statement of purpose - bethshan.org.uk 2018 final version... · web viewour housekeeping service...

Created on 14/05/2023

Statement of purpose

Bethshan, Heol Treowen, Newtown, Powys, SY16 1JA

Tel: 01686 610070 Fax: 01686 610050 Email address: [email protected]

Registered Charity No. 1064373 / Registered Name: Bethshan Sheltered Housing AssociationA Company limited by guarantee No. 3324634 registered in England & Wales

mailto:[email protected]

CONTENTSAbout the provider................................................................................................................................................3

About the Home....................................................................................................................................................3

Bedrooms...........................................................................................................................................................4

Toilets/Bathrooms.............................................................................................................................................4

Specialist equipment.........................................................................................................................................5

Lounge/dining room..........................................................................................................................................5

Social Activities and Leisure Interests...............................................................................................................5

Volunteers..........................................................................................................................................................5

Arrangements for Religious Observance...........................................................................................................5

Hairdressing.......................................................................................................................................................6

Laundry Facilities...............................................................................................................................................6

Housekeeping....................................................................................................................................................6

Meals..................................................................................................................................................................6

Outdoor Areas...................................................................................................................................................6

Passenger lifts....................................................................................................................................................6

Safety.................................................................................................................................................................7

Security..............................................................................................................................................................7

Smoking.............................................................................................................................................................7

Personal and Nursing Care....................................................................................................................................7

The service we provide......................................................................................................................................7

Aims and Objectives..........................................................................................................................................7

Arrangements for admitting, assessing, planning and reviewing people’s care..............................................9

Review of Individual Personal Plan...................................................................................................................9

Standard of care and support................................................................................................................................9

Respecting the Privacy and Dignity of Individuals............................................................................................9

Personal and Nursing Care...............................................................................................................................10

Health...............................................................................................................................................................11

Individual Rights..............................................................................................................................................11

Safeguarding....................................................................................................................................................11

Terms and Conditions of Residency................................................................................................................11

Data Protection and Confidentiality................................................................................................................12

Language and communication needs for people using the service................................................................12

Created on 14/05/2023 Page 1 of 17

Compliments and Complaints..........................................................................................................................12

Staffing arrangements.........................................................................................................................................13

Numbers and qualifications of staff................................................................................................................13

Staff levels........................................................................................................................................................14

Deployment of staff at service.........................................................................................................................14

Arrangements for delegated tasks..................................................................................................................14

Supervision arrangements...............................................................................................................................14

Staff training....................................................................................................................................................14

Governance and quality monitoring arrangements............................................................................................15


ABOUT THE PROVIDER Bethshan Nursing Home is owned and run by Bethshan Sheltered Housing Association which is a registered charity (No. 1064373) and Company Limited by Guarantee (No. 3324634). It is located on Heol Treowen, Newtown, Powys SY16 1JA

The Bethshan Charity was formed in 1995 through the vision of Newtown Pentecostal Church (now known as Hope Church) in response to local needs for the care of vulnerable frail elderly people in the community. After much research, planning and fundraising, building work started on the construction of the Bethshan Nursing Home and Day Centre in 1999 and was completed in May 2001.

Bethshan is a Hebrew word meaning ‘House of Security’. To quote the Chairman of the Board of Trustees: “We believe in the sanctity of human life and that those in need should be cared for by those who are more able.

Bethshan is not an institution but a home, where the spirit of family exists, and the residents and staff enjoy an atmosphere of peace, friendship and support”. The Home, though based on a Christian ethos, accepts residents of all faith backgrounds and none.

Bethshan is governed by a board of trustees that meet every month. The trustees have assigned a Responsible Individual from the board of trustees to oversee the operation and delivery of the service at Bethshan. He reports directly to the board. The current Responsible Individual is Roy Tappin who has over 20 years' experience of working within the care sector. He started as a support worker supporting people with learning disabilities and went on to management roles in various homes. Roy has been married to Margaret since 1974 and moved to Newtown in 2012. They have 4 children and 10 grandchildren all of which keep them very busy and very happy.

