Professional Documents
Culture Documents
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2012 1 of 19
Introduction Green Light was established in 2009 to address shortfalls in autism care and support in Cornwall.
We now support people with: Autism Asperger Syndrome Epilepsy Learning Disability Prader-Willi Syndrome Associated Challenging Behaviour Respite or Short Stay - overnight, weekend or week-long support Personal Care - support to access community activities Supported Living & Domiciliary Care supporting people in their own homes Residential - Family style homes or flats with around-the-clock support Services available:
Background
June 2009 - Green Light is founded Vision, mission & business plan implemented Web based systems, policies & procedures developed Properties acquired & adapted to specification
October 2010 - Care Quality Commission Register Green Light as a Provider March 2011 - First customer March 2011 - March 2012 - Year One Create packages of support for 15 people with autism Open 4 new registered homes Create 60 new jobs
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 2 of 19
improving
friends.
experience
opportunities of the people we support. We care deeply about this; our work is never done.
fulfilment, at a pace that is right for each person and always with humanity and enthusiasm. Our neighbourhood - We see each home as part of
Our customers - We connect with, laugh with, and uplift the lives of our customers. beyond We start with the promise of It's really about human
We take our responsibility of being We will bring together and the community to We will take customers,
an improved life, but our work goes far that. connections. Our employees - For us its more than a job, its a shared passion. each of us and can hold be one Together, we We to will that embrace diversity to create places where ourselves. another always treat each other with respect and dignity standard.
Our stakeholders - We know that as we deliver, we will enjoy the kind of success that rewards all of our stakeholders, our customers, employees, shareholders and investors.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 3 of 19
Management Team & Locations Every service has a Deputy Manager and Registered Manager who report to the Managing Director, the Nominated Individual. The Regulator is; the Care Quality Commission (CQC).
Jo Pyrah - Nominated Individual & Managing Director Jo has extensive social care experience, from charity worker, team leader & behaviour specialist to service director for a large autism care provider. Jo trained in Operational Leadership & Management then Positive Behavioural Support at the Welsh Centre for Learning Disabilities. Call Jo to discuss existing or new services on 01209 200544 or 07545 150037 or email jo.pyrah@glpbs.com You can tweet him at @jopyrah
Following requests from local families and professionals we have extended our services to include personal care; care in the persons own home.
Including:
Supporting people with high-functioning autism, Asperger's Syndrome and challenging behaviour to access community-based activities from their own home - reducing social isolation and risk of neglect, etc.
Supporting people with a learning disability, autism and challenging behaviour to access community based activities from their own homes, including any personal care needs they may have during time away from home. This support is now provided to a number of young use people direct with autism, some of or whom payments, personal
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 4 of 19
Hannah Lake Registered Manager Fairfield House Bridge Portreath Redruth Cornwall TR16 4QG Catering for? Age range? Residential? Respite?
Joined
Green
Light
in
2011
with
over autism
10 &
years
experience needs.
supporting
adults
complex
Hannah is an experienced manager of specialist care services. Hannah trained in Care Management.
Autism & Learning Disability Currently 18 - 35 - young adults Yes - Can accommodate up to 3 young adults - small home Yes - A suite is available for young adults with compatible needs.
Personal Care?
Yes - individuals can be supported from the home to receive autism specific support with independent living skills, attend college, work placements and leisure activities.
Other information
The home was inspected & rated compliant in all essential standards in March 2012
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 5 of 19
Jan Hibbert Registered Manager September Lodge Wheal Hope Goonhavern Truro Cornwall TR4 9QJ Catering for? Age range? Residential? Respite?
Jan joined Green Light in June 2012 after 11 years with Action for Children where she specialised in advocating for children with autism. Jan has extensive business and management experience and longstanding experience of supporting children and adults with autism.
Autism & Learning Disability Currently 18 - 35 - young adults Yes - Can accommodate up to 5 young adults - small home & flat Yes - A room is available for young adults with compatible needs. stays to break up his commute to and from Truro college. school breaks longer stays are offered. For
example a young man with Aspergers Syndrome is supported for short During the
Personal Care?
Yes - individuals can be supported from the home to receive autism specific support with independent living skills, to attend college, work placements and leisure activities.
