CLARENBRIDGE NURSING HOME STATEMENT OF PURPOSE Rev : 01/02/2016 INDEX P1 Introduction P2 Certificate of Conditions P2 General Conditions & Capacity P3 Mission Statement P4 Governance & Management team P6 Organisational Structure P8 Management Team & Staffing P9 Staff Recruitment P10 Admission, Discharge & Temporary leave P11 Services Provided P12 Facilities to be provided P14 Categories of Care P16-19 Layout, Number & size of bedrooms. P19 Care Plans P20 Contract of Care P20 Visiting times & Family Involvement P21-22 Residents Personal Care & Property P22 Spiritual Needs P22-23 Alcohol, Drug & Tobacco Policy P24 Fire Safety P24 Complaints Policy P27 Key policies in Clarenbridge Nursing Home Page 1 of 27 Statement of Purpose Review Dec 2015 Certificate of Registration & Conditions & Capacity Clarenbridge Nursing Home Ballygariff Craughwell Co. Galway Tel: 091 777700 Registration Number:0764 Date of Reg 03/07/2013 Date of Exp 02/07/2016 Person in Charge: Frances Neilan 091 77 77 00 1. The designated centre Clarenbridge Nursing Home shall be operated at all times in Compliance with the Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013 and the Health Act 2007 (Registration of Designated Centre for Older People) Regulations 2009 (as amended, consolidated, restated or replaced from time to time) and in compliance with all other regulations made under the Health Act 2007 as amended from time to time. 2. The designated centre Clarenbridge Nursing Home shall be operated at all times in compliance with all other legislation, regulations and standards which are applicable to it. 3. The designated centre Clarenbridge Nursing Home shall be operated at all times in accordance with and shall only provide the services set out in its Statement of Purpose, annexed hereto, as delivered and amended from time to time in accordance with Regulation 3 of the Health Act 2007 (Care and Welfare of residents in designated centres for Older People) regulations 2013 (S.I. No. 415/2013) (as amended, consolidated, restated or replaced from time to time). 4. No person under the age of 18 years shall be accommodated at the designated centre Clarenbridge Nursing Home at any time. 5. The maximum number of persons that may be accommodated at the designated centre Clarenbridge Nursing Home is 56 Page 2 of 27 Introduction The purpose of this Statement of Purpose is to provide you with the necessary information to decide on whether Clarenbridge Nursing Home is an appropriate place for your loved one. The Statement of Purpose is a requirement under The Health Act 2007 & The Care & Welfare Regulations 2013 & The Registration of Designated Centre for Older Persons Regulations 2009. General, long-term care is offered to those requiring extended care or those needing some level of nursing care. Mission Statement We aim to provide a homely and caring environment with excellent standards and to provide a high quality of care to all our residents. We respect the right of privacy and dignity of each resident. Our staff will be polite and courteous to residents and their families. We will continuously endeavour to improve the services we provide. We respect the dignity and unique worth of each resident, fostering an holistic approach in all aspects of care. We are committed to promoting the wellbeing of our residents – socially, physically, psychologically and spiritually. The opinion of our residents, their families and visitors is highly valued and we would encourage you to provide us with feedback that will help us to improve our service. We will endeavour to always comply with the Health Act 2007, The Care & Welfare Regulations 2013, and The National Quality Standards for Residential Care Settings for Older People In Ireland 2009 & all other relevant legislation and standards. Page 3 of 27 Governance & Management Clarenbridge Nursing Home is a private nursing home whose Providers are: Denis McElligott and Pat Kennedy. Name: Mr Denis Mc Elligott Address: The Windmill Group, Churchtown, Mallow, Cork Qualifications: R.P.N., R.G.N. BSc Nursing Relevent Experience: Denis has 30 years’ experience in the healthcare sector. He is a qualified community psychiatric nurse with experience of management responsibility at Hampton Community Mental Health Team 1991-1997 (UK). He was Hospital Director of Priory Hospital Group 1997-2002 (London and Woking, UK). He was Person in Charge of Windmill House Nursing Home 2003-2005. He is the registered provider at Abbot Close Nursing Home and Killeline Nursing Home 2006 – present. He is the joint registered provider of Ferbane Nursing Home. Phone: 087 9067664 Email: [email protected] Name: Mr Pat Kennedy Address: Windmill, Churchtown, Mallow, Cork Qualifications: B.B.S, ACMA, CIMP. Phone: 