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Fountainville 24 Hour Supported Housing

2-10 Fountainville Avenue BT9 6AN

02890 325825 fountainville@inspirewellbeing.org

Revised October 2017 Review October 2019

STATEMENT OF PURPOSE

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Index of Contents Page No

Introduction 4-5

1. Registered Provider 6

2. Registered Manager 7

3. Number of staff, their experience and relevant qualifications 7-8

4. Philosophy of Care 9-10

Aims of the Scheme

Objectives

5. Status and Constitution of this scheme 10

6. Organisational structure of the scheme 11

7. Number of residents we provide support to in this Scheme 11

8. The range of needs (categories of care) that the scheme or 11

organisation is intended to meet and the number in each category.

9. Admissions Criteria including the Scheme’s policies and procedures 12 -15

(if any) for emergency admissions, Transfer Procedure and Moving on

Procedure

10. Arrangements for residents to engage in social activities, hobbies 15 - 16

and leisure interests

11. Arrangements in place for consultation with residents about the 17

operation of the scheme

12. Fire Precautions and Emergency Procedures 18-19

13. Arrangements for meeting resident’s Spiritual Needs 19

14. Arrangements in place for social contact 19

15. The arrangements for dealing with complaints 19- 20

16. The arrangements made for dealing with reviews of the residents 20-22

Support plan

17. The number and size of rooms in the home 22

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18. Details of any specific techniques used in the home and 22-23

arrangements made for their supervision.

19. The arrangements made for respecting the Privacy and Dignity

of Residents 23

20. Recovery 23

21. Quality and Governance 23-24

22. Restrictive Practice 24-25

23. Storage and Administration of Medication 25

24. Date approved and implemented 26

25. Date of review and record of changes made 26

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INTRODUCTION

Inspire became the new name for the Northern Ireland Association for Mental

Health on 5th December 2016. Within Inspire, Beacon, which was the founding

part, is now known as Inspire Mental Health. Inspire is one of the largest and

longest established independent charities focusing on mental health and

wellbeing services in Northern Ireland. The structure of the Inspire family is

detailed below.

Our Vision: Wellbeing for all

Our Values:

We provide high quality, professional and innovative services

We enable positive outcomes for the people who use our services

We act with integrity and compassion

We engage with and inspire each other

We influence policy and public opinion

Our Structure:

Inspire Mental Health provides support services to people with experience of

mental ill-health through supported housing, floating support, community

wellbeing (day support), advocacy services and specific projects such as family

support. It is the largest part of the Inspire family and has recently expanded into

Ireland.

Inspire Disability Services provides support for people with intellectual/learning

disabilities and complex needs in 6 services in Northern Ireland in Armagh,

Antrim, Lisburn, Belfast (2) and Omagh. In 2016 it has started to expand service

delivery into Ireland.

Inspire Workplaces provides therapeutic support through employee assistance

programmes, and specialist confidential therapeutic services delivered in a wide

variety of organisational context across Ireland and into mainland UK.

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Inspire Students provides support to students in third-level colleges and

universities across the island of Ireland and also in Scotland.

Inspire Knowledge & Leadership offers a range of expertly informed training

programmes and consultancy services designed to support organisations and

individuals to thrive.

Addiction NI joined the Inspire family in July 2016. Addiction NI provides

treatment and support for people who are dependent on alcohol or drugs. It is

able to offer tailor-made treatment programmes for people with drug or alcohol

problems, delivered in community settings.

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1. Registered Provider

The registered provider is: - Inspire Business Address: - Inspire Lombard House 10-20 Lombard Street Belfast BT1 1RD b.murphy@inspirewellbeing.org Responsible Person William Henry Murphy (Billy) is Director of Mental Health Services. Billy studied

Psychology at the University of Ulster then began his career with Extern in 1986

where he worked in various projects. He qualified in Social Work in 1991 and

initially worked for Barnardos. In 1992 he took up post as a Social Worker with

Older People in South and East Belfast Trust. He moved to Senior Social Worker,

Care Manager then Senior Care Manager. In 2002 he became Programme

Planner for Mental Health Services in South

and East Belfast Trust and when the Belfast Trust was formed in 2007 he became

part of the Senior Management Team in Mental Health as A Service Development

Manager. This work involved the modernisation of the Trusts Mental Health

Services.

