Terms & Conditions

Charges Statement of Purpose Service User Guide

Weekly Fee Rates: April 1st 2008 - March 31st 2009
Level of Dependency	LOW	MEDIUM	HIGH
Small single , non-en-suite	£749.00	£805.00	£868.00
Large single, non en-suite	£826.00	£882.00	£945.00
Small single with en-suite	£826.00	£882.00	£945.00
Large single with en-suite	£840.00	£896.00	£959.00

Rates for double room available on application.

STATEMENT OF PURPOSE

Philosophy of Care

We seek to deliver high quality, evidence based care within the new Care Standards Act 2000.

Aims

It is our aim that our residents will:

Be treated with respect, kindness and dignity irrespective of gender, race, colour, creed, culture, health status or any other factors, which can result in wrongful discrimination.

Live secure in the knowledge that they will be cared for, as an individual, in familiar surroundings and amongst the comfort of family and friends.

To enjoy life among kindred spirits in an atmosphere of sympathy and understanding.

To be cared for by people who appreciate their need for privacy and will in all situations respect their dignity and freedom of choice.

To continue to live with as much independence as possible commensurate with their safety and that of others, so that everyday life is not eclipsed by the need for care.

Objectives

All residents have the right to:

Be involved with their families and significant others in the planning of their care

Be confident that all care planned and delivered is evidence based, and promotes each individual's choice, privacy, independence and dignity at all times, taking into account their personal physical, social, psychological and spiritual well-being.

Access to their personal records; to expect details of their condition to be confidential and to choose who else knows about their condition. Having the opportunity to choose a doctor, and any other therapist

Be encouraged to continue to be an active member of the community in the home, having the opportunity to express opinion on the resources, environment and services provided by the home

To continue to be an active member of the local community, having opportunity to take part in local events, vote and to take part in recreational and leisure activities

Live in a clean and safe environment, which provides privacy and comfort

Be addressed as desired and to receive visitors at any reasonable time

Manage their own financial and personal affairs whenever possible

Have access to a telephone

Have good relationships with staff and friends of the Brendoncare Foundation Homes

Choose to move to another Home

Bring personal belongings into the Home within the requirement of Health, Safety and Fire regulations

Have access to a formal complaints procedure

Have the support of an independent advocate of his or her own choice if so desired

Die with dignity; with their final wishes met.

Services and Facilities

The Old Parsonage Brendoncare Home is a purpose built home, providing 26 individual rooms and 1 shared room, which enable us to offer the following services:

Nursing care for 28 elderly persons, of either sex, but not less than 65 years of age unless assessed as a suitable placement for them, requiring nursing care.

Accommodation

The home is a purpose built facility, offering accommodation over two floors, one of which is on the ground floor. The second is on the first floor and accessible by a passenger lift, suitable for ambulant and wheelchair bound residents with an accompanying person, which is found close to the reception area. All corridors are wide enough to accommodate a wheelchair and have handrails positioned either side, at appropriate height.

The ground floor is divided into two wings: the Mamie Weir wing and Ruth Garton wing. There is a gentle slope in the Mamie Weir corridor - for those unable to mobilise unaided for that distance or to cope with the slope, wheelchairs are provided by the home and care staff are on hand to assist the residents to move from one part of the house to another.

There are 26 individual bedrooms and 1 shared room , of which 9 offer toilet and washing/shower facilities en-suite and the other 18 rooms provide a built in vanity unit for washing, and a personal commode in each room. The rooms are on the ground and first floor of the home, with bathrooms and toilets accessible to all residents. The bathrooms offer both assisted bathing and showering facilities.

Each resident and his/her family/friend are shown the whole home when making initial enquiries. The different accommodation is always discussed with potential residents, as are the facilities, location of room available and access to it in order to help them make a fully informed decision commensurate with their care needs.

All rooms in the house have lockable doors, and a lockable storage space for personal effects and medications if self medicating. A full assessment of a resident's ability to keep their own key is made on admission and reviewed regularly with nursing staff, the resident and their family.

Recreational space is provided by way of a large central lounge, and a residential lounge, which is located in the older part of the home, the restaurant is close to the lounge. Both lounge and dining room are multi-functional, as main recreational space. A quiet area can be screened off for residents and their visitors, spiritual fulfilment and activities such as the art class. All private bedrooms, recreational facilities, bathing and toilet facilities are fitted with a Nurse call-bell point to alert staff when attention is required.

