Summer Newsletter 2013
Dementia furniture refurbishment completed
Gorsey Clough has now finished the refurbishment of its communal areas with the finest quality dementia furniture available.
Working in partnership with a Leeds based manufacturer of fine furniture, we have replaced our existing lounge and dining furniture with chairs and settees at a recommended seat height of 460mm. It is widely recognised that a chair which is too low for a resident will be difficult to get out of, while one that is too high will be difficult to get into and uncomfortable to sit in.
In selecting suitable dementia furniture, the other critical factor we considered was the arrangement of the back. The manufacturer advised us that the seat depth should be short enough for the resident to sit up against the back of the seat, without the need for extra cushions.
The rake of the back of the chair was also important in choosing suitable furniture. It is widely known that a rake that is too inclined makes it difficult to get out of the chair. Whilst a rake that is too steep makes the chair uncomfortable. The chairs and settees we selected are designed with this in mind to combine comfort with accessibility.
Anti-microbial polish has been applied to all our furniture to reduce the spread of infection.
Gorsey Clough links up with GP Practice
Gorsey Clough has joined forces with GPs in Bury to introduce a new way of supporting residents.
We have been partnered with Greenmount Medical Practice to offer our residents a more coordinated, proactive and responsive package of care.
Doctors are carrying out a comprehensive health assessment and developing a care plan with each resident, their relatives, and our staff. Residents will also benefit from regular home visits and assessments, not just when they are poorly, but routinely when they are well.
By having a proactive approach to care, it is hoped that patients will be kept well for longer whilst avoiding unnecessary hospital admissions by keeping an eye on health issues and anticipating any problems.
Previously, residents were often registered with one of a number of the local GP practices. This new way of working now means that by having a relationship between Gorsey Clough and Greenmount, our residents benefit from a more personal and responsive GP service.
It is hoped the scheme will allow even stronger relationships to be built between the Home and GP practice, as well as reduce the number of hospital admissions.
Dr Kiran Patel, chairman and clinical lead for NHS Bury CCG (Clinical Commissioning Group), said: “Patients living in care homes can often have complex health and social care needs, including long-term conditions which require co-ordinated planned care.”
“Unfortunately because of their inability to attend GP surgeries, their care is often more unplanned and reactive, seeing their GP only when they become ill.”
“This scheme will encourage a more holistic approach to their needs and improve the relationship between relatives, care home staff and GP practices.”
“The approach should ensure that the patient’s and relatives’ wishes are understood and any future care is planned with those wishes in mind.”
“New residents at care homes will be asked whether they wish to register with the partner GP practice or remain with their existing GP.”
Gorsey Clough has signed up to and has now created its very own provider profile page on the NHS Choices website and is one of the thousands of care homes that the general public can look up on the Care and Support part of the website and compare, shortlist and review. You can take a look at us here:
NHS Choices is the UK’s biggest health website. It provides a comprehensive health information service that puts you in control of your healthcare.
The website helps you make choices about your health, from decisions about your lifestyle, such as smoking, drinking, and exercise, to finding and using NHS services in England.
NHS Choices includes around 20,000 regularly updated articles. There are also hundreds of thousands of entries in more than 50 directories that you can use to find and choose health services in England.
It draws together the knowledge and expertise of:
• NHS Evidence, formerly the National Library for Health
• The Information Centre for Health and Social Care
• The Care Quality Commission (CQC)
• Many other health and social care organisations
Since the integration of the online arm of NHS Direct in October 2008, NHS Choices has provided a single public website for health and the NHS in England.
Along with articles and reports, the site offers hundreds of videos, interactive tools, and listings that allow you to compare services, such as hospitals, GPs or dentists. You can also create your own private account and have content personalised for you on the NHS Choices homepage.
A Day in the Life of …
We thought it would be an excellent idea if we provide our residents and relatives with an insight into what staff actually do on a day-to-day basis at Gorsey Clough so we approached a member of staff from each department and asked them to tell you about their typical day at the Home. We hope you see things from a new perspective!
First off is Sue, the Home’s Care Quality Supervisor.
‘My day start starts at 8.30am. I receive Handover from the nurses on night shift; a written record about all our residents and how they’ve been throughout the night. The residents are my number one priority and my role is to ensure that our residents receive the highest quality of care. I question staff about medication reviews, health conditions, and I shadow staff to ensure they are promoting good working practices amongst other things.
