��ࡱ�>�� A C ����. / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ ��������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������q` ���bjbjqPqP N>::��7��������BBBB�
�
�
D�
$$$��$�~%��
���v'^�'"�'�'�'�5�Y6,�6b�d�d�d�d�d�d�C�h��ld��
�B�5@�5�B�Bd�BB�'�'�
y��G�G�G�B�B��'�
�'b��G�Bb��G�G
0��0
^�
��'j'�9�!�$�Cz��bn����0��.���F$����>��
F�(�6��:��GO=<�?2�6�6�6d�d�=Gj�6�6�6���B�B�B�B�
�
�
d�6���
�
�
6��
�
�
BBBBBB����WYLYE HOUSE
STATEMENT OF PURPOSE
Wylye House
27 Wyndham Road
Salisbury
SP1 3AB
TEL /FAX: 01722 338987
EMAIL: HYPERLINK "mailto:[email protected]" [email protected]
WEBSITE: HYPERLINK "http://www.five-rivers.org" www.five-rivers.org
CONTENTS
A Introduction
Mission Statement
Introduction to Wylye House
The Objectives of Wylye House
Philosophy and Values
Intended Outcomes
B Who is Wylye House For?
Age Range and Gender
Admissions Criteria
Admissions
C The Physical Environment
The Physical Environment
The Local Area
The Activities
D Quality of Care
Staffing
Staff Development
The Link Worker
The Therapeutic Team Approach
Staff Support and Monitoring
Supervision
Appraisals
�Other� Supports
Monitoring Systems
Management and the Staffing Structure
E Contact and Pastoral Care
Contact
Religious Observations
Consultation with Young people
F Person-Centred Care Planning
Care Plans
Reviews
Telephone
Allowances
Activities
Education
G Health and Wellbeing
The Health Care Plan
Personal Hygiene
H Safety
Adventurous Activity
Fire Procedure
Care and Control
Physical Intervention
Room Searches
Complaints
Bullying
Safeguarding Adults
I Anti- Discriminatory Practice
The Policy
APPENDICES
Appendix 1: Referrals
Appendix 2: Admissions
Appendix 3: The Staff Register
Appendix 4: Local Centres of Worship
Appendix 5: Contact details
A - Introduction
Mission Statement
Wylye House has been set up as a residential home for adults with a learning disability.
Wylye is registered in respect of Regulated Activity: Accommodation for persons who require nursing or personal care.
At Wylye House we work in partnership with Social Work Teams, families, significant individuals, health professionals, education workers and any professionals involved with the care, health and wellbeing of the service user group, to help them to achieve their full potential.
We encourage this by:-
Respecting their individuality
Encouraging clear daily routines
Encouraging achievable goals
Guiding/encouraging any personal/work commitments and supporting their efforts
Promoting choices so they are able to make their own decisions
Helping Service Users understand reasons for doing things
.
Introduction to Wylye House
Wylye House is part of Five Rivers Child Care Ltd.
We offer a care package within a supportive environment for medium and long term placements.
Wylye House provides registered accommodation for adults who will benefit from a clear and planned placement.
The Objectives of the Service that Wylye House Provides:
To provide consistent care through clear individual Care Plans, with a focused, person-centred approach and fully encapsulating the Supporting Peoples Framework.
To provide high quality activity and high standards of primary care within a safe environment.
To give service users a positive outlet for their feelings during times of distress.
To provide medium and long term, structured, planned placements.
To provide opportunities for service users to improve their self-esteem through achievements in regular activities, work places and educational settings.
To advocate for service users where this is required.
To help service users maintain positive links with their families, carers and other significant persons.
To provide an atmosphere of stability, pro-activity, enjoyment and fun.
Philosophy and Values
At Wylye House we believe that life change and development is always possible, by adopting a consistent shared approach enabling individuals to express themselves through individualised specific forms of communication.
Wylye House operates within a structured framework of specific, needs led guidelines and provides boundaries within a therapeutic and family like environment. All service users are valued.
Using this awareness, we work with service users to identify emotions and find more positive outlets for them. All should be given opportunities to be exposed to alternative ways of behaving and being.
It is essential that the environment we create is a safe one and we expect the full support of the referring agencies in this. This is especially important in terms of risk assessments for all activity / occupational routines where these are part of the service users individual programme. Where appropriate, service users are encouraged to develop responsibility for their own safety as well as the safety of others. Above all, we believe that it is important not to lose sight of the value of achievement, enjoyment and joy as change agents for their restorative ability. We encourage the use of creativity and fun and laughter in daily life as well as life experience. This is an integral part of the experience for all involved.
Intended Outcomes
It is expected that the home�s outcomes will be measurable in a number of ways: -
Through monitoring admissions against our criteria.
That discharges take place against the agreed plans.
Feedback is sought to measure the quality of the interventions made on the unit.
That the service users feel safe and cared for, whilst being encouraged to make
Choice�s
That the service users can manage to control their emotional behaviour in an accepted way with support from staff and other professionals
To encourage positive relationships with family/friends
Insight is gained into the benefits of further education or work .
The service users continue to be part of consistent and positive role models..
To enable all to live within a safe environment. And to gain experience of what will be expected of them in public
All service users will be given consultation questionnaires at regular intervals of their placement at Wylye House, in addition to an �exit� questionnaire which they are encouraged to complete. This will enable us to gauge their opinions of the placement and incorporate them into the development of the service.
B � Who is Wylye House for?
Age Range and Gender
Wylye House is for adults who have learning disabilities and / or display challenging behaviour patterns. Wylye House is for both males and females.
Admission Criteria
Adults aged between 18 and 65 on admission or moving towards adulthood
Learning Disability
Problematic (challenging) behaviour:
Aggressive
ADHD
Minor Offences
Self harm
Absconding
Aspergers syndrome or those with a diagnosis autistic spectrum.
A need to break a cycle of placement and rejection.
A need for long term placement.
Wylye House does not take the following admissions:-
Where there is evidence of psychosis, including drug and alcohol-induced psychosis
Clear evidence of where our insurers deem the risk of fire-setting to be too high
Life threatening violence precipitating the referral to the service
Section 53 offences � serious offences such as rape or attempted murder etc, which, if committed by an adult would attract a lengthy custodial sentence
Schedule 1 Offenders
Admissions
We encourage all placing authorities to visit Wylye House to see what is on offer. A visit to, or by, the Service User should also be arranged. A full exchange of information and a pre placement meeting are also essential for good planning.
We are not able to take emergency admissions at Wylye House unless we receive the required information relating to the Service User to enable us to complete an interim placement plan and risk assessment in partnership with the placing authority.
We are unable to agree or start any placements without the appropriate referral information.
The financial contract must be signed by a delegated representative of the local authority. (Please see Appendix One for full criteria of the admissions procedure)
All efforts will be made to ensure that the Service User�s admission is as well planned and as welcoming for them as possible. It is particularly important that agencies work together to remain centred in planning admissions, no matter what the timescale may be.
On admission the Service User will review with their keyworker the plans for their placement and expectations of them within the home.
An admission meeting will need to take place within seven days to review the Care Plan and to establish the agreed purpose of the placement and objectives for this.
We are able to work in participation with our head of therapeutic services Peter Kelly, B.Ed, DPSE, Dip Psych, UKCP/UKATC Registered Psychotherapist, regarding all who are referred to Wylye House to ensure therapeutic input into the placement plan of care.
C � The Physical Environment
The Physical Environment
Wylye House is situated on the outskirts of the cathedral city of Salisbury; there are numerous amenities close by including swimming, bowling and fishing. Within a short driving distance is Southampton, the New Forest and the south coast.
Wylye House is a three-storey house with a garden situated within a 5 minute walk of the city centre and offers excellent access to community based services and other local amenities.
