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Contents Page 1 Contents Page 2 - 3 Key Staff and Staffing Page 4 The Complex and Bedrooms Page 5 Admissions Care and Safety Page 6 Privacy and Dignity Page 7 Consultation Page 8 - 9 Lifestyle and Leisure Page 10 Visiting and Recreation Page 11 Cuisine Page 12 Sample Menus Page 13 Care Quality Commission Page 14 Contract and Terms and Conditions Page 15 Complaints Page 16 Alternative Versions Available Page 1 of 15 Partners: B Robb and J Robb Page 1 of 15 Key Staff and Staffing Proprietors: Bev and Julie Robb RN Matron: Caroline Whitehead RN Clinical Compliance Manager: Angela Ashburn RN Director of Quality and Services: Sheena Douglas RN Staff Development Manager: Helen Hickman RN Sister: Rachel Hodgson RN Maintenance Manager: Bev Robb Human Resources: Ben Platton Catering Manager: Steph Coulthard Management Support Officers: Cerri Firth Sue Stafford Staffing As a minimum we employ: Registered Nurses Health Care Assistants Cooks Domestic Assistants Lifestyle Co-ordinators Administrators Maintenance Assistants All of our RNs meet the NMC criteria and we are assisting all of our care staff to achieve QCF Level II or III in Health and Social Care. Our cooks have Food Hygiene Certificate Level II and encouraged to reach Level II III and our Domestic Assistants are encouraged to achieve QCF Level II in Domestic Duties. Page 2 of 15 Partners: B Robb and J Robb Page 2 of 15 The dedicated Nursing Team has specialist skills in caring for patients with complex needs including those with neurological injury or illness. Our nurses undergo continuing professional development as well as training with other health professionals to ensure that they have the skills and expertise to enable them to care for people with complex health problems. Many of our nurses have extended their role as a Registered Nurse to enable them to carry out such procedures as Phlebotomy and Tracheostomy care. Our team includes registered nurses, both general and learning disabilities, which ensures that our patients are able to develop to their full potential. We have a Lifestyle Co-ordinator Team to ensure that all patients can carry out their hobbies and become involved in activities within the home. At Applegarth we offer 24 hour nurse led care. Our patients are under the direct supervision of the RN team who are trained to the highest level to plan, evaluate and deliver individualised care. All of our staff are caring, sensitive and compassionate. Page 3 of 15 Partners: B Robb and J Robb Page 3 of 15 Applegarth Healthcare Centre The centre comprises units for: Neuro Care Complex Condition Care Learning Disability Care Challenging Behaviour Care Rehabilitation Older Adults Care Transitional or Supported Living Day Care Short Term Crisis Care Respite Care (The folder with this leaflet provides full details of the care and services). Bedrooms Throughout the complex we have a variety of rooms all of which are spacious and decorated to a high standard. An interior designer was commissioned and supplied bespoke soft furnishings. In the 3 units for complex medical conditions, the bedrooms vary from 19 square metres to 23 square metres and are en-suite; many have spacious shower rooms which accommodate our adjustable height hydraulic shower beds. Most rooms in the new units have under floor heating. The rooms have French windows designed to allow our specialist profiling beds to pass through, leading to either a personal terrace or covered balcony which provides access to and a view of the landscaped gardens. You are welcome to personalise your room – change soft furnishings, furniture, pictures, decoration, etc. – if you wish. Your bedroom is just that – YOURS. Remember that we are just visitors in your home. Page 4 of 15 Partners: B Robb and J Robb Page 4 of 15 Admissions, Care and Safety Admissions Applegarth operates an admissions policy which complies with the Equality and Diversity Policy of the organisation. There are numerous forms to be completed and a care plan to be formulated for you. We suggest a trial visit to the unit before you make any decision. This visit will comprise of at least half a day and if at all possible a night stay. The purpose of the visit is to ensure that you have an opportunity to assess the unit. You will be given privacy to discuss matters with other patients and to meet the staff. If you wish, members of your extended family will also be offered the facility to discuss matters with other patients and staff in private. This will enable you to enjoy the facilities of the unit, including the meals and meet with those people charged with your care. It is important that you have an opportunity to view your home, the room you will occupy, discuss your requirements and see examples of the records and information kept. If a trial visit is not possible, or someone is admitted as an emergency, their needs and requirements will be assessed and if appropriate the patient can decide to move elsewhere. Care and Safety Applegarth cares for adults who are vulnerable therefore we are very conscious of the dangers of fire. We are committed to training staff to deal with such an emergency. We have in place a training system that is reviewed on a regular basis with staff and takes into account the changing needs of our patients and developments in fire safety pursuant to risk management. There is a written policy regarding what to do in the event of a fire and you will be directed by staff should this be necessary. We have numerous other policies in place which you are free to read and obtain from Matron. Page 5 of 