Our new residential care home is taking shape

The Coach House will soon become a new residential care home and rehabilitation centre for 11 adults with acquired brain injuries. It is a two-storey building situated in the grounds of The Mews (one of our existing residential care homes) in Northampton, and after extensive renovation work it is now taking shape.

As it’s a listed building, we’ve been working alongside planners and conservation officers to ensure that we retain the integrity and character of the original building, while making it a modern, comfortable place to live. We are extending and renovating it to bring a run-down building back into use, which will provide much-needed accommodation and rehabilitation facilities for people with acquired brain injuries and complex needs.

Maintenance Manager, Dexter Griffin, is managing the project and the team of builders, contractors and specialist trades to ensure that everything runs smoothly and it up to the required specifications and standards.

We are including as many environmentally-friendly and energy-efficient features as possible within the care home. These include rainwater harvesting, and installing the system was a big project. Much of the work happened below ground as we had to dig a hole 5m deep and install a tank capable of holding 42,000 litres of water. The tank then had to be filled and settled before the rest of the hole was filled in. This was one occasion when we were grateful for some torrential rain! The system will collect water from the whole of The Mews’ roof as well as the Coach House, which will be used to flush toilets in both buildings as well as supplying the laundry rooms. In addition to being environmentally-friendly, we will achieve a return on our investment from reduced water and sewerage costs over time.

The roof and external structures are almost complete and we’re looking forward to the scaffolding coming down so we can have a better impression of what the finished care home will look like.

Dexter and the team are now working on the interior framework and services. The care home will have light, spacious bedrooms and communal areas with wide corridors to give a practical, relaxed and comfortable environment. We’ll keep you updated as the building progresses.

The extension of the new care home

Three new bedrooms in the extension, which will have their own individual terraces

Corridor in the Coach House

Corridors will be wide and light

Stonework

The stonework on the new part of the building will age to match the original

Registered Care Home Manager Jacky Johnson

We’re very proud of the multi-disciplinary team that we have at The Richardson Partnership for Care. The Registered Managers in particular, are hugely instrumental in delivering an excellent quality of life and successful outcomes for our service users. They perform their roles with dedication and professionalism, frequently facing challenging situations. We would like to highlight and celebrate these Managers, starting with Jacky Johnson, Registered Manager at 144 Boughton Green Road – a medium/long term home for 14 men who have acquired brain injuries and complex needs.

Jacky Johnson joined The Richardson Partnership for Care as a Registered Manager over seven years ago. She is a highly respected member of our multi-disciplinary team and we asked Consultant Neuropsychiatrist Dr Seth Mensah, who has worked with Jacky since 2016, to describe her. He said:

“I would like to single out Ms Johnson for the recognition of her professionalism, excellent leadership, hardworking attitude, positive commitment and dedication to, in particular, the residents under her care at the home.

“My very first visit to the Residential Home at 144 Boughton Green Road was in 2014 and I will never forget the very welcoming and warm reception that I received from Ms Johnson and her team. I immediately realised that this was a home unlike any other home outside of The Richardson Partnership for Care that I have visited in a professional capacity. The home felt nothing like the typical ‘institutionalised’ homes for those individuals living with intellectual disabilities and acquired brain injuries/complex neurodisability that one tends to still come across in the health and care sector. It most certainly is a place that I have heard the residents themselves feel proud to call their ‘home’ in their own words.

Leadership
“Under Ms Johnson’s leadership, a true visionary and reflective leader, the staff and carers at the home are fully supported and they feel valued and empowered to fulfil their functions and roles. This leadership style translates into a team of dedicated staff who are passionate about what they do, have an in-depth understanding of the organisational culture, fully subscribe to the vision of the organisation as a whole, and perform their duties to the highest standards of care.

“The home feels very homely and welcoming. The residents are very well looked after. Every resident has their own individually-tailored and thoroughly comprehensive care and treatment plan. Under Ms Johnson’s leadership, the carers in the home, whilst maintaining the appropriate standards of true professionalism, and embracing and practicing according to strict professional guidelines, have excellent relationships with the residents and treat them as though they were close family members. This is so endearing and always heart-warming to see, especially in light of the recent bad press that the care sector has received following the sad and unfortunate events surrounding the Winterbourne Care Home scandal.

“I have found Ms Johnson to be a skilled and competent manager, a very good listener who reflects quite deeply on all matters before she speaks, and especially so when dealing with complex matters; dealing with conflict and disagreement within the multidisciplinary team; and dealing with families, especially those who still need psychological and emotional support in their journey to coming to terms with their loved ones who are or have become residents in the home.

