Archived decisions
Schedule One Item 5
Service Specification
Introduction
This specification has been produced in order to demonstrate the Isle of Wight Council's commitment to work with service user, providers, carers and other Health Care professionals within the development of services that embrace the Government's guidance for the modernisation of health and social care services. In producing this Schedule, reference was made to the following documents: Independence, Wellbeing and Choice - Green Paper published 2005, Our Health, Our care, Our say - White Paper published in 2006 and Valuing People - White Paper published in 2001.
The aim of this specification is to ensure that people are enabled to realise their potential with appropriate care and/or support to meet their needs. As well as being involved in areas of support that will maintain and improve outcomes for Individuals we recognise the importance of the way in which services are delivered.
These requirements will be the basis on which the Isle of Wight Council will monitor the contract and measure compliance with this specification. The outcomes for Individuals, agreed between the Individual, provider, Care Manager and other Health Care professionals, as identified in the Individuals Care Plan, will be monitored through service reviews.
The Providers Care Plan will identify:-
· date of producing the care plan
· planned and actual review dates
· agreed outcomes for the Individual
· level and nature of the care / support that is to be provided
· individual progress towards achieving the agreed outcomes
Please Note:
CSCI National Minimum Standards contained within this document (column one) are taken from the `Care Homes for Older People'.
1 ) I wish to lead a full and purposeful life and to develop a range of friendships, activities and relationships. | ||
CSCI - National Minimum Standard Standard 12 Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. The routines of daily living and activities made available are flexible and varied to suit service users' expectations, preferences and capacities.
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Contractual Requirement. Service users are to be given a full range of opportunities to develop meaningful relationships and access to valued activities. The Service Provider will:- · complete activity plans for service users, involving the service user and colleagues to cover sickness and holiday. · consideration to other daytime activities / work must be given when drawing up an activity plan to ensure that a variety of activities is offered across the various services and throughout the week. (Including weekends) · provide service user's with a range of shopping facilities in accordance with their assessed needs and wishes. Provide or arrange transport for the service user, in order to facilitate supported involvement in local community activity / projects. The homes policy for charging for transport and escorts must be stated clearly in the homes Statement of Purpose/Service User Guide. Financial records must be retained regarding all charges made for transport/escorts. |
Method of Audit Records retained by the service provider will evidence compliance with these requirements. A social activity plan will be published and care plans will be updated to reflect the activities that are taken up by the service user. Service User Guide and residents financial records. |
2) I want my care plan to meet my personal and social needs.
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CSCI - National Minimum Standard Standard 3 No service user moves into the home without having had his/her needs assessed and been assured that these will be met. New service users are admitted only on the basis of a full assessment undertaken by people trained to do so, and to which the prospective service user, his/her representatives (if any) and relevant professionals have been party. Standard 7 The service user's health, personal and social care needs are set out in an individual plan of care. A service user plan of care generated from a comprehensive assessment (see Standard 3) is drawn up with each service user and provides the basis for the care to be delivered. |
Contractual Requirement. The service provider will use a comprehensive assessment tool that demonstrates an individualised approach to assessment and care planning. An additional requirement will be that the service users and/or their family/advocates are involved within a comprehensive re-assessment of their needs on an annual basis. This is to ensure that the service user is provided with care and support that is based on current good practice and available services. All assessment and care plans will be comprehensive and clearly describe care needs, objectives, actions, and outcomes. The service provider will also undertake at least a twice yearly review of all records retained within the service user's file. |
