POLICY STATEMENT

Gosberton House Care Home aims to succeed in the business of providing high quality 24 hour nursing and residential care. To achieve this aim we seek to provide nursing care residential care and supporting services, promptly and efficiently, to meet residents’ requirements and be fully satisfactory in relation to cost.

In pursuit of this strategy, it is our policy to manage all aspects of Gosberton House diligently and particularly adhere to procedures and working practices relating to quality which comply with all relevant professional standards and which meet the requirements of ISO 9001: 2000.

Gosberton House will ensure by means of effective communication with its staff, that its quality policy is fully understood, by means of appropriate training and effective supervision, that it is carried out and by means of review that there is continual improvement of its effectiveness.

In all areas of care and employment we follow an anti discriminatory practice.


Signed …………………………………….

For And On Behalf Of
G T Lee, V B Lee & J M Eastgate
Partners Of Gosberton House
 

back to top

AIMS & OBJECTIVES

It is the objective of Gosberton House Care Home to provide care to all residents to a standard of excellence which embraces fundamental principles of good care practice, and that this may be witnessed and evaluated through the practice, conduct and control of quality care in the home. It is a fundamental ethos that those residents who live in the home should be able to do so in accordance with the homes Statement of Values.

It is the object of the home that all residents shall live in a clean and safe environment and be treated with respect and sensitivity to their individual needs and abilities. Staff will be responsive to the individual needs of residents and will provide the appropriate degree of care to assure the highest possible quality of line within the home.

To meet the client’s needs the care service within the home is designed to achieve the following objectives:-

• To deliver a service of the highest quality that will improve and sustain the resident’s overall quality of life. In this respect the care service is designed to meet the requirements of Quality Standard ISO 9001 (2000) in a people orientated fashion.

• To ensure that the care service is delivered flexibly, attentively, and in a non discriminatory fashion while respecting each resident’s right to independence, privacy, dignity, fulfilment and the rights to make informed choices and to take risks.

• To ensure that each resident’s needs and values are respected in matters of religion, culture, race or ethnic origin, sexuality and sexual orientation, political affiliation, marital status, parenthood and disabilities or impairments.

• To ensure that the care service in whole is delivered in accordance with agreed contracts of care

• To manage and implement a formal programme of staff planning, selection recruitment, training and personal development to enable resident care needs to be met.

• To manage the care service efficiently and effectively to make the best use of resources and to maximise value for money to the resident.

• To ensure all residents’ / relatives receive written information on how the home’s procedure for handling complaints, comments and compliments and how to use it.

back to top

STATEMENT OF PURPOSE

PHILOSOPHY OF CARE
Gosberton House Care Home aims to provide residents with a secure, relaxed and homely environment in which their care, well being and comfort is of prime importance.

All staff will endeavour to preserve and maintain the dignity, individuality and privacy of all residents within a warm and caring atmosphere, and in doing so will be sensitive to the residents ever changing needs whether medical, therapeutic, cultural, psychological, spiritual, emotional or social.

All activities within the home are designed to encourage and maintain mental alertness, self esteem, social interaction with other residents whilst recognising the core values of care which are fundamental to the philosophy of our home.

CORE VALUES OF CARE

All care staff within the home will be appropriately qualified to deliver the highest standards of care. A continuous staff training programme is implemented to ensure that these high standards are maintained in line with the latest initiatives and developments in care practices as may be laid down in appropriate legislation, and registration authority guidelines.

Rights
The rights of all our residents are the main priority in our philosophy of care. We will promote those rights through the care and services we provide and encourage all residents to exercise their rights to the full.

Privacy and Dignity
We recognise the changes residents face when moving into a home, to minimise the impact of those changes we will promote the philosophy of a ‘family circle’. We will endeavour to retain as much privacy and dignity as possible by:
• Helping residents to personalise and equip their rooms as they wish.
• By providing keys to their rooms and a secure place for their valuables.
• Giving residents the opportunity to have privacy when receiving visitors, making telephone calls or opening and reading mail.
• Securing all residents records and information and respecting the confidentiality of those records.
• Treating each resident as an individual and a respected member of the family circle.
• Assisting residents to maintain their dignity through their personal appearance and behaviour.
• Promoting activities that encourage residents to express themselves as individuals.
• Helping residents to overcome any shortcomings they may experience through age or disability.

