Statement of Purpose

Brídhaven Nursing Home

Spa Glen, Mallow, Co. Cork, P51 WK80

Centre ID: 4455

Date: March 2020

Revision Number: 049

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Registered Provider: (as per Certificate of Registration)

Brídhaven Nursing Home Unlimited Company

Person in Charge: (as per Certificate of Registration)

Donna McNamara-Carroll

Acting Person in Charge:

Following the resignation of the Person in Charge (Donna McNamara), from 15 March 2020, Karyn Bourke will act up into the role of Person in Charge.

Persons participating in Management: (as per Certificate of Registration)

Henry Burrows Karyn Bourke Adrieen Zagyva Maura O’Sullivan

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Introduction

Purpose

The Statement of Purpose is one of the most important documents that we are required to have in relation to the range of services that we offer in Brídhaven Nursing Home. The Statement of Purpose describes the purpose and function of Brídhaven Nursing Home. The Statement of Purpose provides precise details of the type and range of services, and the arrangements in place to support the health and social care, wellbeing and safety of residents. It also provides the necessary information to assist you to decide whether Brídhaven is the most suitable nursing home for you to meet your care needs or those of your family member. It should be read along with Brídhaven’s Residents’ Guide. Brídhaven’s Statement of Purpose:

clearly describes care and support needs that Brídhaven intends to meet; sets out the range of services and supporting facilities provided by Brídhaven

in order to meet residents’ care and support needs;

clearly defines Brídhaven’s admission criteria; describes the management and staffing arrangements in place to meet the

residents’ care and support needs;

ensures that people who use Brídhaven, prospective residents and other key stakeholders understand:

o the range of services being provided and how these are delivered to meet residents’ requirements.

Brídhaven is obligated, always, to operate strictly in accordance with its Statement of Purpose. A Statement of Purpose is a requirement under the Health Act 2007 (Care & Welfare of Residents in Designated Centres for Older People) Regulations 2013, and the Health Act 2007 (Registration of Designated Centres for Older People) Regulations 2015. A copy of Brídhaven’s Statement of Purpose is provided to the Chief Inspector of the Health Information &Quality Authority (HIQA) at the time of registration or renewal of registration. It is easily accessible at main reception and at each of the units/suites in Brídhaven and is written in an “easy to read and understand” format, however, if you have any difficulty reading or understanding any aspect of it please contact Main Reception or a member of the management team who will endeavour to assist you.

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Services and Facilities in Brídhaven

Aims and objectives of Brídhaven

Brídhaven Nursing Home aims to provide long term residential care for the elderly in a homely environment that promotes privacy, dignity and choice within a building that is safe and clean, comfortable and welcoming, with a design and facilities that will enable and promote independence. Our aim is to provide a place where one can feel at home and secure while still living in the local community, close to family and friends. Brídhaven is located in Spa Glen in Mallow town. Many residents, relatives and staff are native to the local area. At any given time, many of our residents will already be familiar with or had a previous connection with the nursing home and the care staff, either by way of repeat admission, relationship to previous residents/staff or indeed have been a past visitor to the home themselves. We will continue this tradition of caring for our local elderly and employing people from the local community. In this way we aim to provide an environment that is ‘home-like … where the holistic needs of our residents take precedence over all other matters’ and that reflects the culture, customs and ethos with which they are most familiar. We acknowledge that we have a duty of care to our residents and aspire to bring continuity and stability to their lives with staff willing to be directed in their work by the expressed needs and preferences of each individual resident. Our goal is to assist our residents in living as normal a life as possible in accordance with their express choice. Staff will always be encouraged to follow the sentiments of Virginia Henderson who characterised the role of the nurse as ‘doing for the patient what they would do for themselves if they could’. Brídhaven will invest resources in the centre to ensure that the needs of residents are catered for and that they and their families are happy with the care that is provided. This includes providing staff with the best training opportunities possible to help them perform their duties and responsibilit ies to the highest level. The opinion of our residents, their families and visitors are highly valued, and we would always welcome and encourage all concerned to provide us with feedback that will help us to improve our service. We will endeavour to comply with all applicable legislation and standards. Promotion of privacy and dignity will underpin all activities in Brídhaven. Residents’ personal standards and preferences will be used to inform both personal care plans and the development of an organizational culture aimed at

safeguarding the privacy and dignity of all residents.