Method of Audit This will be evidenced by the production of updated assessment and care plan documentation that sets out how the individual service user's specific needs will be met. Evidence of the service user's involvement in the production of the assessment and care plan will need to be provided. All records retained within the file will be up to date, comprehensive, accurate and legible with all documentation completed. Record of reviews completed on each file. |
3 ) I want to maintain family relationships as I choose. | ||
CSCI - National Minimum Standard Standard 13 Service users maintain contact with family / friends / representatives and local community as they wish. Service users are able to have visitors at any reasonable time and links with the local community are developed and/or maintained in accordance with service users' preferences. |
Contractual Requirement. Staff will need to demonstrate a caring approach and make time to support family / carers by actively welcoming them to the home, e.g. visitors being greeted by staff, queries answered and offered a choice of refreshments. |
Method of Audit Evidence as to how the service user is supported in maintaining family relationships / contact obtained from records kept. |
4 ) I want someone who I know and trust to work with me regularly. | ||
CSCI - National Minimum Standard Standard 27 Service users needs are met by the numbers and skill mix of staff. Staffing numbers and skill mix of qualified /unqualified staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home, at all times. |
Contractual Requirement. The service provider will ensure that the Care Plan is implemented within a positive, relaxed and homely environment, and provider a consistent point of contact for relatives / friends. |
Method of Audit Service users' care plan. |
5) I want to choose where I live and whom I live with. | ||
CSCI - National Minimum Standard Standard 5 Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. The registered person ensures that prospective service users are invited to visit the home and to move in on a trial basis, before they and/or their representatives make a decision to stay; unplanned admissions are avoided where possible. Standard 33 The home is run in the best interests of service users. Effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in meeting the aims, objectives and statement of purpose of the home |
Contractual Requirement. A minimum half-day visit to the home is offered, including an opportunity for the service user's family / carers to;- · meet other residents · meet staff · view the room in which the person would live and the common areas and grounds · service user to have a meal with other residents · discuss how the home can meet the needs of the service user · see the kind of records kept about the service user The Provider will undertake annual service user's surveys. These surveys will obtain the service users' views regarding: life within the home, accommodation, quality and quantity of food provided, general and personal hygiene, attitude and sensitivity of staff to service users and in meeting their care needs. |
Method of Audit Within three month of the initial admission into the home, a service user's survey will be undertaken. This survey will obtain information regarding the service user's views on the homes admission process and the quality of care provided. Evidence of undertaking of service user surveys. |
6 ) I want to have a healthy and balanced diet, which meets my personal, cultural and religious needs | ||
CSCI - National Minimum Standard Standard 15 Service users receive a wholesome and appealing balanced diet in pleasing surroundings at times convenient to them. The registered person ensures that service users receive a varied, appealing, wholesome and nutritious diet, which is suited to individual assessed and recorded requirements, and that meals are taken in a congenial setting and at flexible times. |
Contractual Requirement. The service user will be provided with the option of a daily cooked breakfast. Main meal to have option of two courses, together with a minimum choice of two meals per dietary requirements. Access to fresh fruit at all times - this should be prepared in accordance with the individual needs of the service users. Service users should be provided with the opportunity to access hot and cold drinks when required and where independent enough, residents could provide their own tea and coffee making facilities, subject to homes risk assessment. Service providers need to be sensitive to the user's ability to make responsible choices about fluid intake -content, frequency and amount.
