Statement of Purpose

Welcome to Eastfield Nursing Home

The following information is outlined by way of an introduction to our home.

Statement of Purpose
Aims and Philosophy of Care
Pre-admission assessments
Accommodation and Services provided
Nursing home newsletters.
Social Contact and Activities
Visiting Policy
Introduction to the staff
Service and Registration
Terms and Conditions
Service users views of the Home
Recent Inspection Reports
Complaints procedure
Emergency Admission
Care Plans
Fire precautions and smoking policy
Service Evaluation and Consultation

1. Statement of Purpose.

Eastfield nursing home exists to provide high standards of care for people within a homely environment.

a. Objectives and Aims.

We aim to care for our clients in a safe, clean, warm, pleasant environment and help them to obtain and retain a sense of well being. Our objective is to treat everyone as an individual.

1.2

Philosophy of Care.

"To treat everyone with respect and dignity".

Eastfield Nursing Home aims to provide care in a warm, safe, friendly atmosphere and to provide accommodation of a high standard. Clients are cared for in well furnished single and double rooms, many with ensuite facilities. There are four social areas and a relaxation snoezelem area, for clients to enjoy a number of leisure activities during the day. These activities include music, art therapy, singing, relaxation & multi-sensory therapy, aromatherapy and ‘fitness and fun’ therapy. Records are kept to monitor client’s participation during the activities. Also there are regular minibus trips for those who like to get out and see our beautiful countryside and seaside.

Prior to admission to the nursing home a comprehensive assessment of needs is carried out. This assessment will be made in order to ensure that the service provision outlined in this document will be sufficient to meet any identified care needs.

We aim to provide home cooked meals to suit individual tastes. We endeavour to help clients to overcome the eating difficulties that can be associated with their conditions so as to maintain a well balanced diet. The nursing and care staff are trained to assist clients with feeding with a dignified and empathic approach.

Our registered nurses lead a team of well-motivated and enthusiastic care staff. All care staff are trained to be sympathetic to the needs of our client group and training in the specific area of dementia care is ongoing. Training in the general care of the elderly needing high dependency care is ongoing through the NVQ programme and through in-house programmes, and courses offered by outside organisations.

The Registered nurses conduct comprehensive assessment and care planning for all clients and encourage relatives to take part in this process. A monthly support group, which is nurse facilitated helps relatives needs, and this is a time to discuss and share concerns and experiences. This group has been in existence for eight years and is well established new members are always welcome and other people who are caring for relatives in the community belong to the group so links with the wider community are forged and all help each other through shared experiences. Relatives who have whose loved ones have died in the nursing home are encouraged to continue attending the group and therefore a link is maintained during the bereavement period.

A personal laundry service is provided on the premises and bed linen and towels are laundered at St. Mary's hospital in their excellent laundry department.

Eastfield enjoys the pleasant surroundings of three and a half acres of landscaped gardens, which provide a congenial backdrop of trees and flowers throughout the year. The proprietor and family with the dedicated help of the gardener attend to the gardens.

Our local doctor makes regular routine visits to the home and additionally visits when required. The chiropodist visits every six weeks and we have regular visits from the hairdresser. Spiritual needs are met by regular services from the local ministers and the ethos of the home is to welcome people of all faiths and beliefs. Psychotherapy is provided by a registered psychotherapist for those who need it. Local practitioners provide dental and optical services.2. Pre-Admission Assessment

For new patients who are funded through Local Health Authority/ Social Services the following guidelines are implemented.

A Social Worker/ Care Manager commonly refers the client to Eastfield.

If a bed vacancy exists at the time of referral, an appointment is made for the client’s representative to view Eastfield, and discuss any concerns they may have with the senior Care Manager/Proprietor or in her absence a member of staff who is a Registered Nurse.

Should the client’s representative decide that Eastfield is an appropriate place, that will meet the needs of the client, then they are advised to feed this information back to the Social Services Care Manager. The Social Services Care Manager then sends a copy of the patient’s care plan to Eastfield. If the care needs are straightforward then admission procedure is commenced.

