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PURPOSE at Point House Residential Care Home in Norwich |
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FULL STATEMENT OF PURPOSE & SERVICE USER GUIDE (Standard 1) Point House is a Commission for Social Care Inspection (CSCI) registered Residential Care Home (registration number 000027360). We are situated on the junction of Magdalen Road and Sprowston Road in Norwich. Point House is a Georgian building which was originally opened in 1980 to 3 adults with learning difficulties. Point House is a family run business which is owned by Aubrey and Carol Cropley and managed by their daughter Sarahjane Cropley. In 1985 Point House was extended to accommodate 18 more services users each having their own rooms and personalised to their choices. Sarah has played an active role in the home throughout its evolvement, firstly living as a family with the 3 service-users, working as a care assistant then moving up to senior carer, (pausing in-between to raise a family). Sarah was appointed as manager in 2000. We have room for 22 adults with learning difficulties, five of which are licensed to be over the age of 65. The philosophy of Point House is to enable adults with learning difficulties to continue living as independently as possible by receiving care and support consistent with their incapacities and disabilities, and to value each and every individual who comes to live at Point House. We welcome people from all walks of life and with many different needs. All service-users are assured that they will be treated with dignity and respect at all times. People who enquire about our accommodation and services are provided with an information pack and are encouraged to visit the home before continuing with their application. They may then apply directly for a place at Point House although most applications are made by the local authority social services. This includes an assessment of their financial circumstances, which will determine any funding to which they may be entitled as a contribution to the costs of their accommodation and care. Each application is given careful consideration by the homes manager and depending on suitability and vacancies, a decision to offer a place is made within seven days.
Number of places and for whom There are twenty one rooms for single occupancy, with one larger room, which is able to accommodate two people. Anyone over the age of 18 and under the age of 65 is entitled to apply, although we are separately licensed to include 5 service-users over the age of 65. One of our main aims is to help service-users retain their links with their community, family and friends. We operate a strong diversity policy in respect of service-users and staff, and are committed to ensuring that no-one is excluded on the grounds of their gender, ethnicity, religion, culture or sexual preference. We discuss with each applicant how their individual needs can be met.
Aims and Objectives To provide quality care services for service-users with learning difficulties in a hygienic, clean, safe, friendly & homely environment ensuring privacy and dignity are respected at all times. To treat every service user as an individual in accordance with their equality & diversity and religious beliefs. To give every service user the choice of how they wish to live and the freedom to take risks. To protect from all forms of abuse (standard 23) The emphasis placed upon rights is an integral part of the quality of care we provide, we encourage advocates, befrienders and family members to help encourage those in our care to exercise their rights, which allow them to live as normal and as full a life as possible. Such rights include: To assist service-users to have as many opportunities as possible. To meet and form relationships with people other than those who are providing a service to them. CONFIDENTIALITY / DIGNITY / PRIVACY / INDEPENDENCE / CHOICE / SELF ESTEEM FULFILMENT / RESPECT / ACCESS TO SERVICES / ACCESS TO INFORMATION / CONSULTATION /INVOLVEMENT / PROFESSIONAL ADVICE / SAFETY / RIGHT TO TAKE RISKS / TO COMPLAIN / EMOTIONAL / PHYSICAL / SPIRITUAL / FREEDOM To provide each service user with a care plan with the aim to strongly promote their independence through a goal setting programme. We will make the plans realistic, and ensure that service-users are involved in the process and that staff members assist them in understanding the plan of care and that they are agreeable to it. Service-users will be given a copy of the contract and care plan if they wish. We strongly encourage all our service-users to take part in the running of the home. We believe that everyone should be free to choose and have the choice to live as independently as possible. The choice of what they want to be called, choice of menu and what they want to eat, self medicate (if capable) and to take reasonable risks. Everyone is fully involved in decision making and service-users have their own rota for jobs that they may decide they would like to do within the home-which is discussed on a weekly basis; this is displayed in the main dining area. Full risk assessments are carried out where necessary. To provide each service user with a key worker of their choice after the first four weeks so that they can talk in confidence about any problems or help they need.
