Updated 1/9/2016 1 | P a g e

Ty’n Y Coed Care Ltd

Big House Farm

(BHF)

Statement of Purpose

Ty’n Y Coed Care Ltd Care Ltd Big House Farm

Front Street, Rosemarket, Milford Haven SA73 1JT

Tel: (01646) 602514

Service Name: Big House Farm

Registered Provider: Ty’n Y Coed Care Ltd

Registered Manager: Gareth Bevan Responsible Individual: Colin Picton

Updated 1/9/2016 2 | P a g e

Details of Registered Provider, Responsible Individual and Registered Manager Registered Provider: Name: Ty’n Y Coed Care Ltd Address: Big House Farm, Front Street, Rosemarket, Milford Haven Experience: We have a very experienced dedicated staff team all of whom are trained to a very high standard. Staff have access to training in Positive Behavior Management, Autism, Challenging Behavior, Person Centered Approach & Total Communication additional to all mandatory training. A majority of staff have or are working towards a minimum qualification at QCF Level 2 although most staff are encouraged to complete their Level 3 award. Responsible Individual: Name: Colin Picton Address: Big House Farm, Front Street, Rosemarket, Milford Haven Directors: Names: Mark Beveridge and Colin Picton Colin is also the Responsible Individual. Colin holds a QCF Level 5 Diploma in Leadership for Health & Social Care Services (Adults) and has 20 years’ experience of working in the NHS and is a qualified Paramedic. He has fostered children for the last 13 years and has an autistic son which is the drive behind his work ethic. Colin is registered with the Care Council for Wales. Mark holds an NVQ Level 4 in Health & Social Care, an NVQ Level 4 in Management and a Health & Safety Diploma with the British Safety Council. Mark is also a CIEH Professional trainer in Health & Safety, First Aid, Food Hygiene, Fire Safety, and All Wales Manual Handling Passport Scheme. Mark is registered with the Care Council for Wales and also holds membership with the following professional bodies; The International Institute of Risk & Safety Management, The Institute of Fire Engineers, The Institute of Management and Care Forum Wales. Mark is currently achieving his NCFE Level 4 in Caring for People with Learning Disabilities. Registered Manager: Name: Gareth Bevan

Address: Big House Farm, Front Street, Rosemarket, Milford Haven

Updated 1/9/2016 3 | P a g e

Qualifications: QCF Level 5 Management and Leadership in Health and Social Care. QCF Level 3 Health and Social Care. BA Hons Degree in Business Administration and has completed a PTTLs course which allows him to also deliver training courses. Gareth has a background in working with autism and challenging behavior and started his career working in another local care setting owned by Director Colin Picton. Gareth progressed through the company under the mentorship of Colin and his hard work and dedication has led to his registration as Manager. Gareth leads by example, promoting a person centered/active support approach to care. Gareth is registered with the Care Council for Wales. Staff and Relevant Qualifications A list of current staff and their qualifications is available on request. Staffing levels reflect the allocated hours that are of the individuals that use our services. All staff are given the opportunity to undertake QCF qualifications in Health and Social Care and receive regular accredited training courses from our onsite training company. In addition to the staffing levels the Registered Managers work 40 hours per week, most of which are in addition to the levels allocated. BHF currently has 2 Deputy Managers who both hold QCF level 3 and are working towards level 5. In certain circumstances the manager may be included within the staffing levels described. Staffing levels may be increased at the discretion of the Manager if there are particular needs. Care staff work on a rota system which ensures that BHF is staffed by the appropriate number and skill mix throughout the day and night, including weekends and public holidays. Our comprehensive onsite training facilities offer all of our carers the opportunity to continually develop insight into their work with training and support. Initially all employees at all levels undergo a comprehensive induction and training process. We have a Human Resource Manager and onsite training company who arrange and co-ordinate all training. All staff have an annual appraisal of their overall standard of performance and development needs and this is complimented by continual support during their employment with regular supervisions (every 6-8 weeks) and relevant training. We have a strong ethos that well trained employees provide the expected high standards of support for all service users; it is a primary aim of BHF to provide training in many aspects of specialised areas such as (but not limited to):

QCF Level 2 in Health & Social Care (Adults).

