hermitage provides a supported community house

model for male service users and acquired brain injury

(ABI) that no longer require secure care. Service users

that will be referred to The Hermitage will be at the stage

in their care pathway where they no longer require the

security, supervision and care needs of a low secure unit.

It is expected that service users who move to the

Hermitage would be a lower risk of harm to self and

others.

Women's Secure Service

All care within the Women’s Service continues to be directed

by our bespoke model and philosophy of care, informed by

national guidance on gender-informed and trauma informed

services.

Elmridge Ward - Medium Secure

Elmridge ward is a medium secure ward with 9 beds

and cares for women with complex, acute mental

health and personality needs. The women’s needs

are understood to be primarily related to experiences

of attachment disruption, trauma and abuse.

Hope

Opportunity

Growth

Fellside East Ward — Low Secure Ward

Fellside East ward is the new low secure ward with 8

beds for women with complex, acute mental health

and personality needs. The women’s needs are

understood to be primarily related to experiences of

attachment disruption, trauma and abuse. The

women may present with risks towards themselves

and again much therapeutic focus is upon the

meaning of self injury and promoting safer ways to

manage this. The women’s needs also include

historical significant risk to others and where levels

of risk or the frequency of incidents of violence and

aggression cannot be managed at a lower levels of

security.

Forest Beck Ward — Step Down Ward

Forest Beck is the step down service for women; the

women have achieved progress in their individual

recovery goals to enable safer expression and

management of mental health and relationship

needs. On Forest Beck the focus is upon

maintaining skills the women have learnt in

managing risk to self and others and increased focus

upon building functional and practical skills and

confidence to prepare them for community living.

The People Who Make Up the Ward Teams

Consultant Psychiatrist (Responsible Clinician)

This is a doctor who specialises in diagnosing and

treating people with mental health problems. They will

examine different factors that may have contributed to

a mental health problem and will have overall

responsibility for assessment, care and treatment.

Matron

Matrons work within a co-production model. They are

responsible for providing effective and efficient

leadership within a primary service line. From a clinical

and quality perspective they are responsible for

ensuring that national and local quality targets and

goals are achieved and maintained within their areas of

responsibility.

Ward Manager

On each ward is a manager who is a qualified nurse.

Their role is to deal with the day to day management

of the ward and to ensure that service users receive

the care they require. Ward managers are

responsible for ensuring that national and local

quality targets and goals are achieved and

maintained. Ward managers each have an

experienced deputy, known as the team leader, who

can also manage the ward.

Team Leader

The team leader provides clinical and managerial

leadership directly to ward based staff ensuring that

issues of quality are maintained. They also support

the ward manager in achieving set targets and goals.

Named Nurse

A qualified named nurse is responsible and

accountable for the quality of individual nursing care

provided on the ward. This can take many forms,

including physical and psychological care and takes

into account the social and spiritual needs of service

users.

Essentially the named nurse will assess care needs,

negotiate a collaborative approach to care within an

individualised plan, support and coordinate the

implementation of the plan and provide regular reviews

about care progress. Named nurses often coordinate

meetings where the care team can come together with

the service user to explore the way forward and

discuss progress. An associate nurse will work with the

named nurse to provide additional support.

Clinical Practitioner

Clinical practitioners work directly with the medical

team and attend Care Team Meetings (CTM) and Care

Programme Approach (CPA) reviews. They work with

the doctor in completing reports and assisting in the

completion of assessments of individual patient needs.

Health Care Support Worker

Health care support workers are a crucial part of the

nursing team, providing vital support for the provision

of care and maintaining the general wellbeing and

safety of the ward environment. Health care support

workers are able to support a broad range of activities

and functions both on and off the wards, ensuring that

service users gain appropriate access to activities and

leisure time.

Occupational Therapist (OT)

Occupational therapists support service users

through the medium of activities promoting

confidence and skills required for day-to-day life,

assessing and treating an individual’s functional

skills and roles. These include personal, domestic,

social, leisure, educational or work activities. Group

or individually tailored sessions help develop these

skills.

Staff within occupational therapy include technical

instructors who coordinate specialise activities.

Occupational Therapist Assistant (OTA’s)

OTA’s are based on the wards within the Men’s and

Women’s services – as well as within the

occupational therapy department. As the job title

states - they assist in the carrying out of tasks and

treatment activities as identified and guided by the

qualified occupational therapists. Their main remit is

to ensure that service users have a range of activities

(leisure, work and self-care) in which they can be

involved – thus ensuring there is a consistent and

predictable structure to the days within a secure

setting.

