Sovereign Care Homes Ltd

Statement of Purpose

January 2018

Filsham Lodge137 South Road

HailshamBN27 3NN

Contents

Description Aims and Objectives

Philosophy of Care and the HomeRange of Needs Catered For

Home Owner /Manager – (Name, Experience, Home Address and Communication Information)

Home Organisational Structure

Staff TrainingAccommodationAdmission

Emergency AdmissionPrivacy and DignitySmoking and AlcoholFire Safety

Religion (Worship/Attendance at Religious Services)Contact with Family and FriendsService Users Plan and Reviews

ComplaintsTherapeutic Activities

Monitoring and Quality

Aims and Objectives

When people have worked hard throughout their life and have been committed to helping others, we think they deserve extra cherishing. They need a home where individuality is emphasised, with staff who have time to give attention to small detail, and where they have the choice of enjoying the company of like-minded fellow Service Users:

With over 15 years experience, the management of Sovereign Care Homes Ltd pride ourselves on offering a highly professional care service for elderly people with dementia type illness, with a personal touch. We are pleased to accept Service Users, both male and female, for long term care, short term care, or for convalescence stays.

AimsIt is the aim of SOVEREIGN CARE HOMES Ltd to create an atmosphere in which our elderly service users can live as normal a life as possible, to enhance their quality of life by providing a safe and comfortable environment, to encourage them in their interest and activities, to maintain a climate in which individuality, independence and personal dignity are respected, plus providing support and stimulation to enable service users to live as full a life as their capabilities will allow.

To provide warmth, good food and proper professional care at all times, so that we ensure that all service users are happy and contented and to this end we believe that there are certain basic values which contribute to the quality of life for most people. These are as follows:-

PRIVACY: The right of a Service User to be left alone and undisturbed whenever they wish.

DIGNITY: The understanding of a Service Users needs and treating them with respect.

INDEPENDENCE: Allowing a Service User to take calculated risks, to make their own decisions and think and act for themselves.

CHOICE: Giving a Service User the opportunity to select for themselves from a range of alternative options.

RIGHTS: Keeping all basic human rights available to the Service Users.

FULFILMENT: Enabling the Service User to realise their own aims and helping them to achieve these goals in all aspects of daily living.

ObjectivesTo provide a safe and enjoyable environment for people who are no longer able to manage in their own homes.

To provide a quality of life which enables service users to retain their independence, identity and sense of their own value and to have as many choices as possible within the day-to-day life of the Home and to afford service users dignity and privacy.

To provide stimulation and encouragement to maintain as many previous skills, interests, activities and friendships as possible in or out of the Home and the opportunity to develop new interests and friendships.

To provide emotional support in day-to-day living and over personal problems, both for service users and their relatives and carers.

To provide good physical care with advice and equipment to maintain personal independence.

To obtain health care provided by Health Services and other agencies together with the opportunity for treatment and rehabilitation, should this be required.

To provide appropriate care, stimulation and understanding for service users who suffer from Confusion, Dementia or Alzheimers, and to maintain sensitivity to the effects which their condition may have on other service users and on the life of the Home.

Philosophy of Care and The Home

Sovereign Care Homes Ltd aims to provide its Service Users with a secure, relaxed, and homely environment in which their care, well being and comfort are of prime importance. Service users are encouraged to participate in the running of the home, and to be able to air their views in a number of ways via satisfaction surveys, service users meetings etc.

Carers will strive to preserve and maintain the dignity, individuality and privacy of all Service Users within a warm and caring atmosphere, and in so doing will be sensitive to the Service Users ever-changing needs. Such needs may be medical/therapeutic (for physical and mental welfare), cultural, psychological, spiritual, emotional and social, and Service Users are encouraged to participate in the development of their individualised Care Plans in which the involvement of family and friends may be appropriate and is greatly valued.

All our Service Users are considered as individuals with their own personal individual needs.

Michael Smull, who developed Essential Lifestyle Planning, wrote:

“Our quality of life is determined by the presence or absence of things that are important to us- our choices, our rituals”.

We need to discover things that are essential and important to all our Service Users.Learning about our Service Users’ lifestyle and life history, spending time talking and listening to them, and inviting others who know and care about them will all contribute to our Service Users’ well being and is considered to be most important to all our team. We wish to lessen ill being and increase well being.

This will be achieved through constant dialogues with families, friends and Service Users themselves and 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 CAREPRIVACY DIGNITY RIGHTS

INDEPENDENCE CHOICE FULFILMENT

All Care 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 developments in Care Practices as may be laid down in appropriate Legislation, Regulations and the Commission for Social Care Inspection.

