St. Michael's House - ANNUAL - St. Michael's House
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
St. Michael’s House
Services for People with Disabilities
ANNUAL
REPORT
2019
OUR MISSION
Support individuals with
intellectual disabilities to
achieve their potential and
live as independently as
possible in ordinary places
in the community connected
to natural support
networks.
St. Michael’s House – Annual Report 1
CONTENTS
Chairperson’s Review 3
Our Five-Year Strategic Plan 4
Chief Executive’s Review 5
Goal 1: Give people the services and supports they need 6
Cosán 8
National and World Special Olympic Champions 9
Goal 2. Make best use of resources 10
I AM Photograph Exhibition 13
Goal 3. Provide measurable standards of service, excellence and innovation 14
St. Michael’s House and UCD celebrate 10 year partnership 17
St. Michael’s House Schwartz Rounds 19
Goal 4: Make sure that individuals, families, employees and volunteers are skilled 20
Abseil 2019 22
St. Michael’s House Bed Project 2019 23
Goal 5: Build strategic alliances to bridge gaps 27
Sharing the learning in IASSIDD Congress 2109 – Future 4All 26
Goal 6: Have strong governance structures 28
Review of Operations 2019 30
Financial Summary 35
Family Summer Party
2 St. Michael’s House – Annual Report
St. Michael’s House provides a comprehensive of range
of services and supports to men, women and children
with intellectual disabilities and their families in
170 locations in the greater Dublin area. It supports
1,936 people and this has an impact on thousands of
family members. St. Michael’s House is funded by the
Health Service Executive (HSE), TUSLA and the
Department of Education and Skills.
OUR VALUES
l be person centred – to offer a l be ethical – this means that
range of activities to support we operate with integrity;
individuals who use our service;
l have high standards of
l be professional – this means governance – to offer
being skilled, competent and effective systems of
proficient; management; and
l be honest – this means following l be innovative – to provide new
principles and being dependable thinking and deliver creative
in all that we do; solutions.
OUR VISION
Support individuals with intellectual disabilities to achieve their
potential and live as independently as possible in ordinary places in the
community connected to natural support networks.
You can read and download the Strategic Plan, our full set of financial statements
and our service directory on www.smh.ie
St. Michael’s House – Annual Report 3
CHAIRPERSON’S REVIEW
was honoured to be appointed Chair of St.
I Michael’s House in October 2019, having first
been appointed to the Board in September 2018.
Our founders imbued St. Michael’s House with a
wonderful ethos centred on supporting people with
an intellectual disability to become full members of
their communities. This was built on by the
remarkably committed staff team who coalesced
around the organisation, led in the early years by Dr.
Barbara Stokes.
There have been many Board members since that
time, all volunteers, who have made their own
stable funding system. The rising deficit is not
distinctive contribution, most recently led by Martin
sustainable, and will eventually bring the
Lyes as Chair.
organisation to its knees.
“
In taking on the role of Chairperson
at this challenging time for the
My own view is that our current model of block-grant
funding is broken. This affects most health and
social care providers, and I urge the Government to
address this. We will seek to build a consensus
nationally about how to tackle these issues in our
organisation I feel greatly encouraged sector. The report of the Independent Review Group
Examining the Role of Voluntary Organisations,
by the commitment of my fellow chaired by Catherine Day, suggests a number of
Board members. possibly fruitful options.
