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OAK COTTAGE STATEMENT OF PURPOSE
August 2019
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1.TherangeofneedsoftheyoungpeoplethatOakCottageprovidescareforandadmissionscriteria
OakCottageisanestablishedserviceconsistingoftwohousesonasinglesite.OakCottageprovidesaspecialistresidentialandpreparatoryhomeforchildrenandyoungpeopleinfulltimeeducationwithmoderatetoseverelearningdisabilitiesandcomplexdisabilities.OakCottagehasafocusonsupportingyoungpeopletotransitionbackhometobirth/adoptivefamily,fosterplacementsoradultservices.Thehomehasahistoryofprovidinghighqualitytransitionsforyoungpeoplethroughintegratedsupportpackagesworkingcloselywithfamilies,fostercarersandadultproviderstoensuretheyhaveafullunderstandingofthechildandhowtosupporttheirneeds.Staffworkscloselywiththechildandotherprofessionalstostabilisebehaviours,healthconditionsanddevelopindependencetopreparethechildforfamilyoradultlife.ThehomeispartofanexpandingresidentialportfoliofromProgressCare,aleadingchildcareprovider.
Aspartofourcommitmenttoprovidingthehighestqualityofservices,weareconstantlydrivingtomeetthetargetsofimprovedoutcomesforchildrenandyoungpeople.
Ourcompanyobjectivesareforallchildrenandyoungpeopleto:
• Haveasafeandcaringhomeenvironment
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Receivecarefullyplanned,individualservicestomaximiseplacementstabilityandpositivetransitions
• Havesupportwithhealthandeducation
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Begiventhesupportandopportunitiestoachievepositivechildhoodexperiences
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Progressintoadulthoodwithanappropriatefoundationoflifeskillstoequipthemtowardsindependence
OakCottagewillcaterforshorttomediumtermplacementswhereclearlydefinedobjectivesandplansareinplacewithanaimoftransitioningthechildintoafamilyenvironmentorappropriateadultservice.Longtermplacementswillbeconsideredifitformspartofaclearlydefinedplacementplan.IfanyyoungpersonfromadifferentlocalauthoritytoWalsallisadmittedorleavesthehomethentheRMwillnotifythelocalauthority.Allstaffarerequiredtofollowtheadmissionprocesssetoutinthehomepoliciesandprocedures.
OakCottageBungalowshavebeencarefullyadaptedtoprovidespecialistaccommodationforchildrenandyoungpeoplewithmoderatetoseverelearningdifficulties,behavioursthatchallenge,ABI,ADHD,complexhealthneeds(pleaseseelistbelow)sexualisedbehavioursandphysicaldisabilities.
OakCottagecanaccommodatechildrenandyoungpeoplewith:
Severelearningdifficulties
Profoundandmultiplelearningdifficulties
ChallengingBehaviour
SexualisedBehaviours
Physicaldisabilities
Acquiredbraininjury
Sensoryimpairment
Complexhealthcareneeds,
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TheproceduresdetailedaretakendirectlyfromtheGuidelinesoftheRoyalCollegeofNursingwhichwillberegularlycheckedandupdated
Administeringmedicineinaccordancewithprescribedmedicineinpre-measureddosevianasogastrictube,gastrostomytube,ororally
Bolusorcontinuousfeedsviaanasogastrictube
Bolusorcontinuousfeedsusingapumpviaagastrostomytube
Tracheostomycareincludingsuctionusingasuctioncatheter
Emergencychangeoftracheostomytube
OralsuctionwithaYankerSucker
Injections(intramuscularorsubcutaneous).Thesemaybesingledoseormultipledosedeviceswhicharepre-assembledwithpre-determinedamountsofmedicationtobeadministeredasdocumentedintheindividualchild’scareplan(preloadeddevicesshouldbemarkedwhentobeadministerede.g.fordiabeteswherethedosemightbedifferentamorpm.Inmanycircumstancestheremaybetwodifferentpens,onewithshort-actinginsulintobeadministeredatspecifiedtimesduringthedayandanotherforadministrationatnightwithlongactinginsulin).IntermittentcatheterisationandcathetercareCareofMitrofanoffStomacareincludingmaintenanceofpatencyofastomainanemergencysituationusingforexamplethetipofasoftfoleycatheterandreplacementofbuttondevisesoncestomahasbeenwellestablishedformorethan6monthsandtherehavebeennoproblemswiththestoma[4].Insertingsuppositoriesorpessarieswithapre-packageddoseofaprescribedmedicineRectalmedicationwithapre-packageddosei.e.rectaldiazepam
Rectalparaldehydewhichisnotpre-packagedandhastobeprepared–permittedonanamedchildbasisasagreedbythechild’sleadmedicalpractitioneri.e.GPorpediatrician
Administrationofbuccalorintra-nasalMidazolamandHypostatorGlucoGel
Emergencytreatmentscoveredinbasicfirstaidtrainingincludingairwaymanagement
Assistancewithinhalers,cartridgesandnebulisers
Assistancewithprescribedoxygenadministrationincludingoxygensaturationmonitoringwhererequired
Administrationandcareofliquidoxygenadministrationincludingfillingofportableliquidoxygencylinderfrommaintank
[4] The first time replacement must be undertaken by an
appropriately qualified nurse or qualified medical practitioner
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BloodGlucosemonitoringasagreedbythechild’sleadnursing/medicalpractitioneri.e.GP,pediatricianorpediatricdiabetesnursespecialist
Ventilationcareforachildwithapredictablemedicalconditionandstableventilationrequirements(bothinvasiveandnon-invasiveventilation).NB.Stabilityofventilationrequirementsshouldbedeterminedbythechild’srespiratoryphysicianandwillincludeconsiderationofthepredictabilityofthechild’sventilationneedstoenablethekeytaskstobeclearlylearnt.[5]
Anyoftheaboveprocedurescanbeundertakenwiththesupport/trainingofthechild’spaediatrician,communitynursesandmedicalpractitioneri.eGPOncethetraininghastakenplacethenstaffwillalsohavetoundergocompetencesincertainareastoensurethattheyfullyunderstandtheprocedures.
OakCottageareworkingundertheGuidelinesoftheRoyalCollegeofNursing.ThisguidancewaspublishedbytheRoyalCollegeofNursingonJanuary2008andtheirpermissiongivenforittobeincludedinthisguidanceinAugust2010.
Theaimistoworkwithchildrenandyoungpeopletosupporttheminallaspectsoftheircareandtomeettargets,toenablethemtomoveintoafosterplacement/movebackhomeorliveindependentlyinthecommunity,withminimalriskoftheplacementsbreakingdown.
