STATEMENT OF PURPOSE
Date: May 2017
Quality & Purpose of Care
To provide care and accommodation for up to 5 people with a learning disability, physical disability, sensory impairment, or autistic spectrum disorder, in addition to this the person may also have a medical health complex need, and who may require nursing or personal care.
All the families of those in the care of the service require consistent or flexible days for overnight respite care or day care breaks to meet their own personal needs.
Every child and adult in care of the service shall be treated with respect, dignity, kept safe and will expect a person-centred approach which meets all their own individual needs.
We believe that all disabled people must have equal social and economic opportunities to ensure their development and wellbeing. It is our aim to provide support to every individual to have access to their education, or employment, and to support disabled people with social and recreational interests either at the Centre or in the wider community.
The service aim is to work in partnership with every family, statutory local authorities and professional bodies who are involved with the welfare of children or adults in the care of the Chiltern Centre.
- Maintain & keep people in care safe from all forms of harm.
- Support every individual to achieve their individual aims and objectives.
- Protect against all forms of discrimination relating to individual people or groups of people.
- To care for people following the Mental Capacity Act 2005 Code of Practice.
- Empower every person in care to make decisions for themselves wherever possible, or Ensure that decisions are in the best interest of that individual where ever necessary.
- Provide Support Plans for every individual person which is person centred.
- Provide Health Care Plans for every individual which is person centred.
- To promote an individual’s welfare by way of community social inclusion or, provide a peer group setting within the Centre for social and recreational interests.
- For those admitted in to our care to remain living with their families in their own home, who might otherwise be placed into a permanent residential placement.
- Accommodate & care for children and adults with a learning disability aged between 6 and 25.
- Respect & support all family members of children or adults in care.
- That the decoration appeals to those it is intended for which also meets the highest standard of health & safety.
- Promote & respect every individual’s rights for dignity and privacy.
- Provide a balanced and nutritional diet which supports health living lifestyles.
- Provide alternative meal options which respect an individual’s right to determine their faith & belief.
- Provide adequate care staff or nursing staff suitably qualified to safeguard & care.
- Provide expert experience and compassion when caring for people.
- To open the Centre to the maximum number of nights possible Monday to Sunday so that the service is flexible and can meet the demand for care.
- Day Care, Holiday Care, ADSAN
- Overnight Respite Care
- Domiciliary care meaning personal care in the person cared for home location not the Chiltern Centre or other suitable locations (only those already receiving care)
- Youth Group for learning disabled people: Buddies
- Emergency care (only those who are receiving care)
Buddies is a youth group opportunity for learning disabled people and adults to come together at the Centre fortnightly to experience social activity, and learning in a fun relaxing environment. The aim of group is to maintain and build social development skills while in a safe environment or to partake in a group activity away from the Centre to maintain or build social development.
The Chiltern Centre wholly believes in empowering learning disabled people to fulfil their potential to achieve personal life ambitions. Children and adults in our care along with their families can expect a high standard of care and compassion to meet every individuals’ need for personal centred development based around welfare and wellbeing.
The service and its workforce place respect, dignity, and diversity as a means of high order when connecting with every individual in our care. Our challenge is to support every individual in our care person specific which offers that person the best positive experience of day or overnight care.
The service is committed to supporting every family to achieve their hopes and ambitions in which they believe best meets their child’s welfare and wellbeing which is safe for that child.
The Chiltern Centre is a ground level building with 5 single occupant bedrooms, a spacious lounge living area, modern kitchen, a sensory impairment soft play sensory room leading to enclosed gardens. The overall living area is light and colourful designed with ease of access for all disabled people, indoors and outdoors. The centre is also equipped to support the needs of disabled people and people with a learning disabilities who require intimate personal care and safety.