086 2942737 Email: [email protected] Experience: Pat has previous experience as the MD of the OSB Group Ltd (construction and interior fittings), responsible for 120 employees 1994-2004. Pat is the registered provider at Windmill House Nursing Home (40 beds) 2004-present. He is the registered provider at Abbot Close nursing home (60 Page 4 of 27 beds) 2006-present. Registered provider at Killeline Nursing Home (63 beds) 2007-present. He is the joint registered provider of Ferbane nursing home. Key skill and experience: Pat is a qualified accountant with experience in credit control, treasury management in related financial matters. The Person-in-Charge / Director of Nursing is: Name: Frances Neilan Address: Clarenbridge Nursing Home, Ballygarriff, Craughwell, Galway Person in Charge/Director of Nursing Qualifications: R.G.N. RPN. Masters in Health Care Management, BSc Nursing. Relevant Experience: Frances is a registered general Nurse and also a registered Psychiatric Nurse. Frances has in excess of 30 years working in healthcare both at clinical level and managerial level. She has spent the last 15 years working in managerial positions as CEO and Director of Nursing in the private nursing home sector and as an accreditation manager for the implementation of JCI standards in the independent hospital sector. Frances has an MSc in Healthcare Management from Trinity College, Dublin and a Higher Diploma in Gerontology from NUIG in addition to a BSc in Nursing from NUIG. She has extensive experience in the acute and community sector in the HSE at clinical management level. Phone: 091777700 Email: [email protected] Arrangements for the management of Clarenbridge Nursing Home in the absence of the PIC. The Clinical Nurse Manager II deputises in the absence of the Director of Nursing and is supported by a Clinical Nurse Manager I. The CNM II is Ms. Nuala Connolly Name: Nuala Connolly Address Clarenbridge Nursing Home, Ballygarriff, Craughwell, Galway. Position: Clinical Nurse Manager II Page 5 of 27 Qualifications: R.G.N Experience: Nuala is a Registered Nurse with 12 years nursing. Nuala has particular interest in brain and spinal rehab and has 6 years’ experience in acute high dependency neurological unit in Guys and St. Thomas, NHS London. She also worked for two years in Dareth Valley Hospital in Kent as a respiratory nurse specialist. She maintains her competency in the acute brain injury area by attending training days and conferences. She has particular responsibility over the Hollylane unit. Phone: 09177770 Email: info@clarenbridgenursinghome. Organisational Structure Clarenbridge Nursing Home has a clearly defined management structure that identifies the lines of authority and accountability, specifies roles, and details responsibilities for all areas of activity. This management structure, and details of the complement of staff employed by Clarenbridge Nursing Home, is detailed in P7 Page 6 of 27 ORGANISATIONAL CHART Registered Providers Mr Pat Kennedy & Mr Denis McElligott Director of Nursing/ Person in Charge Frances Neilan Deputy DON Clinical Nurse Manager II Nuala Connolly Activities Co-ordinator Rev : 01/02/2016 Therapies Occupational Therapists& Physiotherapist Executive Chef Clinical Nurse Manager I Chef(s) Nursing Staff Kitchen Assistant(s) HCA(s) Reception, & Administration Staff Housekeeping Staff & Maintenance Management Team & Staffing Compliment Position No. Employed No. of whole time equivalents Management Registered Provider 2 2 Director of Nursing 1 1 Clinical Nurse Manager II 1 1 Clinical Nurse Manager I 1 1 Nursing staff – RGN 12 9.6 Health Care Assistants 48 27.62 Executive Chef 1 1 Head Chef 1 1 Kitchen Support 2 2 Administration 3 2.5 Activities 1 1 2 2 Occupational Therapists 2 1.5 Physiotherapists 1 1 House-Keeping Staff 5 3 (1 Snr. Housekeeper) Porter 1 1 Maintenance 1 .75 Nursing Catering Qualified Practitioners Rev : 01/02/2016 Sonas Staff Recruitment All staff members participate in a planned induction and orientation programme which is comprehensive and covers all aspects of the care in the centre. Recruitment is specifically geared towards recruiting staff with the range of skills needed to provide comprehensive care to all our residents. This recruitment process is supported by a number of in-house specialised training programs to enhance and strengthened the skills of existing staff. Ongoing training and education is planned and promoted. Clarenbridge Nursing Home is an Equal Opportunities Employer. All staff are recruited in line with our recruitment policy and are reference checked before commencing their employment. All staff must undergo An Garda Siochana vetting. We try to ensure that all of our staff receive the best training possible to