LLANTRISANT
CARE HOME
STATEMENT
OF PURPOSE
Who are the Registered Persons for your home?
The Responsible Individual
The Managing
Director of Abraham Nursing Homes Ltd is Mr Zaher Shaikh. Mr Shaikh in addition
to being the Responsible Individual for the company and a Care Home Provider is
a Solicitor who has experience in legal matters concerning the provision of care
for the Older Person. The contact address for Abraham Nursing Homes Ltd is:
First Floor
22 Osborn Road
East Aldgate
London
E1 6TD
Although he can also be contacted via
the care home
The
Registered Manager
The Registered Home Manager is Ms. Marilyn Lunnon RGN
1. Marilyn has a wealth of experience spanning nearly 17 years working within
the NHS and the Independent Sector at management level specialising in care for
the older person.
Who works at
your Home- Our Staff?
Residents and
their representatives can be assured that they are supported at all times by
suitably qualified and experienced staff.
We have purposefully
not established a fixed staffing notice for our home as we believe that
residents care needs are a fluctuating situation and minimum staffing today may
not suit their needs tomorrow. We therefore offer reassurances that we will
always work in excess of National recognised staffing levels and in addition to
this, continuously monitor care delivery including social interaction to ensure
that care needs are delivered at the most appropriate level and to the highest
standards at all times.
We appreciate
that the delivery of high standards of care and support to our residents is
dependent on not only good recruitment procedures but the ongoing support and training
of staff. All staff receive not only ongoing mandatory training but training
which is supported by the company to at least NVQ level 2, and usually to NVQ
level 3 and above.
How
is your home organised in supporting you?
Who can we Support & provide Accommodation for?
Llantrisant
Care Home provides a highly professional care service for persons who require
varying degrees of personal, healthcare and nursing assistance to maintain an
optimum level of independence.
We provide
respite, if there is a bed available, medium to permanent accommodation; for
those over and under 65 who require nursing care, and those who are over 65 who
require personal care and support only, although two places are offered in this
category for persons under 65. The home welcomes both male and female residents
and respite guests, and a choice as to the gender of your care staff will be
offered whenever possible.
We have 38 rooms,
14 to the ground floor and 24
to the first floor, which includes 5 which are suitable for permanent
wheelchair users or those with a physical disability. With a team of
experienced staff, Registered Nurses, NVQ qualified care assistants and a
variety of experienced support staff, we ensure the provision of an appropriate
care programme, which is resident focussed and individualised, in a supportive
and non-restrictive environment.
Resident’s views
on all aspects of the service are sought by means of individual consultation, questionnaires,
and residents meetings in the future,
as well as during informal social occasions with residents’ representatives;
this is supplemented by statutory requirements for review with the Local
Authority or Local Health Board for those who have their care commissioned by
such authorities.
Each resident
at Llantrisant Care Home is unique and is treated as an individual. Therefore
we provide a home where individuality is emphasised, and the emphasis is given
to:-
Privacy
We respect the
rights of the residents to be left alone and undisturbed whenever they wish as
long as the environment is safe to do so. They also will have the right to meet
family, friends and visitors without being overlooked or overheard. Staff will
always show regard for the privacy of individuals.
Dignity
This is the
understanding of the residents needs and treating them with respect. We will
always respect their rights to privacy and confidentiality.
Independence
We will support
the resident to take calculated risks, to make decisions and think and act for
themselves, ensuring that a reasonable balance is kept between independence and
risk taking. The residents care needs will be reviewed regularly and as changes
occur to reflect these risks.
Choice
We will ensure
the residents have the opportunity to make informed choices and that
individuality is respected.
Rights
Llantrisant promotes
human rights for all residents. We will ensure that no discrimination is
evident on the grounds of age, gender, race, language or religion.
Fulfilment
We will enable
the resident to realise their own aims and help them to achieve these goals in
all aspects of daily living. We will understand and meet the resident’s spiritual
and emotional needs as far as possible and strive to create a lifestyle that is
flexible and adaptable as their needs and wishes change.
Philosophy of Care
Llantrisant
Care Home aims to provide a friendly, secure, relaxed and homely environment in
which the residents care, well-being and comfort are of prime importance.