15 Partners: B Robb and J Robb Page 5 of 15 Privacy and Dignity Privacy and Dignity Applegarth adheres to a strict policy of equality and diversity which is applied to patients, to facilitate their need for dignity, identity, autonomy and self esteem. It is a policy which we hold dear. You will be holistically assessed and care will be performed according to your specification and standard which takes into account and respects your individual choices, culture, beliefs, religion and sexuality whilst maintaining your privacy and dignity. We will ensure that you are addressed by your preferred name and that your social, cultural, religious and language requirements are respected. Your preferences will be ascertained and reviewed on a regular basis. Resuscitation We are ever conscious of our patients’ choices and the question of resuscitation is one of them. Some people have strongly held views and other people do not. Resuscitation or cardiopulmonary resuscitation (CPR) involves the input of air into the lungs and chest compressions in order to maintain circulation. It may keep the person alive until an ambulance arrives. You have a choice, you can say that you do not wish to be resuscitated, in which case if your heart stops we will not attempt resuscitation. Such a choice has no bearing on your treatment during your stay with us and you can change your mind at any time. Everyone is cared for the same and this brochure simply highlights a further consideration. Please feel free to contact the Matron or Sister. Page 6 of 15 Partners: B Robb and J Robb Page 6 of 15 Consultation Applegarth appreciates that the views of the resident patients and their families is an invaluable guide to the maintenance of quality and wish to ensure that you are satisfied with our service. We make sure you are supported to make choices about your own treatment and the development of your individual care plans. We undertake extensive consultation with you and (if you wish) those close to you concerning all aspects of care and the running of the unit and Nursing Home. Patients are involved in the recruitment process by way of a questionnaire, helping at interview etc., and in the review of staff after their probationary process, once more by questionnaire and discussion. In addition to this patient meetings are arranged so you and your representatives are actively encouraged to participate in planning and setting service priorities and how the service is run. “Satisfaction” is defined as the degree to which the individual regards the care or manner in which it is delivered by the provider as useful, effective and beneficial. “Quality” is a term for measuring and maintaining the high level of service. With these two phrases in mind, Applegarth has implemented both Quality and Satisfaction Questionnaires for the use of patients and families if appropriate. A regular review of these tools will help us to guarantee patient satisfaction and maintain the high quality of service that Applegarth wishes to ensure for its patients. Page 7 of 15 Partners: B Robb and J Robb Page 7 of 15 Lifestyle and Leisure At Applegarth it is important to us that those who choose to live with us, have access to all of the activities they would wish to have. Our dedicated Lifestyle and Leisure Team will work with you to provide a schedule of events that fulfil your desires and needs. We can organise days out, evenings with friends and if you wish holidays. Whenever possible we will make sure that the things that are important to you continue, for example, you are able to enjoy your favourite radio / television programme. In addition there are group activities in the complex ranging from flower arranging to singing. The following facilities are available but it is not an exhaustive list: IT areas with Internet Access In this modern age keeping in touch with the outside world is important. Our patients are encouraged to use the computers to develop their skills, use the internet for their own personal purchases and play games etc. We have computers in various parts of the building for just that purpose. Sensory Room This Snoozelum has been designed to enable our patients to spend time relaxing. Look at the slide show to see the various stimulating programmes we have available. Beauty Therapy/Hair Dressing We have a qualified beauty therapist and hair dresser available at the complex to provide you with the luxuries in life that make you feel better. Therapies include Aromatherapy, massage (including hand massage) manicures, makeup, etc. Sensory Garden We have developed a garden that enhances our patients’ quality of life. This part of the garden with a water feature allows you to enjoy your time in the garden. The raised bed is accessible to all to experience the different fragrances and textures of the plants. Page 8 of 15 Partners: B Robb and J Robb Page 8 of 15 Visiting and Recreation Visiting Applegarth actively promotes the welfare of the patient and ensures that relatives, friends and associates are free to visit you whenever you wish. Private facilities will always be made available if the need requires, including visits by professional and spiritual advisers. Whilst it is our policy to encourage such visits you always have the right to deny access to any person you wish to. Visitors are respectfully advised that they must sign in and out of the unit in order to comply with Health and Safety Legislation. We actively encourage your family to accompany you on trips and visits outside the unit .We also encourage family and friends to join you for meals. We do reserve the right to protect patients