The location of the Chiltern Centre is set back away from Greys Road on a secluded entrance on the Chilterns End Road. The premises is surrounded by tree’s shrubs, private residential housing and next to The Order of St John Care Trust, this is a nursing home for the elderly. There are no immediate concerns regarding the residence of The Order of St Johns Care Trust and there are no concerns that children or adults in the care of The Chiltern Centre crossing the boundary onto that premises or vice versa.
There are private residential homes which back up to the boundary of The Chiltern Centre and to date there have been no immediate concerns relating to the compromise of safety of those in the care of The Chiltern Centre.
Henley-on-Thames is a medium sized town mostly made up of residential housing and medium to small business.
The proximity of the Chiltern Centre to Henley-on-Thames is toward the outer boundary of the town, where fields and farming take over. The town is well known for its connection to the River Thames which brings in tourism and large scale annual events. These elements are a consideration when care planning for safety and safeguarding.
Cultural, linguistic, and religious needs
The Chiltern Centre is open to all people, learning disabled children adults and their families to the care of the service. We are committed to meet the needs of everyone in care not just their primary care need but also their cultural or religious needs. Where necessary the service will try to accommodate cultural or linguistic need to support an individual to maintain their sense of identity.
The service model approach to ascertaining feedback from those in care, their families, carers or professionals involved is valued. The service has a robust procedure in place regarding people in care wanting to complain or family members or relevant others who feel they want to complain about the service in anyway.
A complaint logged in writing from the complainer will be responded to within 28 days of receiving the complaint, verbal complaints are similarly managed in the same process although it may not necessarily warrant a response. If people wanting to log a complaint, felt it necessary to receive a response with an outcome to their complaint they should formally log that in writing.
People in care who express a complaint to the immediate person caring for them can expect that person to forward their complaint in writing and or respond to that appropriately, this will be treated as a verbal or written complaint and will duly be logged under the service complaints procedure.
Initially complaints can be resolved by the immediate person who received the complaint. All complaints verbal and written are logged by the service and actioned by the Registered Manager.
Child Adult Protection
As part of the philosophy in supporting children or adults with a learning disability we promote positive healthy relationships between people in our care and the care staff member, we also believe that everyone involved in maintaining the service is equal to maintaining promoting health positive relationships with those in the care of the service and their families.
Children or adults who are in our care and who speak out about or make an allegation or disclosure will be listened to by their immediate carer who will then follow the service safeguarding measures.
The service follows national and local regulations which protect children or vulnerable adults in care and we regularly review policies to ensure that the service is maintaining high standards of safeguarding practice.
The Centre has appointed 2 Designated Safeguarding Officers under local safeguarding rules who receive specialised training to fulfil their duty to safeguarding children and vulnerable adults in care of the service. The service is continually monitoring the people in our care following local and national safeguarding rules.
Every staff member or volunteer involved with the care of children or vulnerable adults is properly cleared under safer recruitment standards and will follow safeguarding rules to protect those in their care. A comprehensive procedure is established and known to every staff member to be followed should a concern around the safety of a child or vulnerable adult take place.
The local safeguarding boards: Oxfordshire Safeguarding Children’s Board or Oxfordshire Safeguarding Adults Board. If a staff member or other people become concerned about a safeguarding matter this can reported to the most appropriate safeguarding board.
The service believes that as part of maintaining the welfare of those in its care the workforce must also wholly believe in the 5 principles of the mental capacity act 2005 code of practice.
An adult with a learning disability in the care of the service from the age of 18 may require a deprivation of liberty safeguard standard authorisation, should this be necessary authorisation will be made via that person’s local authority.
Children with a learning disability in the care of the service whose parent is the responsible person for their welfare must agree with the service to any deprivation of liberty safeguarding should this be necessary.
Looked after children in the care of the service would require additional authorisation from their local authority if there was a need for a deprivation of liberty safeguard.
In main the service operates a locked door policy to ensure the ongoing welfare of people in the care of the service.
The Centre adheres to national standards of data protection those in care can expect a high standard of data protection regarding any personal information relating to them. Individuals or agencies who are not authorised under safeguarding rules must formally apply under data protection rules if they want to seek information relating to the service.