help them to do their jobs properly. Upon commencement of employment with us all new staff are mentored by senior staff as per policy. Page 9 of 27 Admissions, Discharges & Temporary Leave from the Nursing Home The Director of Nursing is informed of potential residents by referral from hospitals, social workers, GP’s, HSE or other Nursing Homes. Admissions to the nursing home are planned and in the case of long term admissions will be preceded by the DON visiting the prospective resident either in their own home or in hospital to do a pre assessment on the resident. The prospective resident and/or their family member(s) or representative is invited to come and visit the nursing home prior to admission. This enables them to get a full understanding of what is offered on site. Whilst the Registered Provider and/or The Person In Charge are more than happy to meet with every prospective resident and/or their family to give them a tour of the facility we would ask that people make an appointment if they wish to meet the DON or CNM to ensure they are available to meet with them. Where it is considered that Clarenbridge Nursing Home is not suitable for the resident, this will be communicated to the referral authority or family of the outcome of the assessment. Where the Director of Nursing/CNM considers that Clarenbridge Nursing Home is suitable to meet the potential resident needs, details of the resident’s preadmission assessment are communicated to the nursing staff. When a bed becomes available in Clarenbridge Nursing Home, the Director of Nursing/Deputy will communicate to their family and/or referral authority. We reserve the right to refuse admission to the nursing home in certain circumstances. Examples of such circumstances are if the person poses a risk to the safety and welfare of other residents, our staff or visitors or inability to meet the cost of their care. Emergency admissions will only take place when absolutely necessary. Emergency admissions will be informed about key aspects of the services as per a normal admission within 48 hours of admission. All admissions & discharges of residents will be carried out in line with our admission and discharge policy and procedure. If a long term Resident transfers from Clarenbridge Nursing Home to go to another facility or leaves to be cared for at home we request a month’s notice where possible. Should a Resident leave without giving prior notice they will remain liable to pay 2 weeks’ notice. The nursing home reserves the right to terminate this agreement if there is a relevant matter relating to the Resident that has not been disclosed by them prior to admission. Page 10 of 27 Services Provided Short Term Convalescence /Rehabilitation Care/ Respite Clarenbridge Nursing Home is approved by all the major health Insurance companies. Medical and Post Surgery Rehabilitation care is provided through a range of support services tailored to each patient’s needs. Our in house Physiotherapist does an assessment post-surgery. The full time physiotherapist assesses the patients mobility needs and develops a plan of care for rehabilitation. Short Term Respite Care We provide respite care that gives both family, carers and residents, the chance to take a break for a short period. This can be planned ahead or provided at short notice. Funding for respite care is provided either privately, or on contract through the HSE. General Long Term Care General long-term care is offered to those requiring maximum level of assistance with activities of daily living. Funding for long-term care can be accessed through the Nursing Home Support Scheme (Fair Deal) or privately. Our range of activities and rehabilitation services are therapeutic and aim to enhance each person’s quality of life promoting wellbeing. Acquired Brain and Spinal Care Residents admitted with Acquired Brain injury are assessed and a plan of care developed to meet their needs with the input from the clinical nurse manager specialising in ABI and spinal care in conjunction with the onsite physiotherapy and full time Occupational therapist. Intellectual Disability Residents admitted with moderate intellectual disability, are assessed and a plan of care developed to meet their needs. Nurses qualified in Intellectual Disability will be involved in the development of the care plan in conjunction with the Occupational Therapist and Physiotherapist. Psychiatry Residents admitted for long term care with a diagnosed and managed psychiatric history will have a plan of care developed in conjunction with the community psychiatric team. Nurses qualified in psychiatry will be involved in the care plan in conjunction with the physio and occupational therapist. Page 11 of 27 The facilities which are