The Service User will have their own room which has plenty of room for storing their belongings and treasures and we encourage them to personalise this space and make it their own, with the support of the staff. Staff will only enter this space with the Service User�s permission unless it is a rare occasion when we feel that they are unable to keep themselves safe. We will strongly encourage the Service User to keep this space clean and tidy themselves with as much support as they need.
D � Quality of Care
Staffing
Both male and female staff are employed at Wylye House. We believe that this enables the Service Users to form positive relationships where their experiences may involve a previous negative or possibly abusive relationship. Staff at Wylye House believes in positive role modelling for the Service User group.
All staff undergo the appropriate Criminal Records Bureau checks and are unable to work in the home until satisfactory disclosure has been obtained. Records of these checks are held within the unit staff personnel files and at the regional head office in Exeter.
The Wylye House team come from a wide range of backgrounds with a variety of qualifications and experience, all of which have demonstrated personal qualities appropriate to dealing with the nature of service provided for the Service Users. All staff go through an intense and carefully planned recruitment process to ensure, as far as possible, that those employed will best meet the needs of the adults in our care.
All adults are initially supervised on a 1:1 ratio. This will be reduced or varied dependent upon the plan of care and risk assessment agreed at the planning meeting statutory reviews.
This enables intensive therapeutic interventions within a safe but home-like environment to encourage the Service User to build appropriate trusting relationships with staff.
The Wylye House team work a rolling rota system. This ensures stability in the home, with less handovers, (a time that is often very difficult for our residents group to manage) and greater flexibility in the day. The shift pattern is subject to variance in accordance with the team-taking into account health and safety issues and best practice.
Staff Development
All staff under go a probationary period of twelve months. Probationary staff will be regularly assessed through two weekly supervisions, three months and six months reviews then 12 months appraisal as a means of identifying their suitability for the work, to acknowledge strengths and identify developmental requirements.
Failure to meet the required standards and competencies following appropriate support is likely to render the probationer unsuitable for continuing employment. Managers will ensure that all procedures are adhered to for all probationary staff
We ensure all staff commencing employment with Five Rivers undergo a full six month induction process which includes introduction to policies and procedures, understanding of roles and responsibilities and initiation into the training programme in place for all staff.
We are highly committed to the development of staff. Each employee has their own individual development plan which is revised at least annually. Five Rivers has a comprehensive training programme available to all staff, inclusive of all statutory required training (First aid, Food Hygiene, Physical Intervention, Safeguarding Adults, Physical support techniques, Health and Safety, Sexual Health Awareness, Drug and Alcohol Awareness)
Training is provided by a combination of external training companies and appropriately experienced/trained in- house employees. All care staff are required to register for and achieve the NVQ2 Health and Social Care. Five Rivers is a registered NVQ training centre.
For staff who have passed their probationary period successfully and who have completed their NVQ Level Two, additional training opportunities are encouraged in specialist areas, staff training delivery and A1 / A2 assessing.
The staff team consists of people who come from a broad range of life experiences and have a variety of interests. All our staff are committed to the service that we provide and we encourage staff to contribute to the development of the business and the services that we are able to provide for the adults in our care.
The Key Worker
Once a Service User has been allocated a place at Wylye House, they will be matched with an individual Key Worker. Care is taken to ensure that the match of Key Worker to resident reflects their presenting needs whenever possible. This may, for example, include the need for a Key Worker of the same gender or cultural background. However, this relationship is not considered exclusive and encouragement is given to form positive relationships with all members of the staff team.
The Key Worker has a particular role within Wylye House, to advocate on behalf of the Service User and to assist in supporting the staff team to identify appropriate resources and carry out the person-centred Care Plan. This will include information being shared with the outside agencies and individuals concerned with the Service User, ensuring health checks are carried out, religious observances are facilitated and educational requirements are met.
The Key Worker along with the Registered Manager ensures reports are prepared at the agreed level of frequency; this can be as often as weekly, but no less than monthly. The placing authority will be asked to agree on a reporting frequency in the planning meeting and this will be specified in the Placement Plan. The Key Worker also attends all meetings pertinent to the Service User and will produce an end of placement report that covers all aspects of the Service User�s placement. All Key Workers work closely with the Registered Manager in order for them to receive the support they require in their direct work with the Service User.
The Therapeutic �Team� Approach
It is recognised that it is vitally important that the team functions cohesively, that challenging behaviour exhibited by individuals can at times be too much for staff to bear alone and that it is only when the team operates effectively that they can withstand the behaviours of individual service users..
The team work closely with our head of therapeutic services Peter Kelly, B.Ed, DPSE, Dip Psych, UKCP/UKATC Registered Psychotherapist. He provides support and guidance to the manager and team through regularly arranged meetings. He enables the team to identify particular behaviours, analyse them and develop strategies to support the adults to manage them. This will form part of the behaviour management programme.
Further to this, all staff under go CRISEES (Creative Rapid Intervention Strategies for Emotional Support) training with Russell Henderson M.N.C.P. This is a new and innovative method of physical intervention, focussing on deflection, distraction and diffusion techniques with the benefit of disengagement and physical supports including the standing wall support and the floor supine support. Russell is currently aiding the development of the CRISEES management policy and assisting teams to develop behaviour contracts with service users and behaviour management plans in liaison with Peter Kelly.
Any further specialist needs are identified in partnership with Peter and he will produce reports and written guidance, as appropriate.
The Wylye House team focus strongly on their handovers in between shifts and these are highly structured so that the observations of the Service Users and their behaviours are handed over in addition to practical matters that also may need attention. Where necessary, these handovers also form an important part of communication with the aforementioned specialists.
Wylye House also ensures that it works closely with the professionals, family members, other carers and any significant others that are involved in the care of the Service User. This increases the strengths required to work with difficult and challenging behaviour patterns where these exist.
Staff Support and Monitoring
At Wylye House we believe that all service users are entitled to the highest possible standards of care, both emotional and physical. As a consequence we have a number of systems in place to support our staff.
Supervision
All of the staff at Wylye House are supervised fortnightly for the first six months of employment then on a bi-monthly basis thereafter. Staff are expected to attend supervision and to use it constructively
A supervision agreement will be drawn up and signed by both the supervisee and the supervisor.
Supervision will be held in a conducive setting, it is protected time and not interrupted.
Both parties are to come with an agenda.
Discussion points, actions and timescales are recorded.
Both parties will sign and date the supervision record and agree the next session date.
The form will be copied to each party and then filed appropriately.
Supervision records are confidential to the supervisee and supervisor. Only the Regional Manager and Managing Director have access to these notes. They will make up the core of the appraisal and are crucial to staff development.
Supervision records will form part of the quality assurance checks done by the Regional Manager and will also be checked by inspection teams bi-annually.
Supervision is used to discuss all of the recommended areas with in Care Standards as well as any additional agenda items raised by either party.
If there is an area of impasse or conflict within supervision, this should be bought to the Registered Manager in writing by either party or the Regional Manager if the case concerns the Registered Manager.
Specialised supervision may be necessary for some staff in some instances. The Registered Manager and/or Regional Manager will facilitate this.
Appraisal
All staff will be appraised annually after completing their twelve months probationary period; the appraisal will be planned and will be attended by the appraisee, the Line Manager and supervisor. Guidance for employees can be located within the company Policies and Procedures Manual.
The appraisal should be a positive process with thorough preparation. The Registered Manager will consult the following documentation in preparation of the appraisal:-
The employee�s job description � this defines the role and provides a good general framework.
Staff supervision records
Critical Incident Analysis � this enables examples of incidents dealt with by the appraised.
Training Records.
Any previous appraisals.
Other Supports
We hold regular, three weekly staff meetings can also double as team supervision/debrief if required.
There are handovers between staff at the end / beginning of each shift.