Independence
We recognise the importance for all residents to retain their independence and the problems that group living can give. We will encourage residents to act and think as an individual by:
• Maximising the opportunities for residents self care.
• Encouraging residents to retain financial independence.
• Helping residents to take reasonable and fully assess risks.
• Ensuring residents maintain links with contacts outside the home.
• Giving all residents the opportunity to contribute to the records of their own care and to express their views on the care.

Freedom Of Choice
We recognise that every resident should have the opportunity to choose a home which will meet their needs and can offer the care they require. They should be given the opportunity to exercise their right of choice in all aspects of daily living. To facilitate that choice we will:
• Provide comprehensive information on the home and the quality of services and care available.
• Provide each resident with a contract or a statement of terms and conditions of residency.
• Carry out a needs assessment on each resident prior to admission.
• Demonstrate to each resident that we can meet their assessed needs.
• Offer the opportunity for prospective resident to assess the home byway of a trial visit and / or stay.
• Provide a range of meals residents can choose from and allow them to decide where and when to consume the food of their choice.
• Continually offer a wide range of social and leisure activities.
• Avoid strict routines and maintain maximum flexibility in the daily life of the home.

Fulfilment
We recognise that all residents should be encouraged to continue to lead a life in which they feel fulfilled, whether it be physically, mentally or spiritually. We will encourage residents to:
• Continue to pursue existing interests, making adaptations as necessary to overcome any disabilities.
• Provide opportunity for spiritual fulfilment either in a group setting or on an individual basis.
• Provide opportunities for mental stimulation.

Security
We recognise the importance to residents of the need to feel safe and secure within their environment whilst acknowledging that they also need freedom to move around as they wish. To facilitate this we will:

• Operate an “Open Door Policy” allowing the residents and visitors to enter and exit the premises freely.
• Carry out regular security checks both inside and outside.
• Provide a safe environment both inside and outside with facilities required to meet any disabilities.
• Carry out checks on all members of staff.

Respect
Residents will be shown and treated with respect at all times and we will promote this philosophy throughout our care and the services we provide.

Equality
All residents will be treated equally irrespective of status, nationality, gender, or creed and each will receive the care necessary as defined in their care plan.

MANAGEMENT

GORDON & VICKI LEE – Registered Providers
The Lodge, Gosberton House, Westhorpe Rd, Gosberton, Spalding, Lincolnshire
Gordon is a Quantity Surveyor who for 30 years had his own Practice in Boston. Vicki is a qualified counsellor with a Diploma in Human Sexuality.

CHARLOTTE MOLESWORTH RGN – Nurse Manager
Charlotte qualified in 1987, and has 20 years experience working with older persons. Predominately in a nursing home environment.

JANET EASTGATE - Partner and General Manager, responsible for financial
aspects and day to day running of the business.

STAFF

NURSES - A team of 12 Registered Nurses (10 – 1st level, 2 – 2nd level) providing 24 hour nursing cover. Combined experience in excess of 250 years in various settings. Within the home each nurse specialises in a particular field and all nurses have received training in palliative and terminal care.

CARERS - A team of 40 carers working a 3 shift per day system. 90% of our carers are aged 30 or over, many with years of experience
in the profession, giving a maturity that comes with the experience. More than 50% of our carers have achieved or are working towards NVQ II or III in care. Senior Carers and some others are attending training in palliative and terminal care.

SUPPORT STAFF - A team of 20 support staff provide catering, domestic, maintenance and gardening cover. Our cook is qualified to NVQ II and her assistant has many years experience in catering.

DIVERSIONAL THERAPIST - Our Diversional Therapist is Dinah King whose sole aim is to encourage and maintain resident’s physical and mental stimulation.

SECRETARIAL - Secretarial support is provided by Debbie Church.

A continuous staff training programme is implemented to ensure that high standards are maintained.

SERVICE PROVISION

Gosberton House is registered to provide long and short term, respite and convalescent care including nursing, for 51 residents aged 50 years or over for both males and females.

