Our Services:

Nursing Care

This home will ensure that each resident has an individual plan of care which will provide the outline of the care to be delivered.

The plan will be drawn up on the basis of a thorough assessment of the prospective resident's needs, abilities and aspirations via the Care Docs system. This will be based on an assessment made by the home's own staff before admission. This assessment will cover all aspects of the prospective resident's health, personal and social care needs. The plan will set out in detail the action which needs to be taken by care staff to ensure appropriate attention to all aspects of the care needs of the resident.

The plan will meet all appropriate clinical guidelines produced by relevant professional bodies and will include objectives for care, strategies to meet those objectives, statements of responsibility for staff and others, and appropriate time-scales.

The home recognises its duty towards the safety of its residents, but it does not guarantee a risk-free environment, and considers some risks to be necessary, important in maintaining independence. Any action in the plan which involves a measure of risk will be subject to a risk assessment which will set out the balance of dangers and benefits for the resident to take an informed decision. Particular attention will be paid to the risk of falls.

The resident is always central in the home's procedures for planning care. The resident must therefore sign or otherwise signify active consent to the plan of care and to the attendant risk assessments. In instances where the resident is not able personally to take responsible decisions, every possible step will be taken to consult a friend, relative, advocate or other representative who can unequivocally represent the resident's interests in the planning process.

The home will make available relevant managerial, care and other staff as appropriate to assist in producing and carrying through the plan of care and, subject to the resident's permission and to recognise standards of confidentiality, will involve others from outside the home that may have a part to play. It is for the resident to specify which relatives, friends or others they wish to be involved in drawing up and implementing the plan.

Reviews of the objectives, strategies, responsibilities, time-scales, and risks in a plan of care will be carried out by the Registered Nurse monthly, incorporating new information and changes in the resident's needs, abilities or aspirations.

All records relating to a resident's plan of care will be kept in a secure place accessible to the resident and home.

This aims to underpin St. Bartholomew's Court Nursing Home's commitment to ensuring personalised and integrated care planning for the individual Resident. We aim to address the individual's full range of care needs taking into account their health, personal, social, family, economic, educational, ethnic, psychological and cultural background and circumstances.

St Bartholomew's Court Nursing Home recognises that other issues in addition to medical needs can impact upon a person's total health and well-being. Personalisation is therefore a holistic process, seeing the Resident as a 'whole' with an emphasis on helping people to achieve the outcomes that they want for themselves. For Residents with a terminal condition this could mean helping them to be cared for and to die in the setting of their choice. We follow the Gold Standard Framework for end of life care which enables the team to offer the Right Care at the Right Time, Every Time. Risk management and crisis planning are also integral to the personalisation process, in particular for those Residents with complex needs. It is also recognised that providing information and support for self-care means that personalised care planning is seamlessly linked with the need to support and empower Residents and their advocates to have their say in order for them to be equal partners in the care planning discussion.

St. Bartholomew's Court Care Planning Process aims to:

• Put the individual, their needs and choices at the centre of the process, supporting the individual to achieve optimal health and wellbeing outcomes.
• Focus on goal setting and the outcomes that people want to achieve.
• Plan and be pro-active and anticipatory with contingency planning to manage crisis episodes better.
• Promote choice and control by putting the Resident at the centre of the planning process.
• Ensure that Residents, especially those with more complex needs or those approaching the end of life, receive coordinated care packages.
• Provide information that is relevant, timely and accurate to support Residents with decision making and choices.
• Provide Staff with expertise in mental health (Registered Mental Health Nurses) who can ensure all care plans have an understanding of their needs.
• Provide support for self-care so that people can self-manage/self-care for their condition(s).
• The computerised system at St Bartholomew's Court is an excellent tool to support, with a good comprehensive care plan covering the choices and needs of all patients and residents and also the legislation for a safe care planning process.

Personalisation should result in a negotiated, shared decision making plan of care that is made in equal partnership and owned by the Resident.