CLEEVE COURT NURSING HOME
MAIN RD, CLEEVE, NR BRISTOL, BS49 4PE
STATEMENT OF PURPOSE
Review Date: NOV 09
Introduction:
This document provides the information required by Regulation 1 & Schedule 1, Regulation 4(1)(c) of section 23 of the Care Standards Act 2000 applicable from 1st June 2003 published by the Secretary of State for Health.
AIMS AND OBJECTIVES
It is the objective of Cleeve Court Nursing Home to provide care to all service users to a standard of excellence which embraces fundamental principles of good care practice, and that this may be witnessed and evaluated through practice, conduct and control of quality care in the home. It is a fundamental ethos that those service users who live in the home should be able to do so in accordance with the homes Statement of Values.
It is the objective of the home that all service users shall live in a clean and safe environment and be treated with respect and sensitivity to their individual needs and abilities. Staff will be responsive to the individual needs of service users and will provide the appropriate degree of care to assure the highest possible quality of life within the home.
To meet the client's needs the care service within the home is designed to achieve the following objectives:
• To deliver a service of the highest quality that will improve and sustain the service users overall quality of life. In this respect the care service is designed to meet the requirements of a recognized accredited quality standard, but in a people oriented fashion.
• To ensure that the care service is delivered with flexibility, attentively, and in a non discriminatory fashion while respecting each service user's right to independence, privacy, dignity, fulfilment, and the rights to make informed choices and to take risks.
• To ensure that each service user's needs and values are respected in matters of religion, culture, race or ethnic origin, sexuality and sexual orientation, political affiliation, marital status, parenthood and disabilities or impairments.
• To ensure that the care service in the whole is delivered in accordance with agreed contracts of care.
• To manage and implement a formal programme of staff planning, selection, recruitment, training and personal development to enable service user care needs to be met.
• To manage the care service efficiently and effectively to make the best use of resources and to maximise value for money for the service user.
• To ensure all service users receive written information on the home's procedure for handling complaints, comments and compliments and how to use it.
The following Services will be provided to compliment the Aims and Objectives of Cleeve Court Nursing Home.
SERVICES
ROOM SERVICE (included in room rate)
Room service is available throughout 24 Hrs every day.
A light refreshment of tea / coffee and biscuits may be offered by Staff, or can be requested for visitors, by the Service User.
Access to the kitchen is restricted to Trained Staff, Residents and visitors are excluded from entry to the kitchen for reasons of Health & Safety.
MAINTENANCE (included in room rate)
Room Maintenance, a group maintenance team will provide a service which will include things such as hanging pictures, moving furniture, changing light bulbs, or any adjustments to a Service Users room to make them more comfortable.
TELEVISION (included in room rate) (TV licence charge, when applicable – not included in room rate)
All rooms are provided with televisions, but Service Users may supply their own, providing they meet the necessary regulatory standard.
LAUNDRY (included in room rate)
All linen and towels are provided by the home. Additional pillows or blankets will be provided upon request.
Service Users are permitted to provide their own linen, but must ensure that they are suitably marked.
Personal laundry will be collected on a daily basis and returned the following day.
All Service Users personal laundry should be appropriately labeled by the Sponsor (Relative) before admission.
Cleeve Court will not be held responsible for missing items should they not be marked properly.
SPECIAL AIDS (A charge may be applicable – dependant on equipment and personal circumstances)
Trained nurses will assess all new residents as to whether they require items such as Zimmer frames, raised toilet seats, toilet frames and wheelchairs.
Chargeable items are as follows (unless free nursing contribution is provided by the Local PCT):
• Roho Cushion
• Roho Mattress
• Harvest Supreme air mattress or similar
• Recliner chairs:
Residents must purchase their own recliner chair should they require one for sole personal use.
ENTERTAINMENT (No additional charge is usually made for any form of entertainment). Service Users will be advised in advance of any chargeable entertainment and permitted choice to decide whether they wish to be included / excluded in any such event)
Visiting by relatives and friends is unrestricted.
(Full meals (as opposed to light snacks) for visitors are chargeable and must be pre-ordered in advance.)