For those interested to learn more about the safeguarding procedure or other related safeguards within the service please speak to the Registered Manager.
Our managing behaviour focus is to offer the best positive experience a person can possibly have, which promotes self-esteem, gives a sense of belonging and a route to individual self-expression. It is important to build peer and carer positive relationships with every person in care to foster mutual respect, trust focused on person-centred approach and compassionate. We believe that by role modelling our behaviour around people in our care that we demonstrate empathy, tolerance but also develop a better understanding of all people. This is primarily our approach to meeting the needs of people in our care associated in the PROACT-SCIPr-UK® philosophy.
The Chiltern Centre is a committed service to challenging the behaviour of children or adults in our care that would otherwise pose harm to that individual or other people. We know that not all people in care can express their needs using conventional forms which needs to be challenged as part of our care to support people to manage their behaviour and learning; for this we adopt the PROACT-SCIPr-UK® philosophy. This philosophy looks at the whole person in the context of their behaviour unlike other behavioural management theories but with a focus on prevention rather than intervention or Positive Range of Options to Avoid Crisis and use Therapy-Strategies for Crisis Intervention and Prevention.
PROACT-SCIPr-UK® is an independent nationwide behavioural management organisation who support services caring for autism and learning disabled people and is accredited to the British Institute of Learning Disabilities – BILD Code of Practice through the BILD Physical Intervention Scheme.
Knowing the children and adults in our care is key to understanding an individual’s behaviour, people with additional needs want to be understood however their communication pathway to reaching this would not necessarily be a conventional form to self-expression but rather an expression through a behaviour. Understanding the function of an individual’s behaviour is important for us to know because many people in care are nonverbal or find it difficult vocalising their needs, thoughts and feelings.
It is also important when determining the function of a behaviour that the service rely upon other agents; families and other external professionals, who might otherwise bring a new understanding about the person in care.
Every care staff member receives 2 day PROACT-SCIPr-UK® training followed by an annual refresher thereafter. The proactive approach comes from the PROACT-SCIPr-UK® philosophy based on evidence and values and takes the ‘whole-person approach’ to supporting people whose behaviour can be of concern and in turn, can restrict their own lives and independence it allows people in care to feel supported, to be independent and offers them self-control over their life which enables them to live a fulfilling life.
Every person in care has a person-centred Support Plan which is, continuously updated where necessary. We believe that this document brings together the fundamental components in which forms the daily preferential routine of a child or adult in care. This generally mirrors the home routines of people intended to create a harmonious feeling of home and care.
In managing the behaviour outcomes of those in our care we ensure that a Behaviour Risk Assessment Management Plan is in place, this has a planned approach to meet the needs of the individual behaviour and safely. From experience this approach has proven to be successful for the person in care and without any need for physical restraint. However, we acknowledge that our efforts to support people to manage their behaviour safely does need a last resort measure to maintain the safety of the individual and others around. With or without a full Behaviour Risk Assessment Management Plan we deem it necessary to take a precautionary measure to train all staff member to be ready and use physically intervene. The standard technique used by all staff are the one-person escort and the hug. These two techniques are recommended by PROACT-SCIPr-UK® when all interventions have failed and there is a real risk of harm to an individual or others close by. All physical interventions carried out by staff members are recorded overseen by the registered manager and in accordance with national standards.
Views Wishes & Feelings
The service values the views feelings of everyone involved with our work to care for children, vulnerable adults, families, and associated others involved in their lives. We believe that your views and opinions support the service to improve and adapt to improve the standard of care people expect from this service.
The service intends to periodically survey all those associated with the work of care to analyse the intelligence gathered and respond in suitable ways to achieve improvements where necessary.
As part of our work to care and support children and vulnerable adults with a learning disability and or a physical disability, and people of all ethnic backgrounds we recognise the importance of anti-discrimination practices. The service will not tolerate any form of discrimination and it will always uphold the rights of all people learning disabled or other.