In the morning, residents are offered a choice of breakfast and all diets are catered for. Bacon and egg is very tasty and our male residents particularly like a good cooked breakfast. Throughout the morning, I interact with the residents asking them what they’d like to do that day, if they feel happy or not and whether they’re comfortable. Some of our residents like to watch TV or listen to the radio whilst others like to sit quietly in their own space.
Lunchtime is a happy and social occasion when the residents are sat together eating and chatting amongst themselves. Some residents require assistance with eating and drinking and our carers are on hand to assist on a 1-2-1 basis. We have a wide variety of food to choose from on a daily basis and if there isn’t anything on the menu that the resident likes then we’ll make them something they wish to eat.
In the afternoon, I carry out all my audits as I manage Infection Control, Heath and Safety, maintenance and Quality Assurance. Typically, I’ll read and review policies and procedures, audit relative and resident questionnaires, conduct an induction if we have a new starter, ensure we’re up to date and compliant with Infection Control, carry out a health and safety inspection of the Home and audit capacity to consent.
I also liaise with the Maintenance Manager and make him aware of his job tasks and update his job sheet on a daily basis.
We like to do activities in the afternoon and once a week we have an entertainer who performs for the residents. When entertainers like Music for Health come to the Home, we encourage residents to get up and dance, clap their hands or even play instruments to accompany the music.
Our Activities Co-ordinator carries out activities on a 1-2-1 basis or in a group; this could be dominoes, jigsaws, or board games. My experience of these activities is that we all have good fun and residents enjoy joining in and being involved. Sometimes, we go on day trips to Blackpool to see the Illuminations, Southport to walk the promenade or Radcliffe Civic Hall for a Golden Oldie Afternoon.
At around 4pm I leave for the day and it teatime for the residents.
In my opinion, Gorsey Clough is a friendly, caring, comfortable, warm, and cosy place and visitors are welcome anytime.’
A day in the life of …
Janet our Nurse Sister and Training Manager tells us about her typical day.
‘No two days are the same at Gorsey Clough. It is a thriving, lively and happy home for those who require specialised dementia care.
We have a team of qualified staff some of whom have served for many years such as myself (I’ve been here for twenty years this year) and newer staff who have joined our team which lends itself to a good skills mix and we all contribute effectively to the team to provide excellent care for our residents.
As senior sister, I work directly with the residents but I also have days in the office where I carry out the training needs for the staff at the Home. I ascertain what the training requirements are for each member of staff. This may include commencement of a health and social care diploma, mandatory training or other specialised training including venepuncture. Another part of my job is to audit documentation in relation to the residents. So all in all, you can say my job is quite varied and encompasses so much it’s impossible to list it all!
Over the years, I’ve seen many changes at Gorsey Clough and witness it grow into what we are today. The Home has helped me grow and develop professionally; not bad for a temporary job I applied for all those years ago.
Up and About
Our day shift begins at 7.45am. We have a hand over meeting with the nurses working on the night shift. We discuss each of the residents and gain a good understanding of each one. For example, if there has been any changes. This is then followed by a second hand over meeting with the care assistants. We discuss any concerns or issues that many need to be addressed.
The care assistants set about getting up the residents for breakfast. This is a staged process through the morning.
As a nurse, my day starts with going through our Diary to ascertain if there are any tests needed to be done such as bloods, or other samples required by the GP. Appointments may need to be arranged with social workers, psychiatrists, dentists or speech and language therapists. Of course, some days are busier than others but I can say it is never a dull day here.
The next step on my shift is to administer medications to residents. Knowing our residents is key to their care and this provides a solid base to interact on their level. This a good time to interact socially with residents and wish them a good morning and you can often find out things about the resident on your rounds.
Mornings are typically our busiest time and communication between care assistants and ourselves concerning the residents is always on the go.
Lunch is at 12pm. I always lend a hand. Some of our residents need support with their nutrition. I always enjoy meal times as ti gives me a chance to have quality time the service users but it can also identify any issues or problems a resident may be having.
After lunch, the GP will usually come if needed or meetings held, documentation done and another hand over meeting takes place if a nurse finishes work. Every day is different and there is always something to keep me on my toes. I’m constantly using my clinical skills, communication, observation and judgment skills. I will liaise with the pharmacy as well.
