Februaury 2016

Northern Ireland Association

For

Mental Health

STATEMENT OF PURPOSE

Scraboview Beacon Centre

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Index of Contents

1. Introduction 1.1 Service Provider 1.2 Scheme Manager 2. Quality Assurance 3. Responsible Person 3.1 Number of staff, their experience and relevant qualifications 4. Philosophy of Care 4.1 Aims and Objectives 4.2 Therapeutic Process 5. Restrictive Practice 6. Responsibilities 7. Referral Groups8. Status of the Scheme9. Structure of the Organisation10. Volunteers11. Project Liaison Group12. Admissions Criteria13. Arrangements for Beacon members re social activities14. Arrangement in place for consultation with Beacon members15. Fire Precautions and Emergency Procedures16. Arrangements for dealing with Complaints17. The number and size of rooms in the Scheme 18. Details of specific techniques used in the Scheme19. Maintaining Privacy and Dignity of Beacon members20. Review Date

1. INTRODUCTION

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Niamh, (the Northern Ireland Association for Mental Health), is the largest and longest established independent charity focusing on mental health and wellbeing services in Northern Ireland. Niamh is structured as a group consisting of three elements, Beacon, Inspire and Carecall.

Beacon's Vision: Mental Health and Wellbeing for all

Our Values:

We provide high quality, professional and innovative services We enable positive outcomes for the people who use our services We act with integrity and compassion We engage with and inspire each other We influence policy and public opinion

Our Structure

Beacon provides support services to people with experience of mental illness through supported housing, day support and advocacy services. Beacon is the largest division in the group.

Carecall provides therapeutic support through employee assistance programmes, and specialist therapeutic services delivered in a wide variety of contexts.

Inspire provides support for approximately 90 people with learning disabilities in four service user locations in Northern Ireland – Armagh, Antrim, Lisburn and Omagh

Lady Margaret Wakehurst established Beacon in 1959. At the core of Beacon’s services is the community-based support it provides to people who have had experience of mental illness.

Since its inception, in response to emerging needs, Beacon has developed Beacon Support services in towns throughout Northern Ireland. Beacon now has fourteen Beacon Day Support Centres with approximately 1,000 members attending regularly. Over the years, Beacon has continued to develop innovative additional services in response to the emerging needs of its beacon members.

Through listening attentively to what our beacon members need, Beacon has been able to develop two Beacon Support services with around 100 members, 10 twenty four hour Supported Housing Schemes with

Beacon

Beacon

InspireCarecall

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100 Beacon members, 9 non twenty four hour Supported Housing Schemes with approximately 90 Beacon members as well as three Floating Support Schemes which provide support to 35 people. Alongside these schemes Beacon has also developed four Beacon Advocacy schemes which provided support to over 5,500 last year.

While continuing to develop services to support those with experience of mental illness, research shows that mental health is not achieved simply by treating mental illness, but also by promoting positive mental wellbeing. In response to this, Beacon has broadened its services to include support for the whole population through mental health promotion and research. Carecall, with its focus on mental health support through counselling and other therapeutic interventions was set up in 2000 and now has a potential user base of 500,000 people. Last year Carecall delivered over 18,500 support sessions to over 4,500 people.

Inspire joined the Beacon family in October 2013 providing care for 90 people with learning disabilities in Lisburn, Antrim, Armagh and Omagh. Inspire employs approximately 200 staff in 24 hour service user care settings.

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Beacon believe that Social Care is an essential public service that provides day-to-day care and support where needed, to enable people to live full and active lives. We believe that high levels of emotional, psychological and social wellbeing are essential components of flourishing mental health.

Our Mission

We want to build a flourishing socity in which all people have access to services and support appropriate to their mental health and wellbeing needs.

To achieve this we will promote, support and explore flourishing mental wellbeing through society. We will be an exceptional organisation marked by excellence, efficiency and innovation.

