December 2017

Inspire Mental Health

STATEMENT OF PURPOSEMillburn Close

24 HOUR SUPPORTED HOUSING

Responsible Officer: Andrew Gowdy. Ratified by: 01/12/ 2017

Review Date: 01/12/2018

Inspire Mental Health Charter for Recovery

Every Service user has the right to:

1. Find and Maintain Hope To be listened too To be treated with respect.

(To be listened to and respected, to be at the centre of all decisions relating to your life, to be nurtured and supported)

2. Re-establish a Positive Identity We will help you identify and acknowledge previous and current

strengths. We will help you identify what supports you when. We will help you improve how you feel about yourself. We will support you in recognising and overcoming stigma.

(Identify previous individual achievements and current “strengths,” clarify appropriate supportive relationships and mechanisms, challenge stigma and promote positive self-esteem)

3. Take Responsibility and Control To be involved in all decisions that affects them. Supported to develop an individual support plan.

(To be involved in the discussion and at the centre of all decisions relating to your life and to feel actively supported in the decisions you make)

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Index of Contents

Page No

1. Introduction1

1.1 Service Provider 11.2 Responsible Person 1-11 1.3 Scheme Manager 1-11 2. Quality Assurance

11-13 3. Number of staff, their experience and relevant qualifications

13-16 4. Philosophy of Care

17 5. Aims and Objectives

17-18 6. Therapeutic Process

18 7. Restrictive Practice 19 8. Responsibilities 20 9. Referral Groups 21-22 10. Status of the Housing Scheme

2311. Volunteers 23 12. Liaison Group 23

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13. Number of Service users to be accommodated 24

14. Categories of Care24

15. Admissions Criteria24-25

16. Completing Reviews with Service users 26-28-Planning and Review Procedure

26-2817. Arrangements for Service users re social activities

28-2918. Arrangement in place for consultation with Inspire Members

3019. Storage and Administration of Medication 3020. Fire Precautions and Emergency Procedures

30-3121. Arrangements for meeting Service user’s Spiritual Needs

3123. Arrangements for dealing with Complaints

31-3424. Accommodation in the Housing Scheme 3425. Details of specific techniques used in the Scheme

3426. Maintaining Privacy and Dignity of Service users

3427. Leaving Procedure

3528. Transfer Procedure

35

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29. Record Keeping 36-3930. Date Approved 40 31. Review Date 4032 Amendments to Statement of Purpose 40

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1. INTRODUCTION

Inspire formerly Beacon, (the Northern Ireland Association for Mental Health), is the largest and longest established independent charity focusing on mental health and wellbeing services in Northern Ireland. Inspire is structured as a group consisting of five elements, Inspire Mental Health, Inspire Disability Services, Inspire Workplaces, Inspire Students, Inspire Knowledge and leadership .

Inspires Vision: Mental Health and Wellbeing for all

Our Values:

We provide high quality, professional and innovative services We enable positive outcomes for the people who use our services We act with integrity and compassion We engage with and inspire each other We influence policy and public opinion

Our Structure

Inspire Mental Health provides support services to people with experience of mental ill-health through supported housing, day support, floating support and advocacy services.

Inspire Workplaces Provides therapeutic support through employee assistance programmes, and specialist therapeutic services delivered in a wide variety of organisational contexts

Inspire Disability provides support for people with intellectual/ learning disabilities and complex needs in residential locations in Northern Ireland- Armagh, Lisburn, Belfast and Omagh. Also more recently in Ireland.

Inspire Students Provides support to students in third-level colleges and universities across the island of Ireland and also in Scotland

Inspire Knowledge & Leadership Offers a range of expertly informed training programmes and consultancy services designed to support organisations to thrive

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Inspire Structures

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Inspire

Inspire Mental Health

Inspire Disability Services

Inspire Knowledge

& Leadership

Inspire Students

Inspire Workplaces

Lady Margaret Wakehurst established Beacon in 1959 now Inspire. At the core of Inspires services is the community-based support it provides to people who have had experience of mental illness.

Since its inception, in response to emerging needs, Inspire Mental Health has developed Inspire Mental Health support services in towns throughout Northern Ireland. Inspire Mental Health now has fourteen Beacon Day Support Centres with approximately 1,000 members attending regularly. Over the years, Inspire Mental Health has continued to develop innovative additional services in response to the emerging needs of its service users. Through listening attentively to what our service users need, Inspire Mental Health has been able to develop two Inspire Mental Health Support services with around 100 members, 10 twenty four hour Supported Housing Schemes with 100 Service users, 9 non twenty four hour Supported Housing Schemes with approximately 90 Service users as well as three Floating Support Schemes which provide support to 35 people. Alongside these schemes Inspire Mental Health has also developed four Beacon Advocacy schemes which provided support to over 5,500 last year.

While continuing to develop services to support those with experience of mental illness, research shows that mental health is not achieved simply by treating mental illness, but also by promoting positive mental wellbeing. In response to this, Inspire has broadened its services to include support for the whole population through mental health promotion and research. Inspire Work Places, with its focus on mental health support through counselling and other therapeutic interventions was set up in 2000 and now has a potential user base of 500,000 people. Last year Inspire Work Places delivered over 18,500 support sessions to over 4,500 people.

Inspire Learning Disability joined the Beacon family in October 2013 providing care for 90 people with learning disabilities in Lisburn, Antrim, Armagh and Omagh. Inspire employs approximately 200 staff in 24 hour service user care settings.

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Wellbeing for all.

Our Mission We want to build a flourishing society in which all people have access to services and support appropriate to their mental health and wellbeing needs. To achieve this we will promote, support and explore flourishing mental wellbeing throughout society. We will be an exceptional organisation marked by excellence, efficiency and innovation.

Our Values

We provide high quality, professional and innovative services. We enable positive outcomes for the people who use our services. We act with integrity and compassion. We engage with and inspire each other. We influence policy and public opinion.

Our Supported Housing Schemes within Inspire Mental Health are aimed at helping people with mental health needs achieve independent living in the community and support all aspects of individual wellbeing. Our trained staff creates a sense of individual belonging with Service users contributing to all aspects of home life. They share responsibility for shopping, menu planning and preparation of meals for each other. Service users are involved in all the day-to-day decisions concerning them and their opinions are actively sought. This combined with good relationships between staff and Service users is essential in maintaining happiness and contentment for everyone within the scheme.

