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Video calling – keeping in touch with family and friends

In these difficult times when face-to-face meetings are not always possible, technology is proving the next best thing. We all know the benefits of keeping in touch with loved ones, especially if you can see their faces and hear their voices. With video calling, you can do just that.

Here, at Chiswick Nursing Centre, we have a range of devices that are readily available for residents to use both for leisure purposes and to video call. As long as friends and family also have an appropriate device to receive calls, we’re good to go with WhatsApp, Zoom, Skype or Facetime (with a little help from knowledgeable staff where required).

Our residents really appreciate seeing and hearing their loved ones. You only need to see how their faces light up as they see a familiar face. It also provides reassurance for those at the other end to see that their relatives are safe, secure, and well cared for.

There is an additional benefit – the technology enables our staff to communicate with   our residents’ family members. This is particularly important for some of our residents who are living with dementia, who may not always be able to fully communicate themselves. It allows our staff to ensure they have all the information they need to provide the best possible care and for relatives to be kept up to date and reassured about their relative’s wellbeing.

We are also exploring ways in which the devices can be used to aid remote diagnosis of illness by our GP partners. This will assist in helping to reduce GP visits to The Nursing Centre – and reduce the risk of virus transmission.

Chiswick gets a fruity boost from The Fruitful Office

The Staff at The Chiswick Nursing Centre have been kept nutritionally ‘powered’ to fight the COVID 19 virus with the kind help and support of The Fruitful Office Ltd.

The weekly donations of fruit boxes for our staff have been a real morale booster and staff now look forward to their weekly treat and energy boost.

Centre Director – Steve Winter said:

“The concept of fruit box delivery to all offices and services where staff need an extra nutritional boost to keep them going is a great idea. Our staff have enjoyed the kind donations from The Fruitful Office Ltd and we are extremely grateful for their kindness during a time that has been and continues to be difficult for our staff teams here at The Chiswick.”

If you are interested in finding out more about The Fruitful Office Ltd – you can visit their website at https://www.fruitfuloffice.co.uk/

Care staff duo set for nursing Foundation Degree

We are delighted to announce that two members of our care team have been selected for a Nursing Associate Apprenticeship programme, funded by The Nursing Centre.

Apprenticeship schemes are designed to enable candidates to study towards a recognized professional qualification whilst gaining practical experience in the workplace. This means that we are able to ‘grow our own’ in house nurses from those Care Assistants who have shown remarkable performance in their own area of work. Many people would have liked the opportunity to study for a nursing degree – but are not always able to take those opportunities before they start their working life. This scheme gives them that chance. The two delegates – will continue to work alongside the CNC team as well as study flexibly with The West London University on the two-year programme. If successful, it will lead to a Level 5 Nursing Associate foundation degree (FDSc).

“This is a real move up the career ladder for them,” says Centre Director, Steve Winter. “They will be learning on the job, so they can immediately put their new skills and knowledge into action plus they will also be earning a salary during that time.”

The Nursing Associate role sits between that of health/care worker and registered nurse. It is a position that is expected to be in increasing demand as healthcare needs, and the profession itself, change in the foreseeable future. Nursing Associates work as a key part of a multi-disciplinary workforce in the healthcare sector.

The Foundation degree can also be used as a stepping stone to becoming a state registered nurse should candidates decide to further their studies.

Steve says: “Both our delegates have worked with us for several years – shown commitment and dedication to our residents and a desire to increase their skill sets and achieve qualified status in the Care Sector. I am pleased that we are able to offer them this chance to progress in their careers via the apprenticeship scheme which is a key aspect of our employee development initiative. They have already demonstrated the capabilities and commitment to develop towards a nursing role and they are determined to seize this possibility to fulfil their potential.”

Coronavirus (COVID 19) – our guidance to service users and families – update

Information for relatives and Next of Kin / Friends:

I am pleased to advise and confirm that following an enforced period of closure to new admissions and to visitors to the Nursing Centre; we will recommence visits from Wednesday September 2nd 2020 onwards.