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The specific care needs and services that Brídhaven provides

The principal function of Brídhaven is to provide long term residential care services to meet the physical and medical needs of those dependent elderly who can no longer live alone in their own homes with particular emphasis on the Social, Emotional and Cultural needs of elderly people from the Mallow, North Cork, Cork City and surrounding areas. Convalescent and Respite Care Services are provided subject to assessment, bed availability, and our ability to meet your needs. Our nursing care covers a wide range of conditions such as Parkinson’s, diabetes, stroke, Alzheimer’s, dementia and acquired brain injury. Long-term residential care services provided by Brídhaven to meet the care needs of residents availing of Fair Deal shall have the meaning assigned to it by the Nursing Home Support Scheme Act, 2009 and shall include - Bed and Board; Nursing and personal care needs appropriate to the level of care needs of the person; Bedding; Laundry Service and Basic aids & appliances necessary to assist a person with the activities of daily living. Twenty-four-hour nursing care is provided by a team of nurses and healthcare assistants. The Registered Provider will also ensure that a GP chosen by or acceptable to the resident is available for medical treatment and advice and where medical treatment is recommended by a GP and agreed by the resident such treatment is facilitated. However, The Registered Provider shall not be responsible for payment for such treatment or the provision of specialist equipment. We actively encourage residents to avail of, and insist on receiving, treatments which may be available to them through the Health Services Executive (HSE) and which may not incur a charge, which, if it is provided by Brídhaven privately would/may incur a charge. We will always strive in the first instance to get treatments such as Physiotherapy or Occupational Therapy for residents of Brídhaven which are available to residents in their own homes and for which they would normally be entitled to. However, therapies such as occupational; speech and Language; physio; chiropody; specialised wheelchairs, beds or equipment; ophthalmic or dental services; transport to appointments or hospital including care assistant costs; attendance of a personal health care assistant or one to one nursing will be subject to an additional charge if availed of privately through Brídhaven. The above list is not exhaustive, however, if extra charges arise for these or any other additional services that are outside the scope of the Nursing Home Support Scheme Act, 2009 they will be explained to you, for instance the social programme charge. Residents not covered by GMS scheme shall pay for GP attendance by separate arrangement with and a rate agreed by them with the GP. Residents not covered by GMS scheme shall pay for drugs/dressings by arrangement with and at a rate agreed by them with the pharmacist. Residents treated by their GP under GMS scheme will receive medical attention, drugs & dressings in accordance with rules of GMS scheme and how they relate to nursing home charges.

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Brídhaven shall ensure, insofar as is reasonably practicable, that a pharmacist of a resident’s choice or acceptable to the resident is available to the resident. Standard incontinence wear is currently provided by HSE free of charge to all GMS residents. At Brídhaven, we ensure that residents can avail of facilities for occupation and recreation available to all residents and it is acknowledged that in the case of such services which may also involve group activities, that an additional nursing home ancillary service charge applies. We provide our residents with information concerning current affairs, local matters and community resources while ensuring that residents are provided with privacy, insofar as is reasonably practicable. We provide residents with arrangements to facilitate, insofar as is reasonably practicable, the exercise of his/her civil, political and religious rights and ensure insofar as is reasonably practicable access to independent advocacy services. We carefully consider any suggestion from residents or from their family or other relevant persons to maximise resident comfort and care. We ensure that residents are always free to communicate, having regard to his/her and other residents’ well-being, safety and health and ensure appropriate arrangements are made to receive visitors. We ensure residents always have access to a safe supply of fresh drinking water and are provided with food & drink in quantities adequate for their needs. We ensure that any dietary restrictions applying to a resident on medical or religious grounds shall be facilitated. We ensure that all reasonable measures are taken to protect all residents from all forms of abuse; and always ensure that the privacy, dignity & choice of the resident shall be respected. Our three Activities Coordinators arrange and run the social programme and activities to include various musicians and groups; animal therapy; bingo; card games; knitting; arts and crafts; birthday and special occasion parties; gardening; exercise class; film nights; varied selection of newspapers and magazines for general use, religious services; special outings etc. This list is not exhaustive and may change from time to time. At Brídhaven we welcome suggestions/input from all residents and family members into the social programme. Brídhaven participates in The Nursing Home Support Scheme known as “The Fair Deal”. Brídhaven does not provide day care services as there are no separate facilities for day care services. Brídhaven enjoys the benefit of having its own Dementia Specific facility known as the Clyda Suite which is primarily for people with symptoms of dementia which are