This varies from single accommodation; group living and 24 hour support to purpose built registered schemes. The majority of all our schemes are provided in conjunction with a Housing Association.

Inspire Mental Health embrace the principles of normalisation to enable Service users to build confidence and self-esteem and develop the skills necessary to live productive and satisfying lives. As stated:

‘We want to build a flourishing society in which all people have access to services and support appropriate to their mental health and wellbeing needs.

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To achieve this we will promote, support and explore flourishing mental wellbeing throughout society. We will be an exceptional organisation marked by excellence, efficiency and innovation.’

1.1 Service Provider

The provider is: - Inspire Mental Health

Name: - Billy MurphyBusiness Address: Lombard House 10-20 Lombard Street BT 1 1RD

Company Number: ni 25428Charity Number: xn 47885

BEACON was founded in 1959 now rebranded to Inspire Wellbeing for all

1.2 Responsible Person

Billy Murphy Director of Inspire Mental Health

Billy is Director of Inspire Mental Health Services. Billy studied Psychology at the University of Ulster then began his career with Extern in 1986 where he worked in various projects. He qualified in Social Work in 1991 and initially worked for Barnardos. In 1992 he took up post as a Social Worker with Older People in South and East Belfast Trust. He moved to Senior Social Worker, Care Manager then Senior Care Manager. In 2002 he became Programme Planner for Mental Health Services in South and East Belfast Trust and when the Belfast Trust was formed in 2007 he became part of the Senior Management Team in Mental Health as A Service Development Manager. This work involved the modernisation of the Trusts Mental Health Services. He has continually addressed his own development needs obtaining relevant qualifications throughout his career; Practice Teaching Award (1994), Approved Social Work Award (1998), Diploma in Health Service Management (2006) and the Advanced Award in Social Work (2009).

2. Information about the Responsible Person

Title Mr

First Name William

Middle Names (if any) Henry

Surname Murphy

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Position in the Organisation (if applicable)

Director of Mental Health Services

Date of Birth 17/08/62

Address Line 1 Inspire Wellbeing for All

Address Line 2 Lombard House

10-20 Lombard Street

Town Belfast

Postcode BT1 1RD

Telephone (incl. area code) 02890725402

Email Address b.murphy@inspirewellbeing.org

Please tick box if you have the right to work in the UK without restrictions

If not, provide details of your current status of work permit/employment visa:

N/A

3. Qualifications

(Please refer to guidance document for an outline of required qualifications)

Professional/Vocational or Technical Qualifications

Awarding Body Date Obtained

BSc with Hons in Psychology & Sociology

Masters in Social Work

University of Ulster

Queens University

01.06.86

14.06.91

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Certificate of Qualification in Social Work

Practice Teaching Award

Mental Health Social Work Award

Post Qualifying Award in Social Work

Diploma in Health & Social Services Management

Advanced Award in Social Work

Belfast

CCETSW

CCETSW

CCETSW

CCETSW

University of Ulster

CCETSW

14.06.91

23.09.94

04.06.88

23.04.99

01.06.05

20.05.08

01.06.10

4. Details of Registration with Professional Body

Name of Professional Regulatory Body

Registration/PIN (where applicable)

Date of Expiry

NI Social Care Council 1092045 31.05.17

1.3 Scheme Manager

This is the name of the manager registered with the Regulation and Quality Improvement Authority (RQIA)

The Registered Manager of the facility is: Mr Andrew Gowdy

Name: Millburn 24 Hour Supported Housing Scheme.

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Address of Establishment: 20 Millburn Close Mill Road Belfast BT8 8FJ

2. Quality Assurance

Inspire Wellbeing for all strive continually to maintain and improve on the requirements of the following quality assurance standards.

Chartermark was awarded to “Beacon” now Inspire in 2003. The Northern Ireland Housing Executive’s (NIHE) Quality Assessment Framework standards have also been adopted and implemented within all supported housing schemes.

The EFQM excellence model (Gold award) was awarded in 2012 & also 2016Our accreditations

Investing In Volunteers Reaccreditation 2015 ISO 9001_2015. IIP Gold 2019.

All staff involved in supporting and caring for service users undertake the “ Staff Induction checklist” and reflective practice record of evidence within their probationary period. This course has been developed with and accredited by the Open College Network (OCN). The Investors in People Gold Award (IIP) was awarded for contributions to staff development in 2016

A comprehensive essential training programme is in place for Inspire Mental Health staff and volunteers. There are opportunities for service users to avail of specific training courses.

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Annual inspections and unannounced visits to the housing schemes are completed regularly by Inspire Mental Health Service managers who are not in direct line management to the scheme. This is to ensure objectivity and transparency.

Service users are also involved in inspection visits, recruitment and selection and have also input into policy review and development.

Training and ongoing support is provided to all who participate. The service is inspected by the Regulation Quality and Improvement Authority in line with the Domiciliary Care Regulations.

The Regulation and Quality Improvement Authority

This service is registered with RQIA, who will regularly carry out inspections to ensure that high standards of care and support are maintained, to ensure that the service is appropriately managed and to ensure that staff are adequately trained and supported to provide high quality services.

The Regulation and Quality Improvement Authority (RQIA) is the independent body responsible for monitoring and inspecting the availability and quality of health and social care services in Northern Ireland, and encouraging improvements in the quality of those services. Their role is to ensure that health and social care services in Northern Ireland are accessible, well managed and meet the required standards.

RQIA was established in 2005 under The Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003. The Order also places a statutory duty of quality upon health and social care organisations, and requires the DHSSPS to develop standards against which the quality of services can be measured.

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Since April 2009, under the Health and Social Care (Reform) Act (Northern Ireland) 2009, RQIA undertakes the functions previously carried out by of the Mental Health Commission.

What do they do?

RQIA registers and inspects a wide range of health and social care services. Inspections are based on minimum care standards which will ensure that both the public and the service providers know what quality of services is expected.

Inspectors will visit this service to examine all aspects of the care provided, to assure the comfort and dignity of those using the service, and ensure public confidence in the service.

RQIA also has a role in assuring the quality of services provided by Health and Social Care (HSC) Board, HSC trusts and other agencies, to ensure that every aspect of care reaches the standards laid down by the Department of Health, Social Services and Public Safety and expected by the public.