We may have an entertainer performing for the residents and I might even get a quick dance with one of the residents. I can say they have a wealth of experience on that front and they can teach me a thing or two!
Evenings start with helping with tea followed by administration of medications. Anything I’ve not done in the afternoon I catch up with; from paperwork to a meeting with a member of staff, inputting things in the Dairy that need to be done in the next day or updating the Communication Book and information board in the Treatment Room. Evenings are varied and can be just as busy as the morning. At the end of my shift I hand over to the nurses working on the night shift.’
A day in the life of …
Denise our Head Chef tells us about her typical day at Gorsey Clough.
‘When I arrive for work, it is my responsibility as Head Chef to ensure that the kitchen is running smoothly and efficiently.
The first priority is to ensure that all residents are given their breakfast. Whether it is toast and marmalade or cereals. They can have a cooked breakfast if they want; some of our residents even enjoy a full English Breakfast.
I then have to move on to preparing the lunch which is usually soup, sandwiches of various sorts and chips if they require them. They also have a dessert, for example fruit flan and ice cream, mousse or tinned fruit and ice cream.
After lunch, there is usually some form of entertainment for the residents. For examples, board games, films, puzzles and the ladies are pampered once a week with a visiting hairdresser and they can have their nails manicures and polished.
At 3pm, tea, coffee and biscuits are served.
The residents have their main meal of the day ay 4pm and they usually have a choice of two different meals. For example, on a Monday they have fishcakes and parsley sauce with mash potatoes and garden peas or meat and potato pie and peas, which are followed by jam and coconut sponge and custard.
With my position, there is also the added responsibility of doing the weekly orders which involves keeping a check on prices and getting new prices from different suppliers. I also have to do the weekly rotas for the other staff in the kitchen.
I have to prepare the time sheets that are then checked by the Home Manager. There is also other paperwork, which has to be attended to on a daily basis.
At the end of the day, the kitchen is then cleaned up and the carers take over making sure the residents have a warm milky drink at 7pm and their supper.’
A day in the life of …
Kelly our Activities Co-ordinator explaining her typical day at Gorsey Clough.
‘I start my shift at 8am when I attend the shift handover from the nurses working on nights. This lets me know if any changed have occurred through the night or since I was last on shift.
I then change the date on the Activities Board and check the computer for any messages or emails for residents.
Throughout the morning, I make visits to those residents that are unable to leave their bedrooms. I also use the mornings for 1 to 1 interaction with those at later stages of dementia. I try to stimulate them with tactile and sensory activities, gentle massage, reading, and talking to them. Just holding and stroking their hands can evoke a response however small.
On admission of a new resident to the Home, I try to put together what we call a ‘Personal Profile’. This is a collection of information from the resident them self and those who know them best (relatives and friends) about whom they are as an individual, what they like to do, go, and see, memories that they may have and the names and people who they may remember.
This information is essential to the resident’s care as it allows the care assistants and other key workers to understand who the individual is, and it can explain some behaviours that are displayed and can be very useful as a distraction method and used for de-escalation.
After a few weeks of settling in and with the help of care assistants, I do an assessment of the resident to decide their activity level.
This assessment goes off the resident’s awareness of others, their concentration span, ability to work in a group, capabilities, and their needs in daily living activities.
With both of these assessments complete, I’m then able to plan a stimulating and meaningful activity plan for them.
In the afternoon, there is always an activity planned from entertainers and animal visits to quizzes and games, afternoon tea, films or arts and crafts.
Some of the residents who are higher functioning like reading poetry or writing at times.
Throughout the year, events are held at Radcliffe Civic Hall and a group of residents like to go.
During the summer we often go on outings and in winter we go to Blackpool and see the Illuminations and enjoy a nice fish and chips supper.’
A day in the life of …
The Home’s Night Manager Moira Edge gives us her typical day at Gorsey Clough.
‘I start my shift at 8.45pm. I take Handover from the day staff, check for any messages, and make sure that all relevant staff are on duty. I then give Report to the night care assistants.
At 9.30pm, I give out medications and put drinks in residents’ bedrooms for those that need them.
Around 11pm, I carry out routine nursing procedures such as dressings and catheterisation of residents, and then proceed to count and record all controlled drugs, and check the MARR (Medication Administration Review) sheets.
