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Community Based Hospital Equivalent Care

Thistle Hill Hall  provides a unique level of community-based care. A Consultant Psychiatrist-led multidisciplinary team (MDT) is able to provide comprehensive, intensive, personalised care to individuals with severe mental illness and complex needs.

Our MDT comprises of a Psychiatrist, Chartered Forensic Psychologist , Nurses, Occupational Therapist, Activities Coordinators and Rehabilitation staff.


The Thistle Hill Hall team has expertise in caring for individuals treated informally, under Deprivation of Liberty Safeguards (DoLS), those on a Community Treatment Order (CTO) or Guardianship Order.


Thistle Hill Hall has a proven track record of successfully supporting, enabling and empowering service users discharged from hospital care at a significantly reduced cost compared to inpatient treatment.


Re-admission rates to acute inpatient services are extremely low. The majority of service users supported at Thistle Hill Hall move to less restrictive community accommodation after discharge from this rehabilitation service.

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Model of Care
Recovery Focused Model of Care

Our model of care is recovery-focused. Through personalised support plans and detailed risk assessments, we enable individuals to consider, plan and achieve a meaningful life. We support our service users to take control of their lives by working in partnership with them, their families and health and social care professionals. Our recovery-focused care enables individuals to:


  • Find and maintain hope

  • Re-establish a positive identity

  • Build a meaningful life

  • Take responsibility and control of their illness and life


We use the Recovery Star to support residents in assessing and reviewing their progress whilst at Thistle Hill Hall. Read more about the Recovery Star by clicking the button below.

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Pathway of Care
Integrated Pathway of Care

Thistle Hill Hall's initial assessment is followed by an MDT discussion and an agreement on whether an individual's needs can be met by our service. Formal notification is given to the care co-ordinator with pre-admission assessment, provisional care plans and a costing.

Following admission, there is an initial 12-week assessment. During this time, support plans and risk assessments are devised and refined and the Recovery Star is completed. Thistle Hill Hall involves individuals in every aspect of their recovery and each individual’s personalised pathway is collaboratively agreed upon.

An individual will receive MDT input depending on their needs. This includes occupational therapy, clinical psychologytherapeutic art, education and vocational support. Each individual will have a named nurse to support them through their recovery. Individuals are reviewed approximately 8-weekly in the Multidisciplinary Team Meeting (MDTM) and any member of an individual’s NHS team or family is welcome to attend these reviews.  Should a service users needs change then MDT input will be provided promptly in order to ensure responsive support and treatment is provided. 


A Care Program Approach meeting (CPA) will be held approximately 12 weeks after admission and then every 6 months depending on need. The CPA provides the framework for assessing need and planning ways of meeting these needs.  At each CPA, the MDT will discuss discharge options and planning with the individual and their care coordinator.


During an individual’s recovery, they will be assessed as to whether they can move to one of the Recovery Flats (subject to availability). Each Recovery Flat is a supported, self-contained flat within Thistle Hill Hall which enables a greater degree of independence prior to discharge.


Relapse prevention is a key aspect of assisting an individual in taking responsibility and control of their illness and life. Thistle Hill Hall routinely supports individuals to identify triggers, recognise early warning signs, manage stress and improve coping strategies. Prior to discharge, a transition plan will be agreed and initiated.

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Recovery Star
Recovery Star

The Recovery Star is a nationally recognised assessment that can be used to track the progress of individuals in key areas of independence.


The specific assessment that we use at Thistle Hill Hall is the Mental Health Recovery Star which focuses on 10 key areas of functioning:

  • Managing Mental Health

  • Physical Health and Self Care

  • Living Skills

  • Social Networks

  • Work

  • Relationships

  • Addictive Behaviours

  • Responsibilities

  • Identity and Self Esteem

  • Trust and Hope

We use the Recovery Star since this incorporates a resident's view on their treatment and recovery and that of their named nurse. Each score is collaboratively agreed upon for each area between 1 (Stuck) and 10 (Self-Reliant) and then plotted to make the star image.


An explanation, using the resident's own words, where possible, is used to record why each area recieved that particular score. This scale is called the Ladder of Change.


The assessments are completed at least every 3 months and any change is seen in a visual format.


An Action Plan is then completed for each Recovery Star to set realistic, achievable and specific goals for the resident to aim for before the next assessment.

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Clinical Specialisms
Wide Range of Clinical Specialisms

At Thistle Hill Hall we have a range of specialist professionals who are available for our residents to provide treatments and interventions tailored to their individual needs. Thistle Hill Hall's in-house range of specialist mental health professionals provide individualised treatment and interventions. Our team consists of:


  • Psychiatry

  • Psychology

  • Registered Mental Health Nursing

  • Registered Learning Disability Nursing

  • Occupational Therapy

  • General Nurse

  • Therapeutic Art

  • Numeracy and Literacy Skill Tutoring

  • Social Engagement and Inclusion


To read more on any of these areas click one of the links below.

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Community Links
Established Community Links

We have many established community links and continue to create new ones as our residents identify interests and opportunities that they would like to develop further.

  • Harvest Festival – an event held in September where we invite the local community. Staff and service users also make donations for the local food bank which are presented to them on the day.

  • The Food Bank, Mansfield Woodhouse: Offers our service users volunteering opportunities and has given our service users the chance to donate food / time to a local cause.

  • Salvation Army – Mansfield / Sutton in Ashfield. Provides service users with the opportunity for our service users to attend their weekly luncheon club. Mansfield Tuesdays and Sutton in Ashfield is on a Wednesday. The Sunday service at Mansfield has recently closed due to depleting number, however the Sutton in Ashfield centre remains open.

  • The Baptist Church – Mansfield. A local church where one of our service users attends regularly for Sunday service. 

  • The Jehovah Witness – Mansfield. A local congregation who provide religious input both internally for one of our service users at Thistle and externally for Sunday service.

  • Rodney Warden – Local Chaplain who visits us once a month to provide a service, sing hymns and provide Holy Communion for anyone requesting.

  • Framework – Eco Therapy. A new addition to Thistle Hill Hall. Frameworks Eco therapy team provide community outings and ‘get together’ for the local community. Referrals for this scheme have recently been sent.

  • Lush – Handmade cosmetics – have provided us with personal care products for our service users to try out. They are also attending this year’s care home open day to teach service users how to make bath bombs and to give a donation.

  • Millbrook mental health unit – Provides the volunteering opportunities for service users to work in their tea bar.

  • Recovery College – Based in Mapperley   Notts, the college has provided our service users with the opportunity to attend college courses to build on their awareness and rehabilitation. Courses can be anything from building self-esteem to understanding psychosis

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Staff Training
Quality Staff Training Programme

The "Staff Development Lead" (a senior nurse) continues to introduce educational sessions to develop the skills and raise staff awareness in every aspect of the care. In addition to this Thistle Hill Hall offer an extensive 25 course mandatory training programme to all staff from Red Crier.

Additional training for specific identified needs is also provided, such as Maintaining Boundaries, Personality Disorders, Challenging Behaviors, Service Compliance Compassionate care, motivational interviewing and many more.

Training programmes are amended according to the needs of the service and our team is encouraged to increase their knowledge and skills in areas of interest relating to their particular specialist fields.

A large percentage of our staff hold or are working towards a Level 2 Diploma in Health and Social Care or equivalent.

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