Welcome to Wenham Holt Nursing Home Continuing Care Unit

 

 

 

Wenham Holt Homes Ltd has been providing a continuing Care Unit for NHS patients since April 1^st 2004. The Unit can accommodate up to 16 patients in a single unit within a nursing home complex who are assessed as requiring NHS Continuing Care and assessment. 

 

The home provides essential nursing care for patients supported by a specialist team from Hampshire PCT. The specialist team offer clinical supervision for the nursing staff and assess and advise on appropriate equipment for patients.

 

The nurses and health care staff who work in the unit are employed by Wenham Holt Nursing Home Ltd and are accountable to the person in charge of the Nursing Home. This document outlines our Statement of Purpose, services and facilities provided not all of this document will apply to patients in the Unit but the majority will.

If you have any questions on any aspect of our service please do not hesitate to ask the person in charge of the home.

 

 

Wenham Holt nursing home exists to provide high standards of care for people within a homely environment; our mission is ‘putting people first’.

 

We aim to care for our residents 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 and for clients to feel as ‘at home’ as possible.

 

Wenham Holt aims to provide holistic, ‘relational care’ (Greenwood et al 2001) to people identified as needing nursing care in a warm, safe, friendly atmosphere and to provide accommodation of a high standard.

 

The nursing home consists of 34 beds caring for people who are mainly elderly and confused. In addition, we provide Continuing Care beds in a Unit linked to the Nursing Home for Hampshire Primary Care Trust under a contract which has been operating since April 2004. The Unit is looked after medically by a consultant physician who visits fortnightly  and a local GP who can visit every day if required. The Unit can accommodate up to 16 patients who are assessed as requiring NHS Continuing Care and assessment. Everyone admitted to the Wenham Holt Unit remain NHS patients and the service they receive will be in accordance with the key principles of the NHS. All the nurses and care staff employed in the unit are working for Wenham Holt Nursing Home Ltd, supported by a specialist team from Hampshire PCT. The specialist team offer clinical supervision for the nursing staff and assess and advise on appropriate equipment for patients.

A full explanation of our services and facilities is provided in this patient guide,a copy of which is available to everyone who is admitted to the Unit.

 

Despite the separate provisions within the home, each resident is treated with the same professionalism and respect regardless of the differences in care needs. Residents are cared for in well-furnished single and double rooms, many with ensuite facilities. There are four lounges and a relaxation multi sensory room for residents to enjoy and a wide range of leisure activities during the day. These activities  include music and art therapy, singing, physio, keep fit and reminiscence therapy.  There are regular minibus trips for those who like to get out to see the surrounding countryside and seaside.

 

We provide home cooked meals to suit individual tastes and endeavor to help residents 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 residents clients with feeding and have a dignified and empathic approach. All residents in the Unit can be assisted with their menu choices if they wish and we will endeavour to provide something to suit all tastes. We have a three week menu which includes all of the staple foods cooked in our own kitchen by our well qualified cook and weekend chef.

 

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 National NVQ system and through an in-house programme, and courses offered by outside organisations.

 

The Registered nurses conduct comprehensive assessment and care planning for all residents  and relatives are encouraged to take part in this process. Relative’s needs can be helped by a monthly support group that is nurse facilitated and this is a time to discuss and share concerns and experiences. This group has been in existence for fifteen years and is therefore very 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 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 laundry service is provided on the premises for personal laundry, bed linen and towels but if preferred laundry can be taken home to be washed by relatives.

 

Wenham Holt enjoys the pleasant surroundings of six and a half acres of landscaped gardens, which provide a congenial backdrop of trees lawns and grass areas and flowers throughout the year. The main garden is wheelchair accessible and there are a number of patio areas which may be enjoyed by residents.

 

A local doctor provides GP support to the Nursing Home and The Swan Surgery Petersfield provides Registrar support to the Unit, the doctors make regular visits as and when required.

 

A chiropodist visits every six weeks and we have weekly visits from the hairdresser these services are chargeable.