Our Values

We provide high quality, professional and innovative services We enable positive outcomes for the people who use our services We act with integrity and compassion We engage with and inspire each other We influence policy and public opinion

Beacon’s principles of normalisation enable Beacon members to build confidence and self-esteem and develop the skills necessary to live productive and satisfying lives.

1.1 Service Provider

The provider is: - The Northern Ireland Association for Mental Health (Beacon)

Name: - Billy MurphyBusiness Address: 80 University Street Belfast BT7 1HE

Company Number: ni 25428Charity Number: xn 47885BEACON was founded in 1959

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1.2 Scheme Manager

This is the name of the manager registered with the Northern Ireland Social Care Council (NISCC) and the Regulation Quality and Improvement Authority.

The Manager of Scraboview is:

Name: Mr Darren Lawless

Address of Establishment: Scraboview Beacon Centre81 Victoria AvenueNewtownardsCo. DownBT23 7ED

2. Quality Assurance

Beacon strive continually to maintain and improve on the requirements of the following quality assurance standards.

Chartermark was awarded to Beacon in 2003. The Northern Ireland Housing Executive’s (NIHE) Quality Assessment Framework standards have also been adopted and implemented within all supported housing schemes.

The EFQM excellence model (Gold award) was awarded in 2012.

All staff involved in supporting and caring for beacon members undertake the “Induction and Foundation Framework” (IFF) within their probationary period. This course has been developed with and accredited by the Open College Network (OCN). The Investors in People award (IIP) was awarded for contributions to staff development in 2013

A comprehensive essential training programme is in place for Beacon staff and volunteers. There are opportunities for beacon members to avail of specific training courses.Annual inspections and unannounced visits to the housing schemes are completed regularly by BEACON Service managers who are not in direct line management to the scheme. This is to ensure objectivity and transparency.

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Beacon members are also involved in inspection visits, recruitment and selection and have also input into policy review and development.

Training and ongoing support is provided to all who participate. The service is inspected by the Regulation Quality and Improvement Authority in line with the Domiciliary Care Regulations.

The Regulation and Quality Improvement Authority

This service is registered with RQIA, who will regularly carry out inspections to ensure that high standards of care and support are maintained, to ensure that the service is appropriately managed and to ensure that staff are adequately trained and supported to provide high quality services.

The Regulation and Quality Improvement Authority (RQIA) is the independent body responsible for monitoring and inspecting the availability and quality of health and social care services in Northern Ireland, and encouraging improvements in the quality of those services. Their role is to ensure that health and social care services in Northern Ireland are accessible, well managed and meet the required standards.

RQIA was established in 2005 under The Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003. The Order also places a statutory duty of quality upon health and social care organisations, and requires the DHSSPS to develop standards against which the quality of services can be measured.

Since April 2009, under the Health and Social Care (Reform) Act (Northern Ireland) 2009, RQIA undertakes the functions previously carried out by of the Mental Health Commission.

What do they do?

RQIA registers and inspects a wide range of health and social care services. Inspections are based on minimum care standards which will ensure that both the public and the service providers know what quality of services is expected.

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Inspectors will visit this service to examine all aspects of the care provided, to assure the comfort and dignity of those using the service, and ensure public confidence in the service.

RQIA also has a role in assuring the quality of services provided by Health and Social Care (HSC) Board, HSC trusts and other agencies, to ensure that every aspect of care reaches the standards laid down by the Department of Health, Social Services and Public Safety and expected by the public.

Under the Health and Social Care (Reform) Act (NI) 2009, RQIA undertakes a range of responsibilities for people with a mental illness and those with a learning disability (previously carried out by the Mental Health Commission). These include: preventing ill treatment; remedying any deficiency in care or treatment; terminating improper detention in a hospital or guardianship; and preventing or redressing loss or damage to a patient's property.

RQIA and the responsible person. Beacon has a delegated responsible person to oversee RQIA standards and compliance within the organisation.