Billy has continually addressed his own development needs obtaining relevant

qualifications throughout his career;

Qualifications:

BSc with Hons in Psychology & Sociology

Masters in Social Work

Certificate of Qualification in Social Work

Practice Teaching Award

Mental Health Social Work Award

Post Qualifying Award in Social Work

Diploma in Health & Social Services Management

Advanced Award in Social Work

Company Number: ni 25428 Charity Number: xn 47885

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2. Registered Manager The RQIA Registered Manager is:

3. Number and relevant qualifications of staff

Job Title/Grade Contracted Hours

Qualifications Experience of Relevant Care (in years)

Registered Manager 1x 37hrs QCF Level 5 in Management & Leadership, NVQ Level 3 Health & Social Care, Cert. Community Mental Health, Diploma Social Sciences BSL level 1&2

25 years

Senior Project Worker 1x 37hrs 1 vacant 37hr post at present

All Senior Project Workers will be qualified in one or more of the following areas:

-Professional Social Work Qualification and registered on the appropriate part of NISCC

-First level registered Nurse on the appropriate part of nursing and midwifery council register

-Occupational therapist registered with BAOT

-QCF/NVQ level 3 or equivalent in a related subject for e.g. care with a minimum of 4 years’ experience in a mental health setting.

All Senior Project Workers will have a minimum of 2 years’ experience.

Project Worker 5x 37hrs 1 Vacant post at present

All Project Workers will have a minimum of 4 GCSE passes at

grade C or above, or equivalent, including English Language

and Mathematics or a Higher Level Qualification.

All will be educated to QCF/NVQ Level 3, or equivalent, in a

related subject e.g. Care. Or, have completed a specialised

relevant accredited training course or skill area applicable to

mental health.

All project workers will have a minimum 12 months experience in Mental Health.

Support Worker 3x 37hrs 2x 15hrs

All Support Workers will have a minimum of 4 GCSE passes

at grade C or above, or equivalent, including English

Language and Mathematics or a Higher Level Qualification.

All support workers will have a minimum 6 months experience in Mental Health

Night Cover 1x 4 nights 1x 2 nights 1x 1 night

All Night Cover staff will have a minimum of 4 GCSE passes

at grade C or above, or equivalent, including English

Language and Mathematics or a Higher Level Qualification.

All Night Cover staff will have a minimum 6 months experience in Mental Health

Night Shift 1 x 3 nights 2x 2 nights

All Night Shift staff will have a minimum of 4 GCSE passes at

grade C or above, or equivalent, including English Language

and Mathematics or a Higher Level Qualification.

All Night Shift staff will have a minimum 6 months experience in Mental Health

Domestic 1 x 25hrs

Name: Isobel Weir Address: Fountainville Avenue 2-10 Fountainville Avenue Belfast BT9 6An Telephone: 02890 325825 Email: fountainville@inspirewellbeing.org

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4. Philosophy of Care

Our philosophy of care is based on the Inspire Charter of Recovery whose principles are to:

Find and Maintain Hope

Re-establish a Positive Identity

Take Responsibility and Control

Build a Meaningful Life

Aims of the Scheme

The overall aims are: - To provide a range of 24 hour supported accommodation that aims to promote recovery and support residents to take control of their lives. Inspire Mental Health will promote opportunities for residents and ensure this is carried out in an equal, fair and diverse way. - To provide Housing Support Services, following a strengths assessment which focuses on strengths based needs and outcomes. - To support the residents in maintaining their tenancy and to optimise safety in their home. - To be innovative in delivery and measurement of health and wellbeing outcomes by using a variety of tools e.g. WRAP, Inspire. - To meet the Resettlement agenda through the implementation of Bamford and NIHE strategies. Bamford Action Plan (2013) and the implementation of Transforming Your Care (TYC). -To create an environment which encourages partnership and involvement of residents through policy development (co-production), partnership meetings, service user representation forum (SURF) (this is a forum for Resident’s to be involved in decision making), membership of committees and the Inspire Boards. - To understand our "duty of quality and governance" and deliver services to the standards set by Inspire, the Northern Trust, Supporting People and RQIA.

