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1
Fountainville 24 Hour Supported Housing
2-10 Fountainville Avenue BT9 6AN
02890 325825 [email protected]
Revised October 2017 Review October 2019
STATEMENT OF PURPOSE
2
Index of Contents Page No
Introduction 4-5
1. Registered Provider 6
2. Registered Manager 7
3. Number of staff, their experience and relevant qualifications 7-8
4. Philosophy of Care 9-10
Aims of the Scheme
Objectives
5. Status and Constitution of this scheme 10
6. Organisational structure of the scheme 11
7. Number of residents we provide support to in this Scheme 11
8. The range of needs (categories of care) that the scheme or 11
organisation is intended to meet and the number in each category.
9. Admissions Criteria including the Scheme’s policies and procedures 12 -15
(if any) for emergency admissions, Transfer Procedure and Moving on
Procedure
10. Arrangements for residents to engage in social activities, hobbies 15 - 16
and leisure interests
11. Arrangements in place for consultation with residents about the 17
operation of the scheme
12. Fire Precautions and Emergency Procedures 18-19
13. Arrangements for meeting resident’s Spiritual Needs 19
14. Arrangements in place for social contact 19
15. The arrangements for dealing with complaints 19- 20
16. The arrangements made for dealing with reviews of the residents 20-22
Support plan
17. The number and size of rooms in the home 22
3
18. Details of any specific techniques used in the home and 22-23
arrangements made for their supervision.
19. The arrangements made for respecting the Privacy and Dignity
of Residents 23
20. Recovery 23
21. Quality and Governance 23-24
22. Restrictive Practice 24-25
23. Storage and Administration of Medication 25
24. Date approved and implemented 26
25. Date of review and record of changes made 26
4
INTRODUCTION
Inspire became the new name for the Northern Ireland Association for Mental
Health on 5th December 2016. Within Inspire, Beacon, which was the founding
part, is now known as Inspire Mental Health. Inspire is one of the largest and
longest established independent charities focusing on mental health and
wellbeing services in Northern Ireland. The structure of the Inspire family is
detailed below.
Our Vision: 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:
Inspire Mental Health provides support services to people with experience of
mental ill-health through supported housing, floating support, community
wellbeing (day support), advocacy services and specific projects such as family
support. It is the largest part of the Inspire family and has recently expanded into
Ireland.
Inspire Disability Services provides support for people with intellectual/learning
disabilities and complex needs in 6 services in Northern Ireland in Armagh,
Antrim, Lisburn, Belfast (2) and Omagh. In 2016 it has started to expand service
delivery into Ireland.
Inspire Workplaces provides therapeutic support through employee assistance
programmes, and specialist confidential therapeutic services delivered in a wide
variety of organisational context across Ireland and into mainland UK.
5
Inspire Students provides support to students in third-level colleges and
universities across the island of Ireland and also in Scotland.
Inspire Knowledge & Leadership offers a range of expertly informed training
programmes and consultancy services designed to support organisations and
individuals to thrive.
Addiction NI joined the Inspire family in July 2016. Addiction NI provides
treatment and support for people who are dependent on alcohol or drugs. It is
able to offer tailor-made treatment programmes for people with drug or alcohol
problems, delivered in community settings.
6
1. Registered Provider
The registered provider is: - Inspire Business Address: - Inspire Lombard House 10-20 Lombard Street Belfast BT1 1RD [email protected] Responsible Person William Henry Murphy (Billy) is Director of Mental Health Services. 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
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
Company Number: ni 25428 Charity Number: xn 47885
7
2. Registered Manager The RQIA Registered Manager is:
3. Number and relevant qualifications of staff
Job Title/Grade Contracted Hours
Qualifications Experience of Relevant Care (in years)
Registered Manager 1x 37hrs QCF Level 5 in Management & Leadership, NVQ Level 3 Health & Social Care, Cert. Community Mental Health, Diploma Social Sciences BSL level 1&2
25 years
Senior Project Worker 1x 37hrs 1 vacant 37hr post at present
All Senior Project Workers will be qualified in one or more of the following areas:
-Professional Social Work Qualification and registered on the appropriate part of NISCC
-First level registered Nurse on the appropriate part of nursing and midwifery council register
-Occupational therapist registered with BAOT
-QCF/NVQ level 3 or equivalent in a related subject for e.g. care with a minimum of 4 years’ experience in a mental health setting.
