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«Tel. (021) 4501201 Fax: (021) 4501619 Web: Statement of Purpose Service for Older People Registered Number - 582 1 Contents: PAGE ...»

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St. Patrick’s University Hospital (Cork) Ltd.

Curraheen Road, Curraheen, Cork.

Tel. (021) 4501201

Fax: (021) 4501619

Web: www.spmm.ie

Statement of Purpose

Service for Older People

Registered Number - 582

1

Contents:

PAGE STATEMENT TITLE

NUMBER

5 1 Contact Details

5 2 Name and address of the Registered Provider and Other Persons in Charge 6 3 Current Professional Registration, Relevant Qualifications and experience of the Registered Provider & Other Persons in Charge Other staff participating in the Management of St. Patrick’s 9 4 Hospital (Cork) Ltd 11 5 Registration Details Conditions Attached by the Chief Inspector to St. Patrick’s 11 6 Hospital (Cork) Ltd ’s Registration under Section 50 of the Act 12 7 The Maximum Number of Residents who can be accommodated in St. Patrick’s Hospital (Cork) Ltd.

12 8 The Maximum Number of Residents who will be accommodated at St. Patrick’s Hospital (Cork) Ltd in accordance with the information provided by the applicant under the Health Act 2007 (Applications for Registration of Designated Centre) Regulations 2009 12 9 Total Staffing Complement, in Whole Time Equivalents, for St. Patrick’s Hospital (Cork) Ltd. with the Management and Nursing Complements given by grade 13 10 Organisational Structure 14 11 Age-range and Sex of Residents for whom it is intended that accommodation should be provided St. Patrick’s Hospital (Cork) Ltd intends to meet the needs 14 12 of the following groups 14 13 The type of nursing care provided Criteria for Admission to St. Patrick’s Hospital (Cork) Ltd, 15 14 including the Hospital’s procedures for emergency respite admissions 16 15 Arrangements for residents to engage in social activities, hobbies and leisure interests 17 16 Consultation with residents on operational matters of St.

Patrick’s Hospital (Cork) Ltd 2

PAGE STATEMENT TITLE

NUMBER

17 17 The Fire Precautions and Associated Emergency Procedures in the designated centre 18 18 Arrangements for Residents to attend Religious Services of their choice 18 19 Arrang

–  –  –

 Uphold the uniqueness and individuality of each person  Strive to maintain the individual preferences of each resident  Provide care in a safe friendly environment in accordance with the Standards and Policies of the Hospital  Foster an atmosphere where respect and trust are paramount  Be creative in providing recreational activities for the residents, both within the hospital and in the wider community  Collaborate effectively as members of a multidisciplinary team to deliver high quality care to the residents  Foster an atmosphere of learning by supporting ongoing education for all ward staff and provide supervision and clinical teaching to Student Nurses and Fetac Level V Students on their placements  Promote among staff and students, an appreciation and understanding of the needs of older people in Ireland today.

The following outlines our philosophy of care:

Mission Statement

Our mission is inspired by Mother Mary Aikenhead and is as follows:

“We continue the healing ministry of Christ by our care for all entrusted to us;

We cherish the uniqueness and dignity of each person;

We value and foster mutual respect and understanding;

We endeavour to continuously improve all aspects of our mission.” The Statement of Purpose, together with our Information Booklet and Contract of Care aims to provide clarity and act as a guide to the services residents can expect during their stay.

–  –  –

Mr Kevin O’Dwyer CEO and Registered Provider of Care Ms Sarah McCloskey Director of Nursing and Person in Charge Dr. Tony O’Brien Consultant in Palliative Care

–  –  –

Date of Registration: 19th September 2011 Expiry Date: 9th September 2014 Conditions Attached by the Chief Inspector to St. Patrick’s Hospital (Cork) Ltd ’s 6.

Registration under Section 50 of the Act.