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Method of Audit Evidence that service users are involved in menu planning, that the menus planned have been provided and service user feedback has been obtained. Evidence of choice of refreshments available. Service users' care plans. |
7 ) I want help to keep clean and healthy. | ||
CSCI - National Minimum Standard Standard 8 Service users' health care needs are fully met. The registered person promotes and maintains service users' health and ensures access to health care services to meet assessed needs. Standard 7 The service user's health, personal and social care needs are set out in an individual plan of care. A service user plan of care generated from a comprehensive assessment (see Standard 3) is drawn up with each service user and provides the basis for the care to be delivered. |
Contractual Requirement. The service user's personal care needs will be identified in the Care Plan. The provider will demonstrate that choice of bath / shower has been offered, in accordance with the service user's choice. |
Method of Audit Service User's Care Plan. |
8 ) To live in a comfortable and well-maintained home. | ||
CSCI - National Minimum Standard Standard 19 Service users live in a safe, well-maintained environment. The location and layout of the home is suitable for its stated purpose; it is accessible, safe and well maintained; meets service users' individual and collective needs in a comfortable and homely way and has been designed with reference to relevant guidance. CSCI - National Minimum Standards Standard 22 Service users have the specialist equipment they require to maximise their independence. The registered person demonstrates that an assessment of the premises and facilities has been made by suitably qualified persons, including a qualified occupational therapist, with specialist knowledge of the client groups catered for, and provides evidence that the recommended disability equipment has been secured or provided and environmental adaptations made to meet the needs of service users. |
Contractual Requirement. Where any redecoration is done, service users should be consulted about colours and materials used. . |
Method of Audit Maintenance records and visual inspection of home. |
9) I want my chosen lifestyle to be supported and respected | ||
CSCI - National Minimum Standards. Standard 10 Services users feel they are treated with respect and their right to privacy is upheld. The arrangements for health and personal care ensure that service user's privacy and dignity are respected at all times. Standard 12 Service users find the lifestyle experience in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. The routines of daily living and activities made available are flexible and varied to suit service users' expectations, preferences and capacities. |
Contractual Requirement. To facilitate independent access to local amenities for services users in accordance with the service user's abilities as indicated within a risk assessment. The service provider will ensure that service users are enabled to make choices about all aspects of their chosen lifestyle. Appropriate provision will need to be made to accommodate service user's wishes. For example, all residents in the home being included in deciding upon the purchasing of equipment for activities. The service provider will also ensure that service users are aware of the associated risks and costs of their lifestyle choices. The service provider must balance this with the safety and well-being of other Individuals and staff within the service.
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Method of Audit Service user's documented risk assessments relating to lifestyle choices retained within the care plan and documented evidence of trips to local amenities etc |
10) I want my health care needs to be met through my GP and local health services. | ||
CSCI - National Minimum Standards Standard 8 Service users' health care needs are fully met. The registered person promotes and maintains service users' health and ensures access to health care services to meet assessed needs. |
Contractual Requirement. Service provider to give clear written information to GP & hospital staff when a service user has to attend for treatment etc. Consent to be given by service user re: transfer of information. Where there is an identified need, staff will accompany service users to clinic appointments, hospital admissions etc to ensure that medical staff receive an appropriate handover of information. The homes policy for charging for transport and escorts must be stated clearly in the homes Statement of Purpose/Service User Guide. Financial records must be retained regarding all charges made for transport/escort. On admission / appointment to support hospital staff in caring for service users by providing information on how care needs have been met within the home - this is particularly important if the service user has communication difficulties. |
Method of Audit Documentary evidence within the care plan and supporting documentation provided prior to appointments and/or admission to hospital. Service User Guide and residents financial records. |
11) I want help, if I need it, to communicate. | ||
Contractual Requirements The service provider will be responsible for taking the lead on communication within the home (e.g. aids to assist residents with a sensory loss). This will include liaison with other professionals / relevant specialists, receive and assist with training and raising staff awareness. |
Method of Audit Evidence that communication is documented within the individual care plan. | |
12) I want to be able to complain about the service I receive, when necessary | ||
CSCI - National Minimum Standards Standard 16 Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. The registered person ensures that there is a simple, clear and accessible complaints procedure which includes the stages and timescales for the process, and that complaints are dealt with promptly and effectively. |
Contractual Requirements The service provider will promote independent advocacy for all services users and their family / carers within the complaints procedure. |
Method of Audit The home's Complaints Procedure will form part of the Service User Guide. Action has been undertaken regarding any complaints received within a timely manner. |
13) I want my cultural, religious and personal wishes to be taken into consideration in all aspects of life including death. These need to be clearly identified in my Person Centred Plan. | ||
CSCI - National Minimum Standards Standard 12 Service users find the lifestyle experience in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. The routines of daily living and activities made available are flexible and varied to suit service users' expectations, preferences and capacities. Standard 11 Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. Care and comfort are given to service users who are dying, their death is handled with dignity and propriety, and their spiritual needs, rites and functions observed. |
Contractual Requirement. Service Users will be enabled to maintain the customs of their own culture, e.g., clothing, food, music, films, festivals and access to cultural events. Senior members of staff will take the lead on End of Life care within the home. In accordance with the `Liverpool Care Pathway'.