In taking on the role of Chairperson at this
”
I would like to acknowledge Martin’s significant
achievements and contribution during his four years
in the role. In particular the rationalising of the
challenging time for the organisation I feel greatly
encouraged by the commitment of my fellow Board
members. Their skills and experience encompass all
that is necessary to support the management team to
pilot a course through what are quite choppy waters
governance structures and processes within the just now. All have been recruited in recent years and
organisation. This work, which other, now retired they have given generously of their time and energy
Directors, greatly contributed to, has strengthened to St. Michael’s House.
the sense of openness and transparency about the
organisation. He, and those other Directors who I would like to acknowledge the work of our previous
retired during 2019, Dermot O’Beirne, who has sadly CEO, Anna Shakespeare, who moved on during 2019
since passed away, Jim Cuddy, David Hughes, to a similar role with Pobal and to extend a very
Raymond Brett, Michael O’Farrell and Eilis Hennessy warm welcome to our new CEO, Liz Reynolds who
have left the governance of the organisation in joined us in December 2019 and comes to us with a
robust good health and I thank them for that. wealth of experience in the sector. I look forward to
working with her, and the Board, in 2020 to meet
The financial statements show that the organisation the challenges which face us and to continue to
has an accumulated deficit at the end of 2019 of deliver the quality services for which the organisation
€8.1m. Despite additional funding provided by the is known.
State in recent years this has continued to grow,
partly because our residents are getting older and
have more complex needs, and partly because we
have taken on the care of people in urgent need, but
without being given corresponding funding. Our
commitment to our service users drives everything Prof. Anthony Staines
we do, but we cannot deliver on that without a more Chairperson
4 St. Michael’s House – Annual Report
St. Michael’s House – Annual Report 5
CHIEF EXECUTIVE’S REVIEW
am very proud and excited to address you as
I Chief Executive Officer and I was delighted to be
able to commence in the office in December. I
would like to acknowledge the significant
contribution of my predecessors, Anna Shakespeare
and the Interim CEO, David Dunne, in what was
achieved in 2019.
This year’s annual report sets out the highlights of
the ambitious workplan and achievements of
St. Michael’s House in 2019. The focus of all our
work is on achieving our organisational Vision and to
continue to implement our Strategic Plan .
However, it is important to acknowledge our key
“
The profile of our service users means
that many have changing needs which
funders being the Health Service Executive, TUSLA
and the Department of Education and Skills. I would
also like to applaud the outstanding work of
volunteers and fundraisers, without whose support it
would not be possible to continue our growth and
must be addressed within our current development, to address unmet and these changing
needs of individuals with disabilities.
service profile and without any I would like to sincerely thank the entire staff and
additional resources, and we will volunteer team of St. Michael’s House for their
professionalism, hard work, commitment and
continue to work with the HSE in an unflagging enthusiasm to achieve what has been set
out in 2019’s Annual Report.
attempt to agree an appropriate Finally I would like to thank our Chairman,
funding base. Dr. Martin Lyes, and our Board who give so
generously of their time as voluntary Company
”
Directors and are a source of support, advice and
inspiration.
I look forward with great enthusiasm to 2020 where
The achievements in this document are the outcome
we will continue to work together to grow and
of the sum of the collective energy, creativity,
develop responses to new and emerging needs, for
imagination and plans of the teams and community
supports and services, and make a difference to the
of people across St. Michael’s House.
men, women and children who use, and want to use,
St. Michael’s House operates on an extremely tight services provided by St. Michael’s House.
financial margin and 2019 was a very challenging
year which, despite everybody’s best efforts, resulted
in us running a deficit. The profile of our service
users means that many have changing needs which
must be addressed within our current service profile
and without any additional resources, and we will
continue to work with the HSE in an attempt to Liz Reynolds
agree an appropriate funding base. Chief Executive
6 St. Michael’s House – Annual Report
GOAL 1:
Give people the services and
supports they need.
Our Personal Centred Planning (PCP) Our Day Supports
The development of personal planning system for We developed clear protocols signposting pathways
children, young persons and adults in our services. for day support options to maximise choice and
decision making in line with capacity legislation
Our main achievements 2019; principles.
l Completed all assessment of needs for all day
Our main achievements 2019;
service users
l Completed a review and agreed approach to
l Completed a revision and alignment of PCP and
appropriately escalate the unmet need of growing
Positive Behaviour Support Policies
number of people seeking new day supports
l Completed a revision of Organisational through the New Referrals Committee
Orientation for newly recruited staff to include
l Implemented the New Directions EASI audit on
PCP
the next theme which was rolled out nationally
l Developed an audit of PCP to determine quality
l Reviewed and Implemented the New Directions
and areas for improvement
Theme 1 audit findings
l Completed identification and pilot of Quality of
l Reviewed and Implemented Local Centre review
Life measures
findings for service improvements as part of
l Completed St. Michael’s House – Quality and Safety Work-plan 2020.