An appointment is arranged for the Manager of Eastfield (or delegated representative) to visit the prospective client to carry out an assessment and discuss any concerns with the client and his/her representative. A comprehensive health, spiritual, and social assessment. Roper, Logan, and Tierney ‘Activities of Daily Living’ guidelines is used as an assessment tool to aid a comprehensive health, spiritual, and social assessment. Particular attention is given to certain aspects of care needs, for example:

(a) The physical well being of the client/past medical history. Included in this is the client’s personal care needs and his/her medication usage.

(b) The client’s mental state and cognition. Also any history of violence or aggression.

(d) Mobility, restlessness and any history of falls.

(e) Diet and any food preferences.

(f) Continence, to include any problems with constipation or diarrhea.

(g) Social interest, hobbies religious and cultural needs.

(h) Involvement from family, friends or any other social contacts.

(I) Oral care.

(j) Foot care.

If Eastfield’s Care Manager concludes that Eastfield can provide the level of care required by the client and the client and his/her representative agree with this, then admission procedure is set in motion.

For clients who are self-funding and without a Care Management assessment/ care plan.

It is common for a representative of a client, and on rare occasions, for example a client requiring rehabilitation, for the client to contact Eastfield to enquire about possible bed vacancy.

If a bed vacancy exists at the time of enquiry, an appointment is made for the client’s representative and/or the client to view Eastfield, and discuss any concerns they may have with the senior Care Manager/Proprietor, or in her absence a member of staff who is a Registered Nurse.

Should the client’s representative or the client decide that Eastfield is an appropriate place, that will meet the needs of the client, and there are no complications then a suitable date for admission is arranged and admission procedure is commenced. Since there may not be a Social Service Care Manager’s involvement and, therefore, may not be a currant care plan in place, Eastfield depends on the client’s next of kin, representative or the client for information regarding the client’s needs.

In the event of any complications, for example if the client’s needs are so extensive that it is doubtful that Eastfield can provide the level of care required, an appointment is arranged for the Senior Care Manager/ Proprietor of Eastfield, or in the event of her absence, a Registered Nurse, to visit the client and discuss any concerns with the client and his/her representative. a comprehensive health, spiritual, and social assessment. Roper, Logan, and Tierney ‘Activities of Daily Living’ guidelines is used as an assessment tool to aid a comprehensive health, spiritual, and social assessment. Particular attention is given to certain aspects of care needs, for example:

(a) The physical well being of the client/past medical history. Included in this is the client’s personal care needs and his/her medication usage.

(b) The client’s mental state and cognition. Also any history of violence or aggression.

(d) Mobility, restlessness and any history of falls.

(e) Diet and any food preferences.

(f) Continence, to include any problems with constipation or diarrhea.

(g) Social interest, hobbies religious and cultural needs.

(h) Involvement from family, friends or any other social contacts.

(I) Oral care.

Eastfield Nursing home has been operating since 1984, offering long-term and intermediate care for a wide range of clients.

Eastfield has 33 bedrooms (29 single over 10 square metres in size and 4 sharing over 16 square metres in size), all rooms have washbasins in addition 28 have ensuite toilets.

There are four bathrooms and a shower (disabled access) and clients are assisted with bathing as required and at regular intervals as negotiated with care staff (on average at least weekly).

The dining room allows the possibility of regular social interaction. Clients are encouraged to choose where they wish to eat and in practice meals are served in the dining room, lounge and individual bedrooms.

Eastfield has 3.5 acres of landscaped gardens and a matrix of paths allow the more ambulant clients the opportunity to maintain their independence by enjoying a walk or for wheelchairs to be easily negotiated around the grounds.

The nursing home offers a broad range of activities and these are detailed in a monthly newsletter that is distributed to residents. A selection of past newsletters is included in section 3.

Mealtimes are as follows:

Breakfast, between 0.700hrs - 9.00hrs.

Mid-morning coffee 10.30hrs - 11.00hrs.

Lunch 12.00hrs - 13.00hrs.

Afternoon tea 15.00hrs -15.30hrs.

Supper 16.30hrs -18.00hrs.

Bedtime drink 21.00hrs - 22.00hrs.

These are the usual times that meals are served. It must be emphasised, however, that should a client prefer to have his/her meal at some other time, or should his/her condition dictate that meal should be served at some other time, then every effort is made to accommodate this. Special diets to satisfy the client’s religious or cultural preferences are taken into consideration. For example diet without pork for Muslim or Jewish clients. Also diets to suit special medical conditions e.g. diabetic diets.

