ࡱ> ptowk 3bjbj:: ;~XubXub* ^^^^^rrr8>r'4:HHHk'm'm'm'm'm'm'$ *,'^HHHHH'^^4' H^^k' Hk' :g%,%fx,v% W''0'%R-2-%%-^&THH HHHHH''HHH'HHHH-HHHHHHHHH B $: TENDER SPECIFICATION This summarised Tender Specification has been drawn up to help Service Providers understand the key requirements of the service that is required including the volume and level of service. NAME, GENDER, AGE AND LANGUAGE: NAMEGENDERAGELANGUAGEMr JHMale32 years oldEnglish COMMISSIONING PARTNERS & FUNDING: E.G. HEALTH / SOCIAL SERVICES /SUPPORTING PEOPLE ETC, The service will be contracted by Conwy County Borough Council and funded jointly between the Local Authority and BCUHB (50% Health and 50% Social Services). TENANCY & ADDRESS Tenancy is with Housing Association (actual name of the Housing Association will be confirmed following contract award) Address: Colwyn Bay (actual address will be confirmed following contract award) PEN PICTURE/PERSONAL PROFILE AND CONSULATION Person centred profile separate. See attached. KEY INDIVDIUALS INVOLVED DAY TO DAY: Social Worker: TBC Advocate: TBC. Health: TBC CAPACITY OR REPRESENTATIVE INVOLVED IN THE TENDER: Mr JH does not have capacity to take part in the tender process, however, his parents (Dr H and Mrs H) are his representatives and both have Lasting Power of Attorney over Mr JH for property and finance , health and welfare. ESSENTIAL/SPECIFIC TRAINING REQUIREMENTS TRAININGPROVIDED BYEpilepsy training Specific Autism and knowledge of anxiety and OCD insight (specific to Mr JH) Medication (specific to Mr JH) including PRN. SALT (specific to Mr JH) Extensive shadowing timetable for all new staff including: Practical application of protocols, schedules, symbol use, wheelchair use, diet and day-to-day management of Mr JH. Behaviour Management Manual Handling Food Hygiene Health team Parents, Health team and Provider GP, Health team SALT, Health team, Parents, Provider. Parents and Provider (when experienced and competent staff are available to provide this). Health team; psychiatrist, community nurse, SALT and Complex needs team if required and the provider. Provider Provider SKILLS AND EXPERIENCE OF SUPPORT STAFF E SkillsExperienceWorking as a team and independently for the benefit of Mr JH. Good values and respect for individuals and their families. Ability to drive large vehicle. Ability to use electric wheelchair. Ability of follow protocols. Patience and Resilience. Working knowledge of and/or understanding of with people with autism and severe learning disabilities. Experience working with people who have extensive needs and who can present challenging behaviour. An understanding of anxiety and ritualistic behaviour/OCD.  STAFF TEAM REQUIRED The staff team can comprise of a mixed staff team including male or female support staff. Approximately 10 core staff, a combination of full and part time staff. Possibility of a separate Waking Night Team, if possible. The staff team should include a Senior member of staff who will have hands on experience and will be incorporated into the service. Robust Contingency arrangements for sickness, taking into account the need for staff to have extensive shadowing and be familiar to Mr JH prior to working with him. Due to the complexity of Mr JHs s need, the family deliver a period of shadowing and provide guidance to help staff gain the necessary skills required in respect of the protocols that are in place. The length of time required for staff to reach the level of competence to work independently with Mr JH will be confirmed by parents initially. It is important to ensure that the Provider is able to work with the family in undertaking the necessary shadowing period as long as is required and until the staff member has reached the required level of competence to deliver the service independently. SUPPORT HOURS: The support needs to be provided in accordance with the Care and Support Plan, risk assessments and protocols in place. 24 hour 7 days a week including waking nights 7 days a week. The familys preference is to have a separate staff team for waking nights. Additional 14 hours per week to provide 2:1 cover for Mr JH to access the community (2 hours per day). Parents cover two shifts 12:30-8pm Mondays and 9-5 Wednesdays thereby freeing up an additional 15.5 hrs to use for community access, shopping etc, household tasks. Mr JH is not able to be left alone or unattended at any time. Any staff breaks will need to be arranged during 2:1 staffing is available to ensure Mr JH is never left alone. Some of the usual models of support including promoting independence and Progression models need to be considered sensitively and are not entirely suited to JH. Whilst everyone would wish for JH to engage as independently as possible in the routines and structures of his life, the main focus in the home should be on caring and maintaining a good quality of life, ensuring that he feels happy and secure rather than trying to develop new skills (which causes anxiety). Targets should focus on meeting his daily living needs, outings and widening his experiences and opportunities, rather than new task-completion. A more goal-oriented life-enrichment model is needed in extending the range of activities and outings outside the home, which JH can access and enjoy is an area for development and would be welcome to improve his quality of life and wellbeing. DAY SERVICES AND WORK OPPORTUNITIES No day services