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Community Based Hospital Equivalent Care

Thistle Manor provides a unique level of community-based care and support. 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, Clinical Psychologist, Cognitive Behavioural Therapist, Occupational Therapist, RMNs, RNLDs and support workers.


The Thistle Manor team has expertise in caring for individuals supported informally, under Deprivation of Liberty Safeguards (DoLS), those on a Community Treatment Order (CTO) or Guardianship Order and those Conditionally Discharged from Section 37/41 MHA.


Thistle Manor has a proven track record of successfully supporting individuals 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 residents supported at Thistle Manor move to less restrictive community accommodation after discharge.

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Model of Care
Recovery Focused Model of Care

Our model of care is recovery-focused. Through personalised care plans and detailed risk assessments, we enable individuals to think about, plan and achieve a meaningful life. We support our residents 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 Manor. Read more about the Recovery Star by clicking the button below.

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Pathway of Care
Integrated Pathway of Care

Thistle Manor's 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 preadmission assessment, provisional care plans and a costing.


Following admission, there is an initial 12-week assessment. During this time, care plans and risk assessments are refined and the Recovery Star is completed. Thistle Manor 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 psychology, cognitive therapytherapeutic art, education and vocational support. Each individual will have a named nurse to support them through their recovery. Individuals are reviewed 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.


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 Manor 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 Manor 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 Manor 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.

70% of residents improved


40% of residents improved by more than 10 points


Based on 30 residents who have completed 3 or more Recovery Star Assessments over the last 3 years 

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Clinical Specialisms
Wide Range of Clinical Specialisms

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


  • Psychiatry

  • Clinical Psychology

  • Registered Mental Health Nursing

  • Registered Learning Disability Nursing

  • Occupational Therapy

  • Cognitive Behavioural Therapy

  • 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.

Information correct on 23/03/2016

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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.


Some of the current links include:


  • St Pauls Church, Clitheroe: our local church where we attend and organise many events including the annual Carol Service, community lunches and tea/ cake afternoons;

  • The Food Bank, Clitheroe: offer opportunities for volunteer work and gives our residents the chance to contribute to local charities;

  • Salvation ArmyClitheroe:  a charity shop in the local community that has offered voluntary positions for our residents;

  • Garden Club Membership: enables residents to contribute to the annual fair and participate in flower arranging and baking competitions;

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  • Annual Summer Fair which is organised within Thistle Manor's grounds for residents, families, professionals and the community. Residents help to organise the event and ensure it is successful and fun;

  • Despite Covid 19, Residents and staff at Thistle Manor enjoyed the 10 year anniversary in July 2020. It wasn't the same as usual parties but everyone had a great day! 

Staff Training
Quality Staff Training Programme

We offer an extensive mandatory training programme to all staff. Additional training for specific identified needs is also provided, such as Maintaining Boundaries, Personality Disorder and Challenging Behaviour.


Training programmes are amended according to the needs of the service and our team is encouraged to increase its knowledge and skills in areas of interest relating to members' particular specialist fields. Regular Training Needs Analysis (TNA) completed to ensure that our training is up to date and relevant to the people we support. 

In August 2020 the staff induction process was reviewed, extending the time new starters have to understand residents needs. 



99% of our staff hold or are working towards a Level 2 Diploma in Health and Social Care or equivalent.


86% hold or are working towards a Level 3 Diploma in Health and Social Care or above in an appropriate field.


  *Statistics accurate Sept 2020

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Staff training figures.png
Percentage of Staff with or working towards NVQ Level 2
Percentage of Staff with or working towards NVQ Level 3
Percentage of Mandatory Training Completed
for All Staff excl. 12 week probation period
Percentage of Mandatory Training Completed
for Staff with over 12 months service
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