Under the Health and Social Care (Reform) Act (NI) 2009, RQIA undertakes a range of responsibilities for people with a mental illness and those with a learning disability (previously carried out by the Mental Health Commission). These include: preventing ill treatment; remedying any deficiency in care or treatment; terminating improper detention in a hospital or guardianship; and preventing or redressing loss or damage to a patient's property.

RQIA and the responsible person. Beacon has a delegated responsible person to oversee RQIA standards and compliance within the organisation

3. Number of Staff, their Experience and Relevant Qualifications.

Registered Manager – Andrew Gowdy has completed QCF 5 Management & Leadership in Social Care, NVQ 4 in Social Care and has completed the NVQ LEVEL 4 in Business Management through the Beeches Management Centre and has completed the IFF for Home Managers December 2006. Andrew Gowdy has been in post of Home Manager at Minnowburn Supported Housing Scheme since October 2005.to October 2009. – October 2009 to present in Millburn Close

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Prior to this appointment. Andrew Gowdy worked for 19 years with South & Belfast Trust firstly as a Technical Officer Grade in Purdysburn Hospital for 11 years in all areas of this Psychiatric Hospital. The second position within the trust was with the Community Mental Health Support Team as a Project Worker working directly with Young Persons experiencing Chronic Enduring Mental Illness in the Community. Andrew Gowdy has achieved Professional awards in Medication Compliance Queens University Belfast 2001 and Mental Health Promotion University of Ulster 2000. Andrew Gowdy has also achieved the Certificate in Social Welfare Studies Queens University 1988 and certificates in Psychology, Counselling and Sociology. Andrew Gowdy is also a Qualified Fitness instructor achieving the OCR Level 2 in Teaching Gym with Exercise 2005. Andrew Gowdy is registered with both RQIA & NISCC.

Senior Project Worker 1- (37hrs) June 2015- 17 years’ experience in a range of care, support, teaching and housing environments. Senior Project worker commenced employment within these roles as a support worker and progressed to Assistant manager, Team Leader and temporary Service manager with the Simon Community. Senior Project Worker 2 has achieved vocational qualifications, ILM level 3 management, QCF Level 3 Management, OCN 3 Substance use- harm reduction. Senior Project Worker 2 has also level 2 OCSL Open College sign language. Senior Project Worker 1 is currently completing QCF Level 5 in Leadership and Management in Social Care.

Senior Project Worker 2 – Recruitment for this post is currently underway.

Project Worker 1-(30hrs) 9 years’ experience with Niamh in day care and non-24hour housing before commencing this position. Project Worker 1 has completed OCN Level 2 (IFF) and NVQ level 4 in Management & BSL level1

Project Worker 2-(37.hrs) Commenced position as Project Worker in September 2013 and had previously been in the position of Support Worker at Millburn Close since 2010. Project Worker 3 has Degree in Modern Studies and Humanity, Diploma in Childcare 5 years Simon Community and 5 years Families and Young People setting completed

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Core Competence, IFF induction and Administration of Medication Assessment at Millburn Close Project Worker 2 has completed BSL Level one and is also an accredited “Cook it” and a Positive Steps Facilitator. Project Worker 2 is currently completing QCF level 3.

Project Worker 3- (37 hrs) Project Worker 3 Support Worker 1 commenced position of Project Worker in December 2016, prior to this Project Worker 3 was a Support Worker at Millburn close from January 2015. Project Worker 3. has a BSC in Psychology and has worked in a range of positions within the catering industry. Project Worker 3 has completed BSL level one and QCF Level 3. Project Worker 3 is completing QCF level 5

Project Worker 4-(37. Hrs) Project Worker 4 Commenced this role in December 2016, prior to this role Project Worker 4 had been a Support worker at Millburn Close since July 2014. Project Worker 4 has studied Psychology and is currently completing a PHD in Applied Social Care. Project Worker 4 has worked in a variety of Voluntary Positions.

Project Worker 5-(37hr) commenced this role in May 2017 prior to this Project Worker 5 commenced employment with Inspire in the role Apprentice Support Worker from September 2016 until taking up position in her current role Project Worker 5 has had previous working experience as a medical receptionist at a GP practice in County Tyrone and supported patients with complex needs who had previously be removed from other GP practices in the area. Apprentice Support Worker is has completed NVQ level 2/3 in health and social Care.

Support Worker 1-(37 hrs) Support Worker 1 commenced position in February 2015. Prior to commencing this post Support Worker 1 worked as a disability equality trainer and also a drama facilitator. Support Worker 1 has BA Hons in Drama & English and has a qualification in teaching lifelong learning.

Support Worker 2- (37 hrs) Commenced this role in January 2017. Support Worker 2 worked overseas in Psychiatric units in Asia over the past year. Support Worker 2 is in her final year of completing a Psychology degree.

Support Worker 3- (37 hrs) Support worker 3 commenced this post in August 2017 Prior to commencing post Support Worker 3 completed at Psychology course at Queens University and has extensive experience caring for a family member with autism.

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Support Worker 4 – (37 hrs) Support Worker 4 commenced this post in November 2017. Prior to taking up this post Support Worker 4 worked as a medical secretary for a Consultant Psychiatrist in Belfast and has experience of working in a voluntary capacity with individuals experiencing mental illness.

Apprentice Support Worker (37 hrs) Recruitment is underway for this year’s Apprenticeship programme.

Night Cover 1- Night Cover 1 has worked as Night Cover member of staff at both Minnowburn and Millburn Close for more than 20 years. Night Cover 1 also works for Extern in a homeless centre.

Night Cover 2- Night Cover 2 commenced position as night cover staff at Minnowburn in March 2008. Night Cover 2 has completed Core Competences. Night Cover 2 works for Belfast Trust Addictions team and specializes in working with individuals who are in crisis with drug addiction in the greater Belfast area.

Night Cover 3- Night Cover 3 has worked as relief night cover at Minnowburn for over 5 years. Night Cover 3 has previously worked at Minnowburn as a Project Worker at Minnowburn before this and previously worked at East Belfast Beacon Centre as a project worker with specializes in IT training for members and also provides IT training for Staff. Night Cover 3 has completed Core Competences. Night Cover 3 is now working as Manager for a day resource centre for Rethink during the day.