University College Dublin (UCD) PCP research
and implemented recommendations to guide
PCP practice Legislation
l Completed a review of PCP Policy to reflect By 2021, we will develop and put in place policies,
Assisted Decision Making (ADM). structures and approaches to assist and support
decision making in line with legislative
requirements.
Staff Training
We will provide staff training that supports the Our main achievements 2019;
‘personal planning’ process.
l Commenced the complete development of
consent to treatment protocols by Clinical
Our main achievements 2019; management team
l Provided clinicians with training and support to l ADM reviewed all policies at time of renewal to
understand their role in implementing PCP and ensure ADM is incorporated
Cosán. Cosán is an assessment and intervention
tool that can be used as part of the Personal l Reviewed documents as legislation and codes of
Planning Process practice commenced in 2019 by ADM steering
group.
l Completed a PCP audit and implementation plan
to include development of training/information for
service users and families.
St. Michael’s House – Annual Report 7
Safeguarding and Training l Established forum to develop SMH Mental Health
Intellectual Disability (MHID) link with CH09
We have continued to put in place our policies on
Mental Health engagement lead.
safeguarding and training.
Our main achievements 2019; Transition Training
l Completed review of SMH adults safeguarding We will establish a separate designated team to
policy to improve compliance with Health support and manage transitions of individuals at key
Information and Quality Authority (HIQA) points in their lives by 2020
requirements
Our main achievements 2019;
l Completed review of Positive Behaviour Support
Policy (PBS) to incorporate safeguarding policy l Scoped out transition team for protocols and
requirements processes of information requirements in 2019
which involved linkages with day place and
l Trained all new staff members in Adult residential approvals and new referrals
Safeguarding Policy and Children First Policy
l Developed terms of reference, best practice and
l Completed refresher training of 370 staff in Adult research methods to map the work of the
safeguarding policy transition team with recommendations of a new
model of service to the Executive Management
l Supported over 500 staff with access to HSE – Team (EMT).
Land training in Children First Policy
l Established Safeguarding mapping steering Ageing and Persons with an
project with quarterly output reporting. Intellectual Disability
We will review, refine and put in place the policy
Family Framework document ‘Ageing and People with an Intellectual
Disability’.
We will develop and put in place a service user and
family communication, engagement and advocacy Our main achievements 2019;
framework. This is a framework that will make sure
that your voice and wishes are heard. l Reconvened working group and completed review
to refresh and revisit the implementation plan on
Our main achievements 2019; ageing across the organisation.
l Initiated review with other organisation
stakeholder processes by SMH Board Family Summer Party
l Completed Training of 320 staff in Complaints
Policy Implementation
l Developed plan to augment and further develop
self advocacy in our services
l Revision of policy and training to implement
Open Disclosure consistent with HSE National
policy
l Established a group to review and develop
guidelines on the use of interpreters to support
families and individuals for whom English is not
their first language
5 3 153
New School Age Teams QQI Service User Graduation QQI Certified portfolios
developed. Evenings with families and completed by
friends. Service Users.
8 St. Michael’s House – Annual Report
he St. Michael’s House Cosán Examples were concluded in a Cosán
T Steering group was established to
commit to wholeheartedly championing the
Cosán process across the organisation of St. Michael’s
showcase including the launch of a Cosán
Fire Safety Checklist for service users.
One Adult participated in learning to make a meal,
House and not just in regional pockets since 2009.
