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Activities of daily living require a huge range of cognitive skills, which we develop from childhood as we grow. However, someone who has an acquired brain injury has to re-learn many of these skills. At Richardson Care we take an holistic approach, where members of our clinical team work with each service user to develop the skills they have lost. These include communication and cognitive skills, physical abilities and mental well-being.

In addition to the therapeutic interventions from the clinical team, our service users take part in a wide range of daily activities, depending on their personal preferences. We aim for these activities to be fun and inclusive, catering for a wide range of skill levels and tastes so the service users enjoy the activities and engage in them. These activities support the work of the therapists, without actually feeling like therapy, and can have a positive and lasting effect.

During the coronavirus pandemic, we have had to be more resourceful and creative as our service users have not been able to access the local community for their usual range of activities. This has meant providing a varied schedule within the home, and these ‘science experiments’ were an imaginative way to support cognitive skills in a group setting.

Experiment 1: Travelling Rainbow Water
This simple experiment shows colours travelling through kitchen roll and mixing together to make new colours. We started with three cups of water, one red, one blue and one yellow. We separated the cups of coloured water with empty cups and connected them all with kitchen roll. It takes a bit of time for the magic to happen, but the group were very patient with the experiment and the results were definitely worth the wait.

Experiment 2: Storm in a Cup
With water, shaving foam and food colouring, we recreated the science of the rain clouds! We half-filled our cups with water and added a layer of shaving foam, ensuring it floated flat above the water. We then added coloured water, drop by drop to the shaving foam. When the water became too heavy for the foam, the sudden swirling clouds of colour sparked plenty of gasps and giggles.

Experiment 3: DIY Lava Lamps
We made our own lava lamp reactions using vegetable oil, water, food colouring and an Alka-Seltzer tablet – the contents of the cup bubble around together mimicking the reaction of a lava lamp.

This activity lasted for over an hour and all service users who took part were engaged for the entirety of the session and helped to clean up afterwards. This activity promoted cognitive skills such as reading and following instructions, patience, coordination, listening to direction, creativity and curiosity. Members of the group were also encouraged to think about how the reactions worked. A number of them commented on the difference weights of the materials in the Storm in a Cup activity, how the materials separated in the DIY Lava Lamps and how the tissue paper absorbed the colour to make the Travelling Rainbow Water.


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Each service user at our specialist residential care homes has their own individual care plan, which is designed to provide therapies and activities to meet their needs and help them to reach their personal goals. These therapies may include psychological support, psychiatry, speech & language therapy, occupational therapy, physiotherapy as well as exercise and activities of daily living. Our aim is for these activities to be enjoyable and stimulating; not to necessarily feel like ‘therapy’ but to be part of the individual’s weekly routine.

One of the psychological therapies we provide is Cognitive Stimulation Therapy. It’s a weekly group activity and each session has a different focus, for example current affairs or creativity. Cognitive Stimulation Therapy aims to promote and reinforce growth in areas such as memory, concentration and communication. It also stimulates social interaction, increases confidence and well-being. The Cognitive Stimulation Therapy sessions are designed to be fun, and are person-centred, tailored to meet each individual’s needs and preferences.

In this blog post, we take a look at a recent Cognitive Stimulation Therapy session for some of our service users who have an acquired brain injury; what the session involves and how it benefits the individuals taking part. The session starts with orientation: reinforcing the time, date, place, season, etc. Then moves on to the activity of the week.

This time it’s creativity: making personal globes.

Each service user started by making their own personal paper mâché ‘globe’. This involved lots of PVA glue and tissue paper, stuck onto an inflated balloon. The service users chose the colours they wanted and got stuck in with the creative mess. This particular session was attended by several residents who don’t often engage in group activity, so this was amazing progress.

Once the paper mâché was dry, we popped the balloons and asked the guys to illustrate the globe with pictures that represented them as people. The results were quite amazing! On this occasion, Assistant Psychologist, Olivia, ran the session and was supported by Admissions Co-ordinator, Ebony. They had spent some time sourcing lots of images that may resonate with the service users, such as images to convey emotion, relationships, hobbies, family, careers and their brain injuries.

They jumbled all of the images around and, without much direction, the individuals started to pick out the images that spoke to them. This was such a great activity: it enabled the service users to express elements of their lives before their injuries and who they are as a person. As you’d expect, there were huge variations – one resident looked for an image of a diamond ring to represent his engagement, while another illustrated his many years as a taxi driver and love of chicken!

Ebony worked on a 1:1 basis with Andy*. He picked out the images and Ebony prompted him to think about why he chose them and how they resonate with him as an individual. This is what he said.

Smiling face: “I like this because he’s laughing. He represents my humour”

Water: “Because I love to swim.”

Glasses: “I wear glasses: they represent me physically.”

Watering can and growing plants: “Because I really like gardening – it could represent personal growth too”.