Facilities

The home provides its own laundry facilities, and is able to launder most personal items as well as the bed linen, towels and tablecloths. Dry cleaning can be arranged locally, at cost price, if required. Residents and relatives may choose whether or not to use our laundry for personal items; if they chose not to, provision is made for storing these items in a separate laundry basket kept in the resident's room for collection. To enable us to return personal items quickly, we require them all to be marked with the resident's name legibly. Full housekeeping service is provided, to maintain a clean living environment.

Our catering team provide a choice of breakfast, served in the residents' bedrooms, and three choices of meals at lunch and supper, served in the main dining rooms. However, anyone wishing to take their meals in the privacy of their own room can do so. Full ranges of diets are catered for including liquidised, puree, softened and normal. Vegetarian meals are also provided. Birthday cakes are home baked for every client.

Morning coffee and afternoon tea is taken in the lounge, or bedrooms as required. Afternoon tea offers home made cakes or biscuits. Residents are encouraged to put forward their ideas for meals at any time. The Head Chef meets all new residents on admission to discuss their meals, and is always available for consultation on request. Family and friends are welcome to join us for meals, at a small charge. Residents may take alcoholic beverages, either kept in their own room, or in the kitchen to be served. We also have a minibar in the restaurant which is opened at lunch and supper times for the clients as per their individual assessment.

Staffing

Staff employed at The Old Parsonage includes a full team of housekeepers, maintenance, laundry, catering, administration, care staff and qualified nurses. All staff receive full induction to Brendoncare and the home, including specific instruction to enable them to carry out their duties, all statutory training and an ongoing training programme to develop their skills and knowledge regarding the residents' requirements.

There are usually two qualified nurses on duty for each early shift between 08.00 and 14.00 and one for the afternoon shift 14.00 until 20.00; they work as primary nurses. The night shift is from 20.00 to 08.00 and there is always one qualified nurse in addition to care staff. The care staff work under the supervision and direction of the nurses and they are all trained to work in any area in the home. Each resident is allocated a 'named nurse' and a 'key worker' on admission and this gives both the resident and staff the opportunity to build a relationship and affords relatives a regular point of contact for communication.

The qualified nurses are selected for their experience and qualifications relating to the care of older people. Under the Brendoncare clinical governance policy, we are developing specialist Link Nurses to ensure that we are practising evidence based care. Each nurse and carer has every opportunity for developing their knowledge and skills through the Brendoncare Foundation annual training programme, and the in-house training programme. We also offer NVQ training for any member of staff, having Senior Carers qualified to Level 3, and other care staff at Level 2.

The Home Manager is responsible for all staff working at the Home, their training and development programme and the appropriate numbers and skill mix to be on duty throughout the day, to meet the needs of the residents in the home. The Home Manager has many years experience of running Nursing Homes for older people, is RGN level 1 qualified and holds the NVQ Level 4 Registered Managers (adult) Award. Her special interests lie in infection control and staff development and training.

Twyford Surgery Practice provides medical advice and direction. One of the GPs visits the home every Monday. regularly reviews all medications and makes individual visits on request of the patient or the nursing staff and as required. The practice provides on-call out-of-hours service; referrals are made to the Royal Hampshire County Hospital in Winchester and Southampton General Hospital. Although Twyford Surgery is our local surgey, some residents continue to be registered with and cared for by their own family GP, within the area. There may come a time when a resident's health causes such behavioural problems (eg wandering, abusive behaviour or language) that we need to look for a more appropriate placement in an EMI nursing home. Our GP will continue to support us in caring for these residents until a move is arranged. With regular reviews by the medical team and nursing staff, we will be able to predict when such a move needs to be considered, ensuring the resident is supported in the interim and appropriately placed wherever possible within the Brendoncare Group.

Chiropody is provided by a peripatetic chiropodist, who sees every new admission and will review and/or plan treatment as required, in liaison with the nursing and medical team.

A part-time physiotherapist acts on a consultancy basis to the Home. Alternatively, the GP may refer residents to an NHS physiotherapist. A full initial assessment will be completed on first appointment, and a plan for treatment drawn up by the physiotherapist. Treatments are carried out in the individual's bedroom, and walking practise in the corridors, using the hand rails for support. The Physiotherapist either brings in any other equipment necessary, or she/he recommends purchase. The Physiotherapist also gives advice to care and nursing staff on any relevant issues and/or concerns regarding individual residents or generic problems.

