Stepping Out Blog

Home Care and Domiciliary Care Services

Stepping Out Home Care and Domiciliary Care

Stepping Out is a registered and regulated (CQC) social care provider delivering person centred care services to clients meeting the range of low through to critical high support, high supervision needs.

Stepping Out has built a great reputation for providing specialised support and care packages to clients whom display severe challenging behaviour.

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

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

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
  • Discuss Support options available:

Initially and importantly a client should be thoroughly informed of the support options available, this includes the differing types of support Stepping Out offers but also information pertaining to local opportunities, activities and services, this may include healthcare services and or local shopping malls, parkland, job opportunities or local day centres.

Each client should be treated and supported in a personalised manner. Active listening to be employed at all times by our staff members to ensure we are fully able to record the opinion, wishes and preferences the client may have.

Once we have established a clear idea of the type of support and or care the client needs and wants we must then begin to devise a bespoke support plan.

Communicate and alleviate fears:

Communication is important; some clients may feel that they do not require care or support. It is paramount that the relevant staff member actively listens to the client, takes note of any fears and or anxieties and seeks to guide, discuss and reassure.

The client should be given time to fully discuss their care plan and make suggestions, amendment and or improvements throughout their care. Effectively Communicate, goals, tasks and plans:

Planning is an important step in order to ensure a client receives the correct levels of support whilst ensuring the support is administered in a personalised manner. Planning begins before and throughout a client’s care plan. Goals and tasks may be set by the clients with the aid of their support worker. For example it may be decided that a client will devise a weekly, monthly and yearly goal setting plan. The plans may be as basic as deciding which days they’d prefer to carry out their food and grocery shopping, in addition a goal may be set to visit a particular destination or visit a city abroad. Setting such plans alongside the clients care plan allows the client to feel fully in control of their care and helps reduce anxieties, the plans are also useful for clients with dementia whom require a document to aid them remember their plans and goals.

Risk Assessment:

A thorough risk assessment should be carried out and agreed upon by all relevant parties, the client, family members, service manager and relevant professionals before confirming a particular task or activity. A separate risk assessment should also be carried out pertaining to the client’s home and the support and care provided around the home.

Are you interested in discussing the options Stepping Out makes available pertaining to placing a client within our supported living or semi-independent living provisions?

Maybe you’d like to discuss how we could provide outreach and or home care services to your clients, friends or family members?

Contact us today on 0208 342 7217 or send an email to info@stepping-out.org

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Client Groups Stepping Out Support

What type of client group can Stepping Out support?
Stepping Out is renowned for helping clients with varying difficulties achieve positive outcomes, typically we specialise in working with clients whom display severe challenging behaviour, we are able to provide outreach support in a number of locations to clients, alternative we provide specialist semi-independent provisions (accommodation and support) to clients with:

 

Autistic Spectrum Disorder

Mental Health Issues

Borderline Personality Disorder

Challenging Behaviour

Moderate Learning Disabilities

Physical Disabilities

Sexually Harmful

Sexualised Behaviour

MAPPA Cases

Drug & alcohol abuse

Self-harm

Suicidal tendencies

Dual Diagnosis

Conduct Disorder

NEET Clients

Ex-Offenders

Alzheimer’s

Early On-set Dementia
If you have a client who may benefit from receiving services from us please contact us.

Stepping Out
439 Green Lanes
London
N4 1HA
0208 342 7217
info@stepping-out.org
www.stepping-out.org

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Dementia: The Next Global Health Time-bomb.

Dementia should be made a top health priority on a par with cancer and lung disease, a leading expert has said, after it was described as the next global “time bomb”. Professor Peter Piot, former Under-Secretary General of the United Nations, compared dementia to the AIDs epidemic and said one person is diagnosed with the mental illness every seven seconds.

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Self Harm – How We Can Help

Self harm is a way of expressing very deep distress. The term ‘Self-harm’ is very broad and could refer to different forms of self inflicted injury. People may hurt, injure or poison themselves by scratching, cutting or burning themselves, by hitting themselves against objects, taking a drug overdose, or swallowing or putting other things inside themselves. It may also include less obvious forms, such as unnecessary risks, staying in an abusive relationship, developing an eating problem (such as bulimia or anorexia), or being addicted to alcohol & drugs. Simply not looking after or neglecting emotional needs could be classed as self harm. It may or may not be linked with Mental Health Issues.

However, Stepping Out can help. We have highly qualified staff backed up by years of experience to help manage self harm cases and produce positive outcomes. We have, in the past, supported people who self harm, have suicidal tendencies as well as challenging behaviour.

How Do We Help?

Stepping Out understand the steps needed in order to combat the issue of self harm. Below is our 4-point plan on how to overcome the triggers of self harm:

Identifying & Reducing Stress
Stress levels can be a huge trigger for self harm. We can help identify sources of stress, and together with the service user, plan ways of reducing or avoiding it.

Building Self-esteem
A low self-esteem can result in self harm. Feeling useless, unloved or unnoticed can trigger emotional distress. Our caring staff can provide counselling sessions, social activities, community access and more. By socialising and participating in their support, service users can overcome self harm.

24 Hour support
Our semi independent living projects are staffed for 24 hours a day, offering unlimited support within the house. Our projects are homely and facilitate for a maximum of 5 service users. A safe, supportive setting is essential when facing self harm.

Knowing The Risks
We educate service users on the risks of self harm, self neglect, unneccessary risks, and so forth. By understanding the potential outcomes, service users may become more recptive to or other forms of support, and leave self harm behind.

For more information on how Stepping Out can help, or to make a referral, contact us.

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Stepping Out Can Help Young People Leaving Care

Young people leaving care can often go through a stage of vulnerability, whee their surrounding seem uncertain. as an adolescent, these obstacles come at a time when stability s needed. Leaving a care environment and attempting to undertake full independence immediately can be extremely difficult. Especially those who are 16-18 years of age who possibly suffer from mental health issues.

Stepping Out aim to bridge the gap between care and independence by providing a stable, homely, semi-independent living accommodation. Service users are given support in areas such as;

  • Household maintenance & cleaning
  • Personal hygiene
  • Money management and budgeting
  • Arranging and attending health appointments
  • Career exploration
  • Accessing community resources & facilities
  • As well as all other problem areas

We also provide support for service users in all other aspects of their life and development towards independence. This is offered via our 24-hour on site staff, who are always on hand to handle incidents and provide guidance when needed.

For more information on our semi-independent services, call Stepping Out on 020 342 7217

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