Statement of Purpose - Paradise House
Statement of Purpose - Paradise House
Statement of Purpose - Paradise House
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<strong>Statement</strong> <strong>of</strong> <strong>Purpose</strong><br />
<strong>Paradise</strong> <strong>House</strong> • Painswick • Gloucestershire• GL6 6TN<br />
Telephone: 01452 813276 • Fax: 01452 813372<br />
Email: info@paradise-house.org.uk<br />
www.paradise-house.org.uk<br />
Registered Charity No: 1103955 • Company No: 5114710<br />
© Novalis Trust 2009
w Circulation<br />
This document is addressed the board <strong>of</strong> Directors <strong>of</strong> Novalis Trust, care non-teaching staff, and will be supplied to the Placing Authorities and the Commission<br />
for Social Care Inspection. Copies are available to parents and residents on request.<br />
w Aims and Objectives <strong>of</strong> the Care Home<br />
<strong>Paradise</strong> <strong>House</strong> aims to provide long-term residential care, education and occupational experiences and opportunities for adults with learning<br />
disabilities within a home setting based on the care and educational values and teachings <strong>of</strong> Rudolf Steiner. The home is owned by Novalis Trust and is<br />
registered with the Care Quality Commission. Residents are encouraged to live fulfilling lives to achieve their potential whilst the high standard <strong>of</strong><br />
accommodation allows residents to enjoy a relaxed, peaceful atmosphere.<br />
w Admissions<br />
<strong>Paradise</strong> <strong>House</strong> is registered to care and cater for 30 adults (male and female, aged 18-65) with a range <strong>of</strong> learning disabilities including Autism, Aspergers<br />
Syndrome, Turners Syndrome, Williams Syndrome, Diogenes’ Syndrome, Downs Syndrome, Epilepsy and Brain Damage and mental health difficulties. <strong>Paradise</strong><br />
<strong>House</strong> provides for residential care needs only and does not <strong>of</strong>fer nursing care. It provides long term care and does not accept emergency admissions.<br />
Prospective residents are invited to visit, normally with their respective Care Manager or family member or friend. A residential assessment period is <strong>of</strong>fered<br />
normally lasting 1 week, although the assessment period can be arranged to meet particular needs. In some cases, new residents can begin their placements<br />
at the end <strong>of</strong> their assessment period.<br />
w Quality <strong>of</strong> Life<br />
The <strong>Paradise</strong> <strong>House</strong> community provides a homely and caring lifestyle. A strong sense <strong>of</strong> community living is encouraged with everyone contributing to the<br />
security, stability and a feeling <strong>of</strong> self-worth for the resident group as a whole. For all activities the Community encourages an integrated approach, to<br />
promote the self esteem, confidence, social competence and maximum independence for its residents (within their own abilities and potential for<br />
development). The Community <strong>of</strong>fers opportunities for adult education, social skillstraining, work experience and a range <strong>of</strong> art and craft activities, working<br />
in the gardens and assisting with daily household tasks.<br />
w Accommodation, Facilities and Services Provided<br />
The community is situated in a residential area located roughly 1.5 miles from the Painswick village in Gloucestershire. The accommodation for Residents is<br />
provided within 4 houses (alongside cultivated gardens and various craft workshops) based in <strong>Paradise</strong> <strong>House</strong>’s extensive grounds. The properties are set on a<br />
steeply sloping site, therefore the steepness means that <strong>Paradise</strong> <strong>House</strong> may impose limitations for some people with impaired or restricted mobility requiring<br />
dependence on wheelchairs.<br />
Each resident has their own bedroom with high quality furnishings and fittings within a small housegroup, each with a maximum <strong>of</strong> nine residents.<br />
Residential accommodation is provided on site for care staff sleeping-in rooms in each house for night time supervision and support. Each house has its own<br />
lounge, dining room, kitchen, laundry, <strong>of</strong>fice and storage facilities. Bathroom and toilet provision exceeds National Minimum Standards. Within the extensive<br />
grounds there are weaving workshops, an art room, vegetable and fruit gardens, large lawn areas, and a tennis court.<br />
w Activities and Festivals<br />