Dental and optician appointments are easily made locally, although clients may continue to use their preferred therapists when possible. Home visits can also be arranged. As with chiropody and physiotherapy, dental or optical reviews will be entered in the resident's care plans and discussed with the resident and family.

Alternative therapies are also available through local professionals on request. A hairdresser visits the home weekly, offering full service to residents, which are booked via reception.

We are able to support our residents in following their own faith. Church of England ministers regularly visit the home, providing individual and group services and communion. However the needs of all faith groups are recognised and appropriate pastoral care sought. Services and visits can be held in an individual's bedroom, or in the lounge, which is ready prepared prior to the visit, with screens, music and appropriate seating arrangements.

'End of Life' care is discussed with each resident and their families or significant other and recorded in the care plan. The home seeks to meet all reasonable requests.

We take pride in providing palliative and terminal care for residents, supported by our GP. We can provide 24 hour one-to-one care in the last days of life if needed. The families are always encouraged and supported to be involved in the care of their relative through this time. Nurses trained in palliative care offer pain management and other symptom control. Bereavement support is offered to relatives and significant others.

Equipment

A full range of pressure relieving equipment is supplied by the home, including active and non-active systems, and cushions. All nursing and care staff are trained in the delivery of evidence-based care to promote skin integrity. We use All staff use the Waterlow scale to identify those at risk from skin breakdown and appropriate preventative interventions are instigated.

Sufficient manual handling equipment is available throughout the home. There are a number of in-house manual handling trainers and all staff receive a certificated annual update.

Full manual handling assessment is done within 24 hours of admission for each resident and reviewed regularly, ensuring the residents are transferred appropriately to their needs and abilities. The majority of the residents' beds are profiling beds, aiding transfers, comfort and safe working practices for both staff and residents.

Part of the Community

The Activities Organiser, a team of volunteers and the League of Friends provide social and recreational opportunities. These activities are planned in liaison with residents and families and are appropriate to the clientele in the home at any one time. Group activities and one-to-one visits are the main focus. Residents' work can be displayed if they wish. The League of Friends of The Old Parsonage support the social activities, by way of providing equipment and materials. They also arrange and help with trips out, using the local community mini-bus. We are actively encouraging our volunteers to contribute to the social well-being of residents by using their various skills and to enhance life in the home.

Residents are encouraged to remain part of the local community and family groups. Newspapers are delivered daily on request, T.V sets and radios are available in the lounges; residents may bring in their own equipment and small items of furniture, subject to health and safety requirements. A personal telephone can be fitted in an individual's bedroom, but is the responsibility of the resident or their family. However, a public telephone is available for use by all residents. We have access to the local community mobile library and talking newspapers and books for those with poor sight. All residents have the opportunity to vote in local and national elections. All seasonal events are recognised and celebrated such as Easter with Easter Bonnets, Mother's Day and Christmas. The Friends of The Old Parsonage run a small trolley shop within the Home, which is accessible at any time via reception. However on a weekly visit a member of the Friends provides residents the opportunity to purchase toiletries, snacks, birthday cards etc. Reception, situated close to the living area, is manned Monday to Friday 0930 1530, and is the focal point for contacts with other departments, booking appointments etc. To encourage residents to continue to manage their own personal and financial affairs (where appropriate), we are able to hold personal accounts for their own pocket money.

Residents and their families are invited to contribute to the general running and provisions of the home. A Service-User Quality Satisfaction survey is completed annually.

All relatives and residents are informed of any Inspections we have, and are invited to put forward their views and opinions of the services provided. All Inspection reports are made available in reception for viewing.

Terms & Conditions

A written contract/statement of terms and conditions is made between Brendoncare and the resident or their representative. A copy of this is given to the representative and another held on the resident's personal file.

Above all else, we recognise that Brendoncare is the resident's home and that, as staff, we are visitors to their home. With every service offered, we are conscious of resident's wishes, dignity, independence and privacy.

SERVICE USER GUIDE

Thank you for your enquiry regarding a vacancy at our Home. This Guide has been compiled for your information and help in choosing the most appropriate home for you, and to help you when settling in.

