p.jones@cascade-care.co.uk

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Vicky Hall CEO
Cascade Care Ltd

 

The pace of the working day in mental healthcare can be fast and furious.
Two things have happened this month
to remind us of the bigger picture.

Firstly, a member of Cascade’s staff was invited by the Diversion and Inclusion unit of The London 2012 Organising Committee to join other mental healthcare providers
to visit the Olympic construction site in East London, and learn about future employment and volunteering opportunities for service-users.

Despite the half-completed structures of the stadium and other sporting venues, it was still possible to envisage what it will mean, come the summer of 2012, for service users to be part of the London Olympics, and feel included in this once-
in-a-lifetime event. If part of successful rehabilitation and recovery is about feeling valued, opportunities don’t come much bigger than this.

Over the past year Cascade has done its fair bit of campaigning to ensure that these opportunities would be available, and we welcome the London Organising Committee’s strong commitment to Diversion and Inclusion.

Something else of importance happened this month, another ‘construction plan’ which has been launched, every bit as visionary as the Olympic’s, and every bit as important for the future well-being of service-users. This was the publication (November 17th) by the DH of the National Delivery Plan of The Health and Criminal Justice Programme Board that sets out a coherent framework for implementing the main recommendations of The Bradley report.

Just as our service users will be included in the London Olympics, this report makes it clear that the private sector will be inc-luded as an integral player in the roll-out of the National Delivery Plan. Cascade welcomes this inclusion. We will play our part.

Through my staff member’s visit to the London Olympic site and the publication of the DH Report we are reminded of the bigger picture. And we like what we see.

     

Laington House Essex

On the inside cover of Cascade’s new brochure (copies on request) there is a telling picture of a young fawn standing isolated in the depths of a large forest. The point of the photograph is driven home by a quote from Mother Teresa, who stated “Loneliness is the most terrible poverty”. The starkness of this observation speaks volumes.

Managing the inner loneliness of our service users is central to what we do at Cascade. Inner loneliness, especially for those diagnosed with depression, can seldom be entirely eradicated. But the healing effects of living in a therapeutic community like Cascade do deliver long term benefits.

Laington House, in Harold Wood, in Essex, opened in late 2008, is the largest of Cascade’s 24/7 residential units. Whereas all our other Homes are 5 or 6 bed units, Laington House accommodates up to 9 service users. But despite its slightly larger size, Laington House is very much ‘home’ to our service users, and professional visitors frequently comment on its open and friendly atmosphere.

Creation of a familial environment, as far removed as possible from the institutional settings from which so many of our service users are received on step down, is a key element in constructing their recovery pathway. But creating this is about more than bright, airy rooms and comfortable furniture. Cascade’s service-users also live as a family, deciding on where to go on their weekly outings,
and where to take their annual holidays, a fact that elicited some surprise recently from a Social Worker from a busy London CMHT who remarked “I don’t know of many other providers who involve their service users so much”.

Unlike the fawn in the forest, Cascade’s service-users are rarely alone. And certainly none of them will be allowed to feel isolated. Social inclusion can mean many things. At Cascade it means developing the confidence to take responsible decisions, to be more aware of the needs of others, to gain the life and employability skills to move on into independent living within the wider community.

   
   

A Profile of Efraim Longwe, Home Manager at Laington House.

Efraim Longwe, Cascade’s highly experienced Home Manager at Laington House, has trained and worked in care since 1999. Efraim is a graduate, with a BA (Hons) in Social Care from The University of East London. Unusually for someone in his position, Efraim is also a qualified accountant.

Efraim’s transition from accountancy to social care is explained by his move from his native Zimbabwe to London a decade ago. After qualifying as an accountant in South Africa at Rhodes University, Grahamstown, he took the decision to settle in the UK.

“I had always wanted to work with people. Encouraged by my sister, who is also a Qualified Social Worker in South London, I set about getting my degree in Social Care. During various placements I worked with older people; as an advocate for ethnic minorities and at an inclusion unit at a school in Tottenham.”

“Whilst people with mental illness in Zimbabwe were hidden away, and socially excluded, my early experience in social work in London showed that we are much more open about these things in this country. Nevertheless, it was still something of a shock to see the extent of how isolated many people with mental health issues in London can become”

Efraim joined Cascade in 2003, and is now one of our senior Homes Managers. Despite job opportunities to work in the public sector, he values the greater freedom of working with service users offered through a care environment like Cascade. “Every day, we are taking important decisions with our service users that increase their readiness for move-on. I am not sure I would have the same freedom if, for example, I was working in a CMHT, managing a big caseload”.

Are there any areas of the professional relationship between a provider like Cascade and the public sector that he would like to see improved? “You know, when I started working at Cascade, Social Workers could refer directly to somewhere like Cascade. Now, Social Workers have to go through Placement Officers. So they have had their decision making capacity reduced. For some Social Workers, this has also left them with less of a sense of ownership about the recovery of their service users. An important part of my work is to include Social Workers in the important decisions we have to make about our service users. I only wish“ he adds somewhat wistfully “that I didn’t have to tell so many social workers that I am also qualified at their level before they listen more carefully to the expert advice I am in a position to give”.

   
 

Cascade Care has the following vacancies

Female Vacancies

3 vacancies at our newly opened North London unit

Male Vacancies
1 Male Vacancy in our West London
unit in Hounslow
1 Male Vacancy in Essex
1  Male vacancy in North London

We also have 1 vacancy in our newly refurbished Supported Living Unit in Haringey North London.

 

 
 

Cascade Care maintains an 'Open Door' policy at all times for mental healthcare professionals. Recent visits include those from:-

West Essex Assertive Outreach Team
Kneesworth Hospital
London Boroughs of Havering; Tower Hamlets; Camden; Hounslow; Hackney
The City of Westminster; Windsor and Maidenhead CMHT; Kent Forensic Services; Richmond and Twickenham CMHT, HMP Holloway.

 

 
 

 
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Cascade Care Ltd, Registered in England No 5654058
Registered Office:
11 Staple Inn Buildings, London WC1V 7QH.

 
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