Terms & Conditions

Charges Statement of Purpose Service User Guide

Care charges for Woodhayes: 1 April 2011 - 31 March 2012
Dependency	Per Day	Per Week	Per Month
Low	£109.00	£763.00	£3306.33
Medium	£116.50	£815.50	£3533.83
High	£125.00	£875.00	£3791.67

We also have a single en-suite flat available for short or long-term use, the cost for which is £532 per week. More information is available from Woodhayes.

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

to involve our residents, their families and significant others in the planning of their care
all care planned and delivered is evidence based, and promotes each individuals choice, privacy, independence and dignity at all times. Taking into account their personal physical, social, psychological and spiritual well being.
to have 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.
to continue to be an active member of the community, having 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.
to live in a clean and safe environment which provides privacy and comfort.
to be addressed as desired and to receive visitors at any reasonable time
to manage their own financial and personal affairs whenever possible.
to have access to a telephone
to have good relationships with staff and friends of the Brendoncare Foundation Homes.
to choose to move to another Home
to bring personal belongings into the Home within the requirement of Health, Safety and Fire regulations
to have access to a formal complaints procedure
to have the support of an independent advocate of their own choice if so desired.
to die with dignity; with their final wishes met.

Services and facilities

Woodhayes is a Grade II listed building, providing 24 individual rooms, 1 shared room and 1 residential suite providing 2 en-suite rooms, which enable us to offer the following services:

Nursing care for 27 elderly persons, of either sex not less than 60 years of age, including:-

Convalescent care for any adult over the age of 60 years.
Nursing Care for any adult over the age of 60 years

Accommodation

The home is a Grade II listed building, offering accommodation over three 'floors'. One of which is on the ground floor, the second is on the first floor and accessible by a passenger lift, suitable for walking residents and wheelchair bound residents with an accompanying person and our residential flat is the second floor and is accessible by a stair lift. All corridors are wide enough for two wheelchairs to pass, with hand rails positioned either side, at appropriate height for residents to hold. There is a gentle slope in both corridors, 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 move the residents from one part of the house to another.

Twenty-three individual bedrooms and one shared bedroom, all offering washing facilities. The other 2 rooms provide en-suite toilet and washing facilities and have a shared bathroom with a "walk-in type" bath. The rooms (with exception to the residential flat), are on the ground and first floor of the home, with bathrooms and toilets accessible to all residents.

Each potential service user and his 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 residents 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/dining room. All private bedrooms, bathing and toilet facilities are fitted with a Nurse call bell point connected to the main board just outside the main Nurses Office, with another also fitted on the first floor.

Facilities

The home provides its own laundry facilities, 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. To enable us to return personal items quickly, we require them all to be marked with the residents name legibly. Full housekeeping service is provided, to maintain a clean living environment.

Our catering team provide a full breakfast, served in the residents bedrooms or dining room and three choices of meals at lunch and supper, served in the main dining room. However, anyone wishing to take their meals in the privacy of their own room can do so. A full range of diets are catered for including liquidised, puree, softened and normal. Vegetarian meals are also provided and snacks are available at all times. Clients and families are welcome to bring in their own meals and or snacks for special occasions. 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 Cook 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.

Staffing

The team of staff employed at Brendoncare Woodhayes includes a housekeeper and assistants, maintenance, laundry, catering, administration, Care Assistants and Qualified Nurses. All staff receive full induction to Brendoncare and the home, including specific instruction to carry out their duties, all statutory training and an ongoing training programme to develop their skills and knowledge regarding the residents' requirements.

There is a Qualified RN nurse on duty for each shift who work as primary nurses. The Care staff work under the Nurses' supervision and direction, working with the same residents regularly. This provides continuity of care for the residents and gives both staff and resident the opportunity to build a relationship together. Team working also affords relatives a regular point of contact for communication.

The Qualified Nurses are selected for their experience and qualifications relating to Care of the Elderly. Under the Brendoncare Clinical Governance policy, we are developing Clinical Champions amongst the Care and Nursing Staff, 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. Our total number of care staff is 15 of whom 50% have these qualifications with 5 staff currently attending college.

Individual Care Plans are reviewed on a monthly basis by our Team Leaders. Residents, their families and friends or staff are encouraged to attend these sessions.

The Care Centre Manager is responsible for all staff working at the Home. Their training and development programme and appropriate numbers and skill mix to be on duty throughout the day, according to the residents in the home. The Care Centre Manager has experience of running Nursing Homes for the elderly, is RGN level 1 qualified, with relevant managerial skills and course work.

Medical advice and direction is provided mainly by several surgeries in the area and doctors visit the home regularly for consultations. The practices provide on-call out of hours service, referrals are made to the Royal Devon and Exeter Hospital in Exeter. We encourage residents to 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 ie wandering, abusive behaviour and language that we need to look for a more appropriate placement in an EMI nursing home. 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.

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

A physiotherapist will visit the home on referral from the GP, referrals can be made through the Nursing or medical staff. 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. Any other equipment necessary is either brought in by the Physiotherapist, or who 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.

