Terms & Conditions

Charges Statement of Purpose Service User Guide

Elder Health Unit charges: January 2010 - March 31 2010
Dependency	Very Low Band	Low Band	Medium Band	High Band	Very High
Per Day	£69.00	£108.07	£115.34	£123.77	£131.15
Per Week	£483.00	£756.49	£807.39	£866.39	£918.04
Per Cal Month	£2,093.00	£3,287.13	£3,508.30	£3,764.77	£3,989.10

Mental Health Unit charges: January 2010 - March 31 2010
Dependency	Low Band	Medium Band	High Band	Very High
Per Day	£116.75	£125.76	£133.09	£143.74
Per Week	£817.25	£880.34	£931.62	£1,006.15
Per Cal Month	£3,551.15	£3,825.29	£4,048.12	£4,371.96

STATEMENT OF PURPOSE

Opened in 1997, Brendoncare Alton is a purpose built care home offering a wide spectrum of care to older people. Our facilities and services include the following:

Elder Health Unit:
Service User Category:

The category is designated for old age, not falling into any other category. All service users must be over 55 years of age with a maximum number of residents of 45.

This Unit provides nursing and residential care for the physically frail and consists of 3 self-contained Wings, each with 15 single en-suite bedrooms, communal facilities and dining room with shared access to our communal gardens. There is a bathroom on each floor equipped with a specialised bath and chair hoist to provide assisted bathing. Rooms on the ground floor have access to the communal gardens. The 2 remaining wings are situated on the first floor and can be accessed via two lifts.

11 rooms are contracted to Social Services with an additional room available for respite care. The remaining places are allocated to self funding residents. There is provision for television in each room and the Home is equipped with a digital telephone system and personal lines can be installed on admission. The resident will be billed separately for this service.

All the rooms have lockable doors and secure drawer units are provided for personal effects and for the secure storage of self administered medication where appropriate. An assessment is made on the resident's ability to keep their own key which is reviewed regularly.

Mental Health Unit:
Service User Categories

Dementia-Over 65 years of age
Mental disorder, excluding learning disability or dementia over 65 years of age
Maximum number of residents is 30.

In addition to the Elder Health Wings the Home also has 2 additional self contained Wings with secure access for the mentally frail, each with 15 en-suite bedrooms, communal facilities and dining room, sharing a secure separate communal garden and providing nursing and personal care for older persons with mental health problems.

In both Wings all bedrooms, recreational areas, bathing and toilet facilities are fitted with a Nurse Call Bell system which, when activated, will alert staff through the nurse call panel situated at the nurse station on the Wing. Exit doors are also monitored via this system alerting staff if residents exit through these doors.

Aims and Objectives of Brendoncare Alton

To enable service users to be part of the community of the Home and the wider local community
To encourage and support the involvement in the Home of the relatives, friends and representatives of service users
To create an environment in which, as far as possible, Service Users can live in the style of their choosing despite failing health, functional impairment and compromised independence
To enable a dying person to live each day to the full and to provide care towards a peaceful death, with personal wishes met wherever possible
To provide a resource and teaching centre for the care of older people.

1. Registered Provider

The Brendoncare Foundation
The Old Malthouse
Victoria Road
Winchester
Hampshire SO23 7DU
Telephone: 01962 852133
Facsimile: 01962 851506
Email: enquiries@brendoncare.org.uk
Website: www.brendoncare.org.uk

2. Responsible Individual

Ronald A Staker AHSM
Chief Executive
The Brendoncare Foundation
The Old Malthouse
Victoria Road
Winchester
Hampshire SO23 7DU
Telephone: 01962 852133
Facsimile: 01962 851506
Email: enquiries@brendoncare.org.uk
Website: www.brendoncare.org.uk

3. The Home Manager

Due to the size and complexity of Brendoncare Alton, a Home Manager has been in post since September 2005 in order to create a more efficient managerial structure for the Home.