All Senior Project Workers will have a minimum of 2 years’ experience.
Project Worker 5x 37hrs 1 Vacant post at present
All Project Workers will have a minimum of 4 GCSE passes at
grade C or above, or equivalent, including English Language
and Mathematics or a Higher Level Qualification.
All will be educated to QCF/NVQ Level 3, or equivalent, in a
related subject e.g. Care. Or, have completed a specialised
relevant accredited training course or skill area applicable to
mental health.
All project workers will have a minimum 12 months experience in Mental Health.
Support Worker 3x 37hrs 2x 15hrs
All Support Workers will have a minimum of 4 GCSE passes
at grade C or above, or equivalent, including English
Language and Mathematics or a Higher Level Qualification.
All support workers will have a minimum 6 months experience in Mental Health
Night Cover 1x 4 nights 1x 2 nights 1x 1 night
All Night Cover staff will have a minimum of 4 GCSE passes
at grade C or above, or equivalent, including English
Language and Mathematics or a Higher Level Qualification.
All Night Cover staff will have a minimum 6 months experience in Mental Health
Night Shift 1 x 3 nights 2x 2 nights
All Night Shift staff will have a minimum of 4 GCSE passes at
grade C or above, or equivalent, including English Language
and Mathematics or a Higher Level Qualification.
All Night Shift staff will have a minimum 6 months experience in Mental Health
Domestic 1 x 25hrs
Name: Isobel Weir Address: Fountainville Avenue 2-10 Fountainville Avenue Belfast BT9 6An Telephone: 02890 325825 Email: [email protected]
8
4. Philosophy of Care
Our philosophy of care is based on the Inspire Charter of Recovery whose principles are to:
Find and Maintain Hope
Re-establish a Positive Identity
Take Responsibility and Control
Build a Meaningful Life
Aims of the Scheme
The overall aims are: - To provide a range of 24 hour supported accommodation that aims to promote recovery and support residents to take control of their lives. Inspire Mental Health will promote opportunities for residents and ensure this is carried out in an equal, fair and diverse way. - To provide Housing Support Services, following a strengths assessment which focuses on strengths based needs and outcomes. - To support the residents in maintaining their tenancy and to optimise safety in their home. - To be innovative in delivery and measurement of health and wellbeing outcomes by using a variety of tools e.g. WRAP, Inspire. - To meet the Resettlement agenda through the implementation of Bamford and NIHE strategies. Bamford Action Plan (2013) and the implementation of Transforming Your Care (TYC). -To create an environment which encourages partnership and involvement of residents through policy development (co-production), partnership meetings, service user representation forum (SURF) (this is a forum for Resident’s to be involved in decision making), membership of committees and the Inspire Boards. - To understand our "duty of quality and governance" and deliver services to the standards set by Inspire, the Northern Trust, Supporting People and RQIA.
9
Objectives
The overall objective are: - To work in partnership with Northern Ireland Housing Executive (Supporting People, Housing Benefit) Health & Social Care Trust and Housing Associations to ensure a high standard of accommodation to meet future needs of individuals. - To provide support as appropriate to the level of need of each Service User based on Individual Needs Assessment. - To work with each resident to identify risks based on their risk screening tool/comprehensive risk assessment which will inform their safety management plan for both physical and mental health. - To build on individual strengths which maximise the abilities and skills of the residents while recognising the need to give assistance and support. - To develop Support Plans which build on the strengths and aspirations of each individual and promote hope and independence. - To promote integrated, creative and meaningful activities that reflect choice, person centred support, independence and create opportunities for the residents. - To ensure that service users have every opportunity to exercise choice in all aspects of daily living. Levels of choice and responsibility must be realistic, therapeutic and within the range of individual abilities. - To ensure that Inspire Eligibility Criteria is all inclusive. -To ensure that the staff and volunteers are trained to/and display attitudes which are in accordance with the inspire philosophy and complete all essential training in line with NISCC and NMC requirements.