Relief Night Cover 1 –Relief Night Cover 1 has worked as Relief Night Cover at Minnowburn since September 2007. Relief Night Cover has previously worked at and continues to provide relief Project Work cover at non 24 hour Supported Housing with Niamh for over 4 years. Relief Night Cover 1 has completed a degree in Social Work at University of Ulster and is currently working as a Student Support Worker at the University of Ulster

Relief Night Cover 2- Relief night cover 2 was previously a Support Worker with Inspire from April 2015 t0 Aril 2017. Relief Night cover 2 has a contracted night cover post in an Inspire 24 Hour Supported Housing Scheme in Belfast.

Clerical Assistant 1 - commenced part time position with 2 schemes in South Belfast Supported Housing on November 2010. From 1998 with Inspire Mental Health Central Office in the Education Department and 3 years with Inspire Workplaces.

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4. Philosophy of Care

The Supported Housing Scheme will:

a) Work towards reducing the stigma felt by those with mental health needs

b) Promote user participation

c) Ensure our services are as integrated and as invisible as possible.

Adoption of these concepts will ensure good quality and good practice in our work. In practical terms we promote dignity, personal choice, integration and participation. The concept of self-help will be promoted at all levels within the Support Housing Scheme.

5. Aims and Objectives

In this section use what is appropriate for your Supported Housing Scheme, or included in your service level agreement.

a) Examples are provided below:

- Supported Housing Schemes are designed to offer another option in the spectrum of community care, catering for people who have a history of enduring mental illness. The overall aims of the Supported Housing Schemes are:

- To provide long-term/supported accommodation while offering the opportunity of optimum levels of integration and independence.

- To provide short-term accommodation which enables service users to attain their full potential (and strive for independent living)

- To contribute to the reduction of hospital admissions and the length of admissions in psychiatric hospital

- To provide a home for as long as it is required

b) The aims will be achieved through the following objectives:

- To provide support as appropriate to the level of need of each 20

service users- To target and maximise the abilities and skills of the service

users while recognising the need to give help and support

- To encourage service users to take responsibility in household tasks and develop routines in day-to-day life. Also to encourage service users to initiate new activities in daily living, provide a degree of variety and a range of choice

- To give service users the opportunity to live in mixed facilities that reflect each person’s individual choice and needs

- To ensure that service users have every opportunity to exercise choice in all aspects of daily living. Levels of choice and responsibility must be realistic, therapeutic and within the range of individual abilities.

- To ensure that the facilities reflect each person’s individual choice and needs and those service users are encouraged to have their own personal possessions within the limits of the scheme.

- To ensure that tenancy is available to all people from all ethnic backgrounds and religious persuasions

- To ensure that the staff are trained to display attitudes which are in accordance with the Inspire Mental Health’s missions and values and have completed the IFF

- To encourage service users to develop appropriate links within the community and to utilise relevant community facilities

The overall goal is to seek gradual and moderate improvement in levels of functioning. Such improvement, however, will still necessitate varieties of support to maintain the service users in the scheme.

6. Therapeutic Process

In accordance with the overall principles of the scheme, the staff should encourage an environment which provides support, friendliness, care, appropriate independence etc within a homely environment. The goal is to enhance the quality of the Service user’s life and to:

i) maintain or improve self-care

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ii) maintain or improve daily living skillsiii) maintain or improve social integrationiv) maintain a structure to their dayv) maintain or improve community integrationvi) encourage Service users to take on the optimum level of

responsibility in as many life domains as possiblevii) encourage participation by the Service users of the planning and

implementation of their individual support plan.

7. Restrictive Practice

‘Restrictive practice in the mental health context is often perceived in terms of extremes and associated with violence/aggression and physical intervention. The scheme works with the service users in a holistic way which respects their individuality to avoid labelling and putting service users in behavioural or diagnostic pigeon holes.’

Careful needs assessments based on strengths, risk assessment and support planning is required to engage with service users positively when they present with challenging behaviour. Careful assessment should ensure staff are aware of why the service user presents in the way they do. This could include:

Socially inappropriate behaviourNon-compliance , withdrawal or passivityAggressive or destructive behaviourSelf-harm.

To support a service user with managing a behaviour. Careful consideration should be given to the reasons behind the presenting behaviour including illness, medication, acute or chronic pain, or other situational factors.

There are many forms of restrictive practice. These could include:

Blocking a passage Locked doors Seclusion Bed rails Setting restraints PRN medication Holding money or belongings.

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Restrictive practice is only implemented as a last resort and only following discussion with the multi-disciplinary team. This is reviewed periodically to ensure decisions are based on a balanced risk assessment. The impact of restrictive practice will be closely monitored, recorded and reviewed at agreed time intervals.

8. Responsibilities

Refer to the relevant responsibilities that are included in the service agreement/contract. These would normally include:

- Inspire Mental Health Responsibilities- The relevant Trust Responsibilities- The relevant Housing Association Tenancy Agreement /

License to Occupy

Employ suitably experienced staff to meet the needs of the service users.

Provide appropriate support to service users following assessment and joint identification of their individual needs.

Co-ordinate service user’s selection panel and regular review meetings.

Liaise with statutory professionals and other key people involved in service users package of care and support.

Ensure accommodation is maintained to a high standards and within health and safety requirements.

Refer clients to the scheme who meet the criteria Provide support to the project worker Attend six monthly reviews and selection panel meetings as

required.

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Respond to emergencies as appropriate and required. Assist with the ongoing annual evaluation of the scheme.

Homes for all Habinteg Housing Association (Ulster) Ltd

Habinteg Housing Association Complete repairs and maintenance as required. Liaise with the project worker as appropriate Employ suitably experienced and qualified staff to complete

maintenance and housing management duties. Address tenancy issues.