Psychologist

A psychologist is someone who uses talking therapies

to help people resolve their problems. Psychologists

often use a method called cognitive behavioural

therapy, which involves talking about thoughts and

experiences. Psychologists support service users in

specific ways within a planned number of sessions.

Associate Practitioner

Associate practitioners are staff that deliver particular

types of care under the supervision of a qualified nurse

or psychologist. Associate practitioners develop

particular skills in addition to those of regular health

care support workers.

Social Worker

A social worker offers professional support and advice

on family relationships often providing specialist support

in safeguarding the interests of vulnerable adults and

children. They work particularly on developing a

broader support network and lifestyle for service users,

in preparation for a return to life in the community.

Social work also supports practical matters such as

housing, employment, benefits and similar issues.

Pharmacist and Pharmacy Technicians

We have a dedicated team of pharmacists and

pharmacy technicians to advise and co-ordinate

prescribed medication.

MDT Secretary

An MDT secretary provides general administration for

the ward and the ward manager. MDT secretaries are

an essential part of the team, allowing nurses to

spend more of their time in direct contact with service

users.

Prison Outreach Lead Practitioner

This is a professional (generally a nurse) who will be

involved in your care if you have been referred from

the Prison setting. You may meet the person

following the referral to Guild Lodge and they will be

involved in any assessment, care pathway to Guild

Lodge and meet with you during the time you are

waiting for a bed on the ward. They can spend time

with you to answer any questions about your move to

Guild Lodge, and likewise to help you with the

transition back to prison if it is felt hospital is not

needed. They may also ask to meet families and

carers with your permission. On the ward they will

attend some care meetings including Care

Programme Approach meetings, and be involved in

care pathway decisions.

Life at Guild Lodge

On arrival at Guild Lodge accommodation for service users is

provided on one of the wards. A care team (the multidisciplinary

team) MDT allocated to support the service user includes a

psychiatrist, psychologist, pharmacist, named nurse, social

worker, associate practitioner and an occupational therapist.

With the involvement of the service user the multidisciplinary

team work together to ensure the best and most appropriate

care is available. The multidisciplinary team meet within CTMs.

Letters and Parcels

Each service user is expected to sign for and open

incoming mail (except legal letters) in front of staff. This

arrangement helps the staff to make sure that the contents

are not a risk to the service and that action is taken on

important information related to ongoing care.

Smoking

Guild Lodge is a smoke free site therefore the use of

tobacco products is not be permitted. Service will be

offered nicotine replacement therapy on admission if this

you would like this. E-Cigarettes are available to purchase

in the hospital shop following a contract being agreed.

Visiting

Family and friends can arrange to visit by contacting

the ward and booking a specific visiting time. Visits

can be accommodated between 09:00-20:30 Monday

to Sunday and can be held on the ward or in the

Family Room at the main reception. After booking the

visit by phone the hospital social worker will first

telephone the visitor and send a letter explaining the

visiting procedure to the visitor. Social Workers has a

telephone conversation with the visitor to clarify they

wish to visit and to confirm who they are. This will

make the process of visiting easier for everyone

involved. Visitors can bring items with them such as

clothing, food and other personal items, but it’s worth

checking this with the named nurse or ward manager

first. It is important to realise that for the benefit of

everyone’s safety in the hospital we have very clear

restrictions in place on a number of items and

activities. The multidisciplinary team use a method

known as risk assessment as part of the process of

safety and risk management of each individual, other

service users and staff. Risk assessment facilitates

decision making and supports gradually increased

involvement in general ward and hospital activities.

The first risk assessments should be in place within

four weeks of arriving at Guild Lodge. The list of

restricted items is sign posted within the hospital

reception area and special arrangements are in place

to look after such items during visiting times.

Care Programme Approach (CPA)

The Care Programme Approach (CPA) is a way of

making sure that the service user and everyone in the

multidisciplinary team including the service users

community link workers discusses ongoing plans for

care at least twice a year, as a group. This process

refreshes the plan for care for the next six months.