QCF Level 3 in Health & Social Care (Adults)

Essential Skills Level 1, 2 & 3: ICT (Information – Communication – Technology). Communication.

Updated 1/9/2016 4 | P a g e

Application of Numbers.

All Wales Manual Handling Passport.

Protection of Vulnerable Adults including Safeguarding Children and DOLs.

Positive Behaviour Management Training.

CIEH Food Hygiene Level 1 & 2

First Aid.

Infection Control.

Fire Awareness

Diabetes Awareness.

Communication Skills.

Medication.

Discrimination, Diversity & Inclusion.

Mental Health & Dementia.

Sensory Loss Training.

Epilepsy Training.

Health & Safety in the Workplace.

Challenging Behaviour

SCWDP Induction Portfolio Workgroups.

Updated 1/9/2016 5 | P a g e

Organizational Structure of BHF

Directors Mr Colin Picton & Mr Mark Beveridge

Manager Mr Gareth Bevan

Office Manager Human Resources Manager Mrs Debbie Hanney Mrs Debbie Evans

Deputy Manager’s

Mr Andre Clee Mrs Kirsty Hannon

3 Senior Support Workers

12 Support Workers

Clientele: BHF is registered with the CSSIW to provide care to people aged 18 and over, who have a learning disability and mental health needs, requiring personal care. BHF accommodates both male and female service users.

Updated 1/9/2016 6 | P a g e

Description of Our Services and Facilities

Services Offered:

The following services are provided at the BHF location:

On site facilities are fantastic here from carpentry and gardening to art & craft, and many other onsite activities which go on daily.

We offer a wide range of community-based services for people with a learning disabilities.

The following regulated activities apply to services provided at BHF:

Accommodation for persons who require support or personal care.

BHF provides services for the following bands of Service User:

Learning disabilities

Autistic Spectrum Disorder

Younger Adults

Sensory Impairment.

The Following Care and Support Services are Provided at BHF:

Learning Disabilities

Down Syndrome

Autism

Tourette’s/Tics

Epilepsy

Day Care

Independent Living Training

BHF does not provide Nursing.

Updated 1/9/2016 7 | P a g e

Admissions

A pre-admission assessment will be carried out to assess the suitability of the match between your needs and the Services and facilities of BHF. The suitability of your admission will be discussed with you and, if appropriate and with your permission, your representative(s).

Emergency admissions will be accepted only in exceptional circumstances, where the health or safety of the Service User is under threat, and normally only through a professional referrer such as Social Services. In this event, the suitability of the proposed Service User will be discussed with the professional referrer to ensure that the needs match the services offered, and the normal pre-admission assessment will

be carried out within 48 hours of admission.

The Physical Environment

BHF is a substantial residential home for 8 individuals with Learning Disabilities and Mental Health Needs, requiring personal care.

BHF has adopted a person centered, active support approach to care in order to promote physical, emotional, psychological well-being for the individuals we support.

We are always welcoming referrals and will provide a free comprehensive assessment, detailed report and fee breakdown.

BHF provide a safe and empowering home to enable those who live in it the chance to lead a fulfilling and meaningful lifestyle with their local community.

This is achieved by providing support via our hand-picked team of staff that show a strong emotional intelligence towards supporting adults with Learning Disabilities.

We show the same respect and support to those who use our services, as well as to those who work for us. A supported and developing staff team is seen as an essential element in the implementation of our philosophy. We have experience & knowledge of supporting complex and challenging behaviors and are proud to promote that all of our staff will be PBM trained and have great knowledge in dealing with behaviors that challenge.

After a successful induction period, all staff members will be either enrolled on QCF Level 2 or 3 or have completed them, which shows our dedication to provide the best for the people we support. We operate a low arousal, person centered, active support approach via our ACHIEVE Philosophy which takes into account the needs arising from Learning Disabilities/Autism.