OnAdmissiontoOakCottagethechild’sneedsareassessedaspartofacomprehensivematchingprocess.Individualplacementplans,behaviourmanagementstrategiesandriskassessmentsaredeveloped.Staffworkcloselywithlocalauthorities,families,fosteringandadult’sservicestoensureacomprehensiveplanisinplaceforeachchild,ensuringtheirneedsareidentified,metandthattherearesettargetstobeachievedtoenableapositivetransition.Thestaffworksverycloselywiththeyoungpeopletoachievetheirmaximumpotential,workingon:lifeskills,socialskills,communication,confidence,self-esteem,behavioursthatchallengeandsexualisedbehaviours,ensuringthatthechildrenaretreatedwiththedignityandrespectthattheydeserve.
Astrongemphasisisplacedonchildrenhavingfunandenjoyinglifetothefullest,withactivitiesplannedaroundtheirindividualneeds.Weprideourselvesinmaintainingrelationshipsandworkingcloselywithnewplacements,fostercarers/parents,andwelcomeideasandinvolvement.
OakCottagewillprovideaccommodationforuptoninechildrenandyoungpeople(bothboysandgirls)fromtheageof4andupto18yearsofageoruntiltheyhavecompletedtheirfulltimeeducation.OakCottageacceptssamedayreferralsandwecanprovidethemaximumofoneemergencyplacementatanyonetime,exceptininstanceswhereasiblinggroupisinvolved.Wedonotacceptemergencyplacementswhereinvasivecareisrequired.Onceareferralhasbeenmadewewillthencompleteafullassessmentandimpactassessment,toidentifyifthechild’s/youngperson’sneedandtargetscanbemetbythestaffteam.
Youngpeopleundergoanintensivematchingprocessandareonlyplacediftheirneedsortheneedsofotherswillnotputthemorothersatsignificantrisk.
OakCottagehasaproventrackrecordinenablingtransitionsyoungpeople.Theyhavebeensuccessfullysupportedbacktofamilies,intofostercarewithinourinhousefosteringprovision,whereourstaffcontinuetosupportthechildandfosterfamilyorintoadultplacements.Alltransitionswithinthehomerunsmoothly,astheyoungpersonleadsthetransition,identifyingtotheteamhowtheyaredealingwith
[5]
Noyes, J and Lewis, M (2005) From Hospital to Home. Guidance on
the discharge management and community
support for children using long-term ventilation, Essex,
Barnardos.
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thechange.WeactivelysupportyoungpeoplemovingonfromOakCottageandwewillgiveourfullsupporttotheyoungpersonandfuturecarersbothbeforeandaftertheplacement,toensurethatthisissuccessfultominimiseplacementsbreakingdownonceleavingOakCottage.
2.Ourethos,andtheoutcomesweseekforchildreninourcaretoachieveOurethosisthatnochildneedremaininaresidentialplacementuntiladulthoodandthatthroughintegrated,multi-agencyworkingallchildrencanbesupportedtoeitherreturntoafamilyenvironmentbethatathome,withfosterfamiliesormoveintoanappropriateadultplacement.Weencourageyoungpeopletobethebestthattheycanbe,maximisetheirindependenceandreducedependencyonothers
OakCottageprovides:•
Afriendly,safeandharmoniousenvironmentthatisnon-institutional.Promotinggrouplivingasapositive
experience.
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Childrenwithavoiceenablingthemtoinfluencetheirownoutcomes,makechoicesregardingtheircare,accesslocalcommunityresources,developalocalfriendshipgroupsandparticipateinsocialandleisureactivitiesofinteresttothem.Ensuringthattheircaremeetstheirsocial,cultural,emotional,religious,physicalanddietaryneedsastheyidentifywiththem.
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Childrenwithplacementplansthatidentifyobjectivesoftheplacement,possibletransitionpathwaysanddescribehowthechild'ssocial,cultural,emotional,religious,physicalanddietaryneedswillbemetincorporatingthevoiceofthechild.
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Supporttochildrentomaximisetheireducationalexperienceandaccessrelevanteducationalmaterialsandcommunicationsdevices,asappropriate.
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Childrenwithanamedkeyworkertoworkinpartnershipwiththechildandarangeofprofessionals,ensuringthatthechildachievestheirtransitionobjectivethroughregularcommunication,attendanceatmeetingsandappointments.
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Childrenwiththeopportunitytomaintainpositiverelationshipswithfamily,friendsandpreviouscarersasappropriate.
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Childrenwiththeopportunitytokeepatreasureboxandlifestorybook/boxcontaininginformationandmaterialssignificanttothem.
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Childrenwithaccesstothefullrangeofmedicalprofessionalsrequiredtosupporttheirneeds,contributetotheircareplanandwillensurethatchildrenarereferredforsupportwhichisidentifiedasnecessary.
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Childrenwithrealisticandachievabletargetstomaximisetheirindependence.
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Childprotection/safeguardingpoliciesandpracticesthatareadheredtoandstaff,haveaccesstotrainingandinformationonanyupdates,toensurethatchildrenareproperlysafeguarded.
3.Arrangementsforenablingandpromotingchildren'senjoymentandachievement.
OakCottageiscommittedtoencouragingallchildrenactivelyparticipateinsocialandleisureactivitiesaspartofourserviceprovision.Thesemustbeculturallyappropriate,meetingindividualneeds.Staffwilladvocateforchildrentobeabletoaccessallfacilitiesandactivitiesinamannerthatsuitstheirneeds.
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AllYoungpeopleatthehomehaveaccesstoawiderangeoflocalresourceswithintheircommunity.Theseincludeyouthclubs,discos,visitingrestaurants,shopping,parks,themeparks,swimming,cinema,pantomimes,footballclubs,scoutsandguides,horseriding,bowlingandanyindividualskillortalentthattheyoungpersonshowsaninterestin.
Tripsandactivitiesareplannedwitheachchildindividuallyallowingforpersonalpreference.AtOakCottagewehavestronglinkswithlocalgroups,leisurecentresandyouthcentresthatcomplementourapproachtostructuredmultiagencyworking,andyoungpeopleareencouragedandsupportedtogetinvolvedwithactivitiesandlocalorganisationstogivethemasenseofthelocalcommunityandwhatitmeanstothem.
OakCottagehasaccesstoitsowntransport,howeverwhereappropriatethecompanywillseektoaccessmobilityallowanceensuringthatyoungpeoplehavethetransporttheyareentitledto.Theyoungpeoplearealsoencouragedtoaccesspublictransportorwalktolocalfacilitieswiththesupportofstaff.