5. Status and Constitution of Scheme
This is a Supported Housing scheme owed by a Housing Association (Choice Housing) and managed by Inspire Mental Health through a management agreement. This scheme is registered under Article 8 (1) of the HPSS (Quality, Improvement and Regulation) (Northern Ireland) Order 2003. (10837)
10
18
6. Organisational Structure of the scheme Registered Manager Senior Project Worker – 2 full time Project Worker – 5 full time Support Worker – 3 full time and 2 part time 2 night staff Clerical Assistant – 15 hours per week Domestic Assistant – 25 hours
7. Number of Residents we provide support to in this Scheme
8. The range of needs (categories of care) that the Scheme or
organisation is intended to meet and the number in each
category.
Adult mental health is the primary diagnosis within the scheme.
Suitable Criteria
Ordinarily aged 18 - 65
A mental illness diagnosed by a psychiatrist and is the primary condition
Physical health needs manageable within the scheme
The ability to move on from the supported housing scheme to less
supported/more independent living
A history of long-term hospitalisation, a number of admissions to hospital or
a risk of becoming institutionalised
Unable to self-medicate
Unable to manage finances
Registered incapable with the office of Care and Protection
Applicant has a desire move into supported accommodation and avail of
services provided
A forensic history where the individual has had a period of stability and the
level of risk can be managed within supported housing
11
Unsuitable Criteria
Severe dementia
Learning disability is the primary condition
Personality disorder is the primary condition
A physical disability which would require significant assistance
Addiction is the primary condition
In need of a high level of supervision/nursing care
9. Admissions Criteria including the Scheme’s policies and
procedures (if any) for emergency admissions, Transfer
Procedure and Moving on Procedure
During the referral process all prospective individuals are encouraged to be
involved in all aspects and stages of the referral. There are no emergency
admissions accepted at any scheme.
Referral and Allocation Procedure (Housing Services)
The majority of referrals will come through local Community Mental Health
Teams or their equivalent however, on occasion referrals will be considered from
other sources, for example:
Housing Executive or Housing Association
Other statutory and/or voluntary agencies
Self (must be supported by the completion of a referral form by a statutory
worker or housing officer).
When a vacancy occurs and the scheme does not have a waiting list, potential
referrers will be informed.
The referral process begins with the first contact from a referral agent or
individual. The relevant Registered Manager or nominated staff member will set
a date and time for a visit or meeting and advise those attending of the name of
the person who will meet with them.
Initial Scheme Visit:
At the initial visit the prospective Resident will be shown around the scheme and
introduced to staff, volunteers and other Residents. Appropriate information will
be discussed as follows:
The Social Care context of our work including the use of Recovery Support
12
Plans and the balance of support and care
Rent, other charges and bank account details
Tenancy requirements and name of Landlord
Resident Rights and Responsibilities
Resident Guide
Recovery and Wellbeing
Safety Management
Physical Health Issues
The referral process and documentation required
Referral Made and Documents Received:
It is preferred that the applicant complete as much of the Referral Form as is
possible although some details may require the assistance of the referrer. The
applicant and referrer will complete as much as possible and sign the form. Any
blank areas will be discussed at the Referral Meeting.
The Referral Form will be accompanied by:
A Housing/Transfer Application Form (Northern Ireland Housing
Executive)
An up to date Risk Screening Tool (where applicable) (statutory form).
A Comprehensive Risk Assessment (where applicable) (statutory form).
A Physical Health Questionnaire completed by the applicant.
Any other relevant correspondence or information
The manager or designated staff member will organise a Referral Meeting with
the prospective Resident and referral agent at which the Referral Form will be
discussed and the Member Agreement and Initial Support Plan section of the
form completed.
