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AN INTRODUCTION TO

WALTHAM HALL NURSING HOME

Melton Road, Waltham on the Wolds,

Melton Mowbray, Leicestershire, LE14 4AJ

Telephone: 01664 464 865 e-mail: admin@walthamhall.com

AUGUST 2015

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Contents

Description Page

Introduction 3

Aims and Objectives 3

Registered Provider and Registered Manager 4

Management and Staffing Structure 5 Environment 6

Management & Senior Staff 7

Our Staff Coming to Live at the Home 8

Privacy and Dignity Equality and Diversity 9

Social Life 10 Dining and Catering Arrangements 11

Service Users Plan and Healthcare 12

Medication 13 End of Life Care

Lake View Court 14

Complaints Procedure 15

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Introduction:

Waltham Hall Private Nursing and Residential Home is dedicated to the provision of the highest standards of care for its service users. Waltham Hall specialises in care of the elderly, physical disability, rehabilitation, complex care, re-ablement, care of long term conditions and end of life care. We have respite beds which can be short or long term and with over 20 years experience, we pride ourselves on offering a highly professional care service, with a personal touch. When people have worked hard throughout their life and have been committed to helping others, we think they deserve extra cherishing. They need a home where individuality is emphasised, with staff that have time to give attention to small detail and where they have the choice of enjoying the company of like-minded fellow residents. This introduction has been prepared to show that the Proprietors and Management of Waltham Hall Nursing and Residential Home is following current legislation and is adhering to the National Minimum Standards for Care Homes for Older People. It is available to be read by residents, their families, friends and advocates. It will be reviewed regularly and we welcome any comments or suggestions you may wish to make.

Aims and Objectives:

To provide all Service Users with respect so that individual rights, privacy and dignity are maintained and protected at all times. To provide all Service Users with a quality of care which will enable independent living as much as possible. To provide all Service Users with an individualised person-centred plan. This will aim to meet their physical, psychological, spiritual and social needs and will be written in consultation with them. We recognise the great diversity that exists in each individual and welcome the opportunity to identify and value these differences. To provide all Service Users with a comfortable, clean and safe and friendly environment. To ensure all members of staff promote a friendly, welcoming and open atmosphere and given the opportunity for ongoing progression and training. To provide a flexible and welcoming visiting system which encourages family members and visitors to participate in the care given.

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Registered Provider/Proprietor: Mr P Robinson

Registered Manager: Mrs Jane Fielder, RGN, RMA, Diploma in Palliative Care Mrs Fielder has been Matron/Manager of Waltham Hall since October 2001 and was Deputy prior to that. She has many years experience of care of the elderly and is deeply committed to the Home.

Contact Details: Waltham Hall Private Nursing and Residential Home Melton Road Waltham on the Wolds Melton Mowbray Leicestershire LE14 4AJ Tel: 01664 464865 Fax: 01664 464881 Email: admin@walthamhall.com Website: www.walthamhall.com www.facebook.com/ClareGrange.Limited

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WALTHAM HALL NURSING AND RESIDENTIAL HOME

ENVIRONMENT

Waltham Hall is a large, well designed and beautifully furnished home. The stunning building has been enhanced and developed over the years to create an environment that promotes the delivery of good care, every day. Staff members receive on-going training and work alongside the management to ensure that Waltham Hall is compliant with CQC and Quality Framework standards. We have 69 en-suite bedrooms, 11 non en-suite rooms. For residents without en-suite facilities we have large communal bathrooms and toilet areas, eight in total. These are positioned close to the bedrooms that are not en-suite. Each bedroom has a nurse call system in place which is checked daily. The Communal areas and bathrooms also have a nurse call system. The grounds are extensive, beautiful and full of character. They have been established for many years and contain wonderful foliage, wildlife and majestic trees. There are walkways through the wooded area with patio areas for outdoor eating and lawns for picnicing. The grounds are particularly attractive in early spring when they are full of daffodils and snowdrops. We have four communal lounge areas and three dining areas. There is a lounge area available for private meetings and parties. One lounge area is used for the monthly religious service. There is a large kitchen onsite to provide all catering as well as a laundry and a hairdressers. The home has lifts, ramps and hand rails to aid wheelchair users and those residents who are mobile but require support when walking. There is a good heating and lighting system and emergency lights are checked every six months. Water is stored in accordance with legionella regulations and water temperatures are checked at least every two weeks. There is a thorough and robust health and safety policy in place covering all aspects of infection control, hygiene, food safety and manual handling.

