Orkney Islands Council
Working together for a better Orkney

Smiddybrae House (Dounby)

Vetquoy Road, Dounby, KW17 2HH. Tel: 01856771100.

The Place

Smiddybrae was built in 2005 by Orkney Islands Council as a purpose built residential care home for older residents. It is situated in the village of Dounby, 13 miles from Kirkwall and 10 miles from Stromness. It stands in its own grounds made up of lawns, flowerbeds and patio areas. A short walk from Smiddybrae House there is the GP surgery, a pharmacy, local mini-market, post office, hairdressers and public bar and hotel.

Accommodation

Accommodation is within 4 wings or houses Brockan, Isbister, Bosquoy and Clumly, each with there own lounge, veranda and kitchen/dining area. There are 6 or 7 bedrooms in each wing all with en-suite toilet and shower facilities while there is a bathroom on each wing for those that like a bath.

One bedroom in each wing is a double room capable of providing for a couple or for two close family members seeking joint accommodation.

The rooms are furnished but residents are encouraged to take any furnishings, pictures, ornaments etc of their own as they may wish to give a sense of familiarity and the room being theirs. They may also decorate their room to their own individual taste. Each bedroom has an internet socket and a TV socket and arrangements can be made to connect a personal phone line if the person chooses. Any electrical equipment will need a safety check before use as per health and safety regulations.

Smiddybrae is wheelchair accessible and all doors and rooms, including en-suite and toilets, are of a size to facilitate the use of wheelchairs and hoists. A number of the bedrooms have tracking hoists on the ceiling.

We provide care for varying needs such as physical disability and dementia care.

The Staff

Management

Smiddybrae is part of Older Peoples’ Services of Orkney Islands Council Community Social Services. The manager at Smiddybrae is Gillian Coghill and is available 08:00 to 16:00, Monday to Friday, to discuss any issue a resident or family member may have. Appointments can be easily arranged out with these times.   The full management team at Smiddybrae consists of:

  • Manager - Gillian Coghill.
  • Duty Managers - Marina Stanger, Yvonne Adamson and Gordon Ritchie.

24 hour day to day management of the staff and the service is provided every day of the year by Duty Managers.

The management team meet regularly and work together to ensure the delivery of a high standard of services from a staff group that receive the support they require.

All members of the management team are appropriately qualified and are registered with the Scottish Social Services Council having been through enhanced police checks.

Staff

Care Staff are available around the clock, 7 days a week to plan and implement individual care plans and provide care and support as required. Other members of the staff team include Cooks, Domestics, Administration Assistants and a Handyman.

All care staff work by the National Care Standards which underpin the Care Inspectorate regulatory service and the Codes of Practice which was implemented by the Scottish Social Services Council.

We are committed to developing skills and knowledge and support staff to undertake qualifications required for the position they hold. All care staff hold an appropriate SVQ or are working towards it. There is a commitment to ensure all staff undertake a programme of dementia training. Regular external and in-house training takes place ensuring that staff are kept up to date with current practice, this ensures a highly trained and dedicated staff group.

We have a fantastic input from the voluntary sector with a host of activities being offered by the volunteers each week.

All staff have had enhanced police checks.

In the event that there are any strategic management changes residents and their families will be informed.

Philosophy of Care

We will endeavour to facilitate a homely environment, underpinned by valuing residents as equal partners in all aspects of daily living, promoting choice, autonomy and independence, through a person centred approach, supporting residents to maintain skills and abilities and realise optimum potential.

Residents are encouraged to maintain a lifestyle akin to their own homes, environments, values and norms both inside and out with the home. We endeavour to assist residents to have the optimum quality of life by attending community events and exploring and facilitating individual meaningful activity in relation to both daily living and leisure activity.

Vision

To strive towards a service which fully recognises residents as equal partners, providing opportunities for residents to lead meaningful and fulfilling lives, based on individual choices, values and norms.

Mission Statement

This service should:

  • Meet residents needs via person centred care planning within assessed packages of care through risk and care assessments, daily reports and monitoring.
  • Promote residents quality of life, physically, emotionally, spiritually and organisationally.
  • Promote and respect residents’ individuality, independence, dignity, privacy, personal fulfilment and development.
  • Provide skilled, sensitive support of a high standard within a homely environment.
  • To offer residents family and friends the support and guidance, if needed, to ensure good communication and relationships between all parties.

Admission

Individual care needs are assessed by a care manager and passed to the bed allocation team. Care Managers can be accessed by contacting Community Care at the Council Offices, Kirkwall, 01856873535.

If Smiddybrae House fulfils required needs then the person will be invited to come and look at the available facilities and give an opportunity to meet residents and staff. Family/friends are also encouraged to come along.