To update the staff group (via staff meetings) regarding future developments within caring for terminally ill service users and End of Life issues. End of Life care must whenever possible be provided to Service User within their own bedroom. Service User will only be moved into alternative accommodation after a full discussion with their Care Manager and/or their family /advocate. |
Method of Audit Service user's records / activity plan. Records of staff training and individual care plans where End of Life issues have been discussed. |
14) I want my own privacy, and to be treated with dignity and respect. | ||
CSCI - National Minimum Standards Standard 30 Staff are trained and competent to do their jobs. The registered person ensures that there is a staff training and development programme which meets National Training Organisation (NTO) workforce training targets and ensures staff fulfil the aims of the home and meet the changing needs of service users. Standard 10 Services users feel they are treated with respect and their right to privacy is upheld. The arrangements for health and personal care ensure that service user's privacy and dignity are respected at all times. |
Contractual Requirement. All staff will receive appropriate supervision, six times per year, where issues relating to service users dignity and respect are discussed and good practice in these areas implemented. Subject to the Home's risk assessment and the service user's wishes, the service provider will ensure that service users are able to lock their bedroom door.
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Method of Audit Inspection of records of supervision for individual staff. Service provider to supply documentary evidence that service users expressed wishes has been noted by the home. Where the service user lacks capacity to make decision for themselves, evidence that discussions have been held with the appropriate relative / care management worker etc. |
15) I want the people working with me to be skilled and equipped to deal with my specific needs | ||
CSCI - National Minimum Standards Standard 27 Service users needs are met by the numbers and skill mix of staff. Staffing numbers and skill mix of qualified /unqualified staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home at all times. Standard 36 Staff are appropriately supervised. The registered person ensures that the employment policies and procedures adopted by the home and its induction, training and supervision arrangements are put into practice. Standard 29 Service users are supported and protected by the home's recruitment policy / practices. Standard 28 Service users are in safe hands at all times. A minimum ratio of 50% trained members of care staff (NVQ level 2 or equivalent) is achieved by 2005, excluding the registered manager and/or care manager, and in care homes providing nursing, excluding those members of the care staff who are registered nurses. |
Contractual Requirement The home will have a programme of training accordance with the needs of residents. (e.g. dementia awareness, catheters care). Best Practice is for service user to be involved within the selection process. Potential staff will be invited to the Home and introduced to the residents. 50% of staff to have NVQ 2. |
Method of Audit Evidence of a pre-planned training programme in accordance with the home's objectives and the annual staff appraisal process. A record of any specialist training will be retained within the home. This record will identify the trainer and staff attending. Evidence of undertaking NVQ training to be made available. |
16) I wish to feel safe at all times. | ||
CSCI - National Minimum Standards Standard 17 Service users' legal rights are protected. Service users have their legal rights protected, are enabled to exercise their legal rights directly and participate in the civic process if they wish. Standard 18 Service users are protected from abuse. The registered person ensures that service users are safeguarded from physical, financial or material, psychological or sexual abuse, neglect, discriminatory abuse or self-harm, inhuman or degrading treatment, through deliberate intent, negligence or ignorance, in accordance with written policies. |
Contractual Requirements The Provider is required to comply With the `Isle of Wight Multi-Agency Procedural Policy for the Protection of Vulnerable Adults'. |
Method of Audit Copy of the Isle of Wight Multi-Agency Procedural Policy for the Protection of Vulnerable Adults' within the home and included with the home's induction and training programme. Records of assistance with any adult protection investigation as necessary. |
17) I want to be in control of my affairs and for my money to be looked after properly. | ||
CSCI - National Minimum Standards Standard 14 Service users are helped to exercise choice and control over their lives. The registered person conducts the home so as to maximize service users' capacity to exercise personal autonomy and choice. Standard 35 Service users' financial interests are safeguarded. The registered manager ensures that service users control their own money except where they state that they do not wish to or they lack capacity and that safeguards are in place to protect the interests of the service user. |
Contractual Requirements Financial records will be retained in accordance with the (NMS) and the Contractual requirements `Managing Service User's Finance' Appendix Three. |