All staff have access to senior managers within the organisation.
Individual counselling and support can be made available. This is provided via the external team of consultant counsellors and psychotherapists who can be made available to staff if the need arises.
Wylye House runs an on-call support system alternated between the unit management team. In the event of an incident, the on- call person can be contacted for notification and advice. The contact details of the on call person are clearly displayed in the staff office.
Further to this, senior management (Regional Managers) also operate an on-call system for the use of the unit on-call.
Monitoring Systems
Independent Regulation 26 inspections are carried out monthly by an independent consultant employed by Five Rivers � Joy Kelly, who has a number of years experience in the field of social care. His reports are available within the home.
The home is also inspected and registered with CQC (Care Quality Commission). Copies of all inspection reports are available on request.
The Regional Manager conducts an intensive annual quality assurance of the home and copies are available on request.
Management and Staffing Structure
This is our current staffing and management structure at Wylye House:-
E � CONTACT AND PASTORAL CARE
Contact
Contact between residents of Wylye House and significant people in their lives is always encouraged and there is space within the home to allow this to take place with an appropriate degree of privacy.
All contact is reviewed as part of the admission risk assessment, early planning and Care Plans.
All contact must adhere to the plan of care agreed at the planning meeting. All visits should be pre planned and arranged, where possible. Every effort will be made to make visitors feel welcome at Wylye House and accommodate visiting times and needs. However we will also ensure that the routine of the Service User is not overly disrupted, in particular at important times of the day.
Refreshments are made available to visitors, including food, when a visit takes place during mealtimes.
Staff will supervise visits when required in accordance with the plan of care. For reasons of safety, all contact is logged on the Service User�s file with particular care taken in monitoring for undesirable and dangerous contact. Contacts may take the form of letters or phone calls.
All visitors to the home are asked to identify themselves before entering and adults will always take steps to verify identity if in doubt. All visitors are required to sign the Visitor�s Book on arrival and departure.
Religious Observations
All residents at Wylye House are encouraged and supported to pursue the religion of their choice. Staff are able to provide information about local centres of worship including mosques, temples and churches of different denominations.
Within the home, service users are given privacy and space to follow their religious beliefs, e.g. private time to pray is made available as well as the provision of relevant literature about different faiths. We are a multi-cultural organisation and every effort is made to reflect and celebrate our multi-cultural diversity within the home. Menus will reflect the different cultural tastes and individual dietary needs can be met. Staff are able to accompany service users to their chosen place of worship where this is felt to be necessary.
No Service User will be compelled to adhere to any religious teaching against his or her will, nor will they be compelled to attend any form of religious worship without their prior consent.
Consultation with Service Users
It is understood that a major part to play in challenging behaviour is the feeling of not being in control of one�s own life. In order to start the change in behaviour, we always encourage service users to be fully inclusive and take as active a part as possible in making decisions about all areas of their life and the running of the home.
Service Users are asked to complete consultation documents at regular intervals throughout their placements. They are encouraged to be as open and honest as possible in their feed back.
F - Person-Centred Care Planning
Person Centred Care Planning
All service users have regularly reviewed and updated Care Plans which begin prior to admission, based on the principles of person centred planning.
They take into consideration the views of the Service User, parents (where appropriate) and local authority and cover all the Service User�s stated needs and identify methods of achieving them. The Registered Manager and Regional Manager oversee all Care Plans. There are three stages to the Care Plan:-
1. The Placement Plan � this plan outlines the aims and objectives of the placement and never changes; it is developed at the Planning Meeting.
2. The Review Plan � this plan is amended following decisions made at the review.
3. The Daily Living Plan � this plan is the plan that tells the team how to care for the Service User daily in order to meet the aims and objectives laid out in the placement and review plans. It also contains the Service User�s comprehensive health plan.
Reviews
Statutory reviews are organised and chaired by the Service User�s local authority. We are proactive in ensuring that reviews are held on time in accordance with the Care Standards Act and with National Minimum Standards. We provide full and comprehensive reports, as required, and also regularly meet with the Service User�s Social Worker where this is possible, dependant on the length of placement.
The Service User is encouraged not only to take an active part in preparation for their review, but will be given help in completing their consultation document. Although service users are actively encouraged to attend reviews, the Key Worker will act as advocate for the Service User should they not wish to attend their review, their views will have been ascertained as far as possible prior to the event and will be recorded and clarified with the Service User. Internally, the progress of each resident is reviewed at team meetings and management meetings with the Registered Manager and Regional Manager.
Telephone
Wylye House has a mobile handset for the service users to use when they are in residence to allow them to take private calls. All are free to make calls to Social Workers, professionals or help lines at any time. We do request that other calls are made after 6pm when the day�s activities and work are over.
When out on location, a mobile phone is used to receive and make calls to professionals and Social Workers.
Where required, a risk assessment on �use of the phone� will be compiled in conjunction with the placing authority and where appropriate the Service User.
Allowances
Prior to admission into Wylye House, a meeting is held with all concerned to determine how allowances are to be paid. At present, all Service Users are paid for by Social Services and therefore an allowance is paid out of Wylye House�s budget to the individuals every Thursday. There will be a selection of complimentary toiletries in the room for the Service User to use on admission, to avoid the embarrassment of them having to ask.
Activities
Service users are encouraged to pursue and develop interests/hobbies new and old, i.e. IT, local clubs such as snooker, badminton, football, horse-riding, swimming, bowling, walking. The city centre is within a five minute walk where you can also access a library, cinema, a bus station, train station to access further activities other local areas.
The activities that are provided are varied and diverse and are individual and specific to each Service User. A planned package of activities will be put together by the team at Wylye House and will be based upon the individual likes, dislikes and abilities of the Service User. We also work proactively to ensure education works alongside the activities; it is very often the case that the service users can achieve not only in the activities but also educationally - often without realising it.
Current Service Users enjoy various day care and work-related activities, i.e. Focus Point, Sarum Day Care, Trussel Trust and Burnbake.
Education
Salisbury College has a wide range of educational training for adults with learning disabilities. Also Elizabeth House, which is open in the evening as a social club for adults with learning disabilities, provides day time activities - for example I.T.
Additional opportunities such as first aid and activity qualifications can be gained by the Service User, all of which aim to increase their learning potential and self-esteem. The latter is important as many of the service users we work with are disillusioned about education and schooling and find conventional methods difficult especially whilst dealing with placement moves and their own behaviours and feelings.
G � HEALTH AND WELLBEING
The Health Care Plan
All Service Users will be registered with a local GP, dentist and optician upon arrival. Due consideration will be paid and supported to the Service User�s view on gender issues in relation to selecting a GP. Service Users are encouraged to maintain their regular health checks.
Every Service User will have their own individual health plan developed as part of the overall Care Plan covering all health needs including ongoing ailments, medication, routine vaccinations, diet, sexual health, smoking, drug use, alcohol, exercise and therapy.
All will be encouraged to develop an awareness of positive health promotion and healthy life style in order to enjoy a sense of emotional and physical wellbeing.
As part of the admission process, we will ensure that all available health information relating to the Service User is obtained and appropriately recorded. We have a �homely remedies� system within Wylye House which is passed to the GP at the time of the Service User�s registration appointment at the surgery. This ensures that we have a list of suitable �non-prescribed� medication that can be administered to the Service User when the need arises.
Up- to-date information on treatments, immunisations and history is vital for this service.
After each appointment, the details obtained will be recorded in the health section of their placement file and within the Care Plan.
The unit has a resource pack; this contains a range of educational health literature, which is available to all residents. They are also encouraged to discuss any health issues or concerns with staff. Advice and contact details of support networks are also available within the resource pack which addresses the risks of solvent, drug and alcohol abuse.
All health concerns will be addressed immediately and appropriate medical advice sought.
