The Ridings Care Home Manager: Pauline Starr


 

FINANCIAL ARRANGEMENTS AND FEES

We are committed to providing value for money within our service. The fees charges are dependant upon the type of care package and needs of the individual service user.
Depending upon the personal financial situation, a service user can either pay the fees privately or receive benefits arranged by the DSS and/ or the health authority.
The current rules can be complicated and specific advice is available for the Home manager.

FEES- WHAT IS INCLUDED
Appropriately trained staff in 24 hour attendance. Staffing ratios are relevant to the needs of service users.
Individual care planning and risk assessments
Home cooking
Provision for special diets
Laundry service should the service user be unable to launder their own items
Call system
Central heating
Social outings/ transport to hospital, outpatient and GP
Leisure and recreational facilities
Specialist facilities and equipment
Meals cooked by service users in rehabilitation facilities
Small allowance should the service user participate in meaningful activities within the home such as gardening
 
FEES- WHAT IS NOT INCLUDED
Dry cleaning
Meals out of the home
Payment for trips and social outings, for example bowling
Visits for a private chiropodist to the home
Private phone calls
Visits to the hairdresser/ barber
Personal hygiene products
Carbonated drinks
Maintenance of private equipment, for example privately owned wheelchairs, beds etc
Funeral expenses
Taxi services/ public transport for outings
Personal holidays
Additional one - to - one staff
Veterinary bills
   

SMOKING AND ALCOHOL
The unit is a smoke free zone. Smoking is permitted in the 'smoking' area of the garden. Alcohol is not permitted as the fundamental part of the service users treatment programme is based upon abstinence.

FIRE SAFETY
The unit has a modern Fire Alarm system fitted with fire exit notices and fire emergency instruction notices displayed at strategic points throughout the home, as advised by the local fire department.

Staff are instructed during induction training regarding fire prevention, drills, and policies relating to using fire appliances, evacuation, fire congregation points, raising the alarm etc. Where possible, service users are informed of the emergency procedure on admission. In addition further training is attended by staff on an annual basis.
A fire alarm test in carried out weekly to ensure that the system is working appropriately. Fire drills are conducted monthly. We do not practice full evacuations.
Records are kept of all drills and fire safety tests. Where possible, furniture, fixtures and fittings and made of fire retardant materials.

RELIGION
Service users may attend religious services as they so desire. However it may be necessary for relatives to arrange for transport and accompaniment. In the event of this not being possible we will endeavour to accompany service users on specific occasions if staffing levels permit. Service users have the right to meet clergy of their chosen denomination at any time. If required, a private room will be made available.

CONTACT WITH FAMILY AND FRIENDS
Service users family and relatives are encouraged to visit regularly and take part in the care planning and assessment process. Where visiting is not possible, telephone or letters are encouraged also. In these cases, help will be given to assist the service user to respond where necessary.

Visitors are welcomed during all reasonable times and are asked to let the person in charge know hat they have arrived and when they have departed. For security and fire safety reasons visitors must sign in and out of the visitors book on each occasion.

The service user has the right to refuse to see any visitor and this right will be respected and up-held by the person in charge who will, if necessary, inform the visitors of the service users wishes.

CARE PLAN REVIEW
Once developed, the care plan will be regularly reviewed to ensure that the plan is appropriate and the service user is responding in a satisfactory manner. Adverse reaction to the care plan by the service user will result in an immediate review by the keyworker, home manager and care staff, plus other members of the multi- disciplinary team if appropriate.
Family and relatives are actively encouraged to participate in the care planning process and are invited to formal reviews. Service users and their relatives are always welcome to chat with a member of staff if they have any concerns.
The care plans can be viewed by relatives should the service user agree.
Input from relatives is often the keystone to the service user remaining alcohol free once discharged.

ADVOCACY SERVICES
If consultation with a service user is difficult due to the service users' illness or choice, an advocate may be arranged by the home's staff. These will usually be from an external source to maintain as much objectivity as possible.

BEREAVEMENT
In the unfortunate event of bereavement the family can expect every possible support and consolation from staff.
Staff will assist relatives/ next of kin with funeral arrangements, if requested to do so. Where there is no next of kin, the service users social worker/ funding authority will arrange the funeral.

LEAVING OR TEMPORARILY VACATING
If a person wishes to be discharged from the unit then 4 weeks notice must be given of this intention, or 4 weeks paid in lieu of notice, after which time it is expected that all belongings are removed from the home. Should belongings not be removed by the end of the notice period, a storage charge will be made which will be equivalent of 50% of the weekly fee charged. These conditions are waived during the 6 week trial period. If a service user temporarily moves out of the home (e.g. to receive hospital treatment) the bed is retained for a period of eight weeks, provided 100% of the normal fee is paid. Following this initial 8 weeks, 80% of the weekly fee is paid.


MONITORING AND QUALITY AUDITS
Within the unit there is an audit system to ensure that close monitoring is maintained on all of the home's services, care delivery and procedures. Our head of Clinical Governance audits the homes once per year, and we also expect the Home manager to do the same earlier in the year. Action plans are produced following audits and followed up regularly by our management team.
Another important part of our quality monitoring is to involve our service users and their families by asking them to complete questionnaires on a yearly basis. This information is collated and kept within the service user guide.
Monthly monitoring of accidents, incidents, medication administration and care plans are also integral to our quality management within the home.

PETS
Whilst we acknowledge that many people have pets for company during their lifetime and that they may wish to bring an animal with them when they move, the management has a responsibility to all the service users with regard to Health and Safety. Also there needs to be consideration as to the choice of animals brought into the unit. This is not to say that we do not permit pets. The home manager will, however treat every case dependant upon need and the amount of pets already at the home. The unit has a pet's policy which is in the Operations manual.

MEDICATION
If a service user wishes to self- medicate and it has been considered safe to do so, then all help and advice is given. Otherwise all medication will be managed and dispensed by the staff under the instructions of the doctor. The home has a self- medication policy within the Care Manual. Any service user may see the doctor in private if they so wish.

TELEPHONE
The unit has a telephone which can be used by service users for incoming calls. It can also be used for outgoing calls at a nominal fee. In addition every bedroom has a telephone line which service users can have connected by BT. The service user will be responsible for all costs involved.


MEALS
Menus will be varied, and nutritious. Favourite dishes and special diets will be catered for. Service users are encouraged to eat in the dining room but may eat in their own room if this is their choice. Snacks, tea, coffee, other hot drinks and cordial drinks are served and available 24 hours a day.
The service users are encouraged to make their own meals in the evening as part of their rehabilitation programme. Staff are there to provide support with this.
Service users are encouraged to utilise appropriate nutrition books and gain experience in menu planning and budgeting.


Click here for our Service Users Charter



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