The Flowers Care Home, a
'Centre of Excellence'
specialising in Dementias of any age, is situated in the Horton Bank area of Bradford.
A secluded, secured home with door alarms and CCTV in situ as well as outside security camera's, where the Residents
can wander freely, both within the clean, brightly decorated home where colour coded halls and landings help with directions
to the Residents own individually designed rooms (some with under floor heating) and background music installed via a
public address system. As well as walking through the sensory garden, amongst the aroma of the flowers and bushes you
can sit out for lunch under the pergola, which was purchased from the Chelsea
flower show, listening and watching the birds, or wandering on the bark, padded ground. Or pop down to the local pub
and fish and chip restaurant nearby.
You are WELCOME to come to The Flowers at any time to visit if we have a room available,
(contact needs to be made prior. to protect both the Residents and Staff as well as visiting times being between 8am and 9pm) You can have lunch or afternoon tea, taking part in the activities and getting to know the Residents
Walking through the sand or running your fingers through the wishing well fountain
in the garden (where wishes can come true) Maintaining your independence and giving you the freedom of choice to live your
life the way you wish.
HIGH QUALITY CARE Quality Standard - 3
The standard of care at The Flowers exceeds the requirement of the CQC quality
standards and is continually monitored and reviewed by all, mainly by the Care Manager and the Assistant Care Manager.
The Quality Standards requires the home to provide these standards which far outweigh
the National minimum standards that are required by the CQC, which can be seen by use of the link below along with the reports
received by the inspections made of which we have achieved an EXCELLENT standard.
Hip protectors are available at the home as a preventative measure (although the home does not take
responsibility if they fail to acheive the required outcome) as research, THE COCHRANE REVIEW (Parker et al 2003)has concluded
that cognitive impaired older people living in care with a reported high incident of falls do benefit wearing these and the
incident of hip fractures are reduced. At present the NHS will not fund these but the home can provide them at the cost price
to the home.
Please use the information below to contact us with any comments regarding the website
or the home. Feedback is always welcome, especially if it improves the standard of care as well as using the links below,
to read the CQC reports and our responses;
(This is for constuctive use only, as in the past it has been used to make annonymous unfounded
complaints, wasting not only the CQC's time and resources but also those of the home)
Information, including CQC report responses
link to CQC inspection reports/information
TISSUE VIABILITY -Quality Standard -3
Tissue paper thin skin is the result of many factors; age, weather, incontinence, medications,
hydration, nutrition and weight as well as lack of mobility, poor nutrition, hydration, diet and medication can
all lead to pressure ulcers. The Flowers are pro active in preventing and responding to the first stage of a pressure
ulcer, by the experience and training of the staff and support of the District Nurses, where pressure relieving aids as well
as redistributing devices are implemented.
Risk assessments can be implemented if Residents are more prone to damage to their skin and all
cares are taken in the movement and handling of Residents to avoid any knocks or scratches, if any wound does occur the staff
are trained to initially use the Mepilex first dressings pack, prior to contacting the District Nurse if required. Staff are
not allowed to wear any sharp items, i.e. rings, watches and are expected to keep their nails short. The environment is such
to avoid any knocks from sharp furniture and creams are applied as a preventative measure, especially for anyone who is incontinent.
Residents are supervised at all times whilst in the lounges, as it is a rule of the home to never leave the Residents unattended
whilst in the communal areas.
NUTRITION AND HYDRATION -Quality Standard-3
As we take diet and nutrition very seriously at The Flowers we have a snack fridge available for
the Residents which is situated in the quiet lounge area, when the Residents can have a snack whenever they feel peckish.
This is very important, especially for Residents who tend to eat whilst wandering and who find it difficult to eat a full
meal at the table. Meals are provided via APETITO (please click on the link below to see their website) Also hydration is
as important as breathing and therefore drinks are continually offered and encouraged as well as fruit juice being available
at all times for the Residents to help themselves, if they choose or to be offered, including alcoholic drinks daily.
To monitor both nutrition and hydration, we have assessment forms as well as care plans in place for anyone who we may have
Green serviettes are in place for all Residents who require assisitance at meal times and this reminds
staff who needs assistance as well as encouraging the Residents to eat and drink, with lemon cloths being offered before and
after meals to wash hands.
At lunch time, home made fresh soup and smoothie's are offered frequently to help maintain
the hydration as well as the nourishment required for the day making sure that the Residents recieve their 'five' fruit and
veg daily requirement in one meal, which is especially valuable for Residents who are unwell or on a liquidised diet.