Social activities are generally organised on a community basis including, regular weekly events such as singing, storytelling, games evenings and shopping<br />
trips. Individual requests can be organised where appropriate, other activities include weekly horse riding, visits to the local leisure centre for swimming and<br />
visiting the gym, visits to the Library, educational trips, local pubs and cinema and local community events.<br />
Residents have the option to attend group sessions which focus on general learning and developmental skills - these <strong>of</strong>ten include: personal safety, health<br />
and well-being, community links, citizenship, life-skills, educational and occupational opportunities. These sessions are needs-led and the residents are<br />
encouraged to lead some group sessions and put foward their ideas on topics they would like to focus on. Rules are in operation (i.e. confidentiality and<br />
respect for those attending the established group).<br />
Media entertainment is kept to a minimum in accordance with the ethos and philosophy <strong>of</strong> <strong>Paradise</strong> Community, which promotes an active and sociable<br />
lifestyle. Residents have the choice to provide and install TVs with DVD players in their bedrooms, but given that the Community is situated in a valley, it<br />
is not able to receive standard broadcast televisions signals. However in the near future there will be facilities installed for cinema club events that can be<br />
organised during evenings and weekends so that appropriate films, documentaries and pre-recorded cultural events may be viewed. All viewing material<br />
will be checked in advance for appropriateness <strong>of</strong> content by either the Registered Manager or the Responsible person; a DVD viewing and lending library is<br />
already available for use by residents with personal DVD players being provided.<br />
Residents have the opportunity to enjoy a holiday each year. Holidays usually take place in coastal areas, such as Devon and Cornwall or areas <strong>of</strong> outstanding<br />
natural beauty such as the Lake District and Scotland. These holidays are discussed and planned with the residents.
w Amenities<br />
Painswick is a small Cotswold Village, with a library, post <strong>of</strong>fice, supermarket, restaurants, a public house and other shops. The village has a social centre,<br />
which organises regular community events. Nearby, are the towns <strong>of</strong> Stroud and Cheltenham and the City <strong>of</strong> Gloucester which are served with regular bus links<br />
from Painswick. Residents are encouraged to participate in the local community and access any amenities that cater for their personal interests.<br />
w Religious Observances and Activities<br />
<strong>Paradise</strong> <strong>House</strong> is based upon the care and educational principles established by Rudolf Steiner. Rudolf Steiner was a teacher, doctor and philosopher. Festivals<br />
form a regular part <strong>of</strong> community life.<br />
Meadowbank respects each individual resident’s religious beliefs and wishes with regard to religious observances. Individual residents attend a place <strong>of</strong><br />
worship according to their individual beliefs and wishes. Arrangements are made to meet the individual wishes <strong>of</strong> residents with regard to participating in faith<br />
based activities.<br />
w Therapeutic Techniques<br />
Therapeutic provision will be made available at Ebley <strong>House</strong> (Novalis Trust’s HQ) which has been developed as a centre for therapeutic, psychological, medical<br />
and councelling services. A fortnightly Multi-Disciplinary “Complex Needs” Panel Meeting will make referrals concerning particular residents. The services<br />
and therapies on <strong>of</strong>fer will consist <strong>of</strong>:<br />
• Art Therapy<br />
• Eurythmy<br />
• Speech & Language Therapy<br />
• Psychotherapy<br />
• Group Work<br />
• Counselling<br />
Residents are given the opportunity to participate in activities that take place in a therapeutic environment, which may have therapeutic benefits, these<br />
include; music, art, drama, crafts and countryside walks. The opportunity to engage in Art Therapy sessions can be arranged through an established link with<br />
<strong>Paradise</strong> <strong>House</strong> Community.<br />
w Consultation Arrangements<br />
Staff consult with the residents regularly about all matters affecting their daily life and activities. There is a daily community meeting for all residents and staff<br />
to share information at the beginning <strong>of</strong> each day. This is complemented by weekly meetings in each house group where residents are encouraged to express<br />