 

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 can be provided by a registered psychotherapist for those who need it. Local practitioners provide dental and optical services.

 

Wenham Holt has 40 bedrooms (28 single and 12 sharing), all rooms have washbasins in addition, 22 have ensuite toilets and two of the rooms have full ensuite facilities.

 

There are five bathrooms and a shower (disabled access) and clients are assisted with bathing as required and at regular intervals as negotiated with care staff.

 

The dining room allows regular social interaction at meal times. Residents are encouraged to choose where they wish to eat and meals are served in the dining room, lounge and individual bedrooms.

 

The nursing home offers a broad range of activities which are shown in more detail at section 3.0 of this document.

 

Mealtimes are as follows:

 

These are the usual times that meals are served. It must be emphasised, however, that should a resident  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 are always a minimum of two trained nurses 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.

 

 

(a) Up to date care plans, clearly documenting the resident’s problems, needs and what action, if any, is taken to resolve those problems and needs.

(b) Attend to personal care i.e. general grooming, hygiene and tidiness. Fingernails will be trimmed with the residents’ consent.

(c) Ensure as dignified and private an environment for bathing, dressing etc. as possible.

(d) Make a professional assessment of health and medical requirements and decide on the need for the General Practitioner’s intervention, or assistance from the emergency services.

(e) Maintain room temperature at comfortable levels suitable for the elderly infirm.

 

 

(a) Offer appetising and nourishing diet, catering for any special requirements, for example vegetarian, diabetic or religious needs.

(b) Present food that is manageable for example pureed or ‘finger foods’.

(c) Offer help to those residents who are unable to feed themselves.

(d) Establish a social environment for meal times.

(e) Serve food and drinks at suitable temperatures.

(f) Offer dining room accommodation at meal times, if preferred.

(g) Encourage family and friends to share meal times, by helping residents with feeding.

(h) Serve adequate portions according to each individual’s need

(I) Offer food and drinks, for example tea and sandwiches, outside established meal times to confused clients who may be disorientated in time or to those clients who may require it.

 

 

(a) Ensure (as far as possible), that clients wear their own clothes. Exceptions may be in circumstances when:

 

(b) Ensure that the client has a choice in the type of clothing, for example, colour or style, that he/she prefers wear.

(c) Ensure clothing is the correct size for comfort, movement and dignity.

(d) Ensure that clothing is appropriate to the season, especially prior to outings, so that the resident  is kept comfortably warm in the winter months and reasonably cool in the summer months.

(e) Ensure that the residents’ relatives/representatives are aware that if repeated washing is necessary, for example after soiling, items such as slippers, socks and stockings will degenerate rapidly and may require frequent replacement.

 

 

Additionally, there are seasonal festivities, e.g. Easter bonnet parade, Christmas party etc. Trips to the seaside in the summer may include visits to Hayling Island or the rose gardens at Southsea, and cream tea depending on the weather. Fire works on bonfire night and, a children’s Christmas party to which the grandchildren, great grandchildren or any other immediate young family member of residents are invited.

 

3.2       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 clients on a weekly basis. The staff and management of the home will assist, as much as possible (allowing for the usual constraints in terms of building and staffing), to enabling a client to continue their chosen religious devotions.

3.3       Relatives group over the last fifteen years the Registered Manager has led and facilitated support group for the relative of service users, this group has proved very successful in providing an opportunity to discuss many of the personal and practical issues surrounding the admission of a loved one into residential care. The value of this support group was recognised by the Relatives Association, who invited group members and facilitators to speak at a regional conference.

 

Visitors are welcome at any time without appointment but the night staff would appreciate a warning by telephone if visitors intend to call late at night, particularly if it is dark. Visitors are required to sign in the ‘visitor’s book’ at the front door of the Unit when they enter and leave.

 

There are a number of rooms where clients can meet their relatives and if there are specific requirements for any reason the staff will try to accommodate any special request within the constraints of the building and the available staff

 

Staff and management will respect the right of a client to refuse to see someone who visits the home if they do not wish to do so.