Range of needs catered for

We cater for service users who are frail or who are suffering from a dementia type illness. We can accommodate clients requiring assistance with their day to day care such as help with washing or bathing, assistance with dressing or administration of medication. We can offer assistance at mealtimes as well as with all other aspects of daily living, perhaps help with letter writing, using the phone, hobbies and activities etc, all in a safe and secure environment.

Home Owner/Manager (Name, Experience, Home Address and Communication Information)

Home Owner: Sovereign Care Homes Ltd.

Sovereign Care Homes Ltd was formed in 1993 by the current Directors and is an independent Care group which owns and operates a number of care homes throughout the country. The Directors have a wide range of experience in managing and operating care homes. We have Homes for the elderly, homes for the Elderly with Dementia type illness and homes for young adults with learning difficulties.

Address of Home Owner: Sovereign Care Homes Ltd No 6, Beckenham RoadWest WickhamBR4 0QT

Telephone: 02087761500Email: carehomes@gmail.com

Home: Filsham Lodge, 137-141 South Road, Hailsham, BN27 3NNManager: Registered Manager: May Crousse

Experience: Worked in care for over 10 years, in many different settings.

Relief Manager of a Residential Dementia home for 1 year.

Registered Manager for 3 years in a learning disability home.

Qualifications: BA (Hons) Psychology and Forensic Investigations Working towards - MBA Health Care Leadership

Care Speciality of the Home: Care of the Elderly with Dementia type illness

Depending on severity, Filsham Lodge is able to cater for most needs of Service Users suffering from:

- Alzheimer’s disease- Vascular dementia- Dementia with Lewy bodies- Parkinson’s’ Disease - Palliative Care

The home can meet most Nursing needs. There are times when, unfortunately, Filsham Lodge will not be able to cater for drastic changes in needs and this will be dealt with appropriately with all involved in the care provided. This may sometimes lead to a transfer to another Home (although this is done only as a last resort, once all avenues have been tried and only after appropriate discussions with family and all health care professionals involved).

Home Organisational Structure

Details of Staff Numbers and Staff TrainingAs can be seen, the home has a substantial management structure to support the staff at the home. The home employs 55 staff members including; 1 Manager, 1 Deputy Manager, 6 Registered Nurses, 1 Head of Care, Senior Carers, Care Assistants, Catering and Domestic staff.

The home’s staff are selected for their qualities of reliability, integrity, skill, friendliness and professionalism. They are carefully screened and references are always checked thoroughly. All staff have CRB checks prior to employment.

Each new staff work at least three shifts on a supernumerary basis during their induction period. All staff are trained in-house by experienced qualified seniors. A personal file is opened for each new member of staff, when they first start work, to enable them to follow their personal training development. They are usually followed throughout their induction process by a mentor who is usually a Senior carer within the Home. During induction, the new staff will gain a sound knowledge of the Home’s most important policies. As a company we strongly believe in having a highly motivated and well trained team of staff in order to deliver high quality care. To this end we insist that all staff training needs and requirements are regularly assessed, and that we deliver the appropriate

DirectorsMr & Mrs

Ravichandran

Home ManagerMay Crousse

Lead Clinical Manager

Anne CrousseDeputy Manager

Emily Nyberg

Clinical Lead Simi Santosh Baboo

Chef

Cooks

KitchenAssistants

Senior Team Leader Housekeeper

Domestics Laundry

Head of Care

Seniors

CareAssistants

Maintenance ActivitiesCo-ordinator

ActivitiesAssistant

Registered Nurses

Senior HealthCare Assistant

Health CareAssistants

training and guidance in line with current legislation and our company policy.

The basic induction of any new staff will include the following:

Confidentiality The rights of Service User’s Health and Safety Food Hygiene and Safety Personal Care Tasks Care Assistants Responsibilities Fire policy and procedure Documentation Emergency Procedures

All new staff will then complete an induction over 6 months that follows the Skills for care guidelines.

Within the Skills for care induction period, care staff will undergo specific trainings such as:

- Moving and handling- Fire- Food and Hygiene- Dementia- Infection control- Health and safety- Abuse

In addition to mandatory trainings, our Registered Nurses are trained in the following

- Catheterisation- Venepuncture- Syringe driver- Anaphylactic shock and resuscitation

For staff in a senior position the following training will be included in addition to the above mentioned training:

- First Aid- Medication- In depth dementia training (this enables cascading information to be

passed on to the less senior staff on a daily basis). Senior staff also have the following

- Level 2 in dementia care- Level 2 in Infection control- Level 2 in End of life care

- Level 2 in nutrition and health- Level 2 in diabetes management

Our 12 Senior carers have a level 3 Some of our care staff hold a NVQ 2 in care and others are enrolled for this qualification. All new care staff are encourage to enrol on their Diploma for health and social careThe company will regularly assess staff for any further training needs they may have through staff supervisions.