We also provide our own Physiotherapist who visits weekly for a 2-3 hour visit.

Dental and Optician appointments are easily made locally, although clients may continue to use their preferred therapists when possible. As with chiropody and physiotherapy, dental or optical reviews will be planned 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.

An Aromatherapist visits on a weekly basis.

An Activities Organiser comes to the Home 3 times a week and provides a varied programme for our clients. These include outings, entertainers, craft sessions, cooking and one to one chats. Our aim is to offer the resident a choice of activity.

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. Should anyone wish to be visited by another denominations, or their own minister, every effort will be made to ensure this can be achieved prior to admission. Services and visits can be held in an individuals bedroom, or in the lounge, which is ready prepared prior to the visit.

Residents' wishes regarding their last wishes are discussed with them and their families, at an appropriate time at their choice. Although enquiries are made on admission and reviews of care plan, however many people do not wish to discuss this until such a time as it is needed.

Brendoncare takes pride in providing terminal care for residents, supported by their GP and local Hospice staff. The families are always encouraged and supported to be involved in the care of their relative through this time.

Equipment

A full range of pressure damage preventative equipment is supplied by the home, including active and non-active systems, and cushions. Staff are trained in pressure damage prevention, and healing. All residents are assessed on admission and reviewed as to their risk of developing pressure damage and care plans reviewed accordingly.

Manual Handling equipment is readily available throughout the home, a number of care and qualified staff are trained to train in Manual Handling which is updated yearly. Full Manual handling assessment is done within 24 hours of admission and reviewed regularly, ensuring the residents are transferred appropriate to their needs and abilities. The majority of the residents' beds are 'hi-low' beds, aiding transfers, comfort and safe working practices for both staff and residents.

Part of the Community

Social and recreational opportunities are provided by the Activities Organiser at Woodhayes. These activities are planned for 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.

We publish a Resident's Newsletter monthly to keep our Clients informed.

There is a large garden at the Home, which is maintained by the Gardener /Handyman. The garden provides a safe, enclosed area on flat ground with pathways for residents to enjoy. Appropriate seating and tables are available, access to the garden is easily achieved through exit doors and ramps.

Residents are encouraged to continue to be part of the local community and family groups. Newspapers are delivered daily on request, TV sets, and radios are available in the lounges, residents may bring in their own equipment (and 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 situated in the house and easily accessible to 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. We run a small trolley shop within the Home, which is accessible at any time via the Administration Office. However on a weekly basis a member of staff takes the trolley to each resident, this provides the resident opportunity to purchase toiletries, snacks, birthday cards 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 money.

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

All Inspection reports are made available on the main notice board for viewing, along with copies of response from Brendoncare.

Terms & Conditions

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

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

SERVICE USER GUIDE

This Guide has been compiled for your information and help in choosing the most appropriate home for your relative, and to help when settling in.

You will already have been offered a visit to view for yourself our facilities and discuss the services we provide. The Care Centre Manager will be delighted to make a mutually convenient appointment, however we are open seven days a week, and you are welcome to drop in at any time. Please feel free to bring other family members of a friend with you. 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 to your requirements, we would recommend that if possible, your relative visits the home as well. This can take the form of a short tour, and discussion over tea. Following that visit, if everyone is positive that we are able to care for your relative, The Care Centre Manager, or her second in command, will arrange to visit them to undertake a full assessment of their Nursing, care and social needs, liaising 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 our new resident. The more information we have regarding the resident, their problems, care currently provided, their hopes and wishes and any aspirations they may have in coming to the home, social background, routines, family groups, the easier it is to provide the appropriate care, therefore helping to settle our new resident into the home.

On admission, the Nurse allocated to look after your relative, will review the assessment, take some basic observations, and complete any risk assessments necessary with you to ensure your relatives safety. The Care plan will continually be reviewed and updated with the resident's and your views.

You will be requested to assist in completing a social history portfolio on your relative, this will contribute towards enabling us to ensure that all our residents have every opportunity to exercise their 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

Woodhayes is a Grade II listed building, providing 23 individual rooms, 2 bathrooms on ground and first floor, 5 WCs downstairs and 4 WCs upstairs, 1 shared room and a residential flat for two single people or a couple, which enable us to offer the following services:

Nursing Care for 27 elderly persons, of either sex not less than 60 years of age, requiring Residential/ Nursing care.

Convalescent care for any adult over the age of 60 years.
Residential Care for any adult over the age of 60 years.
Nursing Care for any adult over the age of 60 years.

Staffing

The home is staffed with teams of Nurses, Carers, Catering, Laundry, Housekeeping, Administrative and Maintenance staff. All these teams are led by the Care Centre Manager. All staff receive a full Brendoncare Induction programme and have regular training and developmental workshops, keeping them up to date with any legislative changes, local changes and clinical issues. Each Department is working towards its own 'Clinical Champion', responsible for research and information on certain aspects of our service, cascading information within the staff teams, helping us to practice evidenced based care and working processes.