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Objectives

The overall objective are: - To work in partnership with Northern Ireland Housing Executive (Supporting People, Housing Benefit) Health & Social Care Trust and Housing Associations to ensure a high standard of accommodation to meet future needs of individuals. - To provide support as appropriate to the level of need of each Service User based on Individual Needs Assessment. - To work with each resident to identify risks based on their risk screening tool/comprehensive risk assessment which will inform their safety management plan for both physical and mental health. - To build on individual strengths which maximise the abilities and skills of the residents while recognising the need to give assistance and support. - To develop Support Plans which build on the strengths and aspirations of each individual and promote hope and independence. - To promote integrated, creative and meaningful activities that reflect choice, person centred support, independence and create opportunities for the residents. - To ensure that service users have every opportunity to exercise choice in all aspects of daily living. Levels of choice and responsibility must be realistic, therapeutic and within the range of individual abilities. - To ensure that Inspire Eligibility Criteria is all inclusive. -To ensure that the staff and volunteers are trained to/and display attitudes which are in accordance with the inspire philosophy and complete all essential training in line with NISCC and NMC requirements.

5. Status and Constitution of Scheme

This is a Supported Housing scheme owed by a Housing Association (Choice Housing) and managed by Inspire Mental Health through a management agreement. This scheme is registered under Article 8 (1) of the HPSS (Quality, Improvement and Regulation) (Northern Ireland) Order 2003. (10837)

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6. Organisational Structure of the scheme Registered Manager Senior Project Worker – 2 full time Project Worker – 5 full time Support Worker – 3 full time and 2 part time 2 night staff Clerical Assistant – 15 hours per week Domestic Assistant – 25 hours

7. Number of Residents we provide support to in this Scheme

8. The range of needs (categories of care) that the Scheme or

organisation is intended to meet and the number in each

category.

Adult mental health is the primary diagnosis within the scheme.

Suitable Criteria

Ordinarily aged 18 - 65

A mental illness diagnosed by a psychiatrist and is the primary condition

Physical health needs manageable within the scheme

The ability to move on from the supported housing scheme to less

supported/more independent living

A history of long-term hospitalisation, a number of admissions to hospital or

a risk of becoming institutionalised

Unable to self-medicate

Unable to manage finances

Registered incapable with the office of Care and Protection

Applicant has a desire move into supported accommodation and avail of

services provided

A forensic history where the individual has had a period of stability and the

level of risk can be managed within supported housing

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Unsuitable Criteria

Severe dementia

Learning disability is the primary condition

Personality disorder is the primary condition

A physical disability which would require significant assistance

Addiction is the primary condition

In need of a high level of supervision/nursing care

9. Admissions Criteria including the Scheme’s policies and

procedures (if any) for emergency admissions, Transfer

Procedure and Moving on Procedure

During the referral process all prospective individuals are encouraged to be

involved in all aspects and stages of the referral. There are no emergency

admissions accepted at any scheme.

Referral and Allocation Procedure (Housing Services)

The majority of referrals will come through local Community Mental Health

Teams or their equivalent however, on occasion referrals will be considered from

other sources, for example:

Housing Executive or Housing Association

Other statutory and/or voluntary agencies

Self (must be supported by the completion of a referral form by a statutory

worker or housing officer).

When a vacancy occurs and the scheme does not have a waiting list, potential

referrers will be informed.

The referral process begins with the first contact from a referral agent or

individual. The relevant Registered Manager or nominated staff member will set

a date and time for a visit or meeting and advise those attending of the name of

the person who will meet with them.

Initial Scheme Visit:

At the initial visit the prospective Resident will be shown around the scheme and

introduced to staff, volunteers and other Residents. Appropriate information will

be discussed as follows:

The Social Care context of our work including the use of Recovery Support

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Plans and the balance of support and care

Rent, other charges and bank account details

Tenancy requirements and name of Landlord

Resident Rights and Responsibilities

Resident Guide

Recovery and Wellbeing

Safety Management

Physical Health Issues

The referral process and documentation required

Referral Made and Documents Received:

It is preferred that the applicant complete as much of the Referral Form as is

possible although some details may require the assistance of the referrer. The

applicant and referrer will complete as much as possible and sign the form. Any

blank areas will be discussed at the Referral Meeting.

The Referral Form will be accompanied by:

A Housing/Transfer Application Form (Northern Ireland Housing

Executive)

An up to date Risk Screening Tool (where applicable) (statutory form).

A Comprehensive Risk Assessment (where applicable) (statutory form).

A Physical Health Questionnaire completed by the applicant.

Any other relevant correspondence or information

The manager or designated staff member will organise a Referral Meeting with

the prospective Resident and referral agent at which the Referral Form will be

discussed and the Member Agreement and Initial Support Plan section of the

form completed.

