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LLANTRISANT CARE HOME

STATEMENT OF PURPOSE

Who is the Home Manager for your 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 35 rooms, 12 to the ground floor for personal residential care, 23 to the first floor for nursing care, 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, 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 whose home we provide care and support within is a valued member of the community at Llantrisant Care Home and the wider local community and our work in support of them reflects this at all times.

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 are appropriately trained to deliver the highest standards of care. All newly appointed staff 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 24 hour 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 6 hourly 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. We also provide email and internet services that will be fully facilitated.

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.

We offer a wide range of activities both inside and outside of the home. With entertainers visiting the home and a range of art and craft activities as well as more traditional board games, quizzes and reminiscence group work being provided.

 We are hoping to provide raised vegetable and flower beds area to our garden, with 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 garden and we plan to have an annual hanging basket competition for the summer and a bulb growing event in the spring. Whilst we respect all religions and denominations our harvest festival is celebrated on the first Sunday in September with other seasonal events taking place throughout the year.

Although we cannot facilitate support to all residents at al 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. The representative of Abraham Nursing Homes Ltd obtains the views of residents, their representatives and any Local Authority or Local Health Board representatives. They will also consult with staff employed at the home. Following the consultation period a report will be written and made available within 28 days for residents, their representatives, any local Authority or local Health Board representative, staff employed at the home, and the National Assembly (CSSIW).In addition to this provision the CSSIW can request that an additional assessment of the home 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 available within your room, or in addition 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 within the policy folder of your room or 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 35 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 with a television room 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 with regular outings either individually or as a group

·         Regular visits are made by the optician and chiropodist.

·         Residents will be encouraged to continue with their religious beliefs either by attending their local place of worship or by clergy of their chosen denomination visiting the Home.

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 reviewed daily on a shift-to-shift basis. At shift handover the residents daily care notes are handed 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.