Other information
The home was inspected & rated compliant in all essential standards in July 2012. The team has worked closely with local health and social care A number of the team are professionals to support individuals with complex needs to return to Cornwall from out of area placements. Positive Behavioural Support trainers.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 6 of 19
Leanne Griffiths Manager Designate Littlecroft flats 1, 2 & 3 Rhubarb Hill, Holywell Bay Cornwall, TR8 5PT Catering for? Age range? Residential?
Leanne joined Green Light in October 2011 after managing community based services for a domiciliary care provider for people with complex needs. Leanne has a degree in social science and is currently studying Care Management.
Autism & Learning Disability Currently 18 - 35 - young adults Yes - Can accommodate up to 4 young adults - small home & flat
Respite?
Yes - A room is available for young adults with compatible needs. For example a young man with Aspergers Syndrome is During the school breaks longer stays supported for short stays to break up his commute to and from Truro college. are offered.
Personal Care?
Yes - individuals can be supported from the home to receive autism specific support with independent living skills, to attend college, work placements & leisure activities.
Other information
Littlecroft is a series of 3, two bedroom bungalows, offering the opportunity for people to develop independence with a safety net of support.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 7 of 19
Debbie Smith Registered Manager Bigwig House, Rhubarb Hill, Holywell Bay, Newquay, Cornwall, TR8 5PT Catering for? Age range? Residential? Respite? Personal Care?
Debbie
joined
Green
Light
in
April
2011
after
years
supporting & managing a service for young adults with autism & challenging behaviour. Debbie trained in Care Management.
Autism, Epilepsy & Learning Disability Currently 18 - 35 - young adults Yes - Can accommodate up to 3 young adults - small home No - the home is fully occupied. Yes - individuals can be supported from the home to receive autism specific support with independent living skills, to attend college, work placements & leisure activities.
Other information
The team has worked closely with families, Transition Social Workers, staff to community create nurses & Curnow packages & Doubletrees to support School young residential
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 8 of 19
Activities Cornwall is a perfect setting for our type of service, with opportunities for all types of activities, stimulation and exploration. their time varies from person to person based
Going bakers, activities, attractions, personal friends
their
wishes,
needs
and
preferences.
in the
Visiting and walking on beaches, countryside Shopping clothing, grooming products and other personal items
dressers, Doctors, Dentists Swimming/hydrotherapy community leisure centre Trampolining Going on holiday with staff or family Cooking, activities Watching programmes choice of videos, TV domestic and gardening
community tourist
i.e. conservation work local theme parks, zoos, Eden Project, Visiting Outwards take-away bounds cafes, activities, sit in
Massage & aromatherapy Art, painting, drawing, making things for friends and family Writing letters, post cards and sending birthday cards to friends and family Using public transport Attending social group activities, e.g. discos and karaoke with people of a similar age & ability Cultural beliefs - attending places of worship, expressing cultural or religious beliefs.
cafs, and choice of restaurants e.g. rock climbing, abseiling Going to the local bowling alley Personalising Entertaining and family Going for picnics in the park, on the beach, etc. Music sessions bedroom, and visiting lounge, buying posters, etc.
We frequently share how we are spending our time on our facebook page, twitter and via email with friends and families.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 9 of 19
Assessment Our services are based on an assessment of needs; allowing support to be tailored to specific needs. account of the following:
Health Medication Self-Care Sleep Pattern Nutritional Needs Environmental Needs Behaviour Mental Health & Requirements Emotional Requirements Sexuality
Cultural/Political Beliefs Social Requirements Communication Living with others Personal Relationships Family & Friends Leisure & Day Time Activities Independent living skills, including finances Community Access & Vehicle Use Educational/Vocational Needs
Referrals Referrals or assessments requests can be made by calling Jo Pyrah on 01209 200544 during office hours or 07545 150037 outside of office hours. Alternatively, you can complete this form http://goo.gl/lDKrp on our website.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 10 of 19
Transition Transition planning begins as services are agreed. These are individually designed accounting for personal preferences, expectations and the tolerance levels of the individual concerned. Information may be adapted to support any We have impact autism has on abilities, e.g. predicting and sequencing events. offered the following to people now being supported:
o o o Informal visits or trial stays Information in different formats Embedded YouTube videos tours of the home which can be shared by the person with current carers and family members for their views and opinions. o Message boards - allowing the person to ask questions and seek answers to queries. This allows o all involved currently and in the future to be literally 'on the same page' and provide a consistent reassuring response for the individual concerned and to all other stakeholders. o o o o On line transition plans - websites containing individualised transition information, communication diaries. Calendars - showing important events in the transition sequence to all involved, e.g. visits, overnight stays, meetings. DVD/Photo slide shows of the staff team and their roles. Maps - showing location of home and its relation to activities or locations that matter to the individual. Skype - tours/introductions to existing residents
Unplanned Accommodation Although we do not offer unplanned or emergency accommodation we appreciate there may be times when support is needed at short notice, e.g. a crisis occurs at home. persons so that needs, all are whilst supporting. compromise. In this case we will endeavour to assess and meet the respecting needs the needs of any and other are people met we are
Services offered at short notice will be reviewed earlier than usual assured are understood being without
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 11 of 19
Level of Support A service user plan or care plan will be developed by the manager based on information gathered during assessment - so support varies from person to person. The plan identifies needs and how support will be provided by the The team will be expected to operate from this plan and Wherever possible the individual will be included team to meet needs.