There is always at least one trained nurse on duty and they are responsible for ensuring the care is delivered within the boundaries of the ‘philosophy of care’ identified in section 1. If a service user or their relative wants to discuss any as aspect of the service provided they should speak to the nurse in charge and arrange a mutually convenient time to meet or arrange a meeting with the manager.

The care assistants all receive training in safe care practices and they are committed to delivering a ‘relational approach’ to care (details of this approach can be obtained from the manager or by reference to the following publication: Greenwood D., Loewenthal D. & Rose T. (2001) A relational approach to providing care for a person suffering dementia, Journal of Advanced Nursing 36(4), 583-590). This article highlights the potential benefits for service users of a relational approach to providing care.

3. Newsletters

The current newsletter is displayed outside the nurse’s office.

5. Social Contact and Activities.

The daily routine in Eastfield Nursing Home is flexible reacting to the individual needs of the clients.

Clients are offered the opportunity to exercise their preferences, within the limitations imposed by their cognitive abilities, with regards to:

5.1 Leisure and Social Activities and Cultural Interests.

Eastfield offers a wide range of leisure and social activities such as, Art Therapy, Fun Physiotherapy, Reminiscence Therapy, Music Therapy, Variety Entertainment by a semi-professional group, regular Outings on the home’s privately owned mini bus and walks around the expansive grounds and landscape gardens of Eastfield. There is a Multi-Sensory facility where fibre optic lighting is used to promote visual stimulation along with soft music for audio stimulation. Aromatherapy is also available concentrating primarily on the sense of touch, anointing arms and legs with a variety of moisturising creams and oils. Also a member of staff conducts two thirty-minute multi-sensory sessions per week with very frail clients (and is conducting a research study).

Monthly Service User meeting. Eastfield has a monthly meeting for service users and the minutes of this meeting are kept in the nursing office. The is a opportunity at this meeting to discuss all aspects of the nursing home and any issues or action points are conveyed to the manager. Attending Religious services.

The local Church of England minister visits on a monthly basis to give communion to service users. Communion is also available for catholic service users on a weekly basis. The staff and management of the home will assist, as much as possible with reference to the constraints of the nursing home in terms of building and staffing, to enabling a service user to continue their chosen religious devotions.

6. Visiting Policy

Visitors are welcome at any time but are required to sign the visitor’s book by the front door. The night staff would appreciate warning by telephone if you were calling late at night, particularly if it is dark. Visitors are required to sign-in the ‘visitors book’ at the front door of the nursing home.

There is coffee and tea making facilities available for visitors in the extension.

There are a wide range of areas where service users can meet their relatives and if there are specific requirements for any reason the staff will accommodate any special request within the constraints of the building and the available staff.

Staff and management will respect the right of a service user to refuse to see someone who visits the home.

7. Introduction to the staff

Rosemary Gorvin is the registered provider of care at Eastfield. She is a registered nurse and has BA. (hon.) degree and a post graduate diploma in social research and management of community care for older people.

The registered manager of Eastfield nursing home is Dr. Dennis Greenwood and he has been in this position since 1994. He has been running the nursing home for 8 years and is a registered nurse. He has a PhD awarded by The University of Surrey for research into dementia and psychotherapy. He also has an MSc in Counselling and psychotherapy and is a UKCP accredited psychotherapist.

The Registered Nurses are helped by a team of care staff who are experienced in the care of people with dementia and all the nursing needs they require. Many have NVQ qualifications and many are studying for these qualifications. There is also a team of ancillary staff including a maintenance officer, domestic staff and catering staff who all contribute to the service provision in the home. Eastfield is able to care for service users with a physical disability as the nursing home has appropriate handling equipment and access for wheelchair users.