Alltheyoungpeoplearesupportedandencouragedtoattendeducationandwestrivetoworkverycloselywiththeyoungperson’sschooltoensureconsistency,boundariesandgoodcommunication.Allyoungpeopleareencouragedtobringworkhomeandstaffwillsupportthis.
Thestaffteamtakeprideinsupportingchildrenandyoungpeopleinaccessingeventsthattakeplacewithinlocalauthorities,communityortheschoolandstaff/keyworkerswillsupportparentsevening/plays/sportdays.
4.Ourarrangementsforsupportingthecultural,linguisticandreligiousneedsofchildrenlivingatOakCottage
AtOakCottagewerespectallreligiousdenominations.Childrenareencouragedtopracticetheirreligiousbeliefs,staffwillensureappropriatearrangementsaremadetoensurethechildhastheopportunitytoattendplacesofworshiporreligiouseventsifrequested.
Thehomefollowstheculturalandreligiousritualsinpreparationoffoodforchildrenasneeded.AtOakCottagetheyoungpeopleareencouragedtoparticipateinculturalnights,birthdaycelebrationsandanyothersignificanteventsthatoccurduringtheyeartolearnaboutotherculturesandreligions.
Thehomeandcompanyhasadiversestaffteamfromarangeofsocio-culturalandreligiousbackgrounds.Wherepossibleweaimtobeabletosupportyoungpeople'slinguisticneedsandifneededsecondstafffromotherareasofthebusinesstosupporttheyoungpersontocommunicateandstafftolearntocommunicatewiththem.
StaffareexperiencedinutilisingarangeofalternativecommunicationtechniquessuchassuchasMakaton,SSE,PECS,Objectreference,responsesetc.
5.Arrangementsforpromotingcontactbetweenchildrenandtheirfamilyandfriends
Weencourageandpromotecontactwiththechild’sparents,carersorsignificantotherstobemaintainedasdeemedappropriate.Thisisagreedwithplacingauthorityandoutlinedintheplacementplan.Weencourageallformsofcontactincludingtelephonecalls,videochat,letterwriting,photoalbums,postcards,celebratorycardsetc.
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OakCottagehasanopendoortoparentsandprofessionalswhomayvisitorcallatanyreasonablehour,weadvisevisitorstocallinadvanceifnotexpected,toensuresomeoneishomeasweencouragethechildrentogetoutasmuchaspossible.
Weseektheguidanceoftheplacingauthorityonanycontactthatisnotprohibited,andwillrequireacopyofanycourtordersetc.
OakCottagewillnotbeabletosupportsupervisedcontactatthehomeduetodisruptionthismaycauseotherchildrenandtomaintainthechildinvolveddignity;thereforealternativesitesmaybearrangedshouldthisbenecessary.
6.Ourapproachtoconsultingchildrenaboutthequalityoftheircare
Itisimportantthattheviewsandwishesofthechildrenandyoungpeoplearetakenintoaccountasmuchaspossible.Forthosechildrenwithsevereandprofoundlearningdifficulties,thestaffwillestablishtheyoungperson’slikesanddislikesthroughobservation,anduseofcommunicationboards,PECS,Makaton,BigMacButtons,objectsofreference,responsesanddiscussionwithsignificantpeoplewhomayadvocateontheirbehalftoensurethattheirviewsareheard.
Children’sViewsaretakenonmatterssuchas:
• Viewsinrelationtotheircare
• Activities
• Planningforchangesinthehome-decoratingetc.
• Menuplanning
• Partyplanning
• Newstaff
• Contact
Allchildrenareencouragedtoparticipateinyoungpeople’smeetings.Childrenareencouragedtosettheagendatoexpresstheirwishes,andchildrenmayinviteindependentvisitorsorrepresentativestoassistthem.Theuseofadvocatesisimportantwithintheserviceandallchildrenwithoutappropriaterepresentationwillbefoundanadvocate.
Thehomeaimstoempowerallchildrensothattheyareabletovoicetheiropinions,makechoicesandaddressanyissuesthatmayaffectthem;theyareencouragedtodiscussrelationshipsandforwardplanningforfutureplacements.Ourchildren’sthoughtsareusedtoinfluencetheirlifeandwell-beinginthehomeenvironment.Thechildrenwillalsohave1-1sessionswithstafftoensurethattheirviewsaretakenintoaccountwithanydecisionsmadearoundtheirlives,theyalsoinfluencetheirbehaviourstrategiesandindependencetargets.
ProgressalsoundertakesquarterlyQualityAssuranceSurveysforallyoungpeopleaswellasprovidingquarterlyqualityassurancevisitswhereyoungpeoplewillhavetoopportunitytospeakwiththeQualityAssuranceOfficer.Youngpeoplefromeachserviceareempoweredandsupportedtoattendyoungperson’scouncilmeetingstoinfluencethecompanyandplanevents.
Allstaffatthehomeareconsultedonanynewdevelopmentsandareencouragedtomakesuggestionsandcontributetowardsthedevelopmentofourservicedelivery.
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7.Ourpolicyandapproachto(a)anti-discriminatorypracticeinrespectofchildrenandtheirfamiliesand(b)children’srights
ProgressCarearecommittedtooperatingananti-discriminatorypolicy.Weaccepttheimportanceofchallengingdiscriminationandoftransformingsocialcarepracticeindirections,whichpromotepeople’swelfareandempowerschildren,familiesandstaff.
Anti-discriminatorypracticeistheresponsibilityofallofouremployees.ProgressCareandits’employeesmustacttoestablishanti-discriminatorypracticefocusedontransformingimbalancedsocialrelationshipsthatmayoccurbetweendifferentethnic,socialandminoritygroupsintoonesofgreaterequality.
Weaimtohaveastaffteamthatreflectsthediversitywithincontemporarysociety.Whilstitisimpossibletolegislateforpeople’spersonalopinion,wehaveanexpectationthattheywillconformtothispolicyandallotherpolicieswhilstonduty.
Webelievethattherelationshipsformedwiththeyoungpeople,colleaguesandotherprofessionalsshouldgiveallpartiesopinionsequalconsideration.Thehomeoperatesfromachildcentredperspectivewherethewelfareofthechildisparamountandtheyoungperson'sviewsarealwayslistenedto.Whereproblemsarisefromdifferentlevelsofresponsibility,andconsequentunequalpowerbalancebetweenyoungpeopleandthosecaringforthemisperceiveditisimportanttoexplaintoyoungpeoplewhyitmaynotbepossibletomeettheirwishes.
