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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.



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

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