Formerly Northern Ireland Association for Mental Health (Niamh)

April 2016

Inspire Mental Wellbeing

Formerly Northern Ireland Association for Mental Health (Niamh)

Ballymisert Heights

STATEMENT OF PURPOSE

………….

24 Hour Supported Housing

Responsible Officer: William Murphy

Ratified by: ……………………………………

Review Date: 30th April 2017

INSPIREWELLBEING 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 center of all decisions relating to your life, to be nurtured and supported)

1. 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)

1. 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 center of all decisions relating to your life and to feel actively supported in the decisions you make)

Index of Contents

Page No

1.Introduction4

1.1Service Provider 7

1.2Scheme Manager8

2.Quality Assurance8

3.Number of staff, their experience and relevant qualifications11

4.Philosophy of Care12

5.Aims and Objectives12-13

6.Therapeutic Process13-14

7.Restrictive Practice14

8.Responsibilities 15

9.Referral Groups15-16

10.Status of the Housing Scheme17

11.Structure of the Organisation18

12.Volunteers19

13.Project Liaison Group19

14.Number of Residents to be accommodated20

15.Categories of Care20

16.Admissions Criteria20-24

-Referral and Allocation Procedure20-22

-Risk/Vulnerability22

18.Completing Reviews with Residents25

-Planning and Review Procedure 25-27

18.Arrangements for residents re social activities27-28

19.Arrangement in place for consultation with residents28

20.Storage and Administration of Medication 29

21.Fire Precautions and Emergency Procedures29

22.Arrangements for meeting resident’s Spiritual Needs30

Page No.

23.Arrangements for dealing with Complaints30-32

24.The number and size of rooms in the Housing Scheme33

25.Details of specific techniques used in the Scheme33

26.Maintaining Privacy and Dignity of Residents33

27.Leaving Procedure34

28.Transfer Procedure34

29.Record Keeping35-39

29.Date Approved40

30.Review Date40

1

Inspire became the new name for the Northern Ireland Association for Mental Health on 5th December 2016. Within Inspire, Beacon, which was the founding part, is now known as Inspire Mental Health. Inspire is one of the largest and longest established independent charities focusing on mental health and wellbeing services in Northern Ireland. The structure of the Inspire family is detailed below.

Our Vision: 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, floating support, community wellbeing (day support), advocacy services and specific projects such as family support. It is the largest part of the Inspire family and has recently expanded into Ireland.

Inspire Disability Servicesprovides support for people with intellectual/learning disabilities and complex needs in 6 residential services in Northern Ireland in Armagh, Antrim, Lisburn, Belfastand Omagh. In 2016 it has started to expand service delivery into Ireland.

Inspire Workplaces provides therapeutic support through employee assistance programmes, and specialist confidential therapeutic services delivered in a wide variety of organisational context across Ireland and into mainland UK.

InspireStudents 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 and individuals to thrive.

Addiction NI joined the Inspire family in July 2016. Addiction NI provides treatment and support for people who are dependent on alcohol or drugs. It is able to offer tailor-made treatment programmes for people with drug or alcohol problems, delivered in community settings.

Lady Margaret Wakehurst established Niamh in 1959. At the core of Niamh’s 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 has developed Mental Wellbeing Support services in towns throughout Northern Ireland. Inspire now has fourteen Day Community WellbeingCentre’s with approximately 1,000 members attending regularly. Over the years, Inspire 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 has been able to develop three Mental Health Support services with around 100 members, 10 twenty four hour Supported Housing Schemes with 100 residents, 9 non twenty four hour Supported Housing Schemes with approximately 90 residents as well as three Floating Support Schemes which provide support to 35 people. Alongside these schemes Inspire has also developed four 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 Workplace, students, knowledge & leadership, and community resilience 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 Workplace delivered over 18,500 support sessions to over 4,500 people.

Inspire disability joined the Inspire 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 residential care settings.

Partnership

Promoting honesty in all relationships internal and external.

Promoting partnership with service users, carers, volunteers, staff, health professionals and other external agencies in the planning, development, evaluation and monitoring of services.

