Stepping Out Blog

Home Care and Support Services

Home Care and Support Services

Nature of Service

Stepping Out is a specialist care and support service providing high level support and supervision. We are able to offer personalised services to clients with early on-set dementia and other issues to include learning difficulties, and mental health.

We aim to aid our clients regain lost skills and abilities and promote their independence and dignity.

Service values

We are passionate about empowering and involving service users: We actively support Service Users to:

Communicate their choice in all stages of service development from assessment through to service delivery and beyond.

  • Maximise their potential; building on strengths and meet individual needs towards independence and autonomy, choice and control.
  • Be an active member of the community if desired.
  • Make informed decisions and take positive risks.
  • Achieve better outcomes, ensuring a balance of needs and wants are met.
  • Identify what’s truly important and provide encouragement to actively live by those values.
  • Develop a healthy respect for self and others.
  • Develop self-confidence, self-worth and interpersonal skills.
  • Develop trust in others and share relevant information within the bounds of confidentiality.

 

Aims & Objectives

The Stepping Out Home Care service’s main aims and objectives are as follows:

 

  • To provide a broad range of person centred services that meet the diverse needs of our customers to maximise control, choice independence and autonomy.
  • To promote and improve quality of life for individuals. Our service is tailored to meet the individual requirements of the service user in order to maintain maximum quality of life and normality in their own home.
  • Protect the rights and promote the interests of service users.
  • Promote the independence of people who use our services while protecting them as far as possible from danger and harm.
  • We aim to work persistently with the community to ensure universal services are increasingly geared up to meet peoples personalised needs.

Delivery of Service

Our person centred support teams aim to aid clients maintain independence and ensure they are able to remain within their own homes for as long as possible. Below are some of the main areas our staff members strive to teach, reduce, explore and or support a client achieve.

•          Support with Daily Hygiene Routines

•          Support with food Preparation

•          Support with maintaining a clean and safe living environment

•          Support with Food & Grocery Shopping

•          Support with attending leisure & health activities

•          Support with family contact

•          Religious & cultural needs & preferences

•          Support with reducing substance & alcohol abuse

•          Safety & self-harm reduction + safeguarding

•          Daily reflective support on conduct & behaviour

•          Managing Incidents

•          Support with socialising and community integration

•          Support with attending appointments

•          Support with or to maintain independent skills

•          help increase self-esteem and confidence in order to reach their full potential.

Click here to contact us in order to discuss a bespoke care package for you, a client or a family member.

Click here to view and download our HomeCare brochure.

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Disability & Mobility Aids

Do you have a friend or family member whom needs a little help? Maybe you are a carer looking after a vulnerable client! Have a browse through our online store where you are able to find many mobility and general easier living aids: http://www.stepping-out.org/store/

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Reducing Placement Breakdowns & Challenging Behaviour

Placement Breakdowns & Challenging Behaviour

Stepping Out has recently been inundated with referrals, mainly young people and adults displaying challenging behaviour. It seems these referrals are being made after various placement breakdowns have taken place. Stepping Out continues to support the ideology that prevention is the key to ensuring a placement is successful.

Important factors when choosing a provider for clients displaying severe challenging behaviour:

  • Is the house staffed 24 hours per day?
  • How many service users does the property accommodate? (less is more)
  • Does the provider have a good track record with supporting certain client types?
  • Does the placement provide professionals with regular reports and updates?
  • Is the placement cost effective?
  • Are the staff well trained and experienced?
  • Is the provider regulated by a specific regulatory body? (CQC)
  • Is the provider flexible and do they have the resources to continue to meet the client’s needs?
  • Does the provider have good knowledge of reporting disclosures and safeguarding issues?
  • Does the provider have a dedicated out of hours emergency team? Is the team able to travel to a project out of hours if necessary?
  • Are you seeing positive outcomes, or more challenging behaviour?
  • Do you know why an incident occurred? What were the triggers? Do you know what the client’s thoughts were?

Stepping Out work with various local authorities on a national scale and offer small, homely, semi-independent living projects staffed 24 hours per day and accommodate no more than 5 service users per project. Our risk assessments ensure that many incidents are prevented and our polices are continually updated in order to reduce incidents occurring!

Example Incident: Service user alleges that his Laptop was stolen by another service user, an incident occurs causing a placement breakdown; the laptop may not have existed.
Stepping Out’s Solution: All service users must sign a valuable belongings policy, stating their possessions, a staff member must confirm that these possessions exist. This policy is updated regularly in order for us to keep record of any new valuable items. False allegations pertaining to the loss of valuable items are greatly reduced.

