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Nelson Trust

Nelson Trust
Last Updated: 28/08/20

Telephone: 01453 732 867/1

Address: (map)
Port Lane, Brimscombe, Stroud, Gloucestershire, GL5 2QJ

Email: admissions@nelsontrust.com

Website: www.nelsontrust.com

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What we do
Substance misuse: Drugs:      Alcohol:  
Female only project: No
Typical length of the first-stage programme 12
Typical length of the second-stage programme 12
Mandatory drug/alcohol testing: Randomly / On suspicion
Detoxification available No
Support available
Supported housing and resettlement:
Education, training & employment
Female only groups:
Philosophy/programme of care: Eclectic/integrated
CBT/social learning
Therapeutic community
Programme details:
The Nelson Trust offers abstinence based treatment utilising a holistic approach incorporating the development of recovery capital alongside relapse prevention with a trauma informed, individualised package of care.

We understand that for those seeking long term recovery, a package of care that is tailored to meet specific needs relating to trauma, substance misuse, family systems, recovery capital, relapse prevention and resilience building, alongside ETE, creative outlets, outdoor pursuits, resettlement opportunities and a strong aftercare package are crucial to ensuring our clients move on with a solid foundation for recovery and an achievable plan for the future in place.


Family support services:
Our family recovery workshop is designed to give guidance to those who are close to someone with an addiction. The 2 day workshop is delivered by experienced, qualified staff who help support family members and loved ones to make sense of their situation, learn how to manage anger, guilt, shame, isolation and anxiety, understand addiction, relapse and early recovery provides an opportunity for family members to come together with others who have shared similar experiences.

We provide gender specific parents in recovery groups weekly alongside 1-1 support sessions around parenting.
Activities provided for children and families:
Alongside our family interventions, we support clients to maintain contact with children through face to face visits, telephone contact and Skype video calls. After an initial settling in period and assessment of suitability, we have a self-contained, two bedroom flat which is solely for visiting purposes between parents and children. This environment is designed to provide a child friendly, safe visiting space that does not have a clinical feel and provides a “home style” visit to support our clients in maintain their attachments with children. This facility is available for our clients and their children up to age 14 to work towards full weekend overnight night visits subject to agreement.

The family flat is equipped with DVD player, TV a range of toys and games, full cooking facilities and a bathroom with shower alongside two bedrooms, one with a double bed and overhead bunk and a single bedroom.

During weekend visits, where appropriate, family interventions can take place alongside.
Post treatment support:
Clients completing our service can access ongoing support via our Aftercare programme.

Addiction and society:
Accredited level 1 course covering the personal and social impact of addiction.

Open to Recovery Group:
Abstinent Recovery group open to resettlement clients and the wider recovery community available twice weekly.

Stained Glass:
A 12 week class where you can design and create a piece of leaded stained glass.

Peer Mentoring:
A 10 week accredited level 2 course introducing the principles of mentoring, alongside an opportunity to mentor upon completion.

Woodwork
5-week course. Work on a small project led by fully qualified tutor.


Harm reduction policies for clients leaving the programme early:
Whilst we make every attempt to support our clients to successfully complete treatment, prior to every admission, our team works closely with referrers to ensure that an emergency exit plan is in place to support with a premature departure.
In the event of a client leaving early, our primary consideration is the safety of that client.

In the first instance we contact referrers to ensure they are aware, we then work with the client to ensure a transport plan is in place, a next steps plan is activated and where appropriate a naloxone pen is reissued to the client (providing this was brought when admitted) and harm minimisation and a safer discharge pack is issued, warning against the dangers of lowered tolerances and overdose risk.
We aim to avoid discharging late at night and to provide assistance in securing safe accommodation wherever possible. Medication will be returned to the client, as appropriate according the risk factors.
We will inform next of kin if required and provide a comprehensive exit report.
Resettlement / after-care services:
We have four resettlement houses providing low level supported accommodation to support clients transition back into the community in a structured way which is offered for up to 12 months on a licence agreement.