ACCOMMODATION

Gosberton House is a magnificent Georgian property in landscaped gardens.
Accommodation is provided in these areas:

MAIN HOUSE - GROUND FLOOR
1 shared room each in excess of 16sq.m.
9 single rooms measuring 12sq.m. – 16sq.m, 4 with en-suite toilets.
2 single rooms in excess of 16sq.m.
Dining room/lounge 97.97 sq. m
Lounge with access to patio area 54.48 sq. m
Quiet lounge 23.19 sq. m

MAIN HOUSE – FIRST FLOOR
3 shared rooms each in excess of 16sq.m.
6 single rooms each of approx 12sq.m., 1 with en-suite toilet
9 single rooms measuring 12sq.m. – 16sq.m., 1 with en-suite toilet, 1 with en-suite bathroom.
1 single room in excess of 16sq.m.

HEESOM WING (GROUND FLOOR EXTENSION)
15 single rooms of approx 12sq.m. each with en-suite shower and toilet.
Dining room 26.55 sq. m
Lounge 26.12 sq. m
Quiet lounge 15.63 sq. m
An assisted bathroom is located on each floor.

STANDARD CHARGE

The provision of care services in this care home will be charged at the rate shown on the attached schedule A “the standard charge”.

As we provide person centered care specifically tailored to your needs and reasonable requirements the fee charged for your care may vary from the standard charge. You will be told the precise fee to be charged after completion of the pre-admission assessment when we will make a written offer to you of a place in our care home provided we believe that we can properly meet your needs.

The charge made for your care will be reviewed at least annually on 1st May and also following any significant increase in your care needs which may require further or additional elements of care. If we decide that an increase in the amount payable for your care is needed we will provide you with a written notice as soon as possible. In the case of our annual review, we will give you not less than 28 days before the increased charge is applied. There may be discounts applied from time to time to the standard or other rate charged for care to reflect, for example, bulk purchasing of our services.

EXTERNAL ACCREDITATION

Gosberton House received Quality Assurance recognition in 1996 for ISO 9001 (2000) its high standards of procedures and practise and undergoes twice yearly external assessment to maintain the accreditation.

INVESTOR IN PEOPLE

Gosberton House accreditation to IIP in 1998 for its commitment to staff training and development.

Continuous accreditation has been maintained under both of these awards.

G.H TRAINING CENTRE

The training centre was set up 10 years ago to provide in house training for our staff and is managed by Celine Cornish, a 2nd level registered nurse and NVQ Assessor and Internal Verifier. She is supported by other nurses and carers who are also NVQ Assessors and has recently expanded its activities to provide NVQ training externally, being successful in obtaining funding from Lincolnshire Development. We are registered as a training centre with City and Guilds and also an RCN Resource Centre.

ADMISSIONS

All admission enquiries are dealt with by a Senior Member of Staff. Prospective residents and their relatives are invited to view the facilities at which time further information is provided and the requirements of the prospective resident established. A pre-admission needs assessment is carried out prior to any agreement to provide a place being confirmed. The first month of any admission is considered a trial process for both sides. Emergency admissions are discouraged but would be given individual consideration dependent on the information provided. If it is not possible to carry out a pre-admission assessment prior to admission this will be completed within the first 24 hours after admission.

CARE PLANNING

Residents are encouraged to participate in the development of their individual care plans in which the involvement of family and friends may be appropriate and greatly valued. Care Planning is carried out by Nursing Staff and is reviewed monthly or at such times as deemed necessary.

VISITORS

Visitors are welcome at all times, although mornings are our busiest periods. Residents are encouraged to go out with visitors if their capabilities permit, alternatively visitors are welcome to join the resident for a meal at a nominal charge. Visitors are required to sign the visitor’s book located in the Entrance Hall for safety purposes.

ACTIVITIES

A monthly programme of activities, including visiting entertainers, is arranged and displayed on a monthly basis. Residents are encouraged to continue to pursue existing hobbies and aided to learn new ones. Residents are encouraged to make social visits outside of the home depending on their capabilities and various outings are arranged throughout the year.
Religious services are held every Thursday morning at 11.00am with Ministers of different
Denominations visiting. For those wishing to attend Sunday services arrangements can be made with the relevant church. Arrangements can be made on an individual basis for anyone wishing to take communion etc.