For those without frequent visitors, the care staff are allocated extra time to spend with Service Users on a daily basis.
Service Users may bring with them items such as video recorders, DVD players, for their own personal use. A small library of books, DVD’s and Videos is available and service users may borrow these free of charge.
Seasonal events such as Christmas and Easter are celebrated, similar to how they would be elsewhere, with residents’ parties, performances by outside groups such as carol singers etc. Relatives and friends are invited to attend and join in whenever possible.
Birthday and Anniversary celebrations are also regular events, along with events such as barbeques in the summer months.
Service Users are also permitted to visit friends and family, whenever this is possible to arrange.
NEWSPAPERS (included in room rate - communal items) (not included in room rate – personal items)
The home provides a small number of daily newspapers for general reading. (The cost of personal newspapers and magazines is not included in the room charge). Sponsors (Relatives) may order newspapers or other publications from the local newsagent, for delivery at Cleeve Court, by personally becoming responsible for billing and payment.
TELEPHONE
Some rooms have telephone points and can be connected on request. The cost of connection and supply of a handset are not included in the room charge. Ruling BT charges for connection will apply and the service user or their nominated representative should arrange for line rental and call costs to be billed directly, to them by their chosen service provider.
Due to the continuous upgrading of the telephone network, availability of features such as a broadband connection or potential to upgrade at a later date should be checked directly with BT, at the time of the initial inquiry and a personal discussion with the Care Provider Mr. Paul Bliss.
VALUABLES (on site storage for valuables is not provided – if / when this may become necessary a charge may become applicable)
Service Users are discouraged from bringing items of significant financial value, artifacts or documents to Cleeve Court. Issues may arise with respect to insurance. Service Users must discuss the position with respect to any item they know or suspect to have significant financial value before bringing them to Cleeve Court with the Registered Care Provider.
VISITING SERVICES
Hairdressing: – Weekly (not included in room rate)
Chiropody – Every six weeks (not included in room rate)
Dentist – By GP referral
Optician – By telephone request from Nurse in Charge
Physiotherapist – By GP referral
Doctor – By telephone request from Nurse in Charge
Religion: (Any) – By telephone request from Nurse in Charge to place of Worship.
The name and address of the registered provider and the registered manager (1)
The qualifications and experience of the registered provider and registered manager (2)
REGISTERED PROVIDER
CLEEVE REST LIMITED (Responsible Individual - MR P T BLISS F.C.C.A).
C/o CLEEVE COURT NURSING HOME
MAIN ROAD
CLEEVE
BRISTOL
BS49 4PE
Mr. P T Bliss has been the Responsible Individual since Cleeve Court Nursing Home first opened its doors to provide Care with Nursing in 1990.
REGISTERED CARE MANAGER
Alison Lee BSC(hons) RM, RGN
CLEEVE COURT NURSING HOME
MAIN ROAD
CLEEVE
BRISTOL
BS49 4PE
Alison Lee is the Manager and Nurse with over 27 years nursing experience. During her career she has specialized in midwifery and spent 13yrs working in General practice as a nurse specialist.
The number, relevant qualifications and experience of the staff working at the care home (3)
STAFFING
Cleeve Court employs approximately 32 staff on a full and part time basis. All necessary training is provided in house and any external training is encouraged to enhance the quality of service provided.
Care Manager: Alison Lee BSC (hons),RM, RGN
5 Staff Nurses (Either RGN or SEN)
15 Care Assistants
1 Head Chef / 1 Assistant Cook / 2 Kitchen Assistants
2 Cleaners
1 Maintenance Technician / 1 Gardener / 1 Painter- Decorator
1 Activities Supervisor
All staff have undergone CRB checks and where appropriate POVA checks to confirm their suitability to work in a Care Home.
All nurses are registered on the Nursing and Midwifery Register.
The Care staff consists of a mix of experienced Care Assistants and younger Care Assistants. All new staff under-go an Induction programme, and a condition of employment is that they must work towards achieving a minimum Level 2 NVQ in Care.
All staff are selected based on their qualifications and experience, and the Company operates a total non-discrimination policy as required by UK employment legislation.