to be provided by the registered provider to meet care and support needs A modern spacious nursing home located in a tranquil area with mature gardens. The Nursing Home is bright with inviting public spaces with intimate dining, recreational and therapeutic facilities. The building is designed around a secure internal courtyard where some bedrooms have their own private garden space. Our rooms are spacious, bright and furnished to a very high standard. Each room offers luxury, comfort and the peace of mind knowing that nursing and care staff are there for you 24 hours a day. All Residents are invited to personalise their rooms as they so wish to make it truly a home away from home. Facilities provided Oratory Hairdressing Dietician Chiropodist Speech and Language therapy Dentist and Optician Skype and Internet Multi-channel TV Two Occupational Therapists and a Physiotherapist are employed at Clarenbridge Nursing Home and have an integral role in the rehabilitation and wellbeing of each resident. The therapists are involved in the multidisciplinary team and contribute to the residents care plans. Residents will benefit from Physiotherapy at different stages of their stay here in Clarenbridge Nursing Home and all residents are assessed for mobility on admission. Clarenbridge Nursing Home also has; Nurse Call System in all rooms HIQA registration VHI registration Internal Courtyard with landscaped gardens Television in each room (optional) Ample Car-parking Page 12 of 27 Access to Computer, WIFI internet & skype Closed Circuit Television (CCTV) Closed Circuit Television is in use in common areas such as day rooms and dining rooms as well as in the corridors,kitchen, stair ways and the reception area. CCTV is also in use at the front gate and the surrounding grounds. The use of CCTV is for the safety of our residents and is for security purposes. Please note that CCTV is not in use in private areas such areas where there is classified data such as the Clinical room, in bedrooms or in any ensuite or bathroom. There are two CCTV screens within the Nursing Home one in the Nurses station and one in the Administration office Door Alarms There are door alarms on all fire exits and residents private doors to alert staff a door has been opened. A monitor door alarm screen is positioned in the Administration office and the nurse station to confirm where the alarm is ringing. The purpose of the alarm is to promote awareness of residents at risk leaving the building. Residents do not hear the alarm sounding in their room residents are encouraged to sit out in their private garden or the Courtyard if they so wish. Categories of care Page 13 of 27 Age Profile: No person under the age of 18 years of age shall be accommodated at the designated centre Clarenbridge Nursing Home at any time. We provide accommodation for both male and female residents. We provide long term, short term, convalescent and respite care. All levels of care needs and dependencies are admitted to Clarenbridge Nursing Home. Our dependency levels as of 21/09/2015 are as follows: Dep Level of HIGH 1 HIGH 2 MEDIUM LOW Current residents Number of 14 15 06 10 Residents Low Dependency: This category refers to people who need some support in the community. They are usually independently mobile but may use a walking stick and have difficulty managing stairs. Medium Dependency: Persons whose independence is impaired to the extent that he/she requires residential care because the appropriate support and nursing care required by the person cannot be provided by the community. Mobility is impaired to the extent that the person requires supervision or a walking aid. High 2 Dependency: Persons whose independence is impaired to the extent that the person requires residential care but is not bed bound. The person may have a combination of physical and mental disabilities, may be confused at times and be incontinent. He/she may require a walking aid and physical assistance to walk. High 1 Dependency: Persons whose independence is impaired to the extent that she/he requires nursing care. The person is likely to be bed bound, requires assistance with all aspects of physical care and may be ambulant but confused, disturbed and incontinent. 