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difficult to manage in a normal nursing home setting. Whilst we do take residents from outside Brídhaven into the Clyda Suite, Brídhaven’s own residents will be assessed for these vacancies also. This decision is taken following a meeting with family members and medical practitioners together with an in-depth, individual assessment with one of our senior nursing staff. Our proximity to Mallow General Hospital and Mallow Primary Health Centre means that we have the support of the best of medical expertise.

Facilities which are to be provided

Brídhaven Nursing Home is run and managed to serve, maintain and enhance privacy, dignity and choice within a safe and secure environment where independence is promoted, and people can move freely both within and outside the home without undue or unnecessary restrictions. The internal environment is warm and comfortable. The nursing home is comfortable in design in a manner that safely accommodates residents’ mobility, audio and visual needs. The layout encourages and aids independence. Resident entrances have level access, creating easy wheelchair use throughout. A lift is provided for access from one floor to another. Handrails throughout the building make it easy for those with limited mobility to access all areas. Every effort has been made to ensure high levels of infection control throughout the building to reduce the risk of cross infection or of acquiring MRSA, winter vomiting bug or other hospital acquired infections. The kitchen and four sub-pantries are HACCP compliant and have a stainless-steel fit-out to a commercial standard making it easy to maintain and fittings are steam cleaned at regular intervals. There are five “bedroom areas” in Brídhaven which are called Suites. Each Suite is staffed separately and has its own nurse’s station, facilities and sitting rooms and they all operate independently of each other. The Blackwater and the Lee Suites share dining and kitchen facilities. Blackwater Suite The Blackwater Suite is located on the ground floor and is accessed via the main entrance. It provides accommodation for 44 residents in single and twin rooms which are all en-suite. There is a total of 6 twin rooms and 32 single rooms located on this floor. Room’s sizes vary from 12.42 to 21.1 meters squared for single rooms and from 24 meters squared for twin rooms. Lee Suite The Lee Suite is located on the ground floor and is accessed via the main entrance. It provides accommodation for 41 residents in single and twin rooms

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which are all en-suite. There is a total of 2 twin rooms and 37 single rooms. Room sizes vary from 11.6 to 14.5 meters squared for single rooms and 20.8 meters squared for shared rooms. Bandon Suite The Bandon Suite is located on the first floor and is accessed by stairs and two lifts from the Blackwater Suite. This floor can accommodate 45 residents in single and twin rooms. There are 4 twin rooms and 37 single rooms on this floor. Room sizes vary from 12.5 to 15 meters squared for single rooms and from 18 to 27.5 meters squared for twin rooms. The Bandon Suite enjoys the use of a dining room and a large lounge. Assisted bathrooms and toilet facilities are also provided for residents, relatives and visitors use. Awbeg Suite The Awbeg Suite is located on the first floor at the front of the premises and comprises 36 beds. There are 22 single rooms and 7 twin rooms in the Awbeg Suite. Room sizes vary from 13 to 14.3 metres squared for single rooms and from 21.3 to 25.39 metres squared for twin rooms. There is also a dining room and a sitting/lounge room. There are also Assisted Bathrooms and toilet facilities provided for residents, relatives and visitors use. Clyda Suite The Clyda Suite is located on the lower ground floor of the building. It is a dedicated dementia facility which opened in January 2010. It has 18 single en-suite bedrooms which vary in size from 13.5 to 15.3 metres squared. There is also a dining room, and a large bright lounge with doors opening out to secure gardens. Access to The Clyda Suite is via its own separate entrance but it can also be accessed from the main building. The Clyda Suite provides a safe and secure environment for residents whose behaviour may be challenging. We have many day and dining rooms in Brídhaven. Their sizes are as follows: Blackwater Day Room 1 - 106m2 Blackwater Dining Room - 116m2 Atrium - 70.3m2 Lee Room - 42.6m2 Clyda Day Room - 73.5m2 Clyda Dining Room – 44.3m2 Bandon Day Room 106m2 Bandon Dining Room 73m2 Awbeg Sitting Room 98.1m2