Wylye House will take care to ensure that all health information relating to individuals remains confidential and is shared on a need to know basis only with the Service User�s knowledge and consent.
The home receives advice from the local pharmacist on the handling and disposal of prescribed drugs and medications. The staff also attend training on solvent, drug and alcohol abuse and the administration of medication.
Wylye House aims to promote positive health care through diet and lifestyle, based on individual needs. Written records of significant illnesses, accidents or injuries to the Service User are kept in the home during their placement.
The service user group are encouraged to eat a balanced and healthy diet and are encouraged to plan menus and help to prepare their own meals. For service users from whom the plan is to move on to a more supported living environment, a clearer plan will be established in their planning meeting thus enabling them to gain independent living skills.
All medication is entered into a medical log on the Service User�s file. All medication is kept in locked boxes in safe, secure places unless it is deemed appropriate through risk assessment that the Service User can hold his/her medication.
A recent initiative within Five Rivers is the development of a Healthy Outcomes Person within the home. They form part of the Five Rivers Healthy Outcomes Forum Group in which ideas are developed to broaden the aspects of positive health in each home. Our HOCO (Healthy Outcomes Officer) has attended training on nutrition, useful in developing the menus. In addition, there is a comprehensive programme of specific training relating to a variety of health issues scheduled.
Any therapy needs identified or ongoing therapeutic treatment will be encouraged and supported in accordance with the health Care Plan.
Personal Hygiene
Service Users are encouraged to maintain their own personal hygiene. The Wylye House team are responsible for acting as role models to all service users placed with us and will actively encourage bathing at appropriate levels for the individual.
H - SAFETY
Fire Procedures
A fire system is installed within the home and is inspected regularly by qualified engineers. Should any faults be detected then they would be dealt with immediately. The home is also subject to checks by the local Fire Brigade.
There is a system for routine testing of the fire alarm on set intervals and all fire equipment is checked monthly by the homes designated Fire Officer. Routine drills are also held every three months
All service users receive a copy of the fire procedures on arrival at the home and this is discussed with them. They also receive fire evacuation instruction from the unit Fire Officer. All staff at Wylye House (including any sessional staff) are inducted into the home�s procedures and this is updated quarterly.
Wylye House ensures that drills are carried out in accordance with regulations and the needs of the unit. All equipment is tested on a regular basis in accordance with appropriate legislation.
In the event of a necessary evacuation of the home, we have a �crisis policy� detailing what to do and who to contact.
Care and Control
We recruit staff that have a genuine interest and vocation in working with adults with learning disabilities and the ability to form positive relationships. These relationships will be used as the foundation for working with the residents of Wylye House.
Staff are trained to diffuse and de-escalate aggressive and confrontational situations. This training is provided for all staff within the first six months in the form of a two-day physical intervention course and staff are expected to follow the company�s �Avoiding Holding� policy.
We understand that on occasions, service users will test the boundaries set by staff and that there will be times when control moves outside the relationship and appropriate sanctions may be required to correct behaviour. Service users are helped to maintain a positive and calm environment. There is an emphasis on the Service User reflecting on the consequences of their action or non-action.
We believe at Wylye House that the best form of control in terms of challenging behaviour is through the building of relationships with service users based on trust, created by consistent practice, mutual respect and understanding. All residents will be encouraged to develop their awareness of their own rights and their responsibilities towards others.
All staff are made aware of permissible controls and all consequences are recorded in the appropriate book, which is checked on a regular basis by the Registered Manager. All measures used are ability appropriate and meet the individual�s circumstances. Where possible we encourage our service users to reflect, negotiate and agree appropriate consequences with staff.
Often negative behaviour is a symptom of low self-esteem. With this in mind we aim to help our residents to build their self- esteem through a system of rewards for achievements.
Staff only use the following permitted disciplinary measures: -
Reparation
Restitution
Verbal Reprimand
Additional Household Chores where this is appropriate
Increased Supervision
Staff are trained and made aware of the following prohibited measures (National Minimum Standards � Care Standards Act 2000):-
Corporal Punishment (intentional application of force such as slapping, pinching, pushing, throwing missiles and rough handling)
Deprivation of sleep, food or drink
Restriction or refusal of visits or communication
Forcing anyone to wear inappropriate clothing
The use or the withholding of medication, medical or dental treatment
The use of accommodation to physically restrict liberty
Imposition of fines
Intimate physical searches
Examples of consequences may include: -
Accompanying a member of staff for a fixed period of time
Agreed deduction from allowances to repair damages (no more than two thirds)
Undertake a task to improve competency
All consequences reflect a relationship with the behaviour being corrected and are fully discussed with the Service User concerned.
Physical Intervention
Where a Service User is not able to maintain self-control or puts themselves or others at risk of immediate and serious harm, they will be prevented from carrying out such actions. This may involve holding or physically supporting according to permitted measures. We only use holds when a Service User becomes violent and attempts to endanger her/himself or any other person or risk of serious damage to property. It must be remembered that adults in care have often experienced touch in a negative context and this is borne in mind whenever staff are dealing with them. The use of holding or physically supporting is only used as a last resort when all other attempts to control a Service User have failed. All incidents where a hold or physical support has been necessary are recorded and state the following:
Why the holding or physical support was necessary?
How the holding or physical support was carried out?
Who held or physically supported the Service User?
How long the holding or physical support lasted?
Who was present during the holding or physical support?
During an incident of holding or physically supporting, the minimum force is used and the Service User is offered the opportunity to regain self-control i.e. by releasing them gradually.
All incidents of holding or physically supporting are recorded in a logbook at the home which is monitored by the Registered Manager, the Regional Manager and the local Ofsted inspection team. In addition to this there is a record placed on the Service User�s file and a copy is sent to the Social Worker.
All staff are trained in both avoiding and carrying out holds by an approved trainer under the BILD guidelines. Our current trainer is Russell Henderson. (Please refer to �Therapeutic� team approach, paragraph three). Staff understand that no form of physical punishment is acceptable as a means of control.
Unauthorised Absence
All service users placed at Wylye House have their own individual absconsion / absence plan as part of the overall Care Plan. This identifies what to do and who to notify in the event of the Service User absconding from the home or adult supervision. The plan is developed with the Service User, placing authority, family and any significant others and is based upon the risk assessment out come. Any unauthorised absence of a Service User is always recorded on their individual file and reported appropriately.
When a Service User returns, it is our policy to welcome them back, offer them refreshment and encourage them to talk with adults about why they left and where they have been. Unauthorised absences are monitored by the Registered Manager and are reported directly to the Regional Manager.
Complaints Procedure
Wylye House ensures that it takes every opportunity to promote service user physical and emotional needs and to build on their individual strengths. The ethos of the home is to treat each Service User who stays at Wylye House as an individual in their own right who deserves to be shown respect and dignity.
We ensure that within the home there are telephone numbers of help lines such as CQC local advocates and the local police station. These are pinned to the Service User�s notice board and are also held within their Welcome Guide.
All service users are given a copy of our Service User�s guide on admission, which explains the Five Rivers Complaints Procedure. Staff ensure that all service users understand how to make a complaint about their care or other matters.
In the first instance, any complaint will be dealt with by the Manager or her Deputy, who will attempt resolution. The Service User will receive an initial response within 2 working days.
Every complaint will be investigated and the Service User will be kept informed of the process. Once the Registered Manager has investigated the complaint fully, they will meet with the Service User. A written record of their findings will be given to the Service User and also kept in the unit. The complaint will be dealt with in the maximum guideline of 28 days. The placing authority and CSCI will be informed of the complaint.
If a complaint raises a safeguarding concern then the Safeguarding Adults Policy will be invoked, and supersede the Complaints Policy.