AtOakCottagewewillsupportyoungpeopletomaintainapositivesenseofselfby:
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Challengingdiscriminationinanymanifestationandtopositivelypromoteindividualityanddiversity.
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Positivelypromotingtheyoungperson’sreligionthroughobservance,orattendanceatplacesofworship.
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Encouragingyoungpeopletodecoratetheirpersonalbedroomspaceandtochoosetheirownclothesandpersonalitems
• Supportingchildrentopreparefoodthatreflectstheirbackground
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Encouragingexpressionofindividualityandactiveengagementwithinthecommunitybysupportingyoungpeopletoaccessactivitiesandmaintainhobbiesorinterests
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Providingchildrenwithregular1-1sessionsandyoungpeople'smeetings
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Ensuringyoungpeoplehaveaccesstocommunicationwithchildren'srightsservices,theirIROandOfsted
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Recognisingthatallchildrenregardlessofethnicityordisabilityetc.haveindividualcareneeds.
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Providingyoungpeoplewithadvice,assistanceandsupporttolookatissuessurroundingtheirparticularexperiencesandbackgrounds.
• ProvidetrainingandsupporttostaffaroundEqualityandDiversity
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Ensureafullsenseofayoungperson’sidentityisreceivedduringthereferrals/admissionsprocess
OakCottagecanaccessUnicefonthechild'sbehalfforfurtherinformationonthechildren'srights.
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8.AccommodationofferedbyOakCottage
OakCottageconsistsof2bungalowsonthesamesitebothofwhichhavebeencarefullyadaptedtoprovidespecialistaccommodationforchildrenandyoungpeoplewithseverelearningandphysicaldisabilities,sensoryimpairment,ABIandcomplexhealthcareneeds.Previouslyaprivateresidence,thehomehasundergoneamajorrefurbishmenttocomplywithappropriateandrelevantlegislation.
Thefrontbungalowcomprisesoffivebedrooms.Fourbedroomsaresituatedonthegroundfloor.Thefifthislocatedonthefirstfloorandisaccessedbythestairs.Thegroundfloorbedroomsareallsuitableforwheelchairusageandhavehoistingequipmentandprofilingbeds.Onthegroundfloorareaspaciouslounge/diningroomwhichallowsforwheelchairaccesstotherearofthepropertyintotheprivate,maturegarden.Thereisaseparatebathroomandawetroom,completewithhoistingequipmentandaidsforchildrenwithphysicaldisabilities.Thereisalargekitchenwhereyoungpeopleareencouragedtodevelopindependenceskillsandgainsensoryexperience.
Therearbungalowcomprisesoffourgroundfloorbedrooms,allhaveen-suitebathroomsandaidsforchildrenwithphysicaldisabilitiesavailableifrequiredandthebedroomsareallsuitableforwheelchairuse.Thereisalounge/diningroom,whichleadsoutontoourgardenarea.Herethechildrenhaveaccesstotheplayarea,swings,trampoline,toysandsandpit.Thereisalsoasensoryroomwherechildrencanhavetimeoutorengageintheirindividualsensorydietandakitchenwherechildrenareencouragedtodeveloptheirindependenceskills.
Sitedbetweenbothbungalowsisthecabin,whichhousesadenareawithsofa,TVandtablesallowingyoungpeopleaquietspacetorelaxontheirownorwithfriendsandfamily,asmallsensoryroomandanartsandcraftsstoragearea.
Thehomesarewelldecoratedthroughoutwithcolourschemesandfurnishingsdesignedtosuittheneedsofthechildrenaccommodated.
9.ThelocationofOakCottage
OakCottageissituatedinWalsallWoodontheoutskirtsofWalsallBoroughborderingonCannock,StaffordshireandLichfield.Theareaispredominantlyresidential,closetorecreationalandleisurefacilitiesandwithinwalkingdistanceofBrownhillstowncentre.Thereisarangeofspecialschoolswithina5-mileradius.
ThereisexcellentaccesstopublictransportlinkingSuttonColdfield,Lichfield,Cannock,Walsall,WolverhamptonandBirmingham.
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10.Ourpoliciesforsafeguardingchildren,preventingbullyingandchildrenwhogomissing
Progresshasdetailedpoliciesaroundsafeguarding,bullyingandmissingchildren.Safeguardingproceduresformanintegralpartofthedailyresponsibilitiesofstaffinrespectofprotectingchildren.Allchildrenmustfeelsafeandsecure.StaffarerequiredtoreportanydisclosureoranyformofabusetotheRegisteredManagerimmediately.
Allstaffwillreceiveappropriatelocalauthoritysafeguardingtraining.Safeguardingtrainingisscheduledeverythreeyearsitwillberefreshedsooneriftherearesignificanteventsresultinginupdatedlegislation,changestopolicyorwherethereareconcernsoverstaffpractice.
Allchildrenmusthaveinplaceanindividualriskassessmentpriortoplacementandthisisreviewedonaregularbasis.TheRegisteredManagerofthehomemonitorsthis.
AnyformofallegationagainstamemberofstaffmustbereportedtotheRegisteredManagerwhoisresponsibleforinformingtheappropriateauthorityforinvestigation.StaffarerequiredtoreportanyallegationofabuserelatingtotheRegisteredManagertothechild’splacingauthorityandtheManagingDirectorClaireRogersorRegionalResidentialOperationsManagerMargaretHopkinswhoaretheDesignatedSafeguardingOfficers.TheywillreportthemattertotheLocalAuthorityDesignatedOfficerandtheManagingDirector/Responsibleindividual.RegionalResidentialOperationsManagerMargaretHopkinsisalsotheleadinChildSexualExploitation,MentalCapacityandDeprivationofLibertyandPreventforResidentialServices.Amemberoftheseniormanagementteamisoncallatalltimes,andtheircontactdetailsareavailableineachhome.TheManager/SeniorManagerwillensureinformationandsupportismadeavailabletothestaffconcerned,shouldthisbenecessary.
TheManager/SeniorManagerwillensureinformationandsupportismadeavailabletothestaffconcerned,shouldthisbenecessary.
Allincidentsofsafeguarding,childprotectionallegationswillbereportedtoOFSTEDunderRegulation40inlinewiththenewQualityStandardsandRegulationsApril2015.Anystaffmember,whomanallegationismadeagainst,maybesuspendedfromdutypendingfurtherinvestigation.TheManager/SeniorManagerwillensureinformationandsupportisavailabletothestaffconcernedinthisevent,communicationwillcomeviatheHRdepartment.
