SCOPE OF THIS CHAPTER

This procedure sets out the process to be followed when admitting someone to long term residential care.

1. Principles

Offers of residency should be guided by the following principles:

  • A full needs assessment and assessment of daily living skills must be completed which identifies that residential care is the most appropriate way of meeting someone’s needs;
  • The home must be confident that it can meet all of the care objectives identified;
  • Every potential customer or applicant should be viewed as an individual, taking into account cultural and gender issues in all aspects of care provided.  In deciding upon a possible offer of residency, discrimination of any kind will not be tolerated;
  • It is recognised that prospective customers may find the process of finding and moving into a new home traumatic, confusing and unsettling and therefore there is a need for staff to be supportive, sensitive and understanding throughout the process;
  • Prior to any move being made the prospective customer should have sufficient information available to them in order to make an informed choice regarding the home. This should include a service user guide;
  • The preferred way to identify and decide on the best residential care for an individual is to arrange an introductory visits and a period of trial residency.

2. Procedural Steps

Step Action By Whom
1. A written referral should be received from a Social Worker and should include a comprehensive needs assessment (including daily living skills, disabilities, relevant life history etc) and the Support Plan for the customer. Referrals should be made passed to the Registered Manager or deputy for consideration against the home’s eligibility criteria. If the customer is believed to lack Capacity to decide whether or not to enter residential care, an assessment of capacity should be made (see Mental Capacity Act 2005: Policy and Practice Guidelines (Including Mental Capacity Assessments)). If the customer does not have capacity, the admission must be shown to be in his/her best interest (see also Mental Capacity Act 2005: Guidance for Best Interests Meetings). Social worker
2. If the Registered Manager believes the residential home will be able to meet the needs of the customer and prior to any permanent admission being made, the Registered Manager will offer a 24 hour introductory visit. Such a visit should, wherever possible, include the following:
  • A lunchtime meal;
  • An evening meal;
  • An overnight stay;
  • A weekend stay;
  • An opportunity to meet staff and other customers;
  • An opportunity to view the room in which they would live.
Registered Manager / deputy
3. The potential customer or their carer should also be offered a chance to discuss with senior staff at the home exactly how the home will meet their needs. A keyworker should be identified and the person given the opportunity to discuss their needs and preferences with the keyworker (see Keyworker Procedure). Registered Manager / deputy
4. Customers or their carers should be shown the kind of records kept about the customers and the home’s policy on confidentiality and the safe storage of information (see Personal files: Guidelines for Secure Storage and Disposal Procedure). A photograph of the person should be taken. Registered Manager / deputy
5. All customers who complete a satisfactory introductory visit should be offered a six week trial placement to make sure the home can meet their needs and that it is the person’s choice. They will be provided with a contract which will specify which room they will occupy, the charges which will apply and any additional costs they will need to meet such as toiletries, hairdressing, chiropody. Their cash and valuables should be listed on an SSD 13 form and details of their safekeeping agreed. If they have no cash or valuables, a nil return should be completed. Their clothing and other possessions should be listed separately. Registered Manager / deputy
6. The person’s weight at admission should be checked and any dietary requirements listed and passed to the cook. Registered Manager / deputy
7. Any religious or cultural needs should be noted, together with details of how these should be met. Registered Manager / deputy
8. The person’s name should be added to the fire book and bed state SSD504 and the admission form completed. Registered Manager / deputy
9. Details of the person’s G.P. should be taken and consideration given to whether temporary registration with a local G.P. is needed. Registered Manager / deputy
10. Any medication should be booked in following the medication procedure (see Universal Medication Policy). Registered Manager / deputy
11. A case file should be opened for the person (see Case Recording Principles Procedure) and Carefirst updated. Registered Manager / deputy
12. The trial placement will be followed by a Case Review with all interested parties attending. The choice of keyworker will be confirmed, or will be changed if the customer requests this. Registered Manager / deputy
13. A Support Plan should be prepared in consultation with the individual customer, their relatives and carers and other health and social care professionals. This should be person centred and identify what is important to the customer as well as what is important for them and specify how services are to be delivered to meet the customer’s tastes and preferences. This should be a live document which will evolve and change over time. Keyworker / Registered Manager / deputy
14. Following completion of the six week trial period, if the customer wishes to live in the residential home permanently and the Registered Manager believes the home can meet the needs of the customer, an offer of permanent admission should be made in writing in the form of a contract which specifies which room they will occupy, the charges which will apply and any additional costs they will need to meet such as toiletries, hairdressing, chiropody. Registered Manager / deputy