If the complaint is not resolved within the home or the complaint is about the Registered Manager, then a complaints form will be sent to the Five Rivers Complaints Person which is:-
Richard Cross
47 Bedwin St
Salisbury
Wiltshire
SP1 3UT
Tel: 01722 435750
Fax: 01722 435797
The company will also be able to appoint an independent person should complaints require further investigation by another party who is completely separate from the organisation.
Service Users or their representative may also contact CQC or their Social Worker. Should the inspecting team be unable to resolve the complaint to the satisfaction of the Service User and their representative then the Local Authority Ombudsman can be contacted at: -
Care Quality Commission�National CorrespondenceCitygateGallowgateNewcastle upon TyneNE1 4PA
Bullying
Wylye House and Five Rivers will not tolerate bullying by staff or any service users. We define bullying as: -
Any form of verbal or physical abuse
Punching, poking, hair-pulling, pinching, slapping, kicking, spitting, etc
Racist comments
Negative/ deliberately upsetting comments about an individual�s appearance, disability or sexual orientation
Any other name calling
Deliberate damage to an individual�s property
Deliberately isolating/ignoring individuals
Where there is a risk of bullying, the manager and staff team at Wylye House will carry out a risk assessment of times and places this is likely to occur. The staff team at Wylye House will deal with any allegation of bullying in the first instance. All details of any incident of alleged bullying will be investigated and all relevant findings will be recorded on an incident form and the Service User�s daily running log.
Support will be given to the victim and perpetrator where appropriate. Placing authorities will also be kept informed of any incidents of bullying, its pending investigation and its findings. If there is any safeguarding adults issue raised by an investigation in to bullying, then the �safeguarding adults� procedures will be initiated immediately.
Wylye House have a separate �Anti Bullying� policy in accordance with legislation.
Safeguarding Adults
All Staff within Five Rivers receive training in Safeguarding Adults which is updated at regular intervals in accordance with current legislation.
Five Rivers has a full and comprehensive Safeguarding Adults Policy. A copy of this can be obtained from the Registered Manager. Everyone employed by Five Rivers has a duty to report incidents / allegations of abuse whether internal or external which involves those individuals that we care for.
The home has a copy of the local Safeguarding Procedures manual, which is accessible to all staff. All staff are given procedures (in house) to follow and a summary of their responsibilities are listed below:
In all cases service users must be listened to. Any allegation will be taken seriously. Service Users must receive full support and protection.
In the event of any subsequent investigation, the service user will be kept informed throughout the process.
Five Rivers employees will act immediately once they are aware that a service user is suffering or has suffered abuse.
Staff must:
Inform the Registered Manager immediately (however if they are the subject of the allegation then the Regional Manager must be informed).
The local Social Services Safeguarding Team will be informed.
The local (placing) authority or EDS out of hours will be informed.
CQC will be informed by Schedule 5 (acts to protect at-risk care home residents) notification. Timescales and contact information for this is clearly stated in the �Safeguarding Adults� policy.
Staff will ensure that all information received is recorded with as much detail as possible. A full log will be kept of all contacts made and times conducted. Staff who suspect abuse will avoid asking leading questions. In order to promote the welfare of the Service User as paramount staff must ensure that they do not give inappropriate guarantees of confidentiality. Staff will sensitively inform the Service User that any information that they disclose will have to be shared with other people such as the local Safeguarding team and their Social Worker.
Any allegation made by a service user will be treated seriously. If a member of staff becomes concerned that senior manager or other parties are not taking the allegation seriously or are delaying an investigation, they must contact the local Safeguarding Team, CQC and the local placing authority.
I - Anti Discriminatory Practice
Wylye House has a copy of all the organisational policies and procedures, which are regularly reviewed and updated in line with legislative requirements and good practice guidance. These policies can be viewed within the home.
At Wylye House, service users should not be discriminated against for any reason.
Racist behaviour is not tolerated and any such behaviour must be challenged and dealt with.
Sexist attitude are challenged and discussed.
No pornographic material within the home and any books or pictures, which could be offensive to women or men, will be displayed.
Staff will not discriminate in their treatment of service users on grounds of their age, race, sexuality, colour, religious beliefs or other diversity.
Staff should promote an awareness and understanding of diversity
Stigmatisation of any adult for any reason is totally unacceptable.
Any instance of discriminatory practice will be dealt with in accordance with the Five Rivers disciplinary procedures.
Appendix 1: Referrals
All enquiries about the service in general can be made either to the house itself via the Registered Manager, Lucy Gallagher, or to our Exeter Office and to the Regional Manager, Sarah Stefano. We would then ensure that information was sent detailing our service via email, fax or post.
In addition to this, you are able to speak to our Placements Team on 01722 421142 or via HYPERLINK "mailto:[email protected]" [email protected]
We are happy at the point of enquiry to discuss at length any questions that a referring agency may have with regards to our service.
Type of Referrals
Emergency (looking for admission within 48 hours)
Short Notice (2-7 days)
Planned (over a week)
The following information is a guide for referring agencies and details clearly what type of information we require and in what quantity, to be able to assess the referral appropriately.
Emergency Referrals
We anticipate that some of our referrals will be made on an emergency basis, however, in these cases we must ensure that under no circumstances will a Service User be expected to be admitted during night-time hours, as we do not feel this to be in their best interests. To ensure a smooth exchange of information, our commitment is as follows: -
At point of referral (usually by telephone in this case) the referring agency will be asked pertinent questions centred around our admission criteria, such as:
Age of Service User
Reason for emergency placement, i.e. is this due to current placement breakdown or behavioural changes
Current behaviour patterns
Offending history, if any
Legal status
Placement objectives
Placement length
These questions will enable us to provide a swift response to referrers, which we appreciate, is imperative at these times. We would be able to immediately let referrers know if we cannot provide a suitable placement for the Service User, i.e. if they do not meet our admission criteria or if we feel we would be unable to meet their specific needs.
If, at this point, we feel that the information supplied indicates that the Service User does meet our admission criteria, we will then take the following course of action: -
a) The referring agency will be sent (via fax or email) our Referrals Form or �Essential Questions� and they will be asked to complete these with as much detail as possible and to supply any supporting documentation.
b) The referral will be passed to the Registered Manager, or in her absence the Deputy Manager. The referring agency will then be provided with the contact details for Wylye House.
c) The Registered Manager will then receive the information supplied by the referrers, which must include:
Full and complete Referral Form
Chronological breakdown of Service User�s history
Reason for referral with supporting evidence, i.e. incident reports
Current Local Authority Care Plan and Risk Assessment
Current LA Review Form
Any other relevant reports from other agencies involved, ie Psychiatrist, etc.
Has funding been approved?
d) The Registered Manager will then look through all the information supplied and at this point may need to speak to the referring agency to clarify any points or request additional supporting documentation.
e) The Registered Manager will discuss the referral with senior workers and with the Regional Manager and in addition to this Peter Kelly (psychotherapist) will be provided with a copy of the referral to make any recommendations.
f) As long as the Registered Manager is satisfied with the information received and is able to complete appropriate risk assessments for the placement, the referring agency will be contacted to discuss the admission process.
g) If admission has been agreed by the Registered Manager, the following will need to be established:
A planning meeting/review date will need to be set and agreed � this should take place no later than 1 week after admission.
That the review/planning meeting will discuss and record whether or not Wylye House is a suitable placement for the Service User. If it is felt that this is not the case then an action plan will have to be agreed at this point, in time to enable the Service User to move on with as little disruption as possible. It is hoped that if both parties follow points �a� to �f� stringently, this will not be a matter for consideration, as all parties would wish to avoid an unnecessary move for a Service User.
To whom the financial contract for the service will need to be sent to. The contract will need to be signed and returned prior to admission.