Every resident has an individual support plan and a named support worker; house groups are held weekly and support staff visit the houses regularly. Residents are offered help with accessing independent move-on accommodation.

Rent in resettlement housing is covered by Housing Benefit so no further funding is required.
Hours a client would typically spend on elements of the programme in a week:
One to one counselling and keyworking: 4
Group work: 15
Complementary therapies: 4
Education: 3
Domestic duties: 2.5
Other activities: 8
Other details:
Voluntary work, sport,drama,walking
Art, crafts, furniture making, cooking,
Tai Chi, outward bound activities.
IT to CLAIT, CLAIT Plus and ECDL, adult literacy &
numeracy to OCN Level 2, aromatherapy,
bike maintenance, Record of my Achievement to
OCN Level 2.
Treatment completion rate (% clients discharged for)
Treatment complete 0 %
Service user transferred 0 %
Treatment incomplete :
   - client dropped out 0 %
   - treatment withdrawn by provider 0 %
Who we treat
Accepted clients Male / Female
Age range of clients 17 - 75
The following are accepted: Pregnant women
Service users with children
Orders of residence
Clients under Drug Rehabilitation Requirements (DRRs)
Clients under other community orders
Criminal Justice referrals: Court reports provided
Accompanied court attendance
Child care options: Children can have day visits
Children can have overnight visits
Dual diagnosis clients accepted
How the programme is equipped for dual diagnosis or complex needs:
Every client will have a Care Plan, individually designed to meet the needs identified at assessment and then reviewed and updated at regular intervals. Clients arriving on an Enhanced CPA will already have a care co-ordinator, psychiatrist or CPN from their local area and the Nelson Trust will work closely with all professionals involved in the clients' care. Qualified and experienced clinicians will deliver EMDR, Horticultural Therapy, CBT and CAT interventions to support those clients with complex needs.
Accepts client on the following prescribed psycho-active medication: Anti-depressants
Anti-psychotics
Exclusions and restrictions to admission:
We aim to offer a comprehensive clinical assessment alongside a tour of our services to all clients seeking our support, placements are offered on an individual basis once risk assessment and risk management process is complete.
We offer a non discriminatory service and whilst we have no blanket exclusion policies, we allocate placements according to satisfactory risk management planning.

Exclusions: We are based on a hill, so clients with certain mobility problems may not be suited to our location. This will be discussed on assessment.

Certain Schedule 1 offenders/those with an arson conviction may be excluded depending on the risk assessment.
Facilities / vacancies
Bed vacancies : Please note this project runs a bed waiting list, please call the project for more details.
Number of Beds Registration Room
type
Detox Disabled
access
Gender Contract
4 Drug/alcohol (D/A) Shared No None Both Spot
Total registered beds: 25
Ensuite rooms: 0
Shared rooms (3+): 0
Twin rooms: 11
Single rooms: 1
Female-only beds: 0
Male-only beds: 0
Beds for detox: 0
Detox programme details:
Detox packages can be advised upon, however we do not offer an on-site detox service.
Level of wheelchair access: None
No. bedrooms with full disabled access: 0
Sign language:
Pets: No
Level of catering Self-Catering
Domestic responsibilities Full
Complementary therapies:
Aromatherapy:
6-week course. The tutor gives a grounding in the use and application of essential oils and how to address physical and emotional issues such as sleeplessness, anxiety, skin conditions and pain.

Yoga Group:
Restful 1-hour session with fully qualified yoga expert.

Reflexology
An 8 week course learning how to practice self-reflexology on hands.