in place, staff team are responsible for planning day time activities in the community in partnership with parents. Support required throughout bank holidays. NIGHT SUPPORT REQUIREMENTS Waking night support 7 days week. Familys preference is to have separate WN staff if possible. MEDICATION & assistance with meds Medication protocols in place. All staff need to be familiar with these and record appropriately on the charts. Staff are required to give Mr JH his medication; specifically following the protocol on a daily basis. At the time of writing Mr JH is given the following daily medication by staff: Epilim (Sodium Valporate) 4x500mg Leveritacetam 4x 250mg Ceterezine Hydrochloride 1x10mg Citalopram 1x 20mg Vitamin tablet He also has Buccal Medazepam, and Lorazepam and paracetamol available for emergency use. RISK ASSESSMENTS AND KEY RISKS Additional risk assessment has been written along with the care and support plan. Particularly: traveling in the car, using the wheelchair and bathing. COVID RELATED MEASURES General guidelines Drug or alcohol information. Mr JH does not drink alcohol or take any illegal drugs. TRANSPORT AND VEHICLE: Mr JH has his own mobility car that can accommodate his electric wheelchair. He does not require public transport but this would be an area to be developed in the future as part of a leisure activity. Mr JH requires staff to take him out regularly. DIETARY REQUIREMENTS Mr JH has a very specific and selective diet, which requires careful management and staff need to be fully aware and follow the Eating and Drinking protocol, which also includes Mr JH methods of communicating his choices. Support workers do not eat with Mr JH either at home or in a fast food restaurant. SALT has previously had input. Parents well qualified in this area. STAFF MEALS Staff to provide their own meals and follow advice around where food can be stored and how and when food can be prepared/cooked. Mr JH does not provide food for staff. FAMILY RELATIONSHIPS - Family relationship issues to be considered? Visits/regular contact? Mr JH has a very supportive and loving family. Mr JH parents are his advocates and representatives as his Power of Attorney for Property and Financial Affairs; and Health and Welfare. Mr JHs parents have regular family time with Mr JH; which is currently on Mondays and Wednesdays (approx. 15.5 hours in total) where hands on support is not needed for Mr JH from staff. This time can be used for staff to carry out shopping, training, activity planning etc, if required, which can not be done with Mr JH. This will continue. Mr JH parents are a part of the MDT and are involved in the overall care, planning and decisions around Mr JH care and support, activities etc. Mr JH visits with parents at their home approx. every 6 weeks and has stayed overnight at times. Mr JH has other family members he is in contact with, including a sister who he sees regularly. Parents undertake training of staff in the practical application of the protocols, symbol use, general management and interaction strategies before staff are left alone with Mr JH. This can take several weeks. Generally, parents monitor Mr JHs overall care but would like to delegate this to a trusted senior member of the support team. APPOINTEESHIP Parents (Dr H and Mrs H) have the Power of Attorney for Property, Finance; and Health and Welfare Mr JH parents manage his finances and affairs on his behalf in his best interests. Support staff manage day to day spending for activities, shopping etc, recording appropriately and liaising with parents over money Mr JH may need. IMPACT ASSESSMENT: N/A family and MDT involved in the decision making. CARE AND SUPPORT PLAN Care and support plan provided. Nursing assessment to be provided. Parents will provide copies of protocols as required MANUAL HANDLING Parents will provide copies of protocols as required. Protocols are in place to provide specific details about Mr JH mobility and how to support him in various settings. Mr JH has equinus deformity and walks on his tip toes. This impacts on his ability to walk distances and his balance. Mr JH is mobile within his home and walks bare foot. Mr JH can walk short distances and is supported using an electric wheelchair while out in the community. Mr JH needs supervision and prompting to step in and out of the bath safely and protocols are in place for staff to follow the specific routines and guidance. POSITIVE BEHAVIOUR SUPPORT Structure and consistency are paramount for Mr JH. His routines are very specific and any changes can cause him to become frustrated and anxious; which could lead to him becoming unwell. There are specific protocols for individual staff to follow for each activity of daily living. Parents will provide copies of protocols as required. Any new activities identified require a MDT, including family, approach to risk assess and develop a new protocol for all staff to follow. Any other specific contract / service requirements: Sufficient staff to ensure that staff are not doing long shifts resulting in burnout; Sufficient cover for holidays, sickness etc; Good period of double-up of staff each day to ensure Mr JH gets the opportunities for outings etc. A proper rota system where staff have clearly defined shifts. A senior member of the working support team. Daily log and records to be kept.      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