9. Referral Groups

Choose in either section what is appropriate for your Supported Housing Scheme

People considered suitable for referral are:

a) Ordinarily aged 18-65b) Young people coming out of care who have mental health needsc) Those with a diagnosed form of mental illness or those who have

undergone an active rehabilitation programme and would benefit from living in a Supported Housing Scheme

d) A desire to live in the Supported Housing Schemee) The ability to move on from the Supported Housing Scheme to

less supported or independent livingf) A history of long-term hospitalisation, a number of admissions to

hospital or a risk of becoming institutionalisedg) When the socially disabling aspects of the illness become the

primary concern i.e. daily living/social skills and the person is unable to cope with everyday problems of life- are unable to self-medicate- are unable to manage their finances- are registered incapable with the office of care and

protection- are in need if 24 hour support

The Scheme maybe be considered unsuitable for those:a) with severe dementiab) where learning difficulties is the primary conditionc) where a personality disorder is the primary conditiond) with a physical disability and who need significant assistance in

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relation to thise) where addiction is the primary conditionf) who need a high level of supervision or need a high level of

nursing careg) where there is a forensic history with high levels of risk around

violence/aggression and/or self-harmAll referrals to Millburn Close are undertaken with Care Management and Multi-disciplinary teams with comprehensive risk management to ensure that individual needs can be fully met.

Admissions Panel’s Assessment of Risk

When reviewing historical information the Panel will take the following into consideration:

Recency – When was the last incident of harm to self or others? Severity – How serious previous incidents have been? Frequency – How frequently do incidents of harm to self or others

occur? Pattern – Is there a common pattern to the type of incident or the

context in which it occurs? Likelihood – How likely is that the event will reoccur.

Current risks identified either because of physical or mental health become part of the resident’s Support Plan. This will be a dynamic document that is adjusted throughout the year to reflect changes in Risk, for example as a result of a Review, an Incident, or to reflect a change in circumstances. Risk Management Plans should be revisited formally at least annually at Review and this includes the scheme manager liaising with the referral agent to ensure the scheme retains an up-to-date Risk Screening tool or health and wellbeing form. Risk management plans should be updated or a new plan put in place following receipt of this information

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In exceptional circumstances where no up-to-date Risk Screening Tool or Comprehensive Risk Assessment is available, the Risk Management Plan may be implemented.

Statistical information regarding the number of residents requiring support/care with Risk issues will be collated and submitted by the manager as part of the Monthly Monitoring Report and annually within the annual report.

Where a resident has a Forensic history, full and comprehensive information needs to be provided by the Referral Agent (Forensic Community Team) to the Manager before the resident takes up tenancy. This will include a copy of the Comprehensive Risk Assessment and Management Tool.

Principles for working with Risk – Positive-Risk Taking

Risk is a normal everyday experience; Risk is dynamic, currently changing in response to changing

circumstances; Assessment of risk is enhanced by accessing multiple sources of

information, but frequently working with incomplete and possibly inaccurate information;

Identification of risk carries a duty to do something about it – that is, risk management;

Decision-making can be enhanced through positive collaborations; Risk can be minimised, but not eliminated.

Inspire Mental Health recognize that risk is part of life and individual risk taking and managing Risk can be seen as a strength.

10. Status of the Housing Scheme Voluntary. Registered under Domiciliary Care Regulations with RQIA

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11. Volunteers

Traditionally the use of volunteers is essential to the work of Inspire Mental Health. We currently have 1 volunteer at Millburn Close who provides a befriending role to a service user.

12. Liaison Group (LG)

A Liaison Group may be convened by the Service Manager where it is considered appropriate. In an advisory capacity the LG will assist

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Chief Executive

Director

Assistant Director/Service Team Manager

Service Manager

Home Manager

Senior Project Worker/Assistant manager

Project worker

Suport worker

with the planning, monitoring and evaluation of the Supported Housing Scheme.

13. Number of Service Users to be accommodated There are 20 individual homes at Millburn Close each resident has either a bungalow or Flat. Work is currently being undertaken to extend the scheme with another 6 flats being built which will bring total occupancy to 26 individual homes by late 2017 14. Categories of Care

Adult mental health

NB some projects may have a significant number of individuals with Learning disability and wish to include as a category of care.

15. Admission Criteria Including Procedure for Emergency Admissions.

“During the referral process all prospective individuals are encouraged to be involved in all aspects and stages of the referral.”

NB Emergency admissions do not normally happen in Inspire Mental Health housing schemes however if a scheme does offer this the protocol must be clearly documented here.

REFERRAL AND ALLOCATION PROCEDURE (Housing Services)

When a vacancy occurs, and a waiting list of Applicants is not held by the Service Manager, Referral Agents, for example Care Managers or the Community Mental Health Team will be informed.

It is recommended that Prospective Applicants visit the accommodation along with the Referral Agent or Carer, before an application is made. Visits will be by arrangement with the Service Manager or Scheme Manager. Appropriate information will be shared and a Prospective Applicants Visit Form will be completed.

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Criteria for Referral and Cost of Accommodation are outlined in the Application Pack distributed to referral agents and visitors. Referral Agents and Prospective Applicants must check both issues as early as possible.

The Referral Agent and Prospective Applicant together, complete the Referral Form and a General Housing Application Form. The Referral agent is required to supply the Scheme with a Comprehensive Risk Assessment/Risk screening tool.

These documents are returned to the Service Manager/Scheme Manager and the General Housing Application Form is marked ‘Complex Needs’ and forwarded to the appropriate area Housing Support Officer for the Northern Ireland Housing Executive. A referral panel will be convened and the outcome conveyed to both the applicant and the referral agent.

If there are no current vacancies the individuals name then goes on to the waiting list of applicants held by the Service Manager, and that held by the Housing Executive.

When a vacancy occurs and a waiting list of Applicants is held by the Service Manager, Referral Agents and NIHE will be contacted to confirm that Applicants continue to require accommodation. (This process is currently under review).

An Admissions Panel will be established and may consist of, where appropriate, Service Manager, Scheme Manager, Care Manager and or a representative of the Community Mental Health Team.

Applicants and Referrers will be invited to meet members of the panel to discuss their application and identify whether the scheme will meet the applicant’s needs. The Referral Agent will be contacted as to the most suitable way to structure this part of the procedure.

The Admissions Panel will complete an Admissions Panel Report, ensure that the Service user’s needs are compared objectively with the eligibility criteria and agree collectively on the most suitable applicant for the existing vacancy. Financial requirements and Smoke Free Policy must be fully discussed and procedures agreed. Other suitable applicants may be placed on a waiting list of Suitable Applicants.

