The Care Home Assessment Team (CHAT) aims to improve the lives and end-of-life care for residents in care homes in Enfield in the patients home. It is a nurse-led community service which provides rapid response visits or telephone advice at times of crisis, and works with residents, families and care home staff to make end-of-life care plans and stabilise long-term conditions.

The service provides:

• holistic assessment (including telephone assessment)
• scheduled and unscheduled care
• rapid response visits at time of crisis
• treatment and symptom management for acute conditions
• palliative and end-of-life care
• health education and health promotion advice
• falls prevention - the team works with both residents and staff in care homes on falls prevention methods
• management of long-term conditions
• assessment and treatment advice for common mental health concerns, including dementia, depression and anxiety
• education and training for care home staff
• urgent phlebotomy service.

Eligibility Criteria

Inclusions

CHAT physical health patients:

• residents in an Enfield care home, aged 18+ and with a complex physical health need.

CHAT mental health patients:

• residents in an Enfield care home, aged 65+ (or under 65 if a formal dementia diagnosis is in place), with a complex mental health need.

How to Refer

Urgent referrals can be done via telephone. Non-urgent referrals must be sent via email.