If they decide that they wish to come to Smiddybrae House then they will be allocated a keyworker and co-keyworker responsible for ensuring that each individual’s personal needs are met.

If in agreement a visit at home will be arranged so that together people can start planning care needs. This may take more than one visit depending on individual needs. A suitable time and date to move in can then be arrange if they should wish to do so.

All residents are given a six week trial period after which a review is held with the person, family member/friend, keyworker, duty manager and care manager to gauge if care needs are being met. At this point, if appropriate, permanent residency will be offered. We would advise anyone not to give up their own home until this review has taken place.

Whilst we would hope to provide a lifetime home, there are circumstances where residents may wish to move to an alternative location. Should this be the case, residents will be fully supported by staff and care managers, informally and through the review process to express preferences/wishes, explore options and visit alternatives to allow a smooth transition based on informed decisions.

There are 2 reviews a year, one of which is attended by the Care Manager, to look at needs and to make sure we are meeting them.

Comments and Complaints

We welcome feedback from relevant people to improve and direct services.  Should you wish to discuss any aspect of the service please feel free to approach staff. Any concerns will be passed to the management team who will address any concerns in line with organisational policy and agree outcomes where possible.

If any issues are not resolved to your satisfaction you can raise concerns with the Care Inspectorate on 018568770535 or Orkney Islands Council on 01856873535. There are leaflets providing advice on this at reception in the core building.

Complaints or concerns can be forwarded confidentially or anonymously on the above numbers.

Advocacy Tenants are encouraged to access advocacy where they wish or if it is felt this may be beneficial.

Care Planning and Risk Assessment

Care planning is a tool to ensure we are giving the best possible care and attention in all aspects of an individual’s life. Central to the care plan is the person’s lifestyle, wishes and aspirations. It will be updated on a regular basis as needs change and at least 6 monthly to ensure that your needs are still being met.

To encourage safe practice and to meet legislation we have to risk assess certain situations e.g. going out in the bus, walking outside in the garden. This is used as a tool to ensure that residents are safe in these situations. Any risk assessment that involves a resident will be created in discussion with them and will become part of their care plan.

Residents may employ their own private personal carer if they wish.

Daily Living

Residents are encouraged and supported to create their own daily living plan. Meals can be served to suit their individual requirements with all dietary needs and preferences being catered for. The home has an ongoing internal programme of activities which are varied and adaptable to individual needs.

Meaningful Activities

We place great importance on maintaining and promoting meaningful activity.

Whilst formulating individual plans we will explore which activities are meaningful to each resident. This will include physical, social, emotional, therapeutic and environmental facilitation, to enhance enablement and enjoyment.

We have a meaningful activities co-ordinator who ensures a wide range of activities and when possible we access local facilities and events. There is a bus with a chair lift for the use of residents if required.

A typical Month of Activities might look something like this:

Sunday 1st - Sunday Service at 14:30.

Monday 2nd - Exercises and Games at 18:30.

Tuesday 3rd - Change display to 40 shades of green 14:30. Paper Craft and knotting at 18.30.

Wednesday 4th - Card Making at 14:30. Hand Massage at 18:00.

Thursday 5th - St Peter’s Coffee Afternoon 13:30, Craft and Knitting at 18:30.

Friday 6th - Chip Supper, Ipads at 18:30.

Saturday 7th -  lunch out, Sing along at 18:30.

Sunday 8th - Sunday Service at 14.30.

Monday 9th - Traditional Dancing at 18:45.

Tuesday 10th - Buns for the coffee morning at 14:30, Nails at 18:30.

Wednesday 11th - Icing buns for the coffee morning at 14:00, Reading at 18:30.

Thursday 12th - Coffee Morning 11:00, Craft and Table top games at 18:30.

Friday 13th  - Nails at 18:30.

Saturday 14th -  lunch out, Bingo at 18:30.

Sunday 15th -   Sunday Service at 14.30. 

Monday 16th - Music in Harray at 18:45.

Tuesday 17th - Afternoon tea at The Ayr at 14:00. Reading at 18:30.

Wednesday 18th - Olympics at 14:00, Baking and knitting at 18:30.

Thursday 19th - Sing along and Wordsearch at 18:30.

Friday 20th - Craft at 18:30.

Saturday 21st - Lunch out. Film Night Calamity Jane at 18:30.

Sunday 22nd - Sunday Service at 14:30.

Monday 23rd - Traditional Dancing at 18:45.

Tuesday 24th - Flower arranging at 18:30.

Wednesday 25th - Burns lunch 12:30,  Burns/Scottish songs tea and shortbread at 18:30.

Thursday 26th - St. Rogs Coffee Afternoon 13:30. Games and exercises 18:30.

Friday 27th -  Trip to Birsay 14:30, Table top games 18:30.