All staff at all
times strive to preserve and maintain the dignity, individuality and privacy of
all resident’s within a warm and caring atmosphere, and in doing so will be
sensitive to the residents ever-changing needs. Such needs may be medical,
therapeutic, cultural, psychological, spiritual, emotional, and social, and the
residents will be encouraged to participate in the development of their
individualised care plans in which the involvement of family and friends may be
appropriate and is greatly valued.
The Resident has the
right to:-
- Dignity
- Kindness
- Privacy
- Confidentiality
- Freedom
of activity [subject to safety]
- Receive
visitors
- Receive
a high standard of care
Be consulted on matters that effects
them at all times
All staff
within the home will be
appropriately trained to deliver the highest standards of care. All newly
appointed staff will undergo
an extensive induction programme as specified by the Care Council for Wales
2002. A continuous staff-training
programme is implemented to ensure that these high standards are maintained in
line with the latest developments in Care Practices as may be laid down in legislation
and the Care Standards Act Wales (Regulations 2002) and as regulated against by
the Care & Social Services Inspectorate Wales. All the Care Staff receive
support to achieve a minimum of NVQ Level 2 in Care, with additional support
staff undertaking NVQ or similar training in their particular area of practice.
How can you move in, & why we can’t support some care needs?
Prior to moving
into the home, an assessment will be undertaken by the home manager to both
establish your needs and ensure that the home can meet these needs. This
assessment will include, physical, emotional and cultural needs including any
specific areas of personal safety and risk. During your stay at Llantrisant
both the staff delivering your care and other caring agencies that are involved
will continuously review these assessed needs.
Pre admission visits
and trial stays at the home are offered, and we would actively encourage you to
pre-book your trial visit whether this is for a meal at the home with your
family or friends or an overnight or weekend stay.
We are not able
to offer care to those with a diagnosis of dementia/mental infirmity or who
have learning disabilities as their primary care need
We do not
actively intend to offer accommodation in an unplanned way, however we do
appreciate that circumstances may occur that initiate an ‘emergency’ or ‘hasty’
move into the home for a short or long term stay.
When a Resident
does move in as an emergency it is the policy of the home to work with all the
concerned agencies to minimise any risks in meeting un-assessed needs. A care
plan in completed in conjunction with the placing authority/Care Manager or the
person who has an appropriate understanding of the residents care needs prior
to the resident moving in, and is reviewed on a regular basis to minimise risk. A full care
plan is completed at the earliest opportunity to meet all identified needs
You will be
involved personally in the planning of this care and encouraged to remain as
independent as possible with the support of the staff.
You will be
offered a key worker when you move in, who will assist you with information
about the home, routine, and when needing to purchase such things as
toiletries, they will also be actively involved in empowering you within the
care planning process and explaining procedures within the home. When required
they will liaise with your family or any representative on your behalf.
How can we help you pursue social activities, hobbies & leisure
interests including attendance at religious services and contact with your
family and friends?
Resident’s
family and friends are encouraged to visit regularly and maintain contact by
letter or telephone when visiting is not possible. In these cases staff will
offer assistance where needed for residents to write and send mail.
Visitors will
be welcomed at all reasonable times, and are asked to inform the
Nurse-in-Charge of the unit of their arrival and departure.
For Security
and Fire Safety reasons, visitors must sign the visitors book on each occasion,
and we would request that visit are not made to the care home after 22:00 unless
absolutely necessary.
The Resident
has the right to refuse to see any visitor, and this will be respected and
upheld by the Nurse-in-Charge who will, if necessary, inform the visitors of
the resident’s wishes and ask them to leave the home.
Whilst we cannot allow the residence of pets within the home, we do
encourage ‘well behaved’ animal friends to visit, but ask that you respect the
wishes of your fellow residents who may not be so welcoming to your friend.
Activities are always under review with the home, as some activities may
suit some and not others. We also take into consideration that some of our
residents may not wish to take part in any activities and we must acknowledge
their wishes.
In the future we are hoping to provide raised vegetable and flower
beds area to our garden, with maybe a greenhouse, the vegetables we grow will
supplement the fresh vegetable provision on our daily menu, and whilst not truly organic are very local and Rhondda
grown leaving a very small carbon footprint! Supervision will be provided for
residents wishing to.
Although we cannot facilitate support to all residents at all times if
each requested accompaniment to a religious service, we endeavour to make
arrangement for such services on a reasonable basis outside of the home with
home based services and communion being facilitated whenever possible and on
request at all other times
How do we find out that the service we provide meets your needs, manage
complaints you may make & carry out reviews of your service delivery plan?