The manager of the service is Sylvia Campbell who qualified as a nurse in 1977. Sylvia also has a Nursing Diploma in Ophthalmology. Sylvia is married with 1 son and 2 grandchildren. Sylvia has wide ranging experience including: Intensive Care, Thoracic Surgery, Trauma and care for the elderly. Sylvia enjoys gardening and walking her dogs. She has worked at Bethshan since 2003 in various roles, becoming Home Manager in July 2015.

ABOUT THE HOMEBethshan is a high specification purpose-built Home for 40 individuals. The Home overlooks the town of Newtown, with its transport links, shops and leisure facilities, as well as the lovely Severn valley. Bethshan has a good-sized car park, decking areas on each floor, a covered veranda and secluded garden with patio and seating at the rear. There is level access to the entrance to the Home, which has a canopy and a covered walkway to the side, with seating. Immediately inside the entrance there is a large reception area with seating and office accommodation off. All corridors throughout the Home are almost 2 metres wide to enable any


wheelchair user easy passage. There are four ten bedded units of accommodation for individuals, each with its own communal lounge/dining room. Two of the units are on the ground floor - ‘Whiteley Suite’ and ‘Rayner Suite’ - which cater for people living with dementia and related illnesses. The two units on the first floor - ‘Davies Suite’ and ‘Weston Suite’ - cater for mainly older individuals whose primary needs are nursing and personal care.

The lower ground floor houses the Home’s service facilities including kitchen, laundry and offices. There is also an en-suite single bedroom available for relatives wishing to stay overnight.

BEDROOMS We have forty single bedrooms. Thirty-six have en-suite toilet and wash-hand basin facilities and four have an added shower facility. Two of our single bedrooms in ‘Weston Suite’ have an adjoining door to enable two related individuals to be near to each other.

Each bedroom contains a set of drawers one of which can be locked for safe storage of every day needs, a wardrobe, comfortable seating, emergency call alarm, electric sockets, a good quality durable carpet, a television point, and a telephone point. Whilst every bedroom is well equipped, individuals are quite welcome to bring along all those special mementoes that are loved and cherished.

TOILETS/BATHROOMS Although every one of our bedrooms has en-suite facilities we have found it useful to provide toilet facilities near to focal points such as lounge/dining rooms. There are 4 specialist assisted bathing facilities 1 in each suite.

All of our toilets/bathroom facilities are equipped with aids to help support individual independence.


SPECIALIST EQUIPMENT There are a number of mobile hoists on each floor, stand aids and steady mobility aids. All individuals that are immobile have a hoist sling that can be left in situ. All our beds are low profiling with Memoflex mattresses as standard, but active mattresses are provided for those that may have compromised skin integrity. We supply specialist seating as required and active seat cushions. We have a T34 syringe driver for use in palliative care or symptom control.

LOUNGE/DINING ROOM Each suite has its own intimate lounge/dining room. Each lounge/dining room offers a range of comfortable, upholstered chairs, and each dining chair is upholstered for individual comfort. Each lounge is fully carpeted. There is discrete wall lighting as well as ceiling lights, coffee tables, a selection of large print books, access to board games, mini hi-fi, video and a television.

SOCIAL ACTIVITIES AND LEISURE INTERESTS Social activities and leisure interests are an important aspect of an individual's well-being. Bethshan aims to create a stimulating environment by offering a range of activities and leisure pursuits both organised and impromptu. We have 3 Activities Coordinators who discuss with the individual soon after admission what interests and hobbies they enjoy. Activities will be planned on an individual basis in accordance with the individual’s interests. A range of group activities take place during the week in one of the activity rooms - the Henry Smith Room downstairs or the Bradbury Room upstairs. These range from artwork, singing or cookery to exercise and musical entertainment. Trips out are arranged on a regular basis. If an individual prefers to enjoy some quiet activity in their room, then that can be arranged. We also have close contacts with various clubs and groups in the community who contribute to the social activities programme. We recognise the importance of anniversaries such as birthdays for individuals and, where the individual gives permission, we will make arrangements to help celebrate these special occasions.

