Envivacare specialises in supporting children and young people with complex needs
Overview of the service
Envivacare is probably London's leading employer of children's nurses and healthcare assistants.Our qualified paediatric nurses and specialist care staff work in many of the capital's hospitals, children's care centres and special needs schools but our main purpose is to support children, young people and their families in their own homes. We particularly specialise in helping children who are profoundly disabled and with complex or life limiting conditions.We work closely with families to prepare support plans that protect and promote the well-being of our young clients and that respect parents' wishes, and they always have the final say on who join their team. We aim to design the service so that parents can find enough time for other important things in their lives.
Communication and interaction needs
We specialise in helping young people with the most complex conditions so most of our staff are already highly experienced working with children who don't communicate in the normal way. Techniques we use include Makaton and PECS symbols. We also care for clients who have speaking valves following tracheostomy. We use tools such as 'Feelings Charts' and 'Communication Charts' to help young people express themselves and even have special versions of our complaints procedure and annual survey to help younger children and others to get their message across.
Cognition and learning needs
We tend to work with children and young people with profound physical and learning difficulties.
Social, emotional and mental health difficulties
Envivacare's service specialises more in the physical care and mobility needs of children and young people who are profoundly disabled. We work with families and local health and social care professionals and education services to make sure all their needs are met to ensure their happiness and well-being.
Many of our complex needs clients have visual and hearing impairments as part of wider conditions. We employ play specialists with access to sensory toys and other equipment to help them learn and have fun.
Our speciality is helping children and young children who have considerable physical and mobility needs. All our staff are trained yearly in safe moving and handling techniques and the use of hoists and other specialist equipment.
Specific or complex health needs
Our care staff are trained by and under the supervision of Registered Children's Nurses and understand the needs of young people with such conditions as severe epilepsy, muscular dystrophy, cerebral palsy and other neurodegenerative disorders, brain damage, respiratory illnesses and diabetes. Many of our clients have tracheostomies, gastrostomies or ventilation, or need suctioning, oxygen therapy, blood glucose monitoring or medication via the various routes.
Categories of need
Complex health needs, Severe Learning Difficulties/ Disability (SLD), Severe Speech and Language difficulty, Mobility Disabilities, Muscular Dystrophy, Communication needs (Speech, Language and Communication), Social, Mental and Emotional Health, Visual Impairment, Cerebral Palsy, Hearing Impairment, Personal Care Needs
0-2, 3-4, 5-7, 8-11, 12-15, 16-18, 18-20, 20-25
Who we provide for
At all times.
What we do
Our service works in partnership with parents to ensure for children and young people their:• physical and mental health and emotional well-being; • protection and security;• independence and personal development skills to encourage self-control over their day-to-day lives;• participation in education, training, leisure pursuits and a social life; • equal place in society. We will also do whatever we can to see that parents and guardians:• have proper breaks from caring;• can enjoy a life of their own;• get adequate sleep and rest;• and are able to spend more time with their other children, family and friends at times of their choosing.The support plans we agree with families list the main outcomes they and their children want from the service. Our local care manager then visits the home regularly to make sure everything’s going well and to plan. Such outcomes might be anything from "Danny wants to learn to swim" to "Ravi should use his speaking valve for 6 hours a day by September" to "Mrs Ali wants more quality time with her other children at the weekend".We help our young clients and their families to achieve their hopes and aspirations by providing the services they need directly or through working with other organisations. For example, last Christmas we arranged for some of our clients to take part in outdoor activities by arranging for them to go wheelchair ice skating. We booked the activity and the care assistants and, where necessary, helped parents arrange suitable transport.
Is there a waiting list?
Are there any taster sessions?
Do you need a support worker?
Can you take your support worker with you?
Does parent / carer have to stay?
Is parent / carer allowed to stay?
Can siblings attend?
Staff SEND skills
The training we provide includes on-going practice facilitation by senior children's nurses in client's homes, tailored to the needs of the child or young person. We also provide specialist in-house training, including epilepsy and emergency seizure management, enteral feeding/gastrostomy/NG tubes and care of tracheostomies. Following training, a nurse supervisor checks what they have learned by observing them carrying out care properly and safely.Annual mandatory training includes:• Moving and Handling• Paediatric Life Support & CPR• Health & Safety, COSHH & RIDDOR• Food Hygiene (if likely to handle food)• Confidentiality and Data Protection• Risk Assessment• Fire Safety• Infection Control• Lone Working• Safeguarding Children (to advanced Level 3)• Complaints Handling• Conflict Resolution• Equality and DiversityWe do not provide certificated Disability Awareness training as this is covered at induction and on-going during practice facilitation by our senior children's nurses.