EMERGENCY PROCEDURES

On hearing a fire bell residents and visitors should remain where they are, if possible closing any doors. All doors provide a minimum of ½ hour fire protection. In the event of a fire instructions will be given by a senior member of staff until arrival of the Fire Brigade who will then take charge. In the event of a false alarm or a fire drill a member of staff will advise when all clear.
All staff receives fire instruction and fire drills are held at regular intervals.

COMPLAINTS

1. Residents or their representatives are encouraged to discuss any concerns with the Nurse In Charge at the earliest opportunity.

2. If you are not able to resolve your complaint with the Nurse In Charge an appointment should be made with the Nurse Manager, Charlotte Molesworth to discuss the problem.

3. If you are unable to resolve the complaint with the Nurse Manager, request a Complaint Form which when completed is submitted confidentially to the Nursing Home Partners who will carry out an investigation and a written reply will be given within 28 days.

4. If you are not happy with the written reply a formal meeting will be arranged with the Partners to discuss the matter further.

5. If you are still unhappy with the outcome you have the right to make a complaint to:-

C.S.C.I
The Pavilions
5 Smith Way
Grove Park
Enderby
Leicester
LE19 1SX

PERSONAL PROPERTY

Residents are encouraged to bring small items of furniture and personal possessions to make their room more homely. However, we cannot be responsible for any items that may be lost or damaged. We suggest that residents DO NOT keep valuables in their room and only keep small amounts of cash for personal use. A safe is available for safety of valuables.

CLOTHING

In order to assist our Laundry staff we request that residents clothing is machine washable and can be tumble dried. All personal clothing should be named prior to admission, preferably with a sewn in label.
Whilst every effort is made to ensure safe laundering and return of clothes, mistakes do happen and we ask for your co-operation.

TOILETRIES

Toiletries are provided by the home but any resident requiring particular brands are requested to bring their own supply.

ELECTRICAL ITEMS

In order to comply with the Health & Safety Regulations all electrical items should be checked by a suitably qualified electrician before they are used on the premises. The company electrician will inspect any items on his routine visit. In the event that you bring along any electrical appliances please notify a member of staff as soon as possible.

TELEPHONES

A public telephone is situated on the Ground Floor and may be used in all rooms in the telephone points provided. Should a resident require a personal telephone please contact the Secretary who will make the necessary arrangements. This will be a private arrangement between yourself and British Telecom. All costs must be paid direct to British Telecom.

SMOKING

In the interests of Health & Safety, smoking is allowed only in the allocated areas.

ADDITIONAL SERVICES

The following services are not included as part of our standard fee:-

Dry Cleaning
Personal copy of a newspaper or magazines
Chiropody
Hairdressing

A schedule of our current charges for these services can be found at Appendix B in this Service User Guide. The prices listed in the schedule are liable to increase at short notice as these are controlled by third parties outside of our control. Discount will not be available in respect of such additional charges.

LEGAL MATTERS

Any resident requiring the services of a Solicitor or Accountant or assistance with legal matters please contact the Manager.

FAMILY PARTIES

Family parties can be arranged. At least one week’s notice is requested and all arrangements should be made with Head of Catering. Invitations are sent out to families, in order that they may join their relative to celebrate Birthdays, Anniversaries etc. A nominal charge of £1.50 per head is made if more than 6 guests attend a function.

RELATIVES MEETING

Relatives meet with Matron approximately every six months to informally share information, questions, anxieties and give each other mutual support. Notification of meeting is displayed in the entrance hall. This is not a daunting gathering – do come along.

RESIDENTS FUND

The Residents Fund is a charitable fund formed by staff and management. Each year the home supports a registered charity and proceeds of any fund raising events are divided equally between the Residents Fund and the nominated charity. The Residents Fund is used to pay for outings and purchase items in excess of those provided by the home.

NEWSLETTER

A newsletter is produced three times a year and free copies are available in the Entrance Halls. Contributions are always welcome from residents and visitors.

