Hesley Village

For adults of 18 years and over, all of whom have a learning disability, often together with autism; and complex needs including behaviour which may challenge.

Specialist provider for young people and adults with autism and other complex needs

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Established in 1975, the Hesley Group provides flexible, specialist residential services and schools. We aim to offer the best possible care, education and vocational opportunities for young people and adults, often with autism, who have a learning disability and complex needs including behaviour which may challenge.

Hesley Village Hesley Hall Tickhill Doncaster DN11 9HH

Tel: 01302 866906Fax: 01302 869635 Email: enquiries@hesleygroup.co.uk Web: www.hesleyvillage.co.uk Referral Enquiries: 0800 055 6789

Hesley Group Comprises: Hesley Holdings Ltd. Registered in England No. 5150235 The Hesley Group Ltd. Registered in England No. 2665377 Registered office for all companies: Central Services, Hesley Hall, Tickhill, Doncaster DN11 9HH

Chief Executive Officer: Mr C McSharry

Image Disclaimer: Images which show individual’s faces within this document are taken from stock libraries and are not people placed within our services. They are for graphical purposes only.

Hesley Group Values

- Person-Centred - Outcome Focused - Quality Driven

The Hesley Group’s mission is to enable people with complex needs to achieve their full potential

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Contents Overview 5

Our Philosophy 5

The people who live at Hesley Village 6

Therapeutic Support 7

Active, Meaningful Lives 8

Developing Pathways 8

Reviews 8

Living at Hesley Village 9

Working Together 10

Quality Assurance & Policy 11

Location/Directions 12

The information in this brochure is correct at the time of print. The brochure incorporates information given to CQC in the complementary Statement of Purpose as set out in Regulation 12 and Schedule 3 of Health and Social Care (Regulated Activities) Regulations 2010. A copy of this statement can be provided on request.

Our philosophy is one of warmth, security, consistency,

understanding and trust.

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OverviewHesley Village is situated in open countryside within a large 100 acre site about two miles from the small South Yorkshire villages of Tickhill and Rossington. The service provides high standards of accommodation, personal care and support for younger adults with learning disabilities who often (but not always) also have an autistic spectrum disorder. We may occasionally provide services to young adults aged 16 or 17 who are in transition to adults services though generally we support adults aged 18 and above.

There are onsite facilities to support people with occupational and employment opportunities and transport to support people to access services and facilities locally. Hesley Village operates a residential model. Most people have single person accommodation although a small number of houses are shared between a maximum of three people.

We place a strong emphasis on supporting people to develop the skills which will allow them, where possible to lead more independent lives, to achieve social inclusion and to be involved in meaningful activity of their own choice. We aim to support people to reach their full potential by providing:

• High standards of individualised support through the development of person centred care pathways. We aim to ensure this is delivered at all times in ways that are aimed at achieving positive outcomes for people and that are fully compliant with Essential Standards of Quality and Safety (CQC 2010) and associated regulations through regular monitoring, review and consultation.

• Options for people to develop their life skills and access vocational and employment opportunities in-house and in the wider community.

• Clinical support and consultancy when it is needed, to help people develop coping skills and also to train our staff to intervene and support effectively and help us provide an enabling environment. Hesley Group’s clinical services team includes speech and language therapists, applied behaviour analysts, clinical psychologists, communication co-ordinators and occupational therapy services.

• Preparation and support for people and for their families when moving onto the next stage in their lives by effective transition planning.

• Support for people to achieve and maintain the best possible health and access healthcare services as needed.

• A safe but least restrictive environment for people through positive risk management, monitoring of outcomes and regular review of risk assessment and support plans.

Safeguarding Hesley Group offers a person centred approach which aims to support people to develop increasing levels of independence and to create a safe environment for them, in which and from which they can have the best possible opportunities to maximise their potential. Our philosophy is one of warmth, security, consistency, understanding and trust. Our safeguarding arrangements sit in this context, our policies, procedures, staff training and quality assurance provide a robust and regularly reviewed framework to this philosophy.

Health and Safety We are committed to ensuring the health, safety and welfare of all those who live and work in, or otherwise access our services. Hesley Village adheres to all procedures in place under the Hesley Group’s Health and Safety Policy.

