Terms & Conditions

Charges Statement of Purpose Service User Guide

Care charges for Stildon: 1 April 2009 - 31 March 2010
Dependency	Per Day	Per Week	Per Month
Low	£117	£819	£3558.75
Medium	£125	£875	£3802.08
High	£133	£931	£4045.42

STATEMENT OF PURPOSE

Stildon is a purpose-built Nursing Home in new premises, having been a Residential Home in an Edwardian House for the preceding twenty years. Development has provided a new laundry and kitchen, offices, a small day centre, and eleven close-care apartments. The Nursing Home comprises thirty-two beds, for the frail elderly and for disabled or terminally ill residents over fifty-five years of age.

The Home is registered with the Care Quality Commission, 4th Floor Overline House, Blechynden Terrace, Southampton, Hampshire SO15 1GW Tel: 02380 821300

Admission Criteria

Physical

Stildon is registered for the care of frail elderly people and can care for anyone over the age of fifty-five who is seriously ill. We are not, however, registered to care for anyone with serious mental impairment, although a degree of elderly dementia may not preclude admission. We are required by the Commission for Social Care Inspection to assess all prospective residents before admission, to ascertain whether Stildon is able to give the appropriate level of care required.

Financial

The fees charged for nursing care at Stildon reflect the quality of staff employed in order to maintain the very high standard of care for which we are well-known, as well as the maintenance of the very pleasant environment. Whilst the Brendoncare Foundation guarantees that no resident shall be asked to leave if funds expire, it does require that a financial assessment form be completed before each resident is accepted for admission.

However, individual circumstances vary a great deal, and it is always worth enquiring of the Administrator or the Home Manager, if you are in any doubt regarding eligibility. You will also be given information about claiming Attendance Allowance, and Free Nursing Care.

Working within the broader aims of the Registered Charity, the Brendoncare Foundation, to which Stildon belongs, and conscious of the requirements of the Care Standards Act 2000, Stildon aims to provide a supportive and homely environment in which residents may be enables to live their lives to the full, with qualified nursing care if necessary. However, residents are encouraged to be as independent as possible, which may include the opportunity to self-medicate if they wish, after an assessment by a trained nurse.

There is always a qualified nurse on duty at Stildon, together with a team of experienced care assistants, cooks, cleaners, and administrative staff. We have a full-time handyman, who also looks after our lovely gardens, which are a popular place to sit in the warmer weather, and there are also two activity leaders who provide four sessions of fun per week.

Brendoncare's Central Office is at Winchester and provides supervision and back-up for the Stildon staff, as well as for the other six nursing homes in the group. There is an on-going programme of in-house training for all care staff, and carers are actively encouraged and supported to undertake their NVQ in care.

There is a very well established 'Friends of Stildon' comprising of volunteers who organise small events and the occasional outing throughout the year, and raise funds which go towards providing 'extras' for the residents.

The Home is purpose built with fire prevention in mind, and has passed a recent Fire Inspection. The fire alarms are tested on a weekly basis, and all fire safety equipment is maintained by retained contractors.

A Residents' meeting is held on a regular basis, which gives residents and relatives an opportunity to air suggestions with the Home Manager, and once a month a visiting Minister conducts a short religious service for those who wish to attend.

There is an established complaints procedure. (See Welcome Booklet and Service User's Guide, available in Reception).

Accommodation

The spacious single rooms all have an ensuite bathroom, and are individually furnished in bright colours. The home is arranged on two floors, each with its own sitting room and dining room, and bedrooms on the ground floor have a garden door, which is very welcome in the summer. Each room is furnished with a bed, wardrobe, chest and bedside table, but residents are encouraged to bring their own pictures, mementos and small items of furniture.

Each floor has two large bathrooms, equipped with hoisted seats over the bath, so that any resident who wishes, can enjoy a full bath, with assistance.

We have a physiotherapist who visits weekly, and residents may also take advantage of visiting chiropodists, hairdressers, and any other therapies. They may also have a daily paper delivered and a personal telephone in their room if they wish.

Visiting is unlimited.

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.
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 individual's 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 know 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 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. Residents may choose to have a telephone installed in their room at their own expense.
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 support of an independent advocate of their own choice, if so desired.
To die with dignity, with their final wishes met.

COMPLAINTS

It is always unfortunate to receive a complaint regarding the service we provide, however, it also gives us an opportunity to identify and understand areas which are of concern to you.

If you have cause to make a complaint, please contact the Home Manager in the first instance, or in her absence, the Team Leader.

If the issue is not resolved, please write to the Home Manager, who will investigate the complaint as per the Brendoncare Complaints Policy. She/he will respond with actions taken to resolve the issue and prevent further occurrences within a maximum of 28 working days.

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

Mr R Staker
Chief Executive
The Brendoncare Foundation
The Old Malthouse
Victoria Road
Winchester
Hants
SO23 7DU

Tel: 01962 852133

If you remain unsatisfied, you have the right to take your complaint to:

Care Quality Commission
4th Floor
Overline House
Blechynden Terrace
Southampton
Hampshire
SO15 1GW
Tel: 02380 821300

Finally, we should like to emphasise that we do want to resolve problems as they arise, and that anyone who does feel unhappy or dissatisfied should not hesitate to speak to the Home Manager.

SERVICE USER GUIDE

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

Stildon is a purpose built home, providing 32 individual rooms which enable us to offer the following services:

Nursing Care for 32 elderly persons, of either sex not less that 65 years of age, requiring nursing care.

There is a No-Smoking policy within the Home. Staff, residents or visitors wishing to smoke may only do so in the 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.

Mandatory training for all departments, i.e. Health and Safety, Manual Handling, Fire, First Aid, COSHH, Basic 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 Allied Health Care and Advantage and they are all registered with The Care Standards Commission and their staff will also have a valid CRB and are inducted, trained and working towards NVQ levels.

Key Staff Members

Home Manager: Mrs Rita Blatcher
Team Leader: Mrs Louisa White
Administrator: Ms Wendy Williams
Receptionist: Kathleen Farrell
Chef Manager: Mr Jason Goshawk
Activities Organiser: Mr Kevin Yeo
Maintenance: Graeme Clark and Richard Worrell

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 the 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 the majority of their shifts. They provide continuity for all residents, a regular familiar face. This gives an opportunity to build relationships with them, getting to know them personally and ensures that attention is given to all aspects of care.

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 our activities organiser and also events run by The Friends of Stildon. Regular trips include short rides into the countryside and afternoon tea. Over a year the activities on offer may vary, to cater for all resident's needs.

We are proud to be part of East Grinstead town and the local community. We have many visitors and volunteers from the surrounding area coming into the home, and being part of events. 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 daily and once a week one of the Friends visits giving 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

Care Quality Commission
4th Floor
Overline House
Blechynden Terrace
Southampton
Hampshire
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 every Wednesday at 10 a.m.

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.