Updated 1/9/2016 8 | P a g e

Achieve Philosophy

ADVOCACY: we see advocacy as our ‘duty of care’ to support our service

users to do things that are in their best interests without judgement or influence from others. We support individuals to outline meaningful, realistic, achievable and sustainable goals that are of benefit to them and their continued development.

COMMUNICATION: all individuals are supported to communicate in the way

they are most comfortable with. This enables them to express their likes, dislikes, needs and wants, and most importantly their opinion on how their life is lived.

HEALTH: we encourage everyone to follow a healthy and active lifestyle. We

support all individuals to choose, prepare and eat healthy food choices. We endeavor to lease with Professionals and Parents to ensure that all health care needs are being met.

INDIVIDUALISATION: using a combination of Person Centered and Active

Support approaches, our aim is to place each individual at the centre of their own care. We support every service user to make informed choices about the things that are happening in their lives. Ultimately this leads to each person having their own bespoke care package which addresses the things that are meaningful to them and will cater for their specific needs.

ENVIRONMENT: we provide a safe, caring, low arousal environment in which

every individual is encouraged to develop their skills at their own pace. We provide many activities on and off site and support each person to develop their confidence and empower them to become part of the community that they live in.

VOICE: we support the adults in our care to have their own say in all aspects of

their lives. Choice is key in enabling each individual to achieve their potential while being involved in things that matter to them and having their voice heard.

EMPATHY: we provide a high standard of professional care to every individual

with empathy, dignity and respect at the forefront of our service. This allows us to form positive relationships with each service user and their support network creating an environment in which each individual can thrive.

Updated 1/9/2016 9 | P a g e

Operations of Care Home Service users’ will be supported to hold weekly house meetings in order to have their say on how their home is run. Discussions will include weekly activities, menu choices, house rules, TV events or specific/ desired watching times and any issues they have with the day to day running of the home or issues with other residents. BHF staff will minute these meetings with the consent of the service users and minutes will be archived. Fire Risk Assessment The following guidelines are made to help staff carry out fire risk assessments in all Ty’n y Coed Care Ltd premises. Identify sources of ignition. Smokers material; cigarettes, lighters and matches. All areas of BHF are non-smoking. Electrical Equipment. All electrical equipment is checked visually each time it is used. Broken or faulty

plugs, sockets and damaged leads must be taken out of commission immediately. DO NOT USE labels

must be attached to the appliance until it is repaired or replaced. All such occurrences must be

recorded in the repair book. Annual PAT test of all appliances Arson. Staff will ensure that there is no build-up of combustible rubbish in any areas of the

houses or grounds. If we were asked to look after a client with a history of or suspicions of causing non-

accidental fires, a thorough risk assessment would take place prior to admission. Identify sources of fuel Flammable cleaning and repair material.

All flammable liquids i.e. petrol, thinners, white spirits, paints, varnish etc. are to be kept in the outside locked handy man’s workshop.

Paper and card for service users drawing and painting must be kept tidily inside a cupboard drawer when not in use.

All soft furnishings must be checked that they comply with current guidelines on fire resistance before they are used in the building i.e. A client wishes to bring his or personal furnishings into the houses.

All flammable waste material must be removed from the building for disposal

Updated 1/9/2016 10 | P a g e

without delay. Plastic packaging to be placed in the ‘Wheelie bin’, paper and card may be placed in the garden incinerator.

The Buildings Although the buildings are protected by fire resistant plasterboard, fire doors, smoke alarms, heat detectors and alarm sounders, the following precautions must be adhered to.

All doors to communal areas must remain closed when not in use and during the night.

Client’s bedroom doors will be closed at night and when the rooms are not in use.

Electrical appliances will be switched off and unplugged when not in use.

The buildings will be evacuated as a matter of course if the alarms are sounded. A roll call will be taken and no one will re-enter the buildings until the senior staff on duty has stated that it is safe to do so.

Any member of staff who is unclear about any aspect of fire safety within the

workplace should seek advice from the managers for further training and clarification.