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Residents are given surveys to fill out and these are used to make changes and improvements. The registered provider has an annual development plan that he reviews regularly with the manager. Policies and procedures are reviewed annually by the manager. New legislation is implemented and put into practice as necessary. All financial procedures are thorough and follow safe working practices. Records are kept of all financial transactions for the business and the residents. The home is fully insured as required. We are totally committed to good safe working practices. We have a thorough and comprehensive health and safety policy. MANAGEMENT AND SENIOR STAFF Mr P M Robinson is the owner managing director and registered provider of Waltham Hall. He is supportive and enthusiastic at all times towards the staff and the residents and is always looking for ways to improve and develop the home further. Mr Robinson has daily contact with the home. Mrs Jane Fielder is the Registered Manager at Waltham Hall. She is an experienced Registered General Nurse (RGN) who has managed the home since 2001. Before managing the home she worked as a nurse, first coming to work at the home in 1992. The manager has achieved NVQ level 4 (RMA) has a diploma in Palliative Care and has studied a nutrition course through the Open University. The manager attends meetings and study days to keep up to date in all relevant areas. These include: Infection control, Vulnerable adults, Medication, Tissue viability, End of life care, Mental capacity, Deprivation of Liberty, Leadership and Management, Mental health and dementia. The qualified nursing staff keep up to date with issues relevant to care of the elderly and regularly attend study days. These include: Continence care, Tissue viability, Palliative care, Diabetes, Dementia, Vulnerable adults, Mental capacity and Health and safety. The registered provider is responsible for the ongoing re-decoration, furnishing and structural maintenance of the home and the financial administration of the home. The manager takes responsibility for staff, residents and all issues relating to them. The manager and registered provider have a good working relationship built on trust and respect and are able to discuss all matters openly and make decisions jointly. The leadership style of the home is built around mutual respect and understanding. Good communication and team work are encouraged. An open and friendly working atmosphere is enjoyed. The manager is available during the day for staff and service users, and an appointment can be made if necessary.

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OUR STAFF We have good staff numbers on duty and an excellent skill mix. This is needed to cover the wide range of needs that our client group has. Sixty per cent of our care staff are trained to at least NVQ2. Five members of staff are at present working towards NVQ3 or above. Four members of staff have achieved NVQ4. One member of staff has the Foundation Degree in Palliative and Supportive Care. Our domestic staff work extremely hard to provide a clean and fresh smelling environment. Catering staff and general assistants help to provide attractive meals and dining areas. Our recruitment policy is thorough. Two references are always obtained and a CRB check before employment commences. At least one reference must be from a previous employer. All qualified nursing staff are checked with the NMC register. All new staff receive an induction pack that contains the GSCC code, policies relating to vulnerable adults, equal opportunities, company rules and terms and conditions. All new staff receive a thorough induction programme that directly relates to the group they are looking after and the environment they live in. New staff are fully supervised and mentored until they feel capable of working without supervision and have been assessed as safe to do so.

COMING TO LIVE AT THE HOME All prospective residents are sent a brochure and information pack about the home. The Matron of the home will arrange to visit every prospective resident either at home or hospital. Trial visits are encouraged so that the home can be seen on a normal working day. Facilities and grounds can be viewed at leisure. A meal can be taken and questions can be asked about the home and the care provided. A thorough needs assessment will be carried out and this will form the basis of any future care plan. All private paying residents have a contract with the home. Residents placed through the local authority also have a contract. These are kept in personal files in the administration office.