The people we support all have complex needs, often including behaviours that can challenge them and the services that support them.

Our aim is to enable people to fulfil their potential; to live their lives as positively as possible within an environment that is appropriate to each person’s individual needs; and to support people with their health and personal care needs so they can achieve a healthy and fulfilling lifestyle.

Through our Single Equality Scheme and Staff Code of Practice we seek to ensure our services do not discriminate against people who live in or otherwise access our services; or the staff who support them, because of their race, religion, culture, belief, disability, sex or age.

Our Philosophy

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The People who live at Hesley Village

Age range: 18 years and overSex: MixedCapacity: 76 people, living in high quality single person flats and 3 person houses or bungalows

People who live at Hesley Village all have complex needs, including behaviour that may challenge and a learning disability, often in association with autism.

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We plan and deliver services that are built around the person, their needs, wishes and aspirations. Each person has a range of plans that reflect their personal, social and health care needs, therapeutic and behavioural support, communication plans, skills acquisition and development. These plans are developed with the person, as well as others important to them, including their families and professionals who know them well. Plans are regularly reviewed and updated through multi disciplinary team processes, keeping the person receiving the support firmly at the centre of all planning.

Clear policies are in place - such as People’s Rights and Having a Say, Effective Behaviour Support, Capacity and Consent – that clearly identify the expectation that we consult with the person and/or their representatives. Where people cannot give consent we always aim to deliver outcomes that are agreed to be in the best interests of the person. At Hesley Village we have a Residents Council (their chosen name) that meets regularly and acts as a self advocacy group.

Our aim is to support people to achieve positive outcomes and plans are outcome based, within an agreed framework of positive and appropriate risk management.

Because the majority of people we support have complex communication needs in addition to behaviour that may challenge, we work to a communication policy and charter and aim to put the person at the centre of everything we do.

We have a flexible and positively motivated staff team, trained and skilled in effective person-centred therapeutic support and communication with those who live at Hesley Village.

All staff attend training in relation to HELP (Hesley Enhancing Lives Programme), a behaviour support approach based on TCI (Therapeutic Crisis Intervention), which is BILD (British Institute of Learning Disabilities) accredited. TCI is an internationally recognised, crisis prevention and management system that reduces the need to rely on high-risk interventions. TCI recognises that it is the actions and reactions of those around people that strongly shape and influence their behaviour, including their social interactions and emotional responses. Its emphasis is on empathy and proactive support, while physical interventions are very much considered a last resort.

The care and well being of the people we support are paramount and everything we do is around seeking to ensure that each person’s best interests are met.

In order to keep people safe there are times when the use of physical interventions may be needed. This would be as a last resort to support people in crisis, in order to reduce both stress and risk. To do this we follow BILD (British Institute of Learning Disabilities) guidance. The Hesley Group have BILD accreditation for both children’s and adult services.

Our approach encompasses physical interventions contained within Therapeutic Crisis Intervention (TCI) strategies and those from PROACT-SCIP (r) UK.

Any potential physical interventions are fully discussed with the person, in respect of whom they are proposed and/ or their family and other appropriate representatives, as far as possible, prior to their application, which will continue to remain as infrequent as is possible; and which will continue to be reviewed, with the ongoing aim of reducing and stopping their use, as soon as this can safely be done.

Both of these approaches can be explored further via the BILD website – www.bild.org.uk – in the section: Physical Intervention Accreditation.

The multidisciplinary therapeutic approach taken at Hesley Village encompasses a wide range of expertise in addition to that of our core staff teams and management; and also that available from externally to the Village. Our own multidisciplinary team includes the following:

Communication and Speech and LanguageWe aim for a total communication environment and to this end all staff are trained and supported in using augmented systems of communication, such as signing and picture symbols.

A skilled and experienced team of speech and language therapists (SALTs) are supported on a day to day basis by communication coordinators. Our SALTs not only deal with issues relating to communication; some are also specialists in dealing with the eating and chewing or swallowing difficulties (dysphagia) that can present problems for some of those who access our services.