50-59 60-69 70-79 80-89 >=90 7 - F(3) M(3) 5 - F(2) M(2) 7 - F(1) M(5) 10 - F(7) M(4) 7 - F(7) M(0) Please see above the age range as correct 09/2015- please note this may change slightly due to admission and discharge of respite residents at any time. Nursing staff keep up-skilled due to ongoing education and training to meet the needs of Residents with complex core needs. Page 14 of 27 The number and size of bedrooms in the designated centre: Clarenbridge Nursing Home is an NHI award winning purpose built care facility located in a woodland setting near the towns of Clarenbridge, Craughwell and Oranmore. Clarenbridge Nursing Home consists of a combination of bright and spacious single & twin rooms. Please see map on following page. Page 15 of 27 Page 16 of 27 Room No. 1 2A 2B 3 4A 4B 5 6A 6B 7 8A 8B 9 10A 10B 11 Clarenbridge Nursing Home Bedroom List Bluebell Hazelwood Room Size Room No. Room Size Type Type Single 16’ x 10.8’ 1 Single 16’ x 10.8’ Double 10.9’ x 20’ 2A Single 10.9’ x 20’ 2B Single 16’ x 10.8’ 3 Single 16’ x 10.8’ Double 17’ x 20’ 4A Double 17’ x 20’ 4B Single 16’ x 10.8’ 5 Single 16’ x 10.8’ Double 10.9’ x 20’ 6A Double 10.9’ x 20’ 6B Single 16’ x 10.8’ 7 Single 16’ x 10.8’ Double 17’ x 20’ 8A Double 17’ x 20’ 8B Single 14’ x 11’ Double 19’ x 15’ 12 Single Single 15’ x 17’ 15’ x 17’ 1 2 Hollylane Single 16’ x 10.8’ Single 16’ x 10.8’ 3 4 Single Single 16’ x 10.8’ 16’ x 10.8’ 5 6 Single Single 16’ x 10.8’ 10.9’ x 20’ 7 8 Single Single 16’ x 10.8’ 17’ x 20’ 1 2A 2B 3 4A 4B 5 6A 6B 7 8A 8B Meadowview Single 16’ x 10.8’ Double 10.9’ x 20’ Single Double 16’ x 10.8’ 17’ x 20’ Single Double 16’ x 10.8’ 10.9’ x 20’ Single Double 16’ x 10.8’ 17’ x 20’ Page 17 of 27 10 Single 10.9’ x 20’ 12 Single 17’ x 20’ 14 Single 10.9’ x 20’ 16 Single 17’ x 20’ Room No. 10A 10B 12A 12B Double 17’ x 20’ Double 10.9’ x 20’ Treetops Room Type Size 1 Single 12’ x 15’ 2 Single 12’ x 16’ 3 Single 12’ x 16’ 4 Single 16’ x 12’ 5 Single 19’ x 14’ 6 Single 16’ x 12’ We have a total of 49 bedrooms over four units, broken down as follows: Bluebell 12 bedrooms 4 Bedrooms that measure 16 x 10.8 2 Bedrooms that measure 10.9 x 20 2 Bedroom that measures 17 x 20 2 Bedrooms 15 x 17 1 Bedroom that measure 11 x 1 1 Bedroom that measure 19 x 15 Hazelwood 8 Bedrooms 4 Bedrooms that measure 16 x 10.8 2 Bedrooms that measure 17 x 20 2 Bedrooms that measure 10.9 x 20 Meadowview 11 Bedrooms 4 Bedrooms that measure 16 x 10.8 3 Bedrooms that measure 10.9 x 20 4 Bedrooms that measure 17 x 20 Hollylane 12 Bedrooms 6 Bedrooms that measure 16 x 10.8 Page 18 of 27 3 Bedrooms that measure 10.9 x 20 3 Bedrooms that measure 17 x 20 Treetops 6 Bedrooms 2 Bedrooms that measure 12 x 16 1 Bedroom that measure 12 x 15 1 Bedroom that measure 19 x 14 2 Bedroom that measure 16 x 12 All rooms are equipped with Nurse-call alarms and telephone connections. 24 rooms have en-suite facilities with the majority of the remaining rooms having access to adjoining bathrooms, all of which are wheelchair accessible. Ten of our rooms have private gardens. Six have direct courtyard access, the remaining rooms have lovely meadow views. Each resident has their own TV and phone. Residents can access the daily newspaper by pre-ordering them at the reception desk. Resident’s families can contact residents directly without coming through the main switchboard. If residents wish to make an outgoing call they can do so by contacting reception by dialling “0” or by dialling “9” for an outside line. Internet access can be arranged as we have wireless internet. The physiotherapy department is located on the first floor and can be accessed via a lift. Care plans We provide 24 hour registered nursing care seven days per week. All residents in Clarenbridge Nursing Home will have a care plan developed to meet their needs. The care plan is commenced on admission. The nurse completes a suite of assessments which will ascertain the resident’s core needs. The care plan is an important document. It contains all of the essential nursing and social information on each resident. The care plan is a live document and is constantly updated according to the resident’s changing care needs. The resident and his/her family are involved in the care plan process. A copy of the care plan will be made available to the residents if requested and or their care plans are electronically held on epiccare. The care plans are printed once updated and a nurse will discuss any changes or updates with the resident or their families and obtain approved signatures. Residents and in some cases their families are encouraged to be as involved as possible in the creation of the care plan. Page 19 of 27 Contract of Care Upon admission all residents will be given a Contract of Care. The contract provides a legally binding commitment to terms and conditions. The terms and conditions are outlined in the Contract of Care and relate to the services provided and agreement to pay the required fee(s) as per individual agreement. On admission every resident will be issued a Contract of Care within one week of their admission to the Nursing home. We encourage residents and their representative to take the time to read and understand the terms of the Contract of Care. The contract outlines the room that