In the event of an emergency or unanticipated absence of a member of staff, necessary to maintain adequate staffing levels, Agency Nurses or Care Assistants may be employed on a temporary basis.
The criteria for any Agency Staff, is that they have the same level of qualifications and experience as Full-Time employees.
The organizational structure of the care home (4)
The Service Provider (responsible person) is responsible for all financial inputs and outputs of the Company and that the Company complies with all relevant aspects of UK Company Law, including operating within the legislation of the Care Standards Act 2000 and any subsequent legislation or amendments. The Service Provider will also be responsible to ensure the buildings fixtures, fittings and grounds also comply with any requirements imposed on the Company by its Insurers such that insurance cover is not compromised.
The Care Manager is directly responsible for identifying to the Service Provider or any Group Manager appointed by the Service Provider any recommendations relating to expenditure or change of practice, for the Service Users which he/she feels necessary, or has identified to meet Service Users needs or maintain and improve general standards, including staffing and training.
The Care Manager will have responsibility limited to identifying to the Maintenance Manager any aspects of maintenance required for the Health & Safety of Service Users, Staff and Visitors which he/she has identified or been made aware of via the complaints procedure.
Notwithstanding the above, the Care Managers primary role will be to ensure the Service Users Care and Medication and Social needs are met by nurses and care staff reporting directly to himself / herself.
The Maintenance manager will be responsible for identifying directly to the Service Provider any issues which cause him concern for ensuring the Health & Safety of all persons residing, working and visiting Cleeve Court and ensuring all works carried out to remedy any issues meet any legislative or recommended standards. The maintenance manager will consult with the Care Manager on any aspects relating to Service Users specific needs.
The Service Provider will at his discretion appoint a Group Manager (non-resident) with specialist experience and skills to be responsible for the recruitment and training of Kitchen and Domestic Staff. The Care Managers responsibility for these persons will be limited to ensuring dietary needs of Service Users is met and to recommend any changes to practice to ensure the Rights of Choice, and the Health & Safety of Service Users, Staff and Visitors are being employed.
The age range and sex of the service users for whom it is intended that accommodation should be provided (5).
Whether nursing care is to be provided (7).
Cleeve Court Nursing Home is registered with the Commission for Social Care Inspectorate as able to provide Care (including nursing care) for 29 persons of old age of either gender.
The range of needs that the care home is intended to meet (6)
The arrangements for Service Users to engage in Social Activities, hobbies and leisure interests (9)
Cleeve Court Nursing Home is staffed and equipped to provide Service Users of all levels of physical disability or conditions usually associated with old age, who require assistance with activities of personal care and hygiene regularly throughout any day or night and / or who require drugs, dressings or other technical assistance administered by a qualified nurse on a similar frequency. The Company recognizes the importance diet and nutrition play in maintaining the well-being of Service Users and special dietary needs are accommodated.
The Company also recognizes the importance mental and physical stimulation can play in maintaining or improving a Service Users well-being and an Activities coordinator is employed for this specific purpose. Service Users are actively encouraged to follow hobbies and interests of their choice for these same purposes. Such hobbies and interests are not discouraged unless they infringe on the rights of other Service Users.
(Cleeve Court Nursing Home is not permitted to admit potential Service Users who have been identified by Healthcare Professionals as requiring a different level of care from such establishments as an EMI home).
Any criteria used for admission to the care home, including the care home policy and procedures (if any) for emergency admission (8).
All persons applying for residency must fit the classification for which Cleeve Court Nursing Home is registered with the Commission for Social Care Inspectorate.
All prospective applicants or their legal representatives will be provided with a copy of the Service Users Guide which will include details of current fees and ‘Terms and Conditions’.
The Service User and / or their legal representative(s) must agree to the fees and ‘Terms and Conditions’ prior to being considered for admission, and permit the Service User to be subject to a Pre-Assessment by the ‘Care Manager’ or his / her representative and accept the decision made by the ‘Care Manager’ as to whether Cleeve Court Nursing Home can provide the care and nursing support he / she has assessed the Service User to require.
The Service User and / or their legal representative(s) must also agree to an evaluation being made of the Service Users condition within 72 hours of the Service Users admission to check for any change in the Service Users condition which might alter the position as to whether Cleeve Court Nursing Home could still support the required level of care.