Title MrFirst Name WilliamMiddle Names (if any) HenrySurname MurphyPosition in the Organisation Director of Mental Health Services

Billy is Director of Mental Health Services – Beacon. Billy studied Psychology at the University of Ulster then began his career with Extern in 1986 where he worked in various projects. He qualified in Social Work in 1991 and initially worked for Barnardos. In 1992 he took up post as a Social Worker with Older People in South and East Belfast Trust. He moved to Senior Social Worker, Care Manager then Senior Care Manager. In 2002 he became Programme Planner for Mental Health Services in South and East Belfast Trust and when the Belfast Trust was formed in 2007 he became part of the Senior Management Team in Mental Health as A Service Development Manager. This work involved the modernisation of the Trusts Mental Health Services. Billy has continually addressed his own development needs obtaining relevant qualifications throughout his career;

Qualifications: BSc with Hons in Psychology & Sociology

Masters in Social Work

Certificate of Qualification in Social Work

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Practice Teaching Award

Mental Health Social Work Award

Post Qualifying Award in Social Work

Diploma in Health & Social Services Management

Advanced Award in Social Work

3. Number of staff, their experience and relevant qualifications.

The manager of the scheme possesses a professional qualification in QCF level 5 in leadership and Management and is recognised by the Northern Ireland Social Care Council. The manager also has six years’ experience in his current role with responsibility of the overall running of the scheme.

Qualifications of Scheme manager: NVQ 4 ManagementQCF 5 Leadership and Management

Camille Vickers: Project worker with qualifications ranging from GCSE’s to qualification in drama-therapy. Trudy Graham: Community support worker who is a qualified nurse – BSC Hons.Kerry Barr: Project worker with QCF 3 in health and social care.Elaine Maxwell: Community Support worker with QCF 3 in health and social care.All staff have experience in mental health or a caring setting prior to gaining employment.

4. Philosophy of Care

Scraboview will aim to -

a) Work towards reducing the stigma felt by those with mental health needs

b) Promote recovery, choice and empowerment

c) Ensure our services are as integrated and as invisible as possible.

Adoption of these concepts will ensure good quality and good practice in our work. In practical terms we promote dignity, personal choice, integration and participation. The concept of self-help will be promoted at all levels within the Scheme.

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5. Restrictive Practice

‘Restrictive practice in the mental health context is often perceived in terms of extremes and associated with violence/aggression and physical intervention. The scheme works with the beacon members in a holistic way which respects their individuality to avoid labelling and putting beacon members in behavioural or diagnostic pigeon holes.’

Careful needs assessments based on strengths, risk assessment and support planning is required to engage with beacon members positively when they present with challenging behaviour. Careful assessment should ensure staff are aware of why the service user presents in the way they do. This could include:

Socially inappropriate behaviourNon-compliance , withdrawal or passivityAggressive or destructive behaviourSelf-harm.

To support a service user with managing a behaviour. Careful consideration should be given to the reasons behind the presenting behaviour including illness, medication, acute or chronic pain, or other situational factors.

There are many forms of restrictive practice. These could include:

Blocking a passage Locked doors Seclusion Bed rails Setting restraints PRN medication Holding money or belongings.

Restrictive practice is only implemented as a last resort and only following discussion with the multi-disciplinary team. This is reviewed periodically to ensure decisions are based on a balanced risk assessment. The impact of restrictive practice will be closely monitored, recorded and reviewed at agreed time intervals.

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6. Responsibilities

Employ suitably experienced staff to meet the needs of the beacon members. Provide appropriate support to beacon members following assessment and joint identification

of their individual needs. Co-ordinate member’s annual review meetings. Liaise with statutory professionals and other key people involved in beacon members package

of care and support. Ensure scheme is maintained to a high standard and within health and safety

requirements.

Refer clients to the scheme who meet the criteria Provide support to the project worker Attend annual reviews and relevant meetings as required. Respond to emergencies as appropriate and required. Assist with the ongoing annual evaluation of the scheme.