will be occupied by the resident and they will not be moved from their room unless at their own request or for medical or safety reasons. We reserve the right to move a residents from their room if there is an identified risk in the resident remaining in their own room. The reason for moving a resident to another room is always discussed with the resident and their family. The contract details the fee charged to the resident and clearly outlines the services that will be provided. There is no charge for Physiotherapy, O.T or Activities. TYPE OF COST HAIRDRESSING NEWSPAPERS PRICE Wash & Blow Dry - €15 Wash Set - €10 Colour, Wash cut & Blow Dry €25 Perm €50, Cut, Set/Blow Dry €35 Dry Cut Gents €10 Cost of daily paper PRESCRIPTION LEVY CHIROPODY As determined by the government €25 Visiting Times & Family Residents are encouraged to have visitors to the home as frequently as possible. Visiting times are preferably 09:30 to 22:00. We are however flexible about these arrangements. In particular if a resident is unwell. All visitors are expected to sign in and out of the nursing home and to utilise the alcohol hand sanitizers that are located at each exit door. If you have any queries please ask our receptionist for assistance. Page 20 of 27 Our reception desk is manned from 09.00 until 17.00. Clarenbridge Nursing Home reserves the right to close all or part of the nursing home to visitors if there is a reason to do so. This would only happen in exceptional circumstances such an outbreak of an infection eg. Norovirus (Winter Vomiting). We would request that in the interests of resident safety, visitors who are experiencing flu like symptoms or vomiting or diarrhoea would refrain from visiting the nursing home on account of the risk of potential infection We invite and encourage families to join us on our special occasions, eg. Summer BBQ, Halloween party, outings, Christmas party etc. Family Forums are held every six months, where families are invited to give feedback and suggestions. Residents Personal Care Recognising and promoting the rights of residents is a fundamental part of the care provided at Clarenbridge Nursing Home. It is also recognises that residents have responsibilities to ensure that they receive the most appropriate and beneficial care at Clarenbridge Nursing Home. The management and nursing team promote independence and choice, it is the policy of Clarenbridge Nursing Home to ensure that all its residents receive assistance with personal care and hygiene if and when they require it. All residents shall be provided with advice on how to attend to their personal hygiene, based on their requirements. Our residents are treated with dignity and respect at all times. All residents have the right to access all kinds of information regarding their condition, the health services and how to use them. All residents have the right to information regarding their medical condition, diagnosis, prognosis treatments and potential risks of treatment. Residents also have the right not to receive this information if they choose. Residents have the right to receive this information in a format which they will understand. Residents have the right to know the name and position of all individuals who are caring for them and who they may encounter in Clarenbridge Nursing Home. Residents Personal Items We encourage residents to bring personal items and pieces of furniture with them to the nursing home. We are more than happy to personalise bedrooms by hanging pictures or photos on the walls of individual bedrooms as this contributes to the homely atmosphere of the nursing home. All staff will take reasonable measures to protect the monies, clothing, possessions and valuables of residents and will report any concerns to The Person in Charge or The Registered Provider. However, it is essential that all valuables or sums of money are registered in the safekeeping book and placed in our safe for safekeeping. Page 21 of 27 Our safe is kept in a secure office that is locked when unattended. Clarenbridge Nursing Home accepts no responsibility for monies or valuables that have not been registered and placed for safe keeping. In relation to personal clothing, on admission, we will seek the permission of the resident or their family to have all personal clothing labelled for identification. Aids and appliances will also be marked with our labelling machine e.g. walking aids. As outlined above, unless the items are registered in the safekeeping book and placed in our safe, Clarenbridge Nursing Home accepts no responsibility should items become lost or go missing. Due to the nature of hearing aids and resident’s tendencies to take them out at times and lose them, we ask that the resident’s or their