Applicants for accommodation are required to have a bank account and sufficient
funds or entitlement to benefits that will cover the costs of accommodation
and/or support. Charges and tenancy arrangements will be discussed.
The Risk Screening Tool and/or Comprehensive Risk Assessment will be
discussed and immediate issues included in the Initial Support Plan. Where a
phased transition is required a Safety Management Plan will be completed on
arrival.
Safety issues in relation to the management of medication will be discussed, with
the level of support required, agreed and documented in the Initial Support Plan.
For all referrals a Safety Management Plan will be completed prior to the initial
review.
The Physical Health questionnaire will also be discussed, with identified areas of
13
concern followed up with a Physical Health Assessment being given or sent to the
GP or Specialist Nurse for completion and return to the Scheme Manager.
Where a prospective Resident has an illness or condition that may require a
particular intervention or type of support from staff, a Health Alert will be
completed to indicate the nature of that intervention.
A decision will be made as to suitability of service and applicant, and an
indication of a start date shared at the end of the meeting or as soon as possible
thereafter. The outcome of the meeting will be confirmed in a letter to the
applicant and copied to the referral agent. If a referral is unsuccessful or declined
the reason is noted in the appropriate section of the Checklist for Referral and
Moving On and the appropriate letter sent. Where an applicant is unsuccessful all
statutory forms will be returned to the referrer.
For reference the Registered Manager will maintain a file for all referrals and/or
applications that do not progress beyond this point.
Moving on
A Resident may move on from the service in one of the following ways:
Planned Move
Breach of Tenancy
Death
Planned Move
The need or wish to move on from a service is discussed and agreed with the
Resident and forms part of the objectives of the Recovery Support Plan and, were
applicable is discussed at a review. Where this move is to another inspire facility
or a similar service, preparation and planning will involve staff from the new
service. A transition plan will be agreed with the Resident and their statutory
worker.
Residents moving on must give four weeks’ notice in writing to the Registered
Manager and all charges must be paid in full to the final date of notice.
Timescales and protocols for the termination of the relevant Tenancy Agreements
will be followed.
Breach of Tenancy:
A Resident may be asked to leave if they are not complying with the terms
and conditions of their Tenancy.
A Resident may be asked to leave when the service can no longer meet
assessed need or because of unacceptable behaviour.
Behaviour likely to breach Tenancy will initially be addressed through the
support planning and review process with the involvement of statutory
workers, Housing Association personnel and a Service Manager, were
14
possible.
A letter of termination giving 4 weeks’ notice will be issued by the relevant
Housing Association and suitable alternative accommodation will be arranged
before their departure. The Resident has a right to appeal to the Service Manager
or to make a formal complaint using the Complaints Procedure
Were a Resident has not been using their accommodation for a period of time the
Scheme Manager will inform the relevant Housing Association to enable the
Abandonment process to commence.
Death:
In the event of the death of a Resident this should be recorded in the Residents
file and the file closed.
If the death of a Resident occurs within an Inspire Supported Housing facility a
Notifiable Events Form must be completed for RQIA, and the relevant Health &
Social Care Trust and Supporting People personnel.
Where a Resident has requested support with, and completed the relevant End of
Life Arrangements documentation the guidance contained therein will be
followed and the relevant contacts made.
15
10. Arrangements for residents to engage in social activities, hobbies
and leisure interests
Social activities, leisure and hobbies are arranged on a scheme basis and residents
are involved in a range of ways through, Support Plans, Inspire Recovery tool,
WRAP plans and individual choice. Staff also arrange group activities to afford
residents the opportunity to try new experiences.
In single person accommodation
there are no limits on access to
engagement with family and
friends. In group living houses
residents are asked to respect
the rights of other people living
within the home.
List of scheme activities:
Cooking/Baking
Gardening
Art
Relaxation Sessions
Aromatherapy
Cinema
Social outings
Day trips
Walking
Swimming
Snooker/Pool
Shopping
*Please modify to reflect what is on offer at your scheme
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11. Arrangements in place for consultation with residents about the
operation of the scheme.
