Further Details on Admission Criteria & Process
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Provision is for male and female adults aged 16 years and over. In addition to hearing loss, individuals may experience additional compound and complex disabilities, for example:
- Physical/Learning Disabilities
- Visual Impairment
- Mental Illness and Autism
Those with challenging behaviour will also be considered. Where applicants demonstrate challenging behaviour, the physical and emotional welfare of other service users and staff will be considered during the selection process.
Applicants with acknowledged drug or alcohol problems would only be accepted into Hayfield if it were considered that the prognosis for them ceasing their addiction was strong.
At present Hayfield offers limited access for wheelchair users.
Applications are made by social workers on behalf of the prospective user.
The admission panel will review the information and assess the needs and suitability of the applicant. The pack, consisting of appropriate background information, medical report and financial agreement should be completed and submitted to Hayfield for each applicant.
A six week Screening Evaluation Period provides the applicant and the Screening Panel the opportunity to assess the appropriateness of the placement. The applicant will be invited to undertake a six week Assessment and Evaluation prior to any final decision being made about a placement in Hayfield.
At the end of this period, an Admission Assessment Meeting will be held at which the applicant, their family/carers and representatives of the referring authority will meet with Hayfield staff to discuss and decide on the appropriateness of a future placement in Hayfield. Evaluation reports will be produced and made available to the applicant and referring agency.
Following admission, the placement of each individual will be reviewed at least twice yearly.
Applications to Hayfield Support Services are usually made by a statutory authority.
This authority will provide detailed information regarding the applicant’s personal, family and social background, including details of any occurrence of challenging behaviour and how this has been dealt with. Applications also require to include a standard medical report. All information provided in the application will be treated in the strictest confidence.
All applicants undertake a basic 6 week residential and/or day service Assessment Period. Each applicant is assigned a named residential key worker and/or day support worker, who has responsibility for monitoring the applicant’s progress, and collating information from other staff or outside agencies. At the end of the Assessment Period the key residential worker and/or day support worker will produce a detailed report on the applicant, using a standard recording format. The Assessment Reports produced are compiled with the knowledge and assistance of the applicant, to the level of their abilities, and the final reports are made available to the applicant and the referring authority. This may be adapted to suit the levels of understanding of the applicant, e.g. this may be in pictorial/visual/graphic format. The Assessment Reports produced by key workers and support workers highlight an individual’s abilities as well as their needs and desired outcomes. The reports give recommendations as to whether the applicant would benefit from a placement in Hayfield, highlight any instances of challenging behaviour and provide individual goals and service user outcomes which a placement would seek to facilitate.
Following the Assessment Period, a planning meeting is held which includes the applicant, their carers, and their advocate, representatives of the referring authority, relevant staff and Hayfield management. This meeting will decide whether a placement at Hayfield is appropriate, and about the nature and purpose and expected outcomes of such a placement. Decisions are also taken about the goals, targets and desired outcomes for the applicant’s development and about any specific measures to be taken to deal with challenging behaviour and about the services to be provided in pursuit of these decisions.
The assessment process provides information which is then collated in order to produce an individualised Care Plan and Risk Assessment for each service user. Throughout any placement in Hayfield, responsibility for the planned work being done with an individual service user lies with the service user, named key residential worker and/or day support worker, in cooperation with other members of staff and other agencies as appropriate. All Key support workers are regularly supervised by their line managers. Managers are responsible for ensuring that individual service user records are kept up to date, and that they contain the appropriate information, with particular reference to the service user’s desired outcomes, medical information and details of all instances of challenging behaviour.
During all placements in Hayfield, each service user has their overall progress reassessed through discussion at a full Review Meeting, at least twice a year. Each Review Meeting follows a format similar to the initial Assessment Meeting, with the production of reports and the involvement of the service user, their carers and representatives. New issues are addressed and new goals, outcomes and target dates set for the next review period. In the case of someone who is Deaf and has Autism or complex, multiple disabilities, the original plan may stay in place for some time or the goals changed to suit their levels of progress.
It is important to note that the levels of progress may appear to be slower for people with Autism and Complex, multiple disabilities. At the time of each Review the service user’s Care Plan and Risk Assessment will be re-addressed and amended in the light of any new information or developments.