Couple in love: “This one represents my need to love and be loved. I would really like to get married one day.”

Hard hat: “This represents my former job as a labourer and how I really want to get back to work. I’d like to be a plumber or a bricklayer.”

Dog: “This represents my family dog and my love for animals.

Two men hugging: “This reminds me of my Dad. I have a very close relationship with him and it’s important to include this – he has grey hair too!”

Knife and fork: “I’m a typical man, always thinking about food!”

Yin and Yang: “I associate this with Thai Chi martial arts – my Dad teaches Thai Chi.” After a bit of research Andy decided to include it in his project as he felt it represented ‘life’.

A hospital: “This is a big part of my identity, I spent a lot of time in hospital, but that wasn’t necessarily a bad thing.”

Ebony expressed how proud she was of Andy, as this was the first activity that he had fully engaged in enough to complete. He said he thought it was because it had really got him thinking and had been fun to do.

No two brain injuries are the same and person-centred care is all about treating the person, not the injury. Individuals are shaped by the lives that they had before their injury and we respect that person, aiming to restore as much of them as we can.

*We have changed the name of the service user to protect his identity

 


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The Coronavirus lockdown is affecting people in many different ways, but it can be particularly difficult for people with learning disabilities, autism and complex needs. They often need routine and structure, which has been disrupted as we’re no longer able to go out and about, visiting the usual places, doing the usual things. People with learning disabilities may not fully understand why their life has changed, or may not be able to verbalise their frustrations. We are supporting them in various ways:

Enhancing understanding

Everyone is different so we are supporting all of our service users according to their own needs and abilities. This can involve using non-verbal communication techniques such as Makaton, TEACHH or the PECS picture exchange system to explain the situation and what we need to do to stay safe.

Well-being

We’re being creative and introducing new structures and routines to keep everyone calm, entertained, safe and happy. We’ve been able to welcome back Martin the Music Man, whose music sessions enrich the lives of the service users in many ways. He’s been singing and playing his guitar in the gardens of the homes, while maintaining a social distance.

We’ve also had several birthdays to celebrate recently so we’ve made them special with garden parties, pamper sessions or parties in the homes with balloons, cakes, treats and gifts.

Trusted relationships

Many of our service users with learning disabilities have been with us for years, so we have a deep understanding of their likes, dislikes, needs and preferences. They have developed trusted relationships with our care support workers, which means that we are better able to support them in difficult times.

Feedback from families

We are also keeping in touch with their loved ones and are very grateful for the feedback we have received from families. Here are some examples:

“We spoke on the telephone this morning and I am writing to you to reiterate what I said to you on the ‘phone…

“There was a feature on this morning’s TV News about the very difficult time many autistic people and their carers are having during the Covid-19 lockdown.  As I watched it, I was reflecting on how very fortunate we are that our son is in your care and that he is being so well looked after and even more importantly, kept safe.  We are truly thankful for your care and for the brilliant work your staff at all levels are doing at during these difficult times. Please circulate this letter to your staff or post it in a prominent position so that all can read it…

Dear Friends

I just wanted to write to you as a parent of one of your residents to say how very grateful I am for the care you are providing for my son and the other residents during these difficult times.  I know you are doing your very best not just to care for our loved ones but to provide them with as varied and stimulating a time as possible.  I know that, like all of us, you are concerned about your own safety and well-being of yourselves and your families and this makes us doubly grateful for the excellent work you are doing.

I hope that you and your families remain well and look forward to being able to resume my regular visits.”

 

“Dear Jane [Service Manager]

I’m writing to say how thankful I am for the care my son has received while having another chest infection. He’s fine now thanks to your great staff. It must be so hard to keep everything germ free.

What really prompted me to contact you is the great idea of the cafe/tuck shop in the garden. That must make all the difference for everyone to go outside in the sun with their little coupons and buy something. I’m sure there are many challenges with everyone inside. Anyway thanks to all of you for a great job.”

We would like to thank all of the families who have sent in messages of support or gifts, and of course, thank our wonderful team of managers and staff. They are being amazingly positive, creative and dedicated, working hard to support our service users with learning disabilities, complex needs and acquired brain injury in these difficult times.

 


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17th March 2020 Life in Our Homes0

We often receive lovely comments from both family members and professionals about the specialist residential care that we provide, especially after they have been to visit their loved one or client. Here is a small selection from last month:

“Thank you for managing so much. It’s hard not having him near us, but knowing he is improving is the main thing” – family member
“I cannot say how good getting him to shower has been, that in itself is a great achievement. Thank you for keeping in touch”– family member
“I had a lovely visit with [him] on Sunday.” – family member
“Thanks for the warm welcome from you and your team” – Clinical Co-ordinator
“We had a really good visit, lunch [at the home] was first class.” – Case Manager

These comments relate to service users with acquired brain injury, but we have the same focus on quality of care for everybody, whether they have learning disabilities, acquired brain injury, dual diagnosis and/or complex needs.