7. Referral Groups S uitable Criteria

1. Aged 18 – 652. A mental illness diagnosed by a psychiatrist and is the primary condition3. Physical health needs manageable within the scheme4. A history of long-term hospitalisation, a number of admissions to hospital5. A forensic history where the individual has had a period of stability and the level of risk can be

managed within the scheme

Unsuitable Criteria

a) Severe dementiab) Learning disability is the primary conditionc) Personality disorder is the primary conditiond) A physical disability which would require significant assistancee) Addiction is the primary conditionF) A forensic history with high levels of risk around violence/aggression towards others which

would pose too much of a risk. This will include limited periods of stability, non-compliance and recent incidents

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G) History of Sexual Offences/Inappropriate sexual behaviour which would pose too much of a risk to vulnerable adults/children. This will include legal restrictions, limited periods of stability, non-compliance and recent incidents.

H) Applicant does not wish to avail of services providedI) Applicant does not require support.

8. Status of the Scheme

Voluntary

9. Structure of the Organisation

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10. Volunteers

Volunteers involvement in Beacon services continues to provide a pivotal dimension in its response to the wider community, to supporting individuals who are experiencing severe and enduring symptoms and challenges of mental ill health.

Currently there are five volunteers linked to the provision of service at Scraboview.

Steps to work placements have also been of benefit in providing those who require experience gain work placements. This is agreed in conjunction with the local college.

The scheme has also worked in partnership with the University of Ulster and Queen’s University in the provision of work placements for nursing students and SERC for students completing HNC L2/3.

Chief Executive

Director

Assistant Director/Service Team Manager

Service Manager

Scheme manager

Senior Project Worker/Assistant manager

Project worker

Community Suport worker

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The unique qualities, diversity, enthusiasm and responsiveness of Beacons volunteer base is very highly valued, firstly by the beacon members who can avail of their individual inputs, in the style of engagement and purpose, and secondly by the wider staff organisation.

11. Project Liaison Group (PLG)

A Project Liaison Group may be convened by the Scheme Manager where it is considered appropriate. In an advisory capacity the PLG will assist with the planning, monitoring and evaluation of Scraboview.

The PLG will also facilitate good communication between the Scraboview and the Mental Health Team (community or hospital based). Beacon members input into the PLG can be by attendance at the meeting, by minutes of Beacon members meetings or by putting forward Beacon member’s views via the Scheme manager.

Some examples of agenda items:

- Discussion on Referral and Review issues

- Waiting list

- Community Mental Health Team input

- Analysis of Complaints or Untoward Incidents

- Evaluating the Scheme and making recommendations.

Membership of the PLG may consist of any of the following:

- Beacon members

- Beacon Staff

- Representatives of the Community Mental Health Team

There will be a maximum of two from any group represented

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12. Admission Criteria.

“During the referral process all prospective individuals are encouraged to be involved in all aspects and stages of the referral.”

The Statement of Purpose for each service outlines the criteria for referrals.

Pre-Referral

The majority of referrals will come through the Community Mental Health Team; however, on occasion referrals will be considered from other sources eg:

* General Practitioner

* Other statutory agencies

* Self (must be supported by the completion of a referral form by a statutory worker or general practitioner).

It is recommended that potential members have the opportunity to visit the service or meet with Beacon staff prior to a referral being made. The referral agent will make contact with the manager requesting a visit/meeting. The manager or nominated staff member will agree a suitable time and date and inform the referral agent of the name of the staff member who will conduct the visit/meeting.

At the initial visit the prospective member may be shown around the scheme where applicable and introduced to staff, volunteers and other members. Appropriate information will be discussed as follows:

* The referral process including Safety management

* Programme and location of activities

* Individual interests and preferences

* Transport arrangements

* Contributions to activities/refreshments

* Health and wellbeing

* Smoking policy

* Carer involvement

* Complaints procedure

* Beacon Member’s Guide.

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An Initial Visit Form will be completed by the staff member following the meeting (Appendix 1).

Referral

A Beacon Referral form (Appendix 2A) must be completed by the referral agent in conjunction with the proposed member.