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Prospective residents always appreciate meeting the Matron of the home, particularly if they cannot visit the home before their admission. Families are always grateful for this arrangement. Trial visits are also appreciated by prospective residents and their families. Feedback is always positive with comments about how friendly and polite the staff are and how beautiful the home is. As a dual registered home we have a wide range of residents with a variety of needs. We have good communication with members of the multi-disciplinary team such as podiatry, occupational therapy, physiotherapy, nutritionists, speech therapists, religious representatives and many more. We hope to meet every need and enjoy a new challenge. PRIVACY AND DIGNITY We aim to treat all our residents with respect and dignity at all times. We view the right to privacy as most important and promote this as much as possible. Private rooms are available for family functions or such other meetings that family and service users may wish to arrange. Our keyworkers system is designed to ensure that service users are able to request any changes to their daily routine and concerns and issues can be dealt with quickly. Mail is delivered personally to residents. Telephones can be installed in bedrooms and residents are able to access the use of a telephone in a private room if necessary. The views of people who use our services We do the following to ensure that the views of people who use our services are promoted and incorporated into what we do: Our keyworker system ensures that each service user has a monthly meeting (or more). Notes from meetings are placed in keyworker files. Six monthly service user meetings are held in the residents lounge. Service user surveys are sent out on a regular basis Equality and Diversity An equal opportunities policy is in place and is read and understood by all staff. We promote equality at all times regardless of gender identity, disability, sexual orientation, age, religion or belief.

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SOCIAL LIFE Preferences in areas such as getting up in the morning, going to bed, meal times, where to eat meals, where to spend the day and daily routine are always taken into account on an individual basis and are incorporated into care plans and passed on to keyworkers. Individual preferences for activities are recorded and passed on to the social activities group. Notices of forthcoming social events are posted in lounges and reception areas and are also included in the monthly newsletter. Service users are encouraged to have visits from friends and relatives as and when they want to. Relatives who wish to stay for meals are encouraged to do this. Visitors can be received in private or in the communal areas – whichever is requested. All visitors must sign the Visitors Book on arrival and departure and must observe Health and Safety and Fire procedures whilst on the premises. All official visitors must produce identification before being admitted to the home. Contact is maintained with the local community by accessing local newspapers for events taking place. Trips are arranged into the town via mini bus, public transport or taxi. All service users are encouraged to handle their own financial affairs. If this is not possible, relatives may have power of attorney or the court of protection may be initiated. Personal possessions and furnishings are welcomed and residents are encouraged to bring these if they wish. This all helps to create a familiar and reassuring environment. Younger service users may have specific needs which will be discussed and catered for at the time. Our residents enjoy singing sessions, bingo, quizzes, board games, card games, arts and craft, flower arranging and personal pampering sessions. Social outings are arranged as often as possible and these include trips to the local pub, shopping, markets and picnics and cream teas in the grounds.

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DINING & CATERING ARRANGEMENTS Meals are served in our dining rooms or in the residents’ own room, whichever they desire. Mealtimes gave a degree of flexibility due to residents needs. A sample menu for the week is attached. We offer a wide variety of well-balanced nutritious meals. A hot meal is available at lunch time and for supper and a cooked breakfast is always available. Menus are changed regularly and residents are asked for personal choices. Individual likes and dislikes are catered for as far as possible and recorded in care plans. Snacks and drinks are available between meals. Special diets are catered for such as: soft, liquidised, diabetic and high protein. Swallowing assessments are recorded and placed in folder to be referred to during mealtimes.