FUNDING

For anyone with assets of less than £20,000 help with funding may be available through Social Services. For further guidance contact the local Social Services Department at:

The Vista
Churchgate
Spalding
Lincs

Tel: 01775 725751

FEEDBACK

Residents are encouraged to participate in the development of the home, suggestions and ideas often coming from informal group chats with the Diversional Therapist. Annual questionnaires sent to all residents and relatives to enable us to monitor our performance and to enable comments, criticisms and suggestions to be made.


USERS VIEWS

“Just to say “Thank You” to you all for your attention and kindness so willing and unselfishly given to Mother during her stay. My brother and I greatly appreciated your tender care.”


“You certainly live up to your excellent reputation”


“My husband and I wish to express our sincere thanks to you all, for the kindness and care given to Mother”


“My deep gratitude to you all for the loving care that you gave my Dad during his stay at Gosberton House”


“Mother looked so well cared for – lovely to see her looking better. Thanking you all so much for your continuing tender loving care.”


“We wish Mother had come to you years ago.”


“I write on behalf of my brothers and sister to thank you and your staff most sincerely for the devoted attention and kindness shown to our Mother during her last illness. She could not have received better care and attention anywhere.”


“Thank you for making our Mum’s 89th birthday on Saturday so enjoyable. The kindness and care are marvellous and we really think Gosberton House deserves all the praise it gets.”


“Many thanks to the management staff for putting on such a lovely spread for our Mother’s 101st birthday. The Birthday cake was a lovely surprise and very nice. Mum says she is very happy at Gosberton.”


“I would like to thank all the staff for the kindness and consideration shown to my husband and I during his Mum’s final days.


“The Management and teamwork throughout your ‘Care Home’ is to be admired, we are so lucky to have such superb facilities in this part of the country.”

 

back to top

RESIDENTS CONTRACT

STATEMENT OF TERMS AND CONDITIONS FOR RESIDENTS
RECEIVING RESIDENTIAL CARE.


THIS AGREEMENT DATED ………………… between GORDON TREVOR LEE and VIOLET BESSIE LEE (hereinafter called “the Proprietor’s”) and ……………….. hereinafter called “The Resident”) relates to the acceptance by the Resident of accommodation in the GOSBERTON HOUSE CARE HOME (hereinafter called “the Home”).


RESIDENCE AND PAYMENT OF RESIDENTIAL FEES

1. Upon payment of the weekly charge (see clause 2 below) the Proprietor undertakes to provide accommodation, food, light, heat, laundry and all necessary personal care as would normally be required by a resident of a Nursing Home.

2. The weekly charge shall be £545.00 (Five Hundred & Forty Five Pounds) for Room 45 paid each calendar month by cash, cheque or bankers order or as agreed, which it is agreed shall cover the provision of all services referred to in clause 1 above. A proportion of this charge may be met by Lincs County Council, (£NIL) and where this is applicable, the resident will be responsible for their contribution (£545.00) and the third party will be responsible for the balance due (NIL) This weekly charge shall remain unchanged unless two weeks written notice is given by the Proprietor or this Agreement is jointly amended by all parties to the Agreement.

3. The Proprietor undertakes to maintain a standard of care as required by the Care Standards Act 2000 and the Registration Authority. If an occasion should arise where a complaint or query arises, the Proprietor will be pleased to help in every way possible. If the complaint is not resolved the Resident may wish to refer to the Registration Authority whose local address is:

Commission For Social Care Inspection
The Pavilions
5 Smith Way, Grove Park
Leicester
LE19 1SX

If the Resident is not satisfied with the way the complaint is resolved, the Resident may pursue the complaint with:

The Local Ombudsman
21 Queen Ann’s Gate
London
SW1H 9BU

4. This agreement shall continue in force until terminated by death or by either party giving to the other written notice four weeks before termination. Should the Resident leave the Home without giving the required notice, payment of fees in lieu of notice at the normal weekly rate will be required.

5. The first eight weeks of admission shall be regarded as a trial period for the benefit of the Resident and the Proprietor and can be terminated by either party on the giving of 7 days notice.