Working to reduce placement breakdowns:
Usually a placement breaks down because a client is involved in an incident and or the client displays behaviour that could not be managed, reduced.
Stepping Out ensures their staff members pay regular attention to potential triggers and any patterns that may form prior to an incident. We cannot guarantee an incident will not occur, however Stepping Out will work to find out why the incident occurred, take note of the triggers and engage the client directly, we are open minded and use a relaxed approach. Our clients will be challenging and we are aware of that, therefore we must engage with them so that we are able to ascertain why the client became challenging. Our experienced approach usually means a client will inform us that they caused this incident because of x, y or z, they may even tell us what the exact triggers were and in most cases will highlight how regularly occurring incidents can be reduced.  Making a placement with Stepping Out will ensure you know as much as possible about the client and their needs.

In order to make a placement with Stepping Out, please contact us on 020 8342 7217.

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Early Onset Dementia

Dementia and its symptoms

Dementia’ is a term used to describe the symptoms that occur when the brain is affected by specific diseases and conditions.  It is an umbrella term used to describe the effects of closely linked diseases. These include Alzheimer’s disease and sometimes are the result of a stroke. Dementia is progressive, which means the symptoms will gradually get worse. How fast dementia progresses will depend on the individual. Each person is unique and will experience dementia in their own way. There are approximately 750,000 people in the UK with dementia.

Symptoms and how we can help

Below are just some of the symptoms that our service will manage and seek to reduce where possible:

  • Loss of memory − this particularly affects short-term memory, for example forgetting what happened earlier in the day, not being able to recall conversations, being repetitive or forgetting the way home from the shops. Long-term memory is usually still quite good.

Stepping Out offers the client regular guidance, support and prompts; the semi-independent project will provide a 24 hour on site staff member whom is able to offer timely aid. In General the regular use of planning documents such as weekly activity plans, shopping lists, goal setting plans, timetables, visual image based tool etc. will aid the client remember important tasks. The plans can be posted around the client’s private living area in order to aid the client’s memory.

  • Communication -The person with dementia will experience increasing problems understanding what is being said to them and what is going on around them. They are likely to find it difficult to communicate with other people. They may gradually lose their speech.

Stepping Out ensure its staff members receive regular training on effective communication, where they are able to understand a client’s feelings via certain behaviour and or body language, eye contact and tone of voice. Our staff are trained to actively listen to clients whilst positioning themselves accordingly as to not cause any distress, tension or anxiety to the client. Visual tools and other interactive communication aids are to be used in order to ensure effective communication. Staff members must employ patience and always ensure they communicate with respect towards the client.

  • Challenging Behaviour – The person with dementia may display puzzling and or at times challenging behaviour this may be in the form of physical aggression or verbal abuse.

Our staff members receive regular training on managing challenging behaviour. Importantly a client with dementia may display challenging behaviour due to feeling distressed, anxious and or frustrated. At such times, staff members must provide proactive, dedicated 1-1 support and use communication methods best suited to the client in order to alleviate the client’s anxieties. Various rules and boundaries have been put in to place that clients must adhere to. Our Company operates a no physical contact/physical intervention policy. This means we will not physically restrain and or challenge a client. If the clients behaviour becomes aggressive and or unmanageable and once we have exhausted all means of calming and effectively communicating with the client, our staff members are instructed to contact the local police whom will work to stabilise the clients behaviour.  The client will be made aware of this and will be introduced to our project rules and the boundaries that must be adhered to on initial placement with of course regular reminders.

Stepping Out is a registered and regulated (CQC) independent social care provider delivering person centred care services to children, young people and adults meeting the range of low through to critical high support, high supervision needs.Stepping Out has built a great reputation for providing specialised up-to 24 hour semi-independent living options for adults and young people.

We provide Services to:

The type of clients we accommodate and support have varying needs to include:

  • Autistic Spectrum Disorders
  • Mental Health Issues
  • Attention Deficit Hyper Activity Disorder
  • Borderline Personality Disorder
  • Challenging Behaviour
  • Moderate Learning Disabilities
  • Physical Disabilities
  • Schizophrenia
  • Sexually Harmful Behaviour
  • Sexualised Behaviour
  • Drug & alcohol abuse
  • Self-harm
  • Suicidal tendencies
  • Auditory Hallucinations
  • Command Hallucinations
  • Delusional Ideation
  • Early onset Demen
  • Dual Diagnosis
  • Dementia
  • Fabricated & Induced Illness

In order to make a referral and or to obtain further information about our company please contact us using the information provided below:

Stepping Out, 439 Green Lanes, London, N4 1HA

020 8342 7217

Info@stepping-out.org

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Home Care: Comfort & Familiarity

Home care, live-in care or domiciliary care means receiving the care and support you need at your own home, at your preferred times.

Often, receiving care means having to leave home and move into a care setting or facility. In some cases, this can be distressing. Additionally, not everybody needs 24 hours of supervision and care. The benefits of home care and support services, is that we allow the service user the familiarity and comfort of their home whilst they receive the support they need.

Stepping Out can visit your home for a duration of just half an hour, all the way up to 24 hour live-in care, depending on your needs.

For more information on what we can assist you with, and our methods of doing so, visit our Home Care page, or call 0208 342 7217.

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