 

Rosemary Gorvin is a Registered general nurse and joint proprietor of Wenham Holt Homes limited. She is also the registered manager and has been employed full-time at Wenham Holt since 1984. Her other qualifications are B.A. (hons), post graduate diploma in social research, post graduate diploma in management of community care for older people. Various certificates for extended study courses involving care of people suffering from dementia, physical illnesses of old age and care of the dying.

 

Environmental, business and facilities matters are managed by Dan Gorvin BSc (hons) who is a qualified Environmental Health Officer. He is also the person who holds the CQC Registration for the Service

 

There is a highly qualified nurse in day to day charge of the Continuing Care Unit. In addition, the Home has a number of experienced Registered general nurses.

 

A team of care assistants supports these registered nurses, many of the care assistants have been working at the home for many years and as well as their practical experience are either working towards or have been awarded their NVQ 3 qualification in care a higher level NVQ 4 course is now also offered to staff.

 

 

 

We have weekday and weekend cooks who are both highly qualified and experienced.

Madeleine Moll Horach is the office administrator and has her N.V.Q.3 in care.

The home enjoys the benefits of a good experienced team of housekeepers and maintenance staff.

The Care Quality Commission (CQC) has registered Wenham Holt as a Care Home with nursing (N) with the following service user categories:

Physical disability over 65 years of age (PD(E))                         50

Dementia (DE)                                                                    50

Old age, not falling within any other category (OP)                  50

 

Maximum number registered                                                 50

 

We are always happy to take on board any comments patients might have about the service provided and a questionnaire is available for this purpose, if you have any comments to make please ask for a questionnaire. There is a file kept in the nursing home of letters received about the home and the care provided. If you would like to refer to this file ask the nurse in charge. 

 

A copy of the latest inspection report is available in this pack, the nursing office and on our website; wenhamholt.co.uk .

 

 

The management and staff of Wenham Holt 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 still have not received a satisfactory response to your complaint please contact the Care Quality Commission (CQC) South East Region, Citygate, Gallowgate,Newcastle Upon Tyne. NE1 4PA. Tel 03000 616161

 

 

 

Wenham Holt 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 Wenham Holt.

 

 

 

On admission to Wenham Holt, comprehensive health, personal and social care needs are set out in an individual plan of care, by a first level registered nurse. The care needs are based on information gathered either from the resident, his or her representative or any previous assessment that may have been made prior to admission.

 

The plan of care first sets out in detail the problem, which needs attention. Then the aim of actions to be implemented and finally the action(s) that are to be implemented in order to achieve that which is aimed for. All care intervention are clearly documented on a daily basis, in order to ensure that care needs are met

 

The plan of care meets relevant guidelines and the home has a risk assessment pertaining to the prevention of falls in the elderly.

 

The plan of care of each individual client is reviewed on a monthly basis, to reflect any changes, current objectives and actions to be taken to meet those objectives. Additionally any changes in the resident’s condition that require urgent action(s) are documented each day.

 

Wenham Holt aims to set out the plan of care with the full involvement and co-operation of the resident, however, because the client group care for are cognitively impaired, this may not always be possible. However, involvement from the client’s representative is always welcomed, and in most cases relied upon. The care plan is set out in simple style, always in English, and the use of abbreviations, medical terminology and jargons are limited to only those that are commonly known and accepted. All information recorded is treated with respect and confidence.

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 and to comply with workplace legislation smoking is not permitted inside the nursing home. If any client wishes to smoke they may do so outside under the supervision of a member of staff or friend/relative.

If visitors wish to smoke they are asked to do so away from the building in order to avoid the possibility odf smoke blowing back in through any open windows.

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. Residents and visitors are advised to take advice from a member of staff in the case of a fire to ensure that an evacuation proceeds safely.

 

If the fire alarm should sound whilst you are visiting please stay where you are and a member of staff will give instructions on what action you are to take.