Awbeg Dining Room 73.1m2

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There is an external smoking area for the use of residents who smoke. Please note that for safety reasons smoking within the premises is strictly forbidden. Management reserve the right to discharge residents who smoke within the building. The decision will be made in the interests of the Health & Safety of the residents and staff of the nursing home. There is also a mens shed located in Bridhaven for the enjoyment of the residents. The main kitchen and a hairdresser room are located on the lower ground floor/basement area. Management and administration offices are in the basement and on the first floor of the front building. The Centre is set in large grounds providing walkways, grassed areas with seating and ample car parking space. There are two enclosed secure garden areas, one accessible from the Clyda Suite dayroom and the second from the Blackwater Suite lounge and dining room. Brídhaven is in Mallow Town and is within a short walking distance of many of

the town’s shops, banks, churches and other facilities.

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Admissions to Brídhaven

Registered Bed Numbers:

Brídhaven is registered with HIQA to care for a maximum of 184 residents.

Age range of residents to be accommodated:

The age range of residents in Brídhaven is from 18 upwards.

Gender of residents to be accommodated:

Brídhaven caters to the needs of residents who are: male, female, transgender, gender neutral, non-binary, agender, pangender, genderqueer, two-spirit, third gender, and all, none, or a combination of these.

Criteria used for admissions and discharges: Admissions We understand that moving into a nursing home can be a very big decision and can be a stressful time. All long-term admissions to the nursing home shall be planned. A nurse manager shall visit a prospective resident either in their own home or in hospital to do a pre-assessment of the resident’s care needs. The only time this will not occur is if a resident is wishing to transfer from a facility that is located outside of Munster and in this situation an in-depth assessment will be done over the phone. The resident and/or their family member(s) are encouraged to come and visit the nursing home before being admitted. At this point we will also discuss the “Contract of Care” with you. This is the term given to the contract between a nursing home and a resident or their representative. This enables prospective residents/relatives to get a full understanding of the services provided by Brídhaven. Whilst the Person in Charge and Assistant Persons in Charge are more than happy to meet with every prospective resident and/or their family to give them a tour of the facility, we would ask that people make an appointment to do so. All admissions have detailed preadmission forms completed outlining relevant details to be given about the prospective resident. This is to ensure a seamless transfer from another facility or from home. Please note that admissions can only take place between Monday to Thursday and up until 14.00 on Fridays. Discharges from Brídhaven Brídhaven reserves the right to discharge residents from the nursing home in certain exceptional circumstances. Examples of such circumstances are if the person poses a risk to the safety and welfare of other residents or to themselves, to our staff or visitors, or if the person (or nominated payer i.e. relative, HSE etc.) is unable to pay for the services provided. All admissions and discharges of residents will be carried out in line with our admission and discharge policy and procedure. It can take some time for a resident to settle into a nursing home. In our experience

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this can take up to two months. During this time the resident may discharge himself or herself or be discharged by their next of kin without notice to the nursing home. Likewise, as a result of the resident being inappropriately placed in the Nursing Home, Brídhaven reserves the right to discharge the resident without notice during this period. After the initial two-month period is over, a resident or their family must give the nursing home one month’s notice of their discharge. The nursing home will do the same if they take the decision to discharge the resident. Such a decision by the nursing home would only be taken in circumstances such as very inappropriate behaviour of the resident or non-payment of fees or where a change in the resident’s health requires specific attention that cannot be provided in Brídhaven. If circumstances arise whereby the resident poses an unacceptable threat to their own safety or the safety of our staff or other visitors then we reserve the right to discharge the resident without notice, but this would be done in co-ordination with other supporting services and/or family members.