Saturday 28th - Quiz at 18:30.

Sunday 29th - Sunday Service at 14:30.

Monday 30th - Music in Harray 18:45. 

Tuesday 31st -  Making Valentine Cards, Orkney words and quiz at 18:30.

Spirituality

Access to spiritual and Christian counselling is available on request through the Duty Managers office.

Volunteers

We are very lucky to have excellent volunteers at Smiddybrae who provide a wide range of activities residents can access.

There is also an Activities Association active in raising funds for such things as the greenhouse and residents’ holidays.

Breakfast Club

A chance to get together over breakfast, have a chat and get involved in different activities. It has proven to be of great benefit for a number of residents.

Gardens

There is an area of raised beds and a greenhouse for the use of residents who enjoy gardening with support available.

Pets

We have a pet cat called Tilly. We have a couple of hens in a fenced area outside Bosquoy.

Residents’ Holidays

As well as day trips to some of the smaller islands we have been able to take groups of residents on holiday to Caithness and to Inverness staying at hotels.  

Smoking

There is an allocated area for those who wish to smoke as we ask that residents refrain from smoking in their own room due to the risk of fire.

Laundry

A laundry facility is available and we ask that clothes are clearly labelled in order to ensure safe return. For some residents care of their clothing may be an activity that is meaningful to them, each wing has a washing machine that residents can be supported to use.

Books and Newspapers

There is a vast range of books to access from Smiddybrae House. The library will also provide books if required. Weekly and daily newspapers are available from the local shop.  

Residents meetings and Forums

All residents or their chosen advocate are encouraged to put forward suggestions to assist in maintaining and improving the home environment at regular resident’s meetings and forums. These meetings/forums are an essential and welcomed tool for us to ensure that we are providing effective person centred care.

Visiting

Smiddybrae House welcomes visitors at any time and all that we ask is that you sign the visitor’s book at reception. The main door for the building is locked after 22:00 and reopened at 06:30, if you require entry before/after these time please contact the Duty Manager.

Safekeeping

All residents are encouraged to manage their own finances although help is available if necessary. We also have a safe which can be used for larger amounts of money or valuables.

Medication and Medical Matters

Here at Smiddybrae House we encourage self medication where possible otherwise trained staff will assist in this. Each resident will be allocated a named nurse from the community nurse team. If a resident does wish to self-medicate, staff will need to perform a risk assessment and act on the findings accordingly. The Dounby Surgery doctors are available should anyone require medical attention throughout the day. NHS 24 cover at nights and weekends.

Whilst we would support all service users to access or retain the GP practice of their choice the final decision on whether the GP will support service users out with their geographical area lies with the GP.

The Call Bell System

If a resident should require assistance from a member of staff there are call bells and pendants they can press to alert staff if they need help.

Health and Safety

There are certain Health and Safety requirements that we as an employer and service-provider must uphold. Fire safety, risk assessment, and accident reporting are included in the policies and procedures of Smiddybrae House and are available for you to look at if you wish.

Insurance of your belongings

Smiddybrae House cannot offer contents insurance for a residents personal belongings. We would suggest that they take out a private policy to protect any items.

Participation

It is very important to us that the service responds to the wishes of residents and people important to them as well as commissioners and other professionals. We use a number of means for assessing our service including regular resident’s meetings and forums, questionnaires, service reviews, evaluations and consultation documents, discussion boards, informal information gathering to gather the views of a range of residents.

Respite Facilities

Here at Smiddybrae House we have respite rooms on the physically frail and dementia wings. These can be accessed through your Care Manager who will assess your needs and allocate appropriately. We will try and meet with you prior to your first stay with us to discuss your needs and how best we can facilitate these. All facilities of Smiddybrae House are available for those using our respite service. We appreciate when residents take the time to complete our Quality Assurance Questionnaire so that we may gauge how well we meet an individual’s needs whilst with us for respite.

Please contact the Duty Manager on 01856771100 if you have any further queries.

Extras

We can arrange the following extra services in addition to those covered by the Contract Price for your Care and Accommodation.  You will be responsible for the payment of these services and we will advise you of their cost beforehand:

  • Hairdressing.
  • Newspapers.
  • Dry cleaning.
  • Private telephone line rental and calls.
  • Private use of internet services.

We will arrange appropriate appointments and transport for the following NHS services. Where you have private arrangements in place for the provision of these services and you wish to continue to access these services privately, you or your appointed representative will be responsible for any treatment charges. Occasional one off transport requests will be provided at no extra cost at the discretion of the Care Home Manager.

  • Chiropody (Chiropodist visits every three months with the option of private chiropody appointments out with this time if more frequent visits are required).
  • Opticians.
  • Dentistry.
  • Physiotherapy.

Transportation

Staff escorts to and from medical appointments.