If a member of staff or a service user is concerned about any aspect of this procedural document, they should convey their concerns to the manager in writing at the earliest possible opportunity. Religious Beliefs All individuals using the services of BHF will be fully supported to pursue or continue any religious practices or beliefs that they have. Keeping in Touch Visitors are very welcome at BHF at any time that is convenient. Principal carers’ and/or family and friends may telephone at any time, day or night, to enquire about the service user’s well-being. We will always try to enable service users to speak directly to the person telephoning, and if that is not possible messages will be passed on pass on accordingly. Visitors are asked to sign in and out in the visitor’s book to comply with health and safety requirements. We also request that all visitors comply with health and safety notices, and do not introduce hazardous substances or materials into the establishment or bring in food from outside without checking first with the person in charge. Service Users are welcome to use the telephone in the office, which is available at all times and can be portable if required. Any member of staff will assist in accessing the telephone if indeed help is required. Service Users are also very welcome to use

Updated 1/9/2016 11 | P a g e

the telephone in the office for privacy – to do so please ask any member of staff. Service users’ mail will be given to them as it arrives, unopened, unless it has been requested by the service user that the Staff open it. Links with the community are encouraged. Each service user will be allocated a Key Worker who will help them maintain their network of friends and family, and also help them to attend appointments, visit shops and places of interest. Making a Complaint and Giving Compliments We believe that complaints and compliments are a valuable indicator of the quality of our service, and an opportunity to improve that quality. We assure all Service Users that no-one will be victimized for making a complaint, we encourage Service Users to instigate the complaints procedure whenever they feel that this is necessary. We do not wish to confine complaints to major issues. We encourage Service Users to comment when relatively minor matters are a problem to them, such as receiving cold food, or being kept waiting without explanation, or being spoken to in a manner that they do not like. It is our policy that all matters which disturb or upset a Service User should be reported, recorded, and corrective action should be taken. Only in that way can we work towards meeting our aim of continuously improving our

service.

Reporting of Complaints

Our aim is to provide quality care at all times. Like all good businesses we know that there may be the occasion when an individual feels the need to complain. It may be a service user who wishes to raise an issue, or maybe a member of their family, even a friend. In these occasions we aim to deal with all complaints to the satisfaction of all parties within 14 days. This period can be extended to 35 days if all parties are not satisfied with the outcome. To help in the reporting of complaints we use a simple three-stage system. Stage One 1. Service users or their representatives should in the first instance discuss any

issues of complaints with the TYC Deputy Managers. 2. It is hoped that the complaint can be dealt with at this stage to the satisfaction of

all parties concerned. 3. If resolved, the Manager / Supervisor will record the complaint, confirm the

outcome in writing and the matter will then be deemed closed with no further action being taken.

Stage Two 1. If any individual feels that the complaint has not been resolved to their

satisfaction using the procedure in Stage One, then it is their right to pursue the matter.

2. In all such cases the matter will be passed to the TYC Registered Manager who will then investigate as appropriate and deal with the complaint.

Updated 1/9/2016 12 | P a g e

3. If the complaint is regarding any of the above then the compliant will be passed to the Responsible Individual or Directors of TYC.

4. It is hoped that the matter will be resolved at this stage. If so the Manager will record the complaint, confirm the outcome in writing and the matter will be deemed closed with no further action being taken.

Stage Three 1. If any individual still feels that a complaint has not been resolved, the final course

of action will be to report the matter to the appropriate authority. 2. The individual will be directed to report the matter to:

Care and Social Services Inspectorate Wales South West Region Government Buildings Picton Terrace Carmarthen Tel: 0300 7900126 (See below) Pembrokeshire Fax: 0872 4377303 SA31 3BT Email: cssiw.southwest@wales.gsi.gov.uk

(Note: when telephoning: Press 1 for Welsh or 2 for English advisor, then Press 3 for South West Wales)

Addresses:

Director of Social Services: Community Learning Disabilities

Team, County Hall Haverfordwest Pembrokeshire

SA61 1TP

Care and Social Services Inspectorate Wales:

CSSIW Welsh Government

Rhyd-Y-Car Business Park

Merthyr Tydfil CF48 1UZ

Local Clinical Commissioning Group:

Learning Disabilities Team County Hall

Haverfordwest Pembrokeshire

SA61 1TP

The Local Government

Ombudsman PO Box 4771

Coventry CV4 0EH Tel: 0845 602

1983 or 024 7682 1960 Fax: 024

7682 0001 advice@lgo.org.uk

Updated 1/9/2016 13 | P a g e

Care Plans and Reviews

Each service user will have a detailed care assessment plan, which will be completed and issued by the local social care team. BHF will work in accordance to the care plan to ensure that the needs of the service user are being met at all times. The social care team will meet with the service user, their family and BHF on a regular basis to review the care plan, making amendments as necessary.

BHF will provide each service user with a service delivery plan. This will outline how BHF will deliver their service to meet the needs detailed in the care plan. BHF will allocate each service user with a Keyworker. The Keyworker will provide a detailed monthly report and discuss and outline monthly goals which will be agreed with the service user. The monthly report is then reviewed against the service delivery plan each month by the Registered Manager with the Keyworker and service user and appropriate changes are made as and when required to ensure that the service delivery plan is relevant and up to date.

All information regarding service users will be kept in accordance with the Data Protection Act.

Accommodation

All 8 rooms at BHF are in excess of 12 square meters and all have en-suite bathroom facilities to ensure that dignity, respect and privacy at all times. All rooms are in close proximity to BHF’s expansive landscaped gardens which can be accessed at the service user’s convenience.

Therapeutic Activities BHF has a policy of actively promoting the maintenance of Service Users’ normal social network and social activities. Each Service User’s Care Plan includes a facility for recording life history, social network and contacts, and preferences for activities and hobbies such that that staff are made aware of these, and the Service User is offered access to those networks and activities which are appropriate and desired. The policy of BHF is that activities and networking support are a part of normal daily living, and support for access will be available at all times.

Privacy and Dignity

BHF aim to respect Service Users privacy and dignity at all times. Service Users’ privacy: All Service Users have the right to be alone or undisturbed and to be free from public attention or intrusion into their private affairs.

Service Users’ personal rooms will have a lock fitted such as is appropriate to their

Updated 1/9/2016 14 | P a g e

needs, and the Service Users will be provided with a key unless a documented risk assessment indicates that this is inappropriate. Decisions in this respect will be recorded in the Service User’s Plan and signed as agreed by the Service User or Advocate. All Service Users will have access to a locked cabinet in their room, or to a locked cash box, where relevant. Particular attention will be given to preserving privacy in the use of bathrooms, toilets and when dressing and undressing. At the same time, health and safety and personal risk management will be considered and discussed. Any building or equipment fault which reduces the privacy of any Service User must be reported to the Registered Manager. Staff will not discuss Service Users or their affairs within earshot of anyone not directly concerned with their care. Discussion of Service Users and their affairs will be for the purposes of managing and improving their care only. Service Users will always be offered privacy for personal discussions. Records will be designed, used and stored so as to assure privacy. Legislative controls over records, such as the Data Protection Act, will be adhered to, and the Service User’s explicit permission in writing will be sought before information is passed to any person other than those directly concerned with the care of the Service User. Records will be made available to the Service User’s principal Carer and family according to the wishes of the Service User. Service Users’ Dignity: Dignity is a matter of prime importance to us, and all staff receive training in this area.

Service Users will be asked for the name by which they wish to be addressed, and this name will be recorded on the Service User Plan and used by all staff. Service Users are perfectly entitled to ask that their principal carers use one name, and others use another name. The level of familiarity is under the Service User’s control. In the absence of information to the contrary, staff will address the Service User formally, using their title and surname. Staff are trained to be sensitive to Service User feelings when in company. Bedrooms, bathrooms and WCs have locking mechanisms on the doors, and staff are trained to knock and wait for Service User’s invitation before entering the room.