Staffing levels within the home are calculated based on the following:

- the layout of the Home- the dependency of each Resident- the level of training of each member of staff- the specific needs of the Residents on specific occasions (for

example if a Service User needs more staff input due to a worsening condition).

These criteria will be reviewed at least once a month and more often as and when required.

At all times there is a senior carer on shift (trained in first aid and medication) and the appropriate level of care staff. The Manager, Anne, is on duty 8 hours per day, 5 days per week. She is based in her office in the main entrance. When the manager is absent, the Registered Nurse will always stand in.The Registered Nurses wear a navy blue uniform and their names are: Lijo, Azhar, Simi, Jobin and Sue. Our Deputy Manager is Emily and she works on Wednesdays and Thursdays.

All staff work within the Working Time regulations to avoid excessive hours being worked which could have an impact on the care due to fatigue.

AccommodationThe home has 18 bedrooms with en-suite, 31 non en suite bedrooms and 1 double bedroom

Most room sizes exceed the national minimum standard.

Social Rooms:There are 2 lounges/ dining rooms, all centrally heated. Service Users are encouraged to use these public rooms; however, Service Users who choose to stay in their own rooms may do so. Smoking is not allowed in these public rooms.There are also a coffee room to be used by relatives and a small quiet lounge.1. All rooms are connected to a nurse call system for the benefit and

safety of service users.

2. Some bedrooms have privacy locks. Should a Resident require a lockable cabinet, this would discussed on admission

AdmissionService User’s interested in coming to Filsham Lodge are encouraged to visit the home and sample the atmosphere and level of service, this gives the client time to get to know the staff and adjust to new people and surroundings. A month’s trial period is always given before taking permanent residency. The home is registered to accommodate 49 persons, of both genders who have a mental and/or physical frailty Prior to any new admission, the Registered Manager will ensure that they assess the potential new Service User to ensure his/her needs can be catered for at Filsham Lodge. This will need to be done in conjunction with the Service User themselves, a Social Worker or a family member. The assessment carried out is based on the following:

- Specialist care needs.- Age- Level of dependency- Level of sensory impairment- Behavioural features- Mental health functioning and

its stability

- Risk factors- Physical disabilities- Staffing levels in the Home- Level of dependency in the

Home- Service Users wishes and

past life history

A Social Service Assessment will need to be in place prior to any new admission.Once a Service User has been assessed as being able to move in, a contract will be issued with the breakdown of fees, room to be occupied, what the Home will provide and any other information we think the Resident may need to know.

A review of these needs will be carried out after a month, with the Service User and their family, to ensure Filsham Lodge is meeting the needs which have been identified or any need which could have developed in the meantime, which the pre-assessment did not show.

During the course of their stay, all Service Users’ needs are reviewed monthly and should there be any drastic changes.Emergency AdmissionsIf an emergency admission is necessary the manager is required to demonstrate that the home will be able to meet the assessed needs of the service user, so an assessment of needs will need to be conducted, prior to or on admission. The manager will inform the Service User or their

representative of all key aspects of our service and the rules of the home within 48 hours, and all other criteria within 5 working days should the client decide to remain in the home for longer than that period.

Privacy and DignityStaff are trained to strive to preserve and maintain the dignity, individuality and privacy of all Service Users within a warm and caring atmosphere, and in so doing will be sensitive to the Service Users ever changing needs. Service users are able to use their rooms as and when they wish in order to have their privacy maintained.

Smoking and AlcoholWith regard to alcohol, the home Manager is guided by a comprehensive policy, but for the purposes of this document Service Users will normally make their own arrangements depending upon their assessment and care plan: as with smoking, service users may require to be supervised.

Smoking For Service users;Smoking is only allowed in designated areas, and smoking in the Home is expressly FORBIDDEN to cover the fire regulations. The use of petrol lighters is not allowed and matches discouraged. A gas lighter of the kind that extinguishes itself when put down or dropped is recommended.

Fire Precautions and Emergency Procedures The home has a modern Fire Alarm System fitted, with “Fire Exit

Notices” and “Fire Emergency Instruction Notices” displayed at strategic points throughout the home, as advised by the local “Fire Department”.

Staff are instructed during induction training with regard to the Fire Prevention/Drills Policy this includes use of the homes fire appliances, evacuation, muster points, raising the alarm, etc.