Applicants for accommodation are required to have a bank account and sufficient

funds or entitlement to benefits that will cover the costs of accommodation

and/or support. Charges and tenancy arrangements will be discussed.

The Risk Screening Tool and/or Comprehensive Risk Assessment will be

discussed and immediate issues included in the Initial Support Plan. Where a

phased transition is required a Safety Management Plan will be completed on

arrival.

Safety issues in relation to the management of medication will be discussed, with

the level of support required, agreed and documented in the Initial Support Plan.

For all referrals a Safety Management Plan will be completed prior to the initial

review.

The Physical Health questionnaire will also be discussed, with identified areas of

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concern followed up with a Physical Health Assessment being given or sent to the

GP or Specialist Nurse for completion and return to the Scheme Manager.

Where a prospective Resident has an illness or condition that may require a

particular intervention or type of support from staff, a Health Alert will be

completed to indicate the nature of that intervention.

A decision will be made as to suitability of service and applicant, and an

indication of a start date shared at the end of the meeting or as soon as possible

thereafter. The outcome of the meeting will be confirmed in a letter to the

applicant and copied to the referral agent. If a referral is unsuccessful or declined

the reason is noted in the appropriate section of the Checklist for Referral and

Moving On and the appropriate letter sent. Where an applicant is unsuccessful all

statutory forms will be returned to the referrer.

For reference the Registered Manager will maintain a file for all referrals and/or

applications that do not progress beyond this point.

Moving on

A Resident may move on from the service in one of the following ways:

Planned Move

Breach of Tenancy

Death

Planned Move

The need or wish to move on from a service is discussed and agreed with the

Resident and forms part of the objectives of the Recovery Support Plan and, were

applicable is discussed at a review. Where this move is to another inspire facility

or a similar service, preparation and planning will involve staff from the new

service. A transition plan will be agreed with the Resident and their statutory

worker.

Residents moving on must give four weeks’ notice in writing to the Registered

Manager and all charges must be paid in full to the final date of notice.

Timescales and protocols for the termination of the relevant Tenancy Agreements

will be followed.

Breach of Tenancy:

A Resident may be asked to leave if they are not complying with the terms

and conditions of their Tenancy.

A Resident may be asked to leave when the service can no longer meet

assessed need or because of unacceptable behaviour.

Behaviour likely to breach Tenancy will initially be addressed through the

support planning and review process with the involvement of statutory

workers, Housing Association personnel and a Service Manager, were

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possible.

A letter of termination giving 4 weeks’ notice will be issued by the relevant

Housing Association and suitable alternative accommodation will be arranged

before their departure. The Resident has a right to appeal to the Service Manager

or to make a formal complaint using the Complaints Procedure

Were a Resident has not been using their accommodation for a period of time the

Scheme Manager will inform the relevant Housing Association to enable the

Abandonment process to commence.

Death:

In the event of the death of a Resident this should be recorded in the Residents

file and the file closed.

If the death of a Resident occurs within an Inspire Supported Housing facility a

Notifiable Events Form must be completed for RQIA, and the relevant Health &

Social Care Trust and Supporting People personnel.

Where a Resident has requested support with, and completed the relevant End of

Life Arrangements documentation the guidance contained therein will be

followed and the relevant contacts made.

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10. Arrangements for residents to engage in social activities, hobbies

and leisure interests

Social activities, leisure and hobbies are arranged on a scheme basis and residents

are involved in a range of ways through, Support Plans, Inspire Recovery tool,

WRAP plans and individual choice. Staff also arrange group activities to afford

residents the opportunity to try new experiences.

In single person accommodation

there are no limits on access to

engagement with family and

friends. In group living houses

residents are asked to respect

the rights of other people living

within the home.

List of scheme activities:

Cooking/Baking

Gardening

Art

Relaxation Sessions

Aromatherapy

Cinema

Social outings

Day trips

Walking

Swimming

Snooker/Pool

Shopping

*Please modify to reflect what is on offer at your scheme

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11. Arrangements in place for consultation with residents about the

operation of the scheme.

Residents meetings take place on a regular basis which provide a forum for

consultation, sharing of ideas, suggestions and comments and an opportunity to

express their concerns, views and opinions. This meeting also provides the

residents with a forum for discussion, information sharing and the residents are

consulted over strategic and procedural issues. Minutes are recorded and made

available to all residents.