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Management and Staffing

Total staffing complement (in whole time equivalent)

The following table illustrates the staffing compliment where 1 whole time equivalent equates to 39 hrs per week

Job Title WTE Total Staff Numbers

Activities Co-Ordinators 3 3

Administration (incl. CEO, Registered Providers, Facilities Manager, Accounts Managers and HR Manager)

10.56 13

Director of Nursing / PIC 0.95 1

Assistant Director of Nursing (There is a full-time allocation of 3 ADONs. From 15 March, there will be only 2 as one ADON is acting up in the absence

of the PIC, pending appointment of a new PIC)

3 3

Clinical Nurse Managers / Senior Nurses 7.87 8

Nurses 30 30

Healthcare Assistants 68.12 86

Senior Healthcare Assistants 6.92 7

Chefs 4.27 5

Catering Assistants 8.37 17

Housekeeping Attendants 20.31 30

Maintenance 3.04 4

TOTAL 166.41 207

Organisational structure of Brídhaven

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Brídhaven governance arrangements

The Registered Provider of Brídhaven Nursing Home is Brídhaven Nursing Home Unlimited Company (Reg. No.: 139706) The Board of Directors of the Company are Mr. and Mrs. Paul and MaryClare Rochford, who are also the Directors of Araglen House Nursing Home in Boherbue, Co. Cork. Paul Rochford is the Chairperson of the company. Brídhaven was founded in 1989 and has been operated since 2004 by Paul & MaryClare. The Registered Provider Representative for Brídhaven is Paul Rochford, who is the nominated person that represents Brídhaven when liaising and interacting with HIQA. The Chief Executive Officer is Henry Burrows. Henry took up this position in June 2019. Before joining Brídhaven Henry worked for five years as a nursing home consultant and prior to this was, for eight years, the Registered Provider Nominee (now called Registered Provider Representative) and Director of a nursing home in Carlow. Henry is a “Person Participating in Management (PPIM)” which is the term used to describe senior managers/decision makers in the nursing home. Henry is also the Chief Executive Officer of Araglen House Nursing Home. He is responsible for the leadership, management and direction of Bridhaven Nursing Home and Araglen House Nursing Home within the context of the Group’s Strategic Plan. He is accountable for the overall performance of the Group in delivering the strategic plan and management of the Group’s business under the delegated authority from the Chairperson and the Board. Henry also works closely with the Person in Charge, HR Manager, Accounts Manager and Facilities Manager of Brídhaven and Araglen House nursing homes to ensure that they are supported to fulfil their roles. Henry liaises with the Persons in Charge daily, with the Chairperson informally daily and formally on a quarterly basis. From 15 March 2020 the Person in Charge, also called Director of Nursing, is Karyn Bourke. Karyn has been an Assistant Director of Nursing in Brídhaven since September 2016. Karyn is a very experienced Registered General Nurse who has also worked as a Clinical Nurse Manager (CNM) 2 in Brídhaven. Karyn has completed a postgraduate qualification in gerontology (older persons) nursing. Karyn has been working in Brídhaven since June 2009. Karyn’s role is to manage, guide and lead Brídhaven Nursing Home, and to ensure compliance with all regulations and legislation pertaining to Nursing Homes in accordance with SI 415 of 2013, Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013 and HIQA’s National Standards for Residential Care Settings for Older People in Ireland, 2016. Karyn is supported in her role by Assistant Persons in Charge, who are senior