These meetings can involve a representative of the

service user’s choice, including advocates, family

members and carers. Within the meeting everyone

has the opportunity to share their views about the

progress being made along the recovery journey

focusing on the My Shared Pathway areas, and their

thoughts about where care should be focused for the

next six months. The service user in particular shares

his or her thoughts on how things are progressing and

the things that would make the most difference to their

progress before the next meeting.

Once everyone is in agreement with what should

happen, a six month outcomes plan is created. It’s in

the service user’s best interest to attend these

meetings to demonstrate a level of involvement and

motivation to take an active part in care.

Service Users can chair these meetings if they would

like to do so.

The Mental Health Act

There is a dedicated team of staff based at Guild Lodge

who ensure that service users are legally detained and are

able to exercise their rights as determined by the section of

the Mental Health Act under which they are detained. The

MHA team also ensure that clinical staff complete their

statutory duties.

If a service user is unsure about a legal aspect of their

detention, or how to appeal to the Hospital Managers or

Mental Health Tribunal, staff from this team will visit the

service user on the ward at their request.

Advocacy

The advocacy service offers service users support

and help on a wide range of issues regarding mental

health care and personal rights. Advocacy staff are

independent of the hospital and can provide

confidential, impartial, free advice for service users.

If you would like support with your CPA and further

information then Independent Mental Heath Advocates

(IMHA) are available to help. You can contact them on

01772 773520.

Managers’ Meetings

Many people living at Guild Lodge are under the care

of the Mental Health Act. Named nurses are able to

provide service users with vital information about

personal rights under the Mental Health Act. If a

service user does not agree with the requirement to

receive care he or she has the right to air these

concerns at a meeting of the Hospital Managers and

the service user can arrange for support and advice

from a legal representative who would also attend. The

meeting is known as a ‘Managers Meeting’ and is a

form of appeal against being detained in care. Each

meeting will involve lay people as well as members of

the multidisciplinary team.

Mental Health Review Tribunals

A Mental Health Review Tribunal can be called twice

in the first 12 months of care and once every 12

months after that. The Tribunal is an opportunity for

the service user to appeal against being obliged to

receive care. The Tribunal Board is comprised of a

judge, an independent doctor and a lay person.

Service users attending a Tribunal hearing can have

their own legal representation. Tribunals will listen to

service user concerns regarding the obligation to

receive care. The Tribunal panel will also request

reports from specific members of the multidisciplinary

team so they can consider their views and balance

these alongside the views of the service user. The

Tribunal has the authority to end the obligation to

receive care based upon the findings of the meeting.

They can also recommend that the obligation should

remain in place.

Service User and Carer Groups and

Meeting

Ward Community Meetings

At least every two weeks service users have the

opportunity to attend a ward community meeting. The

meetings are chaired by service users and designed to

involve everyone in discussions about issues that they

are concerned with on the ward. Ward community

meetings are an important part of service user

involvement within Guild Lodge. At these meetings,

decisions made can have a dramatic effect on the way

the ward operates. When care is evaluated

contributions to these meetings are taken into account

as these reflect a willingness to be involved in the

immediate community. The skills required to contribute

to meetings says a lot about a personal ability to

engage with others. The ward community meeting

offers everyone the opportunity to explore issues and

concerns and supports everyone in living in harmony

with their peers.

Have your say!!

Service User Champion Business Steering Group

Meetings

These are meetings are held monthly, which service

user representatives (Champions) attend. The aim of

the Champions group is to develop and facilitate

change in hospital policy and delivery from a service

user perspective.

All service users are invited to attend. Service users

are encouraged to raise issues that are affecting

them and to listen to feedback regarding ongoing

matters. Attendance is voluntary but we encourage

people to get involved, or nothing will change.

Family, Friends and Carers

Carers are those people in our service user’s lives

who provide practical and emotional support with

particular regard to daily living and mental health

concerns. A carer can be a family member, a spouse

or a friend. Quite often carers are the people who

know the service user better than anyone else. We

encourage family and friends to get involved in care

and to discuss their role with the service user and the

named nurse. Service users can have family and

friends to attend particular meetings about care, along

with a advocate supporting as necessary. It is a legal

requirement for our service to offer carers an

assessment of their own needs at least once a year

to ensure that they are receiving an appropriate

amount of support in their caring role. Dedicated

literature for carers is available within the hospital.

Please ask staff or Social Worker Department for

information on a Carers Assessments. You also have

rights!