Visits to those of our Residents who are able to mobilise to the Garden area (assisted or alone) will commence on Mondays to Fridays (incl) from Wednesday 2nd September.

Visits will need to be pre booked in advance and this can be achieved by telephoning our reception team on:   0208 222 7800  between 8am and 8pm Monday-Friday.

Visiting sessions are between the hours of 11.00am and 12.30pm  or 2pm – 4pm on Mondays to Fridays (incl) – We regret that we are not yet able to support weekend visits

Some reminders please:

  • In line with guidance issued by LB Hammersmith and Fulham Public Health Dept – Each Resident is permitted to have up to 1 x visitor at any one time.
  • Visitors are not able to enter the building / nursing centre. As such, we regret that there are no facilities for Toilet use or for refreshments to be provided.
  • Ideally – visitors should be the ‘same’ visitors as consistently as possible. Having 1 or 2 consistent visitors further reduces the risk of spread of infection.
  • Children under 12 years of age are NOT permitted to visit the Nursing Centre at this time.
  • Please do not attend without having booked a visit – as we will be required to turn you away.

Visits at this time are garden based – under cover of rain but may be cancelled at short notice if the weather is too poor to enable visits to proceed.

Please refer to the Visitor Policy which is reproduced in full, below.

Finally – I would like to thank all of you who assisted in achieving this position, by writing to our Local MP. We are currently working on a protocol that will enable visits to continue as and when the autumn weather arrives, and for those residents whose health is such that they cannot leave their bedrooms.

Steve Winter

Centre Director

The Chiswick Nursing Centre

CORONAVIRUS (COVID -19) TEMPORARY VISITING POLICY 

Visiting Times are Monday – Friday 11.00am – 12.30pm and 2.00pm – 4 pm.  

  • Visitor Protocol based on PHE advice Published 22/6/20  
  • Only 1 visitor is allowed per visit.
  • In order to facilitate as many visits for residents as possible, we may have to restrict visits to once a week. 
  • Visits must take place outside and at a social distance of 2 metres using the furniture provided and as already set in place.
  • Visits are subject to suitable weather conditions.
  • Visitors must have been asymptomatic for COVID-19 for the past 7 days (no fever, cough, shortness of breath, loss of taste or smell) and will be required to complete an F2063, Visitors Confirmation on Being “Safe to Visit” Disclaimer Form
  • Visitors are prohibited if they are a contact of a COVID-19 case (during their 14 day isolation).   
  • Visitors will be required to wear a face mask which will be provided. 
  • Visitors should not bring food and drink into the Centre and any gifts should be left with a member of staff.  
  • Visitors requesting to visit those in the shielding category will be subject to an individual risk assessment.  
  • Visitors will be required to have their temperature checked on entry to the Centre, if a reading of 37.9ºC is recorded visiting will not be permitted.    

Visits will be by appointment only to ensure that sufficient social distance measures can be maintained and a letter with instructions of how to keep safe and how to keep our staff and residents safe will be issued beforehand.  

The inside facilities will not be accessible, we are sorry that we cannot provide refreshments or the use of toilet facilities. 

The exceptional visiting rights to enable one family member or representative to attend in the case of a resident nearing the end of their life remains in place. In such cases permission will be granted following agreement with the Centre Director. 

Tasty, tempting & nutritious

At the Chiswick Nursing Centre we always stress the importance that good nutrition plays in keeping our residents in as good health as possible by reducing their risk of malnutrition and dehydration.

It is not uncommon for older people to lose their appetites or have them diminish. And those who have dementia are likely to need more prompting and encouragement to eat.

We aim to offer all our residents a choice of freshly cooked, nutritious food that is presented in a way to stimulate the taste buds and tempt those with a reduced appetite to eat. Also, as people become less able to get out and about, mealtimes become a staging post during the day – something to look forward to. Nothing delights us more than seeing people “tuck in” when the time comes.