The Referral form should be accompanied by:

* Comprehensive Risk Assessment/Risk Screening Tool

* Physical Health Assessment Form completed by the applicant (Appendix 3)

* A recent individual photograph (passport size preferred).

On receipt of the completed Physical Health Assessment Form, the manager may require further information concerning the disclosure of a physical health condition. The manager will provide the prospective member with a letter and form (Appendix 4) to be given to their GP or specialist nurse for completion and return to the manager.

The manager or designated Beacon staff meeting will organise a referral meeting with the prospective member and referral agent. The following areas will be discussed during this meeting:

* Referral documentation

* Member Agreement

* Initial Support Plan

On agreement with the individual and the Manager, a welcome letter to commence in the service (Appendix 5A) will be sent to the individual and copied to the referral agent. A copy of the Member Agreement will be provided to the individual and copied to the referral agent once completed. The Member Agreement should be completed before the new members’ first review.

Referral form B (Appendix 2B) should be completed for social groups and courses up to 12 weeks duration. Social groups are defined as Later Life group, Good Company group, Positive Steps courses and other courses specific to the scheme. If a member wishes to continue attendance after this referral is complete, the Beacon Referral form must be completed.

Where it is deemed that the service is not suitable, a letter outlining the reasons for the decision (Appendix 5B) will be sent to the individual and copied to the referral agent.

Where there is a waiting list for the service a letter (Appendix 6) will be sent to the individual and copied to the referral agent.

If the referred individual is a Schedule One offender, this must be brought to the attention of the Service Manager who will inform the Assistant Director prior to a decision being made. If the referral is accepted, a comprehensive monitoring procedure will be implemented.

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If the referred individual is a detained patient in hospital and referred to Beacon Day Support as part of their discharge/resettlement programme into the community, the referral agent and hospital staff must be aware that Beacon Day Support is a voluntary body that cannot restrict the member whilst using our services. Prior to attendance, there should be a written agreement between the hospital ward and Beacon Day Support staff about the safety, risk and vulnerability, restrictions and duty of care to the Beacon member.

Carer Involvement

* Carers may be involved with the member’s consent.

* This consent is sought at the point of referral;

* If a carer is involved, the manager should provide the carer with information about the services available and provide them with a copy of Niamh’s Complaints Procedure.

* Carers may be invited to relevant individual review meetings.

* Carers will be given the opportunity to record their comments on the Review Form or prior to a review if they are unable to attend. They may play an important part in a member’s Support Plan.

* As part of Beacon’s Annual Evaluation a questionnaire may be sent to carers to seek their views on levels of satisfaction.

Safety Management

It is Beacon’s policy to ensure that all staff know which members present as being at risk of self-harm or of being a danger to self or others, and which members are vulnerable to abuse or exploitation. This is in order to protect the health, safety and welfare of members, staff, volunteers and others.

A copy of the Risk Screening Tool completed by the referral agent should accompany the referral form and must be received before the service can commence. The Risk Screening Tool informs the Comprehensive Risk Assessment. Not all prospective members will have a Comprehensive Risk Assessment as it is agreed and drawn up by the multi-disciplinary team. If the manager receives a copy of the Comprehensive Risk Assessment, and the applicant is unsuccessful, the copy must be returned to the referral agent.

Current risks identified either because of physical or mental health become part of the member’s Support Plan. This will be a dynamic document that is adjusted throughout the year to reflect changes in risk, for example as a result of a review, an incident, or to reflect a change in circumstances. Safety Management Plans should be revisited formally at least annually at review and this includes the manager liaising with the referral agent to ensure the scheme retains an up-to-date Risk Screening Tool or Health and Wellbeing Form. Safety Management Plans should be updated or a new plan put in place following receipt of this information or following an incident.

In exceptional circumstances where no up-to-date Risk Screening Tool or Comprehensive Risk Assessment is available, the Safety Management Plan (Appendix 7) may be implemented.

