Philosophy of Care

The Laurels' philosophy is founded on the premise that each person is an individual with different needs and interests. The Laurels actively encompasses individual values, beliefs and personal relationships. The aim and purpose of the Laurels is to promote a homely environment, which respects a person's wishes whilst meeting their physical, social, psychological, spiritual and developmental needs.

The Laurels embraces the four key principles of rights, independence, choice and inclusion which lie at the heart of the Department of Health White Paper 'Valuing People'. Promoting independence is a key aim of the Laurels. Although people's individual needs differ, the starting presumption is that of independence. The Laurels provides the necessary support needed to maximize this. Independence in this context does not mean doing everything unaided.

Choice is at the heart of a respectful approach. The Laurels believes that everyone should have a real say in where they live, who looks after them and the care and support which they receive. In other words, every one should be able to make choices. The Laurels provides the help and support necessary to be able to make these choices. The Laurels may facilitate a person to make independent choices by working in partnership with them, their families, the Community Leaming Disability Team, Primary Health Care Trust and independent advocates such as Carlisle People First, Age Concern, Patient Advisory Liaison Service (PALS) and the Alzheimer's Disease Society.

Every person has legal and civil rights. The Laurels is committed to preserving these rights. People have the right to express their opinions and where necessary the Laurels will help and support people do so. The Laurels will help people with the electoral process. The Laurels works in partnership with the person, their family, independent advocates, Primary Health Care Trusts and the Community Learning Disability Team to ensure that people can express their rights and these rights are respected. Thereby, treating people with respect and dignity whilst promoting choice and enabling people to express their opinions and have both civil and legal rights.

The Laurels respects the autonomous choices of people. To respect an autonomous person is to acknowledge that person's right to hold views, to make choices, and to take actions based on personal values and beliefs. The Laurels embraces their obligation to maintain a person's capacity for autonomous choice.

Every person has the right to know the name of their key worker and the name of the care worker caring for them during each span of duty. All planned care is changed to respond to a person's changing circumstances as necessary.

The Laurels strives to continuously improve the quality of their services and safeguard high standards of care by creating an environment in which excellence in care can flourish. The Laurels ensures that all staff are properly trained and supported in caring for people. The staff development programme equips social care supporters to practice safely and most importantly ensure quality care. Best evidence based practice is in place and social care supporters have the combined skills and experience to deliver care which meets a person's changing needs.

The Laurels works in partnership with those who reside in the Laurels, their families, social workers, occupational therapists, nurses and physiotherapists, Primary Health Care Trust, social services and independent advocates such as Age Concern, PALS, Alzheimer's Disease Society and Carlisle People First. Thus, an integrated approach to service provision is ensured.

The Laurels meets the standards outlined in the Care Standards Act (DoH, 2000) and the National Service Framework for Older People (DoH, 2001) Human Rights Act (1998) Disability Discrimination Act (1995) and Valuing People (DoH, 2001). The care which people receive reflects not only the expertise and experience of the social care supporters, but also best practice outlined within relevant clinical guidelines.

Needs Assessment and Individual Plan of care

Each person, prior to moving into the Laurels, will have their needs assessed and will be assured that these needs can be met, prior to their stay in the Laurels. The assessment covers the 'needs assessment' outlined in the 'Care Homes for Older People' (DoH, 2001) and includes personal care and physical well-being, diet and dietary preferences, social interests, hobbies, religion, culture, sight, hearing, personal safety and risks.

You will be invited to spend some time at the Laurels to help you to decide if you would like to move into the Laurels.

Your health, personal and social care needs are set out in an individual plan of care which has been generated from a comprehensive assessment. Your key worker, yourself, and where appropriate your family and representative, will draw up the plan of care. This care plan will set out the action which needs to be taken by the yourself and care staff to ensure that all your needs are met. It will also include a risk assessment with particular attention to prevention of falls.

Your individual plan of care will reflect relevant clinical guidelines produced by the relevant professional bodies concerned.

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