in the process of developing and reviewing this too. Team Profile The teams operating in the home work shifts so that support is in place 24/7 allowing for training, holidays and other absences. We have a small number of We have a relief employees who work with our full time team members to cover training, holiday and other absences and ensure good continuity of care. employees, usually referred by word of mouth. team during transition, so new people being relatively low staff turnover and a number of people waiting to join us as We provide pictures of the supported know who will be
supporting them and a little about our skills and experience. Key Workers Key Workers are allocated as an interface between the individual, their family, representatives valuable skills responsibilities, and and from the support team. to activity Often planning senior to support a workers range updating with of and experience logistical share, they undertake reviewing,
at formal meetings and training sessions and take on board the views of the individual and family in planning care and support.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 12 of 19
Quality Training The majority of employees joining us have pre-existing skills, experience and qualifications to in the social care profession. Many have previously worked together, including members of the founding management team. the profession are working social care. Training & Development Plan includes:
Green Light Induction Learning Disability Induction Award Autism Awareness Positive Behavioural Support - Practitioners Course - Initial Orientation/Physical Intervention/Functional Analysis of Behaviour) Equality, Diversity & Rights Infection Control Manual Handling First Aid Fire Safety Introduction to Health and Safety in Care Settings (including risk assessment and manual handling.)
Others newer
Diploma level 2 - 3 in Health & Social Care (relevant to job role) Communication Deprivation of Liberty Safeguards Mental Capacity Act Dignity in Care Epilepsy Awareness
Food Hygiene & Safety Diet & Healthy Eating Safeguarding Vulnerable Adults Managing and Safe Handling of Medicines Communication/Makaton Prader Willi Syndrome Awareness
In addition, each home has specifically tailored inductions and training reflecting the individual needs of the people being supported there.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 13 of 19
Positive Behaviour Support Employees is are trained by The in Positive Behaviour of Support (PBS) from Initial and Orientation to Practitioner Level using prospectpbstraining.co.uk This training accredited British Institute Learning Disabilities (BILD) comprises 1) to 2) below:
Title
1) Initial Orientation (one day)
Outline of content
Challenging Beliefs, Relationships, Risk Assessment, Positive Behaviour Support, Behaviour, Functions of Behaviour, Overview of Functional Analysis, Reaction to Crisis, Legal Issues & Physical Interventions
Builds on 1) Initial Orientation & Carer Experiences. Practice. Plans Risk Assessment.