By 12.30pm, I do my paperwork such as care plans, supervisions, and performance reviews.
At 2am, I do a bedroom check to ensure the residents are ok and change any pads, bed sheets, or covers as necessary and proceed to give drinks with the help of the care assistants.
At 4am, I do another bedroom check.
Throughout the night, I continually check any poorly residents in bed or those that are restless and in danger of falling and listen for any residents wondering about the Home.
Between 5 am and 6am, I’ll write any additional information into the care plans.
By 6.30am, I’m assisting the residents with washing and dressing and serving them cups of tea and coffee.
At 7.30am, I update the Communication Book and complete any more paperwork ready for Handover at 8am.
I finish my shift at 8am.’
A day in the life of …
Tracey Roughley, the Home’s Housekeeper and her typical day.
‘I start my day at 7.30am. I brief my staff every morning to inform them of any changes i.e. policies and procedures, working practices or any problems that have occurred or may arise throughout the day. I then re-stock all the storerooms with pads, gloves and wipes ready for the care assistants to use when they get the residents up. I then do my Rotas for the domestic and laundry staff. This can take some time, as you have to make sure everyone gets the correct hours and shifts according to their contracted hours.
During the day, I supervise the cleaning practices of my staff. I go round checking the sluices, communal areas, offices, and corridors, which can take some time. I do this to ensure the wellbeing of the residents but also to make sure everyone has done their job properly and that there are no bad smells. I ensure that good working practices are carried out on a daily basis to meet CQC standards. I work alongside Sue, the Care Quality Supervisor auditing COSHH, health and safety, and infection control as well as risk assessments. She also shadows my work as well as the work of my staff.
On a monthly basis, I complete the timesheets and ensure they’re done correctly.
After lunch, I make bedroom checks to ensure that all the residents’ beds have been made up with clean sheets, duvets, and pillows.
Every 6 to 8 weeks, I meet with my staff on a 1-2-1 basis to carry out their supervision. Performance reviews are done every 6 months.
I usually finish work about 2pm and before I go, I make sure all the lounges have been cleaned and the chairs and tables are washed and put back properly. I also make sure that clean table cloths have been put on the dining tables ready for teatime.
Gorsey Clough is cleaned to a very high standard and is a homely, warm, and pleasant place to live.’
A day in the life of …
Night Senior Care Assistant Eileen Haseldine tells us about her typical shift at Gorsey Clough.
‘My shift commences at 9pm but I usually arrive earlier to prepare for the night ahead. I prepare both hot and cold drinks as every resident gets a drink at 9pm. The carers then get a Handover Report from the nurses as to what has happened during the day.
At 9.30pm, we then start to put the residents to bed asking them first if they would like to go to bed.
At about 11.30pm some residents will request some supper, which is usually tea and coffee, and biscuits, and then we take several residents for cigarettes to the Smoker’s Room.
When all the residents are in bed, I do my jobs which include cleaning the kitchen and lounges, and working in the laundry. I then have some time for paperwork like staff inductions for new staff, supervisions, and performance reviews.
At 2am, I do a walk round of the Home and check on the residents in their bedrooms. I change their pads if needed, fill in charts, and turn residents in their beds.
At 3am, I go on break and when I finish it, other members of staff go on break, listen out for nurse call buzzers, and look out for wanderers.
At 6am, I do a final round of the Home where I go and check the residents in their bedrooms.
During the night, the residents are checked two hourly unless they are wanders and then they are on a half-hourly check.
At 6.30pm, I start to get the residents up, help wash and dress them, and make them cups of tea.
At 7.30pm, I make sure none of the residents have taken ill or are having problems of any kind.
My shift finishes at 8am.’
A day in the life of …
Maintenance Manager Erik Chappell talks about his typical day at the Home.
‘I start my shift at 8 o’clock in the morning and I prepare my job list for the day. I’ll also complete any paperwork that is required .I do this in the Office. I then visit the Treatment Room to ask if there are any samples to be taken to the Doctor’s Surgery for testing or if anything needs picking up from there.
The qualified nursing staff will then inform me of any faults to the nurse call system or items broken during the night.