(sometimes independently and sometimes with the
Cosán is an assessment and intervention tool that use of assistive technology); One lady buys her
can be used as part of the Personal Planning Process ingredients for making lunch for the week in the
to support staff to develop independent life skills for local shop using a picture shopping list and can
individual service users and to plan opportunities carry out most of the steps involved.
and activities towards achievement of these skills.
Cosán is the Irish for pathways.
A wheelchair user who is highly dependent on staff
makes a contribution to his day service by the use of
The Cosán working group 2019 successfully a technology switch attached to the kettle to make
provided strategic leadership and direction of the tea for all his colleagues and friends.
Cosán process and programmes for the benefit of all
service users with intellectual disabilities in Continued evaluation on the development of Cosán
St. Michael’s House. across the whole organisation 2019 was essential
learning. This engaged the expansion of the
programmes to the next step i.e. develop with
families and residential houses, expand the use of
Cosán skills in everyday life, to attain employment,
voluntary work, personal hobbies and participation in
the community and to develop educational skills and
opportunities from these Cosán programmes. This
including preparation for QQI courses for service
Cosán goals contribute towards achieving what is users.
important TO or important FOR service users and are
recorded as part of the service users ‘personal plan’.
Cosán programmes successes are individual and vary
greatly to; making a meal; travelling on public
transport; purchasing items in a shop; learning how
to use a spoon or partake in one’s own personal care.
The increase in numbers of service users wishing to
participate in QQI level 2 courses in 2019 increased
overwhelmingly as a result of the Cosán Initiative.St. Michael’s House – Annual Report 9
NATIONAL AND WORLD
SPECIAL OLYMPIC CHAMPIONS
t. Michael’s House Special Olympic team all joined
S World Special Olympian Deirdre O’Callaghan to
celebrate her representing Ireland in Kayaking at the
World Games in Abu Dhabi.
Our Special Olympic team included:
Anthony Coleman, Lisa Caffrey,
John Byrne, Courtney Richardson,
Roy Pickett, Edward Doran,
Mark Steele, Colin Grassick,
Sabrina Phelan, David Kinsella,
Dina McAnaspie, Sarah Carroll,
Angela Kirwin, Noel McClelland,
Damien Byrne, Breda Doyle,
Cathy Soden, Una Hennessy,
Philip O’Reilly, Michael Hall,
Raymond Parrott, Nicole Redmond
and Joey Cunningham.
Our coaches:
Dyfed Davis, Gill Byrne,
Linda Corcoran and Conor Grassick
for encouraging our athletes to believe and achieve.
219 Over 500 Over €72,000
Staff recruited and 9 external Staff supported with access to Received from SEAI grant
recruitment evenings by HSE-Land training in scheme for heat & light upgrade
HR Department. Children First Policy. in Leisure Centre & Swimming
Pool, Belcamp.10 St. Michael’s House – Annual Report
GOAL 2:
Make best use of resources.
School Leavers l Carried out review of current ASD day services
We will look at the needs of school leavers, aged 18 l Outlined clinical support needs to meet ASD
years. We will develop a 5 year multi-annual needs needs in school age team.
based plan for young adults leaving school and
training centres.
Large Day Services
Our main achievements 2019; By 2021, we will review and rearrange existing large
day service such as our training centres. We will do
l Developed a proposal for a progress capital and
this using the Interim New Directions Standards - a
transport plan with the HSE
HSE policy. These are HSE guidelines to ensure that
l Reviewed SMH assets to establish any capacity to there is an appropriate service for funded adult day
release equity in order to develop capital funding services.
stream of support.
Our main achievements 2019;
Education, Employment and l Implemented New Directions Easi audit Theme 1
Living Options Learning and recommendations from 2018
We will review the services provided to people with l Development of Joint Day Services audit tool to
autism spectrum disorder and intellectual establish baseline numbers.
disabilities. We will develop clear pathways for their
education, employment and living options.