Family and Friends Forum

There is a Family and Friends Forum meeting held every

month. The forum meetings discuss different aspects that

affect carers, service users and Guild Lodge. There is an

opportunity for family, friends and carers to learn more

about aspects of mental health, medication, care plans,

etc. as well as meeting others who are in the same

situation. If you are a friend or family member you would

be most welcome to join the forum. If you are interested or

want anymore information please call Reception on 01772

773698

Skype

We know some family members and friends can find it

difficult to visit regularly. Guild Lodge offers a Skype

Service throughout the hospital, where service users,

friends and families can skype each other.

We want everyone to be connected with their family and

friends.

Activities in Guild Lodge

Guild Lodge encourages service user involvement and

has a broad range of activities designed to develop

new skills and stimulate the body and mind. These

activities provide opportunities to meet with other

service users, helping build personal confidence whilst

providing structure and meaning to the day. Everyone

living at Guild Lodge is encouraged to take part in at

least 25 hours of activity each week. Some of these

activities can take place individually or in groups,

either on or off the ward. Often activities take place in

the TRC (Therapeutic Resources Centre), Tarnbrook,

Gleadale Centre and sports hall/gym. Community

sessions are also organised for people who have

leave.

Therapeutic Resource Centre (TRC)

The TRC has a number of therapy rooms, communal

social areas and a library. The library is open

throughout the week and a librarian visits every

Thursday. People meet to chat about the books they

have read or just to socialise. If you do not see a book

you like, or are looking for something specific the

librarian will try to order it for you. There are books on

all sorts of topics from self help books and cookery

books to fiction novels and encyclopaedias.

Pottery Sessions

Pottery classes take place within the Therapeutic

Resource Centre (TRC) and this can involve learning

to make different pottery designs of your own choice.

Service users can be as creative with their imagination

as they wish and there are books to stimulate ideas.

The sessions cater for both men and women. Learning

to make pots and mugs is good fun. Designs can also

be painted on the pottery in any chosen colours.

Art

No need to be an artist to enjoy this session! There are

so many different ways to build on your creative side.

Art is a good session to help people relax and is

something that can be continued as a hobby after

leaving hospital. Within the art session there is the

opportunity to try out different mediums like

watercolours, acrylics and oils, or even pastels.

Service users are encouraged to develop and

experiment with their creative side within a group

setting or on a one to one. To enjoy art you do not

have to be able to draw or paint right away. You can

work with stencils or tracings or perhaps work in an

abstract way. Whatever the choice, the staff will offer

advice and support with tips to help everyone get the

best out of this popular session. Art sessions take

place on the wards or in the TRC Art Studio.

Taking Part in Art Exhibitions

Guild Lodge Occupational Therapy Department (OT)

has introduced a number of art-based projects over

the years, using diverse approaches to engage

people in the arts.

There is the opportunity to take part in many forms of

art at Guild Lodge. The culmination of all the work

service users do is sometimes displayed in an

exhibition which is held each year at the PR1

Gallery, within the University of Central Lancashire

(UCLan).

There are different themes each year aimed at promoting

the emotions, challenges and experiences of dealing with a

long term mental health issue. Service users can work

together as a team with others on your ward or individually

on your own pieces.

Attending the Gym

Whilst living at Guild lodge becoming physically fit or

staying fit, building stamina, strength and flexibility are

all achievable within our own gym. We have two

physical activity coordinators who can offer personal

guidance and prepare a keep fit plan. They carry out a

short assessment and provide some guidance about

how to use the machines.

Going to the gym can be a great way of feeling good

about yourself. Sessions take place once a week for

about an hour. Personal routines can involve weight

training or cardiovascular workouts. Staff attending the

gym can support the workout routine and monitor your

progress. It’s a social activity. You get to talk to staff

and service users there. Team work is needed and

cooperation with sharing equipment, but it’s a great way

to spend time. Attending to physical health helps you to

cope with the stresses and strains of life.

The gym also holds physical health priority sessions,

which are individualised one-to-one sessions that

support service users to look at and work on personal

physical health.

These sessions can take place in the gym or through

a range of activities such as walking and a variety of

sports. The physical activity programme will also take

into account personal goals around food and lifestyle.

Sports Sessions

Sports sessions take place during the week. They include

football, badminton, dodge ball, basketball, cricket or

volleyball. Each of these offers a chance to burn off some

energy. Most of the sports are team games where you

have to work together and help each other if you want to

win. Sport is a good way to get some exercise if you do not

like going to a gym.