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managers in the management team of Brídhaven. The Assistant Persons in Charge support the Person in Charge to ensure compliance with all regulations and legislation and will have overall responsibility for the management of the nursing home, including supervision and deployment of staff; management of complaints and HIQA notifications. In their normal daily duties, they will predominantly oversee the clinical and direct care and ensure that the care is of a high standard and is centred on evidence-based practice. The Assistant Persons in Charge are: Maura O’Sullivan is a Registered General Nurse and a Registered Midwife and was appointed in May 2014. Prior to this Maura worked as Assistant Director of Nursing in The Bon Secours Hospital, Cork. Maura is also a qualified chiropodist. Adrienn Zagyva has over 26 years nursing experience and has been working in Brídhaven for the last 12 years. Adrienn has worked as both a senior nurse and a clinical nurse manager in Brídhaven before her current role. The Assistant Persons in Charge are supported by a team of Clinical Nurse Managers/Senior Nurses. Other managers within the senior management team include a HR Manager, Facilities Manager and an Accounts Manager who report to the Chief Executive and Person in Charge. Due to the recent resignation of the HR Manager we are currently in the process of recruiting a new HR Manager, who will begin on 8 April 2020. In the interim period, the HR Department is being managed by a HR Consultant who liaises regularly with the Chief Executive.

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Resident Wellbeing and Safety

Review and development of residents’ care plans (as per Regulation 5)

It is our aim to provide person centred care and all residents have individualised care plans. Care plans will be reviewed at least 3 times a year (every 4 months) by the Person in Charge (or a delegate of her choosing) or more frequently if necessary. A resident is welcome to view or have input into their care plan any time and their input will form an important part of the review process. The care plan is started once a resident enters the nursing home but no later than 48 hours after the resident’s admission. This is based on a comprehensive assessment by an appropriate healthcare professional. Each nurse is given lead responsibility for a number of care plans. The care plan is the most important document for each resident. It contains all the important nursing and social information on each resident. The care plan is a living document which is constantly changing and evolving to ensure we meet the care needs of the residents.

Specific therapeutic techniques used in Brídhaven

Various therapies are provided in Brídhaven. Outside healthcare providers other than HSE staff will only be engaged on presentation of satisfactory confirmation of identity, Garda vetting and verification of qualifications. They will be accompanied or supervised by a member of staff whenever it is deemed necessary by the Person in Charge. Brídhaven has a physiotherapist who visits the centre routinely and when requested. As well as group activities our coordinators do one-on-one sessions such as Reiki, Reflexology, Sims - which is a one-on-one programme designed to aid those unable to partake in group settings, Therapeutic Massage and Reminisce Therapy.

Respecting residents’ privacy and dignity

150 of the bedrooms are single, 17 are twins/doubles, ensuring that the privacy and dignity of residents is always protected. No more than 2 residents are accommodated in each of the shared rooms Brídhaven provides facilities and a safe environment and we work with residents to make your bedroom your very own private space. You can make it more homely by bringing in some of your own belongings if you want. There are full time maintenance staff on hand to assist you. If you would like to put up shelving, redecorate or do within reason what it takes to put your own personal stamp on the room, please ask, and we will try to assist you in any way we can.

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Staff are trained in delivering personal care and will always knock before entering your room. All bedrooms are en-suite. 148 are full en-suites; consisting of toilet, wash-hand basin and shower. 17 are half en-suites; consisting of toilet and wash-hand basin i.e. no shower. For the 17 bedrooms with no shower; there are 6 assisted bathrooms (with shower) located throughout the nursing home.

Social activities, hobbies and leisure interests

We believe that all residents in Brídhaven should as much as possible participate in the activities that take place here on a regular basis. Residents are encouraged to engage in social activities, hobbies and leisure activities. We regularly arrange for trips to outside activities such as to Mallow Racecourse, Mallow Library, Mallow Day Centre, Local School Concerts, Local Drama Group performances, some demonstrations and book launches. Several of our residents who have Acquired Brain Injuries use the services of Headway in Mallow, where they go twice weekly for workshops. We have three full time Activities Coordinators who hold daily activities for residents. These activities include group sessions such as ACT- Activity in Care Therapy which are chair based exercises sessions, Sonas - a structured programme to activate potential for communication, Bingo and Quizzes. We have a purpose-built men’s shed adjacent to the Clyda garden where residents pursue seasonal activities of their choosing such as gardening or artwork. For Health & Safety reasons it is only possible for fully mobile residents to access this facility.