VOLUNTEERS In addition to our compliment of Activities staff, we have an active team of volunteers. Our volunteers do not cover for staff but do receive training to ensure they fully respect individual rights as enshrined in our ‘Individual Charter’.

ARRANGEMENTS FOR RELIGIOUS OBSERVANCE Bethshan understands and supports individuals’ right to practice the religion of their choice. Every effort will be made to arrange visitors from individual’s local church, and for clergymen to bring Holy Communion to the Home.

Our staff will show respect for individual’s religion and beliefs and enable privacy if an individual is at prayer. Our resident Chaplain visits regularly to conduct religious services and minister to any individual who wishes to be involved. Individuals of other faiths and persuasions are welcome to practice their faith and every effort will be made to connect

individuals to their respected faith leaders so that individuals stay connected with their faith communities.


HAIRDRESSING A qualified hairdresser visits the Home every Wednesday to carry out haircuts, shampoo and set, and perms. This service is available to all individuals at a reasonable charge.

LAUNDRY FACILITIES We have a large laundry room, which is equipped with high specification industrial washing machines, dryers and other laundry facilities to ensure that individuals receive an excellent service. Clothing is sorted and kept separately before it is returned to individuals fully laundered. All laundry costs are included in the fee, but it should be borne in mind that we do not operate a dry-cleaning service but will make arrangements for any dry cleaning that an individual requests. We request that all individual clothes are fully labelled prior to admission; this is to ensure that clothes are returned to the correct person after laundering.

HOUSEKEEPINGOur housekeeping service includes for example: the cleaning of all communal areas, the cleaning of individual bedrooms at a time that is convenient. We aim to maintain a Home, which is free from odour; all our clinical and general waste is appropriately disposed of.

MEALS We pride ourselves on offering a high standard culinary service at a time that is convenient to the individual. We outsource our catering to WhiteOaks (part of the Compass group) and the staff cook fresh meals in our on-site kitchen facilities. The Catering Manager ensures that menus are produced in consultation with individuals, staff and relatives, these menus are displayed on each unit and also in reception. If you can’t find what you want, just ask and we will endeavor to provide a suitable alternative. Special diets for cultural, religious or medical reasons are catered for. Drinks and snacks are

available at any time of the day or night. Tea in the afternoon is accompanied by a selection of home baked cakes. If an alternate is requested this can be ordered on the day. The duty chef receives a form detailing any special diet and general likes and dislikes of every individual after admission. The chef will visit personally to discuss any issues upon request.

OUTDOOR AREASThe rear garden was replanted during 2012 as the “Jubilee Garden” in honour of the Queen’s Diamond Jubilee. The garden area provides a safe and attractive sitting area in pleasant weather and is accessed through Rayner Suite on the ground floor. The Home occasionally arranges entertainment during the summer months in the garden. There are also two large decked areas, one on each floor, where individuals can sit and enjoy the views overlooking the town and surrounding countryside.

PASSENGER LIFTS Bethshan is equipped with two passenger lifts that give access to all floors. A member of staff will always be on hand to assist individuals using the lifts.


SAFETY At Bethshan we place great importance on safety matters. All soft furnishings throughout the building are flame resistant or retardant. Our efficient fire alarm system is maintained regularly, and staff receive fire training from our outside specialist trainer every year. Our maintenance person ensures that any repairs are dealt with as quickly as possible. You will often see him around the building checking and completing maintenance tasks. He also ensures that our physical systems e.g. passenger lifts, emergency call system, and aids such as wheelchairs and hoists are serviced regularly.