8. Service and Registration

The Commission for Social Care Inspection (CSCI) has registered Eastfield as a Care Home with nursing (N) with the following service user categories:

Old age, not falling within any other category (OP) 37

Dementia – over 65 years of age (DE(E)) 37

Dementia (DE) 7

Terminally ill over 65 years of age (TI(E)) 37

Terminally ill (TI) 7

Physical disability over 65 years of age (PD(E)) 14

Physical disability (PD) 7

Maximum number registered 37

9. Terms and Conditions

The terms and conditions of the nursing home are detailed in a contract that is made with each person that is admitted to the nursing home, the following is a draft contract:EASTFIELD NURSING HOME

AGREEMENT OF RESIDENCE

Agreement between Eastfield Home LTD. [‘the Provider’]

and [‘the Resident’] relating to accommodation in Eastfield Nursing Home [‘the Home’]1 Legal Context

1.1 This Agreement shall be governed, interpreted and enforced according to the laws of England.

1.2 This Agreement sets out the terms under which the Resident will occupy accommodation at the Home, and under which he will be entitled to care services. The Resident is advised to read it carefully before signing it; and, if appropriate, to obtain the advice of next of kin, a close relative, a legal adviser, an advocate or a friend before signing it.2 Occupancy

2.1 This is not a tenancy Agreement; and it does not give the Resident an interest in any land or buildings which comprise the Home. By this Agreement the Provider allows the Resident to occupy accommodation at the Home, although it will not give him exclusive rights to occupy any part of the Home to the exclusion of others. This Agreement is between the Provider and the Resident. It is not transferable. In exceptional circumstances (see Glossary), the Provider reserves the right to move the Resident from one room to another within the Home, in advance of which 7 days notice in writing will normally be given. If, following such a move, the new accommodation is not, in the Provider’s view, of approximately equal value to the previous accommodation, an adjustment in charges may be made.

2.2 Payment of the agreed charge will give the Resident access to all the facilities of the Home and the use of sleeping accommodation in a single furnished room, namely, Room Number ….. The facilities of the Home shall include unrestricted use of communal rooms, provision of all meals, a laundry service, and all necessary personal and, as the case may be, nursing care, on a 24-hour basis as outlined in the Care Plan (see Glossary). All rooms will be kept clean and will normally be kept adequately heated by day and night.

2.3 The resident shall, from his own resources and/or personal allowance, provide medical requisites (other than medication by prescription), hairdressing, newspapers, clothing, toilet requisites, and other items required of a personal or luxury nature. If purchased through the Provider, these items might, by agreement, be charged to the Resident’s account for payment at a later date. The items noted above are not intended to form an exhaustive list.

2.4 All electrical items brought by the Resident on admission to, or acquired during occupation of, the Home must first be inspected as to their safety by a competent person before their use.

2.5 Items of furniture may be brought in by the Resident, subject to inspection as to condition and defects liable to render such items unsafe or unfit. Transportation, insurance and eventual removal of such items shall be the Resident’s responsibility or that of his executors or other personal representatives.

2.6 No representation is to be implied by the Provider allowing any item into the Home. The Provider reserves the right to refuse any item being brought into the Home.

2.7 The Resident will be encouraged to personalise his own room after due consultation with the Provider.

2.8 The Provider’s insurance policy with Norwich Union covers the loss of or damage to the Resident’s property through fire, theft, flood etc. up to the value of £1000. Where the personal effects of the Resident exceed that value, it is recommended that appropriate insurance cover be effected by the Resident, as the Provider does not accept responsibility for their loss or damage under any circumstance outside the control of the Provider. The Resident is advised not to keep large sums of money or jewelry or other valuables at the Home.3 Shared rooms

3.1 When a place becomes available in a shared room, the Provider reserves the right to introduce another resident to share the room. Should the remaining Resident choose not to share with a resident who is introduced by the Provider, the Provider reserves the right to charge the remaining Resident for single use of the room, at an amount equal to the charge which would have been paid by such other resident, in addition to the agreed charge in paragraph 2.2.

3.2 In such circumstances, the remaining Resident will have the opportunity to retain the room for single use or to move to a different room, subject to the availability of an alternative room and the Resident’s ability to pay the necessary charge. Where the Resident chooses to continue to occupy the shared room on a single basis, pending the availability of an alternative room, the Provider reserves the right to charge the Resident for single use of the room.