The service has in place it’s equal diversity and children’s charter of rights policy for those interested to read this or to learn more about our commitment to uphold the rights of people contact the registered manager.
The children, young people and adults in care are mostly being cared for by their families in the family home not The Chiltern Centre. However, as part of our involvement in the care we can expect children or young people throughout the week school term and we make suitable care arrangements to ensure that transportation to and from their place of education is maintained. For those adults who are not in full time education or part time education again we ensure that they are suitably transported to and from their place of day care.
We recognise the importance of partnership working in supporting the children young people or adults in care and their families to enjoy and achieve as part of their learning education. The service is wholly committed to attend education reviews where the service is open in all ways to improve the learning outcomes for all those in our care.
The service has good connections with local special education schools and colleges and we continue to build our understanding of those agents, but also to press upon improving better understanding of The Chiltern Centre in the belief that we can work better to improve learning outcomes for those in our care.
ASDAN is an alternative option for learning disabled children or adults who don’t attend a mainstream college or school who want to attain a worthwhile and recognised certificate which is an acknowledgement of their personal and social attributes. Those in the care of The Chiltern Centre can opt to undertake an ASDAN programme run as part of the day care service Monday to Friday during term times only.
This branch of the service provides an educational ASDAN programme based on an individual’s learning style which develops their skills for employment and skills for life, the principle of which is:
|· Encourage, engage, and motivate learners
· Promote active and experiential learning
· Raise the expectations of learners
· Reward a range of learning styles and contexts
|· Use assessment to further learning
· Make learning relevant and transferable
· Promote the worth and value of all our qualifications
The health of those in the care of the service is important to us as it is to the individuals in our care and their families. Due to the nature of respite care the families of those in care are primarily responsible for meeting the ongoing heath needs and The Chiltern Centre is responsible for the health needs when that person is in our care. The service requires families or guardians to share all relevant information on health matters prior to any date of care.
The service is keen to encourage the abilities of everyone in care to lead a healthy life style by way of healthy eating and activity. Because of short break care arrangements, the service will plan advance menu plans selected from everyone’s support plan to combine favourite meal choice or individual requirements. The service will promote healthy activities which are suited to the individuals’ ability either by individual or compatible groups.
We expect people in care to require their prescribed medications as an ongoing concern or (PRN) in which case the service follows national standards for administering medication in accordance with NICE guidance for managing medicines in care homes. Every individual in care has a person-centred health care plan specifically detailing every medication, where necessary the service may contact a GP or his/her relevant health care professional.
Parents/guardian of children in care must consent to the service administering a medication prior to any arranged days of care. Adults in care whose parent/guardian are responsible for their care, reference to the mental capacity act 2005 must also consent to the service administering medication.
Staff members trained to national standards and competent to administer medication following the national protocol for administering a person’s medication in accordance with that individuals health care plan.
Personal & intimate personal care
The Centre is equipped with profile beds, an olaf bed, ceiling hoists, portable hoist, wet room and shower trolley all of which are serviced to the highest standard to ensure their safe upkeep. We also have specialised adapted chairs tables, cutlery to support the needs of everyone who would benefit from this. Where it is essential the service can acquire other adaptive items to support an individual in our care.
The Chiltern Centre can offer care for children or adults with a learning disability who require gastrostomy feeds, intermittent catheterisation, or bowel washouts; this level of care will require nurse training specific to the individual need or alternatively we may deploy nursing staff to an individuals’ care need where it is essential.
All staff receive training on personal/intimate care, manual handling care and receive refresher training thereafter.
People new to the service can expect short introductory visits or stays as well as home visits all of which are intended to help the individual build new relationships with the service and for the team to learn person-centred care practice.
The Centre is also equipped with a modern sensory soft play area designed to allow children or adults with a learning disability to explore their sensory need and with safety in mind.
As part of a persons need for personal development and stimulation we believe that the relationships that we create with everyone is an integral part of nurturing their inner development to prosperity. The experiences people have when in the care of the Centre is of equal importance to that of personal safety.