The Admissions Panel Report will include appropriate detail on the decisions taken and recommendations regarding alternative services for unsuitable applicants. The panel will agree the best way to share outcomes providing written explanations and details of the appeals procedure as appropriate.

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Suitable Applicants will be offered the individual accommodation, and the type of accommodation being available to meet their needs.

Appropriate documentation for Benefits, Housing Executive and Housing Association should be completed as soon as possible, and the Service user’s Personal File set up as required.

Following admission the opinions of Staff and Service users are sought during an initial meeting with the Service user and Referral Agent. Planning issues are clarified and recorded in the Support/Care Plan. Service users are made aware that acceptance of support is not a condition of tenancy/license.

The offer may include amendments to the Service user’s Contract/Responsibilities as agreed by all parties. Further review arrangements should be agreed and documented.

The Scheme Manager will ensure that the service user understands and signs their License to Occupy.

All applicants have the right to appeal decisions taken by the Admissions Panel. An applicant wishing to appeal a decision will in the first instance make this known to the Chair Person of the Admissions Panel. They will be provided with details of the Appeals Process including who will be involved, when and where it will take place and their right to be accompanied by a friend, relative, other professional or advocate.

16. PLANNING & REVIEW PROCEDURE

The Review Procedure will be implemented by the Registered Manager or nominated person in consultation with the resident. Invitations should be extended to the referral agent/ keyworker/Carer to participate in agreement with the Service user. If they are unable to do so, they should be invited to make comment.

Stages of the Review Process

First Review @ six weeks:The date for the Initial Review meeting is set at 6 weeks in advance of the start date. Attendees will be reminded one week in advance of the date. The Resident will be asked if there are any others they would wish to be involved.The meeting will use the Initial Review to discuss any matters arising

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and to make recommendations for the Recovery Support Plan. Anyone unable to attend the review may submit a comment for consideration prior to the review. A copy of the Initial Review Form may be sent to the referrer if requiredSecond Review @ six months and Planned Reviews:Subsequent reviews will use the Recovery Outcome Review, the first page of which is an opportunity for the Resident and their Beacon Key Worker to summarise the individual’s recovery journey using the following headings/documents: Members Notes Recovery Support Plan (including outcomes) Strengths Assessment Safety Management Plan Any other changes/achievements/incidents/outcomes relevant to

your recovery journeyThe pre-review Service Questionnaire will also be completed with any issue raised becoming part of the Review Meeting. The Review Meeting will be coordinated by the manager or nominated person who will liaise with the service user and extend a letter of invitation to the statutory key worker along with any others the Resident may wish to be involved.

Supplementary Review In response to changes, concerns, issues or incidents, a supplementary review may be arranged. Those present will receive a report on the relevant issues and agree appropriate changes to the Safety Management Plan and /or the Recovery Support Plan. The Registered Manager will ensure the referrer/ statutory key worker and relevant others are informed and involved.

b) Service user Notes.

Service user’s notes are recorded on a regular basis, preferably daily but at least weekly, and used for issues relevant to the individual. They are maintained in a binder, completed in sections for each Service user, marked Private and Confidential, and stored in a locked filing cabinet.

Service user notes and journey documents are now recorded onto the

electronic GOS recording system. Service users are encouraged to review these documents and also e sign them. All service users have information provided on the safe storage of their Data and service users have signed these documents to demonstrate consent for how their data is being stored and for those who can access this information.

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c) Assessment and Support/Care Plan

The Assessment is to be completed after four months in all schemes and the Support/Care Plan to be updated accordingly. Both are completed with the Service user, and include information from the referral process and an evaluation of initial planning based on the reasons for referral. The Assessment is completed annually from this point, and will include information from the Support/Care Plan Review (see item g)). The Support/Care Plan is a dynamic document being adjusted to reflect changes throughout the year; outcomes will be noted prior to the annual review and a new Support/Care Plan drawn up following the annual assessment. Codes must be used to indicate area of need and reason for work, Care, Support, Safety/Risk/Vulnerability or any combination of these.

Care and Support provision is met by Trust Care Monies and through Supporting People funding if eligible. There is no addition charges for care within Beacon Housing.

e) Safety/Risk/Vulnerability Assessment Sheet

While initially completed by the Service user and Referral Agent this form is then used to update on Safety/Risk/Vulnerability issues following Untoward Incidents or as part of a Support/Care Plan Review, Emergency Review, or to reflect a change in circumstances.

f) Daily Schedule of Activities.

This form may be used to support work that requires detailed planning on a day to day basis. It will enable a clear outline regarding daily routines, responsibilities, activities, etc.

g) Support/Care Plan Review Form

This form is used to evaluate areas of need and to revise and update issues for planning purposes. It is completed annually following the date of assessment but can be used more often if required. The form is completed as part of a review meeting. Following consultation with the Service user, this is organised by the Scheme Manager and may include the Service user’s key worker, the statutory key worker, the referral agent, the Care Manager, the carer, and other significant parties as appropriate. Following

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an annual review the issues raised are fed into the annual assessment and inform the planning for the coming year. The Safety/Risk/Vulnerability Assessment will also be updated at this meeting, again to provide appropriate information for the annual assessment.

h) Emergency Review Form

This form is used to facilitate an emergency review related to a specific incident, issue or concern.

i) Psychiatric Review Form

This form is used to facilitate psychiatric reviews and for information for the completion of Support/Care Plan Reviews.

j) Service user’s Rights

While Service users are consulted at all stages of the planning and review process they retain the right to ask for a review at any time and/or to appeal any decisions taken at a review. To do this, they will in the first instance, make their wishes known to the Home Manager. They will be provided with details of the process including who will be involved, when and where it will take place and their right to be accompanied by a friend, relative other professional or advocate.

If any of the above stages have been missed the Service user’s File should contain a note as to why.

As the above documentation forms the basis of a Service user’s file it is important that information is recorded accurately and appropriately. In line with good practice requirements all schemes should have a copy of ‘The Write Stuff’ and staff are required to read it. The policy on Access to Files details the procedure for Service user’s access to their Personal File.

Service users can request reviews at any stage during their care/

support while in Supported Housing.

17. Arrangements for Service users to Engage in Social Activities, Hobbies and Leisure.

Details of activities arranged at scheme and local community are included in the Service User guide issued to each Service user. Social and Leisure activity and support with these are included in individual support plans based on individual choice.