To assist this, our catering team is presented with up to date information on the food preferences, cultural or medical and allergy requirements for each of our residents so that we can meet their needs effectively and safely promote their nutrition. This approach has reaped dividends in ensuring well nourished residents and was recognised with the highest rating (5 stars) awarded by the Food Standards Agency following its latest food hygiene inspection.

One of the projects undertaken at the Centre, involved the Chiswick Nursing Centre “United Stroke Club” who met weekly to swap food ideas and cook together in our specially adapted Occupational Therapy kitchen area. It culminated in a recipe book ‘Something Fishy and Other Delights’. Now that summer is here, it seems timely to reproduce one of their recipes here:

Tracv Cork’s Ice Cream (from Fraser)

Tin sweetened condensed milk – 397g/14ozs

Pint cream or whipping cream

Flavourings – coffee, vanilla, lemon meringue, fruits or alcohol (see below)

Place all ingredients in a bowl or electric mixer and whisk to a standing consistency. Transfer to freezer proof container with lid and place in freezer overnight. Ice cream with alcohol will be softer than that with fruit.

Flavourings

Vanilla – add 30mls vanilla extract and the seeds of a vanilla pod before whisking.

Coffee – add 20g Lavazza instant espresso granules before whisking.

Lemon Meringue – add the zest and juice of 4 lemons before whisking, then fold in 4 crumbled meringue nests.

Bourbon – add 100mls before whisking.

Strawberry – fold in 250g of chopped berries, then ripple in 250g strawberry conserve after whisking.Making sure that everyone has the right calorific and nutritious meals is especially important in keeping them well. Our team are also available to assist and support those whose overall health condition requires that they have some 1 on 1 support with eating and drinking.

Drink to “good health”

Numerous health studies stress the importance of maintaining good levels of hydration in older people and the consequences of failing to do so.

As we age, it can be more difficult to stay hydrated. Our bodies retain less water and the signs of dehydration are more difficult to spot or sense. As a result, we may not feel thirsty until hydration levels have dropped significantly.

Ensuring good levels of hydration is a key part of elderly care for various reasons:

To boost physical and mental health

Research has shown that those who drink sufficiently have healthier minds. This is especially important for older people, as cognitive abilities can often slow down as we age. Even mild dehydration can impact the brain’s ability to function to its full potential.

Studies also reveal that exercise is much easier for those who are well-hydrated. Drinking enough water can improve our endurance levels, lower the heart rate and speed up the recovery process of physical activity. So, if you are poorly hydrated, you are less likely to want to exercise and more likely to run out of energy quickly if you do.

To enhance your mood

It has been proven that those who drink more water tend to report better moods than those who do not. So, staying hydrated could be an important element of maintaining your overall mental wellbeing in later life.

To prevent illness and aid recovery

Good hydration not only helps many of those who fall ill to recover more quickly, it may often reduce the severity of illness or prevent us becoming ill in the first place. Some falls, pressure sores, urinary tract infections, for example, might all be avoided by keeping our fluids level topped up.

Whilst sipping water is the simplest way to take liquid on board, it is not always the most interesting. Therefore, we encourage Residents at the Chiswick Nursing Centre to drink the recommended levels of fluid by offering a range of tasty and healthy drinks including smoothies and blended juices or hydration fluids especially developed for older people or those who find it difficult to drink conventional fluids – perhaps those with eating or swallowing problems.

We also use a range of high fluid meals and food types to further ensure that everyone gets their recommended levels of fluid each day.

Our nursing team use new technology to constantly monitor fluid intake on all of our Residents – ensuring and encouraging higher levels of intake at especially hot periods and therefore ensuring that our Residents stay healthy and hydrated.

So next time you “raise a glass”, it could well be good for you – as long as there is not too much alcohol or sugar.