Condition 1 The designated centre St. Patrick’s Hospital (Cork) Limited shall be operated at all times in compliance with the Health Act 2007 as amended from time to time.

Condition 2 The designated centre St. Patrick’s Hospital (Cork) Limited shall be operated at all times in compliance with the Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2009 and the Health Act 2007 (Registration of Designated Centres for Older People) Regulations 2009 (as amended, consolidated, restated or replaced from time to time) and in compliance with all other regulations made under the Health Act 2007 as amended from time to time.

Condition 3 The designated centre St. Patrick’s Hospital (Cork) Limited shall be operated at all times in compliance with the National Standards for Residential Care Settings for Older People in Ireland (as amended, consolidated, restated or replaced from time to time) and in compliance with all other standards made under the Health Act 2007 and as the Chief Inspector may notify to the registered provider from time to time.





Condition 4 The designated centre St. Patrick’s Hospital (Cork) Limited shall be operated at all times in compliance with all other legislation, regulations and standards which are applicable to it including, but not limited to, such enactments which appear to the Chief Inspector to be relevant and which are cited to the registered provider in writing by the Chief Inspector.

Condition 5 Subject to any prohibitions or restrictions contained in any other condition(s), the designated centre St. Patrick’s Hospital (Cork) Limited shall be operated at all times in accordance with and shall provide only the services set out in its Statement of Purpose, as delivered and amended from time to time in accordance with article 5 of the Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2009 (S.I. No. 236/2009) (as amended, consolidated, restated or replaced from time to time).

–  –  –

Condition 7 The maximum number of person that may be accommodated at the designated centre St. Patrick’s Hospital (Cork) Limited is 63.

The Maximum Number of Residents who can be accommodated in St. Patrick’s 7.

Hospital (Cork) Ltd.

The maximum number of residents that can be accommodated in the designated centre Service for Older People is 63.

The Maximum Number of Residents who will be accommodated at St. Patrick’s 8.

Hospital (Cork) Ltd in accordance with the information provided by the applicant under the Health Act 2007 (Applications for Registration of Designated Centre) Regulations 2009.

The maximum number of residents that can be accommodated in the designated centre Service for Older People is 63.

Total Staffing Complement, in Whole Time Equivalents, for St. Patrick’s Hospital 9.

(Cork) Ltd. with the Management and Nursing Complements given by grade.

 Director of Nursing x 1  Assistant Director of Nursing x 1  A Medical Director provides medical care x 3 hours each day, Monday to Friday and is covered by a locum General Practitioner in her absence.

 South Doc Services provide out of hours cover.

St Camillus’ Ward

–  –  –

Porters / Maintenance/Gardening 5 Whole time equivalents (for Hospital and Hospice) Relief Staff are employed on a needs only basis – i.e. Staff Nurses, Health Care Assistants, Catering and Household staff.

Administration – A full time administrative secretary provides a service to the three wards and the Assistant Director of Nursing responsible for the Service for Older People.

Activities Nurse Co-ordinator provides a service for residents in all three wards. An activities health care assistant x 19.5hours and a Community Care FAS employee supports the service.

Pharmacy - A pharmacy service is provided within the hospital and hospice and in addition, medications are sourced from Leeview Pharmacy, Ballincollig, for residents and respite admissions who hold a GMS Medical Card.

Physiotherapy – Two Physiotherapists provide a 35 hour service to the residents (one whole time equivalent).

–  –  –

Residents admitted for continuing care and respite care are typically 65 years or over.

However, consideration will be given to individual requests for admission for people 18 years and over. We may be able to provide care for these people, after a pre-admission assessment. Such admission decisions will be made on an individual basis.

Residents admitted for Intermediate palliative care may be of any age (under or over 65years). Their needs and St. Patrick’s ability to address them, will be made again on an individual basis.

–  –  –

 Intermediate palliative care.

While the hospital, for the most part, provides care for people with a maximum and high level of dependency, we also welcome residents of all levels of dependency, i.e. medium and low, who choose St. Patrick’s as their place of care/place to reside.