Service User’s are informed of the emergency procedures during admission, including how to evacuate the building via the nearest fire exit on hearing the fire alarm bell sound.

A fire exercise is carried 3 monthly, this ensures all staff and Service Users have a comprehensive understanding of their responsibilities.

All fire systems and alarms will be tested weekly by maintenance. Records are kept of all such testing as part of the Proprietor/Managers responsibilities.

All fire fighting equipment will be checked 6 monthly by a qualified fire extinguisher maintenance engineer.

Where possible, furniture, fixtures and fittings will be made of fire-resistant of fire-retardant fabrics and materials.

A comprehensive fire procedure is included at the end of this statement of purpose

Religion (Worship/Attendance at Religious Services)Service Users may attend religious services either within or outside the home as they so desire. If services are outside the home, the Service User should, if necessary and where possible, arrange for transport and accompaniment with friends or relatives. In the event of this not being possible, care staff may accompany Service Users on specific occasions if staffing levels permit.

Service Users have the right to meet clergy of their chosen denomination at any time. If required, a private room will be made available for such meetings.

Contact with Family and FriendsService User’s family, relatives and friends are encouraged to visit the Service User regularly and maintain contact by letter or telephone when visiting is not possible. In these cases, staff will offer to assist the Service User to respond where help may be needed.

Visitors will be welcomed at all reasonable times. For Security and Fire Safety reasons, visitors must sign in and out in the visitor’s book on each occasion.

The Service User has the right to refuse to see any visitor, and this right will be respected and up-held by the Person-In-Charge who will, if necessary, inform the visitors of the Service Users wishes.

Service Users Plan and ReviewPrior to any new admission to the home a full needs assessment is carried out which is based on Person Centred Care. Once a service user takes up occupancy a personalised and individual care plan is drawn up with the input and involvement of the service user, their family, friends and other

health care professionals. Once a Service User’s plan has been developed and put into practice, it will be reviewed monthly or earlier by the changing needs of the service user and updated to reflect any changing needs to ensure that the objectives for health, personal, emotional, spiritual and social care are achieved, and that any shortfall is addressed. These formal reviews of the care plan are carried out (when possible) with the input and involvement of the service user, their family, friends and other health care professionals as appropriate, and taking into account the service user’s needs and wishes. NB. Review intervals may be more frequent, or may vary according to individual service users needs.

Family and relatives will be encouraged to participate in the Service User’s daily routine as far as is practicable, as well as being invited to monthly formal reviews if the service user so wishes. Service Users and their Relatives are always welcome to chat with a member of the Care Staff if they have any concerns.

The Service Users Plan is reviewed at three levels:

Daily on a shift-to-shift basis. At staff shift changeover the Service User’s daily care notes are handed by the out-going shift to staff on the in-coming shift and the Service User’s responses and activity patterns discussed as needed. Changes to the Service Users Plan may be proposed at this point.

At the end of the four week settling-in period.

Thereafter a formal review is held with Care Staff on a monthly basis.

All amendments to the care plan will require the authorisation of the Home Manager. Registered Nurse or Senior Carer;

All amendments to the Service Users Plan are recorded in full.

Health professionals are involved on a regular basis with all our Service Users.

The chiropodist will visit all Service Users approximately every two months.

A yearly visit from the Optician will be carried out.

CPN and psycho-geriatrician will visit the Home whenever this has been assessed to be

required, as do Social Workers.

There is a GP ward round twice per week as we try to avoid hospitalisation if possible.

ComplaintsIf as a Service User, relative or visitor, you feel that there is cause for complaint, you should first discuss the matter with the person in charge. A full investigation will be made into the complaint, and you will be advised of the outcome within 28 days after the date the complaint is made. Any complaint or concern, whether brought in writing or orally will be treated as equally important.

If after this investigation, you are still not satisfied, or if you feel that the complaint is of a serious nature and you wish to speak to a registration officer first, then you should contact

- Social Care Direct on 03456080191 - CQC on 03000616161

At Filsham Lodge we are very much into ensuring all our Service Users are safe and protected from any form of abuse. We would expect any visitor to report to the Manager any concerns they may have so that this can be investigated through the appropriate channels (Police, Adult Protection Team).

A copy of Filsham Lodge complaints procedure is on display and can be made available on request.

Therapeutic ActivitiesThe home policy on “Therapeutic Activities” takes into account the Service User’s interests, skills, experiences, personalities and medical condition. The home offers a wide range of activities designed to encourage the client to keep mobile, and most importantly take an interest in life. The Home commits to 52 hours of activity staff per week and our activity organisers organise group activities as well as one to one time.The home offers a free of charge, manual therapy service for all residents who suffer with any mobility concerns and movement restrictions. The manual therapist’s name is Lewis Powell is fully registered, insured and DBS checked. Relatives are encouraged to provide written consent for this to take place.