Kevin Young MHCIMA has the overall responsibility of the day to day management of the complex. He has gained extensive experience over the past 25 years in the customer service industry, especially in commercial management.

His contact details are:
Email. kyoung@brendoncare.org.uk
Telephone 01420 549797
Facsimile 01420 549898
Brendoncare Alton
Adams Way
Alton
Hampshire
GU34 2UU

4. The Registered Manager

The Registered Manager is the Head of Care, Vivienne Cuff, who has overall responsibility for the care of the service users, compliance with the National Minimum Standards and Care Home Regulations and is accountable to the Care Quality Commission. Mrs Cuff is a registered nurse with Managerial, Educational and Community Health Qualifications and has worked in Care of the Older Persons for the past 5 years.

Contact details:
Telephone 01420 549797
Facsimile 01420 549898
Brendoncare Alton
Adams Way
Alton
Hampshire
GU34 2UU
Email: vcuff@brendoncare.org.uk

5. Team Leader MFU

The Team Leader of the MFU is Maureen Bettles, a Registered General Nurse holding a certificate in Dementia care as awarded by the English National Board and the Registered Managers Award. She has specialised in the field of dementia care for over 20 years and has also recently attended the acclaimed Gemma Jones Course. She has sound experience managing a care home for residents with mental health needs.
Contact details:
Address and telephone as above
Email: mbettles@brendoncare.org.uk

6. Key staff members

Home Administrator: Sarah Sally
Team Leader EHU: Chris Warner
Head Chef: Lee Geddes
Housekeeping Supervisor: Pam Wright
Receptionist: Elaine Parsons

7. Staffing and Organisational Structure

Appropriate qualified and adequate allocation of staff plays a very important role in Service Users' welfare. Therefore, we will ensure the following:

Engage a Registered Manager who is qualified, competent and experienced for the task
Aim for a management approach that creates an open, positive and inclusive atmosphere
Operate effective quality assurance and audit systems
Employ staff in sufficient numbers and with the relevant mix of skills and qualifications to meet Service Users' needs
Adhere to recruitment policies and practices that both respect equal opportunities and protect Service Users' safety and welfare
Offer our staff a range of training that is relevant to their induction, foundation skills, experience and future development needs
Supervise appropriately all staff and voluntary workers.

The total staff complement, including all categories, is approximately 115. The line management is as follows:

The Home Manager is responsible for the running of the site which includes the Home and the Mary Rose Mews Apartments. He in turn is assisted by a management structure of Head of Care and 2 Team Leaders, each of whom have the responsibility for the two units which consist of two 15 bed mentally frail wings and three 15 bed frail and elderly wings.

Registered General Nurses and experienced care staff support the Registered Manager and Team Leaders. At present approximately 77% of our care staff from the MHU and 79% of care staff from EHU have achieved the NVQ Award in Care level 2 and 3.

The nursing staff work in teams, consisting of a registered nurse and 2 carers for each day shift. The MHU has 3 carers on the morning shift due to the residents' special needs. Staff allocation is calculated according to residents' dependency levels. Staff generally work in one area to provide continuity of care. This practice also provides the opportunity to build up a good relationship between staff and the resident.

The Head Chef is qualified to NVQ standards in Hotel & Catering Services.

The Home also offers a personal laundry service.

8. Admission Policy

A comprehensive pre-admission assessment is carried out by the Head of Care or Team Leaders to determine that the prospective needs (physical, mental, social and spiritual) can be met by the Home
A Financial Assessment is carried out on all self funding residents before admission to the Home is authorised
Service users below the stipulated age with special needs i.e. Motor Neurone disease may be admitted after requesting dispensation from the Care Quality Commission

A place will only be offered following a completion of a care management needs assessment where appropriate or a Brendoncare pre-admission assessment

Service Users/relatives are always encouraged to visit the Home before admission if able to do so
Emergency admissions will be avoided whenever possible but in such an event the Home will provide the Service Users with details of the service available within 48 hours of admission and a statement of terms and conditions, a full assessment and agreed care plan within 5 working days
Admission for Respite care occurs if there are bed vacancies available and care needs can be met, but for a minimum period of 2 weeks.