Mainstream Employment
Our main achievements 2019; We will design and put in place a way to develop and
co-ordinate mainstream employment opportunities
l Autism Spectrum Disorder (ASD) Steering Group that meet the employment needs of adults we
established support.
Our main achievements 2019;
l Development of Joint Day Services audit tool to
establish baseline numbers
l Used the Person Centred Planning (PCP) data to
inform the future development requirements of
the supported employment approach
l Participated as a strategic partner in DCU/SMH
Ability Project Team
l Developed a suite of accessible tools and course
HomeSharing Programme Launch content with QQI accreditation as part of
DCU/SMH Ability Project.St. Michael’s House – Annual Report 11
Support Needs Down Syndrome and Dementia
We will review the residential support needs of those We will review our approach to, and services for,
aged 18-40 years and develop a plan of other people with Down Syndrome who have a diagnosis of
possible choices to support their needs. dementia.
Our main achievements 2019; Our main achievements 2019;
l Reviewed terms of reference and process at l Implemented the diagnostic pathway to include
residential approvals screening Q1- Q4 to deliver more responsive
monitoring and improve quality of diagnostics
l Reviewed resident compatibility in residential
locations of concern and their expressions of their l Established a plan to review the organisational
will and preference through their behaviours of reporting relationship of CARA palliative care
concern service for 2020
l Commenced review of skills mix in each location l Reviewed the capacity of the organisation to
to ensure staff competencies best match support develop a step down service for individuals
needs of individuals residents or users of the leaving acute general hospitals.
service
l Reviewed the outcome of the stock condition Individual Residential Facilities
survey with St.Michael’s House Housing
Association (SMHHA) to inform their strategic By 2021, subject to new resources, we will provide
planning direction in 2019. individual accommodation for five people who are
now in group residential facilities.
Children and Life-limiting Conditions Our main achievements 2019;
We will review the needs of young children with life- l Pursued the planning of development of new
limiting conditions. We will also propose a model of community based high support service to
pre-school support for these children as part of the accommodate four residents from a congregated
Early Childhood Care and Education programme. setting. Resources query for 2020.
Our main achievements 2019;
l This objective is completed and is in place.
Therapeutic Respite for Children
We will put in place a new model of therapeutic
respite for children with exceptional behaviour needs
and autism spectrum disorder. If we get new
resources, we will provide support for 13 of these
children.
Our main achievements 2019;
l Launched a joint Conference with UCD to raise
active lobbying regarding proposal and value of
this approach to this new model
l Reviewed existing respite framework tenders Waterbabies Corporate Partnership
commissioned with HSE.
1,480 1,680 9
Journal Articles and 1,422 Books Receipts and Thank you’s Fast Friends Events for Adults
checked out through our Family issued from Fundraising with intellectual disabilities to
Library and Resource Centre. Department. make new friends in their
Dublin communities.12 St. Michael’s House – Annual Report
Physical Activity Leaders (P-Pals) In Munich
KPMG – Corporate Volunteer Programme
24 320 157
Men’s Shed Evenings took Staff completed training in Staff completed Level 5 education
place throughout the year. Complaints Policy Implementation. in Positive Behaviour Supports
A Men's Social Network Club. bringing total to
800 plus QQI certified staff.St. Michael’s House – Annual Report 13
THE IRISH TIMES (11 June 2019)
Facing up to intellectual disability
Portrait series creates greater visual awareness of people with intellectual disabilities
and challenges stereotypical attitudes.
I Am – is a photographic portrait
series of adults with intellectual
disabilities, made in association
with St. Michael’s House in Dublin.
Inclusion is central to people’s
identity and being visible is essential
to being considered and included.
The goal of the work – by
photographer Bryan James Brophy –
is to create a greater visual
awareness of people with
intellectual disabilities in society, to
advocate for greater inclusion and
to challenge stereotypical attitudes.
The work is about being seen, being
visible and being included.
“A photographic portrait provides
an opportunity to really look”, said
Emeritus Professor Roy McConkey
about I Am.