Behaviour SupportPeople may access applied behaviour analysts (ABAs) on an individual basis to allow a thorough assessment of their needs to be made and for the function of the person’s behaviour to be understood.

ABAs also train and support our staff to provide effective techniques for helping to manage and lessen or change responses such as physical aggression or self injury.

All staff are expected to use the person’s HELP Profile, an agreed common approach, in response to a person’s behaviour and to

report where this is effective or otherwise.

PsychologyOur clinical psychologists work to support the emotional health and wellbeing of people by helping each person and the staff supporting them to understand their thoughts, feelings and behaviours and manage these more effectively. Clinical psychologists integrate information from the individual, their family, and the people supporting them, with the results of structured assessments of neurodevelopment, emotional attachment patterns, cognitive (thinking) skills, and adaptive skills, to develop a comprehensive understanding of each person’s needs and how best to support them.

The resulting formulation is used to develop and implement interventions which may be used with the individual (eg non-directive counselling, or adapted cognitive-behavioural inerventions), or with the staff supporting them (for example: developing their understanding of how an individual’s needs/abilities/diagnosis affect their life and how best to support them).

Clinical psychologists work with other members of the multidisciplinary clinical team to meet the therapeutic needs of those receiving support in Hesley Group services in a coordinated,

timely and holistic way.

Occupational TherapyOur Occupational Therapy (OT) service at Hesley Village is key to supporting active, meaningful lives, for everybody who lives with us, through the Opportunities Team (see page 8 for more details)

The Occupational Therapy service also provides for individual assessment, sensory needs and skills development; and the provision of a safe environment and any equipment needed to

support this.

PsychiatryWe have a consultant psychiatrist, who holds regular reviews at Hesley Village and advises our service and supports people who require psychiatric input to remain emotionally well.

For emergency psychiatric support people at Hesley Village can access local NHS services, with whom we have strong and positive

links.

Therapeutic Support

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Active, Meaningful Lives Many people come to live at Hesley Village after long periods, perhaps years, of being unsettled and being unable to achieve their full potential. For others a move to Hesley Village comes from more settled circumstances but still represents a significant transition, particularly in the context of the multiple and complex needs which are the experience of all those who live with us.

As a first step we seek to support people through this transition, to achieve stability, initially within the Hesley Village community, as a firm foundation for each person’s future progress. We have many years’ experience of facilitating and supporting these transitions and achieving stability. Because people’s needs, wishes, and abilities vary, we support people in individualised and flexible ways. Our aim is for them to have the best quality of life possible.

We place a strong emphasis on people having meaningful and active lives. We are keen to support activity away from Hesley Village, as well as within the Village itself. Some people have currently, or have had, work placements in nearby Tickhill and Doncaster and also Sheffield. Others participate in employment nearer to home, which can vary from helping with the recruitment and selection process for new staff, to giving support with the recycling programme.

People are supported to access the full range of activities and amenities in the local community, as well as at more distant locations; and also at Hesley Village, where arts and crafts or horticulture, cooking and other activities are available on site, as well as a cinema, function room (in the Village Hall), hairdresser and beautician, grocery shop, post office and cash machine. The local Doncaster bus has a stop at Hesley Village.

The whole process of supporting active and meaningful lives for those who live at Hesley Village, has been greatly enhanced by the development of the Opportunities Team, which comprises a specialist Occupational Therapist and Occupational Therapy Assistant, together with a team of facilitators, who develop an overall plan of activities, run sessions (including group sessions and outreach sessions in people’s own homes); and bring people in from outside Hesley Village to run time-limited and focussed courses; from all of which Care Managers can develop individualised timetables for each person who lives in the Village.

This service is currently provided through each week; and sits alongside other individualised, particularly leisure, activity.

The plan is for the Opportunities Team to extend their provision, to cover weekends too.

The Opportunities Team link in with the multidisciplinary (staff and clinical) team, who identify where particular activities may have therapeutic benefit for a particular person.

There is a mixture of drop-in activities, for example on an evening; and regular therapeutic activities delivered through the day, both by Hesley Village staff, as well as by external people, including drama, football skills (with

the involvement of Doncaster Rovers) and music, for example.