My job list may involve me unblocking toilets, assembling furniture, repairing damaged paintwork or undertaking repairs and maintenance listed on any other lists that have been given to me by Sue, the care quality supervisor. These lists include a health and safety checklist. Some days I will be refurbishing a bedroom or a communal area, which can often take a few days.
Around 10.30am, I take the samples to the Doctor’s Surgery and pick up anything required from them or suppliers so I can carry on with my jobs.
In the afternoon, I continue with my jobs list or refurbishments but sometimes I get visits from company representatives regarding quotes for jobs. I always ensure that any work undertaken at the Home is done with as little disruption as possible to the residents.
I work alongside Sue to ensure a safe environment for the residents.
My day ends at 4 o’clock in the afternoon.’
A day in the life of …
The Home Manager Collette Conway about her typical day at Gorsey Clough and in her own words, ‘no two days are the same!’
‘My shift begins at 8am when the staff that are roistered on for the day shift receive the Handover report from the night staff regarding residents’ care over the last few days, so that anyone who has been off shift can be brought up to speed.
I will sit in on the Handover, comment on anything I feel is relevant, and ensure that everyone has arrived on time and there are no absences. I discuss with the staff any concerns they may have. I then go to the kitchen and laundry to speak to staff in both departments.
I then return to my office, switch on my computer and read my emails, and I will respond or act upon any emails if required to do so.
The routine for residents is very relaxed and unhurried throughout the day.
Breakfast commences usually around 8am and will continue until all residents have eaten. The choice of breakfast is varied and anything is available from toast and cereal to a full cooked breakfast. During the morning, I tend to go into the lounges to ensure that all residents are having appropriate breakfasts, if the resident can make their own choice, and that they are having what they have chosen. I walk round, talk to residents and staff, and correct anything I feel is unsatisfactory. Another warm drink will be offered to residents mid – morning.
Morning time is when some stakeholders visit, Chiropodist, Opticians, Dieticians etc.
Throughout the morning, I will be in and out of my office answering the phone or emails.
Lunch is a light meal and begins approximately at 12 noon. It is a time for residents and the care team to interact. I will go into the lounges at lunch to ensure that the atmosphere is relaxed and residents are enjoying their lunch.
In the afternoon the activities co-ordinator organises games for the residents, dominoes, cards, books and crafts to name a few. Once a week we have visiting entertainers e.g. circus acts, singers, musicians etc.
For myself it is usually my time for paper work and these include, letters, references, off-duties, wage and this is also the time for meetings either with the Directors, staff or relatives.
The afternoon is often the time when other stakeholders visit, i.e. GP’s, Consultants, Social Workers, etc.
Throughout the day, prospective relatives may come to view the Home and this could be either by appointment or on speck. Therefore, I need to make myself available for any event that may occur.
I leave the building at 4pm, depending on what is appertaining at that time, but when I am not in the building, I am on call 24hrs a day, 7 days a week. ‘
A day in the life of …
The Laundry Supervisor Angela Palk tells us about her typical day at Gorsey.
‘From arriving at work in the morning, the first job is to load the dryers with clothes that the staff had washed the previous night. The next task is to start loading the washing machines with the dirty laundry that needs to be cleaned. As the clothes cannot be washed together, they are separated into different categories, for example, underwear, nightwear, towels and bedding and a sluice wash.
Whilst waiting for the washing machine to finish its programme, the next job is to sort out dirty sheets into bags to check no other clothing has been mixed up with them. These bags are then taken outside and places in an outbuilding ready to be taken away and washed by a linen company. This linen company also provides clean sheets, which need to be taken to the linen room.
I then tidy up the laundry room to ensure everything is the correct place. Next, I collect the dirty clothes out of linen baskets from residents who have been in their bedrooms. Then it is a cycle of clothes being washed, dried, and pressed before being folded and put in each resident’s clothes’ baskets, which are located in the laundry itself. These are then taken up to the bedrooms where they are either hung in the wardrobe or placed in the chest of draws.
Occasionally, some of the items of clothing need hand washing. Sewing bedroom numbers into residents’ clothes is also needed to be done to ensure the correct clothes go into the right bedrooms.
After lunchtime, tablecloths need to be washes and pressed ready to be used for the evening meal. When this is completed, I wipe down all the machines, clean the filters on the driers, mop the floors, and ensure the general upkeep of the laundry room. ‘