9. Service users and the operation of the Home

9.1 Service Users' Rights

The rights of Service Users are at the forefront of Brendoncare's philosophy of care. We seek to advance these rights in all aspects at the Home and in the services we provide, and to encourage our Service Users to exercise their rights in full by:

Encouraging them to attend and contribute to the residents meetings:

MHU: Relatives meetings are held 2 monthly
EHU: Residents meetings are held 2 monthly and relatives meetings 3 monthly in order to communicate about the operation of the Home and other issues. There is also the additional opportunity to meet on a one to one basis with the HOC/Team Leaders during care plan reviews held approximately every 3 months

Residents and relatives have access to the management at any time if they wish to discuss concerns or complaints
Ensuring that Service Users have the opportunity to vote in elections and to brief themselves fully on the democratic options
Assisting Service Users to preserve full and equal access to all elements of the National Health Service, and claim all appropriate welfare benefits
Encouraging them to register with General Practitioner of their own choice, provided that the doctor is prepared to visit as required
Allowing Service Users to entertain visitors at all reasonable times of day, provided that other Service Users are not disturbed
Responding to the cultural, dietary and spiritual needs of each Service User, including death and bereavement services.

9.2 Plans of Care and assessment of needs

Service Users and their representatives are involved in drawing up their plan of care, both prior to admission and throughout their stay and they have access to their care records whenever they wish. They are also consulted when plans are reviewed for changing needs and notified if there are any changes in service users needs
The Head of Care and Team Leaders are available at any time to discuss issues or problems with the care and the Head of Care meets with relatives from the EHU and MHU 3 monthly or as needed to review care and to follow up on any suggestions put forward by relatives
Each resident is assigned a named Nurse and Key worker on admission facilitating communication and dealing with issues about care. They have the overall responsibility for planning and delivering the residents care.

9.3 Physical Needs

Registered Nurses - on hand 24 hours a day
GPs - Visiting weekly and as when required
District Nurses - Visits as per referral
Dietician - As per referral for medically prescribed diets and also variety of home cooked diets
Speech and Language Therapist - As per referral for those residents with difficulty in swallowing
Physiotherapist - As per referral for residents with problems with mobility, for assessment and for providing walking aids
Optician - As per referral for residents with diabetes who require regular eye testing and others with visual problems
Dentist - As per referral
Chiropodist - Private Practitioners visit the Home every 2 weeks and the Service User is seen on a 6 weekly cycle. An appointment may be made in cases of emergency - there is a charge for this service
Audiologist - As per referral for hearing problems and for supply of hearing aids
Alternative therapies can be arranged if so requested by the service user, such as aromatherapy, massage etc
Wheelchair assessment service: as per referral.

9.4 Psychological Needs (MHU)

Registered Mental Nurses are on duty 24 hours a day
Trained in safe management of people at risk of falling, absconding, self damaging, challenging behaviours, providing psychological support and protection of vulnerable adults
Psychiatrist/Psycho-geriatrician is available as per referral from the responsible GP.

9.5 Social Needs

Social interaction is encouraged by:

Maintaining contact with relatives/friends through letter writing
Residents may have their own telephones installed in their rooms
Outings/Trips to places of interest are arranged when possible
Residents are free to go out at any time on outings arranged by family or friends
Visitors are free to visit at any reasonable time of the day
Residents have access to TV, Radio and Daily Newspapers
Residents and Relatives can make use of the Restaurant within the Home, which is licensed to sell alcohol.

Hairdressing

There is a hairdressing salon on site which is open 3 days a week
Residents are free to use their own Barbers/Hairdressers
The home hairdressers also visit the Unit regularly for residents who cannot visit the salon
Nursing staff make appointments on their behalf. There is a charge for this service.