Consultation with, and participation of, residents in the operation of Brídhaven

Residents’ Council & Advocacy There is an active Residents Council in Brídhaven, which meets quarterly or more often as required. The names of those on the residents committee are available at Reception. The residents can make suggestions regarding their meals, activities and the facilities and care. A family member of one of the residents represents Clyda. Minutes are taken at these meetings. We also have several suggestion boxes, which are in our main reception area and at the Clyda entrance. You are most welcome to make any suggestions, complaints or compliments.

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Resident’s Council Members:

Name Area

Ms. Claire Foley Awbeg

Mr. Peter McGrath Lee

Mr. Robert McCullagh Blackwater

Ms. Mary Murphy Bandon

CURRENTLY VACANT Clyda

Ms. Helen Mackessey Advocate

Access to religious services of residents’ choice

Spiritual Care People of all denominations, faiths and beliefs and those with none are welcome in Brídhaven. Residents attend Roman Catholic Mass regularly at the nursing home. Mass is said twice a month and at Easter and Christmas. The visiting priest also hears confessions and anoints people on a regular basis. The Church of Ireland Minister also visits his members. Current residents of the home are predominantly Roman Catholic and Church of Ireland, however, should the occasion arise, we will be more than happy to support residents of different religions or no religion at all in the practice of their beliefs. In the unfortunate event of the death of a resident, Brídhaven works closely with family members and funeral directors to ensure that any wishes expressed by the resident and/or family members are accommodated in arrangements, within reason. However, regrettably Brídhaven cannot accommodate Rosary or Removals from the nursing home as we do not have appropriate facilities to cater for such occasions.

Contact between residents and their relatives, friends and carers

Brídhaven has an open visiting policy and we can facilitate you at most times. However, we would ask that you refrain from visiting between the hours of 22:00 and 09:00, unless necessary. The home is spacious and there are adequate facilities for residents to meet visitors privately and separately from the residents’ own private room or in any one of the various communal areas throughout the home. Should you wish to reserve our Awbeg Meeting Room for a family meeting this can be arranged by request. Well behaved clean family pets can also be brought along for a visit by prior arrangement with the Person in Charge.

Dealing with complaints

Complaints, comments, suggestions & criticisms about services, whether verbal or written will be taken seriously and handled in a sensitive and timely manner that protects the rights, privacy, dignity and confidentiality of all those involved.

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Comments and / or complaints will be used to aid continuous quality improvement and the risk management of services provided. A copy of our complaints policy will be given to you when you arrive to Brídhaven if requested. A complaint is a verbal or written statement of dissatisfaction that requires a response (Healthcare Commission, 2008). All complaints, both written and verbal, will be acknowledged in writing and will be recorded in our complaints log. All complaints will be investigated by the nursing home’s Complaints Officer, Ms. Maura O’Sullivan and the person(s) who complained will be informed of the investigation findings within 60 working days after the complaint was made. If the complainant is still unhappy, the complaint may be referred to the Appeals Officer: Ms. Karyn Bourke, Assistant Person in Charge. If you have any concerns regarding Elder Abuse in Brídhaven Nursing Home, please report them immediately to the Person in Charge. If your concern has not been dealt with satisfactorily you are welcome to contact the HSE Safeguarding Team for Cork. The person to contact is Ms Kathleen O’Mahony, St. Finbarr’s Hospital, Douglas Road, Cork. Tel: 021 4923967 Email: Safeguarding.cho4@hse.ie Complaints Procedure & the Ombudsman If you have complained to us, and you are not happy with our decision on your complaint; you may contact the Office of the Ombudsman. The Ombudsman provides an impartial, independent and free service. By law, the Ombudsman can examine complaints about any of our administrative actions or procedures as well as delays or inaction in our dealings with you. The Ombudsman’s remit relates to complaints about actions which occur on or after the 24th of August 2015. The Ombudsman cannot examine complaints about actions which occurred before that date except for complaints from residents eligible to complain under “Your Service Your Say” (Residents whose place is provided under a contract with the HSE). Contact details are as follows: THE OFFICE OF THE OMBUDSMAN, 18 Lower Leeson Street, Dublin 2. Phone: LoCall 1890 22 30 30 or (01) 639 5600 Email: ombudsman@ombudsman.gov.ie You can also make a complaint online using the online complaint form: www.ombudsman.gov.ie HEALTH INFORMATION AND QUALITY AUTHORITY Please be aware that if you have concerns about the operation of the Nursing Home you may also contact our Regulator the Health Information & Quality Authority (HIQA) by: Calling the advice line on 021 240 9300