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Statistical information regarding the number of members requiring support/care with risk issues will be collated annually within the annual evaluation.

Where a member has a forensic history, full and comprehensive information needs to be provided by the referral agent (Forensic Community Team) to the manager before the member takes up the service. This will include a copy of the Comprehensive Risk Assessment and Management Tool.

Principles for working with Risk – Positive-Risk Taking

* Risk is a normal everyday experience;

* Risk is dynamic, currently changing in response to changing circumstances;

* Assessment of risk is enhanced by accessing multiple sources of information, but frequently working with incomplete and possibly inaccurate information;

* Identification of risk carries a duty to do something about it – that is, Safety management;

* Decision-making can be enhanced through positive collaborations;

* Risk can be minimised, but not eliminated.

Commencement of Membership

On arrival at the service, the new member will be met by their key worker or named staff member.

The Induction Checklist will be completed (Appendix 8). If appropriate the member’s details will be entered onto the Physical Health Database (Appendix 9).

A review of the referral information including the Initial Support Plan will take place after four weeks attendance.

On occasion, new members may be unable to engage in the formal administrative process within the specified timescales. This will be recorded in the member’s personal file and authorised by the manager.

Member’s Personal File

1. Each member will have a personal record file which is marked “Private and Confidential”. Members have open access to their own file and may request copies of relevant documentation.

2. The file will be kept in a locked cabinet in accordance with the Data Protection Policy and to which there is restricted access i.e. Beacon Day Support staff and senior managers, Beacon member, person authorised by Beacon member, RQIA.

3. Each file will be identified with the Beacon member’s name clearly displayed on the outer cover both on the front and side.

4. The outside front cover of the file will also include the name of the Beacon key worker. 18

5. The Health Alert Form should be located on the inside left cover (Appendix 10).

6. If a Health Alert Red Sticker is required, it should be positioned beside the member’s name on both the outside spine and front of the member’s file.

Using ten part dividers the file is then divided into the following sections with all information securely fastened in the appropriate section:

Section 1: Personal Data Information including Photograph

Section 2: Referral Form including Initial Support Plan

Section 3: Physical Health and Wellbeing Assessments

Section 4: Comprehensive Risk Assessment/Risk Screening Tool

Section 5: Support Plan/s

Section 6: Annual Assessment of Need

Section 7: Beacon Member Notes

Section 8: Review Reports

Section 9: Record of Incidents

Section 10: Correspondence and Other Documentation e.g.

* Prospective Application Form

* Induction Checklist

* Review appointment letters

* Questionnaires

* Checklist for Leaving/Leaving the service and Discharge Correspondence

* Training Information, Certificates.

All new referrals should have an index card completed (Appendix 11).

Beacon Member Guide

Each member will have access to a Beacon Member Guide in a format most appropriate to their needs. Staff must ensure the member has a clear understanding of its contents. Evidence that the Beacon Member Guide has been discussed with the member should be recorded on the Induction Checklist. If a member requests their own personal copy, this will be made available in an appropriate format.

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In addition, the Beacon Member Guide will be discussed during meetings within the service.

Member Notes

Member notes (Appendix 12) should commence on the day the member commences the service. The member will be encouraged to write their own notes or dictate what they would like recorded and this may be supplemented by staff. Notes must be factual, legible and relate back to the Support Plan. Notes will be reviewed at least every six months and signed off by the registered manager.

Notes must be completed at every visit for the first six visits and thereafter at least every fifth visit.

Guidance for staff in relation to the recording of member notes is outlined in Appendix 13.

Member Support Plan

Each member will have an individual, person-centred, recovery-focused, comprehensive and up-to-date Support Plan (Appendix 14). Guidance on completion of the Support Plan is included as Appendix 15.

The member will be encouraged and enabled to be involved in the support planning process along with any other significant others that the individual may wish to involve. The Support Plan will be based on individual strengths and preferences with agreed outcomes.