Library

The Home has a well-equipped library and the local library service visits 6 weekly
A computer with Internet access is also available in the library

Transport
Transport can be arranged for any visits to hospital/community centre for specialist appointments. There is an additional cost for providing an escort if necessary.

Specific Therapeutic Therapies in the Home

MHU: Mental Health Day Care Supervisor delivers daily therapeutic programmes on Monday, Tuesday and Wednesday as well as one to one sessions when needed.
A drama therapist visits every Friday
The vicar visits the Unit every fortnight for the residents who cannot leave the Home
EFU: Activities Co-ordinator works 5 days a week, arranges outings, one to one sessions and group sessions and activities
Art classes are held by volunteer art teacher one morning weekly
Day Care Unit: Offers daily respite care to 12 physically frail Service Users from the community. Residents from the Home may also attend any entertainment offered by this Unit
Reminiscence Room/multi sensory stimulation (Of hearing, smell, touch and sight). It is situated in the MFU but is available to all residents of the Home
Monthly Movies
Use of specially modified mobile computer
Volunteers: visit residents on a one to one basis
Weekly armchair exercises are held.

9.6 Spiritual Needs

A Vicar from the Church of England conducts a service and communion every two weeks within the Home and individual visits can be arranged if requested by the resident/relative
Every effort will be made to ensure that visits from other denominations take place if the resident so wishes
Residents' choices regarding their last wishes are discussed with them and their families, at an appropriate time of their choice. Brendoncare takes pride in providing terminal care for residents with the support of GPs and the Macmillan Nurses.
The families are always encouraged and supported to be involved in the care of their relative through this period.

9.7 Mental needs
Professional advice about mental needs can be obtained from Team Leader of the MHU when necessary or per referral to the Community Psychiatric nurse via the GP.

10. Privacy

We recognise that living in a communal setting, and the need to accept help with personal care, are inherently invasive of a person's right to be alone and undisturbed. We, therefore, strive to retain as much privacy as possible by:

Providing intimate assistance as discreetly as possible
Acknowledging Service Users' wishes to furnish and equip their rooms in their own style
Offering a range of locations around the Home for Service Users to be alone or with selected others
Providing locks on Service Users' storage space, bedrooms and other rooms in which Service Users need at times to be uninterrupted
Respecting Service Users' privacy when using the telephone, opening and reading post and communicating with friends, relatives, representatives or advisors
Ensuring the confidentiality of Service Users' information held by the Home.

11. Dignity

Disabilities can quickly undermine dignity, so we strive to preserve respect for our Service Users' intrinsic value by:

Treating each Service User as a special and valued individual, including respecting their wishes regarding the form of address used by staff
Helping Service Users to present themselves to others as they would wish by encouraging them in their choice of clothing and assisting them with their personal appearance
Facilitating a range of group and personalised leisure activities, supported by an Activities Co-ordinator, which enable Service Users to express themselves as unique individuals
Assisting Service Users with their communication, physical functioning, mobility or appearance, in order to compensate for the effects of disability
Providing assistance as tactfully as possible
Refraining from any form of restraint on Service Users except when it is essential for their own safety or the safety of others. Any form of restraint is only used after a risk assessment has been completed.

12. Independence

We are aware that our residents give up a great deal of their independence on admission to the Home. We value the importance of maintaining their remaining independence by:

Tactfully providing any assistance, human and technical, when needed
Maximising their remaining capabilities for self care, independence and tasks for daily living
Ensuring the residents and relatives contribute to drawing up care plans
Residents are encouraged to self medicate whenever possible and once a risk assessment has been carried out.

13. Choice

We aim to increase the opportunities for choice in all aspects of their lives by:

Daily choice of meals from a menu plan that is changed at 5 weekly intervals. The menus are amended every 3 months
Each resident has a meeting with the Home's Chef on admission
Offering a range of activities from which residents can choose to participate if they so wish
Retaining flexibility, as much as possible, in the routines of daily life in the Home
Respecting individual, unusual or eccentric behaviour from residents
The resident may choose to retain their regular GP unless they are not from the Alton Area. A referral is then made to Dr Mike Hayward, the GP from the local health centre.