Reflective
Normalisation/Social Role Valorisation. Functional Analysis. Person Centred Planning. Positive Behaviour Support
Includes everything in Initial Orientation & Practitioner plus teaching/presentation skills, supporting teams in their PBS approach. Supporting team meetings & bespoke interventions
A number of employees have been trained to 3) in service Trainer Level. These trainers train employees to Practitioner Level, debrief following events and support the development of Positive Behaviour Support Plans. also attend team meetings to train and advise the team on challenging behaviour and positive approaches to this. On-call Support The management This team offer to on-call be support for unpredictable and events but and can situations. tends telephone guidance support Trainers may understanding
occasionally include responding to situations where additional support is required by the team around the person. Psychology & Psychiatry Support Ordinarily this is provided by the NHS Community Learning Disability Team but this can, where requested, be sourced from a number of professionals we have previously worked with and who have expertise in autism. We offer this support 24/7 52 weeks a year.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 14 of 19
Siobhan Purdy - artist with autism shares her life experiences during our inductions. A video of Siobhan talking to our employees can be seen on YouTube at http://goo.gl/myb8Y
With longstanding reputations and experience we appreciate the need to recruit like-minded people with a sound value base and natural empathy with others. Registered Managers lead recruitment, ensuring potential employees demonstrate that they possess the necessary skills, experience and qualifications for the role in application and interview. Comprehensive job descriptions and person specifications are provided to potential employees. we require:
o o o Two references Evidence of qualifications Evidence of identity o o Full employment history Enhanced Criminal Record Bureau check
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 15 of 19
Quality Assurance We pride ourselves on being an organisation that listens. reports, surveys and informally through discussion with employees and professionals. We do so via reviews, customers, families,
collected by the Care Quality Commission during Compliance Reviews (inspections) of the homes and services and also from public comparison websites such as this one. Compliance Review (inspection) reports are available from CQC website or on request from Green Light Registered Managers. Were social Our Facebook page www.facebook.com/switchedoncare has grown quickly to reach over 7,000 people interested in or in some way affected by autism. This and our @autismcornwall twitter account has helped us connect with others, share and disseminate information about autism and helped us shape our service provision to meet local demand. We regularly introduce parents to one another to share experiences and to support one another.
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 16 of 19
Communication & Information Technology Recent advances in technology have helped us achieve unprecedented levels of openness and collaboration. of our approach. Information technology has become an intrinsic part We collect, organise and share information securely, with
relative ease, amongst ourselves and with those working with us. Individuals and their families can now be shared into previously inaccessible records. of these. They can, if they wish, contribute to the evolution and improvement As a result a sharing culture has emerged within the organisation, in It is now unusual for a day to pass
which customer achievements are shared - often in picture format - to be recognised by those we are working for. without employees sharing their achievements in this way or for these to go unnoticed by colleagues and family members. Compliments, Concerns & Complaints For ease of on use, line at our compliments, concerns paper and complaints can be procedure provided is on available http://goo.gl/Df33 copies
request from the Registered Manager or Key Worker. made to the Care Quality Commission:
CQC South West, Citygate, Gallowgate, Newcastle upon Tyne, NE1 4PA, email: enquiries.southwest@cqc.org.uk website: cqc.org.uk tel: 03000 616161
Cornwall Advocacy Woodbine Business Centre / Truro Business Park Truro / TR3 6BW Tel: 01872 242478 cornwalladvocacy.org.uk
People for
is by
peer
run
people to do
wherever
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 17 of 19
Legal Status
Green Light PBS Ltd. is a private limited company. are registered at Companies House. Registered Company Number: Directors: Jo Pyrah - Managing Director Geoff Billing - Director Cedric Derwent Director Nominated Individual: Registered Managers: Jo Pyrah Jan Hibbert - September Lodge Hannah Lake - Fairfield House Debbie Smith - Bigwig House & Little Croft Company Secretary: Jirehouse 8, John Street London WC1N 2ES Bank: HSBC Ltd. 17 Boscawen Street Truro Cornwall TR1 2QZ Accountants: John Girdlestone Waterside Court Falmouth Road Penryn TR10 8AW Solicitor: Greenways 19, St. Michaels Road Newquay Cornwall TR7 1LL Terms & Conditions Our services are subject to the following terms and conditions: Notice - we give and we require four weeks notice to end placements. Fees - arrived at individually following assessment. Payment - by BACS or regular bank transfer four weekly in advance Invoices - Raised for 'gross' amount. On receipt of any DSS benefit the customer is entitled to invoices will be issued 'net' and any overpayment credited. 06842869 Details of the company and its directors
Registered & Regulated by Care Quality Commission ID 1-142445096 Green Light PBS Ltd. 2012 18 of 19
Further Information To arrange a visit or find out more call Jo Pyrah on 01209 200544 or 07545 150037 out of office hours
Document Review First published 10 July 2010. Reviewed July 2011. Reviewed July 2012. Next review July 2013
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