Other facilities (eg. languages spoken, dietary options, religions etc.): Religious holidays observed
Facilities for worship
Dietry requirements
Fees & other info
Gross weekly residential charge: Not yet supplied
Block contracts: No
Block contracts costs: Not yet supplied
Other cost-related services:
Supplement £100 per week for Dual Diagnosis clients
Admission and discharge information:
Assessment and admissions:
Clients already in Tier 4 treatment may be offered an overnight assessment. The client is allocated a room for the night, attends the morning programme and has one-on-one assessment with an experienced recovery worker.
Alternatively, a client may come for a day assessment which will include a tour of the facilities and a one-to-one assessment.
Clients unable to attend for a face to face assessment will be offered a telephone assessment. If appropriate, we would then admit on a one month trial basis. Occasionally, an assessor will travel to a prison or hospital to conduct a face to face assessment.
Additional admission services:
Collection from train station if required
Trauma informed allocations of staff and residence taking client preference into account.
Discharge policies:
Whilst each case is taken upon its own merit, the following incidents would result in an end of placement:

Show violent and threatening behaviour
Use drugs or alcohol
Registration:
Registration: Care home only
Registered with the National Drug Treatment Monitoring System (NDTMS):
Registered with the Care Quality Commission (CQC) - from October 2010:
Local Authorities using this project Barking and Dagenham
Barnet
Bedford
Bexley
Brighton and Hove
Camden
Cardiff
Cornwall
Croydon
Ealing
East Hertfordshire
Edinburgh, City of
Enfield
Exeter
Hammersmith and Fulham
Haringey
Islington
Kingston upon Thames
Leicester
Luton
Newcastle-under-Lyme
North Devon
North Somerset
Nottingham
Oxford
Plymouth
Portsmouth
Redditch
South Staffordshire
Stratford-on-Avon
Swindon
Thanet
The Vale of Glamorgan
Tower Hamlets
Wandsworth
Westminster
Wiltshire
Worcester
Nottinghamshire
Gloucestershire
Leicestershire
Suffolk
Bristol
Local Care Quality Commission(CQC) office:
Region: South West
Local Authority area: Gloucestershire
Drug and Alcohol Team: Gloucestershire
Primary contact: No details supplied
Contact phone: No details supplied
Admission phone: 01453 732 861
Quality initiatives
The Nelson Trust applies various methods of Quality assurance, e.g. service user feedback, Peer Audit, Clinical Governance; external inspection bodies (CQC), and internal monitoring and statistical data.
Staffing - Full Time Equivalents (FTEs)
Clinical: 0
Doctors/psychiatrists: 0
Nurses: 0
Dual-diagnosis workers: 0
General counsellors: 0
Other clinical: 0
Volunteers: 0
Support/non-clinical: 0
Resettlement workers: 0
Children's workers: 0
Service managers: 0
Training/education staff: 0
Other non-clinical: 0
Total FTE paid staff: 0
Staff qualifications:
Counsellors have a minimum of diploma level and most have additional qualifications in MI, CBT, EMDR, Trauma, Family Therapy, Eating Disorders. Recovery workers are trained to Level 3 Health and Social Care in addition to safeguarding, child protection, food hygiene, safe administration of medication, infection control, group work skills. Many staff have personal recovery experience.
Night cover: 24-hours
Reviews / videos
Video
Not available
Reviews
Service user reviews:
There is a good balance of creative and therapeutic workshops and activities.’

‘I felt heard and both me and my recovery worker came to an agreement about my care plan.’ ‘All of my ideas and my suggestions were taken into consideration.’

‘Extremely helpful, insightful and productive. I have had many aspects of my life laid out before me and had many put into perspective. I have been encouraged to push myself and I feel my needs have been met.’

‘Found it very helpful in looking at my addiction and how I can move forward in my recovery.’

‘My recovery worker listened to what I had to say, helped me to build confidence. Talked me through my problems.’

‘Nelson has given me my life back but in a way in which I have been part of the process of getting it back myself. They worked with me rather than for me and helped me look at myself and address the areas I wanted to address. They encouraged a positive change in myself and a future in recovery.’
Professional reviews:
No details supplied

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