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Service Users Plan and Health Care All service users have an individual, person-centred and comprehensive plan of care. The plan aims to look at all activities of daily living whilst incorporating psychological, social and spiritual needs. Wherever possible, the plan of care is drawn up with the help of the service users and relatives, if appropriate. All health needs are assessed by the nursing staff and the relevant referrals made to clinical specialists in the multi disciplinary team as required. All care plans are reviewed daily. Specific problems and areas of concern are reviewed at least monthly and usually weekly. Areas of risk are clearly documented and specific risk assessments drawn up as required. Mobility, safety and risk of falls are always assessed on admission, reviewed regularly and reassessed monthly or when changes dictate. Care plans are available for service users to read at any time. Service users banded as “residential” will have nursing tasks carried out by the district nursing team. If their needs change then reassessments will be arranged through the relevant nurse assessor. Service users banded as “nursing care” will have nursing tasks and needs attended to by the registered nurses working at the home. Changes in needs will be reassessed by the relevant nurse assessors. Oral hygiene and dental care are recognized as areas of high priority. Regular referrals are made to a local dentist who is able to provide a domiciliary service. The staff are trained to check oral and dental care as part of their daily care routine. All service users have a waterlow assessment carried out on the day of admission, this will indicate the need of pressure relieving equipment and risk management related to skin integrity. Existing pressure sores are documented and referrals made to the relevant tissue viability nurse and the G.P. Nursing staff will assess these daily for “nursing” residents and district nurse referrals will be made for “residential” residents. Care staff are trained in pressure sore prevention by nursing staff. Continence is monitored and assessment requested if required by the local continence nurse.

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MEDICATION The home has a medication policy in place that ensures good practice at all times and keeps the risk of drug errors to a minimum. Only qualified nursing staff and trained senior care staff administer medication. Wherever possible residents are encouraged to be responsible for their own medication and a lockable cabinet is provided in their rooms. A self medication risk assessment is carried out to assess the suitability of the service user to self administer. END OF LIFE CARE The home has a supportive and in depth policy and procedure for end of life care and palliative care. The Matron and all the staff keep up to date with all training in this very important area. The home and G.P. Practices work together to the Gold Standards Framework in end of life care and use the Liverpool Care Pathway as and when appropriate and after full consultation with all concerned. We have good contact with the local Macmillan nursing team and the district nursing team. We have access to trained bereavement counselors and local religious representatives. Good support for everybody is paramount at such an emotional and difficult time.

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LAKEVIEW COURT: 13 LUXURY APARTMENTS DESIGNED FOR THE OVER 55′S LAKEVIEW COURT AT WALTHAM HALL offers a progressive style of person centred care enabling residents to remain independent for as long as possible. Each apartment boasts stunning views of the immaculate gardens, courtyard or rolling countryside beyond. Every property comprises of a spacious lounge, fully fitted kitchen, bedroom and wet-room style bathroom. The apartments are enhanced with Axminster carpet’s through-out, real oak doors, luxurious handmade curtains and efficient under-floor heating. Most properties enjoy their own balcony or have the benefit of direct access to the south facing sun terrace. There is a communal lounge for social and group activities. Residents of the apartments are offered full access to the maintained grounds of the Hall and each property is allocated a parking space. The communal areas are monitored by CCTV and the main doors have a keypad entry system. Each property is linked to the nurse alert system which provides reassurance in an emergency. As landlords for over 40 years and care providers for over 25; Lakeview Court combines both areas of this companies expertise with the delivery of this prestige development; designed to take you from retirement life to later years in comfort. Starting from £500pcm for each property (excluding bills) this is an affordable and stylish option for anyone looking to live well on a budget.

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COMPLAINTS PROCEDURE We always thoroughly investigate all complaints that are received from residents, relatives or staff. There is a clear complaints procedure displayed in the reception area and handed to all new residents with their introductory paperwork. There is a 28 day time scale for answering complaints. The Matron will personally meet with any person making a complaint if this is possible. All residents have access to advocacy and legal representation. We ensure that every resident has access to a postal vote or is taken to a polling station. We have an adult protection and whistle blowing policy that is easily accessible and easy to use. Any allegations of abuse are taken very seriously and thoroughly investigated. We have a robust and thorough whistle-blowing and safeguarding policy in place. Confidentiality is maintained at all times.