The Wellbeing Centre has a team of experienced qualified nurses and a skilled health-support worker, all experienced in delivering care to students. The team have specialist nursing skills in both general and learning disability care. At the start of College each student will have an identified Link Nurse who will support them throughout their College journey. All students attending College will be given the opportunity to register with our local GP practice, this is encouraged by the nursing team as it ensures easier access to local services and allows care to be transferred to local professionals to manage long-term or ongoing illnesses. Alternatively, students may wish to remain with their current GP practice in their home area.
The Wellbeing Centre is open throughout term-time Monday-Friday 08:00-20:00hrs. A qualified nurse is on-call for care staff to contact during out-of-hours, for any urgent queries, which may arise within the residencies.
Students who have specific care needs will be assessed by the Nursing Team whilst working alongside the care staff, parents and professionals to ensure that students have the correct equipment and support whilst at College.
The care team will provide day to day healthcare. Any health concerns will be referred to the Wellbeing Centre or the emergency GP, if out of hours. In the event of an emergency, or a student being taken ill, the student’s next of kin will be informed. Parents will not automatically be informed if the student has a cold or minor injury. In these circumstances care staff will always ask the student if they wish to speak to their family.
The Nursing Team can offer:
- Nursing Assessment
- Urgent Care
- Wellbeing Clinics
- Support with medication ordering and any changes
- Wellbeing teaching sessions
- Easy read health information
- Advice on diet and nutrition
- Desensitisation support around health
- Multidisciplinary team working and attending reviews
- Contraception advice
- Epilepsy support and planning
- Diabetes care and planning
- Staff training – Diabetes, epilepsy and Medication
- Nursing care plans – Longterm/ongoing conditions
- A weekly GP surgery supported by the nursing team
- Blood testing
- Talking therapies and problem solving
All care and vocational staff are First Aid trained and when required will have completed the Administering Medication Training. Each student has a medication safe in which their medication and Medication Administration Record (MAR) chart are stored. Students will be assessed for their potential in being able to self-medicate, or self-medicate with supervision. The keys/code for safes will be kept with care staff whilst some students will have their own. Care staff will administer all medication to students, unless they are able to self-medicate.
Some students will continue seeing their dentist, optician or audiologist when they are at home, others will choose to transfer to a specialist nearer College. If a student has a medical appointment, they will usually be accompanied by a member of the care team, unless they have asked to attend independently. Transport will be organised for them where appropriate, but the use of public transport will be encouraged. Nurses may work with the student to prepare them for their appointment. This will include talking about who they are likely to meet, the sort of questions they might be asked and if there is anything they would like to ask the doctor or clinician. The outcome of this appointment will be shared with the care team so it can be added to the student’s health record.
Integrated Therapy Team
Highly Specialist Therapists at Derwen College work together as an integrated team. Our therapy team is made up ( comprises?) of Counselling, Occupational Therapy, Physiotherapy and Speech and language Therapy.
Therapy at Derwen College is delivered with an integrated focus across residential, vocational and education settings. We share our knowledge and expertise to ensure the most relevant therapy is provided in a timely way as students’ needs change. We meet to review targets, recognise progress and identify the support you will need in this environment to be successful and achieve your goals.
Our team uses the universal, targeted and specialist model to deliver our service which is based on individual student need and assessment.
All students at Derwen college benefit from a highly skilled staff base, enabling a universal approach to developing independence in preparation for adulthood and transition post college.
Therapists’ recommendations, advice can be given to ensure strategies are embedded through the day and needs are met throughout college and as such this will not be a timetabled therapy session.
Individual assessment is available following referral to the integrated therapy team. Following assessment within the college environment, specific needs will be identified, and recommendations made. This may take the form of guidance and advice to the student, their key staff, provision of equipment, visual resources, group work or 1:1 for a short period of therapeutic intervention.
New students with therapy needs and provision identified in their EHCP/LSP, will be reassessed within the first term at college. Their specialist provision will be reviewed, to ensure it meets their need in the new college environment. Therapy will be delivered in the most appropriate way to enable the students to achieve their individual goals and outcomes. Therapy will look different to a school environment and may not be delivered in weekly hours but over a period of time and integrated into daily college life.
Clinical need should be identified in EHCP/LSP documents. We use our clinical expertise to recommend additions/alterations to outcomes and therapy provision. We will monitor and advise on progress and review targets identified to meet changing needs as they transition through college.
Physiotherapy promotes function and independence to help students live and work. In this way the students choose exercise for life, not just for now, and can access this through the Sport and Leisure programme. To help students move into adult life and prepare for life after College, they are encouraged to take more responsibility for looking after their own bodies.
This may include · support for moving and handling · managing posture and movement · rebound therapy · hydrotherapy · exercise therapy · referral to specialist services
Speech and Language Therapy
Speech and Language Therapy supports Derwen College to follow the Royal College of Speech and Language Therapy 5 Good Communication Standards as a guide for good practice.
Students are given the opportunity to achieve their communication goals effectively in a real-life learning environment. A range of approaches and strategies are used in a personalised way to meet the needs of the students.
This may include:
· Dysphagia assessments
· Makaton signs and symbols
· Communication passports
· AAC devices
· The Listening Programme
· Staff training and support
The College is Makaton Friendly and has a network of qualified Makaton Tutors.
Occupational Therapy at Derwen College aims to support students in a person-centred way by considering the daily activities that are important to the individual. They will work with students to find the best solution that supports them to overcome any challenges they may be experiencing. This will enhance their skills and opportunities for learning and independence.
This may include
· Sensory diets and approaches (SI level 2 qualified)
· The Alert Programme
· Lego Therapy
· Environmental and assistive equipment
· Referral to specialist services