Residents meetings take place on a regular basis which provide a forum for
consultation, sharing of ideas, suggestions and comments and an opportunity to
express their concerns, views and opinions. This meeting also provides the
residents with a forum for discussion, information sharing and the residents are
consulted over strategic and procedural issues. Minutes are recorded and made
available to all residents.
Other opportunities for residents to express opinions/views/concerns are
available and include; the Quality Monitoring Report, Annual Satisfaction
Questionnaires, SURF, scheme visits by the CEO/Director of Inspire Mental
Health, Inspections (Internal and External) and Advocacy (Internal and External)
Residents are also encouraged to participate in “Hands Up” a forum to hear the
views of Inspire Mental Health service users (previously Beacon Voice). “SURF”
( Service User Reference forum) is a representative group which meets with the
Director to discuss issues at a more strategic level.
The aim of SURF is to give Resident’s a ‘voice’ within the organisation.
SURF enables people to:
Share views, experiences and opinions in order to influence the policy,
direction and future planning of services within inspire.
Enhance and develop communication with Resident’s at all levels, between
Resident’s and staff, and between Resident’s and the Inspire Board.
Monitor and review Resident involvement within Inspire
Monitor the implementation of the Inspire strategic objectives.
Assist in the promotion of the Inspire Social Care Model for Flourishing
Mental Health.
Assist with the development of training initiatives for Resident’s.
Organise events to promote Resident involvement
Promote Resident involvement within Inspire and in other organisations
Influence policy and lobbying within Government and local areas.
17
12. Fire Precautions and Emergency Procedures
Inspire, so far as is reasonably practicable, will manage in compliance with Part 3
of the Fire and Rescue Services (Northern Ireland) Order 2006 and the Fire
Safety Regulations (Northern Ireland) 2010.
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.
As detailed in our Policy and Procedure manual the Fire Safety Procedure (C-14-
1) aims 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 Resident’s, visitors and members of staff can be safely and
quickly evacuated.
(Please refer to complete policy document)
Emergency Procedures C-14-10-1
The Registered Manager or in her absence the staff on duty will be responsible for
initiating and co-ordinating the response to the emergency pending the arrival of
the Registered Manager and/or Service Manager.
The senior member of staff in charge should contact the appropriate emergency
services immediately e.g. fire, ambulance, police
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This procedure should be followed in the event of an emergency e.g.:
Flood
Fire
Gas Leak
Security Alert
This procedure requires the evacuation plan to be followed.
All of the above represent serious emergency situations which place persons or
property at risk and evacuation has to be actioned as an immediate response. In
such an event, it is likely that the evacuation will involve being away from the
scheme for a period of time.
13. Arrangements for meeting resident’s Spiritual Needs
Information on any religious/spiritual establishment and services is either on
display in a communal area within the scheme or contained in the Resident
Guide.
If residents require support or accompaniment to access their service of choice
this can be facilitated and form part of the Resident’s support plan.
14. Arrangements in place for social contact.
Residents are encouraged to maintain contact with family, friends and those
important to them. Residents have an opportunity to invite family, friends etc. to
reviews and inspections and to engage in satisfaction surveys.
If residents require support or accompaniment to engage in any form of social
contact this can be facilitated and form part of the resident’s support plan.
Staff also arrange carer’s evenings to encourage social engagement and
involvement.
15. The arrangements for dealing with complaints/compliments and
Concerns.
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Arrangements for complaints are detailed in our Policy and Procedures under
Complaints, Compliments and Concerns Q-1—6.
The Complaints Procedures relate to ‘any expression of dissatisfaction requiring a
response’. Complaints will be acknowledged, investigated and respondent
notified as per Policy. Niamh Complaints Procedure does not deal with
complaints about services that are not provided by Niamh. These should be
referred on to the appropriate organisation and the complainant should be
supported with this.