14. Diversity

We try and demonstrate that we welcome the diversity of people in the community of the Home by respecting and providing for the cultural and religious practices of our residents and helping them celebrate events which are important to them.

15. Complaints

Despite everything that we do to provide a secure and happy environment, we know that Service Users may become dissatisfied from time to time and may even suffer abuse inside or outside the home. To tackle such problems we will do the following:

Provide and operate a simple, clear and easily accessible complaints procedure
Take all necessary action to protect Service Users' legal rights
Protect Service Users from abuse and from potential abusers.

These objectives are attained through training programmes, regular staff meetings and appraisal systems. Please refer to the Complaints section in the Service Users Guide.

16. Security and Safety

We aim to provide an environment that ensures the needs for security.

Safety and Security
Digital locks and door alarm systems secure the MFU
Opening of windows limited to 6 inches
Main entrance locked once receptionist leaves at 5pm. Entrance to the Home may then be gained only by ringing the front door bell or by an Access Code for use by staff and regular visitors
Any breach in security reported immediately to senior staff on call
Visitors are required to sign the Visitors Book on arrival and departure.

Fire and Emergency Procedures in the Home
Fire Procedures are displayed at the entrance of the home, unit and next to fire exit doors
Fire panel is at the Reception area
Smoke detectors and alarms are installed throughout the building
Alarm bells are tested regularly every Monday at 09.30 am
The home complies with the Fire Precautions Act 1971 and the Fire Precautions (Workplace) Regulations 1999
The Home maintains a current Fire Risk Assessment that has been approved by the local Fire Safety Officer, and a fire safety trainer from an external organisation provides fire emergency training and practice for all staff twice a year
The night staff receive training 3 monthly
The Home has a Fire safety Officer who provides training for newly appointed employees
Approved contractors regularly maintain all fire systems
One unannounced fire drill takes place bi-annually.

Environment
The physical environment is designed for each Service User's convenience comfort and safety:

The buildings and grounds are maintained in a safe condition by 2 full time maintenance staff
Adequate specialist equipment is available to maximise Service Users' independence
The size of Service Users' rooms complies with the NMS requirements and are all en-suite. This accommodation is furnished and equipped to meet the needs of the Service Users who are always encouraged to have their own possessions around them
Wherever possible the premises are kept clean, hygienic and free from unpleasant odours. Domestic staff are on duty daily for each wing
There is adequate communal space: a dining room and communal area on each wing.

17. Quality Assurance

We aim to ensure that standards of care for the residents at Alton are resident centred and to deliver high standards of care and by so doing create an environment of excellence through:

Evidence that a strong framework of clinical governance is in place through the strategy of planned programme of audits both internal and external (as conducted by Head Office Management)
To gain and maintain 3 star status as awarded by the Care Quality Commission
To ensure that staff professional development is encouraged and maintained to the standards of the Foundation and the requirements of the National Minimum Standards.

18. Review of this document

This document will be reviewed regularly. We welcome comments from service users and others.

Prepared :               November 2003
Reviewed:               May 2006, July 2008
Next review date:    July 2009

SERVICE USER GUIDE

A Service Users Guide is issued to all prospective residents or relatives to provide the information to assist them in choosing a Home most suited to their needs.

The Service Users Guide is a comprehensive pack containing the following information:

Statement of Purpose
Copy of complaints procedure
Copy of most recent inspection report
Standard contract
Dependency levels/Fee Structure
Social History form

A visit to the Home can be arranged for those individuals who would like to consider Brendoncare Alton for their loved ones care needs. A member of the Management Team will take interested individuals on a guided tour of the Home and explain our service as identified below in the Statement of Purpose. We would also recommend that, whenever possible, you bring your relative to visit the Home with you along with any other close relatives or friends.