DDN Rehab Guide 2019 DDN REHAB DIR 2019_July | Page 12

SPOTLIGHT How do we as a society provide high-quality nursing and residential care to people whose complex needs and behaviours mean they are ill-suited to mainstream services? Edwin House, a specialist care and reablement centre for people with histories of drug and alcohol abuse, is beginning to provide some answers. Edwin HousE – a uniquE carE and nursing EnvironmEnt for pEoplE witH a History of drug and alcoHol misusE Tens of thousands of adults in the UK are living with serious physical and mental health conditions related to their past or current misuse of alcohol and drugs. As funding continues to fall for established support and treatment services, this number is expected to grow in the years ahead – with predictable results: • more people with complex needs will be forced into inappropriate care environments • more people will end up in hospital • and, most shockingly of all, more people will likely die on our streets. Edwin House, the UK’s only specialist co- located residential care, nursing and inpatient detoxification unit, has been developed by the charity Framework to care for those people who will otherwise be left behind – both now and in the future. Located in Nottingham, the service was opened in February 2018 to do two things: • to provide comfort, care and security to residents and patients with complex health needs and behaviours; • and to provide cost-effective, high quality care options to statutory agencies struggling to meet the needs of an increasingly complex population. Residents have a wide range of health conditions, from alcohol-related brain injuries to various cancers. They are all supported with individual care plans suited to their needs. Framework operations director Michael Leng explained: ‘Across the UK we have an aging population of people who have experienced long-term complex histories of problematic substance misuse, family breakdown, homelessness and deprivation. ‘Because of their high support needs and complex histories it is often impossible to provide them with appropriate, stable, long- term care solutions that enable them to live with dignity and security. Edwin House provides both dignity and security, and operates in the 12 | drinkanddrugsnews | Rehab Guide 2019 ‘Edwin House provides both dignity and security, and operates in the belief that it is never too late to improve quality of life...’ MicHaEl lEng belief that it is never too late to improve the quality of life for this vulnerable and marginalised section of society.’ The CQC-registered facility consists of two distinct services – a 48-bed unit providing residential care, nursing care and re-ablement support, as well as a 14-bed, consultant-led, medically assisted inpatient detoxification unit. With this unique configuration it is able to cater for the widest possible range of needs – from respite placements to end-of-life care. David*, 45, is a long-term former rough sleeper with terminal cancer. He explained: ‘Before coming here I was in hospital for four months and didn’t want to be there anymore. It wasn’t very private and could be noisy as well. I was told about this place by my nurses and I really couldn’t have asked for much more. It’s really turned my life around because it feels like a home. I can have my own stuff in here and have even started to feel a bit house proud! Obviously it’s a very difficult situation for me, but I know I am in the right place here.’ Framework operations manager Bernadette Linton has overseen the development of the project. She added: ‘In many ways people like David really sum up what Edwin House is all about: providing options for professional, compassionate care to people whose complex needs make them ill- suited to other more traditional care settings. ‘In all probability the only other option for David was to spend the rest of his life in a hospital bed – which would have been a very poor outcome for David on a human level, and also for the NHS who would be unable to use that bed for the foreseeable future. ‘Edwin House, then, serves two purposes: it ensures that people have the care and support they need to live (and in some cases die) with dignity and security, whilst also minimising the strain on local authorities and the NHS. Another current patient, for example, was admitted to hospital 99 times in the last year alone. As a chaotic rough sleeper with an undiagnosed alcohol-related brain injury there were simply no other options for him locally. And that really is at the heart of what we do – we provide appropriate options for care in cases where very few others exist.’ For more information please visit www.edwinhouse.org or call 0115 8504002 *We have changed David’s name to preserve his anonymity www.drinkanddrugsnews.com