Member Review  

First review – 4 weeks

A review of the Member Agreement and Initial Support Plan will take place within four weeks of commencement. This review will be co-ordinated by the manager or nominated person who will liaise with the member and extend a letter of invitation to the statutory key worker along with any others the member may wish to be involved (Appendix 16A). A pre-review questionnaire (Appendix 17) will be completed prior to this review and all review meetings.

The manager or nominated person should outline the information which will be recorded during the review meeting

Anyone unable to attend the review may submit a comment for consideration prior to the review.

A copy of the four weekly Review Form (Appendix 18) may be sent to the referral agent if deemed appropriate and with agreement of the member.

Second review at four months

The second review (Appendix 18) will take place within four months of commencement and then annually on the anniversary of commencement to the service unless an issue or concern arises or the member requests a review.

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Annual review

The same process is in place for all annual reviews (Appendix 19). Key issues to be discussed at the review meeting include:

* Member notes

* The recovery journey

* Support Plan including outcomes and achievements

* Safety Management Plan for physical and mental health

* Incidents/Accidents (if appropriate)

* Review of key working relationship

* Comments from member regarding care and support

* Comments from other relevant individuals

* Any changes in personal or carer circumstances including possible requirement of specialist services

* Signposting/leaving the service/transition arrangements

* Any other relevant issues.

If the member fails to attend the review meeting, another date is arranged to suit the member and the review will proceed on this date. Sample letters are available as appendices 16A, B and C.

In the event of an Emergency Review the manager should ensure that the referral agent/key worker is present and kept fully involved. An Emergency Review Form (Appendix 20) should be completed and a record made in the member’s notes.

Signposting

As part of a member’s Support Plan, signposting to other reputable and well-recognised agencies/services will be actively promoted by the key worker. Reasons for signposting may include progression on from Beacon services, accessing specialist services eg Advocacy, Citizens Advice, and crisis support services.

This will be recorded within the relevant documentation ie Support Plan, Review Form and/or Member Notes.

Beacon Member’s Rights

While members are consulted at all stages of the planning and review process they retain the right to ask for a review at any time and/or to appeal any decisions taken at a review. To do this, they will Complaints Procedure in the first instance, make their wishes known to their key worker or initiate Niamh’s.

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13. Arrangements for Beacon members to engage in social Activities, Hobbies and Leisure.

Within the scheme the Beacon members are encouraged to plan and coordinate the programme of activities with support from staff. A variety of activities are offered in the scheme to assist the development of skills required for maximising each individual’s independence.

Currently there are a number of groups being implemented in house by staff, volunteers, tutors and Beacon members which include:

Cookery Gardening Arts/Crafts Social outings Personal development Woodturning Understanding Advocacy WRAP etc.

Beacon members are actively encouraged to participate in these groups.

14. Arrangements in place for consultation with Beacon members about the operation of the scheme

Partnership meetings for the Beacon members take place monthly. The purpose of this is to discuss current issues relating to mental health and the service provision. This meeting provides the beacon members with a forum for discussion, information sharing and the service users are consulted over strategic and procedural issuesBeacon has also established Beacon Voice, an internal organisational forum of beacon members. The aim of Beacon Voice is to give beacon members a ‘voice’ within the organisation.

Beacon Voice enables people to:

Share views, experiences and opinions in order to influence the policy, direction and future planning of services within Beacon.

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Enhance and develop communication between beacon members at all levels, between beacon members and staff, and between beacon members and the Beacon Board.

Monitor and review service user involvement within Beacon Monitor the implementation of the Beacon strategic objectives. Assist in the promotion of the Beacon Social Care Model for Flourishing Mental Health. Assist with the development of training initiatives for beacon members. Organise events to promote service user involvement Promote service user involvement within Beacon and in other organisations Influence policy and lobbying within Government and local areas.

Beacon Voice meetings are held quarterly and all Beacon beacon members are welcome to become involved in this new Forum

15. Fire Precautions and associated emergency procedures

Beacon, so far as is reasonably practicable, will manage in compliance with Part 3 of the Fire and Rescue Services (NI) Order 2006.