their views and opinions on all aspects <strong>of</strong> life at <strong>Paradise</strong> <strong>House</strong>. From time to time more formal consultation procedures may be used to seek opinions when<br />
reviewing policies and procedures.<br />
w Review <strong>of</strong> Service User Plans<br />
Each resident and their nearest relative or personal representative are consulted about and involved in the preparation <strong>of</strong> initial care plans and annual care<br />
plan reviews. A system <strong>of</strong> six monthly in-house reviews has been implemented. Residents who are able to read their care plans are given a copy and the<br />
contents are explained to other residents, in accordance with their ability to understand. Any complex needs <strong>of</strong> the residents at Meadowbank are regularly<br />
discussed and considered at the fortnightly multi-disciplinary meeting. This meeting is attended by a clinical psychologist, a psychotherapist and pr<strong>of</strong>essional<br />
social workers. Copies <strong>of</strong> updated Service User Plans are available upon request.<br />
w Contact with Families and Friends<br />
Residents are encouraged to have family, friends, personal and pr<strong>of</strong>essional representatives visit them at Meadowbank at all reasonable times. Some residents<br />
go to stay with family and friends during the course <strong>of</strong> the year. Residents and their family and friends are able to maintain contact by telephone and e-mail<br />
facilities are available for residents to use, with guidance and assistance from IT staff, if required.<br />
Care staff assist residents to send cards, letters and photos to family and friends. Staff support the residents to build and maintain family and friendship<br />
networks, with people outside <strong>of</strong> the home and also within the home. A Newsletter which illustrates the work taking place throughout all aspects <strong>of</strong> the<br />
organisation (Novalis Trust) is published and sent to families, friends and other organisations which work closely with <strong>Paradise</strong> <strong>House</strong>.<br />
w Privacy and Dignity <strong>of</strong> Service Users<br />
<strong>Paradise</strong> <strong>House</strong> aims to maximise the residents’ independence and control, and respect each individual’s privacy and dignity. This is achieved by staff who<br />
recognise the importance <strong>of</strong> person-centred care, empowerment and equality. Staff are committed and motivated to engage with the residents and provide<br />
a homely, supportive environment. <strong>Paradise</strong> <strong>House</strong> respects each individual resident and their right as a citizen to be treated with respect and dignity in all<br />
aspects <strong>of</strong> their daily life and care. Those residents who are able to express their own views are encouraged to do so. For those residents whose abilities to<br />
understand and communicate are limited, consultations may take place with their relatives, personal representatives or advocates.
Each person has their own set <strong>of</strong> keys for their bedroom and the front door. They also have lockable storage compartments for valuable items. The<br />
staff are discouraged from entering a resident’s room without their permission, unless essential or there is a serious health and safety risk to the<br />
individual or others.<br />
Visitors to the home are required to arrange their visit in advance wherever possible and sign the visitor book. A private meeting room is provided for residents<br />
to spend time alone with their visitors. Visitors meeting a particular resident must make sure the resident is in agreement.<br />
w Staffing<br />
Details <strong>of</strong> the numbers, qualifications and experience <strong>of</strong> staff are on pages 6 and 7 together with the organisational structure.<br />
w Fire Precautions and Emergency Procedures<br />
<strong>Paradise</strong> <strong>House</strong> has written procedures for the instruction <strong>of</strong> staff how to deal with emergencies including fires. These are incorporated in staff training and<br />
the details are set out in the Health & Safety Handbook.<br />
The charity’s own qualified Health and Safety Officer regularly checks and reviews the fire safety equipment. All procedures are explained to the residents on<br />
admission to the home. Residents and employees are aware <strong>of</strong> precautionary measures to prevent fire and evacuation procedures in the event <strong>of</strong> fire. This is<br />
achieved by regular fire drills and communication <strong>of</strong> Meadowbank’s Health and Safety Policy.<br />