“The view is encouraged to think
more deeply about the person –
their life, their feelings, even their
hopes.
Small steps
“The may slowly realise that the
people portrayed are not so
different after all as they see
similarities with themselves or
others known to them.
“When that happens, the door to
inclusion starts to open in people’s
minds and in due course to their
actions. From such small steps, a
more socially inclusive society is
built.”
he portrait series was created by Bryan James The Exhibition featured 20 adult service users from
T Brophy, a Dublin-based photographer for his
MFA in Photography at the Belfast College of
Art, Ulster University.
across St. Michael’s House Adult services. The goal
of Bryan’s work was to create a greater visual
awareness of people with intellectual disabilities in
society, to advocate for greater inclusion and to
The exhibition was launched by Deputy Lord Mayor of
challenge stereotypical attitudes.
Dublin, Cathleen Carney Boud in St. Michael’s House
Ballymun Head Office on International Day of The Exhibition also featured in Belfast Photo Festival
Families,15th May 2019. and the Tallaght Library Dublin.14 St. Michael’s House – Annual Report
GOAL 3:
Provide measurable standards
of Service, Excellence and
Innovation.
Positive Behaviour Support Policy l Maintained Crisis and Aggression Limitation
Management (CALM) refresher compliance in
We will fully put in place the Positive Behaviour
schools staff
Support (PBS) Policy across the organisation.
l Developed a new CALM trainer panel
Our main achievements 2019;
l Participated in HSE National PBS policy review
l Completed a review of policies and appendices and implementation
alignment with safeguarding policy
l Supported Tizard Centre Research on
l Completed alignment of PBS work plan with implementation of PBS Plan.
Person Centred Planning (PCP) work plan
l Reviewed and updated Restrictive Practices Mental Health Intellectual Disability
Policy
Increase
l Developed and implemented a Restrictive By 2021, we will expand and grow the Mental
Practices Register and audit Health Intellectual Disability Team by 50%. We will
l Completed training for over 157 Staff in evaluate how this affects the outcomes for people
PBS Level 5 who use our service and the impact it has had on
their lives.
l Piloted Online PBS refresher programme with 47
participants
Our main achievements 2019;
l Recruited additional Therapeutic Intervention
l Completed CH09 Mental Health Intellectual
Promoting Strategy (TIPS) trainers to deliver and
Disability (MHID) service plan and developed 2
operate PBS training
Adult MHID teams and 1.5 Children/Adult Mental
l Developed TIPS training and guidance manual to Health Service (CAMHS) – MHID teams
support implementation of training model
l Rolled out MIHD service to adult service areas
l Completed all planned TIPS training sessions
l Development of CAMHS – MHID service across
scheduled
St. Michael’s House catchment area
l Revised MHID team guidance document for adult
and CAMHS-MHID teams
425 2 15
Adults and Children attended the Adults teams and Research projects submitted
Christmas Matinee, funded by 1.5 Children teams developed to IASSIDD Glasgow 2019
corporate sponsors, Savoy Cinema the Mental Health Intellectual Conference.
& Fujitsu Ireland. Disability Teams.St. Michael’s House – Annual Report 15
l Explored HSE framework and developed MHID Review Schools’ Curriculum
team mission statement and recovery oriented
We will review the curriculum of the six special-
outcome measures
needs primary schools for which St. Michael’s House
l Completed communication support audit of is a patron body (a body that provides supports and
service users attending MHID clinics in services).
conjunction with Speech and Language (SLT)
Department Our main achievements 2019;
l Completed repeat audit of MHID consent l Progressed pilot proposal with NCSE on
communications supports alternative model of school service for students
with Autism Spectrum Disorder (ASD)
l Re-initiated MHID clinical database to support
development of outcome measures. l Explored the move to Junior Cycle 1 and 2 across
St. Michael’s House schools
Conference every three years l Commenced development of life skills programme
for students.