families take out the necessary insurances to cover their replacement as we cannot accept responsibility for their loss. Spiritual needs People of all denominations, faiths and beliefs are welcome in Clarenbridge Nursing Home. The visiting priest also hears confessions and anoints people on a regular basis. The Church Of Ireland Minister also visits his members as requested. In the unfortunate event of the death of a resident, Clarenbridge Nursing Home works closely with family members and funeral directors to ensure that any wishes expressed by the resident and/or family members are accommodated in arrangements, within reason. There is an oratory located near reception for Residents, families and visitors to sit and reflect in a quiet space. Alcohol & Drugs Policy For the purpose of this policy the term drugs will be defined as all mood-altering substances, either legal or illegal. This includes alcohol, prescribed and other medications, in addition to illegal and illicit substances. This policy does not refer to tobacco use which is dealt with separately. There is a separate Alcohol and Drugs Policy that applies to staff. Clarenbridge Nursing Home is committed to providing an environment which is healthy and safe for residents and staff alike. Substance abuse is dealt with under the health and safety act and the legislation. This policy should be seen in the context of the promotion of health, safety and welfare of all those who work, visit and are cared for at Clarenbridge Nursing Home. Alcohol and other drugs affect concentration and co-ordination, and can interact badly with other prescribed drugs and therefore are not conducive with a healthy and safe environment. Page 22 of 27 Visitors are not permitted to provide drugs, including alcohol, prescribed and other medications, or illegal and illicit substances, to any resident without the expressed permission of the Nurse Manager on duty. Where it is suspected that a visitor to Clarenbridge Nursing Home is in the possession of, or has offered to a resident, an illegal or illicit substance, Clarenbridge Nursing Home reserves the right to report the matter immediately to An Garda Siochana. Where visitors are taking residents out for a period of time, they must check with the Nurse Manager on duty on each occasion before leaving Clarenbridge Nursing Home whether or not it is advisable or appropriate to provide alcoholic drinks to the resident while they are away from Clarenbridge Nursing Home. From time to time, Clarenbridge Nursing Home may organise events (such as a Christmas party or pub night) where alcohol may be available. However, the nursing staff will at all times make a decision (based entirely on resident safety) regarding the consumption of alcohol by individual residents on the basis of medical advice pertaining to the resident at the time. Tobacco Clarenbridge Nursing Home is committed to providing a safe and healthy environment for residents and staff alike. Clarenbridge Nursing Home does not endorse smoking. Clarenbridge Nursing Home will facilitate residents who wish to stop smoking with health education and support. While Clarenbridge Nursing Home recognises and respects residents’ individual rights and choice to smoke, the nurse on duty will use discretion with each based on medical advice. To minimise the health and safety risk to residents, staff and visitors, residents are provided with a designated smoking area located on the ground floor which is well ventilated and adheres strictly to required standards. It opens on to the courtyard. Residents are permitted to smoke in the designated area. Staff have their own designated area outside, the Residents are also permitted to smoke outside in the grounds of the nursing home. Under no circumstances are residents allowed to smoke in their bedrooms. In the case of residents who smoke, the following documentation is completed on admission with the resident and/or their Next of Kin: A smoking risk assessment; A care plan is designed, identifying the level of risk and level of supervision required. In accordance with Clarenbridge Nursing Homes standards, the resident’s level of risk will be reviewed every four months or sooner if the resident’s circumstances change. Page 23 of 27 Fire Safety & Training There is an automatic fire detection system present throughout the building as well as a large number of fire extinguishers. In the event of a fire the fire alarm will activate and the location of the fire will be displayed on the fire alarm panel at reception. All internal doors in the nursing home close and the locks on all external doors will open The Nurse on the Hollylane unit is the nominated person to steward the evacuation. All staff receive fire training at