You may already have been offered a visit to view for yourself our facilities and discuss the services we provide. The Receptionist will be pleased to arrange a mutually convenient time to show you round and the Home Manager can be seen by appointment. Please feel free to bring other family members or a friend with you. A full list of charges is enclosed with the brochure, as well as an application form for you to complete and return, to register your interest with us.

If, after the visit, you feel that the home offers the appropriate care and service you require, and we have a vacancy, then the Home Manager or Team Leader will undertake a full assessment of your nursing, care and social needs. They will liaise with all other parties that have been involved in the care to date. From this assessment, the beginnings of the Care Plan will be drawn up, being the basis for all care delivered to you. The more information we have regarding yourself, and your problems, care currently provided, your hopes and wishes and any aspirations you may have in coming to the home, social background, routines, family groups, the easier it is to provide the appropriate care, therefore helping you settle into the home.

On admission, the nurse allocated to look after you will review the assessment, take some basic observations, and complete any risk assessments necessary with you to ensure your safety. The Care Plan will continually be reviewed and updated with you and your relative if appropriate.

You will be requested to assist in completing a social history portfolio on yourself; this will contribute towards enabling us to ensure that you have every opportunity to exercise your choice in relation to:

Leisure and social activities and cultural interests
Food, meals and mealtimes
Routines of daily living
Personal and social relationships
Religious observances

Accommodation and Services

The Old Parsonage is a purpose built home, providing 26 individual rooms and 1 shared room, which enable us to offer the following services:

Nursing Care for 28 elderly persons of either sex, but not less than 65 years of age unless assessed as a suitable placement for them, requiring nursing care.

There is a No-Smoking policy within the Home and grounds.

Staffing

The home is staffed with teams of Nurses, Carers, Catering, Housekeeping, Administrative and Maintenance staff. All these teams are led by the Home Manager. All staff receive a full Brendoncare Induction programme and have regular training and developmental workshops, keeping them up to date with any changes within the law, local changes and clinical issues.

All qualified nurses working at Brendoncare have the relevant experience of working with elderly people. Each nurse is encouraged to be responsible for research and information on a chosen speciality (e.g palliative care, diabetes, continence), and sharing this information within the team, this helps us to deliver the best possible care in these areas.

All new staff must have a satisfactory criminal record disclosure (CRB) and references from their two most recent employers. They are given a comprehensive induction and we are committed to the development and training of all staff. The Home Manager and the qualified nurses all have annual clinical updates, the carers are encouraged to complete NVQ levels 2 & 3 in health and social care and the ancillary staff are also offered NVQ training.

The Home Manager, Mrs Sally Frame, is a registered nurse (RGN) with NVQ4 Registered Managers' Award (RMA) and many years experience of working with older people; she joined Brendoncare in 2003.

Mandatory training for all departments, i.e. Health and Safety, Manual Handling, Fire, First Aid, COSHH, Food Hygiene, Abuse Awareness and Infection Control are carried out on induction and annually thereafter, excepting Fire, which is held bi-annually.

On occasion we do rely on Agency Staff. The Agencies we use are few and on a regular basis meaning that we are able to offer continuity of care for our residents. The main agency we use is AllCare. Others used rarely are Reed and Nurses Direct, they are all registered with The Commission for Social Care Inspection and their staff will also have a valid CRB and are inducted, trained and working towards NVQ levels.

Key Staff Members

Home Manager: Mrs Sally Frame RGN RMA

Team Leader: Mr Simeon Hill RGN

Team Leader: Mrs Cathy Bruce RGN

Administrator: Mr Andrew Carpenter

Receptionist: Mrs Denise Waren

Chef Manager: Mr Nick Gould

Activities Organiser: Ms Sharon Calver

Maintenance: Mr Steve Bramham

Nursing Teams

To provide continuity of care, the Nursing staff work in Teams. Each Team works under the guidance and supervision of the Named Nurse (RGN) allocated to that Wing.

The Named Nurse is responsible for the Care Plan for each resident on her wing. She will develop this care plan based on the initial assessment, liaising with your family, and with you the resident, GP and any other health professional/therapists involved with your care. The Care Plan is continually reviewed and re-assessed as necessary. It is important that all parties are included in planning, accommodating your abilities, choices, cultural and spiritual needs and social background and personal beliefs. The Named Nurse will be the family's main point of contact regarding any clinical, nursing or medical issues and concerns. When contacting the Home for such information, please ask for your Named Nurse, or in her absence the Nurse in Charge of the shift.