13. The type of nursing care provided.

St. Patrick’s Hospital provides 24 hour residential and respite care needs for older people. In addition to caring for people who require a maximum or high level of nursing care, St.

Patrick’s can also provide care for those who have a dementia and are immobile. All residents are admitted following a pre-admission assessment. Their care will be continuously reviewed, i.e. to ensure we can fully meet the individual’s specific needs.

Care is provided by a multidisciplinary team that includes; a medical director, nursing staff, health care assistants, physiotherapists, an administrative secretary, an activities nurse manager, a pharmacist, catering and household staff. This care is also supported by a podiatrist, a dentist, an optical service and a hairdresser. All services offered are further enhanced by a team of volunteers who contribute in a very significant way. The nursing care provided is holistic and person centred in its approach.

Care is planned by a registered nurse with each individual resident. Care plans are commenced within 48 hours of admission and reflect the resident’s needs and requirements.

Care Plans are developed with the resident and/or with a representative for the resident if they are unable to co-operate with information sharing.

–  –  –

The majority of people admitted are in the high to maximum dependency category.

Admission of residents is in accordance with the hospital’s Continuing Care Admission Policy or the Respite Care Admission Policy as appropriate.

Continuing Care To be eligible for admission to continuing care in St. Patrick’s Hospital, residents must be over 65 years of age. See No. 11 above for exceptions to this criterion.

Both male and female residents with physical and/or mental infirmities are accepted in the hospital.

People seeking admission apply initially through the Nursing Home Support Scheme. A waiting list is kept of the names of people who have Nursing Home Support Scheme Approval and wish to become resident in St. Patrick’s Hospital.

Many of our continuing care admissions have been known to the hospital as they may have been previous respite admissions and therefore they and their needs are known to the staff.

For new admissions, a pre admission assessment is carried out and the enquiring resident is often visited in their place of care, in advance of any decision regarding their admission.

The Director and Assistant Director of Nursing together with the Medical Doctor concur and make the final decision regarding new admissions for continuing care. The Nursing Home Support Scheme office will provide the applicant’s pre admission assessment (Common Summary Assessment Record – CSAR) when requested by the hospital.

Visits from resident’s and or their families, prior to admission, are welcome by appointment.

Respite Admissions 18 beds are provided within the service for older people for respite care. These are planned short-term admissions usually of 1 to 2 weeks duration. St. Patrick’s is responsible for the occupancy of eleven of these beds by co-operating with the requests of; Geriatricians and Public Health Nurses. The Community Care Public Health Nurse Manager liaises with the hospital to fill five respite beds while the Geriatric Liaison Nurse from the Mercy University Hospital fills the remaining two beds. Direct applications from individuals for respite care are never made with St. Patrick’s. The person seeking respite, through their Public Health Nurse, makes applications for admission.

Intermediate Palliative Care Admissions

15 6 beds are provided for residents requiring intermediate palliative care. The residents are referred for admission with the approval of the consultants from the Marymount Specialist Palliative Care Service. All intermediate palliative care residents admitted are automatically referred to the Marymount Home Care Services for additional support for their specific palliative care needs, if warranted. Vacant intermediate palliative care beds may be offered to respite residents for short periods (average one week).

Emergency Respite Admissions

Emergency admissions can be accommodated if there is an available vacant bed. The admission is co-ordinated between the Public Health Nurse and the Person in Charge (their deputy) in St. Patrick’s. As much relevant information as is possible is sourced in advance of the admission, in view of the limitations of time and the emergency character of the admission.

15. Arrangements for residents to engage in social activities, hobbies and leisure interests.

St Patrick’s Hospital provides a weekly calendar/choice of events, outlining events both on and off the wards. This is organised by a dedicated Activities Nurse Manager and supported by an activity team, ward staff, VEC tutors & Volunteers.



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