Updated 1/9/2016 15 | P a g e

Equality, Diversity and Social Inclusion There are a number of legislations that support anti-discriminatory practices

Articles 1,2 and 14 of the Human Rights Act (1995)

Sex Discrimination Act (1975)

Equal Pay Act (1976)

Disabilities Discrimination Act (1995)

Disability Rights Commission Act (1999)

Race Relations Act (2000)

Employment Equality (religion or belief) Regulations (2003)

Employment Equality (sexual orientation) Regulations (2003)

Disability Discrimination Act (2005)

Equality Act (2006)

Equality Act (2010)

Social Services Wellbeing Wales Act (2014, implemented 6/4/16)

There are also some clauses within Acts that focus on anti-discrimination requirements which include;

The Children’s Act 1989 which requires authorities to take account of

Children’s disabilities and the support needed to enable them to live as near

normal lives as normal.

Guidance in the form of ‘No Secrets’ (DoH, 2000) which sets out adult

protection policies and recognises adult discrimination and abuse

The document Working Together to Safeguard Children (department of

education (2010) which requires and practitioners to guard against ‘myths and

stereotypes’.

All of the above are incorporated into our policies and procedures at BHF. BHF apply this legislation into our day to day practice. These Acts and Policies insure the safeguarding of all individuals in the work place (service users and staff). It ensures that those seen to be vulnerable, are no longer so. They also complement directives such as person centered approach and active support, as it supports the basic human right to be able to make your own choices. It safeguards service users and staff ensuring that everybody has the right to the same chances as others as regards to personal or professional development.

Updated 1/9/2016 16 | P a g e

Positive Behavior Management Policy Statement Ty’n Y Coed Care Ltd (BHF) believes that, in the event of aggression or violence within the company, staff should only ever resort to physical intervention as a last resort, or in defending themselves or defending other service users from immediate physical harm. Aim of the Policy This policy is intended to set out the values, principles and policies underpinning this company’s approach to physical intervention by staff. Physical Intervention Policy Service users supported by this company are prone to exhibiting challenging behavior at some time or another, and staff should always deal with these events in a calm and professional manner. Physical and verbal aggression by a service user should be understood by staff and dealt with appropriately. In the event of an aggressive incident staff should summon help or call the police immediately. Tackling such incidents is a team effort, and staff should use a phone, or ask others directly for assistance. They should try to de-escalate incidents, wherever possible, and their first priority should be for their own safety and the safety of other staff and service users. Physical interventions should be used only as a last resort by trained staff, and in accordance with Department of Health guidance to protect the rights and best interests of the service user, and as the minimum consistent with safety. If a member of staff is actually attacked they are permitted to use “minimum reasonable force” to defend themselves. Care should therefore be taken to ensure that minimum force is indeed used and that service users who are acting in an aggressive or threatening manner are not subject to undue restraint. Legal Considerations and Statutory Guidance The following laws and guidance apply:- Health and Safety at Work Act 1974 Public Order Act 1986 Police and Criminal Evidence Act 1984 The Public Order Act 1986 does give protection to people from being abused or attacked and, if a member of staff is attacked, they are allowed to use “minimum reasonable force” to defend themselves. However, staff should remember that if they restrain a violent service user and injure them they may end up with charges for assault made against them, even though they were the victim. Training All new staff should be encouraged to read the policy on physical intervention as part of their induction process. Existing staff will be offered training covering basic information about dealing with challenging behavior and aggression and violence.

Updated 1/9/2016 17 | P a g e

All staff should be trained to recognize the early warning signs of potential aggression, and in responding to pleas for assistance. Ongoing training and yearly refresher courses will be available so that staff can develop skills to manage and reduce unacceptable behavior, on the basis of detailed problem analyses and the selection of individualized interventions appropriate to each case. Staff should be trained in a range of intervention strategies that have developed in respect of socially inappropriate behavior. Training includes:

de-escalation techniques

the concept and use of “minimum force”

approved and acceptable break away techniques

inappropriate or unacceptable techniques BHF ensures that staff are PBM (positive behavior management) trained to implement a 2-person removal, however as previously mentioned, this is an absolute last resort when all other avenues of dealing with the behaviors has been exhausted. Staff are not trained or permitted to use restraint or restrictive practices at any time.