To provide each service user access to medical, dental care, chiropody, optician, hairdressing, therapeutic service, education, instruction and guidance and encourage them to live in an appropriate environment of their choice. To provide equal opportunities, equality & diversity regardless of: gender, race, disability, age, religion or beliefs, sexual orientation. To promote equality of opportunities between men and woman. To provide a 9 week menu that is well balanced, nutritious and varied with personal preference, diets, choice & religion all taken into account. All services users have input into the menus as we hold regular clients meetings. Staff are trained to NVQ 2 and above and receive a full induction within the first 6-12 months of appointment, ensuring they are able to meet the needs of all service-users and keep on an ongoing training programme, in order to be able to act in a professional manner at all times. To provide a quiet area which service-users can use to discuss any issues with their family, friends or health care professionals in private. To ensure that all equipment at Point House is kept up to date with current safety regulations and that risk assessments are in place and equipment is monitored and maintained.
The Organisational Structure and Qualifications of Staff Registered Proprietors: Aubrey & Carol Cropley
Qualified Registered Home Manager Director & PR to the company Miss Sarahjane Cropley R.M.A (Registered Managers Award) NVQ 4 in HSC (Health and Social Care) Management DIP (in Retail and Marketing) Trained NVQ Assessor Studied Employment law for 2 years (Open University) 28 Years experience within this industry (Manager of 18 staff & 21 service-users)
Head of Administration & Personal Assistant to the manager Lisa Fordham NVQ 2 and NVQ HSC Lisa was previously our deputy Manager but left in 2001 to have a family Lisa has returned again in November 2007 (10 years experience within this industry) Lisa is also our day-service co-ordinator
Senior Care Management Team Karen Holland Senior Carer NVQ Level 2 Julie Newell Senior Carer NVQ Level 2. (12 years experience in LD) (Both about to take NVQ 4 in leadership & management for care services)
Hygiene & night shift supervisor Martha Guvamombe NVQ 2
Care Assistants Rudo Kaguda, Nellia Mwenje, Locadia Madzudzo, Sheryl Jermy all NVQ Level 2. June Rudram NVQ 2&3 SMH, June worked at point house 1998-2000, then went back into working with people with mental health problems, June has returned again august 2008 as our relief/bank staff. Joanna Barska, currently undertaking NVQ Level 2. Rubina Khurran PHD, Melanie Burnett RGN. Rainah Ghamuhowa, Paule Gallie, Lisa Page, Gemma Wilkes, Holly Villis (all about to start NVQ 2)
Hygiene Staff James Barr
All staff are trained in house within the first year of appointment
Staff Have Attended Continence care / Care plans & legal Issues / NVQ 2 in health & social care / Phlebotomy Bereavement, grief & mourning / Parkinson’s disease / Topps induction / Wound care techniques & treatments Dementia care / Signlong phase 1 / Learn Direct Induction / Appraisal & supervision
Admissions and emergency admissions (standard 2) Point House will not accept any new service-users without a full assessment as this is a legal requirement. Under government regulations (standard 2) all new service-users must undertake a full assessment of their needs before admittance. This will be carried out by the manager and any other healthcare professionals involved. This is intended to provide each service-user with the best possible information on which to make an informed choice about their future and ensures that this home is able to fully meet their needs and provides information on which to base an initial plan of care. The initial plan of care will set out whether the service user will require any additional services such as escort duties, personal care, one-to-one care or day services from our home. At times service-users are referred to us for an emergency admission – this could be only hours before admission. During these cases the homes manager must rely on information gathered from social workers, CLDN’s and previous homes etc to gain the information needed before admittance so that we may make a prompt decision. If the manager feels that we are able to meet the needs of the service user then a placement will be offered subject to a 28 day trial period. During this period if the manager feels that full information was not given and that as a result the home is unable to meet the service-users’ needs then termination of contract will be given with 28 days notice We will provide prospective service-users with as much information as possible about the home to help them make a decision about whether or not they want to live here. We offer the opportunity for prospective service-users to visit the home, join current service-users for a meal and stay overnight or for a weekend (standard 4). We are happy for a prospective service-user to involve their friends, family or other representatives in seeing the home and the care facilities we can provide before making the final decision about admission. If we feel the home cannot meet the needs of the service-user we will give advice on how to look for help elsewhere.
Key Contract Terms-Admission Occupancy, Termination of Contract. When people move in they have three months built into their occupancy agreement to decide whether “this is the place for them” This time provides an opportunity for staff to get to know the individual service-user and their families and to identify their requirements and preferred ways of living, e.g. the time they like to get up in the morning and go to bed at night. During this period the persons care and support requirements are also assessed and discussed, and developed into an agreed plan. This will include discussion and assessment of any risks to which the service-user or staff may be exposed to as a result of making their own choices and decisions. It also includes discussion, with the agreement of the service-users, with any relatives or a representative who may be involved about the persons care needs and plans. Consultations with those in our care by the following professionals, and similar others will always be strictly in private unless specifically requested otherwise. 28 days notice is required by both parties when terminating any contracts.