We also implement 'finger foods' regularly to help with co-ordination and for wandering Residents
and full fat milk, butter (not margarine) and premium dairy produce are used to help with calcium intake as well as many other
nutrients required. Of course any Residents who prefer to have semi skimmed or a different type of spread are able to have
what they choose.
Halal and other adaptations of diets are provided to suit cultural and individual needs and these
can be discussed and documented prior to admission.
The cook in the home provides excellent home cooked meals and we have been given a five star
***** rating by environmental health.
We are always open to any suggestions or ideas you may have and welcome feedback regarding the service
provided, please do not hesitate to contact a member of staff at anytime
Read about APETITO
FALLS PREVENTION - Quality Standard -3
Due to the vulnerability of the Residents as well as the risks that they are open to on a daily
basis (due to the promotion of independence) falls prevention is in place to monitor and protect the Residents. Where the
requirement from the CQC is implemented and followed, with all risk assessments and care plans put in place as required.
END OF LIFE CARE- Quality Standard - 3
The Flowers provides care to the end of your life, whenever possible as we feel that it is imperative
that anyone entering this pathway remains in the same loving, recognised environment to avoid further anxieties and fear.
All Residents who enter the pathway will have the homes own pathway to dying care plan implemented prior to the Liverpool
Care Pathway, once the District Nurses become more involved. Below is a poem that was written (with
the aid of a poem read) by Catherine (owner/manager) as a tribute to her Aunt who lived in the home and died whilst in hospital
following a fall, therefore Catherine could not care for her to the end but staff from The Flowers were implemented at her
bedside to be with her up to the end;
Joan Mary Smith
3rd AUGUST 1919 - 25th JULY 2007
My Wish For You
Life brought you many challenges,
many struggles and hardships were there,
The years left their marks
as lines on yor face and grey hues colours your hair.
You played, by ear, the organ
to such an amazing extent
caused so many to admire you, although modestly this time would be spent.
The outdoor life had weathered
your skin, adding freckles apparent to age,
your long slim fingers were
athritic and sore and your life then turned a new page.
Your mind slipped into a world
of it's own,where many few people could reach ,
And as time took it's toll
we lost you,as confusion empowered your speech.
A disease that steals the gentlest
of minds and leaves the body behind to fade,
Within the essence of passing
time, your future was surely laid.
The disease that is known as
'the long goodbye' and the person we all once knew,
The one that we all called 'Aunty Joan' was now lost in a waning view.
One of mixed up neurons and
faulty wires, it became impossible to learn anything done,
leaving you unaware of the
second just passed, and unable to project a second to come.
Life was now lived, moment
to moment, instant to instant, new memories lost,
With brief reflections of life
today, at such an emotional cost.
And ever so often and ever
so briefly, a spark of recognition of you,
The person who once was hidden
behind the confusion, comes through.
Your laughter and wit stayed
with you, emerging at times each day,
But fallen and lost, you were
defeated, as we watched the signs of life ebb away.
My wish for you dear Aunty
and for every day since we 'lost' you is;
For a peaceful death,
an unhurried death, an accompanied death, a contented death, a death of days gone by, for you to
slip away without fuss, without pain and find a rest without waking,
You left us with serenity and
dignity, quietly and peacefully in your sleep, the way i wanted you to go and for that i am so grateful.
The Flowers is renowned for promoting stimulation and motivation as well as independence,
here are some things that we implement;
Maintaining skills learned throughout life, from bed making to gardening. Not forgetting that evening tipple that we all
enjoy (sherry and other alcoholic drinks are available)
ONGOING THROUGHOUT THE DAY
Saturday Night at The Movies with popcorn
Enjoy a Movie, every week, on a Saturday afternoon, with popcorn and snacks, on the large TV we have in the home. Especially
suited to the Residents who either don't have visitors or who cannot go out.
EVERY SATURDAY ESPECIALLY FOR THOSE RESIDENTS WHO HAVE NO VISITORS OR WHO FOR VARIOUS REASONS DO NOT
GO ON THE OUTINGS.
Weekly and Monthly Outings
Outings on aWeekly and Monthly basis, from a scenic drive in the company car or nipping out for a pub lunch, as
well as afternoon tea at a scenic cafe or fish and chips from the paper (as we all know they taste soooo much better)
The homes car is always available.
EVERY WEEK AND MONTH AT LEAST, INVOLVING ALL OF THE RESIDENTS WHO WISH TO GO
MEMORY BOXES ARE NOW IN SITU FOR ALL RESIDENTS, TO ENABLE A ONE TO ONE WITH EITHER THE STAFF
OR ANYONE WHO WISHES TO COMMUNICATE AND REMINISCE
Post Box situated on all Residents room doors.