w The Registered Provider and Manager Details<br />
• <strong>Paradise</strong> <strong>House</strong> is a an affiliate <strong>of</strong> Novalis Trust, a charitable organisation registered with the chaity comission.<br />
• Charity no: 1103955<br />
• Company no: 5114710<br />
• <strong>Paradise</strong> <strong>House</strong> is registered with the Care Quality Commission.<br />
• <strong>Paradise</strong> <strong>House</strong>, Painswick, Gloucestershire. GL6 6TN<br />
The Trustees are John Phillips (Chairperson), Jane Tarr, Gill Payne and David Lewers.<br />
The Responsible Person is Jake Lukas DipHe RSW who is a qualified social work practitioner with many years experience <strong>of</strong> working at a senior level in a<br />
Steiner Community providing both care and education.<br />
The Registered Manager is Alison Hurlock DipHe RSW who is a qualified social worker with experience <strong>of</strong> working in both a Steiner Community and working<br />
in partnership with private and public bodies in the caring pr<strong>of</strong>ession.<br />
The Day Staff Manager is Charles Earley who has worked in a residential Steiner community for four years looking after children with emotional,<br />
behavioural and learning difficulties. Charles has also had commercial managerial experience in the service industry and is undertaking the QTLS course<br />
(Certificate for Qualified Teacher in the Lifelong Learning Sector).<br />
w Staff Qualifications and Experience<br />
The following table illustrates the relevant qualifications and experiences <strong>of</strong> the Registered Provider, Registered Manager and the Staff working at <strong>Paradise</strong>:<br />
Work Description No. Qualifications Experience (Years)<br />
Responsible Person x1 Social Work Dip/e RSW 16<br />
Manager/ Head <strong>of</strong> Adult Services x1<br />
Diploma in Social Work. Currently undertaking NVQ 4<br />
Registered Care Manager’s Award<br />
Daytime Staff Manager x1 Qualified Teacher in the Lifelong Learning Sector Certificate (Pending) 5<br />
Education Manager x1<br />
Care Manager Staff x1<br />
Qualified Teacher in the Lifelong Learning Sector Certificate (Pending)<br />
BSC (Hons) Economic and Government<br />
1 NVQ Assessor Qualified NVQ Level 3 qualification<br />
Working towards Level 4<br />
Care Man Residence x1 Working towards NVQ Level 3 qualification 7<br />
Administrator x1 Working towards Administration NVQ Level 3 qualification 3<br />
team leaders x8<br />
team members x9<br />
Education Workshop Staff x11<br />
Maintenance & Garden Staff x12<br />
Cooks & Cleaners x8<br />
x5 Qualified in NVQ Level 3<br />
x3 Working towards NVQ Level 3<br />
x5 Qualified in NVQ Level 2<br />
x4 Working towards NVQ Level2<br />
Most workshop staff possess degrees in different subjects<br />
Some Staff have completed First Level <strong>of</strong> QTLS<br />
Electrician; Bricklayer; Carpenter; Gardener; Painter & Decorator<br />
labourers<br />
x4 Staff Qualified in Food & Hygiene<br />
All Staff working towards NVQ in Cleaning/Cooking<br />
14<br />
16<br />
20<br />
60 years<br />
55 years<br />
90 (Collective)<br />
90 (Collective)<br />
40 (Collective)
w Admissions and Discharge Procedure<br />
• Carry out assessments covering all aspects <strong>of</strong> daily living for prospective residents.<br />
- Invite prospective resident, their Care Manager and other representative the resident wishes to be involved in the admissions process.<br />
- Arrange for prospective resident to stay for a week however this is a flexible time scale dependant on Individual needs and preferences. This assessment<br />
period enables <strong>Paradise</strong> to assess his/her suitability for placement.<br />
- Introduce new resident to the home, all residents and staff.<br />
• Make essential equipment and facilities, identified during the pre-admission assessment immediately available to the resident on admission.<br />
• Request information from parents, carers and other involved when appropriate.<br />
• Explain fire procedures and health and safety matters.<br />
• Record items brought in by the resident in their daily recording book and arrange safe storage as necessary.<br />
• Provide resident/parent/advocate with copy <strong>of</strong> <strong>Statement</strong> <strong>of</strong> <strong>Purpose</strong> and Service User Guide and communication <strong>of</strong> these documents will take into account<br />
the service users communication needs.<br />
• Make appropriate arrangements registration with local health pr<strong>of</strong>essionals such as GP, dental, optical and chiropody.<br />
Complete and maintain records:<br />