The staff encourage and in certain instances help Service User’s to pursue their hobbies and interests:

Service User’s can play the following games a. Cards.b. Scrabble.

c. Bingo.d. Draughts.e. Chess.

Selection of available Activities with the staff (On a Daily Basis) Taking into account individual preferences, needs and abilities

Each day, there are many things which provide us with purpose and pleasure. For the person with dementia this need for quality of life is not diminished, so with some assistance from a carer, their ability to achieve purpose and pleasure is still very much respected.

a. Chatting to Individual Service Users/group discussionsb. Going for walks.c. Manicuresd. Playing games.e. Armchair exercises/movement to musicf. Reading letters/magazines/newspapers.g. Helping to choose Library books/talking booksh. Music and sing-alongi. Maintain life long hobbies, crossword puzzles etcj. Reality Orientationk. Reminiscence /Memory Lane / Life Historyl. Creating a story from a picturem. Keeping Scrapbooksn. Flower arrangingo. Bakingp. Art or craft q. Sensory stimulationr. Gardenings. Everyday things to do at homet. Ball activities (Catching or passing the ball, skittles etc)u. Massaging hands, neck and feet v. Brushing hair w. Smelling fresh flowers, herbs or pot pourri x. Using essential oils and fragrances y. Stroking an animal

Introduction of a Sensory Room

The home decided to introduce a sensory room in January 2018, purposely decorated and equipped, for those who enjoy spending time on a one to one level and with the right equipment to provide sensory stimulation.The room was realised for all residents and their visitors. Visitors are welcome to enjoy what it has to offer with their loved one and to provide quality time together.The room provides our residents with music, lights, aroma therapy and touch sensory.

Outings

All outings are geared to Service User’s needs and capabilities and due to this only a limited number of Service User’s can go on any one outing.

Examples of outings are listed below:a. Visits to local Pub.b. Visit to a local cinema once per month.c. Visit to a pantomime or play.d. Going Shoppinge. Sightseeing

Monitoring and QualityWithin the Home, there are various systems which ensure that close monitoring is maintained on all of the Home’s services and procedures. Attention to the smallest detail is pivotal to everything that we do.An important part of our quality programme is to involve the Service Users, their relatives and all Health Professionals visiting the Home. We regularly ask for comments on the Home, the staff and services we provide. We also regularly circulate a service user’s questionnaire and analyse the results, which assists us in ensuring that we continue to provide a quality service by identifying and then acting upon any shortfalls that may emerge To ensure this very important part of our service, we would like to stress how important it is for all visitors to send us their views and feelings of the Home. We constantly audit every department to monitor the quality of services provided.

Should any response be negative, the Manager will ensure a meeting is held to ensure all issues raised are dealt with appropriately.Service users and their relatives are also able to have a say in the daily operation of the home by giving us their input at our 6 monthly Management / Service User meetings, where they can make any suggestions or air their views about daily life at the home, and are able to contribute collectively to highlight any areas of concern with the homes management. This is a very important part of our Service and we cannot stress enough how important it is for all involved to attend these meetings, which are usually held in the evening to suit daily life. It is the ideal time for all to meet and share the life of your loved ones and find ways of improving any areas which could be of some concern.

These meetings are usually held over a buffet, where food and refreshments are offered, which makes it an enjoyable occasion for all.We also ask all Visitors to raise any concerns they may have on the day of the visit by filling in the Visitors book comment column.

ON DISCOVERING A FIRE

STAFF

1. SOUND THE FIRE ALARM

2. ASSEMBLE AT THE ASSEMBLY POINT, WHICH IS IN THE FRONT CAR PARK, ENSURING ALL DOORS AND WINDOWS ARE SHUT ON YOUR WAY TO THE ASSEMBLY POINT

3. DIAL 999 AND ASK FOR THE FIRE SERVICE

4. LOCATE AREA OF FIRE FROM MAIN INDICATOR PANEL

5. EVACUATE SERVICE USERS AWAY FROM THE AREA OF FIRE TO A PLACE OF ASSEMBLY

6. ATTACK FIRE IF SAFE TO DO SO USING CORRECT EXTINGUISHER

7. CHECK ALL SERVICE USERS, STAFF AND VISITORS ARE ACCOUNTED FOR

SERVICE USERS AND VISITORS

Unless in IMMEDIATE DANGER, sit and wait for a member of staff to arrive. The member of staff will escort you to the place of assembly.