Have staff had safeguarding training in last year?
Staff Disability Awareness trained in last year?
Are staff trained in specialist interventions?
Are there staff trained in manual handling?
Assessing child safety
We will:• Carry out risk assessments before service begins (or within 2 days if starting care in an emergency) and at least annually thereafter, and do what we can to eliminate or minimise risks by informing all staff of risks and how to manage them;• Train staff how to do and use risk assessments, in fire, health and safety and hazardous materials awareness, and to a high level in the safeguarding of children and young adults• Protect against infections by using special techniques, prevention routines and protective equipment• Operate robust protection procedures based on the London Children Safeguarding Board and Royal College of Paediatrics guidelines• Carry out thorough pre-employment and annual checks on staff including enhanced criminal records disclosures, checks of people barred from working with children and vulnerable adults, employment referencing and ID checks• Health-check all staff working with patients who have open wounds or low immune systems, including blood checks for infectious diseases• Ensure our work and systems are compliant with our Care Quality Commission regulator, Nursing & Midwifery Council and health/social care bodies• Visit clients’ homes at least monthly to ensure all is well with the family and our staff, and carry out formal quality assurance monitoringWe’ll train staff to recognise signs of abuse and take seriously any allegations raised by anyone, including children. We’ll fully support referrers and whistleblowers and be guided by the principle of doing what’s best for the child. We’ll work with local safeguarding professionals to ensure effective management of safeguarding matters.
We will accept referrals from anyone and work with the parents, schools, social workers, continuing care managers and other appropriate people to secure the right assistance is provided at the earliest opportunity.
Deciding who can use the service
We accept new clients based on our ability to properly and reliably provide an ongoing service. Specialist care staff like ours are in great demand and if we have to refuse anyone a service it's usually because we are not sure about having enough appropriately skilled staff available in a reasonable timeframe. However, if we do we can usually start within 2-7 days. It may take a month or so if additional recruitment is necessary but we’ll provide an estimate of the start date and keep you informed of our progress. We won't string you along if we don't think we can help!When you contact us our Manager will co-ordinate the response. He will confer with the rostering team to confirm staff availability, the Recruiter to see how quickly extra staff can be brought on board and the Nursing Manager, who’ll assess your needs. A senior nurse will be your local care manager and will visit frequently to set up systems, introduce care staff and monitor the success of the service.You will be told the names of staff we're recommending for your child and can see mini-CVs for them or even meet key workers before service starts. The first work they do will be a 'shadow shift' in the company of our care manager, where you can get to know them better. We will recommend staff based on their qualifications, skills and experience, location, readiness, and ability to relate to and interact with your family.
Is there a charge for the service?
Direct payments, Personal budgets, Care package from LA, Own funds
As a homecare provider we do not have our own hoists and tracking equipment.Our service is available in every London Borough and some surrounding areas.We do not usually need local venues. We can meet you at home or at our office near Angel, Islington.
Wheelchair Access, Accessible toilets, Secure environment, Accessible parking, Our Service is delivered in the home
Communication methods used
Signs and symbols, Makaton, PECS
Respite & Support
Respite & Short Breaks
Education and childcare
In school therapies
Leisure and play
Friendships & relationships
Preparation for adulthood
Communicating with parents and carers
Our office maintains constant contact about your rota by phone. Our Quality Assurance team co-ordinates quarterly formal monitoring calls and a detailed annual written survey. Our Clinical Nursing Manager and Nurse Consultant will be in touch about care matters and the local care manager (or 'Package Supervisor') will visit weekly at first, monthly once established, to confirm your care needs are still being met and we're achieving our goals; she will also look at the notes you and the staff keep with the care plan and make sure you know how your child is doing.We have leaflets and a comprehensive Client's Guide written in English. Our website gives a lot of information about our service. We may be able to arrange for an interpreter for important meetings where English is not your first language.We have an illustrated Feelings Chart, Communications Chart and other items for young children and those with learning difficulties. We have a special children's version of our annual survey.Care staff will keep detailed notes of everything they do or cannot do, including times and dosages of medication, etc., which are available to parents at all times. They will communicate with children and young people by the most appropriate method, such as Makaton or PECS.
Is the service fully accessible?
Our office is fully accessible to wheelchair users. Disabled toilet available.