SECURITY We are also security conscious. Our administration offices are by the front entrance and are able to check on comings and goings. There is CCTV in car the park area and main entrance which is monitored on each nurse station. The front door and entrance door to each suite is locked by a security keypad. These are linked to the fire alarm system and, should the fire alarm be activated, all security doors will automatically unlock. This security is necessary to ensure that individuals are protected from unauthorised access, or to put it another way, because we like to know who is in the building and why. A safe deposit facility is available to individuals for small amounts of money and valuables, though we prefer items of great value not to be left in the Home.

SMOKING The Home operates a no smoking policy.

PERSONAL AND NURSING CARE THE SERVICE WE PROVIDE Bethshan is able to support a range of needs relating to personal and nursing care, including dementia as well as more complex medical conditions covered by continuing healthcare funding. Whilst most residents are aged 65+, we are able to provide care for younger adults in need of personal and nursing care including dementia. Age alone does not create a need for placement at Bethshan, social and physical circumstances may also create needs, and these will also change over time. We cater for people who require assistance with personal care and loss of mobility to the full range of nursing care services that are required for very specific medical conditions.

Qualified nursing staff lead our team of care assistants, who are specifically trained to support individuals with all their personal needs including washing, bathing, dressing and oral care. Our experienced nurses assess, plan, implement and evaluate individual needs, involving other healthcare professionals when necessary. We liaise closely with a wide range of local professionals including GP's, Social Workers, Community Nurses and the Mental Health Team. We also work with Diabetic Nurses, Chiropodists, Opticians, Oral Health specialists and Speech and Language Therapists.

AIMS AND OBJECTIVESThe management of the home place a strong emphasis on the highest quality service possible for all individuals. The home believes that no matter how good its present services, there is always room for improvement. The aim of Bethshan is to provide a high standard of care to all individuals, embracing


fundamental principles of good care practice while maintaining a homely atmosphere. It is the aim of the home that all individuals shall live in a clean and safe environment and be treated with respect and sensitivity to their individual needs and abilities. These statements set out the values, principles and policies that underpin the Home’s approach to quality.

To meet the needs of each individual the care service within the home sets out to achieve the following objectives:

To deliver a service of the highest quality that will improve and sustain the Individual's overall quality of life and well-being.

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

To ensure that each individual needs and values are respected in matters of religion, culture, race or ethnic origin, sexuality and sexual orientation, political affiliation, marital status, parenthood, 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 individual 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 for the individual. To ensure all individuals receive written information on the Home’s procedure for handling complaints,

comments and compliments and how to use it. To demonstrate to each individual that we can meet their assessed needs. To offer the opportunity for prospective individuals to assess the home by way of a trial visit and/or stay. To provide a range of meals individuals can choose from and allow them to decide where and when they

consume the food of their choice. To continually offer a wide range of social and leisure activities. To avoid strict routines and maintain maximum flexibility in the daily life in the Home. To ensure all care staff within the home are appropriately trained and 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 regulations from the Welsh Government, Social Care Wales and the Care Inspectorate Wales.


ARRANGEMENTS FOR ADMITTING, ASSESSING, PLANNING AND REVIEWING PEOPLE’S CARE

The normal admission procedure is carefully planned in advance and normally involves the placing agent (Social Services department or Local Health Authority), and the prospective individual, their relative(s) and/or representative(s). A comprehensive assessment is carried out prior to admission by the placing agency to determine the requirement for nursing care (as opposed to residential or other form of care delivery). A pre-admission assessment will also be made by the Home Manager to ensure that the individual's needs can be met at Bethshan.

Emergency or urgent admissions can only be accepted by the Home Manager and only if there is an appropriate bedroom available and all the necessary documentation has been completed and procedures are carried out. Every effort will be made to minimise the anxiety of the individual immediately on arrival. An important step in achieving this is being welcomed where possible by the Home Manager who carried out the home/hospital assessment. Relatives or friends are also encouraged to attend the individual’s admission to the Home. Bethshan operates a policy of offering a trial period of four weeks to ensure that all parties are satisfied that the service provision meets the assessed needs. It also allows for either party to terminate the placement without prejudice.