• Name and address<br />
• Date <strong>of</strong> birth<br />
• Marital status<br />
• Next <strong>of</strong> kin address.<br />
• GP's name/address/tel.<br />
• Placing/funding agency<br />
• Date <strong>of</strong> transfer/discharge/death<br />
• Reason for transfer/discharge<br />
• Residents under court <strong>of</strong> protection - Local Authority or Official Solicitor<br />
• Residents subject to Mental Health Act 1983<br />
Transfer and Discharge <strong>of</strong> residents<br />
Four criteria exist for the termination <strong>of</strong> placements:<br />
• Increase in Care Requirements that <strong>Paradise</strong> Community cannot meet - i.e. loss <strong>of</strong> mobility and/or severe health problems.<br />
• Deterioration in behaviour resulting in physical violence or behaviour which poses a threat to employees, residents or visitors.<br />
• Lack <strong>of</strong> funding.<br />
• Mutual Agreement<br />
On transfer/discharge a letter <strong>of</strong> transfer/discharge is completed and sent to the appropriate agencies, which gives the following information:<br />
• Personal details and how to contact next-<strong>of</strong>-kin/advocate.<br />
• Resident's past history, present condition, needs and treatments.<br />
• The involvement <strong>of</strong> other pr<strong>of</strong>essionals, hospital appointments etc.<br />
• When medication last administered.<br />
• Any known allergies.<br />
• Any medication disposed <strong>of</strong>, or returned to, the resident to be recorded.<br />
• Any valuables held for safekeeping to be returned and a receipt obtained.<br />
w Complaints<br />
In the course <strong>of</strong> working and living at <strong>Paradise</strong> <strong>House</strong> residents may encounter difficulties with other residents or staff: it is primarily the responsibility <strong>of</strong> staff to ensure that<br />
if this happens that they take the responsibility to resolve situations.<br />
Staff who are subject to or are involved in trying to resolve a complaint by residents should consider:<br />
• Their actions in the light <strong>of</strong> the community being the residents’ home.<br />
• The nature <strong>of</strong> the difficulties that the resident has and how this will affect their perception <strong>of</strong> what has occurred.<br />
• The nature <strong>of</strong> the difficulties that the resident has and how this will affect their ability to understand a resolution <strong>of</strong> the problem.<br />
• The nature <strong>of</strong> the difficulties that the resident has and how this will affect the amount <strong>of</strong> time it will take to come to a resolution.<br />
• The relative abilities <strong>of</strong> the resident versus the member <strong>of</strong> staff to accept change, responsibility and to agree a compromise solution.<br />
Resolving complaints should take the following procedure:<br />
• Residents, who want to make a complaint against a member <strong>of</strong> staff or another resident, should in the first instance if they are able, be encouraged and<br />
supported to resolve the issue with the member <strong>of</strong> staff or resident concerned.<br />
• If the resident cannot or does not feel able to deal with the issue with the member <strong>of</strong> staff or resident concerned another care worker, resident or volunteer<br />
should act as an advocate on their behalf.<br />
• If the matter cannot be easily resolved the matter should be referred to the manager.<br />
• All complaints are responded to within a maximum <strong>of</strong> 28 days, and should ideally be responded to within 24 hours.<br />
• Parents/carers should be informed <strong>of</strong> the nature <strong>of</strong> the complaint if the resident wishes.<br />
• Care managers <strong>of</strong> residents involved in a complaint will be informed in writing <strong>of</strong> the incident and written records will be kept in the Manager’s <strong>of</strong>fice) <strong>of</strong><br />
the details <strong>of</strong> the complaint and <strong>of</strong> the resolution.<br />
• If the matter is not resolved satisfactorily, the matter will be referred to the Board <strong>of</strong> Directors <strong>of</strong> Novalis Trust.<br />
• For issues between staff see the Grievance Procedure in the staff handbook.<br />
In any event residents should feel free to contact either:<br />
• Their Care Manager • Address and telephone number in their service user plan.<br />
• The Care Quality Commission (CQC) • Colston 33, 33 Colston Ave, Bristol, BS1 4UA • Telephone 03000 616161<br />
• Stroud Community Learning Disabilities Team • Telephone: 01453 827161