Compassionate approach
“Ms Johnson is the kind of manager who is both passionate about and compassionate in her role in caring for those under her care. There are numerous examples of situations where Ms Johnson has demonstrated true professionalism and positive leadership.

Ms Johnson’s selfless devotion to her chosen career, her in-depth experience and expertise in this field, her unquestionable ability to deliver (clinically and managerially) to the highest standards of care, her excellent situational leadership skills, her compassionate approach to caring for the residents under her care, her passion for prudence and excellence in the care sector, her warm and approachable nature, and her exemplary ‘man-management’ skills set her far apart from her peers. And I am sure that the residents and their families, and all the multidisciplinary team at The Richardson Partnership for Care would agree with me.”

Jacky has gained a Level 4 NVQ in Leadership and Management for Care Services and a Diploma in Brain Injury Awareness module. Jacky worked in children’s services for 14 years before transferring to adult services and she continues to maintain her registration as a Social Worker.

Alongside her role as Registered Manager at The Richardson Partnership for Care, Jacky is a MAPA (Managing Actual or Potential Aggression) instructor. She continues to strive to enhance her ongoing professional development with the use of Neuro-Linguistic Programming (NLP).

Jacky is a popular member of the team and her family is also a huge part of her life. She brings this emphasis on family life to the home that she manages, creating a warm, caring environment in which service users are respected, supported and valued.

We would like to thank Jacky for the hard work and dedication that she brings to the team and the positive impact that she has on all of the residents and staff at 144 Boughton Green Road.

Jacky Johnson

Jacky Johnson

The Mews rated ‘Good’ again in CQC inspection

The Mews, one of our homes providing residential care and rehabilitation for adults with acquired brain injuries in Northampton was once again rated ‘Good’ by the Care Quality Commission (CQC).  Following an unannounced inspection on 17 & 19 January 2018, The Mews was rated ‘Good’ by the CQC in all categories: Safe, effective, caring, responsive and well-led. We’d like to thank Registered Manager Helen Petrie and her team for maintaining its high standards, as well as always looking for ways to improve our service. You can read the details of the report below

The CQC reported the following:

“People’s individuality was respected and people continued to be treated with empathy and kindness. The staff were friendly, caring and compassionate. Positive therapeutic relationships had been developed between the people and staff.

“Detailed personalised care plans were in place, which enabled staff to provide consistent care and support in line with people’s personal preferences, choices and needs. End of life wishes were discussed and plans put in place.

“People continued to receive safe care. Staff were appropriately recruited and there were sufficient staff to meet people’s needs. People were protected from the risk of harm and received their prescribed medicines safely.

“The care that people received continued to be effective and positive outcomes for people were being achieved. Staff had access to the support, supervision and training that they required to work effectively in their roles. Development of staff knowledge and skills was encouraged. People were supported to maintain good health and nutrition and reach their full potential.

“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the home supported this practice. There was a variety of activities available for people to participate in, individually or as a group. Family and friends were welcomed and supported.

“The service had a positive ethos and an open culture. The provider was committed to develop the service and actively looked at ways to continuously improve the service. There were effective quality assurance systems and audits in place; action was taken to address any shortfalls.

“People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints that they may receive.”

Details of all recent CQC inspections in our homes.

Brain Injury Rehabilitation physiotherapy

Physiotherapy session for brain injury rehabilitation

Satisfaction survey: our care home residents

Adults with acquired brain injuries, learning disabilities and complex needs

In addition to surveying the families of service users in our care on an annual basis, we also complete a questionnaire with the individuals themselves, which asks specific questions about different aspects of their lives within the care home. They are asked to respond using a satisfaction rating of 0 – 4 where 4 is the most satisfied. All of our service users have complex needs and some are unable to answer the questions, so staff either help them to answer the questions or observe their behaviours to ascertain their needs.

The results from each individual are combined to give average scores, which are shown below. There are up to five questions in each section, so the totals show an indication of satisfaction in each area.

However, as every person is different, and has different needs, our approach is always individualised, person-centred care.

bar chart showing satisfaction survey results

Service user satisfaction survey results 2017

The following gives you more information about the specific areas covered in the satisfaction survey.

Know how to complain
This question assesses how well the individual knows what to do if they have a complaint. The average overall score across the homes was 3.63 out of 4. It excludes the individuals who were unable to understand the question.

People you live with
This is very important to all of our service users, and satisfaction ratings can vary according to the type of care home as stable populations with long term residents tend to have a higher satisfaction rating. The Mews, which focuses on short-term intensive rehabilitation for adults with acquired brain injuries, naturally has more of a changing population. This can affect the dynamics of relationships between the residents. We work hard to ensure that any incoming service users will not upset the balance in any care home and we continually review our admissions policy to ensure that we receive sufficient information in advance of a full assessment of any potential new residents.