Person-centred care

One of the things that sets us apart from other specialist residential care providers is our ethos of putting the service user at the centre of everything we do. This combined with our emphasis on dignity, respect and community underpins all the decisions that we make.

Having six care homes means that we can provide specialist care and support for adults with acquired brain injury and separately for those with learning disabilities. This also gives us the flexibility to offer short-term rehabilitation as well as long term rehabilitation and a home for life. We always take into account the needs and personalities of the current residents when considering new admissions.

Quality of the home environment

The quality of physical environment is also crucial to service users’ well-being. Experience has shown us that the right environment helps people with acquired brain injuries to better engage with their rehabilitation. It can also reduce anxiety and stress.

Of course, our homes are clean and safe, and we also try to make them as homely as possible, without being cluttered. This includes encouraging service users to bring their own belongings and we can decorate their room to their taste. It also means being innovative in our choice of furniture and furnishings, so that they are practical but look like something that you would have at home or find in a hotel instead of in a residential care setting. A good example of this is the new purpose-built wet-rooms that we have in The Coach House. They are accessible, single-level, fully-tiled rooms and the showers have a grab rail incorporated into their design. The style is ‘sleek and modern’ rather than ‘institutional’.

In addition, our specialist care homes are designed with plenty of communal space: separate dining rooms, a couple of lounge areas, tables and chairs in the garden. This means that service users can feel at home with the benefits of social contact and community, along with the space and opportunity to have some quiet time without being confined to their room.

By providing the right physical environment, along with experienced, caring staff, we can support all of our service users to live happy and fulfilling lives.

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As our service is expanding, we need to recruit more care support workers so we decided to create a video to show that working in care can be truly rewarding.

The video shows care support workers and managers talking candidly about why they love working for Richardson Care, and the satisfaction that they get from supporting the service users. For example, Tracey, an Activity Support Worker says: “I’ve worked in care for over 20 years and this [home] is just perfect!”

Other staff talk about the support they are given by managers and team leaders and that they are empowered to provide the best care to meet each individual’s needs. They give plenty of examples of the variety in their role and the activities they take part in with the service users.

We’re very proud of our team and are fortunate to have a relatively low turnover of staff. Not only do we offer a range of employment benefits, but we strive to create a happy working and living environment. We know that the demand for care workers is high so we thought we’d try a different approach of creating a video to encourage more people to come and join us.

Please watch and share our video.

 


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The Coach House is our newest specialist residential care home and our third dedicated to adults with acquired brain injury. It is adjacent to The Richardson Mews and under a joint CQC Registration. It is a self-contained home and run by Registered Homes Manager, Jo Wilkins.

We launched The Coach House on 24th January 2019 and the CQC registration process was completed last summer. The first service users arrived in August and after just six months, we’re pleased to report that one of them was able to be discharged earlier this month.

Goal setting and care plan

Andrew* had sustained an hypoxic brain injury following a cardiac arrest 14 months prior to his arrival at Richardson Care, and came to us from a hospital neurological rehab setting. Members of our multi-disciplinary team (MDT) assessed Andrew and prepared a care plan for him. Goals were set for Andrew at the point of admission, with the aim of enabling him to move to a location closer to his family.

Andrew’s goals included:

  • Increasing his independence with personal care
  • Maximising his engagement in community access
  • Reducing his frustration in relation to his limitations
  • Reducing his wandering at night
  • Participation in elements of meal preparation

A small consistent care team supported Andrew on a daily basis, reinforcing the therapies implemented by the MDT. He built a good rapport with some of the members of the team, which was instrumental in his support and rehabilitation.

Gains achieved

Andrew made good gains in personal care and in mobility. He has been receptive to daily walking practice and he has been supported to access the community every day, which he does using a wheelchair due to stability and fatigue issues. He can also transfer more independently. Although The Coach House is located in private grounds, it has a wide range of shops, cafes, etc. in the immediate vicinity. Richardson Care has a good relationship with local businesses, which enhances the experience of service users when accessing the local community.

Although Andrew still presents with challenging behaviour, he has been able to reduce his frustrations and manage his behaviour more effectively. He engaged well with his care team, who found that distraction and diversion techniques were effective in reducing Andrew’s agitation due to his cognitive deficits.

Regarding elements of meal preparation, Andrew now actively participates in selecting menu choices every day with the support of staff. He will also initiate helping himself to a drink left on the table beside him without prompts from staff. These make important contributions to his overall well-being.

Positive outcome

Within six months, Andrew had made sufficient gains in all of his goals to enable him to be discharged to a residential setting closer to his family. It is hoped that with continued close supervision and increased family contact, he will be able to continue his rehabilitation from his brain injury.