Noformofbullyingisacceptablewithinthehome.IncidentsofbullyingfromthechildorstaffmustbereportedtotheManager.Allstaffmustrefertothehomespolicyandproceduresonbullyingfortheirguidance.Allyoungpeoplereceive1:1meetingsonbullying,andhavesignedananti-bullyingagreementwheredeemedappropriate.
Ifayoungpersongoesabsentwithoutpermission,asoutlinedwithintheirindividualriskassessments,theManager,parentsandplacingauthoritywillbenotifiedandthematterreferredtothepoliceimmediatelyasthiswouldraiseconcernsfromthesafetyofthechildrenduetothevulnerablenatureoftheirdisabilities.AllreasonableeffortwillbemadebyResidentialSupportWorkerstolocatetheyoungperson.
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Recordsareheldatthehomeoftheyoungpeopleabsentwithoutpermissionandareavailableforinspection.
11.Ourarrangementsfordealingwithcomplaints
Wewelcomeanyformofcomments,complaintsorsuggestionsthatwillenableustoreflectonourworkingpracticesandenhancethedevelopmentofourservices.
AtOakCottagewehaveanappropriatecomplaintsprocedurethatstaffwillfollowshouldthisbenecessarythisisbrieflydetailedbelow.
Aself-explanatorycomplaintsleafletisavailabletoallatrequestthroughstaff/Managerorheadoffice.AnyinitialcomplaintsshouldbemadeinformallytostaffortheManager;wewillendeavourtoresolvemostcomplaintsatthisstage.Ifthematterisunresolved,complaintsshouldbemadeinwritingtotheManager.TheManagerwillacknowledgereceiptofthiswithin3workingdays.Theywillthenconductaninvestigationintohisandmeetwiththecomplainant.Awrittenresponsetothecomplaintwillbesenttothecomplainantwithin25workingdays.Thecomplainantmaythenappealagainstthiswithin20workingdaystotheDirectorofOperationswhowillinstructanindependentinvestigator.Thecomplainantwillreceivenotificationthatthishasbeendonewithin5days.Aformalresponsetothiswillbemadetothecomplainantwithin30workingdays.
Theresponsibleauthoritywillmonitorallcomplaintsmadeagainstthehome.Acomplaintslogisavailableatthehome.
Ifanycomplaintwhichismadehasnotbeenhandledsatisfactorily,pleasecontactOfstedatthisaddress:
OFSTED
PiccadillyGate,StoreStreet
Manchester,M12WD
Tel:03001231231
[email protected]
12.Ourapproachtosurveillanceandmonitoringofchildren
DuetothenatureofthechildrenbeinglookedafteratOakCottageitis,onoccasions,necessarytouseamonitorinthebedroome.g.Seizurematsorcamerasforepilepticyoungpeopletosafeguardfromanypotentialhealthrisks,enableindependenceandimprovequalityoflife,byreducingtheneedtodisturbyoungpeopleduringthenighttime.Thiswillbeidentifiedandrecordedintheyoungperson’splacementplanandwillbeinagreementwithplacingauthorityandparents/carerswherenecessary.
mailto:[email protected]
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13.OurapproachtoBehaviouralsupport
ProgressCaretrainallstaffinsafeandpositivebehaviourmanagementwhoworkwithyoungpeoplewhodisplaybehavioursthatchallenge,whichincludestheuseofsafeholdingproceduresonthechildrenandyoungpeople.Wetakeaproactivestanceonthemanagementofbehavioursandsafeholdingproceduresareviewedasanextrememeasureandonlyusedasalastresort.Progressstaffreceivetrainingaroundattachmentissues,childhoodtraumaandrecovery.Youngpeoplewillreceiveanyadditionalmedicalorpsychologicalsupportrequiredtohelpthemtoovercomeanyissuesandregulatetheirbehaviour.
OakCottagehasaclearbehavioursupportpolicyandprocedureforsupportingchildren’sbehaviouralneeds.Thereisastrongemphasisonpositiveattentionfromstaff,demonstratingacaringinterestandbuildingstrong,positiverelationshipswithchildren.
Duetothevarieddisabilitiesofourchildrenandyoungpeople,theuseofsafeholdingproceduresisnotwidelynecessary.Staffalwaysconsiderstheuseofalternativebehaviourmanagementstrategiesbasedonthechild’slevelofunderstanding,beforeresortingtotheuseofanyformofphysicalcontact.Positivereinforcementisusedtoinfluenceindividualbehaviours;thiscanbeassimpleasrecognisingandpraisingpositiveactionsthroughtheuseofrewardchartsandinformalinteraction,asaresultsanctionsarerarelyused.Anystrategiesauthorisedforuseareevidencedinthechild’sPlacementPlaninthesectionpertainingtobehaviourmanagementstrategies,thissectionoutlinesthebehavioursexhibitedbythechildandtheresponsethatstaffshouldgivetothechildtoensureconsistencyofapproach.
Staffareencouragedtodiscussthebehaviourmanagementstrategiesandideasonenablingchildrentoself-regulateaspartofthecareplanningmeetings,whereideasandopinionsaresharedandagreementsmadetoadjustmenttotheplansforchildren’scare.Parentsandprofessionalsareencouragedtoactivelyparticipateinthecareplanningprocessesbyattendanceorfeedbackviathekeyworker.
ProgressCareusePRICETrainingwhoisaccreditedbyBILD.Staffundertakearigorous3daybehaviourmanagementtrainingprogrammewhichassessesofcompetencein:
• Proactivebehaviourmanagement
• Theuseofthesafeholds
• Deflection
• Understandingofunderpinninglegislation
• Recordingincidents
Thisisfollowed-upwithannualrefresherwhichconsistsof2days.TheTrainersprovideaconsultationserviceasandwhennecessary.
Anyplacementofachildthatmayrequiretheuseofsafeholdingproceduresmustbediscussedwiththeplacingauthorityandparent/carer.TheproposedprocedureswillbeappropriatetotheindividualandoutlinedandagreedinthePlacementPlan.Staffwillundergoanynecessaryadditionaltrainingintheuse
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ofthesespecificinterventions.Theuseofallinterventionswillberecorded,monitoredandregularlyreviewedbytheManager.Themanagerwillensureallphysicalinterventionsandsanctionsareclearlyrecordedandevaluatedontheireffectiveness.Allstaffarerequiredtofollowthehomespoliciesandproceduresforguidance.