Who is responsible for medical consent and authorisation?; this must also be completed prior to admission.
h) As long as all of the above are satisfactorily met, the Manager will then put together the following: -
Initial Placement Plan - with objectives of placement, health needs and promotion care needs including safeguarding and promoting welfare, physical and emotional needs, educational needs and targets, cultural, religious, language and racial needs and how all of these will be met. It will also include leisure needs and contact arrangements with family, friends and significant others. This will be consistent with the plan received from the placing authority.
Initial Care Plan
Person Specific Risk Assessment, which will clearly detail from the information received what the risks are to the Service User to others, including health and safety issues.
All the above information will be drawn up prior to admission and will be working documents until the set and agreed planning meeting when the Service Users plan will be discussed and any changes that need to be made will be done so at the time of the planning meeting and agreed by all parties concerned.
Short Notice Referrals
We would expect that referrals made to us expecting an admission within a timescale of less than 7 days between point of referral and admission will be treated with the same procedure as Emergency Referrals.
The exceptions to this procedure will be as follows: -
1. That the Social Worker or Placements Officer will visit the unit, if this is possible.
2. That the Service User be able to visit the unit with the support of current carers or local authority representative.
3. That the entire staff team at Wylye House will be involved in a strategy meeting prior to admission whereby all working strategies and relevant administration and plans (Placement Plan, Risk Assessments and Care Planning) will be discussed in depth.
We would also insist that where possible, a planning meeting takes place prior to admission so that the placement can be discussed and planned and its suitability established by all parties.
If the above is not feasible, then the planning meeting will be held with all parties present within 72 hours of admission.
Planned Referrals
Where a referral is made to Wylye House looking for an admission date that is a week or more in advance, the following procedure will be followed.
1. The referral will be passed to the Registered Manager for action, if it has been initially made to the company head office in Exeter.
2. The Registered Manager will then liaise with the placing authority to ensure that all information is received (as per point �C� to �F� of the Emergency Referrals procedure).
3. Once an admission date and planning meeting date has been established, the Manager will then arrange for the Service User to visit with the Social Worker or current carers (overnight stays can be accommodated in this instance) or that the Registered Manager visits the Service User.
4. The Social Worker or Placements Officer to visit Wylye House, if this has to occur independently of the Service User.
5. A full in-house strategy meeting will take place with the Registered Manager and the staff team present. This will take place prior to the statutory planning meeting. This strategy meeting will cover the following: -
Allocation of Key Worker and initial and specific duties that is applicable to this role
Admission plans to make this process easier and informative for the Service User
Any specialist services required, i.e. therapeutic involvement and who is to be responsible for approaching and setting up this input
Any educational information/needs
Behaviours with strategies to be used
Risks involved in the placement and strategies for avoiding them
Absconding / absence Policy specific to the Service User
Medical and dietary needs and how these are to be met
Ethnic, cultural and religious needs and how these can be met
Contact issues
Length of placement and objectives to be achieved
6. After the Planning Meeting has been held, any amendments that need to be made to the Service User�s administration will be made in conjunction with the local authority Risk Assessments. Wylye House feels strongly that Service Users need to have clear sense of the planning process and, in our experience, placing authorities welcome assistance in making a planned move.
Moving On
With this in mind, Wylye House will expect regular consultation with the placing authority at every stage of identifying a suitable �moving on� placement for the Service User ready for when their placement with us comes to an end and will assist (as part of the contract) visits to a new placement, support for the Service User in the transition period and accurate recording and passing on of information to their new placement.
The plan for moving on needs to be clear - the Service User must have a clear sense of plans for their future. The Service User will be able to review with the staff the progress they have made and the steps they need to take to build on their success. The Wylye House team can maintain contact by agreement, where this is felt to be in the interest of the Service User.
Wylye House has a comprehensive discharge procedure that is held at the unit. This is available to adults/carers/parents and Social Workers. Wylye House has found through experience that placing authorities often require support when it is time for a Service User to move on. We have and continue to provide this in the form of concise reports to the identified new placement, verbal contact to answer any questions that may arise and organised contact visits to the new placement with support from key staff.
Appendix 2: Admissions
Once a referral has been accepted, the Registered Manager and the staff team will plan the admission.
Where the referral has been made on an emergency or short-term basis, an allocated staff member (ideally the Key Worker) will be assigned specifically to ensure that the Service User feels at ease. This staff member will go through the following on the day of admission:
1. The layout of the building and their own room.
2. Will provide them with the Welcome Booklet; this will detail what Wylye House expects from the Service User and what they can expect from us.
3. Will go through fire procedures with them at a level and pace they can relate to.
4. The Service User will be offered appropriate support from the Manager and staff present on this day and acknowledgement will be made that moving into any new residence is difficult and that they should feel free and able to ask questions and share how they are feeling.
Where referrals are made within a planned format, the above procedure will still take affect but the Key Worker will be the designated person on duty to go through all areas with them, aside from the fire procedures, which will be dealt with and introduced by the home�s Fire Officer.
It is also expected that the Service User will have been sent a copy of the Welcome Booklet and will also have visited the unit. Where these visits take place, a great deal of questions and concerns will often have been covered. However, it is expected that more will arise on the date of admission.
Appendix 3: The Staff Register
The Wylye House team consists of the Registered Manager, Deputy Manager, Senior Support Worker and five Support Workers.
Two staff work on duty at all times and one staff member sleeps in each night. Shifts start at 07.30 each morning and conclude at 22.30 each evening when the sleep in commences. The minimum staff employed within the home is seven including the Manager.
The Registered Manager will undertake some shifts, working within the unit on a regular planned basis or when the need arises through staff absences.
The Deputy Manager will undertake residential shifts on a planned basis.
Sessional workers form part of the rota on a regular agreed basis with additional hours negotiated in accordance with the needs of the provision. For example, where there are staff shortages due to annual leave and sickness and training, sessional staff will be used to cover any shortfalls in the rota. Rotas are planned a month in advance in accordance with legislation and as the placement will need to be structured and fully planned for the length of the placement.
All sessional staff will be entered into the staff register and will have been subject to the same checks as the home staff.
In the unlikely event that a gap in the rota can not be covered by either the Registered Manager or sessional staff, there is a reputable care agency who supply agency staff. We always try to use the same person to ensure the highest possible level of consistency thus reducing anxiety for the Service User. All the agency staff undergo the same checks as permanent staff. Their details are entered into the staff register along with their CRB number.
Name
PositionStart DateQualificationsExperience
Lucy Gallagher
Registered Manager
(39 hrs per week)
Jan 2001
NVQ 4
Registered Managers Award
City & Guilds Family & Community Care
10 Years working in Wylye House
8 years working with the elderly
Anita Ball
Deputy Manager
(39 hrs per week)
July 2002
NVQ 3
8 Years working in Wylye House
16 years working with the elderly
Anthony Roberts
Senior Support Worker
(30 hrs per week)
March 2001
Primary role in Wylye house Is dealing with Health and Safety, so lots of training in this area.
26 yrs in care
Jackie Small
Support Worker
(30 hrs per week)
April 2006
NVQ 3
20 + yrs working in care.
Dennis Chorley
Support Worker
(39 hrs per week)
Aug 2010
15 yrs in care
Lauren Bacon
Support Worker
(20 hrs per week)
Sept 2005
NVQ 3
10 yrs in care
Heather Oliver
Sessional
Aug 2002
Our induction package is in line with National Essential Standards and is available for inspection within the unit.