The Service Users (care) plan will be prepared by the Care Manager or his / her representative based on aspects of the Pre-Assessment and Evaluation.
The Service User or their legal representative, upon supplying reasonable notice to the ‘Care Manager’ will be given the opportunity to review and, if so request, comment in the Service User (Care) Plan for the duration of the Service Users residency.
Emergency admissions will only be accepted after the ‘Care Manager’ has been provided with a written statement by a qualified doctor of the Service Users needs and the Care Manager’s assessment that Cleeve Court Nursing Home can support those advised needs.
All emergency admissions will be subject to an Evaluation on arrival.
For continued residency the Service User or their legal representative must agree to the fees and ‘Terms and Conditions’ offered by Cleeve Rest Ltd, without dispute, within three (3) days of the admission date, and the
Service User (Care) Plan prepared and / or approved by the Care Manager.
The arrangements made for consultation with service users about the operation of the care home (10).
Service Users at Cleeve Court have a Service Users committee through which they can express their opinion on all aspects of the service provided by Cleeve Court Nursing Home, and any recommendations will be reviewed with a positive attitude by the Care Manager.
The Care Manager and Service Provider will make themselves available, upon reasonable notice, to discuss and attempt to resolve any personal issues raised by any Service User or their legal representative(s).
All Service Users are provided with a well publicised and robust complaints procedure.
All Service Users and / or their legal representatives may upon reasonable notice to the Care Manager review the Companies policies and procedures.
The fire precautions and associated emergency procedures in the care home (11).
Note:
The Policy and Procedures for Fire Safety has been risk assessed by a qualified Fire Officer for compliance with the Fire safety (The Regulatory Reform (Fire Safety) Order 2005.
The following precautions and procedures have been devised to reflect the changes made by this act:
A fire alarm test will be carried out weekly at random.
Staff and all visitors are required to sign in / out of the building.
All Staff are required to par-take in regular Evacuation Simulations of Service Users. (Minimum 4 times a year).
The Care Manager undertakes a Fire Risk Assessment and additional Fire Risk Assessments when any changes in the home create an additional or changed level of risk.
The following ‘advice notice’ is displayed prominently at the visitors’ entrance to the building:
FIRE SAFETY
ALL Visitors
• Always follow the ‘FIRE PROCEDURE’ for ALL visitors.
• On first arrival READ the ‘FIRE NOTICE’ in the room you are visiting and familiarize your-self with the fire escape routes. If in doubt – ASK a member of staff.
• The ‘FIRE ASSEMBLY POINT’ for everyone is the LAWN adjacent to the patio.
• Park thoughtfully so as not to impede the arrival of large emergency vehicles.
• If possible, during your visit, keep vehicle keys and any mobile phone on your person.
• At all times co-operate with instructions given by Fire Officers and trained members of staff.
• If you have any mobility or visual impairment likely to impede the progress of evacuation, stay with the person you are visiting, ensure the room door is fully closed and entry is not obstructed. Await assistance from a trained member of staff or a member of the Emergency Services.
• At all times WALK – DO NOT RUN
• Attempt to stay calm, to avoid acting irrationally.
Details of the nearest fire exit and ‘break glass’ call point are prominently displayed in every private room and strategically elsewhere throughout the building, along with the Fire Procedure for all visitors notice detailed below:
FIRE PROCEDURE
ALL Visitors
On noticing signs of a fire:
1. Proceed to the nearest ‘Break Glass’ call alarm and break the glass to operate the Fire Alarm.
Upon hearing the Fire Alarm:
2. Immediately leave the building through the nearest ‘FIRE EXIT’.
3. Proceed to the ‘FIRE ASSEMBLY POINT’ without delay.
DO NOT
4. Use the passenger lift under any circumstances.
5. Attempt evacuation of any ‘Service User(s)’.
6. Leave the ‘FIRE ASSEMBLY POINT’ until you have been given permission from a Fire Officer.
Trained Staff have a procedure for the safe evacuation of Service Users
EVACUATION PROCEDURE FOR SERVICE USERS AND STAFF IN THE EVENT OF FIRE
The principles of the evacuation procedure for Service Users and Staff is as follows:
1. The Nurse in Charge will assume a management responsibility for contacting the Emergency Fire Service and directing staff actions.