Other opportunities for residents to express opinions/views/concerns are

available and include; the Quality Monitoring Report, Annual Satisfaction

Questionnaires, SURF, scheme visits by the CEO/Director of Inspire Mental

Health, Inspections (Internal and External) and Advocacy (Internal and External)

Residents are also encouraged to participate in “Hands Up” a forum to hear the

views of Inspire Mental Health service users (previously Beacon Voice). “SURF”

( Service User Reference forum) is a representative group which meets with the

Director to discuss issues at a more strategic level.

The aim of SURF is to give Resident’s a ‘voice’ within the organisation.

SURF enables people to:

Share views, experiences and opinions in order to influence the policy,

direction and future planning of services within inspire.

Enhance and develop communication with Resident’s at all levels, between

Resident’s and staff, and between Resident’s and the Inspire Board.

Monitor and review Resident involvement within Inspire

Monitor the implementation of the Inspire strategic objectives.

Assist in the promotion of the Inspire Social Care Model for Flourishing

Mental Health.

Assist with the development of training initiatives for Resident’s.

Organise events to promote Resident involvement

Promote Resident involvement within Inspire and in other organisations

Influence policy and lobbying within Government and local areas.

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12. Fire Precautions and Emergency Procedures

Inspire, so far as is reasonably practicable, will manage in compliance with Part 3

of the Fire and Rescue Services (Northern Ireland) Order 2006 and the Fire

Safety Regulations (Northern Ireland) 2010.

The NI Fire and Rescue service will be the enforcing authority and will visit the

premises to ensure compliance with Fire safety legislation. Under new legislation

all premises will be required to have a current fire risk assessment.

A Fire Safety Record File will be held within each scheme. This file should contain

sections for the following records:-

Fire risk assessment

Sample fire notice

Annual test certificates

Fire drill

Record of training

Records of maintenance checks carried out by the scheme.

As detailed in our Policy and Procedure manual the Fire Safety Procedure (C-14-

1) aims to:-

Prevent the incidents of fire occurring

To initiate prompt and effective action in the event of an incident.

To enable staff to manage any incident of fire until the arrival of the fire

service.

To ensure Resident’s, visitors and members of staff can be safely and

quickly evacuated.

(Please refer to complete policy document)

Emergency Procedures C-14-10-1

The Registered Manager or in her absence the staff on duty will be responsible for

initiating and co-ordinating the response to the emergency pending the arrival of

the Registered Manager and/or Service Manager.

The senior member of staff in charge should contact the appropriate emergency

services immediately e.g. fire, ambulance, police

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This procedure should be followed in the event of an emergency e.g.:

Flood

Fire

Gas Leak

Security Alert

This procedure requires the evacuation plan to be followed.

All of the above represent serious emergency situations which place persons or

property at risk and evacuation has to be actioned as an immediate response. In

such an event, it is likely that the evacuation will involve being away from the

scheme for a period of time.

13. Arrangements for meeting resident’s Spiritual Needs

Information on any religious/spiritual establishment and services is either on

display in a communal area within the scheme or contained in the Resident

Guide.

If residents require support or accompaniment to access their service of choice

this can be facilitated and form part of the Resident’s support plan.

14. Arrangements in place for social contact.

Residents are encouraged to maintain contact with family, friends and those

important to them. Residents have an opportunity to invite family, friends etc. to

reviews and inspections and to engage in satisfaction surveys.

If residents require support or accompaniment to engage in any form of social

contact this can be facilitated and form part of the resident’s support plan.

Staff also arrange carer’s evenings to encourage social engagement and

involvement.

15. The arrangements for dealing with complaints/compliments and

Concerns.

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Arrangements for complaints are detailed in our Policy and Procedures under

Complaints, Compliments and Concerns Q-1—6.

The Complaints Procedures relate to ‘any expression of dissatisfaction requiring a

response’. Complaints will be acknowledged, investigated and respondent

notified as per Policy. Niamh Complaints Procedure does not deal with

complaints about services that are not provided by Niamh. These should be

referred on to the appropriate organisation and the complainant should be

supported with this.

In cases where a minor issue is raised or a minor concern expressed, this should

be recorded as a ‘low risk concern’. Low risk concerns are defined as concerns

that can be resolved to the person’s satisfaction within 24 hours. The person with

operational responsibility will use their discretion to assess the appropriate

classification.

Compliments

Compliments will be acknowledged, collated and shared, and given the same

validity as perspectives received as complaints or concerns.