Fees Charged, what they cover, cost of extras (Standard 5) Fees are from £79.90 per day / £559.30 per week. The local authority may meet some or all of these fees: Local Authority Norfolk County Council Adult Social Services County Hall, Martineau Lane Norwich NR1 2UG
Fees include accommodation, food and non-alcoholic drink, heating, lighting and laundry services.
Service-users are expected to pay from their personal allowance or private income for personal items such as newspapers, tapes/CDs/DVDs, books, magazines and toiletries, hairdressing and chiropody, holidays, or any deliberate damage to the home or its property.
Extra services such as staff escort duties, transport costs, day services, one to one care or any extra personal care provided by staff also incur extra charges. Fees will be reviewed every March or more often if it is necessary to make changes to the individuals’ service plan.
Description of Accommodation / Facilities and communal space We have two large communal rooms; one is the main dining area with 52” widescreen T.V. and sofas, a computer connected with broadband to the internet, a games area and the service-users kitchenette The other room is the main lounge which has a 52” widescreen TV, sofas, a quiet area and soft lighting for the evenings. The home offers service-users the use of their own kitchen facilities and the use of the laundry room should they wish to use it. Staff will offer full assistance with the use of washing machines and driers where necessary. Bedrooms comply with the National Minimum Standards and range from 9 sq.mtr to 21 sq.mtr. We are able to offer everyone a private single room. Bedrooms will be modified and personalised to each service-users choice and arranged in order to comply with regulations. Service-users are welcome to bring to their rooms any personal items and furniture that that we can accommodate and that also meets with all legal requirements.
The ratio of service-users to bath/shower-rooms and W.C.s is better than the minimum required by law (we have 4 bathrooms, 4 shower rooms, 10 W.C’s).(Standard 27) (Standard 26)
The care plan for the service user (Standard 6) The individual service-users agreed Plan of Care provides the basis on which Point House care service is delivered. Each persons plan includes a description of their preferred daily routine, their likes and dislikes in relation to food and any specific dietary requirements and similar matters. It includes their preferences in respect to how they like to be addressed and what dignity, respect and privacy means to them in terms of daily behaviour and actions. We find that it is particularly important to find this out in relation to any intimate personal care activities that staff may be expected to carry out. The care plan contains full risk assessment and any risk management plan needed. It includes details of health care needs, medication, details of GP and any community nursing or other therapeutic services provided or that the service-user commissions for him or herself. Each service-user is allocated a member of the care staff to act as a key worker. Key workers are usually appointed on the day of admission. After a service user has lived in Point House for a period of one month they can chose another member of staff if they wish, this enables the service user to build a relationship with all staff and they then choose who they would like to be their key worker as they then know who they have formed the strongest bonds with. Key workers are responsible for monitoring and reviewing goal settings for their service-users and also act as a confidant to service-users as well as dealing with daily living issues and assist service-users to remain in contact with family and friends.
Social Activities, hobbies & Leisure interests We try to make it possible for our service-users to live their lives as independently as possible. We aim as part of the assessment process to encourage potential service-users to share with us as much information as possible about their social, cultural and leisure interests, as a basis for helping them during their period of residence in the home. We try to help service-users to continue to enjoy as wide a range of individual and group activities and interests as possible both inside and outside the home, to carry on with existing hobbies, pursuits and relationships, to explore new avenues and experiences. All service-users are entitled to use the dining room, the communal lounges, other sitting and circulating areas, and the patio area & BBQ in the grounds of the home. We have regular organised social activities by our day services co-ordinator such as coffee mornings, art/craft, cooking skills, reading/writing, bowling, karaoke, lunches out, reminiscence, pedicure/manicure/foot spa and hairdressing. We strongly promote independence and domestic skills. We also welcome service-users who may only come to reside in Point House for a short term period with the aim of living independently in the community in the future. These service-users receive additional support with everyday life skills to prepare them for their future. Point House is also registered by (NCC) to provide day services and as a part of our day services, service-users are taken out to various locations in Norfolk, Suffolk and Essex in our 6 seater people carrier.