In cases where a minor issue is raised or a minor concern expressed, this should
be recorded as a ‘low risk concern’. Low risk concerns are defined as concerns
that 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.
Compliments
Compliments will be acknowledged, collated and shared, and given the same
validity as perspectives received as complaints or concerns.
A summary of compliments received will also form part of each scheme’s annual
report.
When a compliment is received, the person will be encouraged to complete the
compliment form.
16.The arrangements made for dealing with reviews of the residents
support plan
Residents of Inspire Housing schemes now have the opportunity and choice to
participate in the completion of their files, all are actively encouraged to be
involved in their monthly summaries, (where applicable), support plans and
support plan reviews.
The review should be implemented as informally as possible.
The Resident’s daily notes and support plan form an integral part of the
review.
The review report should be completed prior to the review with the
Resident
Review of any risk vulnerability issues should be part of the review.
Next review date should be agreed at the meeting.
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PLANNING & REVIEW PROCEDURE
The Review Procedure will be implemented by the Registered Manager or
nominated person in consultation with the resident. Invitations should be
extended to the referral agent/ keyworker/Carer to participate in agreement with
the resident. If they are unable to do so, they should be invited to make
comment.
Stages of the Review Process
First Review @ six weeks:
The date for the Initial Review meeting is set at 6 weeks in advance of the start
date. Attendees will be reminded one week in advance of the date. The
Resident will be asked if there are any others they would wish to be involved.
The meeting will use the Initial Review to discuss any matters arising and to
make recommendations for the Recovery Support Plan. Anyone unable to
attend the review may submit a comment for consideration prior to the
review. A copy of the Initial Review Form may be sent to the referrer if
required
Second Review @ six months and Planned Reviews:
Subsequent reviews will use the Recovery Outcome Review, the first page of
which is an opportunity for the Resident and their Beacon Key Worker to
summarise the individual’s recovery journey using the following
headings/documents:
Members Notes
Recovery Support Plan (including outcomes)
Strengths Assessment
Safety Management Plan
Any other changes/achievements/incidents/outcomes relevant to your recovery journey
The pre-review Service Questionnaire will also be completed with any issue
raised becoming part of the Review Meeting. The Review Meeting will be
coordinated by the manager or nominated person who will liaise with the service
user and extend a letter of invitation to the statutory key worker along with any
others the Resident may wish to be involved.
Supplementary Review
In response to changes, concerns, issues or incidents, a supplementary review
may be arranged. Those present will receive a report on the relevant issues and
21
agree appropriate changes to the Safety Management Plan and /or the Recovery
Support Plan. The Registered Manager will ensure the referrer/ statutory key
worker and relevant others are informed and involved.
Resident’s Rights
Staff must work with the residents in a courteous manner which respects their
individuality, safeguards their rights and exemplify the core values of the service.
This includes their rights as citizens including their Human Rights, welfare
rights, tenancy rights and where necessary protection. This will be achieved
through partnership working with the resident and the relevant statutory
agencies.
While Residents 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 in the first instance, make their wishes
known to the Registered Manager or they can initiate the Inspire Complaints
Procedure.
If a resident is dissatisfied with the Inspire support service the Registered
Manager should address this with the resident. The resident has redress to the
complaints procedure at any stage. If a resident consistently wants to change
support provider this should be referred to the statutory key worker to consider
and facilitate this request. Changing to a different support provider will not
impact on tenancy rights.
17. The number and size of rooms in the home.
As this is single person accommodation and group living it is not possible to provide individual room sizes. Residents have an opportunity to view the rooms and assess their suitability prior to taking up residency Choice Housing (landlords) hold plans for all properties.
18. Details of any specific techniques used in the home and
arrangements made for their supervision.
We encourage and support the residents to use techniques that will create a wellness lifestyle such as alternative therapies as reflexology or having a massage. We can arrange and support for this to happen in scheme by sourcing people to facilitate and ensure all practices that are completed are safe for the residents involved or support to attend appointments off scheme.