The Opportunities Team also run special events on a monthly basis, such as themed, cultural meals, an Olympic week in 2012, a Jubilee Celebration, a Christmas Party and others.

People are supported to enjoy social events and to make friends. We aim to extend and develop people’s experiences of the wider community outside of home. Our hope and aim is for people to develop appropriate levels of increasing independence and meaningful social inclusion.

Sometimes it can be understandably difficult for the parents themselves, of adults with such complex needs, to smoothly manage the transition to adulthood and all that this entails. We are sensitive to these issues at Hesley Village; and seek to understand and value family input and insights around this process.

Developing Pathways

When people come to live at Hesley Village, we develop with them, their families and other involved key parties, a pathway plan that includes desired outcomes and plans for the future. This may be a planned and progressive move toward living in a community setting with the right support, such as stepping down into a less intensive residential service or into supported living for example, perhaps within Hesley Group services or the services of other providers, with whom we seek to work in a positive and cooperative way. Progress against these goals is measured on an ongoing basis and annually as part of the formal review process, keeping the person at the centre of all planning.

Reviews

Each person has a formal annual review, usually with their family and the funding authority representative. We support people to express their views as a key part of this – where at all possible people will be supported to take part in their review, including with the involvement of advocates, where this need is identified.

Additionally a rolling programme of case review is under-taken including the multidisciplinary team, to make sure people’s care and support needs are being met and/or adjusted on a continuing basis, with the aim of ensuring we fulfil our commitment to each person, of providing the best possible care and support at all times; and that this continues to evolve in accordance with the pathway plan.

Equality and Diversity

We are committed to enabling people to express their individuality through supporting them in relation to their culture, belief, race, disability, sex or sexual orientation.

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whether in respect of the decoration of their rooms or other issues relating to their homes or with regard to their lives in more general terms.

The Village is in close vicinity to the local village of Tickhill and Doncaster town centre is easily accessed by the bus route that stops in the car park of the Village.

There are a range of purpose-built workshops to accommodate a wide variety of activities in positive environments. Excellent on-site facilities are available to complement and enrich the lives of the people we support including a bistro, cinema, shop, bank/post office, therapy suite, hairdressers, clothes shop, bar and village hall.

At Hesley Village, people live in single flats or three bedroom houses or bungalows. The choice of accommodation for each person takes into account their wishes and preferences, their needs, capabilities, age and social development. Each person has their own bedroom and bathroom or ensuite which ensures dignity and respect for the individual who may need intimate care. Modern fitted kitchens facilitate learning opportunities for cooking and spacious dining areas, lounges and gardens offer warm and welcoming areas to provide a homely setting.

We aim to empower the person to take greater control over their own life; wherever possible we seek to enable people to make their own choices,

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Coming to Live at Hesley Village A referral for someone to come and live at Hesley Village will come through the placing authority that will be funding the placement. The placing authority is requested to provide relevant information which we will review to ensure that Hesley Village is a suitable provider for the referred person.

People will have a thorough assessment (for which there is no charge) prior to potentially being offered a place within Hesley Village.

The assessment will cover all health and social needs and all information will be treated confidentially. Our assessment process will help to ensure that Hesley Village is able to meet the person’s needs and is used to inform their initial personal plan, should they come to our services.

The assessment is carried out by an assessment team from Hesley Village and includes staff members from the Clinical and Care Management teams. They will arrange to meet the person and as many people involved in their care as possible, to see how best their needs and wishes can be met.

This is the start of the person-centred planning that ensures each person is treated as an individual.

If it is felt that Hesley Village is the best option for the person, the placing authority will be informed and the transition process begins. This will be managed by a senior manager at Hesley Village who will work with the person, family/carers and the placing authority to ensure the move is as stress-free as possible.

You are more than welcome to visit us to find out more about this process and to ask any questions at all about Hesley Village.

Staff and SupportHesley Village has a highly experienced, comprehensive staff team, comprising managerial and support staff who work closely with the multidisciplinary clinical team (described on page 7). The recruitment process is thorough and Disclosure Barring Service (DBS) checks are undertaken in respect of all employees who have opportunities for unsupervised contact with vulnerable people, prior to joining the Hesley Group. Every new member of staff has a comprehensive induction programme and continual staff development; and regular supervision and appraisal ensures their skills and knowledge are always current and relevant to the work undertaken.