All members are encouraged to participate in resident and partnership 33

meetings, internal audits and inspections, RQIA/SSP inspections and Quality & Governance questionnaires to ensuring provision of a quality service.

Within the scheme the Service users are encouraged to plan and coordinate their daily living with the support from staff. A variety of activities are offered in the scheme to assist the development of skills required for maximising each individual’s independence.

Currently there are a number of groups being implemented in house by staff and Service users which include:

Cookery “Cook it Programmes Gardening Art Health & wellbeing groups

Service users are actively encouraged to participate in these groups.

Trips are organised to local shopping centres on a regular basis although Service users are encouraged to undertake these as independently as possible. Within each Service users support plan contains a detailed section on community access and the capabilities of each individual in regards to their skills. Each service user has a detailed and structured activity schedule.

Service users are encouraged to utilise public transport for outings arranged. Staff do use their cars on occasion for transportation to appointments. This is at no cost to the service user.

Each service user is encouraged and empowered to take responsibility for the planning of their daily and weekly schedule.

Service users are encouraged to maintain contact with their families through telephone contact and also through the facilitation of visits to their families within the local community. Staff encourages the Service users to take responsibility for the planning and implementation of these visits. Service users are encouraged to welcome their families into their home and families are also encouraged to visit the scheme.Service users are welcome to invite guest to stay overnight in their homes on an ad hoc basis as not impaction on sole licence to Occupy. Service users are encouraged to give prior notice of visitors staying over.

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18. Arrangements in Place for Consultation with Service users about the Operation of the Housing Scheme

Regular Service user’s meeting take place normally on a monthly basis which provide the forum of consultation, sharing of ideas, suggestions and comments

Service users are encouraged to participate in the user “network meetings”; these are held quarterly with Service users. This provides a forum for discussion, information sharing and Service users being consulted over strategic and procedural issues.Inspire Mental Health Monthly Monitoring visits are carried out at housing schemes and include the Service user’s perspective family / significant other or associated member of the statutory care team.“SURF” (Service User Reference forum) is a representative group which meets with the Director to discuss issues at a more strategic level.The aim of SURF is to give Service users a ‘voice’ within the organisation.

SURF enables people to:

Share views, experiences and opinions in order to influence the policy, direction and future planning of services within inspire.

Enhance and develop communication with Service users at all levels, between Service user and staff, and between Resident’s and the Inspire Board.

Monitor and review Service user involvement within Inspire Monitor the implementation of the Inspire strategic objectives. Assist in the promotion of the Inspire Social Care Model for

Flourishing Mental Health. Assist with the development of training initiatives for Service user. Organise events to promote Service user involvement Promote Service user involvement within Inspire and in other

organisations Influence policy and lobbying within Government and local areas.

19. Storage and Administration of Medication

All Service users are registered with a General Practitioner. He/she will prescribe the Service users medication. Medication may also be prescribed by the Service users’ psychiatrist.

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The administration of medication is the responsibility of appropriately trained staff.Medication is stored in locked purpose made medicine cupboards or trolleys. The keys are kept in a separate locked cabinet or in the custody of the person in charge.

Service users who are self-medicating will be provided with lockable cabinets or drawer for the safe storage of their medication within their own home.

Further information on the safe handling, administration, storage and disposal of medication is available in the policy and Procedure manual.

20. Fire Precautions and associated emergency procedures

Inspire Mental Health, so far as is reasonably practicable, will manage in compliance with The Fire and Rescue Services (Northern Ireland) Order 2006, The Fire Safety Regulations (Northern Ireland) 2010, The Management of Health and Safety at Work regulations (Amendment) (NI) 2000 and other appropriate regulations.

Workplace Risk assessment: - Inspire Mental Health will carry out Risk Assessments in all locations in accordance with The Fire Safety Regulations (NI) 2010.These regulations are statutory requirements under a self-regulatory role, monitored by Northern Ireland Fire and Rescue Service and should be reviewed annually.Community Fire Safety Officers provide information on fire safety with individuals and Fire safety within service user’s homes.

A Fire Safety Record File will be held within each scheme. This file should contain sections for the following records:-

Fire risk assessment Sample fire notice Annual test certificates Fire drill Record of training Records of maintenance checks carried out by the scheme

As detailed in our policy and procedure manualH&S06 – Fire safety policy and procedure – the aims of this policy are to:-

Prevent the incidents of fire occurring To initiate prompt and effective action in the event of an incident. To enable staff to contain any incident of fire until the arrival of the

fire service.

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To ensure Service users, visitors and members of staff can be safely and quickly evacuated.

(Please refer to complete policy document)

21. Arrangement for Meeting Service users Spiritual Needs

Details of local Church/Chapel are available at scheme in The Service user Information File. If a member requires staff to attend with them this can be arranged.

22. Arrangements in place for Social Contact with Relatives/Friends /Representatives / Local Community where practicable

Millburn Close encourage Service user’s to keep good relationships and contact with friends and family, and visitors are always welcomed.

Residents at Millburn Close have their own dwellings and facilities to enable privacy during visits. All staff respect individual rights to privacy.

23. Arrangements for Dealing with Complaints.

As detailed in our policy and procedure manual QG 3 – Complaints Procedure. This procedure is intended to cover all persons involved in the work of Inspire Mental Health (it pertains to any Service users, Volunteers, Staff, Strategic Partner or general public) the complaints procedure is in accordance with the Performance Management Framework.Details of local C.A.B can be found in the Service user Information File at scheme, or on the notice boards. Staff will support in any inquires with community of this nature if required or requested.

(Please refer to the complete policy document)

All Service users have access to the independent Advocacy Services.

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24. Each Service user has their own individual home at Millburn Close.

25. Details of Specific Techniques used in the Scheme and

Arrangements made for their Supervision.We support service user’s to make individual appointments within the local community regarding Dental Care, Chiropody, Eye care and specific care needs based on service user preference. We support services coming to scheme for service users with sensory impairment or with acute physical health needs.

26. Maintaining the Privacy and Dignity of Service users.

The core values of Inspire Mental Health include dignity, choice, integration and respect. Dignity and respect are maintained and upheld by ensuring the Service user is involved in every aspect of his/her care and support.