2. The Nurse in Charge will continuously ‘risk assess’ any fire situation as it develops and decide when full-scale evacuation of Service Users and Staff shall begin.
3. In the first instance the principles of horizontal and vertical evacuation shall be employed.
On employment each member of Staff is provided with a personal guide of the procedure for evacuation of Service Users and Staff which also includes a number of contingencies (e.g. who takes charge in the event of death or injury to the Nurse in Charge.) and are subsequently assessed on their knowledge.
FIRE PREVENTION
All Staff must actively contribute to Fire Prevention.
Not leaving electrical devices ‘turned on’ when not in use or unattended.
Refraining from Smoking where not permitted or where high risk is present.
Not ignoring usage and storage requirements for volatile COSHH substances
Failing to advise: about suspected faulty electrical equipment, loose wires etc
Leaving flammable materials close to a heat source.
The arrangements made for service users to attend religious services of their choice (12).
All Service Users are free to request attendance at a religious service of their choice outside of Cleeve Court Nursing Home or request a visit from a cleric from any faith to visit them at the Home.
The C of E provides regular monthly Communion Services at Cleeve Court Nursing Home and extra Services at significant times in the Christian calendar.
The arrangements made for contact between service users and their relatives, friends and representatives (13).
Visiting by relatives and friends is unrestricted, so a Service User can enjoy the company of their family and friends as best fits both their routines.
All rooms have telephone points and can be connected on request. The cost of connection and supply of a handset are not included in the room charge. Ruling BT charges for connection will apply and the service user or their nominated representative should arrange for line rental and call costs to be billed directly, to them by their chosen service provider.
A temporary restriction on the use of mobile telephones may be made if they are likely to cause malfunction of medical or other equipment.
The arrangements made for dealing with complaints (14).
Cleeve Court regards all complaints seriously however trivial. We also regard them positively as an opportunity to learn and improve for the future. A ‘complaints pack’ is supplied in every residents private room, so they or their representative are given the ability to complain privately and directly to the Registered Manager.
Staff responding to any verbal complaint either from a Service User, Relative or themselves must inform the person in charge and or the Care Manager as soon as possible.
A record is kept of all complaints made and includes details of investigation and any action taken. This record is kept in the Matrons Office. Following the complaints procedure detailed below, will ensure all complaints are dealt with efficiently and effectively.
As well as being included in this Service Users Guide the following notice is displayed prominently and strategically around the building in large bold type, to ensure everyone is aware of and understands the process.
CLEEVE COURT NURSING HOME
Complaints Notice and Procedure
1. This home is committed to providing high-quality services and to constantly seek ways to improve that quality.
2. Your comments, compliments, suggestions or complains are always welcome at this home and we take pride in responding to them quickly, effectively and honestly.
3. All comments, compliments, suggestions or complaints should be made to the home manager. The home manager responsible for complaints and quality is Alison Lee.
4. Complaints will be treated seriously and dealt with as soon as possible.
5. Verbal complaints will be responded to immediately. All complaints will be carefully considered and treated on an individual basis.
6. Written complaints will be responded to with an acknowledgement letter within two days. The home will then investigate the complaint and send the result within 28 days. If the matter is complex and cannot be resolved within 28 days, the complainant will be informed.
7. If the complaint cannot be satisfactorily resolved within the home, it will be referred on to the Care Quality Commission.
8. Service Users may complain directly to the Care Quality Commission.
Their contact details are:
National Correspondence
Citygate
Gallowgate
Newcastle upon Tyne
NE1 4WH
Telephone: 03000 616161
Email: enquiries@cqc.org.uk
9. We view complaints as an opportunity to identify anything that is going wrong in our organisation and to make it right. You can help us by keeping a look out, because any suggestions for improvements are always welcome.
The arrangements made for dealing with reviews of the service user's plan referred to in regulation 15(1) (15)
The Service Users (Care) Plan will initially be formulated from the Pre-assessment and Evaluation of the Service User on admission. The Service User or their legal representative will have the opportunity to review and add input to the initial ‘Plan’.