REVIEW OF INDIVIDUAL PERSONAL PLAN At Bethshan a Personal Plan for each individual will always be formulated and, where practicable, with the involvement of the individual and/or their representative. The Personal Plan identifies how the individual’s health and welfare needs will be met. This will be reviewed and updated monthly and as needs change, and at other times as necessary in order to continue to meet the identified needs. Every effort will be made to assist the individual and their representative to be fully involved in this process. Any decision making should be in the best interest of the individual and to involve them, their family or advocate and any interested relevant parties. The registered nurse will liaise with the Home Manager and any relevant outside agencies as appropriate. Information will be shared in a safe and respectful way aiding person-centred care. Advice and support will be sought as required from specialist nurses such as the Tissue Viability Nurse, Diabetic Nurse, Home Care Dementia Team, Occupational Therapist, Complex Care Team, Speech and Language Therapist, or Dietician. Deprivation of Liberty safeguards will be applied in respect of any individuals who have appropriate needs.

STANDARD OF CARE AND SUPPORT RESPECTING THE PRIVACY AND DIGNITY OF INDIVIDUALS Each individual has the right to privacy. Privacy is defined as: “The right to be alone or undisturbed and free from intrusion, or public attention in relation to individuals and their affairs” Bethshan actively seeks to safeguard and enhance various aspects of privacy by:

Creating a physical environment which protects individuals from public gaze, which allows choice of whether to be alone or in company, which provides personal and private spaces for every individual, which provides for security of information and personal possessions, and in which shared facilities such as bathrooms and toilets are designed to ensure that personal activities can be conducted in complete privacy.


Identifying as part of our admission procedure individual preferences regarding the extent to which an individual wishes to associate with other individuals.

Ensuring that care staff have appropriate knowledge of individual life style so as to understand their expectations regarding personal privacy.

Ensuring that individuals can meet their General Practitioner, other allied health professionals, relatives, friends, representatives or other visitors in privacy.

Ensuring that individuals can make or receive private telephone calls. Ensuring that individuals receive personal mail unopened. Enabling individuals, their General Practitioner, other allied professional, relatives, friends, and

representatives to discuss personal matters with care staff or the Home Manager or the Registered Provider in private.

Ensuring that staff deal discreetly with the affairs of individuals and safeguard the confidentiality of information held about them.

Ensuring that essential housekeeping and administrative procedures intrude as little as possible on the privacy of individuals or groups.

Creating safeguards to ensure that any erosion of privacy that is considered to be necessary in order to provide essential care is explained, justified, documented, and reviewed regularly.

Each individual also has the right to the maintenance of their dignity. Dignity is defined as: “A recognition of the intrinsic value of people regardless of circumstances by respecting their uniqueness and their personal needs”. Bethshan actively helps individuals to lead dignified lives by:

Involving individuals and others where appropriate, in decisions about themselves, including those where risk is involved.

Recognising the whole person as they are now in the context of their previous life experiences. Respecting and safeguarding individuals’ privacy and confidentiality. Recognising and catering for cultural and spiritual needs and norms. Creating a sense of home by enabling individuals to establish their own living space and become involved

in the wider environment of the home. Receiving and acting on the views of individuals. Responding sensitively and promptly to any complaints. Approaching the maintenance of documentation and files with openness and availability to individuals

having due regard to the General Data Protection Regulations. Creatively and sensitively using the building's design and structure to enhance individuals’ abilities.

PERSONAL AND NURSING CARE Individual needs are central to our service night and day. Staff will always address an individual in the way that they would like, using the name they prefer. We have a dedicated, skilled staff team who understand the complex needs of individuals and deliver personal care and nursing services in a sensitive and caring manner.