3.3 Where the Resident shares a room and chooses to move to a different room, he will be given the opportunity to do so, subject to the availability of an alternative room and the Resident’s ability to pay the necessary charge.4 Grounds for termination

4.1 If the Provider considers the Resident to be in default under any of the circumstances set out below (which is not intended to be an exhaustive list), he may give written notice (see also Section 20 below) to ask the Resident to leave the Home:

4.1.1 failure to ensure that all charges are paid;

4.1.2 breach of, or failure to perform, any condition of this Agreement;

4.1.3 damage to property, fixtures or fittings in the Home;

4.1.4 serious and persistent nuisance caused to other residents or neighbours or acts of harassment on the grounds of race, ethnic origin, religion, gender, sexuality, age or disability;

4.1.5 where the accommodation in the Home is provided for specific rehabilitative purpose(s), and the Resident no longer needs the service;

4.1.6 where the Home is unable to offer the support and care service(s) which the Resident needs. 5 Rights of the Resident

5.1 The Provider undertakes to respect the Resident’s citizen’s rights, and in addition subscribes to the declaration of the rights of residents made in the Resident’s Charter of the Hampshire Care Association, a copy of which is available for perusal.6 Freedom of movement

6.1 The Home cannot restrict a Resident’s movements. The Home cannot accept responsibility for a Resident’s safety away from the Home unless the journey and any necessary supervision have been arranged by the Home.7 Personal monies

7.1 If the Resident is unable or does not wish to control his own financial affairs, he should arrange for his legal adviser, bank manager, accountant, advocate, next of kin or a friend to do so on his behalf. He may also ask the local Social Services authority to takresponsibility for handling his personal money.

7.2 The Provider is not willing to handle the Resident’s personal money.8 Obligations of the Resident

8.1 The obligations of the Resident (which list is not intended to be exhaustive) are:

8.1.1 to ensure that all charges of the Home are paid;

8.1.2 to ensure that he does not harass or offend anyone in a way which stops them feeling comfortable in the Home because of their race, ethnic origin, religion, gender, sexuality, age or disability;

8.1.3 to ensure that he does not do anything which is disruptive of another person’s rights within the Home or which causes them physical harm;

8.1.4 when playing a radio, television set, record, tape recording or musical instrument to do so at a volume which does not cause offence either to neighbours or to other people living in the Home;

8.1.5 to keep animals only in accordance with the agreed policy of the Home;

8.1.6 not to use any unprescribed medication without informing the Provider.

8.1.7 not to remove or change the fixtures and/or fittings of the Provider without consent;

8.1.8 to maintain their personal accommodation in a reasonable manner;

8.1.9 to be liable for the costs of any damage to the Provider’s furniture or accommodation caused by the Resident or his visitors.

9 Payment of charges

9.1 The charge shall be £….per week; payable by/on behalf of the Resident to the Provider on the first day of the month in advance, commencing ………and will, subject to Paragraphs 9.1.1 below, cover all services referred to in Paragraph 2.2. Payment will be by the following method: cash/cheque. There will be no extra charges. The charge will not increase unless one month’s written notice is given by the Provider.

9.1.1 Where the Resident is assessed as being entitled to NHS funded nursing care, the charge referred to at 9.1 will be adjusted to reflect the amount of the NHS nursing contribution (see Glossary) which has been paid to the Home by the NHS in respect of the Resident.

9.2 In the event of the death of the Resident, any outstanding charge will be charged to the Resident’s estate.10 Review of charges

10.1 Charges, including all top-ups, from whatever source, will normally be reviewed in order to keep pace with inflation; and/or to cover the costs of meeting specific statutory or other requirements coming into force; and/or to meet the costs of a demonstrable change in the Residents care needs.

10.2 Such charges will normally be reviewed annually. But the Provider reserves the right to review them more frequently, as circumstances demand. One months’s written notice will be given to the Resident and other relevant parties of any change in charges.

10.3 Where the provision of additional care is required, the Provider reserves the right to negotiate a new charge at any time. One months’s written notice will be given to the Resident and other relevant parties, which notice will give the reason(s) for the additional care.11 Changes in financial circumstances

11.1 Where a self-funding resident becomes dependent on public funding, the Provider agrees to apply Hampshire Care Association’s Code of Practice ‘Relations between providers of care home services and private fee payers who may become dependent on public funding’, a copy of which is available on request.12 Default on payment of charges

12.1 In the event of default on payment of charges due from the Resident, his appointed agent(s) and/or the Third Party, the Provider reserves the right to recover the deficit by issuing a summons in the County Court.