There is very much a family environment within our care homes, and many strong friendships develop between individuals. However, like a family, it doesn’t mean that everyone gets on well with everyone else all the time. Therefore it is important that we focus on relationships between individuals and use mediation and psychology to manage any disagreements. As a last resort, we can move individuals into another of our homes but this is rarely necessary.

Decision making
These questions covered how involved people feel in decisions relating to their care plan and risk assessments as well as making choices in their everyday lives.

Staffing
These questions ascertain how well service users know the support staff in their home and how they feel that they are treated by them: whether the staff are approachable, as well as whether they would like to be involved in the interview process. Many service users said that they would not want to be involved, which has reduced the average score.

Food and drink
As well as being asked about their choice of food and their cultural needs, individuals were also asked about how involved they wanted to be in menu planning and food preparation.

Activities
Many of these questions were qualitative: describing current activities undertaken or potential new ones, so a numerical score was not given. The activities that we provide are very much tailored to the individual and if something is requested but not achievable or affordable then we explore alternatives.

Environment
These questions simply asked how satisfied service users are with the communal areas of the home, the garden and their room.

CQC Inspection for The Mews

An unannounced inspection took place at The Mews, one of our homes for adults with acquired brain injuries, in January. The Mews was rated ‘Good’ against all of the five key questions:  Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led? Additional evidence was obtained to produce a full report, which you can access here

The Richardson Mews

The Mews. The Richardson Partnership for Care

Feedback from Service Users’ families

At The Richardson Partnership for Care we strive to provide an open environment, welcoming feedback from service users’ families about the care of their loved ones. We also complete an annual survey, which provides family members with a more formal opportunity to tell us about their views on the care, support and rehabilitation services that we provide for adults with acquired brain injuries and learning difficulties.

The survey is entirely optional and consequently the number of responses can be quite small. However, we are very proud of the feedback that we have received.

100% of respondents strongly agreed or agreed with the statement:
“I am happy with the care provided”

100% of respondents strongly agreed or agreed with the statement:
“I feel that my relative is treated with dignity and respect”

100% of respondents strongly agreed or agreed with the statement:
“I feel that their quality of life has improved since they arrived at The Richardson Partnership for Care”

100% of respondents said that they would recommend The Richardson Partnership for Care

93% of respondents strongly agreed or agreed with the statement:
“The home has a warm, non-institutional feeling.”

93% of respondents strongly agreed or agreed with the statement:
“The home has an inclusive or family environment.”

We scored less highly on updating service users’ families with information – only 69% of respondents strongly agreed or agreed with the statement: “I am regularly updated with information.” This is therefore something for us to focus on and improve upon.

We were pleased to receive the following comments:

“All staff are great and some exceptional.”

“His life quality has improved considerably over the last 11.5 years. He lives in a calm, comfortable, caring, clean environment where he is encouraged to relax – waylaying his self-harm and anxiety”

“His life skills have developed from him being nervous and frightened to a confident and happy man.”

“Our thanks as a family for our daughter’s care and treatment.”

“He is very well cared for by professional carers who not only meet his needs, but work to challenge him to develop his social skills.”

We would like to thank all of the family members who took the time to complete our annual survey. If you would like any further information about our services, please contact us.

The Mews awarded 10/10 in Quality Checkers report

Voice Ability is an advocacy service providing independent advocacy for people aged over 18. The organisation supports people who use adult mental health care services with issues about mental health and social care.

Voice Ability also provides a quality checking service for a range of organisations including Northamptonshire County Council, the CQC and NHS Trusts. Their ‘experts by experience’ take part in quality assessments from a service user’s perspective.

Northamptonshire Quality Checkers recently assessed The Mews, one of our homes providing rehabilitation and residential care for adults with acquired brain injuries. Mike, the Quality Checker, had a look around the home and spoke with service users and staff. He said that he was made to feel very welcome, and the service users that he spoke to said that the house was very ‘homely’ and that the food was ‘delish’! They also told him about the activities in which they are involved: one service user does paid admin work at the home and another is starting a college course to study animals.

An area of key importance to Voice Ability is that service users have the freedom to make their own choices and are supported to take informed risks. The brain injury rehabilitation service provided at The Mews, aims to increase the independence of all service users and these elements of decision making are an important part of this rehabilitation process.

Mike also discovered that service users at The Mews have communication passports and hospital passports and that everyone has health action plans in their care plans. He awarded The Mews 10 out of 10 in his report.

We welcome independent assessments from all types of organisation, listening objectively to all feedback from third parties, service users, their families and our staff. We endeavour to continually improve the quality of life for people in our homes and the effectiveness of our rehabilitation services, wherever possible.