All Qualified Nurses working at Brendoncare are appropriately qualified and have the relevant experience of working with elderly people. Many have varying specialist skills.

Care Staff are trained to the Brendoncare Induction and Carer Training course, covering all essential skills, knowledge of caring for elderly people. Several of our Care Staff hold NVQ level 2, three have level 3.

The Care Centre Manager, Ms Joanne Slater, is an RGN with many years experience of working with the elderly.

Catering, Housekeeping, Maintenance and Administration Departments are also selected for their relevant qualifications, skills and experience appropriate to the post employed in.

All mandatory training for all departments, Health and Safety, Manual Handling, Fire, COSHH 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. Agencies used are registered and their staff are also inducted, trained and working towards NVQ levels.

Key Staff Members

Home Manager: Ms Joanne Slater
Team Leader: Mrs Marion Chadwick RN
Team Leader: Gill Price RN
Administrator: Mrs Christine Rotherforth-Thomas
Head Chef/Manager: Miss Helen Stoney
Housekeeper: Mrs Beverly Hayman
Activities Organiser: Vanessa Langley
Handyman: Mr Bruce Farnsworth

Primary and Team Nursing

To provide continuity of care, the Nursing staff work in teams, each team working under the guidance and supervision of the Nurse in Charge.

The Nurse in Charge (RN) is responsible for the Care Plan for each resident. She will develop this care plan based on the initial assessment, liaising with families, the resident themselves, GP and any other health professional/therapists involved with the individual's care. The Care Plan is continually reviewed and re-assessed as necessary. It is important that all parties are included in planning, accommodating the resident's abilities, choices, cultural and social background and personal beliefs. The Nurse in Charge 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 the Nurse in Charge of the shift.

Care Teams working together include 2 or 3 Carers. They work under the Nurse in Charge's supervision and direction. These Carers are allocated to certain residents for the majority of the shifts. They provide continuity for the residents, a regular familiar face. This provides an opportunity to build a relationship with them, getting to know them personally ensuring that attention is paid to the smallest of detail.

We also have available a team of therapists such as visiting 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 Care Centre 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. Please sign in the Visitors' Book on arrival and departure for fire safety reasons. It may help to know though the busiest times of the day are early morning and early evening. Meal times are posted later on in this guide.

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 them ready for the trip and arrange for medications to be ready to take out. The resident has the right to inform the home of any visitors they do not wish to receive and we are obliged to honour their wishes.

We have a busy social calendar. Regular trips to take out the residents into the countryside for a short ride, and afternoon tea are also organised. A full social calendar is attached for your information.

We work according to residents' wishes, cultural backgrounds, and abilities. Over a year the activities on offer may vary, depending on the residents currently in the house.

We are proud to be part of St Leonards and the local community. We have visitors from the surrounding area 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 local library visits, making available talking books and large print books for those with poor sight.

We also run a small trolley shop, which is accessible through the Administration Office every day (except at weekends), however on a weekly basis the trolley shop is taken to each individual room. This gives the resident an opportunity to purchase toiletries, writing paper, snacks and birthday cards.

A personal account can be held on behalf of the resident by our Administrator for hairdressing, chiropody, the shop trolley, newspapers and any other personal items required.

All Service Users are invited to contribute their views and opinions in the management and provision of services of the Home. Residents are asked for their ideas regarding social activities. The Care Centre Manager has an open door policy for anyone. An annual Quality Assurance Survey is sent to all relatives and residents, an analysis and action plan drawn up. All Inspection reports are made available in the home for viewing along with Brendoncare's response.

Complaints

It is always unfortunate to receive a complaint regarding the service we provide, however, it also provides us with an opportunity to identify and understand areas which are of concern. If you have cause to make a complaint, please contact the Care Centre Manager in the first instance, or in her absence the Nurse in Charge. If the issue is not resolved, please write to the Care Centre Manager, who will investigate the complaint as per The Brendoncare complaints policy. She will respond with actions taken to resolve the issue and prevent further occurrences within 22 working days.

If you feel the issue is not resolved or handled appropriately you may also raise the issue with any of the following:

Mrs Sam Foti
Area Operations Manager
The Brendoncare Foundation
The Old Malthouse
Victoria Road
Winchester
SO23 7DU
Tel: 01962 852133

Care Quality Commission
Citygate
Gallowgate
Newcastle Upon Tyne
NE1 4PA

You may contact The Commission at any time throughout the complaint process.

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.

As visitors to the Home, in the event of the fire alarm sounding:

Remain in bedroom if you are there, close bedroom door and windows and wait until you are called by a member of staff, a Fire Officer or a Police Officer
If you are in any other part of the building, make your way to the nearest Fire Exit and assemble in the front garden for a roll call.
In the event of a false alarm a member of staff will come to each room to inform everyone and reassure.

If your relative has Oxygen therapy, please take note of the safety signs on the bedroom door.