Method of Audit Financial records and care plans. |
18) The Isle of Wight Council is seeking to promote the `E' Government Agenda over the terms of this Contract. | ||
Contractual Requirements. As part of its drive toward electronic business the Isle of Wight Council has published an e-Procurement strategy and is also implementing a suite of electronic solutions which will move the organisation towards carrying out its day-to-day procurement and payment functions and processes by electronic means. Therefore the Council is looking to suppliers to create a two-way electronic business environment/partnership, over the next 2 to 3 years, as part of their overall contractual arrangements. For example, the development of on-line information for service users and their carers seeking information regarding residential care. This would include: vacancies, price and enable an informed choices to be made prior to entering residential care. |
Method of Audit The methods of audit regarding the development of e-Procurement will be developed as part of the business development process over the next 2 to 3 years. Provider will have the opportunity to assist within the development of this on-line information system regarding details of their home(s). | |
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FOR OFFICE USE ONLY |
Date issued Date returned Swift Number |
Isle of Wight Council
Community Services
Self Assessment Form |
General Information |
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People aged 80 and over who pay for their own care can approach the Directorate for support with funding for their personal care, but provision will be subject to existing eligibility criteria.
What happens next? |
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Personal Home Care |
Personal Home Care services provide the essential personal care needed to support someone who wishes to remain in their own home. This may include matters of personal hygiene (washing or bathing) and dressing, help at bedtime or first thing in the morning. |
Signatures and Authorisation |
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This self assessment form is also available on request in following formats:· LARGE PRINT · Braille · Tape format · Video · Other languages |
PERSONAL DETAILS
Please enter the information requested or circle the correct answer
Title: Mr/Mrs/Miss/Ms |
National Insurance No: |
Surname: |
GP NameAddress:Phone number: |
First Name: | |
Date of Birth: | |
Address:Postcode:Home phone number:Mobile phone number: |
Consultant: |
Care Manager: | |
Religion: | |
Marital Status: | |
Ethnic Origin: | |
Do you live alone? YES / NOIf NO, with whom do you live? | |
Do you have a disability or long term medical condition: YES / NOIf YES, please give details, including how long you have had difficulties for: | |
Do you have a carer? YES / NO If YES, who?Carer Contact details:Name:Address:Home Phone number:Mobile Phone number: | |
Do you live with a person who has a disability or long term medical condition?YES / NOIf YES, please describe. | |
Are you a permanent wheelchair user? YES / NO | |
Have you fallen recently YES / NOIf YES, please state when and where. | |
PART A
Personal Care |
Are you able to use the bath or shower?· Without help · With some help · Completely unable to use a bath or shower Comments |
Are you able to wash yourself?· Just my hands and face · Need help with my back and legs · Unable to wash myself Comments |
Are you able to keep up your personal appearance (hairdressing etc)?· Without help · With some help · With a great deal of help Comments |
Are you able to dress yourself?· Without help · With some help (approx half unaided) · Unable to dress myself Comments |
Do you have any difficulty in using the toilet (or commode)?· Without help · With some help · Unable to use the toilet or commode Comments |
Are you able to feed yourself ?· Without help · With some help (cutting up food etc) · Unable to feed myself Comments |
Are you able to manage your own drinks?· Without help · With some help (to hold the cup) · Unable to manage drinks by myself Comments |
Are you able to manage your medicines?· Without help · With some help · Unable to manage my medicines Comments |
Communication |
Can you see? (with glasses, if worn)· Yes · Partially sighted · Unable to see at all Comments |
Can you hear? (with a hearing aid, if worn)· Yes · With difficulty · Cannot hear at all Comments |
Do you have difficulty in making yourself understood because of problems with your speech?· No difficulty · Difficulty with some people · Considerable difficulty with everybody Comments |
General Health |
In general, would you say your health is:· Excellent · Very good · Good · Fair · Poor Comments |
Do you wear dentures?· Yes · No Comments |
Do you eat a special diet?· Yes · No Comments: |
Do you have any problems with your feet?· Yes · No Comments |
Do you have any trouble sleeping?· Yes · No Comments |
Do you have any continence problems (urinary and/or faecal)?· Yes · No Comments |
Do you have any difficulty with your memory?· No difficulty · Some Difficulty · Considerable difficulty Comments |
Emotional Health |
Are you basically satisfied with your life?· Yes · No Comments |
Are you afraid something bad is going to happen to you?· Yes · No Comments |
Do you feel happy most of the time?· Yes · No Comments |