Physiotherapy at The Chiswick

Physiotherapy care for the local community

We offer experienced physiotherapy services to the local community at Chiswick Nursing Centre. 

As an integral part of the centre, our physiotherapists are exceptionally experienced at helping older people to achieve the highest levels of recovery from a wide range of physical injuries.

Our out-patient care follows the current Government guidelines around patient safety and you will be seen by a therapist wearing appropriate PPE equipment.

You can expect your first visit to be an initial assessment with one of our physios. He or she will then agree a plan of treatment with you – including goals which can be monitored and exercises to be completed during your scheduled sessions. These will be reviewed and revised at future treatment sessions depending on individual requirements.

Other on-site facilities include a physio gym which is easily accessible to individuals with a wide range of mobility issues.

In-patient physiotherapy for respite and convalescent care

As a provider of high-quality care and nursing services, our luxury Balmoral and Windsor Suites offer a hotel-style environment for anyone looking for short-term recovery care from an injury or, typically, hospital surgery.

A typical in-patient is 70-something, Mrs X, who arrived at Chiswick shortly after a hip replacement at a central London hospital. The operation had been a success, but she recognised the need for further physiotherapy to build confidence in using her brand new hip. 

We provide intensive in-patient physiotherapy, delivered as many as 5 sessions per week to ensure that physical recovery improves and stays on track.

Mrs X was booked into an en-suite bedroom with TV, direct dial telephone and Wi-Fi access. She enjoyed a selection of delicious and nutritious meals prepared by our on-site chef.

What’s more our care and nursing team are available 24/7 throughout an in-patient stay.

After three weeks, Mrs X went home to North London, raring to go back to her normal life, fully able to use her hip.

Steve Winter – The Centre Director at The Chiswick Nursing Centre said:

“Mrs X is a prime example of someone who wanted the safety and security of our hotel style nursing and care service with the reassurance that our physiotherapy programme would offer her the stability and confidence that she wanted before venturing back home and to her normal way of life.

“Our physio service has lots of good examples like this – we treat everyone as if they are a superstar!”

Coronavirus (COVID 19) – our guidance to service users and families – update

Updated position 24  July 2020

CORONAVIRUS (COVID -19) TEMPORARY NO VISITING POLICY

The Government has advised some easing of the lockdown restraints and have introduced visiting plans into hospitals, hospices and care homes. The Chiswick Nursing Centre has been informed by The Public Health Team at Hammersmith and Fulham that the current restrictions on visiting cannot yet be lifted. As we continue to support our residents, and staff during this period of uncertainty with coronavirus COVID-19, we ask for your continued help and support as we continue to have no visitors, except healthcare professionals. This is to ensure that we keep you and your loved ones as safe as possible. Video based communication arrangements remain in place. As soon as we are informed of an easing of this local policy we will review our arrangements and continue to communicate via the Nursing Centre’s website.

Coronavirus (COVID 19) – our guidance to service users and families – update

Updated position 22  July 2020

Dear Relatives and Friends

As you will know – we have been successfully running a series of relative visits in our Garden area at The Chiswick. This has been a huge relief to many residents and their relatives and we have enjoyed watching the joy and happiness that arises from those reunions after such a long and difficult time.

At the present time and in line with the requirements imposed on us by Public Health Hammersmith and Fulham – those visits can continue but are regrettably suspended at this time if your relative is living on our Belgravia Suite. This is because we have identified a potential source of COVID arising from the many weekly swab tests which we run on both Residents and Staff across the Nursing Centre. The Government Track and Trace team have been alerted as required and we hope that we can recommence Resident Visits for those Residents in the near future. Sadly – this ‘open/closed’ position is one that we are likely to see frequently into the future – and is one which reflects Government scientist feedback that the virus may be with us all for the foreseeable future. We will continue to work in tandem with the advice and instruction of Public Health Hammersmith and Public Health England – to ensure that we keep both Residents and staff as safe as is possible.