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Residents are encouraged to participate in activities within the local community and trips are organised to local shopping towns on a regular basis, the residents are encouraged to undertake these as independently as possible by utilising public transport. Within each residents support plan will contain a detailed section on community access and the capabilities of each resident in regards to their skills. Staff can use their cars to support with appointments but this is at no cost to the resident. Residents are encouraged to be involved in all aspects of their care and support and Shiels Court embraces Inspire’s ethos placing considerable value on the resident participation and believes this to be the core to delivering high quality innovative services in partnership with the resident.
19. The arrangements made for respecting the Privacy and Dignity
of Residents
The core values of Inspire include dignity, choice, integration and respect. Dignity and respect are maintained and upheld by ensuring the resident is involved in every aspect of his/her care and support.
Ensuring resident preferences in relation to name, activities, personalising their homes are some examples.
Ensuring visits by staff to the resident’s home is at a mutually agreed time and staff are punctual. All residents have a key worker who will spend specified time with the resident dealing with their individual support issues and also having some social time together.
20.Recovery
Inspire aaccommodation is a community based recovery orientated service providing a range of accommodation and social care for adults with lived experience of mental ill health. Prospective Residents are involved in all aspects and stages of their journey with inspire mental health values diversity, promotes inclusion and practices equal opportunities at all times. We are committed to ensuring that no one is discriminated against in accessing, receiving or leaving the service and staff will endeavor to provide information in a range of formats suitable to meet individual needs.
21.Quality and Governance
In addition to Inspire’s own organisational standards we continually strive to maintain and improve on the requirements of the following quality assurance standards. In December 2011 they were assessed by external auditors and were given a ‘Gold’
23
award. The EFQM excellence model (Gold award) was awarded in 2012.
All staff involved in supporting and caring for Residents 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). A comprehensive essential training programme is in place for Inspire staff and volunteers. There are opportunities for Residents to avail of specific training courses. Announced and unannounced visits to the housing schemes are completed regularly by Inspire Service managers who are not in direct line management to the scheme. This is to ensure objectivity and transparency. Residents are given the opportunity to be 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. Inspire is registered with the Regulation and Quality Improvement Authority as a Domiciliary Care provider from 2009.
22.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 Resident’s in a holistic way which respects their
individuality to avoid labelling and putting Resident’s in behavioural or diagnostic
pigeon holes.’ We do not however use restraint unless a careful needs assessments
based on strengths, risk assessment and support planning is required to engage
with Residents positively when they present with challenging behaviour.
Careful assessment should ensure staff are aware of why the resident presents in the
way they do. This could include:
Socially inappropriate behaviour
Non-compliance , withdrawal or passivity
Aggressive or destructive behaviour
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Self-harm.
To support a resident 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.
23.Storage and Administration of Medication.
All Residents are registered with a General Practitioner. He/she will
prescribe the Resident’s medication. Medication may also be prescribed
by the Resident’s’ psychiatrist.
The administration of medication is the responsibility of appropriately
trained staff.
Medication is stored in locked purpose made medicine cupboards. The
keys are kept in a separate locked cabinet or in the custody of the person
in charge.
Residents who are self-medicating will be provided with lockable
cabinets or drawer for the safe storage of their medication. Before this is
agreed a comprehensive assessment is undertaken in partnership with
the Resident, Resident’s GP, Consultant Psychiatrist and named Key
worker within the unit.
Further information on the safe handling, administration, storage and
disposal of medication is available in the Policy and Procedure manual.
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24.Date approved and implemented
This Statement of Purpose’ was approved in 10th January 2017 2016 and will be implemented from 12th January 2017.
25. Date of review and record of changes made
This statement of purpose is a working document and will be amended as
required. Statement of Purpose’ are usually reviewed every two years and
circulated to all relevant parties. The next date of review will be March 2018.
The updated version will be emailed to: P Walker R Reynolds A hard copy will be held at the scheme office. A hard copy will be held by the Service Manager responsible for the scheme. A hard copy will be sent to the RQIA