Do you feel lonely?· Yes · No Comments |
Domestic |
Are you able to do your own housework (cleaning and laundry) ?· Without help · With some help · Unable to manage my housework Comments |
Are you able to prepare your own meals?· Without help · With some help · Unable to prepare my own meals Comments |
Are you able to go shopping?· Without help · With some help · Unable to manage my own shopping Comments |
Are you able to manage your own gardening?· Without help · With some help · Unable to manage my own gardening Comments |
Mobility |
Are you able to walk around indoors ?· Without help · With some help · Unable to walk around indoors Please state any equipment usedComments |
Are you able to walk around outside?· Without help · With some help · Unable to walk around outside Please state any equipment usedComments |
Are you able to manage stairs ?· Without help · With some help · Unable to manage the stairs Comments |
Are you able to move yourself from bed to chair if they are next to each other?· Without help · With some help · Unable to move myself from bed to chair Comments |
Safety |
Do you feel safe in your own home?· Yes · No Comments |
Do you feel safe outside of your home?· Yes · No Comments |
Do you feel threatened by anyone you have contact with ?· Yes · No Comments |
PART B
1. Personal Home Care |
Do you currently receive personal home care?· Yes · No If `Yes', do you think you need more personal homecare hours?· Yes · No If `No', do you think you need to receive personal care hours?· Yes · No |
If already receiving personal homecare, please answer the following:-How many hours per week personal homecare do you receive?At what times of day and on which days of the week do you receive a personal homecare service?Please give us any other details about the personal home care that you wish to. |
2. Other Services |
Do you currently receive any other support services?· Yes · No .If `Yes', do you think you need more help to live independently at home?· Yes · No If `No', do you think you need to receive additional support?· Yes · No |
If already receiving any other support services, please answer the following:-How many hours per week additional support do you receive?At what times of day and on which days of the week do you receive the service/ s?Please give us any other details about the additional services you receive that you wish to. |
PART C
Your Signature |
Please sign and date below to indicate that this form is a true representation of your personal circumstances and that the facts you have given are true to the best of your knowledge.Applicant's full name (in capital letters) ........................................................Applicant's signature................................................................................Date..................................................................................................... |
If you had help with completing this form |
If you had help completing this form, the person who has filled it in must sign and date the form below stating their relationship to the applicant, or your professional job title. Please provide your telephone number and give the reason why the applicant was unable to complete the form.Full name (in capital letters) ......................................................................Signature...............................................................................................Date......................................................................................................Phone number........................................................................................Relationship to the applicant......................................................................Reason why applicant did not complete the form .......................................................................................................................................................Is the applicant aware of the referral? ..................................................................... |
Your consent for us to contact your GP and other professionals |
It may be necessary for us to contact your GP / other professionals to clarify the information that you are providing. Please provide the name, address and telephone number of your GP below, and tick the box to confirm that you give us consent to do this.GP full name (in capital letters) ...................................................................Professionals name (in capital letters) ..........................................................Address ...........................................................................................................................................................................................................................................................................................................................Phone number:........................................................................................· I give my consent for information to be shared about me (please tick the box) |
Finished? Use this checklist to make sure |
| · Have you filled in all the relevant sections of the self-assessment form? · Have you signed and dated the form? Please return the form to us in the pre-paid envelope provided. |
Comments on this questionnaire |
We would welcome your comments on this form and how easy it is to complete: |