For Residents on other nursing suites our Temporary visitors policy (below) remains in force.

I am afraid that at the present time there is no new guidance that deals with the visiting of Residents who cannot easily and safely access the garden areas. As soon as that arrives – we will update you further.

Please read the following Policy before you seek to plan a visit.

I regret that at the present time – the guidelines do not cater for Residents who are UNABLE to access the garden areas via a wheelchair. I regret that we are unable to manoeuvre beds to the garden area. Please be assured that we are already in discussion with Public Health England / Public Health Hammersmith and with other national care provider organisations to understand and plan how we may implement indoor visits in the near future.

We will publish any new development via our website.

If having read the policy below – you wish to book a visit slot – please contact our reception desk on 0208 222 7800 in the first instance. They will guide you through the rest of the booking process and issue you with a confirmation email outlining any further information which you may need.

If you have any questions – our reception team should be your first point of contact please.

Your sincerely

Steve Winter
Centre Director

Coronavirus (Covid -19) Temporary Visiting Policy

As advised by the Government and as we move to the next phase of our plans to support our residents, and staff during this period of uncertainty with coronavirus COVID-19, we are asking for your help and support.

This is to ensure that we keep you and your loved ones as safe as possible.

VISITS TO RESIDENTS LIVING ON OUR BELGRAVIA SUITE ARE TEMPORARILY SUSPENDED ON THE ADVICE OF PUBLIC HEALTH HAMMERSMITH

As advised by the Government and as we move to the next phase of our plans to support our residents, and staff during this period of uncertainty with coronavirus COVID-19, we are asking for your help and support.

This is to ensure that we keep you and your loved ones as safe as possible.

We understand that this remains a worrying time for you, and we want to reassure you that we are doing everything we can to ensure that our residents, and staff are as safe as possible, and we are following closely the advice from public health authorities.

The measures that we must now take as we open the Centre to certain visiting takes into account that care home residents are amongst the most at risk by virtue of their age and frailty to being seriously and possibly fatally ill if they are infected by the virus.

It should be noted that if there is a change of circumstances at the Centre e.g. an outbreak of new COVID Cases  – visiting may need to be suspended and this may be at short notice.

  • Visiting Times are Monday – Friday 11.00am – 12.30pm and 2.00pm – 4 pm.
  • Only 1 visitor is allowed per visit.
  • Visits must take place outside and at a social distance of 2 metres using the furniture provided and as already set in place.
  • Visits are subject to suitable weather conditions.
  • Visitors must have been asymptomatic for the past 7 days (no fever, cough, shortness of breath, loss of taste or smell) and will be required to complete an F2063, Visitors Confirmation on Being “Safe to Visit” Disclaimer Form
  • Visitors are prohibited if they are a contact of a case (during their 14 day isolation).
  • Visitors will be required to wear a face mask which will be provided.
  • Visitors should not bring food and drink into the Centre and any gifts should be left with a member of staff.
  • Visitors requesting to visit those in the shielding category will be subject to an individual risk assessment.
  • Visitors will be required to have their temperature checked on entry to the Centre, if a reading of 37.9ºC is recorded visiting will not be permitted.
  • Visits will be by appointment only to ensure that sufficient social distance measures can be maintained and a letter with instructions of how to keep safe and how to keep our staff and residents safe will be issued beforehand.
  • The inside facilities will not be accessible, we are sorry that we cannot provide refreshments or the use of toilet facilities.
  • The exceptional visiting rights to enable one family member or representative to attend in the case of a resident nearing the end of their life remains in place. In such cases permission will be granted following agreement with the Centre Director.

Coronavirus (COVID 19) – our guidance to service users and families – update

Updated position 15 June 2020

Dear Relatives and Friends

We are pleased to advise that our ongoing battle with the Coronavirus continues to make positive strides. As a result of rigorous infection control measures and the staff team utilising full PPE at all times, in line with the requirements and regulations; we are currently in a position where we have no confirmed COVID-19 cases within the Nursing Centre.

