HOWE DELL MANOR

Howe Dell Manor, located in Hatfield, is a newly converted residence specialising in mental health care for residents either with or without forensic histories.

Howe Dell Manor Care Home

HOWE DELL MANOR

Old Rectory Drive, Hatfield, AL10 8AE

Interim Manager: Stanley Nenge
Stanley.Nenge@nouvita.co.uk
Telephone: 01707 263 903
Fax: 01707 257 485


Day by day care for step by step progress


Howe Dell Manor Nursing Care Home Dining Room
Howe Dell Manor Nursing Care Home Fireplace
Howe Dell Manor Nursing Care Home Living Area

Placements are available for 18 male or female residents aged 18 and over, with or without forensic history.

With care provided by an experienced nursing team, Howe Dell Manor supports residents in the sometimes challenging pathway back to the community.

Providing a safe yet homely environment in a residential setting, Howe Dell Manor is perfectly positioned to allow residents to have privacy and isolation when needed, while being well-located for reintegration in the community when the time is appropriate.

Hatfield Public House
Hatfield Statue
Hatfield House
Hatfield Home

All potential residents are comprehensively assessed before admission. The assessment is a process rather than a single event. The potential resident, if necessary, would visit the Care Home during the assessment process. This would provide the opportunity to determine whether the person satisfies the formal admission criteria, which are:

  • Aged 18 and over.
  • Suffering from enduring mental disorder (excluding primary diagnoses of learning difficulty, dementia and substance misuse).
  • Any learning difficulty is mild and not the primary diagnosis.
  • Any alcohol or substance misuse is not the primary diagnosis and the individual is prepared to be abstinent from their substance(s) of misuse during their period of residency. Staff will work with the resident to help him/her achieve this aim.
  • There is no history of paedophilia (Howe Dell Manor has given assurances to the local community and the local planning office that people with a history of paedophilia would not be admitted).
  • There is an identified clinical team prepared to supervise the clinical management and treatment of the individual in the community and that a current CPA Plan is in place which includes admission to Howe Dell Manor.
  • Current Risk Assessment and Containment Plan indicating that risks in the areas of relapse to illness, non-compliance, self-harm, substance misuse, relapse to any offending behaviour and absconding are reasonable and manageable within Howe Dell Manor.
  • Current risk of fire setting is assessed as low.
  • An individual with a history of high profile offending may be admitted providing the clinical team and local services can satisfy Howe Dell Manor that adequate measures have been taken to contain the risks of distress which may be caused to the resident, other residents, the local community and staff induced by aggressive and intrusive media interest. There will be an adequate Media and Publicity Containment Plan in such instances.
  • The individual is prepared to accept the rules and conditions of residence of Howe Dell Manor and sign the resident's contract.
  • The person is compatible with the other residents and he/she is prepared to attend the weekly Community Meetings.
  • The individual is self-medicating.
  • Howe Dell Manor staff can develop a good working relationship with the resident’s clinical team.
  • Most importantly, the individual wants to reside at Howe Dell Manor.
  • A Forensic Psychiatric history does not exclude admission.
  • Howe Dell Manor does not normally accept emergency admissions.

The Care Home is an 18 bedded facility for males and females aged between 18 and 65 years (on admission), suffering from an enduring mental disorder and requiring further support and rehabilitation as they make the transition from an inpatient mental health care unit to either independent living in the community or subsequent placement in longer term supported accommodation. The suburban and residential character of the neighbourhood lends itself to meeting the needs of residents who are in this process.

Individuals suffering from enduring mental disorder often present multiple clinical issues with complex interactions and interdependencies. Their disorder may be treatment resistant, leaving the person with significant neurocognitive and motivational deficits and progressive social withdrawal and deterioration. Their histories may reflect significant alcohol and/or substance misuse. They often have histories of repeated or prolonged periods of inpatient admission leading to institutionalisation. These people need considerable understanding, support, motivation and psychological care if they are to successfully make the transition from inpatient care to living either independently in the community or long-term supported accommodation.

The Care Home aims to provide a reasonably comfortable and “homely” environment in which the resident’s further rehabilitation needs may be flexibly addressed. The Care Home focuses on rehabilitation, support and psychological care.

The following residents’ stories give a flavour of how life is at Howe Dell Manor and the care we give makes a real difference to their lives.

Mr N

Mr N is a man of advancing years who was admitted from the local acute admission mental health ward. Upon admission he was practising no self-care, requiring assistance to walk, was reluctant to eat and drink and had symptoms of depression.

Mr N was diagnosed with bipolar and appeared to be in the depressive phase. Matters were not helped because Mr N was alienated from his family due to his behaviour in the past. Mr N had long-term issues that could not be addressed within the acute setting and he was admitted to Howe Dell Manor.

When Mr N arrived at Howe Dell Manor the team conducted an assessment of his needs which revealed that he was more capable of performing physical tasks. Some of Mr N’s reluctance to walk was due to experiencing falls in the past and he required reassurance from the staff about his ability to walk, which empowered him.

Today Mr N gets out and about in the community escorted by staff with the aid of an electric wheelchair. Although Mr N has occasional bouts of irritability, which he explains are due to his bipolar condition, the team have noted this is linked to his physical health and now monitor his vitals on a regular basis to alert the GP to avoid any relapse.

In Mr N’s own words, he feels that life at Howe Dell Manor has improved the quality of his life and remarks that the staff make him feel safe and protected.

Miss L

Miss L is a 35-year-old single woman who was transferred from her local NHS acute psychiatric unit. She was displaying psychotic symptoms, experiencing paranoia, displaying threatening behaviour and intimidating others, was difficult to engage with and had a history of stealing and damaging property.

She had been diagnosed with schizophrenia that was difficult to manage due to disengagement and non-adherence to medication. This led to repeated admissions. Attempts made by her community mental health team to work with Miss L proved to be unsuccessful and with each admission she appeared to be deteriorating. Those within her team felt that prognosis was poor and decided to refer Miss L to Howe Dell Manor, a nurse-led unit, to provide recovery care.

The first priority for the team was to alleviate her psychosis in a safe, secure, therapeutic environment, which was achieved by the Howe Dell Manor team working collaboratively with Miss L and her community mental health team.

She was initially treated with an oral atypical antipsychotic and following education and support/encouragement she slowly complied with the medication regime. This was aided by using the recovery star model and lifestyle care plans which were drawn up between Miss L and her keyworker. The interventions in Miss L’s case were to have 1 to 1 sessions with keyworkers and support workers to reflect on the care plan and current difficulties she was experiencing. These sessions provided an opportunity to develop mental health awareness and address the psychosis. Subsequently, she demonstrated increased insight, motivation and strategies to avoid relapse. Miss L’s psychotic symptoms gradually remitted and the team worked to develop therapeutic alliances with her.

She engaged in a weekly therapeutic programme designed to meet her needs by meeting with her keyworker. The nursing team carried out a comprehensive review of her records and collaborated with her to produce a risk assessment. Miss L successfully engaged in a graded programme of community leave, progressing to unescorted leave which she used constructively towards losing weight.  These assessments led to a formulation of Miss L’s risks and informed an individually tailored programme of interventions.

The plan is to transfer Miss L to the Chestnut Suite (Studio Flats) within Howe Dell Manor, providing a pathway towards discharge.

Professionals who have previously worked with Miss L are bowled over by the changes and cannot believe how well she recovered. Her care co-ordinator believes that coming to Howe Dell Manor made the difference  otherwise Miss L would be another statistic going through the revolving door.