The NI Fire and Rescue service will be the enforcing authority and will visit the premises to ensure compliance with Fire safety legislation. Under new legislation all premises will be required to have a current fire risk assessment.

A Fire Safety Record File will be held within each scheme. This file should contain sections for the following records:-

Fire risk assessment Sample fire notice Annual test certificates Fire drill Record of training Records of maintenance checks carried out by the scheme.

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As detailed in our policy and procedure manual

HS06– Fire safety policy and procedure – the aims of this policy is to:- Prevent the incidents of fire occurring To initiate prompt and effective action in the event of an incident. To enable staff to manage any incident of fire until the arrival of the fire service. To ensure beacon members, visitors and members of staff can be safely and quickly

evacuated.(Please refer to complete policy document)

16. Arrangements for Dealing with Complaints.

As detailed in our policy and procedure manual QG/3 – Complaints Procedure. This procedure is intended to cover all persons involved in the work of BEACON (it pertains to any Beacon members, Volunteers, Staff or general public) the complaints procedure is in accordance with the Quality Assessment Framework and Chartermark.

1.1 A concern relates to a minor issue raised or a minor concern expressed and should be recorded as a ‘low risk concern’ . A low risk concern can be resolved to the person’s satisfaction within 24 hours. The person with operational responsibility will use their discretion to assess the appropriate classification. A register of low risk concerns (Appendix 2) will be maintained within the scheme and will be reviewed as part of ongoing monthly monitoring. A Service Improvement Plan (SIP) may or may not be completed following a low risk concern.

1.2 A complaint relates to ‘any expression of dissatisfaction requiring a response’ about the service. This Complaints Procedure does not deal with complaints about services that are not provided by Beacon or Beacon. These should be referred on to the appropriate organisation and the complainant should be supported with this.

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Complaint Received Part A Completed

Complaint forwarded to Senior/Service Manager

Complaint forwarded to AD/DirectorPart B Completed

Risk Rating / Investigation Team / Terms of Reference / Timescales

Complaint InvestigationPart C completed

Outcome provided to AD/DirectorPart D completed

Outcome and learning shared / SIP monitored

All documentation centrally filedQuality Manager issues questionnaire to complainant

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17. The number and size of rooms in the scheme

Ground Floor 7 RoomsReception Room 18.1m sq.Computer room 10.6m sq.Dining Room 12.2 m sq.Kitchen 15.7m sq.Craft Room 12.3m sq.Toilet 1 2.3m sq.Summer House 9.9m sq.Scrabo shed 8m x 6m

First Floor 5 RoomsReception room 19.5m sq.Staff Office 10.9m sq.Manager’s Office 6.8m sq.Toilet 2 5m sq.Toilet 3 2.8m sq.

18. Details of specific techniques used in the scheme and arrangements made for their supervision.

Beacon members are encouraged to participate in activities and appointments within the local community and this facilitates inclusion and normalisation

Beacon members are encouraged to be involved in all aspects of their care and support and Scraboview embraces Beacon’s ethos placing considerable value on member participation and believes this to be the core to delivering high quality innovative services in partnership with the beacon members.

Each person comes to Beacon with their own skills, strengths, abilities and attributes. There is a commitments to supporting individual to realise their own potential by providing them with the opportunities to utilise these skills, strengths and abilities. This is achieved through the concept of recovery within each person.

1. Finding and maintaining hope.2. Re-establishing a positive identity3. Taking responsibility and control

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4. Building a meaningful life

19. Maintaining the Privacy and Dignity of Beacon members.

The core values of Beacon include dignity, choice, integration and respect. Dignity and respect are maintained and upheld by ensuring the service user is involved in every aspect of his/her care and support.

20. Review Date

Statement of Purpose’ are usually reviewed every two years the date of review should be noted within the updated version circulated to all relevant parties. The next date of review will be ______January 2018_______.

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