Care Teams working together include 2 or 3 Carers on each shift. They work under the Nurses' supervision and direction. These Carers are allocated to one Wing for each of their shifts although each is familiar with the needs of all the residents. Each resident is allocated a 'key worker' as well as a named nurse and this gives an opportunity to build a special relationship and affords relatives a regular point of contact for communication.

We have a visiting team of therapists eg. Chiropody, Hairdressing, Physiotherapist, Dentist and Optician. Other complementary therapies can be arranged through Nursing and/or Medical referral. If you are interested in accessing any of these services please see your Named Nurse or Home Manager.

Being part of the family, and keeping in touch with the Community

Visitors are able to visit at any time of day, according to your relative's wishes. All visitors are asked to sign the visitors' book, on arrival and departure for fire safety reasons. As most care is given in the mornings and late evenings visiting at these times may be less satisfying for you and your visitors.

Should you wish to go out for the day with your relative, please let the nursing staff know in advance so we may be able to help get you ready for the trip and arrange for medications to be ready to take out. You have the right to inform the home of any visitors you do not wish to receive and we will respect your wishes.

We have a busy social calendar, run by Sharon our activities organiser, and also events run by The Friends of The Old Parsonage. Regular trips include shopping trips, short rides into the countryside and afternoon tea. Sharon works according to resident's wishes, cultural backgrounds, and abilities. Over a year the activities on offer may vary, depending on the residents currently in the house. At present Sharon does most activities on a one to one basis, however larger group activities are catered for such as exercise classes and formal entertainment.

We are proud to be part of Otterbourne Village and the local community. We have many visitors and volunteers from the surrounding villages coming into the home, and being part of events in or out of the home. All residents have the opportunity to vote in local and national elections. The mobile library visits us on a monthly basis, making available talking books, and large print books for those with poor sight.
The Friends also run a small trolley shop, which is accessible through reception every day and once a week one of the Friends visits giving you an opportunity to purchase toiletries, writing paper, snacks and birthday cards.

Personal accounts can be held on your behalf by our Administrator for hairdressing, chiropody, the shop trolley, newspapers and any other personal items required.

All residents are invited to contribute their views and opinions on the management and provision of services of the Home. Residents are asked for their ideas regarding social activities. The Home Manager has an open door policy for everyone. An annual Quality Assurance Survey is sent to all relatives and residents, and analysis and action plan drawn up as a result of the survey. During our annual Inspection residents and their relatives are asked for their opinions and views on the Home. All Inspection reports are made available in reception and on the Commission for Social Care Inspection website www.csci.org.uk

Complaints

We constantly strive to provide a high standard of care and service to our residents but occasionally we do receive complaints concerning the service we provide. This provides us with an opportunity to identify and understand areas which are of concern to our residents. Normally complaints arise from a failure in communication and we would encourage residents and their families and/or significant others to informally discuss any issues of concern as they occur. This frequently addresses the problem and removes the need to utilise the formal complaints process.

However if you wish to make a complaint, the attached complaints policy identifies the process to be followed.

As per the policy if you feel that the issue is not resolved or handled appropriately within the home, you may also raise the issue with any of the following:

Mr R Staker, Chief Executive
Brendoncare Foundation
The Old Malthouse
Victoria Road
Winchester
SO23 7DU
Tel: 01962 852133

Commission for Social Care Inspection
Overline House
Blechynden Terrace
Southampton
SO15 1GW
Tel: 02380 821300

Emergency Procedures

The Home has various procedures for dealing with emergencies including fire, power failure, flood, evacuation etc.

The Fire Alarms are tested on a weekly basis. Everyone in the home is warned when this will take place 5-10 minutes previously.

All residents and visitors to the Home are advised that in the event of the fire alarm sounding:

Remain in bedroom if you are there, close bedroom door and windows.
If you are in public areas or corridors please make your way to reception via the nearest fire exit. Do not attempt to walk through the house.
The senior member of staff on duty will give instructions.
The senior member of staff will check the visitors' book and do a roll call ensuring all visitors are accounted for.
In the event of a false alarm a member of staff will come to each room to inform everyone and reassure.

If you have Oxygen therapy, please take note of the safety signs on the bedroom door.