The quality of care is reviewed annually by Local Authority and Local
Health Board. They will also consult with staff employed at the home as well as
residents and family members. In addition to this provision the CSSIW inspect and
visit regularly. They request an additional assessment of the home which is
undertaken by the Registered Provider, which will be carried out by us and made
available for public review in addition to the CSSIW within 28 days. You can be
assured that only accurate information will be reported and that the reports
compiled by us for your information will not be misleading in any way.
In the event of the CSSIW notifying us of any improvements that we need
to make, with regard to compliance with the Care Standards Act 2000 these will
be met within specified timescales and the CSSIW Vale & Valleys Regional
office notified when compliance is achieved.
If as a
resident, relative or friend, you feel there is cause for complaint, you should
at first discuss the matter with the Nurse-in-Charge, this is known as ‘Local
resolution’ and will be resolved as soon as reasonably practicable and in any
event within 14 days.
If the matter
is in your opinion, a serious one, or if you remain dissatisfied, you can
either speak to, or write to the Home Manager or to the Director. A full
investigation will be made into the complaint, and you will be advised of the
result as soon as is reasonably practicable and in any event within 35 days.
You will be provided with a written report which will summarise the nature and
substance of the complaint, the conclusions and the action to be taken as a
result of your complaint.
If, after this
investigation, and/or 35 days you are still not satisfied, we will notify the
local regional office of the CSSIW with regard to our delay in resolution.
You are also
encouraged if you feel that we have not met your expectations reasonably or you
wish for further advice regarding the management of your complaint to contact:
Care and Social
Services Inspectorate Wales
Vale and
Valleys Regional Office
4/5 Charnwood
Court
Heol
Billingsley
Parc Nantgarw
Nantgarw
Cardiff, CF15
7QZ.
We would also
advise you to contact a representative of the person who commissions (funds)
your care e.g. Local Authority or Local Health Board if you are unsure who best
to contact these details will be advised to you by the home manager on request.
A copy of
our full complaints procedure is on request from the home manager at any time.
How do we manage emergency procedures within your home and manage aggression
by residents and/or others if this arises?
Fire
The home has a
fire alarm system fitted with “Fire Exit Notices” and “Fire Emergency
Instruction notices” displayed at strategic points throughout the home as
advised by the local Fire department.
Staff are
instructed through induction training with regard to the Fire Prevention/Drills
policy, this includes the use of the homes fire appliances, evacuation, muster
points, raising the alarm etc.
Fire Drills are
carried out at regular intervals and all staff receive annual training.
All Fire
fighting equipment is checked as recommended by qualified fire equipment
technicians.
All fire alarms
are tested weekly by the staff of the home, on a Monday morning 10:00 and at 6 – monthly intervals by a maintenance
engineer. All records are kept of all such testing within the home.
All furniture,
fixtures and fittings within the home meets fire resistance guidance and we
would request that any furniture which you wish to move into the home, meets
this standard, we cannot except furniture/fittings that does not meet this
standard and to protect residents, staff and visitors we will refuse any
request of yours to install such items if their fire safety cannot be proved.
Missing persons and Emergency Evacuation
All residents
are requested to give their consent to having their photograph taken, copy of
which will be placed within the medication administration records, and also
within a missing persons form, that will enable us to support and safeguard you
within an emergency evacuation of the building or in the rare event that your
whereabouts may not be known to staff, outside of the home.
Aggression
The home does not operate a procedure for restraint of the resident, if
a resident become violent or aggressive towards staff or to others within the
home, care management systems will be invoked that will allow for a protection
and cool down period, allowing the resident time and space to reduce their
anxieties whilst staff will maintain the safety of the resident, restraint will
only be used within a limited capacity
that will promote the residents or others safety only, and as a short term
intervention. This action may lead to referral to other professionals who will
offer advice and/or treatment for the resident. If such outburst persists, the provider
may invoke the 28 day notice period and request that the resident vacate the
home in consultation with any care commissioner or fee payer. Any safety device
such as bed rails and protectors, door alarms and sensors will only be used as
care safety measure and not as means of restraint and will be risk assessed
accordingly, such devices will be incorporated within the residents care plan.
Any visitor to the home that shows violence or aggression to residents
or staff will be asked to leave the premises, failure to do so will result in
this matter being reported to the local police via 999.
