At Langdale we provide professional nursing care to meet your medical and nursing needs.
In accepting residents with Nursing needs, we attempt to ensure that your personal care needs are met and we place emphasis on social and psychological care, nutrition, including maintenance of peg feeds and the care of diabetes, maintenance of skin integrity, promotion of continence and maintaining your independence, however limited. We have experience in dealing with residents requiring palliative care and in the maintenance of pain control.
To help maintain a high quality of residents care we constantly access other Health Care Professionals, i.e. GP, CPN, Dental Care, Physiotherapist, Dieticians, Speech Therapists, Nutritionists, Optician, Disablement Services, Macmillan Nursing Services and The Rowan Hospice, etc. We also have regular visiting chiropody and hairdressing facilities.
GP
At Langdale all residents are required to register with a GP in the Gosport area.
Skin Integrity
In order to promote skin integrity and to prevent pressure sores we assess residents prior to Admission and ensure that we can offer them the appropriate Pressure Relieving Aids from Day One of Admission.
This may necessitate the use of Airflow Mattress and Gel Cushions, and regular pressure relief for clients over a twenty-four hour period.
Care Plans
Care Plans are the basis for your health and care needs. They are kept in a coloured folder in your room which corresponds to the team you have been allotted – Garden Rooms 1 - 6(Yellow); Rooms 2 – 10 (Blue); Rooms 11 – 21 (Red) and Upstairs Green.
Our Care Plans are “holistic”, which means they take into account your physical, mental, social, psychological and pastoral needs. In other words, we look at you as a whole person, not just a medical condition. Care Plans are based on our assessment of you prior to your admission to Langdale. This was when we came to visit you in hospital or at home. This process allows us to know whether we can meet your health and care needs and if we need to purchase specialist equipment before you become a resident.
Care Plans are then written by a Registered Nurse with you to establish your care needs and to maintain your physical and mental activities and allow us to facilitate any social or religious activities you wish to pursue.
Care Plans are a dynamic document, which changes with you as your circumstances change for better or worse. Examples of issues addressed are washing and dressing; Continence/promotion and management; pain control; specific nursing actions, i.e. catheter care, peg feed regimes, moving and handling requirements and equipment, social issues and how you like to spend your day etc.
Also in your folder is a Medical Plan, which documents all the attendances by outside services – GP, CPN, Dentist, Optician, Dietician etc., etc. This then gives us a chronological history of events involving you and is a point of reference.
Nursing Assessment tools are also used and are kept in your Care Plan Folder. These are used to assess manual handling, dietary, oral and skin integrity care needs, which allow the registered nurses to access outside agencies if indicated.
Daily Report
You will notice the carers will write in your Care Plan folder regularly. This is the Daily Report and it is the Carers responsibility to document all care needs met during the day and night. This again, is a point of reference if there are any problems concerning your care.
At the front of your Care Plan folder is a personal Social Log, which we like family, friends, visiting clergy etc. to sign and comment on their visit. This in turn allows your family and friends to have a diary of who has visited, and to know how you are feeling and alerts them of any special concerns you may have involving your family.
On this log we also document any activities you have attended at Langdale. Again, this allows us to evaluate the service we are offering.
“THE CARE PLAN FOLDER IS CONFIDENTIAL & PERSONAL TO YOU!”
Therefore, you need to give permission to your family to access your documents. However the CQC have an open access policy and a right to read these documents when inspecting the home. This may be necessary to ensure that your care needs are documented, or should there be a complaint or concerns regarding your care within Langdale. At this time the Care Plans may be removed from your room for photocopying (should it be necessary for the CSCi to continue their investigations outside of Langdales’ premises, when the information may be shared with other agencies for the purpose of the investigation. Likewise Visiting Healthcare Professionals may have access to your medical history and Care Plans when called upon to advise on your care needs.
NHS Funded Nursing Care
(Registered Nursing Care Credits)
On admission we will apply to the Fareham & Gosport Primary Care Trust for an assessment to be carried out.
The Assessment will be carried out with the Residents consent, or that of their next of Kin. Yourself, your relatives, and/or your carers will have the opportunity to be involved in each stage of the assessment process if you wish and should you wish.
This will constitute a full and comprehensive examination of your health and social care needs carried out by a NHS registered nurse, who will be able to assess the extent of any registered nurse input required for your care, in conjunction with Manager and your personal Care Plan.
The assessment will usually fall within one of two categories, which will be either Medium or High. The assessment will usually take place within 2 – 4 weeks of your period of stay and will be paid to Langdale direct monthly in arrears.
In the case of self-funding residents, this will be credited against your agreed fees, monthly in arrears.
In the case of Authority funding, this will be paid direct to the home and will form part of the daily/weekly/monthly fee, which was agreed with the Authority from the outset.
Chiropody/Footcare
A Chiropodist/Footcare Healthcare Professional visits Langdale on a regular basis.
The Chiropodist/Footcare Specialist will have been trained through the SMAE Institute or through the NHS and is therefore qualified in the treatment of foot care and minor foot ailments such as corns.
We would encourage you to avail yourself of this service to ensure that your feet are maintained to the highest possible standards, and that any potential problems can be hi-lighted to the Nursing staff.
This service is not included in your Fees and you can either pay the Chiropodist direct, or charge it to the “home account” and we will bill you separately at the end of the month on your Sundries Account.
Dentistry
we are able to arrange an in house visit from the community dentist when necessary or you are free to make arrangements with your own dentist if you wish
Meal Times
At Langdale we know how important mealtimes are to you.
Mealtimes are displayed on the residents’ noticeboard thus:
Breakfast from 8.00 am to 10.30 am
Coffee time – 11.00 am
Lunch from 12.30 pm
Tea time 3.00 pm
Supper from 6.00 pm
Residents may request drinks and snacks at any time, subject of course to dietary restrictions for those on special diets.
As you can see, three main meals are offered each day Breakfast, Lunch and Supper.
Our Breakfast options are displayed in both of the Lounges and the Afternoon Staff will take your requirements for the following morning.
The weekly lunch and supper menu is also displayed in both lounges and runs for a six week cycle.
Lunch consists of a traditional home cooked main course with potatoes and two vegetables, followed by a traditional pudding and supper consists of a lighter meal and desert.
Alternatives are always available and we will liase through your carer as to your personal tastes.
We aim to provide as wide a range of foods as possible, but we are always happy to receive your menu suggestions.
Drinks are served at all meal times and may be requested at anytime.
Relatives are welcome at all meal times and are welcome to dine with you at a small extra charge, provided 48 hours notice in advance is given.
Finally, we like to cater for those special Birthdays and Anniversaries, so don’t forget to tell us about them so that we can make it an extra special celebration.
B.J. Kelly
Catering/Domestic
Manager