14.Ourcontactdetails
OurChiefExecutiveOfficerofProgressChildren’sServices/RegisteredProvider,MrsBal.Dhanoa,isaqualifiedseniorsocialworkpractitionerB.A(Hons),DipSW/DipHE.Balhasoverthirtyyears’experienceofworkingwithinstatutory,voluntaryandindependentsectoratvariouslevelsasseniorpractitioner,management,consultancyandtraining,predominantlywithchildrenandfamilies,domesticviolence,youthwork,fosteringandsharedcare,specialisinginworkwithdisabledchildrenandadults.
OurManagingDirector/ResponsibleIndividual,Mrs.ClaireRogers,isaformerRegisteredManagerwithinProgressandisqualifiedtoNVQ4inCareandManagementandhascompletedtheDiplomainManagement(MCMI).ILM7andhasundertakentheIODdirectordevelopmentprogrammeClairehaseighteenyears’experienceinworkingwithchildrenandyoungpeoplewithdisabilitiesandyoungpeoplewithlearningdifficulties,communicationdisorders,challengingbehavioursandsensoryimpairment.
TheRegisteredManagerissupportedandsupervisedbyTheOperationsManagerMargaretHopkinshasNVQ4CareandManagement.Margarethasworkedover16yearsforProgressand13yearsworkinginthemanagementteamforthecompany.Duringthistimeshehasdevelopedherexperienceinworkingwithchildrenwithlearningandphysicaldisabilities,sensoryimpairment,complexneeds,AutisticSpectrumDisorder,Epilepsy,ABIandbehavioursthatchallenge.Inaddition,MargarethassignificantexperienceinworkingwithlookedafterchildrenduringherlongcareerasaFosterCarer.MargaretHopkinsistheDSOforthecompany.
Alltheseniormanagerscanbecontactedatthecompanyheadoffice,whichisbasedat:127MillfieldsRoad,BilstonWolverhamptonWV46JG
Tel: 01902561066
Email: [email protected]
[email protected]
15.ProvisiontosupportchildrenwithSpecialEducationalNeeds
IfanyofouryoungpeoplehaveastatementofeducationalneedsoranEducation,HealthandCarePlan,thiswillbekeptonfileandwillhaveaschoolnameintheirstatement.Supportwillbedeliveredasforanyyoungperson,asdetailedbelow.
mailto:[email protected]
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16.Thepromotionofchildren’seducation
EachyoungpersonbeinglookedafterisexpectedtohaveinplaceaPersonalEducationPlanorEHCPlan.Inadditionallyoungpeoplemusthavepathwayplansandtransitionplansinplacefromtheageof15/16.Youngpeoplehaveaccesstoacomputerandanyotheressentialsequipmentdeemednecessarytoenhancetheireducationalachievements.OakCottageworkscloselywitheducationandamulti-agencyteamtoidentifyandsupportalltheindividuals’needs.
Keyworkerswillsupporteachyoungpersoninallaspectsoftheireducationalneeds,whichismonitoredbytheRegisteredManager.AkeyworkerornamedpersonatOakCottagewillestablishhomeschoolliaison,adailydiaryprocesstodevelopeffectivecommunicationwithschoolandattendrelevantmeetingsasnecessary.
TheKeyworkerwillgointoschoolatleastonceeverytermunlessmoreinvolvementisrequiredtodiscussthechildoryoungperson’sachievementsandtodiscussandconsultovermatterssuchascommunicationsystems,behaviourmanagementstrategies,careroutinesetc.toensureaconsistentapproachistakenbetweenthehomeandschool.TheKeyworkerwillattendallparent’seveningswhendeemedappropriate(ifthereisnoparentinvolvement).
17.Provisionofhealthcareandtherapy
ManagingthehealthneedsofthechildrenatOakCottageformsasignificantpartoftheservicethatweprovideandarefirmlycommittedtomeetingtheveryuniqueandindividualhealthcareneedsofourchildren.
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AllchildrenwillberegisteredwithaGP,DentistandOpticianandhavetheirhealthreviewedregularlyandroutinely
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Wherechildrenhaveseenspecialistconsultantsfortheirconditionandaredeemedtoknowthechildwell,weaimtomaintainconsistencyinthisarea,duetothecomplexnatureofthechildrenforwhomwecare,andinordertoprovidethebestpossibleaccesstoclinicalexpertiseandsupport.
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Weaimtoensurethatchildrengetthebestpossible‘local’servicestomeettheircomplexneedsandhaveaccesstoregularreviewsofanyspecialistequipmentthattheyneedlocally,suchaswheelchairs,splints,sleepsystemsetc.
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Thathighattentiontodetail,competenceandconfidenceisdemonstratedbyourstaffinmanagingthecomplexhealthneedsofourchildren.
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Weaimtopromotethechildtotakeresponsibilitywherepossiblefortheirownhealth
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Independencetobemaximisedthroughtheuseofadaptationsandequipment
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Tobesupportedwithorprovideaccesstoservicesontheiremotionalandmentalhealth
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OakCottagehasbuiltagoodrelationshipwiththeclinicalcommissioninggroupsandtheyprovidetrainingtotheOakCottageTeamindividualtoeachyoungperson’sneeds.
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TheCommunityNursewillcomeintothehomeandcompletecompetenciesonallstafftoensurethattheyareawareofalltheindividualmedicalneedsoftheyoungpersonarebeingmeti.e.PEGfeed,administeringofmedicationviathePEG,dressingsandwillhelpandsupportwithdieticians.
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TheCommunityNursewillhelpandcompiletheContinuingCarePlantoensurethatthesameplanisbeingfollowedinthehomeandatschool
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Promotingchoiceatmealtimes,thusempoweringtheirfoodpreferenceandwhentheywouldliketoeattheirmeal
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Allyoungpeopleareencouragedtoparticipatetofollowahealthylifestylethroughactivitiesanddiet
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Personalcareismaintainedtoahighstandardandpromotedtoencourageindependence
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Twohighlytrainedmembersofstaffwitnessandsigntheadministrationofallchildrenandyoungpeople’smedication
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OakCottagestafflooksatalternativeandhealthywaystoidentifyandpromotethewellbeingofeachindividualchild,beforeresortingtoprescribedmedication
DuetothenatureofthechildrenbeinglookedafteratOakCottageitissometimesnecessarytousedifferenttypesofmonitorinthebedroomoftheyoungpeople,incircumstanceswherechildrenhaveepilepsysevereasthma,sleepapnoeaetc.,tosafeguardfromanypotentialhealthrisks.Thiswillbeidentifiedandwhereconsentisissuedthiswillberecordedinthechild’splacementplaninagreementwithplacingauthorityorparents/carerswherenecessary.