12.2 In such circumstances the Provider also reserves the right to charge interest on the outstanding amount at a rate 8% per year above the prevailing Bank Rate.

12.3 The Provider reserves the right to negotiate with the Resident a move to less expensive accommodation within the Home, as an alternative to giving notice under Section 20 below.13 Maintenance and repairs

13.1 The Resident will normally be consulted about any maintenance or repairs which might affect him, including the redecoration of his room. 14 Complaints

14.1 If the Resident has a complaint, it should, in the first instance, be taken up with the Provider. If the Resident is not satisfied, he may complain to Hampshire Care Association at 132 Bournemouth Road, Chandlers Ford, Eastleigh, Hampshire, SO53 3AL. Telephone: (023) 8025 5794. In any event, the Resident may complain to the Commission for Social Care Inspection, 4th Floor Overline House, Blechynden Terrace, Southampton, SO15 1GW. Telephone: (023) 8082 1300. Fax: (023) 8082 1396.

14.2 If the Resident is dissatisfied by the response from the Commission for Social Care Inspection, he can complain to the Parliamentary Ombudsman. The Parliamentary Ombudsman will only deal with complaints that have been referred to him by an MP.15 Equal opportunities

15.1 The resident will not be unreasonably discriminated against on the grounds of his race, ethnic origin, religion, gender, sexuality, age or disability. 16 Consultation

16.1 The Provider will consult with the Resident before making changes to policies and practices which have a substantial effect on him.17 Operational policies

17.1 Resident has the right to information on the operational policies of the Home.

17.2 The operational policies of the Home may be viewed by the Resident on request. As an illustration, some of the policies which affect the Resident are listed below:

17.2.1User involvement: the Resident will, wherever possible, be included in decisions which affect his life.

17.2.2 Visitors: the Resident will be able to decide who visits him and when, subject only to the possible impact on other residents.

17.2.3Health and safety: the health and safety policy of the Home will only restrict the Resident’s choice where it is necessary to ensure the safety of other residents, staff, or the Home.

17.2.4Restraint: the Resident retains his citizen’s rights on entering the Home. However, where the Resident is unable fully to look after himself, or is a possible danger to himself or others, a degree of supervision and protection may be required, and/or limits may be put on his personal freedom. This will be discussed fully with the Resident and/or his Advocate and/or the Client and recorded in the Care Plan.

17.3 On the death of the Resident the Provider undertakes to use his reasonable endeavours to contact the next of kin or the person previously nominated by the Resident.

17.4 The Resident may not smoke in any part of the Home without the permission of the nursing home manager. 18 Care and support services

18.1 The Resident will be required, before taking up residence, to provide information to the Provider on the state of his health, any treatment required, the name of his medical advisor, and his next of kin or person to be contacted in the event of an emergency.

18.2 The care and support services in the Home will be based upon the aims and values set out in the Home’s Statement of Purpose, which pays particular attention to the importance of confidentiality in the exchange between the Provider and the Resident.

18.3 The Provider undertakes to respect the individual cultural and/or religious beliefs of the resident and to provide reasonable facilities for the resident to continue to follow such beliefs.

18.4 Care plans will be drawn up in consultation with the Resident and, where appropriate, his relative(s) or advocate(s), enabling a clear statement to be made about what the Resident can expect on a day to day basis, and what the Home should provide to meet his needs. Care plans will be reviewed at least monthly to take account of change(s) in individual needs.

18.5 The Provider is prepared to order, take charge of and dispense all the Resident’s prescribed medication. Wherever possible, self administration will be encouraged. If there is a doubt about the Resident’s ability to self administer, a trial period of limited duration will be agreed and carefully monitored. The Resident undertakes not to use unprescribed medication without the Provider’s knowledge. The Provider reserves the right in all cases to consult the Resident’s GP if he considers it necessary.

18.6 The Provider undertakes to enlist the support of the NHS as necessary to enable the Resident to remain in the Home in the event of illness, unless the Resident’s GP recommends alternative arrangements.

18.7 The Provider undertakes to enlist relevant support to provide a range of services and activities to enable the Resident to achieve his potential capacity, physically, intellectually, emotionally and socially.