InspireWellbeing provides ten 24-hour staffed schemes which are located in Belfast, Bangor, Antrim, Ballymoney and Cookstown. InspireWellbeing also provides 36 non 24-hour staffed schemes located throughout Northern Ireland. Supported Housing promotes social inclusion by providing a safe homely environment in which people are supported to develop their life skills and maintain their tenancies.

INSPIRE Supported Housing Services

A Safe Homely Environment

Resident’s own home
Integrated into the local community
Non-institutional
High standards in accommodation

Promotes Social Inclusion

Develop and maintain friendships
Local leisure facilities
Outreach activities
Social and Recreational activities
Educational opportunities
Opportunities for new experiences

Develops Life Skills

Cooking skills
Management of monies
Emotional wellbeing
Physical wellbeing

Supports Residents in Maintenance of Tenancies

Maintaining property
Relationships with neighbours
Promotes ownership and responsibility
Household and Domestic Payments

Provides a Range of Support

Individual Support Plans with Support linked to individual need

Beacon staff support

Links with statutory mental health services

Day support

Family and Friends

Ensure receive appropriate community support

1.1Service Provider

The provider is: - Inspire Wellbeing

Name: - Billy Murphy

Business Address: Lombard House

10-20 Lombard Street

Belfast

BT1 1RD

Company Number: ni 25428

Charity Number: xn 47885

NIAMH was founded in 1959

1.2Responsible Person

Billy Murphy Director of Beacon

Qualifications:

1986BSc with Hons in Psychology & Sociology

1991Masters in Social Work

1991Cert of Qualification in Social Work

1994Practice teaching Award

1999Mental Health Social Work Award

2005Post Qualifying Award in social Work

2008Diploma in Health & Social Services Management

2010Advanced Award in Social Work

1.3Scheme Manager

This is the name of the manager registered with the Regulation Quality and Improvement Authority.

The Manager Ballymisert Heights is:

Name: Mrs Lorraine Simpson

Address of Establishment: Ballymisert Heights

292 Holywood Road

Belfast

BT4 1SD

2.Quality Assurance

InspireWellbeing strive continually to maintain and improve on the requirements of the following quality assurance standards.

Charter Mark was awarded to NIAMH 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.

Investors in People Gold award 2013.

The EFQM Ireland Excellence Award was awarded in 2014.

CIPD Award for staff engagement 2014.

All staff involved in supporting and caring for service users undertake the “Induction and Foundation Framework” (IFF) within their probationary period. This course has been developed with and accredited by the Open College Network (OCN).

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

Annual inspections and unannounced visits to the housing schemes are completed regularly by Inspire 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 the 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.

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 andPublic 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. Inspire has a delegate responsible person to oversee RQIA standards and compliance within the organisation.

William Henry Murphy

Registered RQIA Responsible Person

Director of Mental Health Services

3.Number of staff, their experience and relevant qualifications.

The roles stipulated above require the staff team to be able to work under pressure due to the complexity of the service user’s needs and variable states of, health, risk and vulnerability. The staff team regularly liaise with the community mental health team and support the service users in attending the mental health out patients department.

4.Philosophy of Care

Ballymisert Heights 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

Ballymisert Heights as a supported housing scheme should aim 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 residents 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.

The aims will be achieved through the following objectives:

1. To provide support as appropriate to the level of need of each resident.

1. To target and maximise the abilities and skills of the Residents while recognising the need to give help and Support

1. To encourage tenants in taking on personal responsibility for their home and to develop routines in day-to-day life. Also to encourage tenants to initiate new activities in daily living, provide a degree of variety and a range of choice

1. To give tenants the opportunity to live in a supportive environment that reflects each person’s individual choice, abilities and needs.

1. To ensure that tenants 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.

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

1. To ensure that tenancy is available to all people from allethnic backgrounds and religious persuasions

1. To ensure that the staff are trained to display attitudeswhich are in accordance with the Inspire philosophy and have completed the Core Competence

1. To encourage tenants to develop appropriate links within their community and to utilise relevant community facilities

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

6.Therapeutic Process

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

i)maintain or improve self-care

ii)maintain or improve daily living skills

iii)maintain or improve social integration

iv)maintain a structure to their day

v)maintain or improve community integration

vi)encourage residents to take on the optimum level of responsibility in as many life domains as possible

vii)Encourage participation by the residents of the planning and implementation of their individual recovery support plans.

7.Restrictive Practice

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

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