Ensuring Service user’s preferences in relation to name, menus, activities, personalising their room are some examples.

Providing a homely environment where the Service users can have friends and family to visit. Service users have their own homes and staff are guests in their homes providing Support through agreed support plans.

All Service users have a key worker/co key-worker who will spend specified time with the Service user’s both within their home or communal facility if requested.

27. Leaving Procedure

The procedure for a Service user leaving supported housing can be:

i) Service user’s own choice - if a Service user decides they no longer wish to live in the scheme they must give four weeks’ notice, in writing, to the Scheme Manager. Should the Service user be seeking alternative accommodation, a member of the Community Mental Health Team, involved in the Service user’s care will be responsible for co-ordinating their resettlement.

ii) A Service user may be asked to leave, if he/she is not complying with the conditions of tenancy / licence to occupy. This would take place following a thorough investigation by the Scheme Manager and Service Manager and with the agreement of the Director of Mental Health Services.

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iii) A Letter of termination, giving four weeks’ notice will be sent to the Service user by the Service Manager. Depending on circumstances it may be necessary to give 1 weeks’ notice. This will be done with the agreement of the Director of Mental Health Services - Eviction if necessary will be a last resort.

iv) The Service user’s Key Worker/Community Mental Health Team will be involved and kept informed at all stages as well as the relevant Housing Association / Northern Ireland Housing Executive (NIHE) if applicable.

v) If possible the Service user must have suitable alternative accommodation to go to before his/her departure. The Home Manager will provide information on homeless hostels, if necessary. All rent and arrears should be paid in full and all keys returned. Resident’s leaving form to be completed.

vi) Tenancy may be terminated if a Service user has been detained in hospital for a period of six months.

28. Transfer procedure

In the event of a decision being made for a transfer to another Supported Housing Scheme, within our organisation, or to a service outside the organisation.

(i) If a Service user is being transferred to another Inspire Mental Health scheme as much information as possible should be sent to the scheme prior to transfer. The Service user’s file, monies, medication etc should go with the Service user, with a member of staff accompanying.

(ii) Staff will seek the Service user’s consent to pass on relevant information if requested by the transfer organisation i.e. where appropriate and with the approval of the Service Manager. Staff will liaise with the referral agent/key worker/GP/carer or other support services as requested.

(iii) Staff will provide support to the Service user during the transfer process.

30. Record Keeping

Record-keeping will ensure that requirements of Inspire Mental Health standards are met. There will be a separate book or files on the following:

a) Finance40

E.g. Petty cash bookFile for monthly statementsLodgement bookHouse-keeping ledgerIndividual records for Service user monies

SERVICE USER’S PERSONAL FILE

1. Each Service user will have a Personal Record File.

2. The file will be kept confidentially in a locked cabinet to which there is restricted access.

3. Each file will be identified with the Service user’s name clearly

displayed on the outer cover both on the front and side.

4. Files when closed should be retained for a period of five years after which they will be shredded. Closed files to have appropriate closure forms, stored securely and dated for disposal.

5. Access restricted to: Scheme Manager/Assistant, Person authorised by Scheme Manager, Service user (see Access to Files Policy), Referral Agent/Key Worker, Landlord/Housing Officers, Inspire Mental Health /HSSB Senior Officers, Mental Health Commission Representatives, External Audit – with letter of authorisation from Service user

Service users provide signed consent to their Data being stored safely in both Hard copy file and also electronically on GOS

7. Any written documentation must be completed in black ink, the only acceptation being for a person with a diagnosis of dyslexia. In this case blue or green ink may be advised. All extra entries must be signed (not initialed) and dated. Correction fluid must not be used on any document.

8. All documentation must be securely fastened into the file in the correct section in line with Niamh specification.

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9. ' ALERT' notification - A red sticker placed on the outside of the Service user’s file will draw attention to critical information contained in the Special Needs Form on the inside cover, e.g. allergies, physical health conditions..

i) Card Index and General Office

The card index will be kept in the office and will be accessible to the relevant staff.

- Desk Diary - to include information regarding appointments- File for correspondence- Visitors Book- Suggestion Book

ii) Other Records

Health and Safety - It is a policy of Inspire Mental Health to ensure that Supported Housing Schemes provide a safe and secure environment for service users staff and visitors. See Health and Safety Manual for Supported Housing Schemes for more detailed policies.

Incidents are now recorded on the Accident Incident Report forms since September 2014Fire Drills and Inspections - this information is kept in a separate book or file. Information to be included is -

iii) When the Fire Authority visits, with the date and any recommendations annually

iv) The date of the Fire Drills including the Length of time taken, any problem and the signature of the staff responsible. Fire drills will take place every 6 months.

First-aid box - All staff receive training in basic resuscitation. A First Aid Box is maintained and checked every month by a designated member of staff - NB Number of First Aid Boxes.

COSHH

All substances categorised as hazardous to health will be stored in keeping with the health and safety regulations (NI) 2003.

v) Other Policy and Procedures42

All Service users receive a copy of the Complaints Procedure

- Complaint Procedures are displayed in the Supported Housing Scheme; completed forms are kept in a file in the Scheme Manager’s office.

- Area Board's complaints procedure - leaflets will be available within the Scheme

- Procedure for Incidents - all staff should be familiar with this, records should be kept (using forms provided), locked in office using separate folder

- Statement of Purpose should always be available

- Policy and Procedures Manual for Supported Housing Schemes

vi) Volunteers File to include (if appropriate):

- List of Volunteers- Volunteers meetings- Volunteer forms

vii) Staff Supervision File to include:

- Record of Supervision- Individual staff supervision- Human Resources- Record of staff training- Other Correspondence- Staff PMS

viii) Training File to include:- Evidence of Mandatory training compliance- Personal Development- In-house staff training programme attendances- Attendance at Central Office Training- Attendance at other external training- Volunteer training (if appropriate)

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- Service user training- Record of Evidence Forms

30. Date approved and implemented

This should reflect the date the Statement Of Purpose was implemented by the scheme. E.g. “This Statement of Purpose” has been implemented from the -------------------- and has been ratified by Peter McBride the Chief Executive on --------------------

31. Review Date

December 2018.

32. Amended: October 2013 June 2014 September 2014 November 2014 July 2015 May 2016 January 2017 December 2017

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