All staff will complete in their probationary year:
Basic Food Hygiene
Basic Health and Safety
First Aid at Work
Care and Control
Person Centred Planning
Deprivation of Liberty
Mental Capacity Act
Safeguarding
In addition, staff can attend day courses in the following areas throughout the course of their employment:-
PACE
Drug and Alcohol Awareness
Fire Marshall
Communication
Therapeutic Interventions
Leaving Care
Self-Harm
Advanced Safeguarding (Senior Staff)
Mental Health
Sexual Health
Routines and Boundaries
Development and Primary Care
Care Planning and Key Work
Sexuality
Loss, Transition and Attachment
Legislation
Introduction into Safeguarding
Human Rights
Group Living
Medication
Risk Assessments
Anti-Discriminatory Practice
Restorative Justice
Communicating Effective Behaviour
Diversity
Supervision
Therapeutic Communication
Depression in Adults
Healthy Outcomes
Nutrition
Eating Disorders
Sexually Harmful Behaviours
Anger Management
Report Writing
Complaints
Energy Psychology
Anti-Bullying
Appendix 4: Local Areas of Worship
Salvation Army: Salisbury
01722 322553
St Osmund Roman Catholic Church
01722 333581
Sarum St Martin Parish Church
01722 503123
Salisbury Methodist Church
01722 320858
Salisbury Cathedral
01722 555120
The Parish Church of St Thomas and St Edmunds
01722 322537
Salisbury City Church (Sunday Mornings)
01722 333351
Salisbury Baptist Church
01722 330033
Salisbury United Reformed Church
01722 326101
Downton Baptist Church
01725 510215
Elim Christian Centre
01722 559191
Appendix 5: Contact Details
If you require any further information regarding Wylye House specifically, please do not hesitate to contact:-
Lucy Gallagher
Registered Manager
Wylye House
27 Wyndham Road
Salisbury SP1 3AB
Telephone/Fax: 01722 338987
Email: HYPERLINK "mailto:[email protected]" [email protected]
For further information about our service please also use our web site at:
HYPERLINK "http://www.five-rivers.org" www.five-rivers.org
Responsible Individual � Richard Cross
Five Rivers Childcare
47 Bedwin Street
Salisbury
Wiltshire
SP1 3UT
Tel: 01722 435750
PAGE
PAGE \* MERGEFORMAT 42
Director
Of Five Rivers
Deputy Manager
Anita Ball
Bill Davidson
Line Manager to Wylye House
Senior Practitioner
Tony Roberts
Registered Manager
Lucy Gallagher
5 x Support Workers
"&').:[\]^vwxy������������˾����~��~o��[o[G[~�~'h�]�h�kS0J5�CJ,OJQJ^JaJ,&jh�kS5�CJ,OJQJU^JaJ,h�kS5�CJ,OJQJ^JaJ,hL(5�CJ,OJQJ^JaJ,#h�kSh�kS5�CJ,OJQJ^JaJ,#h�kShL(5�CJ,OJQJ^JaJ,h�kS5�CJ,OJQJaJ,hL(5�CJ$OJQJaJ$hG�hL(CJOJQJhG�CJaJhL(CJ8OJQJ^JaJ8"jh�Z0CJ(UmHnHsH u
"#$%&')*+,-.:JT\]^_vwxyz�������������������������������$a$gdG�$a$�-������� ! " 1 2 D ` ~ � � � � � � � � �
,
�����������������������
&F���`���
��
�����`���
&F���`���
��
&F
�8�$a$�� ! " 0 1 2 C D _ ` } ~ � � � � � � � � � � � � �����ݻ����vhYhYhYhYhY��hYhYhNhL(>*OJQJ^JhL(>*CJOJQJ^JaJhL(CJOJQJ^JaJhL(5�>*OJQJ\�^J#hL(5�>*CJOJQJ\�^JaJ hL(5�CJOJQJ\�^JaJh�^�OJQJ^JhL(OJQJ^J hL(5�>*CJOJQJ^JaJ!hL(0J5�CJ,OJQJ^JaJ,hL(5�CJ,OJQJ^JaJ,&jhL(5�CJ,OJQJU^JaJ,� � �
J
K
]
^
&(BC���������� !')*+�����������
����������ԧ��������ƕ�����v��������khL(5�OJQJ^Jh�,�CJOJQJ^JaJ hL(5�CJOJQJ\�^JaJ#hL(5�>*CJOJQJ\�^JaJ#hL(5�>*CJOJQJ\�^JaJhL(5�OJQJ\�^JhL(CJOJQJ^JaJ h�^�5�CJOJQJ\�^JaJ hL(5�CJOJQJ\�^JaJhL(OJQJ^J*,
;
J
K
]
^
g
y
�
�
�
�
�
�
�
%&BCKb������������������ּ��
&F ���F�^��`�F����;�^��`�;�gd�^�
&F
�p��U�`�U�
��
�����`���
&F���`���������������� !*+�����������ɻ�����
�������^��`�����^��
&F
������`���
��n���U�^��`�U�
&F
�p���F�^��`�F� ���;�^��`�;� ���F�^��`�F�+@Paw�����������������������������������Ⱦ�
$
�p���a$
�p���
&F
���`��� ���<�^��`�<�
&F
�.���<�^��`�<�
&F
�.��
!
"
#
C
D
E
k
l
m
�
�
�
�
�
�
�
�
�
�
�
������������������������
�8p�@��
��8p�@@��
��p�@��
���!p���
�����
#
.
0
C
E
O
Q
R
m
z
�
�
�
�
�
�
�
�
�
�
�
������������������v^P��F�h�)�OJQJ^JhL(5�>*OJQJ\�^J/hL(5�>*B*CJ$OJQJX�\�^JaJ$ph���,hL(5�B*CJ$OJQJX�\�^JaJ$ph���)hL(5�B*CJ$OJQJX�^JaJ$ph���hL(CJOJQJ^JaJ hL(5�OJQJ\�^JmH sH hL(5�OJQJ^JmH sH hL(OJQJ^JmH sH hL(5�OJQJ^JhL(5�OJQJ\�^JhL(OJQJ^J�
�
$���(,:FLde�����=>��?A����su��]^`w���X%��������������������쫸����������츫�hL(CJOJQJ^JaJhUp�OJQJ^JhL(>*OJQJ^JhL(5�OJQJ\�^JhL(5�>*OJQJ\�^Jj�hL(OJQJU^JjhL(OJQJU^Jh�)�OJQJ^JhL(OJQJ^Jh-�OJQJ^J1�������d�������������ʽ�����
�p���
�p����0�^�0�
�p����h^�h
�p���gd�)�
��p����h^�h
&F
��p�@��gd�)�
&F
��p�@��
��p�@���0����^�0�`���
��p�@��67��=>��@A�������Ʊ��p