Weasastaffteamareverycommittedtomeetingtheindividualhealthcareneedsofchildrenforyoungpeoplewithcomplexhealthneedsplacedfromoutofarea;itwillbetheresponsibilityoftheplacingauthority,torefertheyoungpersontoanyspecialistservicestheymayrequirewhilstinourcare.Detailedguidanceandnecessaryconsentsforanyinvasivecareproceduresmustalsobeprovided.Themanagerwillputtherelevantpeopleintouchwiththeclinicalcommissioninggroupsinordertomakethenecessaryagreements,withregardstothefundingofthehealthcareneedsforanychildwhohasidentifiedsignificanthealthcarerequirements.
Wherechildrenhavecomplexhealthcareneeds,theManagerinconjunctionwithappropriateHealthstaffwillensurethatallstaffareadequatelytrainedtoperformanycomplexcare,including,whereappropriate,invasivecareprocedures.Onceinplacement,anappropriatelyqualifiedhealthcareprofessionalwillundertakeanynecessarytrainingwiththestaff.Aswellas,undertakeassessmentsbasedonlocalcompetenciesduringtheirdirectinvolvementwiththeyoungperson.Themanagerwillensurethatthisiscompletedassoonasispractical,andthatallthestafftrainedwillbedeemedcompetentbythesaidhealthcareprofessional.
Progresscanoffersensorytherapiessuchasaromatherapy,counsellingandadvocacysupport,externalconsultants.Additionaltrainingforthestaffteamisavailableandsoughtasandwhenrequired,forexamplebereavementtrainingwhichwasaccessedinthepast.Eachyoungpersonwillhaveaccesstotheirownadvocateifdeemedappropriate.
Psychotherapyandotherspecialistinputsuchasoccupationaltherapy,physiotherapycouldbearrangedandagreedwiththeresponsiblelocalauthority.Allstaffprovidingtherapeuticsupportwillundergothe
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normalvettingprocedures,willbesuitablyqualifiedtoundertakesuchtreatmentsandwillundergosupervisionbyareputablepractitioner.
TheplacingauthorityistoberesponsibleforthefundingofallhealthcareneedsandcostsincurredbyWalsallCCG.ThismustbeconfirmedinwritingtotheManagerbythefirststatutoryreview.(AmendmenttoannexcoftheresponsiblecommissionerGuidance:extractforguidanceondeterminingtheresponsiblecommissioner–lookedafterchildren).
TheRegisteredManagerwillmonitorandsupervisestaffaccordingly.Allyoungpeople’shealthwillbemonitoredbyregulation44and45reportsandclearrecordingwithinthePlacementPlans.
Menusareadaptedwiththehelpoftheyoungpeopletosuitindividualstakingintoconsiderationspecialistdiets.
18.Management,staffingstructure,experienceandqualificationsandarrangementsforsupervision
TheRegisteredManagerofthehomeisStaceySheldonhas12years’experienceworkingwithchildrenandyoungpeoplewithemotional,behavioursthatchallenge,autism,mentalhealth,ABI,sexualisedbehaviourandattachmentdisorders.StaceySheldonhasNVQ2and3inhealthandsocialcareinchildren’sandlevel3inmanagement.StaceySheldoniscurrentlyworkingtowardsherLevel5inmanagement.
Thehomeissupportedby3TeamLeadersAgaZolna,RosieHughesandEmilyMoorealongwithacorestaffteam.
AgaZolnahasworkedinsocialcarefor12yearsandhasexperiencewithmentalhealth,autism,severedisabilities,behaviouraldifficulties,attachmentdisorders,learningdisabilities,ABIandsexualisedbehaviour.AgaZolnahasNVQ2and3inHealthandSocialCareinChildren’sandAdults,LearningDisabilitieslevel3andAgahaslevel3inmanagement.
RosieHugheshasworkedinsocialcarefor3yearsandhasgainedalotofexperiencessinceworkingatProgressCaredevelopingherknowledge.Rosiehasworkedandhasexperiencewithmentalhealth,autism,severedisabilities,behaviouraldifficulties,attachmentdisorders,learningdisabilities,ABIandsexualisedbehaviour.RosiehasstudiedBAHONSinFamilyandCommunityStudies,haslevel2inteamleaderandworkingtowardsherlevel3inManagement.
EmilyMoorehasworkedineducation/socialcarefor7yearsandhasgainedalotofexperiencewithmentalhealth,autism,severedisabilities,behaviouraldifficulties,attachmentdisorders,learningdisabilities,ABIandsexualisedbehaviour.EmilyMoorehasCACHELevel3diplomaforchildrenandyoungpeople’sworkforce.EmilyalsohasFoundationdegreesupportingchildreninprimaryeducationandiscurrentlycompletingherBAHonsinspecialeducationandchildhoodandfamilystudies.Emilywillbeworkingtowardsherlevel3inmanagement.
Thecorestaffinginthehomeisprovidedona1:2basishowevermanychildrenaccommodatedwillrequirehigherstaffingratioswhichwillbedeterminedthroughtheirplacementagreement.Allstaffundergoa
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rigorousrecruitmentprocessconductedbyourHRteamwhoallundergoSafeRecruitmenttraining,allstaffmusthaveclearanceofDBSchecks,healthandreferencespriortoappointment.
HealthandSafetyismanageddaytodaythroughthehomesHealth&SafetyOfficer,auditsandcomplianceisoverseenbyanexternalcontractorwhohaskeyresponsibilitytoensureallrelevantlegislationandregulationsinrelationtoandhealthandsafetyaremetandupdated.Progress’sQualityAssuranceandComplianceOfficerwillalsooverseethiswithregularchecksandvisits.Quarterlyhealth&Safetymeetingsareheldacrossthebusiness,tosharebestpractise,identifytrendsandpatternsandensurecontinuousimprovement.
ThereisamaintenanceteamthatsupportOakCottageasandwhenrequired,theyalsoofferanemergencysupportcallout.
Progressarefirmlycommittedtraininganddevelopmentofstaff;recognisingtheessentialneedforstafftohaveaccesstoresourcesandmaterialsthatallowsthemtoadapttothechangingenvironmentswithinthechildcaresector.Allstaff:
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Arerequiredtoadheretotheorganisationalpolicyandpracticeinrespectofstaffrecruitment,supervision,traininganddevelopmentprogramme.
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ReceiveregularsupervisionbytheTeamLeaders/Managerandarecordofallsupervisionmeetingsiskeptintheirindividualelectronicfile.