HEALTH Dependent on which area the individual lived previously will determine whether the individual has the choice of remaining with their own General Practitioner (GP). If this is not possible the home will assist individuals to


register with a suitable local GP. Most of our individuals have opted to register with our local Medical Practice. A Doctor from the practice visits Bethshan once a week. We are also able to arrange for the services of chiropody, dentistry, ophthalmic specialists, and other NHS ancillary services to visit individuals as the need arises.

INDIVIDUAL RIGHTS Bethshan firmly believes that every individual should retain their personal and community rights, especially with regard to their sexuality and sexual orientation, religious persuasion, racial origin, and cultural and linguistic background, and any disability. These and other rights are enshrined in our ‘Individual Charter’, a copy of which is given to every individual on admission. Individual rights are an integral element of our staff induction course.

SAFEGUARDING Bethshan treats with the utmost importance any accusations of abuse of any kind towards an individual in our care. Regular training is given to staff and clear policies and procedures are in place which staff are required to follow at all times. We will not tolerate any abuse of any kind be it financial, material, physical, emotional, neglect, acts of omission, discriminatory, psychological, sexual or organisational abuse. Any concerns are investigated thoroughly and referred to the Powys Adult Protection team.

TERMS AND CONDITIONS OF RESIDENCY It is our sincerest intention to provide a high standard of accommodation and nursing/personal care, maintaining a happy Home suited to individual requirements. We undertake to consult individuals and/or their family together with any other person/organisation acting in their interests in matters concerning an individual's well-being.

The main terms and conditions of residency are detailed below. For more detailed information please ask to see the Individual Contract.

The decision to reside at Bethshan is a very important one. It is for this reason that we have a four-week trial period. This allows opportunities for the prospective individual to sample life in the Home and to ensure that all parties are satisfied that service provision meets the assessed needs of the individual.

After completion of the trial period and if the decision is for a permanent placement, Bethshan will remain the individual’s home until either he/she decides otherwise, or the residency is terminated by the Home. Either way, four weeks' notice must be given unless an emergency situation arises.

Payment of fees is monthly, one month in advance. For the agreed fee the Home will provide accommodation, including linen and towels, lighting, heating, laundry (except dry cleaning) and nursing/personal care 24 hours a day. It should be noted that the payment of fees does not constitute a ‘tenancy’ but is a license until termination.

The Home will complete a ‘personal plan’ with individuals, relatives, and any other interested party. These records will be kept in confidence and every effort made to ensure that individual confidentiality is maintained.

Small items of furniture, mementoes, and other personal items may be brought to the Home at the discretion of the Home Manager. All items will be subject to a safety check and the Home reserves the


right to refuse entry to items that appear defective/dangerous. Please refer to the Individual Contract for the full version of the terms and conditions of residency.

DATA PROTECTION AND CONFIDENTIALITYIt is the policy of the home that all the information we receive from or about individuals is confidential and that only those people who need to know the information will have access to it, except where disclosure is required by law, is in the public or the individuals’ medical or social interest. Information is handled in accordance with current relevant legislation.We take privacy very seriously and will only use an individuals’ personal information to inform the delivery of appropriate care to them. Individuals have extended rights regarding information held about them under the GDPR legislation, as described in our Access to Personal Information Policy (available on request). Residents will have the opportunity to exercise their choice regarding the use of photographs and DVD images, by means of a separate consent form. Consent can be withdrawn at any time and images that do not form part of the care records may be destroyed on request. In addition, next-of-kin may have supplied their own personal details such as address and telephone number or email address. These will also be treated with confidentiality and only used in conjunction with the friend or relative who is living at Bethshan. We will never use any contact details for marketing purposes or supply them to third parties. For further details, please ask to see our Privacy Statement.