�0������������W�]���^��`�W�
&F
�
0�����������W�]���^��`�W�
�0���������W�^��`�W�
&F
�
0��������W�^��`�W�
�8p�@���8^�8
�r�p�@�����]���
�0�p�@��
�8p�@��
�8p�@���`�`�`�A����tu��^_`v������������
�p���
�p����0����^�0�`���
���p������W�^��`�W�
&F
�
���������W�]���^��`�W�
�0��������]���
�0������������W�]���^��`�W�
&F
�
0�����������W�]���^��`�W�vwS!"����WX����f|�����������������Ƿ�gdUp�
&F$�����^��`���gdUp�
�h�����^��`���
&F$�����^��`���
�0�p��^�
�p���
�p������`���%|?y����G������= > I J N b � � � � � � � � � ����������������������~�p�b�T�j�hL(OJQJU^Jj�hL(OJQJU^JjrhL(OJQJU^JhRV�OJQJ^Jh�fOJQJ^JhL(OJQJ^JhL(5�>*OJQJ\�^J,hL(5�B*CJ$OJQJX�\�^JaJ$ph���)hL(5�B*CJ$OJQJX�^JaJ$ph���hRV�CJOJQJ^JaJhL(CJOJQJ^JaJhUp�CJOJQJ^JaJ|}@A����HI�������������䚔��
����
��
�h
&F$�����^��`���gdUp�
&F$�1������]�1�^��`���gdRV�
&F$�����^��`���
&F$�������]��^��`���
&F$�����^��`���
�h�����^��`����L M a b � � � � � � � !!+!,!l!�������͵�������
&F
�0����
�0��8����h^�h
�0�8�����^��
�0������h^�h
&F
�0����
�0������^��
&F
�0����
�0�����0��0�^�0�`�0�
����
��� � !!!!�!�!�#�#�#J&�&�)�)�)�)�)�)�)�)***�������糦���lU>糦�,hL(5�B*CJ$OJQJX�\�^JaJ$ph�,h�f-5�B*CJ$OJQJX�\�^JaJ$ph���,hL(5�B*CJ$OJQJX�\�^JaJ$ph���)hL(5�B*CJ$OJQJX�^JaJ$ph���hL(B*OJQJ^Jph�hL(5�OJQJ\�^JhL(5�>*OJQJ\�^JhS+OJQJ^Jj�
hL(OJQJU^Jj�hL(OJQJU^JhL(OJQJ^Jj� hL(OJQJU^Jl!m!�!�!�!�!�!�!�!M"N"�"�"�"�"~##�������ƽ�������
�0������h^�h
&F
�0�����]���
�0����������^��`���
&F
�0��
�0�����0�^�0�
�0����
���
&F
�0����
&F
�0����
�0������^��#�#�#�#�$�$�%�%�%�%�&�&�'�'"(#(�(�(�)�)�)�)**�*�*�������������������������
���gdS+
�0��^�
���
�0����
&F
�0��*P*Q*�*�*�*�*[+_+�+�+�-�-�-�-�-�-�-�-�-��������������kT=,hu�5�B*CJ$OJQJX�\�^JaJ$ph�,hL(5�B*CJ$OJQJX�\�^JaJ$ph���)hL(5�B*CJ$OJQJX�^JaJ$ph���hL(B*OJQJ^Jph�hL(5�B*OJQJ^Jph�h#^?5�B*OJQJ^Jph�h
Hh#^?OJQJ^JhL(OJQJ^Jh#^?OJQJ^Jh#^?h#^?OJQJ^JhS+5�OJQJ\�^JhS+OJQJ^Jh
HhS+OJQJ^J�*�+�+�-�-�-�-�-�-�-�-�-�-�-�-�-//0 0�1�1h2i233w4��������������������������
�0��^�
���
���gd#^?�-�-�-�-�1�1�1�1x4�45&5�5�5�6�8 ::J:K:�:�:;x;y;z;{;�<�<�<R>c>�>��ɿ����ɪ�������������{wn��a�W�h_TOJQJ^JhL(5�OJQJ\�^JhL(OJQJ\�hL(hL(B*OJQJ^Jph�hS+OJQJ\�^Jh� �OJQJ\�^Jh�n
OJQJ\�^JhL(OJQJ\�^JhS+OJQJ^JhL(OJQJ^JhL(5�>*OJQJ\�^J#hL(5�>*CJOJQJ\�^JaJ,hL(5�B*CJ$OJQJX�\�^JaJ$ph� w4x4�4�4�5�6�6�7�7�9�9�:�:y;{;�<�<�<�<�<�>�>z@�B�B�BC��������������������������
�0�����^�
�����]��
����>�>u?v?{?}?�B�BC CnDoD�D�D�E�E�F�FRKqKsK�K�K�KcLqL�L�M�MNN*N,NOO�O�O�P�PQQyR�R=S�S�SLTRUUUdUeU����������������������ĖĖĖĖĖĖĖ�����ҖhL(5�>*OJQJ^JhL(OJQJ\�^JhL(>*CJOJQJ^JaJh� �OJQJ^Jh�#�OJQJ^JhL(B*OJQJ^Jph�hL(5�>*OJQJ\�^Jh_TOJQJ^JhL(OJQJ^JhL(>*OJQJ^J2C CSDTD�E�ESHTH�H�HLJMJrK�K�KcLdLqLrLBMCM�M�MNN+N,N��������������������������
�0������^��
&F%
�0����
�0����,NdNeN�N�NOO�O�O�P�PQQ�Q�QxR�R�R�S�SLTMT���������������������
�0����W�^�`�W�
�0���^�
���
�0����
�0������^��
&F%
�0����MT�T�T�T�T$U%U8U9URUSUTUUUdUgU�U�UVV��������ƻ��������
���
�0�����0�^�0�
�0�����0��g�^�0�`�g�
�0�n���^��
&F
�0�n�
&F
�n
&F
�n
&F
�n
�n��^��
&F
�neUfUgUxU}U�X�X3Y4Y=Y>Y�Y�YbZ�Z�Z�Z�Z�Z[[ [)[+[,[������ܺҺ��ܺܫ��ܑ��kS/hs1�h�6&5�B*CJ OJQJT�^JaJ ph���/hs1�hL(5�B*CJ OJQJT�^JaJ ph���hL(CJ$OJQJ^JaJ$*jhL(OJQJU^JmHnHtH uhL(hL(5�CJ$OJQJ\�aJ$h�6&OJQJ^JhL(5�>*OJQJ\�^Jh�#�OJQJ^JhL(OJQJ^JhL(B*OJQJ^Jph�hL(5�OJQJ^JVYVZV!W"W/X0X�X�X�X�X�X�Y�Y7Z8Z�Z�Z�Z�Z�Z�Z�Z[[[�������������������������$
�0�����0�^�0�a$�^�
�0�����0�^�0�
���[ [!["[#[$[%[&['[([G[H[P[Q[\\\�\^ ^s^t^��������������ĸ�����
� 0�����^�
���
� 0�����^�
���gds1�
�����0���^�0�`��gds1�$
�0�����0�^�0�a$,[-[F[G[H[P[Q[s`�`\d^d_d�d�f�f�f�f�̲����ugR=R)h�f-5�B*CJ OJQJT�^JaJ ph���)hL(5�B*CJ OJQJT�^JaJ ph���hL(5�>*OJQJ\�^Jh))�OJQJ^JhL(OJQJ^JhL(>*OJQJ^JhL(5�OJQJ\�^J hs1�hL(CJOJQJ^JaJ2hs1�hL(5�B*CJ OJQJT�\�^JaJ ph�2hs1�h�6&5�B*CJ OJQJT�\�^JaJ ph���2hs1�hL(5�B*CJ OJQJT�\�^JaJ ph���t^�_�_q`r`s`�`�`yaza�c�c]d_dd�d�e�e�f�f�f�f�f�fng�h�������������������������
���
�0��^�
���
� 0�����^��f�f�f�f�f�f�g�g�j�j�j)l*l�n�n�n�n�o�o�p�p�pqqhqiqnqoqvqwq�q�q�qr�r�r�һ������������~�t���gZgZg�g�ZgZg��hs1�hs1�OJQJ^Jhs1�hL(OJQJ^Jh�r�OJQJ^JhL(5�>*OJQJ\�^JhL(B*OJQJ^Jph�hs1�OJQJ^JhL(5�OJQJ\�^JhL(OJQJ^J,hL(5�B*CJ OJQJT�\�^JaJ ph�,hL(5�B*CJ OJQJT�\�^JaJ ph���,h�f-5�B*CJ OJQJT�\�^JaJ ph���#�h�h�h2i3i�i�i�j�j�j�j�j)l*l�n�n�n�n�o�o>p?p�p�p�p�p�r��������������������������
�0��^�
�������^�`���
����r�r�r�rtt�u�v�v�v�v�v�w�w4y5yOyPyQyfygyz�z�{�{,|-|��������������������������
���gds1�
�0��^�
����r,s-sttDtGt�u0v1vCvDvEvIvovpv�v�v�v�v�v�v�v�v
wwJwKwSwTw_ww�w�w�w�w�w�w�w;x