Bedroom at The Richardson Partnership for Care

A bedroom at The Mews

Wild Science brings some animal magic to The Mews

Wild Science, a specialist animal education group, brought some inhabitants of their ‘mini zoo’ to The Mews recently, where service users from all of our homes could take part in an ‘animal therapy’ session.

For service users who have mobility difficulties, or for people who would find visiting a real zoo an over-stimulating environment, the session presented an excellent opportunity to learn about some unusual creatures. It was a fun, engaging and fascinating afternoon for everyone who took part, providing close-up interaction with a wide range of different animals. These included a gerbil, a tree frog, a snake and a giant millipede, plus a pygmy hedgehog and a crested gecko, which were two of the most popular animals.

We learnt about all of the animals’ natural habitats and how they live. The Madagascan Cockroach was fascinating: we discovered that cockroaches have been around since the times of the dinosaurs, they can survive being frozen and can hold their breath for 45 minutes!

All of the service users were able to benefit from a new and rewarding experience and the joy of holding or stroking the animals was clearly evident for some people. In addition, simple interactions with animals can be a soothing and relaxing experience.

The ‘animal therapy’ session was part of a range of activities at our specialist residential care homes for adults with learning disabilities or acquired brain injuries. They are designed to provide a fulfilling and inclusive lifestyle and to assist in rehabilitation programmes.

Pygmy hedgehog

A Pygmy Hedgehog

A Madagascan Cockroach

A Madagascan Cockroach

144 Boughton Green Road regains Headway Accreditation

No two brain injuries are the same, as no two individuals are the same, so our specialist residential care homes need to cater for people with different needs. Service users may come to us several years after they have sustained a brain injury and after they have already had a period of acute rehabilitation. We continue their rehabilitation, working steadily and patiently with them to help them achieve their goals, recognising that it may take longer for them to reach their maximum potential.

Many of the service users at our home at 144 Boughton Green Road receive slow stream rehabilitation and long-term support. In 2013, the home received Headway Approved Provider status, following an assessment against a range of standards that reflect the specific needs of people with acquired brain injury. In June this year, Headway reassessed 144 Boughton Green Road and the home passed with flying colours. The accreditation has been extended by a further two years, subject to passing unannounced visits from Headway assessors.

Headway Approved Provider logoThe assessment process requires the home to demonstrate the provision of appropriate specialist care for people with complex, physical and/or cognitive impairment due to acquired brain injury. Headway has identified six key themes, or domains, against which it assesses the level of care provided as well as issues such choice and dignity of service users.

The domains are; Communication, Culture, Development, Governance, Quality, Environment (psychological/emotional) and Environment (physical).

144 Boughton Green Road received a rating of Good-Excellent in six of the domains, and a rating of Good in the seventh. Well done to all the staff who work very hard to continuously improve the service and support that we provide to our service users. They help them to maintain their existing abilities and to progress towards more independence, and acceptance, in a positive environment. The whole team at 144 Boughton Green Road contributes to providing long-term rehabilitation in a supportive and homely environment.

A living room at 144 Boughton Green Road

One of the living rooms at 144 Boughton Green Road

Care homes shine in independent feedback

At The Richardson Partnership for Care, we strive to have an open relationship with service users and their families so that they can tell us straight away if they are concerned about any aspect of their care or their home. We hold regular care reviews as well as completing an annual survey.

This year we have also encouraged service users and their families to provide feedback directly to the online directory carehome.co.uk. Our homes for adults with learning difficulties, 2 & 8 Kingsthorpe Grove, achieved a recommendation score of 9.6 out of 10 from the directory, and we are very proud of some of comments they received. For example, here is a comment from a parent of one of our service users with learning difficulties:

“Our son was taken in by Jayne Payne in 2009. He was in a terrible mental state, he’d been sectioned in Oxford in 2007 for violence, and he had always lived at home until then. Well, Jane and her staff worked and worked with him until he is almost like his old lovely self. They bring him home to us once a month on the Isle of Wight for two days and he looks forward to this as much as we do. We cannot say enough good things about the home: they saved our lives and our son’s. The medical care is fantastic and they are always loving and tolerant of our son, even on his bad days.”
Jane S

And this is what one of the service users had to say:
“I like it here, I am happy here and all of the jobs I do. I like the staff. I go out for drinks and meals out. I have had my bedroom painted. I like my bathroom. I like my lunches. It is a good place to live.”

Click here to see a summary of the survey results  or here to go to the carehome.co.uk directory

A collage created by service users at 8 Kingsthorpe Grove

A collage created by service users at 8 Kingsthorpe Grove