Statement of Purpose
Our Statement of Purpose is written to comply with Regulation 12 of the Care Quality Commission (Registration) Regulations 2009. This requires a care service provider to produce and keep under review a statement that describes:
Nos Nom is a partnership, owned by Michael William Hodgetts and Penelope Jane Baxter. Mike is the registered manager, they can both be contacted at Nos Nom, Clubworthy House, Clubworthy, Launceston, Cornwall Pl15 8NZ. Telephone 01566 785435 mikeandpenny@nosnom.co.uk, www.nosnom.co.uk
CQC Provider ID 1-101717962
Regulated Activity: Care Home without Nursing for Adults 18-65
Nos Nom operates in a single location at Clubworthy House. Mike and Penny opened the service in 2008. Clubworthy House is a two storey house on split levels which makes it unsuitable for people who use a wheelchair or have limited mobility. The house offers a large communal lounge, large kitchen/dining room, separate utility/laundry and office. Service users have single occupancy bedrooms which are furnished to suit individual choice; alternatively service users are able to bring their own furniture subject to meeting fire and safety requirements. Each service user has their own en-suite comprising of toilet and hand basin. There is also a shared shower room for the two service users. The grounds which extend to three acres include a decked and paving slab patio area and a formal garden. Beyond this are the paddocks, barn, animal enclosures, polytunnel and vegetable garden.
The person officially registered to manage the care service is Michael William Hodgetts.
Contact details for the local council and Care Quality Commission:
Cornwall Council, Adult Care and Support phone 0300 1234 131
CQC, Citygate, Gallowgate Newcastle upon Tyne NE1 4PA phone 03000 616161
The following statements reflect the values, principles and general aims of our services.
We place the rights of people who use our services at the forefront of our philosophy of care. We seek to advance these rights in all aspects of the environment and the services we provide and to encourage our residents to exercise their rights to the full.
We recognise that life in a communal setting and the need to accept help with personal tasks are inherently invasive of a resident’s ability to enjoy the pleasure of being alone and undisturbed. We therefore strive to retain as much privacy as possible for our residents in the following ways.
We try to preserve respect for those who use our services in the following ways.
We are aware that people who use our services have given up a good deal of their independence in entering a group living situation. We regard it as all the more important to foster our service users’ remaining opportunities to think and act without reference to another person in the following ways.
We aim to provide an environment and structure of support which responds to the need for security in the following ways.
Having disabilities and living in a residential care home can act to deprive people who use our services of their rights as citizens. We therefore work to maintain our service users’ place in society as fully participating and benefiting citizens in the following ways.
We aim to help our service users exercise the opportunity to select from a range of options in all aspects of their lives in the following ways.
We want to help our service users to realise personal aspirations and abilities in all aspects of their lives. We seek to assist this in the following ways.
We aim to demonstrate that we welcome and celebrate the diversity of people in our community and in this home. We try to do this by:
We aim to make the safeguarding of our service users an utmost priority and seek to comply with all legal requirements in our safeguarding practices. We therefore work closely with the local safeguarding adults board over any issues relating to the safety of its service users from any kind of harm and the Care Quality Commission where involved.
We wish to provide the highest quality of care, and to do this we give priority to a number of areas relating to the operation of the home and the services we provide.
We recognise that every prospective resident should have the opportunity to choose a home which suits their needs and abilities. To facilitate that choice and to ensure that our residents know precisely what services we offer, we will do the following.
We draw on expert professional guidelines for the services the home provides. In pursuit of the best possible care we will do the following.
It is clear that service users may need care and help in a range of aspects of their lives. To respond to the variety of needs and wishes of service users, we will do the following.
Despite everything that we do to provide a secure environment, we know that residents may become dissatisfied from time to time and may even suffer abuse inside or outside the home. To tackle such problems we will do the following.
The physical environment of the home is designed for residents’ convenience and comfort. In particular, we will do the following.
We are aware that our staff will always play a very important role in service users’ welfare. To maximise this contribution, we will do the following.
Management and administration
We know that the leadership of the service is critical to all its operations. To provide leadership of the quality required, we will do the following.
A series of themes both cut across and underpin the aims we have relating to the rights of residents and quality care.
We want everything we do in the home to be driven by the needs, abilities and aspirations of our residents, not by what staff, management or any other group would desire. We recognise how easily this focus can slip and we will remain vigilant to ensure that the facilities, resources, policies, activities and services of the home remain resident-led.
We are committed to achieving our stated aims and objectives and we welcome the scrutiny of our service users and their representatives.
We aim to provide a total range of care, in collaboration with all appropriate agencies, to meet the overall personal and health care needs and preferences of our residents.
The care we provide is based on the thorough assessment of needs and the systematic and continuous planning of care for each resident.
We are aiming for a progressive improvement in the standards of training at all levels of our staff and management.
Mike Hodgetts and Penny Baxter are owners/managers of Nos Nom at Clubworthy House. They both hold NVQ 4 in Health and Social Care and Level 4 Registered Managers Award.
Mike and Penny have both completed Provider Manager Safeguarding Adult training. Additional training includes courses relating to the Mental Capacity Act, Autism, Challenging Needs, Total Communication, Mental Health and Learning Disability, Care Planning and Risk Assessment, Fire Warden and First Aid at Work.
Mike started working in the care sector in 1999. He has experience working with adults who have had physical disabilities, mental health issues and/or a learning disability.