6.1 The Home will be the abode of the Resident. Should a self funded Resident at any time require hospital treatment, or be absent for any other reason the Proprietor will retain the accommodation for four weeks at a weekly charge of 80% of the current fees, after which time full fees may be charged unless two weeks notice of termination of contract if given by either party to the above.

6.2 In the case of hospitalisation of a resident funded by Lincs Social Services/Health Authority the full fee will remain payable for the first 42 days, with the resident continuing to be responsible for their contribution. Thereafter the fee will be adjusted to 80% of the Contract price excluding any extra’s which will cease immediately. At this time the residents contribution will be reassessed by Lincs Social Services. In the case of other absences of a resident funded by Lincs Social Services /Health Authority the full fee is payable for the first 21 days only with the resident continuing to be responsible for their contribution. If either party wish to terminate the agreement after 42 days hospitalisation or 21 days for other absences, seven days written notice is required.

7. In the event of death, any fees outstanding for the Resident will be charged to their estate. Third parties who agree to meet the Resident'’ fees in whole or part must sign below to this effect before the said person becomes a Resident.

8. The Proprietor may give notice, as outlined in clause 4 above, requiring the Resident to leave the Home under the following circumstances:
(i) Non payment of fees.
(ii) If, having consulted the Resident and taken advice from the appropriate health care professional concerning the present and future care needs of the Resident, the Proprietor is no longer able to meet the Resident’s needs.
(iii) Any circumstances or behaviour which the Proprietor feels may be seriously detrimental to the Home or welfare of other Residents.

9. Fees will be reviewed from time to time as determined by the Proprietor. Any increase in the fee will be as a result of inflation, for the provision of additional care
and service or as a result of satisfactory provisions coming into force after the date hereof.

MEDICAL AND PERSONAL REQUIREMENTS

10. The Resident shall from his or her own resources and/or personal allowance provide for chiropodist, hairdresser, newspapers, clothing, toilet requisites and other items of a luxury or personal nature.

11. The Resident shall upon admission hand to the Matron or her Deputy all medical information and medication unless the Resident specifically requests to practice self administration and is assessed as being capable to do so.


PERSONAL EFFECTS AND PERSONAL MOBILITY

12. The Proprietor does not accept responsibility for the Resident’s safety away from the Home unless the journey and any necessary supervision were arranged by the Home.

13. At the discretion of the Proprietor a small pet may be permitted.

14. All electrical items brought in by the Resident on admission or during occupation of the Home shall be first inspected as to their safety by the proprietor before use.

15. At the discretion of the Proprietor, items of furniture may be brought in by the Resident subject to inspection as to condition and defects liable to render the article unsafe or unfit.

16. The Proprietor does not accept responsibility for the loss or damage to any of the Resident’s personal effects or moneys. All valuable assets must be declared to the Proprietor upon admission. Safekeeping may be arranged by the Proprietor.

17. The Home operates an “Open Door” policy. Residents are not restrained or restricted in continuing with a normal life which will involve a degree of risk.

18. Insurance cover is provided by Medicover Insurance Brokers. Full details will be available on request.


STATUS OF THE HOME

19. Gosberton House Care Home is registered to provide Nursing Care with the Commission for Social Care Inspection.


SIGNED…………………………………… Dated………………………………..

SIGNED…………………………………… Dated…………………………………


In the case of the Resident whose fees are paid in whole or in part by a third party the undersigned appointee, representative or next of kin hereby agrees to pay the fees and any arrears which may fall due should the Resident named above leave the Home.

SIGNED…………………………………… Dated……………………….

Capacity…………………………………….

Address………………………………………
………………………………………………
………………………………………………
……………………………………………… Post code……………………

 

back to top

APPENDIX A

Rates for New Residents 2007 / 2008

back to top

APPENDIX B

ADDITIONAL CHARGES

back to top

	Cert No. 864/95

Quality assured home. Approved training. Investors in people. Gosberton House Care Home. Westhorpe Road. Gosberton. Spalding. Lincs. PE11 4EW. England. Tel: 01775 840581 Fax: 01775 841298 Email: caregosbertonhouse@yahoo.co.uk                  www.gosbertonhouse.co.uk