Equally as important is that all staff who have been tested across the past 4-week period have tested negative. In addition, our push to recruit good quality new staff to the service has meant that we have been able to eliminate the use of Agency Staff and the additional risks that this posed, given that most Agency Care Workers are deployed into many other Care Home settings as well as The Chiswick.

We have continued to work with colleagues from LB Hammersmith and Fulham Social Services, Public Health and the local NHS teams deployed across the North West London Clinical Commissioning Groups (CCG’s) to evidence and ensure that the quality of care and nursing at The Chiswick has been maintained at the highest standards over this period of disruption when the Care Quality Commission (CQC) have been unable to undertake their normal levels of inspection and quality assurance.

This exercise has shown that The Chiswick has indeed maintained high quality care which meets the required standards and regulations. In addition, the CQC have undertaken a telephone based, lengthy interview with myself and other members of the Company’s Board of Directors and have confirmed that The Chiswick is managing the impact of COVID-19 at this time.

Many of you have enquired about the prospect of visiting those relatives and friends that you have living at The Chiswick – especially now that the Government are easing some of the lockdown restraints and infection control measures across the UK. Despite the fact that central Government have advised that Care Home visiting can take place via “Bubble” structures – and despite our own plans for managing limited amounts of visiting at The Chiswick; The Public Health Team at LB Hammersmith and Fulham have instructed us that visiting cannot recommence at this time. This is the same position which they have adopted with all Nursing and Care Homes across the Borough.

They will now work on a policy and protocol of their own which will address visiting in Care and Nursing Home settings and will keep us advised as this week progresses. As soon as the guidelines which will be applied locally are published – we will review our arrangements and I will be sure to update you via our website and with specific details as appropriate.

I appreciate that this additional delay will be difficult to cope with for many, especially when other neighbouring Boroughs are acting in a different fashion. However – we are governed by the Local Authority in Hammersmith and Fulham and must thereby abide by this decision.

Meanwhile – our video-based calling and visiting processes remain available – please call the main reception desk on 0208 222 7800 to make arrangements to access those if you wish to.

Your sincerely

Steve Winter
Centre Director

So nice to know others are thinking of us

We continue to be surprised and delighted by the support we have received from  our local community.  Many have gone out of their way to demonstrate how the CNC is in their thoughts at a time when our residents are unable to see loved ones and staff are working under extremely testing circumstances.

The children of one local family have kept our spirits up by sending regular letters, drawings and other artwork. Their latest creations are two handmade ‘bugs’ – fortunately not the corona virus kind – which now adorn an office.

“They really cheered up the staff here who were in need of something to make them smile at a difficult time,” wrote Centre Director, Steve Winter in his letter of thanks to the family concerned.

COVID Kindness

There have been many acts of kindness reported during the Corona virus pandemic and one has recently touched us here at The Chiswick.

The Hurlingham Club, an exclusive sports and social club in Fulham, not too far from us, has donated and delivered freshly cooked meals, prepared on their premises, for our busy staff. You can see from their beaming smiles just how well they are literally going down.

Centre Director, Steve Winter said: “We are extremely thankful to The Hurlingham Club for this immensely kind gesture. 

“I am proud to have such a hardworking team here but the current circumstances bring added stress that takes its toll on the energy reserves of a workforce already going that extra mile to comply with the necessary rules and regulations. By the time they come off shift they don’t always have the inclination to prepare more than a quick snack. Having such delicious and nutritious food, prepared by someone else, is a real treat and helps restore their vitality. I know they thoroughly appreciate what The Hurlingham Club has done for them.”

Coronavirus (COVID 19) - our guidance to service users and families. We are using this link to keep all service users and families as up to date as possible on this fast developing and rapidly changing situation.Please click here for our latest guidance.
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