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Emailing: info@hiqa.ie Or by writing to: Office of the Chief Inspector, Social Services Inspectorate, Health Information & Quality Authority, Unit 1301, City Gate, Mahon, Cork You may also make a complaint online by filling out the form at: https://www.hiqa.ie/get-touch/report-concern

Fire precautions and emergency procedures

Brídhaven has been certified by our Chartered Engineer as being fully compliant with all Fire Safety Legislation and with the Building Control Acts 2000 – 2006. The Fire Safety File with relevant certificates and logs is available for inspection on request. All staff are given Fire Safety Awareness Training on induction and regularly thereafter. Unannounced fire drills are conducted, and all Fire Safety equipment is maintained and serviced in accordance with the DoE Fire Safety Guidelines for Nursing Homes. A trained Fire Marshall is always on duty. There is a fire alarm system and emergency lighting throughout the building. All standard beds with non-ambulant residents are fitted with evacuation sheets. The flooring, furniture, mattresses, bedding and curtains are fire retardant. The building is divided into fire resistant compartments and each room has a half hour fire door. In the event of fire, residents will be evacuated into the next adjoining compartment. The procedure to be followed in the event of fire is ‘Phased Evacuation’. This gives staff a chance to assess the situation before any panic can arise. Fire extinguishers are provided throughout the nursing home together with emergency lighting. One of our nurses who is a Trained Fire Marshall is always nominated to take control of the situation should a fire start. They, along with all our staff, have been trained in what to do should a fire start. All our staff receive fire training at least every 12 months except for new staff who receive fire training as part of their induction programme. Our fire evacuation procedure is clearly communicated to staff. Details of what to do in the event of a fire are prominently located throughout the nursing home along with maps of current locations. Should a fire exist, our staff have been trained to react appropriately and to move those residents or visitors at risk to a place of safety. All external doors are access controlled. However, in the event of a resident going missing from the building the ‘missing person’ drill is activated immediately.

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Appendix 1:

Conditions of Registration

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Appendix 2:

Layout of Brídhaven

Floor plan

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Appendix 3:

List of additional items and applicable charges

Details of fees to be charged to the resident for the services that will be provided in return for the fee being paid are detailed in the Contract of Care. Any services that are provided over and above those provided in normal circumstances will be clearly outlined on the Contract of Care. These will be charged for separately. The contract of care will also identify from whom the fees will be paid. For example, if a portion of the monies owed are collectable from the HSE, the amount paid by the HSE will be clearly outlined as will the balance payable by the resident. Our private fee & fee for respite is €1100 all-inclusive, except for The Clyda Suite which is €1600 per week. Our HSE respite fee is €1100 per week with a charge of €6 per individual activity session and does not include laundry charges. Laundry can be done in-house at a cost of €40 euros weekly. For residents in receipt of “Fair Deal”, we charge an additional €40 per week to cover additional costs incurred by the nursing home and laundry fees are included in the contract. Please note that residents who are admitted after 01 May 2019 will be responsible for the rental or purchase of specialist equipment such as electronic pressure relieving mattresses/ cushions and falls protection equipment.

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Document Version History

Version Number

Version update comment Effective date

V048

Document converted into HIQA SOP template

PPIM/CNM info updated Resident Council members

updated

Organisation Chart updated Updated Floor Plan and more

detailed narrative description inserted

November 2019

V049

Updated to reflect change of PIC

Updated to reflect management of HR following the resignation of the HR Manager

15 March 2020

V050