This action may also result in referral being made, in the event of
violence or aggression against residents, or in the sight or earshot of
resident against staff, (which may have affected the physical or psychological
health or residents as vulnerable people) under the South Wales Adult
protection procedures (PoVA).
A copy of the homes Fire procedures, Restraint,
Aggression and PoVA procedures are available on request from the Home manager
at any time.
What type of accommodation do we provide?
The home is a two storey building, purpose built in
1993, and has a rural setting with superb view across the countryside. During
2006 to August 2007, a considerable amount of internal alteration work has been
undertaken to make it fully compliant with National Minimum Standards of the
Care Standards Act 2000.
There are 38 single bedrooms all with en-suite facilities and many with exceptional
views of the local Rhondda countryside. All rooms offered to residents for
their personal occupancy can be locked to ensure privacy. There are three
lounges, two downstairs and one upstairs, a dining room, chiropody and hair
dressing salon and numerous bathing/assisted bathing and shower facilities.
There is a passenger lift to ease mobility. The assistance call system is
connected to all bedrooms, bathrooms, toilets and all communal areas. All
meals, drinks and snacks are provided and there is a full laundry and cleaning
service.
The home is staffed 24 hours a day 365 days a year by
a team of Qualified Nurses and Care Assistants. Within the nursing care unit Registered
nurses under the direction of the lead nurse are responsible for dispensing
medication, assessment, implementation and evaluation of care plans in
consultation with the resident, involving their representatives and members of
the multi disciplinary team when appropriate. Whilst within the personal care
unit support and care is provided under the direction of the team leaders and
with the support of the District nursing service when required. Within both
units emphasis is placed on the individual’s personal choices, dignity and
independence.
In general assistance with care is
given according to the residents needs
·
Residents are encouraged to make
individual decisions, about diet, dress, what time they go to bed and get up
and how they spend their time.
·
A variety of leisure and social
activities will be offered.
·
Contact with the local community is
encouraged.
·
Regular visits are made by the
optician and chiropodist.
·
Residents will be encouraged to
continue with their religious beliefs by clergy of their chosen denomination
visiting the Home whenever
possible.
The home has a
strict no smoking policy and smoking
is not allowed within the home,
we would request that those who smoke within the grounds, including visitors
dispose of their cigarette butts within the identified receptacles which is
located within the smoking shelter.
How do we ensure that you receive
the treatment that you require including referrals to specialist services and
supervision of therapeutic techniques?
Once developed the care plan will be regularly
reviewed to ensure that your needs are being met. The Nurse, key-worker,
Manager and other staff as necessary will review any issues relating to your
care plan.
Representatives with the residents consent will be
encouraged to participate in the residents’ daily routine as far as reasonably
practicable, and will be invited to attend multi-disciplinary team reviews,
although they are invited to talk to a member of staff at any time should they
have any concerns.
Care plans are documented
on daily basis. At shift handover the residents care notes
are handed over by the out-going staff to the in -coming shift, and discussion takes
place. Changes to the care plan may be proposed at this point.
Nurses and team leaders evaluate the care plans
monthly and amendments, if required will be made at this time, although
amendments maybe made ahead of this schedule if required.
All amendments to the care plan are recorded in full
and signed and will be in full consultation with the resident, relatives and
other care agencies.
Staff may identify the need to make referrals to
additional specialists who can enhance the level of care and support you
receive, for example the Speech and language therapist- especially important
for those who have swallowing difficulties, the Dietitian who may suggest
amendments to your diet and supplements, the chiropodist, optician,
physiotherapist or occupational therapist, and on some occasions consultant
physicians or surgeons. This care is often planned in conjunction with your
General Practitioner, and for residents who have moved in from the locality
every effort is made for you to retain your current GP.
All
meals are prepared within the home using fresh ingredients, the meals will be
varied and favourite dishes and special diets can be catered for. Residents are
encouraged to eat in the dining room but may eat in their room if this is their
choice.
For Further Information
or to make an Appointment to Visit our home please contact:
The
Home Manager
Llantrisant
Care Home
Old
Llantrisant Road
Llantrisant
Mid
Glamorgan
CF72
8LQ
Tel:
01443 - 239001
Fax:
01443 - 237973
Please be prepared to provide brief details of your care
needs or those required by those who you represent when contacting the manager,
so that we may assist you in making the right choice about your future home,
and to prevent you from delay if we feel we cannot meet your identified needs.