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Receiveastructuredinductionprogrammeforamaximumoftwoweekswherefocusandobservationisplacedonpractiseandpolicies.
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Arerequiredtoundertakecoretrainingwithintheir6-monthlyprobationaryperiod,duringthisperiodtheyhavefortnightlysupervisionthisreducestoregularonesthereafter.
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Participateinannualappraisalstomonitortheirperformanceandcareerdevelopment.
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Haveindividualtraininganddevelopmentportfoliosandarerequiredtoattendallinternalandexternaltraining.
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ArerequiredtoachievetheirQCFlevel3within2yearsofstartingacareerinchildcare
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Receiveanynecessarytraininginordertofulfiltheirrolesinsupportingtheyoungpeoplefulfiltheirrolesinsupportingtheyoungpeople
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StaffingStructure–OakCottageSchedule1.19
Title Name Qualifications Hours
ChiefExecutiveOfficer BalDhanoa BAHonDipW/DipsHE FullTime
ManagingDirector/Responsibleindividual
ClaireRogers
NVQLevel4Care&Management–DiplomainManagement
Level5LeadershipandManagement
DiplomainManagementFMCMI
ILM7strategicmanagement
CertIOD
FullTime
RegionalOperationsManager
MargaretHopkins
NVQ4&NVQ4CareandManagement FullTime
InterimHomeManager StaceySheldon
NVQ2and3inhealthandsocialcareinchildren’sandQCFlevel3inmanagement.
CurrentlyworkingtowardsherLevel5inmanagement.
FullTime
TeamLeaders RosieHughes BAHONSinFamilyandCommunityStudies
Rosiewillbeworkingtowardsherlevel3management
FullTime
AgaZolna QCFLevel3inCCYP
Completedlevel3inLeadership&Management
FullTime
TeamLeader EmilyMore
CACHELevel3diplomaforchildrenandyoungpeople’sworkforce.
Foundationdegreesupportingchildreninprimaryeducationand
CurrentlycompletingherBAHonsinspecialeducationandchildhoodandfamilystudies.Emilywillbeworkingtowardsherlevel3inmanagement
BeverleyWare QCFLevel3DiplomainCCYP FullTime
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ResidentialSupportWorkers
AnthonyMarsden
QCFLevel3DiplomainCCYP,Level2inTeamLeading
FullTime
RhiannaGill QCFLevel3DiplomainCCYP Annualised
AgaDetlaf QCFLevel3DiplomainCCYP Annualised
KatrinaKrupski QCFLevel3 PartTime
JadePinson InProbation Fulltime
SarahReynolds
QCFlevel3DiplomainHealthandSocialcareinChildren
FullTime
AliceJansen InProbation Fulltime
DeanaPowis QCFLevel3inHealthandSocialCare FullTime
ZihloboVundhla
InProbation FullTime
SeleneAustin BTEClevel3inHealthandSocialCare Annualised
CynthiaLitchfield
QCFLevel3inadultsandchildren
Completedlevel2inteamleading
FullTime
JadeCope Completedlevel2inteamleading
WorkingtowardsQCFLevel3
FullTime
Vacantpost
NightCareWorkers AngelahSmith QCFLevel3DiplomainCCYP
FullTime
EdytaAlankiewicz
Inprobation FullTime
LidaSimwanja NVQ3inCCYP FullTime
SabuGeorge NVQ3inCCYP FullTime
ShoraiTakaedza
QCFlevel3inHealthandSocialinChildren’s FullTime
Cook DeniseHughes Inprobation Parttime
19.Appropriaterolemodelsfromamixedstaffgroup
OakCottagehasavariedstaffteamofbothgenders,ofdifferentagesandmanydifferentcultures.Youngpeoplearematchedwithstaffforsuitablekeyworkerswhowillactasapositiverolemodelforthatyoungperson.Weaimtoprovideacaring,homelyandsafeenvironmentwheretheyoungpeoplecanprogressinallaspectsoftheirlives.
Version Author Date Description
1.1 ClaireHaynesandSarahWright January2013 FinalCopy
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1.2 MargaretHopkins July2013 Updated
1.3 ClaireHaynesandMargaretHopkins
October2013 Updatedstaffinglist,agecriteriaandcontactdetails
1.4 MargaretHopkins December2013
Updatedstaffinglist
1.5 MargaretHopkins&DeanSmith
April2014 UpdatedtomeetamendmentstotheChildren’sregulations.
1.6 MargaretHopkins&DeanSmith
June2014 UpdatedtomeetamendmentstotheChildren’sregulations.
1.7 MargaretHopkins&DeanSmith
December2014
UpdatedtomeetamendmentstotheChildren’sregulations.
1.8 MargaretHopkins May2015
UpdatedtomeetthenewQualityStandardsandRegulationsApril2015
1.9 MargaretHopkins June2015 Updatedstaffing,DeputyandSenior
2.0 DeanSmith Sept2015 Updatedduetostaffingchanges
2.1 MargaretHopkins Feb2016
Updatedduetostaffingchangesandstaffsqualifications
2.2 MargaretHopkins March2016
Updatedduetostaffingchangesandstaffsqualifications
2.3 MargaretHopkins August2016
Updatedduetostaffingchangesandstaffsqualifications
2.4 MargaretHopkins September2016
Updatedduetostaffchangesandresponsibilities
2.5 MargaretHopkins October2016 Updatestaffing
2.6 VanessaGriffin April2017 UpdatedtocombineshireandoakSOPs
2.7 LorrainGibbons June2017
UpdateSOPinmanagementstructurealsoagerange.
2.8 LorrainGibbons August2017 UpdateSOPinmanagementstructure
2.9 MargaretHopkins February2018 UpdateSOPstaffchanges
3.0 LorrainGibbons April2018 UpdateSOPstaffchanges
3.1 MargaretHopkins June2018 UpdateSOPstaffchanges
3.2 MargaretHopkins July2018 UpdateSOPstaffchanges
3.3 MargaretHopkins September2018
UpdateSOPstaffchangesandqualifications
3.4 MargaretHopkins December2018
UpdateSOPstaffchangesandqualifications
Updatedcriteriaforreferral’sintoOak
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3.5 MargaretHopkins January2019
UpdateSOPstaffchangesandqualifications
3.6 StaceySheldon April2019
UpdateSOPstaffchangesandmanagementstructure
3.7 StaceySheldon July2019
UpdateSOPstaffandmanagementchanges
3.8 StaceySheldon August2019
UpdateSOPstaffandmanagementchanges