A summary of compliments received will also form part of each scheme’s annual

report.

When a compliment is received, the person will be encouraged to complete the

compliment form.

16.The arrangements made for dealing with reviews of the residents

support plan

Residents of Inspire Housing schemes now have the opportunity and choice to

participate in the completion of their files, all are actively encouraged to be

involved in their monthly summaries, (where applicable), support plans and

support plan reviews.

The review should be implemented as informally as possible.

The Resident’s daily notes and support plan form an integral part of the

review.

The review report should be completed prior to the review with the

Resident

Review of any risk vulnerability issues should be part of the review.

Next review date should be agreed at the meeting.

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PLANNING & REVIEW PROCEDURE

The Review Procedure will be implemented by the Registered Manager or

nominated person in consultation with the resident. Invitations should be

extended to the referral agent/ keyworker/Carer to participate in agreement with

the resident. If they are unable to do so, they should be invited to make

comment.

Stages of the Review Process

First Review @ six weeks:

The date for the Initial Review meeting is set at 6 weeks in advance of the start

date. Attendees will be reminded one week in advance of the date. The

Resident will be asked if there are any others they would wish to be involved.

The meeting will use the Initial Review to discuss any matters arising and to

make recommendations for the Recovery Support Plan. Anyone unable to

attend the review may submit a comment for consideration prior to the

review. A copy of the Initial Review Form may be sent to the referrer if

required

Second Review @ six months and Planned Reviews:

Subsequent reviews will use the Recovery Outcome Review, the first page of

which is an opportunity for the Resident and their Beacon Key Worker to

summarise the individual’s recovery journey using the following

headings/documents:

Members Notes

Recovery Support Plan (including outcomes)

Strengths Assessment

Safety Management Plan

Any other changes/achievements/incidents/outcomes relevant to your recovery journey

The pre-review Service Questionnaire will also be completed with any issue

raised becoming part of the Review Meeting. The Review Meeting will be

coordinated by the manager or nominated person who will liaise with the service

user and extend a letter of invitation to the statutory key worker along with any

others the Resident may wish to be involved.

Supplementary Review

In response to changes, concerns, issues or incidents, a supplementary review

may be arranged. Those present will receive a report on the relevant issues and

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agree appropriate changes to the Safety Management Plan and /or the Recovery

Support Plan. The Registered Manager will ensure the referrer/ statutory key

worker and relevant others are informed and involved.

Resident’s Rights

Staff must work with the residents in a courteous manner which respects their

individuality, safeguards their rights and exemplify the core values of the service.

This includes their rights as citizens including their Human Rights, welfare

rights, tenancy rights and where necessary protection. This will be achieved

through partnership working with the resident and the relevant statutory

agencies.

While Residents are consulted at all stages of the planning and review process

they retain the right to ask for a review at any time and/or to appeal any decisions

taken at a review. To do this, they will in the first instance, make their wishes

known to the Registered Manager or they can initiate the Inspire Complaints

Procedure.

If a resident is dissatisfied with the Inspire support service the Registered

Manager should address this with the resident. The resident has redress to the

complaints procedure at any stage. If a resident consistently wants to change

support provider this should be referred to the statutory key worker to consider

and facilitate this request. Changing to a different support provider will not

impact on tenancy rights.

17. The number and size of rooms in the home.

As this is single person accommodation and group living it is not possible to provide individual room sizes. Residents have an opportunity to view the rooms and assess their suitability prior to taking up residency Choice Housing (landlords) hold plans for all properties.

18. Details of any specific techniques used in the home and

arrangements made for their supervision.

We encourage and support the residents to use techniques that will create a wellness lifestyle such as alternative therapies as reflexology or having a massage. We can arrange and support for this to happen in scheme by sourcing people to facilitate and ensure all practices that are completed are safe for the residents involved or support to attend appointments off scheme.

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Residents are encouraged to participate in activities within the local community and trips are organised to local shopping towns on a regular basis, the residents are encouraged to undertake these as independently as possible by utilising public transport. Within each residents support plan will contain a detailed section on community access and the capabilities of each resident in regards to their skills. Staff can use their cars to support with appointments but this is at no cost to the resident. Residents are encouraged to be involved in all aspects of their care and support and Shiels Court embraces Inspire’s ethos placing considerable value on the resident participation and believes this to be the core to delivering high quality innovative services in partnership with the resident.