LANGUAGE AND COMMUNICATION NEEDS FOR PEOPLE USING THE SERVICE

Bethshan is committed to a Welsh Language policy which complies with the Welsh Language Act 1993. We are in the process of changing all our signage to bi-lingual Welsh/English. Documents like this will also be available in Welsh. We have identified Welsh speaking staff and have used these staff members with individual reviews and personal plan discussions with individuals.

We will make every effort to communicate with people with hearing or sight impairments or find difficulty with speech. We may achieve this by calling on outside agencies if we do not have the necessary expertise within our own staff team.

COMPLIMENTS AND COMPLAINTS The management and staff of Bethshan positively encourages dialogue. We want to know what all individuals think about the home. Feedback from individuals will help us to ensure that our service is maintained to a high standard and continues to offer innovative care of a high calibre. This is done in various ways:

We produce a regular newsletter for individuals, relatives and friends. There is a suggestion box in the entrance foyer. Compliments and Complaints forms are also in the entrance foyer. An annual Quality Assurance survey is carried out to obtain the opinions

of individuals and their relatives about various aspects of the service we provide. The results are collated into a report which is available to all.

Feedback from the various types of communication methods will assist management to address any identified problem areas and to fine-tune our service. Created on 14/05/2023 Page 13 of 17

We firmly believe that all individuals have the right to express their thoughts and views and these are to be welcomed. Individuals and their relatives or representatives must feel free to complain or express concerns, about any issues relating to the running of the home that are not to their liking. Dealing with any complaint no matter how small is something that we take very seriously. Complaints may be made through the senior member of staff on duty at the time, to the Home Manager, or directly to the Registered Providers. The compliant will be discussed by the Responsible Individual and Home Manager who will follow the procedures in the complaints policy. Any appropriate action will be taken, and the issue resolved as quickly as possible.

Bethshan encourages people to express their views and would rather hear from people and be able to act than have underlying unhappiness adversely affecting the service provided.

We also welcome expressions of satisfaction and these may be included in our Compliments and Comments book available in our reception area.

A copy of the full complaints procedure is appended to this Statement of Purpose.

STAFFING ARRANGEMENTS There are currently over seventy members of staff employed either full or part time at the Home in a variety of capacities. These range from the support staff that are responsible for the administration, catering, laundry, domestic and maintenance of the home to the nursing and care staff who are responsible for the delivery of individual care.

Bethshan recognises that our staff represents our greatest asset. We provide commitment, opportunities, facilities and financial help to ensure that our staff have the knowledge, skills and experience required to give high quality care to individuals. We aim to ensure that all care staff are registered with the Social Care Wales and uphold and abide by its Code of Practice.

Bethshan has an induction programme for all new staff. Our induction programme covers the Home’s policies and procedures, the organisation and worker role, safeguarding, safe working practices, manual handling, first aid, fire safety, food hygiene, principles of care, confidentiality and requirements of the individual, groups, individual rights, dignity and choice. We aim to meet the Care Council of Wales workforce training standards.

We encourage all our care staff to undertake the QCF [formerly NVQ] qualification to at least level 2.

NUMBERS AND QUALIFICATIONS OF STAFF Home Manager: RGN, Registered Managers Award, Ophthalmic Nursing Diploma. We have a Unit Leader on Whiteley/Rayner who has an RGN qualification, Registered Managers Award

and a qualification in Dementia Care There are 9 Registered General Nurses and 3 Registered Mental Health nurses. We have 5 Senior Care workers who all have a QCF level 3 in Adult Social Care. 19 staff in total have QCF level 3 and 12 have QCF level 2 in Adult Social Care All our staff are Dementia Friends and we have 4 staff that are Dementia Friends Champions.


All qualified nurses have received training in palliative care, The Last Days of Life Care in Wales and use of the T34 Syringe Driver.