The service is committed to all person-centred modes of communication, the team receive ongoing training in Makaton sign language, Picture Exchange Communication System (PECS) suitable for children and adults with autism and related disabilities.
Every staff member undergoes 1 day training and assessment on intensive interaction. This is an approach to teaching the pre-speech fundamentals of communication to children and adults who have severe learning difficulties and/or autism and who are still at an early stage of communication development. Our aim is to support people in care to engage and explore their potential to self-develop their ability to take control over their need for better wellbeing.
Leadership & Management
Responsible Individual: Paul Barrett
Paul Barrett is married with two married children and five grandchildren. He is a graduate of Durham University.
Paul is a successful businessman with over 20 years to public services. His business career has included thirty years with SmithKline Beecham (now GlaxoSmithKline) where he was a Director and Vice-President of the International Division, with responsibility for pharmaceutical, vaccine and consumer operations in Africa.
In 2000, Paul took early retirement from SmithKline Beecham. He is Non-Executive Chairman of Medreich Ltd, Bangalore, India; Medreich plc UK and Medreich France. Medreich is a company supplying quality branded generic pharmaceuticals.
Paul undertook Voluntary Service Overseas (VSO) in Kenya, teaching at Starehe Boys’ Centre in Nairobi.
For over fifteen years Paul was a volunteer driver for the Tuesday Gateway Club for Ealing Mencap.
For eleven years Paul was Chairman of the Tropical Africa Advisory Group (TAAG) at the UK Department of Trade and Industry, a body which gave advice to HMG on trade and investment policy in Africa, and for which he led numerous trade missions. Paul was honoured for this work by the award of an OBE in 1993 and by a CMG in 2001.
Paul is currently Chairman of South Oxfordshire Mencap Society and Chairman of the Trustees of The Chiltern Centre for Disabled Children.
Registered Manager: Keith Manning
In 2001 Keith embarked on a career in child care from which he has consistently maintained to date, initially as a Residential Worker in a Children’s Home supporting young males with emotional and learning difficulties, and he progressed to become the Registered Manager under Ofsted in 2006.
“I found my vocation in caregiving especially children and young people with additional needs and now adults with learning difficulties”.
Keith qualified to level 5 Diploma in Leadership & management Health & Social care, NVQ Child Care & Development, level 3 & 4, NVQ Assessing and has a Registered Managers Award. He has managed several care settings, care teams and familiar with good care practices dating back to 2001; he has strong people skills, is described as a robust manager, methodical, resilient, and intuitive for advocating for the rights of all peoples. Prior to 2001 Keith worked in customer care and transport safety.
|Care Team||Admin Team|
|1 Keith M
2 Gareth G
|1 Gerry W
2 Anna W
3 Ria SH
4 Allison SH
5 James CJ
|1 Sarah R
2 Mary P
|1 Beatrice D
2 Steph L
5 Sarah R
|1 Lorraine G||(Harriet B*)
1 Jane A
2 Liz D
|2 Pamela L
3 Chris K
4 Karen H
See appendix 10 for further information on skill and qualification this can be produced on request from the Registered Manager.
In line with our commitment to equal opportunities, and our duty under the Equality Act 2010, we are committed to protect the 9 characteristics (ethnicity1, gender (including gender reassignment), disability, pregnancy and maternity, religion or belief, age and sexual orientation, marriage and civil partnerships), as well as social and economic grade. However, we recognise that this may not be appropriate in some aspects of intimate personal care for a personal reason; this reason must be stated in writing to the Centre Manager and prior to the day of care allowing enough time for this to be agreed, otherwise we assume the position of our mixed gender policy reference to intimate personal care.
The service is a committed employer to develop its workforce believing that this is the biggest asset of The Chiltern Centre and the biggest opportunity for individuals to progress their careers. New staff can expect induction training on joining the service with national standard mandatory training for working in a child care setting, to be completed within their 6-month probation period. During the early phase of probation staff joining the service can expect to shadow senior colleagues to gain practical skill and knowledge about the care operation and to build relationships with those in care.