PERSONAL POST BOXES ARE IN SITU FOR EACH RESIDENT OUTSIDE THEIR ROOM TO ENABLE US TO LEAVE POST FOR THEM
OR THEIR FAMILY. THERE IS ALSO A POSTAL SERVICE SUPPLIED AT THE OFFICE FOR OUTGOING MAIL.
INFORMATION REGARDING 'SNOEZELEN' ROOMS
The Snoezelen Room;
This is a room that is used to stimulate / relax all the senses, by touch, smell,
sight and hearing.
Completed in December 2006, the room is available for all Residents, visitors and staff. Divided
into three areas, the room has three recliner chairs, two of which are facing each other in the ONE TO ONE area
where both staff and visitors can sit with a Resident in a relaxing environment with tea and biscuits and have a chat, looking
through the garden door into the garden at the trees and birds, with butterflys fluttering around the growing
ivy. The other recliner is situated in the GROUP area, where up to six people can sit comfortably and have a group discussion,
reminisce or have a laugh, dressing up in wigs and hats with glasses and beads. All the recliners can be used for poorly Residents
to spend their day with relaxing music and lighting or for aggitated Residents to come to calm down. Finally the third area
is The BEACH AND BAR, where there is a outdoor table and chairs situated on a lawn, with views of the beach through three
windows, with a bar at hand for a sherry or beer whilst either relaxing or craftmaking at the table.
What standards of care can people expect from a care home?
Dementia may cause a person living in a residential home to behave in ways that are bewildering and upsetting,
both to themselves and to those caring for them. However, the kind of care that they receive can make a big difference to
their behaviour and their quality of life.
A good care home will follow the principles of person-centred care. Person-centred care aims to see the person
with dementia as an individual, rather than focusing on their illness and on abilities they may have lost. Instead of treating
the person as a collection of symptoms and behaviours to be controlled, person-centred care takes into account each individual's
unique qualities, abilities, interests, preferences and needs.
Maintaining standards of care
Care homes that follow the philosophy of person centred care aim to bring out the best in the people with
dementia who live there. Each home has its own written philosophy, or mission statement,
based on this concept. This influences
every aspect of the life of the home and makes it possible to measure how well the home is living up to its standards at any
Respecting the individual
Each person with dementia living in a care home should have his or her own individual care plan. The care
plan should summarise how staff can encourage and maintain the unique strengths of the person with dementia while meeting
his or her needs for support. This plan should be reviewed at regular intervals.
Staff at all levels should have received training in how to care for people with dementia. This will enable
them to understand the difficulties in communication that people face and help people
with dementia express their wishes
Personal dignity and privacy should be respected at all times. Individual cultural or religious beliefs should
also be taken into account. For example, staff should address the person with dementia in whichever way the person prefers,
whether by their
first name or more formally. However advanced the state of the person's dementia, they should be treated
as an adult and with courtesy at all times.
People with dementia have the right to expect those caring for them to try to understand how they feel and
to make time to offer support rather than ignoring or humoring them. Staff should sit and chat to residents while they are
helping them with physical tasks such as washing and dressing. One member of staff should have particular responsibility for
the care of each person with dementia. This staff member should have a clear idea of that person's life history, habits and
The right to choose
People don't lose their right to take part in decisions about their lives because they have dementia or because
they have moved into a care home. They should be included in plans and decisions about their care and support and be able
to make choices wherever possible. Whether it is choosing food, clothes or activities, their likes and dislikes should be
fully taken into account. If the person with dementia can do particular things for themselves, they should be encouraged to
continue to do so.
A meaningful life
Care staff should show a sensitive approach to helping people with dementia maintain a good level of personal
care and ensuring they get enough to eat and drink.
The home should offer a wide range of carefully considered activities and people with dementia should be encouraged
to take part in these, if they so choose. The care team should create opportunities for residents to spend time together and
get to know each other through a wide variety of social opportunities.
People with dementia should also be encouraged to maintain relationships with people outside the care home.
Easing the burden
The environment of the home should be as comfortable and homely as possible. Spaces should be laid out to
minimise any of the confusion or distress that people with dementia may sometimes feel. Residents should also be able to spend
Staying in touch
There should always be a member of staff for people to talk to about any worries they have concerning the
person with dementia. Staff should be supported at all times by the care home manager who should see relatives and close friends
as allies in their attempt to offer the highest level of care possible.