Family and friends Keeping in touch is essential for most people and we work hard to positively support contact for those who live at Hesley Village and those who are important to them.

Each person has their own plan that identifies how they will be supported to maintain relationships and link with family and friends, through means such as Skype, e-mail, text messaging, telephone, letters and cards.

We support visits to the family home and also welcome visits from family and friends to Hesley Village. There are two “log cabin” style houses available for visiting families free of charge (subject to availability).

Families of people living at Hesley Village have also formed their own forum, which is facilitated by Hesley but run independently by the families themselves.

Other providers and transitionWhen people move from another service to Hesley Village, or from Hesley Village elsewhere, we work very hard to ensure a smooth transition takes place and that people have the best possible experience in what can be a stressful time of their lives.

To support people’s health and social care and other needs, we seek to work closely and co-operatively with everyone concerned, including the person themselves, their family/carers, their social worker and other representatives and local NHS services, for example.

Hesley Group takes pride in a low staff turnover. A number of staff have achieved long-term service awards for 10 and 20 years which promotes stability, consistency and trust which, in turn, support positive provision for those who live at Hesley Village.

We see positive, trusting and respectful relationships between those who live at Hesley Village and their families, our staff and key external agencies, as fundamental to delivering the best possible service.

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We use a range of policy and guidance processes to manage our services safely and effectively. Examples of key policy areas are:

• Managing risk

• Behaviour support

• Care planning

• Single equality scheme

• Health and safety arrangements

• Capacity and consent

• Safeguarding adults

The Hesley Group has a formal policy and procedure for complaints . A copy of this and our complaints form is available on request.

The Hesley Group has a Quality Team that develops policy and best practice and initiatives, assesses how well we are doing in meeting our objectives and complying with national standards, including the management of health and safety and keeping people safe. The team consults with people using the service and their families/representatives.

The Quality Governance Committee oversees all Hesley Group services and has an independent Chair and two independent persons to advise and take an impartial view on the progress and achievement of our services. They hold the senior management of the organisation to account.

Doncaster

Barnsley

Rotherham

She�eld

Hesley VillageM1

M18

M1

M18

A1(M)

A1

32

35

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37 A635

A6023

A630

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M18

A631A631

A631

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A1

By Road

From A1

Follow the A1 to Junction 34 (at this point it changes to the A1M)

At the roundabout take the exit signposted A1/Bawtry Rd

Turn left toward Blyth Rd

Slight right at B6463/Tickhill Rd, continue to follow B6463

Turn left at A631/Bawtry Rd

Turn right at B6463/Stripe Rd

Follow Stripe Rd for approx 1.5 miles and Hesley Village is signposted on the left.

From M1

From South follow M1 to Junction 32 then follow M18/Doncaster

At junction 1, take the A631 exit to Rotherham

At the roundabout take the exit signposted A631/Bawtry Rd

Continue on A60/W Gate, Continue to follow A60

Turn right at A631/Sunderland St, continue to follow A631

Turn left at B6463/Stripe Rd

Follow Stripe Rd for approx 1.5 miles and Hesley Village is signposted on the left.

Location/Directions

Hesley Village

Hesley Hall Tickhill Doncaster South Yorkshire DN11 9HH

Registered Manager: Mr Jeff Cox

Tel: 01302 866906 Referral enquiries: 0800 055 6789 Fax: 01302 869635 Email: enquiries@hesleygroup.co.uk Website: www.hesleyvillage.co.uk

The Hesley Group has Investor In People (IIP) accreditation which recognises the significant emphasis the Group places on the quality of its staffing and the associated management processes. 13 December 2012

By Rail The nearest train station is Doncaster, 9 miles away.

Visit www.nationalrail.co.uk for train times

By Air Robin Hood Airport (Doncaster) is 7 miles away.

Hesley Group Hesley Hall

Tickhill Doncaster DN11 9HH

General enquiries: 01302 866906

www.hesleygroup.co.uk