Penny started work in the care sector in 2000. She has worked with a number of different people over the years ranging from children with emotional and behavioural problems, adults with physical disabilities, mental health issues and/or learning disabilities.
The majority of their time in the care sector, Penny and Mike have worked together professionally and specialising in providing one to one support since 2003.
Mike and Penny will live together with the service users and support them to live a fulfilled life.
We employ a small team of competent and qualified staff as necessary. All staff are subject to a Disclosure and Barring Service (DBS) check.
All staff will receive induction training and have an individual training and development assessment and profile. Staff will have clear roles and responsibilities which will benefit our service users.
The home is managed by Mike and Penny. Arrangements for staff recruitment, training and supervision accord with the relevant government guidance and with good personnel practice.
Nos Nom is a small two placement home, we provide a friendly, homely atmosphere in which the service users live alongside Mike and Penny.
Nos Nom is a care home for adults, of either gender, aged 18-65 with a learning disability.
Nos Nom aims to provide 1:1 support for able bodied individuals with a learning disability who may have associated health and welfare needs. We cannot provide placements for people who need full physical restraint. We have a wealth of experience in providing care for people with autism and recognise the importance of providing a structured consistent approach.
We do not offer nursing care.
Admissions
Under government regulations, potential residents must have their needs thoroughly assessed before entering a home; this is intended to provide each service user with the best possible information on which to make an informed choice about their future.
For potential residents who are already in touch with a social service or social work department, the initial assessment will be undertaken as part of the care management process, but we also need to assure ourselves and the service user that this particular home is suitable for them.
For potential residents who approach the home direct, appropriately trained staff will make a full assessment of need calling, with the service user’s permission, on specialist advice and reports as necessary.
The assessment will cover the range of health and social needs set out in Care Quality Commission guidance. All information will be treated confidentially. The assessment process helps the home’s staff to be sure that the home can meet a potential resident’s requirements and to make an initial plan of the care we will provide.
We will provide prospective residents with as much information as possible about the home to help them make a decision about whether or not they want to live here. We offer the opportunity for a prospective resident to visit the home, join current residents for a meal and move in on a trial basis. We are happy for a prospective resident to involve their friends, family or other representatives in seeing the home and the care and facilities we can provide before making the final decision about admission.
If we feel the home is not suitable for a particular person we will try to give advice on how to look for help elsewhere.
If, exceptionally, an emergency admission has to be made, we will inform the new resident within 48 hours about key aspects, rules and routines of the home and carry out the full information and assessment process within five days.
We try to make it possible for our residents to live their lives as fully as possible. In particular, we do the following.
We try to consult users as fully as possible about all aspects of the operation of the home and the care provided. In particular, we can arrange for feedback on the services provided such as anonymous user satisfaction questionnaires, individual and group discussions, evidence from records and life plans, the opportunities for service user involvement in the formulation and revision of policies and procedures, and other written documents as appropriate.
All residents are made aware of the action to be taken in the event of a fire or other emergency, and copies of the home’s fire safety policy and procedures are available on request. The home conforms to all relevant government guidance on promoting and protecting the health, safety and welfare of service users and staff.
Residents who wish to practise their religion will be given every possible help and facility. In particular we will do the following.
The management and staff of the home aim to listen to and act on the views and concerns of residents and their representatives and to encourage discussion and action on issues raised before they develop into problems and formal complaints. We therefore welcome comments and suggestions from service users and their representatives, friends and relatives. Positive comments help us to build on our successes, but we can also learn from comments which are critical. We undertake to look into all comments or complaints as quickly as possible and to provide a satisfactory response.
Anyone who feels dissatisfied with any aspect of the home should, if possible, raise the matter in the first instance with a responsible member of staff. It may be that the staff member can take immediate action to respond, and if appropriate apologise. If the complainant feels uncomfortable about raising the behaviour of a particular member of staff with the individual directly, they should approach someone more senior. Any staff member receiving a complaint about themselves or a colleague will try to sort out the matter as quickly as possible.
If anyone who is dissatisfied with any aspect of the home feels that when they raised the matter informally it was not dealt with to their satisfaction or they are not comfortable with the idea of dealing with the matter on an informal basis, they should inform the manager of the home that they wish to make a formal complaint. The manager will then make arrangements to handle the complaint personally following company policy.
At the time of a new resident’s admission to the home, we work with the service user, and their relative or representative if appropriate, to draw up a written plan of the care we will aim to provide. The plan sets out objectives for the care and how we hope to achieve those objectives, and incorporates any necessary risk assessments.
We regularly review each person's plan together, setting out whatever changes have occurred and need to occur in future. From time to time further assessments of elements of the person’s needs are required to ensure that the care we are providing is relevant to helping the resident achieve their full potential.
Every resident has access to their plan and is encouraged to participate as fully as possible in the care planning process.
The home has two bedrooms for residents, both of which are for single occupation. The residents’ private rooms exceed the size set out by the National Minimum Standards. There is a communal lounge, kitchen/dining room, laundry, office and staff sleeping accommodation.
The use of outside therapists’ services may be required this will only be done in consultation with the service user and other health professionals.
The home places a high value on respecting the privacy and dignity of the people who live here. The detailed measures we take are set out, at the beginning of this document, in the paragraphs headed respectively Privacy and Dignity.
We keep this document under regular review and would welcome comments from service users and others.
CQC will be notified of any changes to this Statement of Purpose within 28 days.
Mike Hodgetts 06/10/2018