19. The arrangements made for respecting the Privacy and Dignity

of Residents

The core values of Inspire include dignity, choice, integration and respect. Dignity and respect are maintained and upheld by ensuring the resident is involved in every aspect of his/her care and support.

Ensuring resident preferences in relation to name, activities, personalising their homes are some examples.

Ensuring visits by staff to the resident’s home is at a mutually agreed time and staff are punctual. All residents have a key worker who will spend specified time with the resident dealing with their individual support issues and also having some social time together.

20.Recovery

Inspire aaccommodation is a community based recovery orientated service providing a range of accommodation and social care for adults with lived experience of mental ill health. Prospective Residents are involved in all aspects and stages of their journey with inspire mental health values diversity, promotes inclusion and practices equal opportunities at all times. We are committed to ensuring that no one is discriminated against in accessing, receiving or leaving the service and staff will endeavor to provide information in a range of formats suitable to meet individual needs.

21.Quality and Governance

In addition to Inspire’s own organisational standards we continually strive to maintain and improve on the requirements of the following quality assurance standards. In December 2011 they were assessed by external auditors and were given a ‘Gold’

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award. The EFQM excellence model (Gold award) was awarded in 2012.

All staff involved in supporting and caring for Residents undertake the “Induction and Foundation Framework” (IFF) within their probationary period. This course has been developed with and accredited by the Open College Network (OCN). A comprehensive essential training programme is in place for Inspire staff and volunteers. There are opportunities for Residents to avail of specific training courses. Announced and unannounced visits to the housing schemes are completed regularly by Inspire Service managers who are not in direct line management to the scheme. This is to ensure objectivity and transparency. Residents are given the opportunity to be involved in inspection visits, recruitment and selection and have also input into policy review and development. Training and ongoing support is provided to all who participate. Inspire is registered with the Regulation and Quality Improvement Authority as a Domiciliary Care provider from 2009.

22.Restrictive Practice

‘Restrictive practice in the mental health context is often perceived in terms of

extremes and associated with violence/aggression and physical intervention. The

scheme works with the Resident’s in a holistic way which respects their

individuality to avoid labelling and putting Resident’s in behavioural or diagnostic

pigeon holes.’ We do not however use restraint unless a careful needs assessments

based on strengths, risk assessment and support planning is required to engage

with Residents positively when they present with challenging behaviour.

Careful assessment should ensure staff are aware of why the resident presents in the

way they do. This could include:

Socially inappropriate behaviour

Non-compliance , withdrawal or passivity

Aggressive or destructive behaviour

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Self-harm.

To support a resident with managing a behaviour. Careful consideration should be given to the reasons behind the presenting behaviour including illness, medication, acute or chronic pain, or other situational factors.

There are many forms of restrictive practice. These could include:

Blocking a passage

Locked doors

Seclusion

Bed rails

Setting restraints

PRN medication

Holding money or belongings.

Restrictive practice is only implemented as a last resort and only following discussion with the multi-disciplinary team. This is reviewed periodically to ensure decisions are based on a balanced risk assessment. The impact of restrictive practice will be closely monitored, recorded and reviewed at agreed time intervals.

23.Storage and Administration of Medication.

All Residents are registered with a General Practitioner. He/she will

prescribe the Resident’s medication. Medication may also be prescribed

by the Resident’s’ psychiatrist.

The administration of medication is the responsibility of appropriately

trained staff.

Medication is stored in locked purpose made medicine cupboards. The

keys are kept in a separate locked cabinet or in the custody of the person

in charge.

Residents who are self-medicating will be provided with lockable

cabinets or drawer for the safe storage of their medication. Before this is

agreed a comprehensive assessment is undertaken in partnership with

the Resident, Resident’s GP, Consultant Psychiatrist and named Key

worker within the unit.

Further information on the safe handling, administration, storage and

disposal of medication is available in the Policy and Procedure manual.

25

24.Date approved and implemented

This Statement of Purpose’ was approved in 10th January 2017 2016 and will be implemented from 12th January 2017.

25. Date of review and record of changes made

This statement of purpose is a working document and will be amended as

required. Statement of Purpose’ are usually reviewed every two years and

circulated to all relevant parties. The next date of review will be March 2018.

The updated version will be emailed to: P Walker R Reynolds A hard copy will be held at the scheme office. A hard copy will be held by the Service Manager responsible for the scheme. A hard copy will be sent to the RQIA