and staff from abusive and aggressive behaviour from visitors and may restrict / deny access in these circumstances. Recreation We have already referred to our Lifestyle and Leisure Team but in addition we have: Communal Lounge Areas We have seven communal lounges through the home, offering different facilities such as plasma television, music, café area, a laundry for your own use and kitchen facilities. Physiotherapy Room Our patients find this facility helps with mobility and rehabilitation. It is airy and overlooks our grounds. Craft Room This room is used to help you develop your personal and social skills and for recreation activities such as flower arranging. Page 9 of 15 Partners: B Robb and J Robb Page 9 of 15 Cuisine It is important to have tasteful and nutritious food. Our chefs go the extra mile for our patients and we consult with you on your favourite foods to accommodate your choice in the menus. We also encourage you to have family and friends dine with you. You will see some sample menus on the following page which we hope you will find appetising. Please remember that you have a major input into our cuisine We have separate dining rooms which you may wish to use at some stage, especially for special occasions. Page 10 of 15 Partners: B Robb and J Robb Page 10 of 15 Sample Menus Breakfast Te Breakfast Orange Juice Water Tea Coffee FfF Fresh Fruity Mid Morning Biscuits Mid Morning Cereals Yogurt Porridge Fresh Banana Fresh Melon Grapefruit Segments Tea Tea Fresh Fruit Coffee Coffee Fresh Fruit Biscuits Fruit Juice Biscuits Scones Water Scones Prunes Boiled, Scrambled or Poached Eggs Bacon Sausage Tomatoes Mushrooms Toast-White or Wholemeal Bread-White or Wholemeal Butter Marmalade Honey, Jam Afternoon Tea Lunch We always have afternoon tea with a choice of cakes and wonderful tea time treats Steak and Ale Pie Or Poached Trout With Creamed Potatoes Carrots and Garden Peas High Tea Baked Potato with cheese or coleslaw …. Peaches Served with Custard Or Lemon Mousse Or Homemade Leek and Potato Soup Sandwiches Page 11 of 15 Partners: B Robb and J Robb Page 11 of 15 Care Quality Commission All Nursing Homes are monitored and licensed by the Care Quality Commission. The Commission visits Applegarth Nursing Home, either by appointment or by calling unannounced; following a visit a report of their findings is published. The reports are available at 243 Newtown Road Carlisle CA2 7LT You can obtain your own copy by writing to the Care Quality Commission at the following address: Care Quality Commission National Correspondence Citygate Gallowgate Newcastle upon Tyne NE1 4PA Telephone: 03000-616161 Email: [email protected] Page 12 of 15 Partners: B Robb and J Robb Page 12 of 15 Contract and Terms and Conditions People finance their care in many ways. You may be financed by the local NHS or Social Services, in which case you will need to have access to their terms and conditions. These are available from the following places: Applegarth Healthcare 243 Newtown Road Carlisle CA2 7LT Tel: 01228-810103 Or Cumbria NHS Primary Care Trust Lonsdale Unit Penrith Hospital Penrith CA11 8HX Tel: 01768-245317 Or Cumbria County Council Adult Social Services Portland Square Carlisle CA1 1PE Tel: 01228-227000 If you are paying privately then please apply for the contract directly from the Matron at Applegarth Healthcare. Page 13 of 15 Partners: B Robb and J Robb Page 13 of 15 Complaints Procedure All complaints should be brought to the attention of the Senior Nurse in charge. If they are unable to help, the Matron will be informed. If a satisfactory solution cannot be agreed by all parties, the matter should be referred to the Proprietor for investigation and action. You may wish to ask a friend or relative to help you to complain. If you do not have anyone to help you, we would help you find an independent organisation to act as an advocate for you. We will handle your complaint in a kind and sympathetic manner and acknowledge receipt of the complaint within one week. It may take a little time to consider it fully but we will let you know how we hope to resolve the situation within 4 weeks. You may make a complaint at anytime to: Care Quality Commission National Correspondence Citygate Gallowgate Newcastle upon Tyne NE1 4PA Telephone: 03000-616161 Email: [email protected] Or Adult Social Care Civic Centre Rickergate Carlisle CA3 3QG Telephone: 01228-227000 Email: [email protected] Or Local Government Ombudsman P.O. Box 4771 Coventry CV4 0EH Telephone: 0845-6021983 Email: [email protected] Page 14 of 15 Partners: B Robb and J Robb Page 14 of 15 This Brochure is available in a number of different formats. Cette information est disponible dans un certain nombre de formats différents. Diese Informationen werden in einer Reihe von verschiedenen Formaten erhältlich. Οι πληροφορίες αυτές είναι διαθέσιμες σε μια σειρά από διαφορετικές μορφές. 此信息可在不同的格式。 Эта информация доступна в нескольких различных форматах. Esta información está disponible en varios formatos diferentes. Queste informazioni sono disponibili in una serie di formati diversi. Esta informação está disponível em vários formatos diferentes. この情報は、さまざまな形式の数です。 이 정보는 사용 가능한 다양한 형식의 숫자입니다. Te informacje są dostępne w wielu różnych formatach. Ang impormasyon na ito ay magagamit sa isang bilang ng mga iba't-ibang mga. Please contact Manager’s Support to request one suitable for your needs at: Applegarth Healthcare 243 Newtown Road Carlisle CA2 7LT Tel: 01228-810103 E-mail: [email protected] www.applegarthhealthcare.com Partners: B Robb and J Robb Page 15 of 15 Partners: B Robb and J Robb Page 15 of 15