least every 12 months and new staff will receive fire training as initial part of their induction programme. Our fire evacuation procedure is clearly communicated to staff. Details of what to do in the event of a fire are prominently located throughout the nursing home along with maps of current locations. In the event of a fire, staff are trained to respond appropriately and move residents or visitors at risk to a nominated place of safety. All firefighting and alarm equipment is maintained in accordance with relevant Fire Safety Legislation. Our fire alarm is monitored by an external monitoring company ‘Chubb’ to provide added security, you are not to become involved in the evacuation of the building unless asked by a member of staff to assist. Complaints & Concerns Complaints, comments, suggestions, concerns about services, oral or written will be taken seriously and handled in a sensitive, timely and effective manner that protects the rights, privacy, dignity and confidentiality of all those involved. Concerns and / or complaints will be used to inform continuous quality improvement and risk management of services provided. A copy of our complaints policy will be clearly displayed at reception. A complaint is an expression (verbal) or statement (written) of dissatisfaction that requires a response. (Healthcare Commission 2008). All complaints both written and verbal will be acknowledged and will be recorded in our complaints log. All complaints will be investigated by the Director of Nursing and in her absence the CNM II. All complaints will be communicated and staff aware of the outcome. Page 24 of 27 If the complainant is still unhappy the complaint may be referred to the Independent Appeals Officer, Ms. Yvonne Carpenter, St. Marys Nursing Home, 091 540500. If the complainant is not satisfied with the outcome they may contact the Office of the Ombudsman. The Ombudsman provides an impartial, independent and free service. By law the Ombudsman can examine complaints about any of our administrative actions or procedures as well as delays or inaction in our dealings with the complainant. The Ombudsman's remit relates to complaints about actions which occur on or after 24 August 2015. The Ombudsman cannot examine complaints about actions which occurred before that date with the exception of complaints from residents eligible to complain under "Your Service Your Say" (Residents whose place is provided under a contract with the HSE.) Contact details are as follow; The Office of the Ombudsman 18 Lower Leeson Street Dublin 2. Phone: LoCall 1890 22 30 30 or (01) 639 5600 Email: [email protected] You can also make a complaint online using the online complaint form www.ombudsman.gov.ie The provider is appraised of all complaints and complainants referred to the provider if not satisfied with the complaint process. Allegations of abuse; physical, psychological, emotional, neglect, theft or other are investigated in line with the policy on Elder Abuse and reported to HIQA in accordance with the law. Notification to HIQA is done by the DON and the CNM II in her absence. Audit and Evaluation of Complaints A register of complaints is maintained in Clarenbridge Nursing Home and is analysed by the DON annually. Resident feedback, including complaints/concerns, comments and compliments are reviewed, and the resultant actions discussed, as part of the overall incident reporting process in Clarenbridge Nursing Home at the quality & risk committee meetings. All complaints are raised by the Director of Nursing at the CNM meetings and the Quality & Risk meetings and feed-back given to the staff on the actions taken to resolve them for future learning to improve the quality and safety of care delivery in Clarenbridge Nursing Home. All measures and actions are taken in the resolution of complaints and concerns are monitored and followed up to ensure the reduction and prevention of any repeat complaints and /or concerns. Page 25 of 27 Staff training and education is given on the complaints policy and frequent review of staff knowledge in accordance with this policy is undertaken. Page 26 of 27 Key Policies used in Clarenbridge Nursing Home Elder Abuse Admission Policy Abscond Policy Care needs Challenging Behaviour Policy Restraint Policy Managing Resident’s Personal Property Communication Policy Visitors Recruitment, Selection and Garda Vetting Policy Staff Training and Development Policy Nutrition Policy Provision of Information to Residents Record Management Policy Temporary, Absence and Discharge Policy Health and safety Emergency Plan Risk Management Policy Medication Management Complaint Policy CCTV Policy End of Life Care Policy Page 27 of 27
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