*We have changed the name of the service user to protect his identity.


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Congratulations to all the service users at Richardson Care who were awarded ASDAN certificates throughout 2018/19. ASDAN stands for the Awards Scheme Development Accreditation Network: it provides courses in a wide range of subjects at various skill levels to enable people to achieve accredited qualifications. ASDAN programmes are flexible and adapted to different needs, so they are ideal for our service users who have an acquired brain injury or learning difficulties. All qualifications are independently verified to ensure that the correct standards are met.

Service users were awarded with a total of 63 certificates in 2018/19 – some of the more in-depth courses took two years to complete, which meant others could be worked on at the same time. These courses included Independent Living (introduction and progression levels), Personal Care Routines (sensory), Baking (introduction), Engaging with the World Around Me (Events), and Myself & Others. The awards are graded according to level of support required to complete the course, with 38 people achieving certificates with ‘No Help’, 21 with ‘Spoken Help’ and 4 by having their experience recorded.

As well as supporting service users to gain daily living skills, the ASDAN courses enhance their confidence, self-esteem and well-being. The programme also provides important benchmarks in their progress and a sense of achievement, which can increase motivation and encourage further learning.

Sallie Maris is our ASDAN training co-ordinator at Richardson Care, as well as being our Arts & Crafts specialist. She works with service users on a one-one basis to develop skills which can improve memory, co-ordination, communication and self-confidence.


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Welcome to 2020! We are starting the year with a new brand identity and will now be known as Richardson Care.

We realised that over the years, ‘Richardson’ has become the name of our extended family and represents all the service users and staff within the organisation. It is also a brand encompassing the values that we stand for: high quality care, professionalism and placing the service user at the centre of everything we do. It made sense to become ‘Richardson Care’ to take us forward in the future.

Caring is in our DNA

Richardson Care is one of very few independent specialist care providers in the country and is now owned and run by the second generation of the family. So, truly caring about the people we look after really is in our DNA, and it’s at the core of what we do. We remain true to our founding principles and the belief that social inclusion, community participation, dignity and respect, combined with tailored therapeutic input are key to enabling service users to fulfil their potential.

We are proud of our reputation for providing excellent rehabilitation and residential care for adults with acquired brain injury and separately for those with learning disabilities. And we continue to innovate in our approach to supporting all of our service users, delivering positive outcomes for the people in our care.

Our contact details remain the same, although we do have new email addresses, which now end in richardsoncares.co.uk


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16th December 2019 Life in Our Homes0

As you can imagine, December is a busy month in our specialist residential care homes. Where possible, we support service users to stay with their families, or visit for the day, over the Christmas period. Alternatively, family members and friends are welcome to visit their loved ones in our homes. We always try to make the festive period as fun and enjoyable as possible, and this is what’s happening this year.

We’ve been making decorations and putting them up along with Christmas trees in all the homes – special thanks to our Arts & Crafts lady, Sallie Maris, for her creative skills! There’s also carol singing, Karaoke, disco evening and games planned.

Christmas is often about tradition, and we like to create our own traditions in our homes. At 144 Boughton Green Road, our home for long-term rehabilitation for men with acquired brain injury, one of our service users always dresses up as Father Christmas on Christmas Day. It’s great fun for all the guys and the staff!

We have lots of trips organised to see the pantomime “Cinderella” at The Royal & Derngate in Northampton, as well as a trip with Mencap to see Jack & The Beanstalk at the Deco in Northampton.

The service users from all six homes, along with the staff, come together for a big Christmas party. There’s good food, music, dancing, and a wonderful atmosphere for everyone to enjoy. In addition, we have:

  • Headway Christmas lunch
  • Rock Club Christmas lunch at the Marriott Hotel
  • Christmas lights switch-on in Northampton town centre
  • Christmas shopping
  • Festive afternoon at Headway with coffee and mince pies
  • Visits to Duston, Wellesbourne and Stoke Bruerne Christmas food and gift markets
  • Workbridge craft fair with crafts, music, tombola and festive fun
  • Christmas fair at Kings Park Tennis Centre
  • Christmas parties at Brookside, Mencap
  • Bowls continues at The Richardson Mews hall on Monday afternoons

 

New kitchen at The Richardson Mews

To celebrate the completion of the new kitchen at The Richardson Mews, we had a joint early Christmas lunch for service users at The Mews and The Coach House. Thank you to Caroline, Mandy and Teresa who cooked an amazing Christmas dinner (and to Dexter and his team for our lovely new kitchen). We were joined by the Admissions team, Maintenance guys and some of the MDT. During the meal Northampton Ukulele Band played and sang carols – we had a great time!

Christmas tree at Richardson Mews People at the early Christmas party at Richardson Mews Food cooking in the kitchen at Richardson Mews


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T: 01604 791266.
E: welcome@richardsoncares.co.uk.

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