Community Contact Community contact is important to all our service-users and our business. Regular and varied contact with others contributes to the overall welfare of the service-users. Community social activities may broaden the interests of our service-users and improve their quality of life. Where possible, we actively encourage service-users to be a part of the community and take part in local events and use local services. Service-users that are a part of our day services programme go out into the community on a daily basis with our staff. They are aware of their rights of access to public facilities under the disability discrimination act 1995. (Standard 13)
User Surveys and Views of the Home. We are committed to maintaining and improving the quality of our service. We have a comprehensive Quality Policies and Procedures manual, which is constantly under review and revision. All significant policies are contained here including our complaints procedure. An important part of our approach to quality assurance is to obtain the views of individual service-users and, on more general matters, through separate meetings and annual surveys with service-users and their relatives.
Privacy & Dignity Those in our care can expect the same standards of privacy we all generally expect to enjoy. Being alone, free from intrusion or disturbance etc. are basic human rights and are reflected in our care practices and attitudes as pivotal to our standards of care. By nature, being cared for can make it harder to enjoy privacy than, for example, living in ones own home independently. We need to stay alert to this and sensitive to its significance. Confidentiality, trust and gossip all contribute to both the reality and perception of privacy which is another dimension of why we take such matters so seriously.
Religious Services Any Service-user is able to access a religious service of their choice by asking any member of staff or management. Arrangements would then be made to accommodate their needs wherever possible.
Fire Precautions and emergency procedures in the home We at Point House take fire precautions very seriously. We contract a fire consultant that inspects our home annually and any recommendations are carried out immediately. PAT testing is carried out on all electrical equipment annually by a qualified electrician. Fire risk assessments and health & safety checks are carried out and reviewed regularly or as they become necessary. Fire procedures are displayed prominently in the foyer and in many other parts of the home. Fire alarms are tested weekly and a full evacuation is carried out every 3 months. Service-users are periodically verbally reminded what they must do in the event of a fire. All staff are fully trained in fire precautions and are familiar with our fire procedures.
Fire procedure for Service-Users and visitors In the event of the fire alarm sounding, go immediately to the car park and await roll call.
Insurance We are covered by Norwich Union care home insurance service, Residents effects are covered for £2,000.00 per Resident.
Complaints Procedure – Information about how to contact CSCI and Social Services Complaint can arise through simple misunderstanding or genuine dissatisfaction. Usually, discussing the matter determines its cause and produces a solution that satisfies. Complaints often provide an opportunity to do something better in future and as such form part of our policy to engender a culture of continuous improvement. Therefore, we operate a “no blame” policy so that any complaint allows full, thorough and open investigation because persons involved are not “threatened” by the outcome. A separate file record is kept of any complaint or concern which can be inspected at any reasonable time upon request as well as any relevant care plan, personal file etc that is allowable according to the Data Protection Acts. Our service standard requires an acknowledgement from us of complaints within 72 hours and resolution within 21 days through a nominated person. Should the nominated person be absent through holiday or sickness etc, then a temporary nominee will handle the matter in their absence in order that the service standard be maintained. (Manager, P.A, senior staff) The registered manager reviews complaints and concerns on a daily basis to ensure they are satisfied and that any issues upon which we can do better in the future are put into place as part of our policy of continuous improvement. A copy of our complaints procedure is issued to every service-user, visitor, family and friends. It is also displayed in our foyer and on our website. In the event of anyone wishing to make a complaint or needing further information on the rights and standards that you can expect you may wish to contact the following organisations CSCI Helpline, 0845 015 0120 www.csci.org.uk
Adult Social Services
A copy of our last inspection report dated (27-09-2007) or check all our reports on the web site http://www.csci.org.uk/registeredservicesdirectory/RSSearchDetail.asp?ID=0000027360&Type=CRH
Contact Registered Home Manager Miss Sarahjane Cropley R.M.A. Telephone / fax 01603-427249 Point House Residential Care Home, Sprowston Road Email: sarah@pointhouse.uk.com Norwich NR3 4QN Website: www.pointhouse.uk.com
Administrator and personal assistant to the manager Lisa Fordham email: admin1@pointhouse.uk.com
Senior Care Management Team Julie Newell & Karen Holland email: senior1@pointhouse.uk.com
All other staff employed at point house Please email to: carestaff1@pointhouse.uk.com
Published 03-04-08 Updated 23-07-08 Updated 23-09-08 Author Miss Sarah Jane Cropley
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