The gym instructors welcome ideas and suggestions

regarding sport activity at Guild Lodge. These are very

popular sessions and a lot of fun for those people who

participate.

The Sanctuary

The Sanctuary is a special space for everyone. It’s

located near the sports hall and gym. The Sanctuary

is a quiet, relaxing space for those who want to spend

time getting away from it all. The Sanctuary also

offers;

Somewhere sacred to pray or meditate, join in a

Mass or take part in other religious services

Somewhere without distractions for you to just

think or clear your head

Somewhere for you to simply ‘be’

The Sanctuary can be whatever you want it to be; a

chill-out room, a temple, a church, a synagogue,

oasis of calm or an escape. The Sanctuary is a safe

place for people to feel protected with comfortable

seating and floor coverings, mood lighting and a

sound and vision system aimed at creating a peaceful

atmosphere.

Learn to Relax

In relaxation sessions you learn how to become calm

and this can help maintain control with everyday

anxieties. A member of staff will talk through a series

of breathing exercises and muscle relaxing techniques

to help shake off tension in the body and mind. Staff

guide service users through short imaginary journeys

such as walking on the beach, whilst at the same time

listening to relaxing sounds such as waves crashing

on the shore.

The session is full to the brim with coping strategies

as you learn techniques to relax and clear the mind of

stress and anxiety. Obviously, this session could be

seen as just another way to fill time, but it’s much

more than that. The strategies and techniques learned

will remain long after the sessions and they can be

repeated anywhere, at any time and whenever they

are needed.

Gaining Confidence (developing confidence in

social situations)

This course explores our current skills in everyday

social situations including the following:

Feeling uncomfortable in the company of other people

Overcoming shyness

Starting and ending conversation

Learning about communication with body language

Knowing how to make requests assertively

Listening to others effectively

Posters on the wards give details of each course. For

some people the course extends to going out into the

community and practicing the topics covered in the

sessions.

Being shy or anxious with other people is

something you can overcome.

Focusing on Managing Anxiety

Anxiety is a normal experience we all have to cope

with at some time in our daily lives. Sometimes the

levels of anxiety experienced can become troubling.

This course is designed to encourage people to

share their anxieties and experiences. The sessions

are friendly and relaxed to encourage people to feel

comfortable talking about their experiences.

Everybody in the group supports each other, which

helps each person to begin developing their own

individual coping strategies. After a while anxieties

become less stressful so that they can be dealt with

in a more positive and practical way.

Voices, Visions and Unsettling Beliefs

Many people who are coping with mental distress

experience unsettling experiences. Within this group

people can share their experiences and learn how to

appreciate what they mean to them.

Those involved in this group are encouraged to

explore different ways on responding to troubling

experiences. By listening to others with similar

experiences, ideas for a better way to deal with things

can emerge. The course also gives information on

how medication can help with symptoms. The course

provides information about the influence of stress and

how this can affect people and make things seem a lot

worse at times. At the end of the course you come

away with a better understanding and improved skills

to deal with things. The design of the course helps

everyone to work towards a personalised ‘Staying

Well Plan’.

Health

Living Groups

The sessions help service users to find out which

foods are good for health and which are not so good.

Attending the Healthy Living Group provides

information on how to use a food pyramid to help

choose a balanced diet, by taking something from

each different type of food group.

You also discover how to read and understand food

labels to avoid eating too many fatty foods and

knowing how much fat, sugar and salt you can eat in

your diet. It’s not just about food though, you get to

learn about how different chemicals can affect your

body and in particular, the damage that smoking can

do.

Women’s groups

Some sessions within the activities are just for women.

They can take place on the ward, in the Gleadale

Centre and at the Therapeutic Resource Centre. Staff

work with service users in one to one sessions and

group sessions. Activities range from cooking healthy

meals, beauty therapy sessions, women’s sports, arts

and crafts themed events to promote the women’s

service, team building activities and community

outings.

Outdoor Leisure Group

The Outdoor Leisure Group takes place once a week.

The groups are small but you can usually take part

every three weeks. We visit a range of places around

Lancashire so you get to know the area around here if

you are not already familiar. We can do a lot of

walking, depending on where we go.