Thereafter staff can expect refresher training where it is necessary. In all cases staff members are committed to furthering their personal development to meet the higher demands of the service, to improve the standard of care and to further their personal careers.
It is important that every staff member be open to learning and self-development to improve care skills and knowledge of the care sector to keep up with changes. Each staff member will receive a 3 and 6 monthly review on joining the service during which time they can expect fortnightly supervisions. On successful completion of the probation period staff members who are not qualified to Level 3 Diploma in Residential Child Care will be expected to complete this qualification within the timescale permitted. Staff members that have already passed the probation period can expect their supervisions between 4 to 6 weeks and where expected continue career progress attained by the suitable qualification to support this.
For continuing development the service has adapted a 360 degree model of annual appraisal in which all staff are expected to work towards over the coming year.
The service plan is to offer families compatible groups of people in care at the same time as their child or person, who would complement the needs of every individual based on the aims of the service. The service plan is to assess every individual in care, match compatible groups and to deploy variable staff ratios which meet the needs of everyone in care.
Variable Staff Ratio
2 or more staff members to 2 or more people in care around the clock
1 to 2 staff members for personal care or intimate personal care intervals around the clock
Children or adults in the care of the service who require around the clock care and supervision at a ratio of 1 or 2 staff members solely deployed to that persons need, requires prior agreement with the Centre Manager.
Fixed Staff Ratio
1 staff member to 1 person in care around the clock
2 staff members to 1 person in care around the clock
The Centre Manager reserves the right to halt all forward planning for care on the grounds of unacceptable level risk to an individual based on the service resource available to maintain that persons’ welfare.
As part of the referral process families of children aged from 5 years or adult children aged from 18 years can make a referral so long the person wanting care has a learning disability.
The service is not able to make plans for care and accommodation for emergency beds.
The service is not able to offer care and accommodation for people with a learning disability who need a 52week residential placement.
The service is open to all families and people from neighbouring counties regardless of their home location.
The parent or guardian (local authority social worker) of the person being referred to the Chiltern Centre must attend an assessment meeting prior to any involvement with the referral person. The assessment meeting will begin the process to build a Support Plan and Health Care Plan on the child or adult person who is intended to use the service.
Before a person enters the care of the service they must first visit the premises to view the premises, meet the staff team, the Centre would advocate that where suitable staff from the Centre also meet that person in their home, education or day care setting.
The purpose of this is to build positive relationships with the person to learn about that person’s care needs but also meet other carers, or parents for the purpose of gaining further knowledge and skill about that person’s needs.
The person who is intended to receive care at the Centre will spend short periods in care at the Centre, building up to day or overnight care.
The Chiltern Centre is committed to ensure a high standard of care is being met which meets the needs of every individual in our care based around groups of mix genders, ability, age, and level of need.
In some cases, where a person’s level of need is higher which requires ‘continuous’ supervision and or verbal encouragement the service may be able to offer a smaller group.
Chiltern Centre and Regulatory Bodies
The Chiltern Centre for Disabled Children Ltd.
Registered Office: Greys Road, Henley-on-Thames, Oxfordshire RG9 1QR
Company Registration No: 4843950
Charity Registration No: 1101218
Telephone: 01491 575575
Fax: 01491 575549
Ofsted Care Quality Commission CQC
Piccadilly Gate National Customer Service Centre
Store Street Citygate
M1 2WD Newcastle upon Tyne
firstname.lastname@example.org Tel: 03000 616161
Name and Address of Registered Provider and Registered Manager
The Chiltern Centre for Disabled Children Limited, a company limited by guarantee with company number 4843950. Also, registered charity number 1101218.
The Chiltern Centre for Disabled Children
Greys Road, Henley-on-Thames, Oxon, RG9 1QR