There will be provision within the ‘Plan’ for the Service User or their legal representative to sign and date the ‘Plan’ should they so wish.
Daily records of events and situations which may require changes to the ‘Plan’ will be recorded on ‘Kardex’ system, by suitably qualified Nursing and Care Staff.
From the daily ‘Kardex’ records the Service User (Care) Plan will be updated during each calendar month with any significant information, and reviewed for trends in the Service Users physical and mental well-being. These will be noted in the ‘Plan’.
The Service User and / or their legal representative will on application and reasonable notice to the Care Manager be permitted to review and request changes to the Service User (Care) Plan.
Any significant changes to the ‘Plan’ requested by the Service User or their legal representative must be counter-signed and dated by the person(s) making the request.
All other access to the Service User (Care) Plan will be restricted to employed Care Staff, and other visiting Healthcare professionals in the performance of their role to protect the well-being of the Service User.
The number and size of rooms in the care home (16).
The premises provides 22 single rooms for private accommodation and 3 shared rooms (2 sharing) of accommodation for Service Users spread over 3 floors. Being a large Regency residence, the size of accommodation for each Service User, including shared rooms far exceeds the minimum requirement for floor space as laid down by National Minimum Standards for Care Home accommodation.
The first and second floors may be accessed by either stairs or a passenger lift. A number of rooms include en-suite facilities and where these are not included shared bathroom and toilet facilities are available on all floors.
Communal rooms to which Service Users have access on the ground floor include a large lounge and dining room which can double as a second lounge outside of mealtimes.
An exceptionally large entrance hall also provides additional seating to which Service Users have access.
Rooms to which Service Users do not have access for reasons of Health and Safety are kitchen, laundry and adjacent utility room, medical store / treatment room, and office situated on the ground floor and a cellar below ground level.
All aspects of the accommodation complies with National Minimum Standards in respect of the relevant standards within 20,1 :20,4: 21.3: 21,4: 22,2: 22,5: 23,3: 23,10.
Details of any specific therapeutic techniques used in the care home and arrangements made for their supervision (17).
Medical therapy (e.g. physiotherapy) will only be practised in the Home by a registered practitioner as recommended and approved by the Service Users G.P.
The procedure for therapeutic activities organised by the Activities Supervisor is as follows:
The Activities Supervisor on every occasion before commencing any activities with any Service User consults with the Care Manager or Nurse in Charge about the suitability of any activity he / she plans with regard to each Service User.
The Activities Supervisor is required to record the name and response of each Service User to an activity, and this information is kept on record.
The arrangements made for respecting the privacy and dignity of service users (18).
PHILOSOPHY OF CARE
Cleeve Court Nursing Home aims to provide service users with a secure, relaxed and homely environment in which their care, well being and comfort is of prime importance.
Carers will strive to preserve and maintain the dignity, individuality and privacy of all service users within a warm and caring atmosphere, and in doing so will be sensitive to the service user's ever changing needs. Such needs may be medical/therapeutic, cultural, psychological, spiritual, emotional and social, and service users are encouraged to participate in the developments of their individual care plans in which the involvement of the family and friends may be appropriate and greatly valued.
This will be achieved through programmes of activities designed to encourage mental alertness, self esteem, social interaction with other service users and with recognition of the following core values of care which are fundamental to the philosophy of our home.
CORE VALUES OF CARE
Privacy Dignity Rights
Independence Choice Fulfilment
Security Respect Equality
All staff within the home will be appropriately qualified to deliver the highest standards of care. A continuous staff training programme is implemented to ensure that these high standards are maintained in line with the latest initiatives and developments in care practices as may be laid down in appropriate legislation, and registration authority guidelines.
SERVICE USER'S RIGHTS
The rights of all of our service users are the main priority in our philosophy of care. We will promote those rights through the care and services we provide and encourage all service users to exercise their
Other pages:
This is the text-only version of this page. Click here to see this page with graphics.
Edit this page |
Manage website
Make Your Own Website: 2-Minute-Website.com