Staff receive Dementia Awareness Training. Individuals are sent on other specialist training where relevant such as Parkinson’s Disease, diabetes etc

STAFF LEVELS Currently Bethshan employs 12 registered nurses, 40 care staff, 5 kitchen staff (provided by Compass), 4 laundry staff, 3 housekeeping staff, 1 maintenance staff, 3 administration staff, 1 Chaplain, 1 Finance Manager, 1 Home Manager and 1 Responsible Individual.

DEPLOYMENT OF STAFF AT SERVICE During the hours of 7am to 9pm there are 2 qualified nurses on duty - 1 nurse on the Whiteley/Rayner suite and 1 nurse on Davies/Weston suite. In addition, there are 4 care staff supporting each suite during the day. At night between 9pm and 7am there are 2 qualified nurses on duty - 1 nurse on the Whiteley/Rayner suite and 1 nurse on Davies/Weston suite. They are supported by 3 care staff - 2 on the Whiteley/Rayner suite and 1 on Davies/Weston suite. Each day has a 3 shift rota system, 7am-2pm, 2pm -9pm and 9pm to 7am. During the day there are 10 staff on duty and at night there are 5 staff.

ARRANGEMENTS FOR DELEGATED TASKS There is a qualified nurse on duty at all times on each unit and they delegate care staff accordingly to ensure skill mix and experience. They will work alongside the care staff, guiding them and ensuring that the relevant care is provided with dignity and respect and individual to that person. Any decision making will be in the best interest of the individuals and involve them, their family or advocate and any relevant parties. The registered nurse will liaise with the Home Manager and any relevant outside agencies as appropriate. Care staff will be guided by the registered nurses at all times to ensure that individuals are supported and safe. The registered nurse is expected to lead by example and everyone works as a team engaging with individuals and their families to create an open and transparent culture. Information will be shared in a safe and respectful way aiding person-centred care.

SUPERVISION ARRANGEMENTS All nursing/care staff receive supervision bi-monthly and have an annual appraisal carried out by the Unit Leader or Home Manager.

STAFF TRAINING All staff receive training in: Safeguarding, Fire Awareness, COSHH, manual handling (following the All Wales Passport), basic First Aid, Dementia Friends and Dementia Awareness, Dignity and Respect, and Infection Control. Anyone that handles food for individuals also undertakes Basic Food Hygiene. In addition, oral hygiene is given to all care staff (we have 3 Oral Champions in place). All care staff are encouraged to undertake at least level 2 QCF in Adult Social Care. Qualified staff receive training relevant to their role i.e. phlebotomy, DoLs, Best Interest, catheterization and so on. All staff are encouraged to take up any courses that are relevant to their roles, either provided by Bethshan or other outside agencies.


GOVERNANCE AND QUALITY MONITORING ARRANGEMENTS Bethshan is governed by a board of trustees that meet monthly to make decisions regarding the running of the charity of Bethshan Sheltered Housing Association. The trustees have assigned a Responsible Individual from the board of trustees to oversee Bethshan for its operation and delivery of the service and he reports directly to the board. The day-to-day management of the Home comprises of the Responsible Individual, the Home Manager and the Finance Manager. The Responsible Individual oversees Bethshan by way of weekly visits (normally a Wednesday) to discuss relevant issues with the Home Manager and Finance Manager. The Responsible Individual will also meet regularly with other members of the staff team including nursing, care, admin, maintenance, kitchen, housekeeping and laundry staff. This enables him to ensure that high-quality standards are maintained, any issues are discussed, and appropriate action taken. The Home Manager oversees the day to day delivery of the care service and is involved with all aspects of the home. The Home Manager regularly meets in planned formal meetings, called supervision meetings, with individual Unit Leaders and nursing staff. The Home Manager will also conduct team meetings with nursing and care staff. She also holds Health and Safety meetings and departmental team meetings with the administration, kitchen, housekeeping and laundry staff. Yearly appraisals and bi-monthly supervisions are conducted either by the Home Manager or other senior staff.

The management team reports back monthly to the board of trustees to manage, review and improve the quality of the care and support we offer individuals living in Bethshan.