18.8 In this Agreement and the Glossary references to the masculine or feminine shall include the other gender and references to the singular shall include the plural. The Glossary shall be deemed to be part of this Agreement.19. Temporary absences

19.1 If the Resident is temporarily absent from the Home, the Provider undertakes to retain the accommodation for the Resident, provided the charge is met in full.

20. Where the Resident, being one in respect of whom the Home normally receives NHS nursing care payments, is admitted to hospital and the NHS declines to continue the payment during the entire period of hospitalisation, the Provider reserves the right to include in the charge an amount equivalent to the unpaid amount of NHS nursing care payment.

21. Notice

Long-term Resident

21.1 The first four weeks of a long-term agreement shall be regarded as a trial period for the benefit of the Resident, existing residents and the Provider. During this period the agreement with the Resident will be on a fixed term basis, one week at a time, renewable each week. If the Resident leaves permanently during such a one-week period without giving notice, the Provider reserves the right to charge for the balance of the remaining days as payment in lieu of notice. In such circumstances, where the accommodation is subsequently re-allocated during that period, a proper proportion of the charge shall be refunded.

21.2 If, after the trial period, the Resident intends to leave permanently for any reason, four weeks notice, or payment in lieu of notice, will be required. In circumstances where payment is accepted by the Provider in lieu of notice and the accommodation is subsequently re-allocated during that period, a proper proportion of the charge shall be refunded.

Short-term Resident

21.1 During an agreement for a period of six weeks or less, seven days notice, or payment in lieu of notice, will be required. In circumstances where payment is accepted by the Provider in lieu of notice and the accommodation is subsequently re-let during that period, a proper proportion of the charge shall be refunded.

21.2 This Agreement shall continue in force until death, or by written notice given by either party four weeks before the date of termination, provided always that the Provider reserves the right to charge, notwithstanding the death of the Resident, in full.

10. Service user views

There is a file kept in the nursing home of letters received about the nursing. If you would like to refer to this file ask the nurse in charge.

11. Inspection report

A copy of the last inspection report is available in the nursing office.

12. EASTFIELD NURSING HOME – Complaints procedure:

COMPLAINTS PROCEDURE

The management and staff of Eastfield endeavour to maintain the very highest standards of service at all times but should you feel dissatisfied with the service we provide, we invite you to do the following

Discuss your problem or complaint with the nurse in charge at the time.

If you are dissatisfied with the response your complaint has received please contact the manager Dr. D. Greenwood in writing. A written complaint will receive a response within two weeks of the letter being received.

If you still have not received a satisfactory response to your complaint please contact the Commission for Social Care Inspection, 4^th Floor, Overline House, Blechynden Terrace, Southampton, SO15 1GW.

If you are dissatisfied about the way the CSCI deal with your complaint please contact the local ombudsman at 'The Oaks' , Westwood Way, Westwood Business Park, Coventry. CV48TB.13. Emergency Admissions –

Eastfield will accept emergency admissions only when there is as an assessment available that has been carried out by a person qualified to do so. The manager or delegated representative should decide from this assessment whether the care-needs of the person can be meet adequately at Eastfield.

14. Care Plans –

The care staff maintain a comprehensive assessment and evaluation of the care provided to a service user in the form of ‘Care plans’. A service user of their representative will be offered the opportunity to examine and contribute to this care planning process on a regular basis. These care plans include a profile of the service user’s life history, which enables the staff to better appreciate the person they are caring for. However, if a service user feels this is an invasive process they should feel free to refuse to give personal information that they do not wish to share.

15. Fire precautions and smoking policy – The staff at the home receive regular training on the procedures to follow in the case of a fire. In order to reduce the possible risk of fire smoking is not permitted inside the nursing home other than in the designated smoking room. The nursing home has been compartmentalised to reduce the risk of a fire spreading throughout the building. Consequently, in the case of a fire a staged evacuation is the recommended means of leaving the building safely. Service users are advised to take advice from a member of staff in the case of a fire to ensure that an evacuation proceeds safely.

16. Service Evaluation and Consultation –

Eastfield carries out a regular programme of service evaluation and consultation. Service-user representatives and visiting health professionals are forwarded a previously tested questionnaire (Anbacken, O., Loewenthal, D., & Mjurke, J., (1988) Managing Change, European Management Health Care Association). The results of this survey are then compiled and circulated ( a copy is forwarded to CSCI).