Getting outdoors in a group is a great way to socialise

and get some exercise at the same time. For those

who are anxious, outdoor walking offers a relaxed and

friendly atmosphere away from the hospital.

Fishing Group

The fishing session takes place every week (but this

depends on a car being available). Due to the

popularity of the group we have a rota each week

just to make sure everyone gets a turn. You learn all

about different fish, what rods to use, which bait and

what other bits of tackle you need. You learn how

the weather or the environment affects how

successful you are at catching the fish. Fishing can

be very relaxing, just sitting on the bank and

watching your float bob up and down, even if it’s

pouring down.

Gardening

The gardening group involves planting new plants,

tidying up the garden area and maintaining it so there

is a nice garden for everyone to visit. The current

project involves digging a pond, making a rockery, a

vegetable patch, a sensory herb garden and a nice

flower area. The group is also rebuilding a wall and

pavements and generally maintaining the garden.

The session helps to build good social skills by

working as part of a team and talking to others about

new ideas for the garden.

Tarnbrook Centre

Vocational Therapy

Vocational therapy is about looking at providing people

with realistic work opportunities, developing work skills

and promoting social inclusion within a relaxed and

friendly environment.

The Tarnbrook Centre has a programme that includes a

range of workshop sessions such as metalwork,

horticulture and woodwork. These are all designed to

help build up relevant skills. There are also adult

education sessions and the chance of real work

experience.

Tarnbrook is a registered charity with all profits going

into the charitable fund. If you attend Tarnbrook you get

to decide what to spend the proceeds on. This often

includes social events such as barbeques and discos,

new equipment and vouchers. The Tarnbrook Centre is

about promoting social inclusion; we are always open to

different ideas and suggestions.

Adult Education

Adult education sessions take place once every week

within the service and include support with literacy

and/or numeracy. The aim of the session is to build on

current skills and confidence.

A tutor supports the service from one of the local

colleges and service users can work towards

completing specific exams and certificates if they want

to. The sessions take place as a group but if people

want to work on their own then one to one sessions

can be arranged to start with. Each person completes

a short assessment to begin with, but this is not too

difficult. It helps the tutor to structure the work at the

right level.

There is always someone in the sessions to help if

anyone gets stuck and the tutor will always go over

things with people individually. It’s not just about

getting a qualification - it can also help you to cope

with everyday things like using multiplication, reading

instructions and talking to people. It can help to build

on personal independence and once you have the

skills they can make life much easier.

Information Technology (IT)

The need to be able to use and understand computers

is becoming increasingly important in today’s world.

We use computers to do different types of work such

as word processing, using spreadsheets, storing data,

desktop publishing and exploring the internet.

Working in the information technology suite can help to

develop skills in using different computer programmes

whilst promoting problem solving skills. The sessions

also provide a chance to work on basic literacy and

numeric skills.

Metalwork

The metalwork sessions are designed to teach

service users new skills or to remind them of lost

skills if they have any previous experience. The

workshops support other activities such as

horticulture by designing and creating garden

sculptures. Occasionally these are made to order or

sold at market. If someone has a sculpture idea we

discuss it and try to make it work. If something is not

working right we talk it through with others in the

group, and the instructor.

Service users can learn about the machinery used in

the Tarnbrook Centre.

Some service users learn how to weld metals

together. Developing new skills helps to build

confidence. Working in teams reinforces effective

social skills. The work experience provides a routine.

Occasionally service users have progressed onto a

college course to take their skills to another level.

Creating something that other people have asked you

to make or want to buy is very rewarding.

Participating is not all about work and if you need

something the instructor will always listen and help.

Woodwork

The woodworking sessions are held at the Tarnbrook

centre and involve constructing various items out of

wood using both hardwood and softwood. Items we

make include bird tables, planters, garden benches

and bird nesting boxes. Service users learn how to use

the various machines such as the band saw,

thicknesses, and chop saw as well as a variety of hand

tools. Woodwork passes the time in a constructive way

and can help maintain current skills or develop new

ones, like problem solving.

Bike maintenance

Bike maintenance takes place in the metal workshop in

the Tarnbrook centre. We have many bikes that we

repair and improve before selling them on.

Repairs can include replacing brakes, gears and all

cabling. We will fix punctures or replace the inner tubes

and oil all the moving parts. Sometimes we will re-spray

the bikes depending on their condition. It’s all about

teamwork to get things fixed and you are encouraged to

develop problem solving skills to find out what’s wrong

with the bike and the best way to fix it.

.

.

Silver-smithing

Silver-smithing involves making silver rings using 925

sterling silver. These are then sold on our own

Tarnbrook market. You get to learn how to use a

variety of hand tools to cut and shape the rings and

are encouraged to create your own personal designs.

Sometimes the work can be fiddly, especially when

putting the solder on to join up the cut ends and form

the ring. It is a great pass time because you can

sometimes get to make something for yourself or

make a gift for someone else, and you get to buy it at

cost price. The facilitator is always willing to help if

anyone is stuck or frustrated with the fiddly bits so

you always finish with a great piece of work.

Horticulture

The horticulture session involves growing plants from seed

or potting-on plants. Growing plants is a satisfying

experience. We use the plants to create hanging baskets

and tubs ready for sale.

Sometimes you get to work with people from woodwork

sessions. They make the planters that we use to plant up

and sell on in the Tarnbrook market stall. Activities in

horticulture help everyone to learn to work as part of a team

and develop knowledge about looking after plants in

different seasons. There is also an opportunity to help sell

the plants on the market

Service users and carers volunteer and support a Grow

Your Own project here at Guild Park.

Volunteers

Volunteers work within Guild Lodge to support our

service as we see volunteering as a big part of our

organisation.

The Community-Working Group

The Community Working group (based at the

Tarnbrook centre) supports landscape jobs in and

around the local village of Goosnargh and other areas

around Lancashire. We also work in partnership with

Lancashire Wildlife Trust.

The work is very enjoyable and involves planting

flowers and plants then maintaining them to keep

them in good shape. The good thing is you work as a

team; service users and staff together with everyone

taking responsibility. The activity promotes exercise

too, because we walk if we are working in the village.

The best thing is that local people often pass by and

comment on what a good job we are doing. Skills

learned on other activities come in handy in the

community working group.

After working in woodwork the nest boxes, bat boxes

and raised beds we make are used by Lancashire

Wildlife Trust. We recently did some work at

Brockholes Brow and have also worked on the

grounds at Ribbleton Hospital. The Grow Your Own

project is also within the grounds and people can

volunteer to work on the project.

Forensic Community Mental Health Team

(FCMHT)

The FCMHT includes a Multidisciplinary Team of Consultant

Psychiatrists, Nurses, Social Workers and Psychologist.

Whilst at Guild Lodge and when considering future

discharge pathways, you and your care team will consider

who best to support you in the community on discharge from

Guild Lodge.

It may be decided that the FCMHT would be best placed to

provide your care, and they will become involved

approximately nine to six months prior to discharge. They

will work with you and the team on the wards to look at

accommodation options and preparing for community life.

Gatekeeping for Specialist Services

During your stay on the ward, you and the care team may

identify needs linked to Autism or Personality Disorder that

require additional assessment. . They will also work with

your family (with your permission) to understand and

complete the assessment.

service

Beyond Guild Lodge

Additional Services in the Community Service

There are a number of additional services in the

Community Service . These include-

The Criminal Justice Liaison and Diversion Service

who work alongside the police in Custody Cells.

Community Pathways who work into Adult Mental Health

Inpatient and Community Teams to consider and

understand your needs.

Personality Disorder Pathway who you may have met if

you have previously been linked to the Probation Service.

This service aims to work with you and the Probation

Officer to understand you and your needs, and to consider

different ways of working with you to support.

Multi-Agency Public Protection Arrangement (MAPPA)

brings health services, social services, police and

probation together. The MAPPA lead ensures that mental

health needs are considered and supported within any

meetings with probation. You will have been informed if

you are referred into any MAPPA processes.

Do you have any questions?

progress

involvement

recovery opportunity

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Guild Lodge 01772 773698

Service User and Carer Involvement 07920576266

Lancashire Care NHS Foundation Trust 01772 695300

Hearing Voices Network 0161 834 5768

Headway ABI 01291 625 625

Ncompass Carers and Advocacy Support

01253362140

Carers UK 0843634 0384

MIND 029 2039 5123

Healthwatch 01524 239108

Useful Numbers

If you would like any more information

please contact Guild Lodge on

01772 773698

Guild Lodge

Specialist Services

Whittingham Lane

Preston

PR3 2JH