We will host a national conference every three years
to showcase innovative examples of practice showing
where we focused directly on the person receiving Health Promotion Strategy
our service.
We will develop and put in place an organisational
health promotion strategy for the people who use our
Our main achievements 2019;
services.
l Celebrated a ten year partnership with UCD –
dedicated to research and teaching in disability Our main achievements 2019;
studies conference
l Collated all current health promotion initiatives in
l Submitted 13 academic papers to International St. Michael’s House to create a community of
Association for the Scientific Study of Intellectual good practice
and Developmental Disabilities (IASSIDD)
conference in Glasgow 2019. l Developed a Health Promotion Strategy
l Completed the development of Clinical Nurse
Specialist roles to support strategy, subject to
Clinical Service Delivery business case HSE approval 2020.
We will review and reconfigure our model of clinical
service delivery and clinical governance 2018
Quality and Safety
Our main achievements 2019; We will improve our quality and safety systems for
the people who use our services. This will help us to
l Developed and implemented clinical governance be sure that individuals are provided with good
policy
quality safe services that meet their needs.
l Developed and improved the clinic/ cluster model
and implemented lead clinician approach in all Our main achievements 2019;
clusters with integration of the Person Centred
Planning approach. l Researched appropriate elective accreditation
options with aim of achieving internationally
recognised quality improvement accreditation by
2021
l Agreed a Quality Metrics Dashboard to measure
evaluation
7,980 1,000 12
Staff training sessions in Students enrolled to online New Safety Representatives
47 content areas via Staff courses with the OTC.net. staff members recruited and
Education & Training Department. trained.16 St. Michael’s House – Annual Report
l Implemented St. Michael’s House revised Risk
Management Policy
l Improved compliance with States Claim Agency
(SCA) and National Incident Management system
(NIMS) reporting by 20%.
HIQA Requirements
We will register and comply – every three years –
with HIQA’s requirements. HIQA stands for the
Health Information Quality Authority. St. Michael’s
House must comply with a set of regulations (called Family Summer Party
the ‘Health Act 2013 Regulations’).
Our main achievements 2019; Research
l Achieved high level of compliance with We will define and put in place clear programmes of
registration renewal of all designated centres research to improve and evaluate service change and
inspected innovation.
l Monitored compliance levels at QS Committee Our main achievements 2019;
meetings and ensured transfer of learning across
the organisation – achieved 70% compliance l Completed development of Research Strategy
l Implemented a system to capture data relating to l Identified three new research projects directly
costs associated with HIQA thematic inspections relevant to service areas in addition to two
e.g. fire safety restrictive practice student projects
l Managed service improvement plans for locations l Explored further research opportunities to build
where high levels of non-compliance have been DCU Ability Project
identified through internal review and regulatory l Completed annual St. Michael’s House research
inspections. studentship.
Baldoyle United V's Fair City, Football Game
99 831 599
Families availed of Early Average number of service users Service users access to PE classes
Intervention from attending the wheelchair per month in the Leisure Centre
Home Teaching Department. accessible Leisure Centre and and Swimming Pool.
Swimming Pool per month.St. Michael’s House – Annual Report 17
ST. MICHAEL’S HOUSE AND UCD
CELEBRATE 10 YEAR
PARTNERSHIP
he partnership was dedicated to developing
T teaching and research in disability studies
St. Michael’s House and University College Dublin
(UCD) celebrated a ten year partnership dedicated to
Key milestones from the ten year collaboration:
research and teaching in disability studies. The
partnership, formalised by a Memorandum of l Annual scholarship awarded to a MPsychSc
Understanding in 2009, marked the first time in student, resulted in several service evaluations
Ireland that a disability service provider and a and publications
University formally agreed to take a collaborative
l External research funding for large scale projects
approach toward disability research.
l Introduction and evaluation of new models of
To coincide with International Disability Day, the
service within St. Michael’s House e.g. Key-
milestone was celebrated at the ‘Improvement
working in Children & Young People’s services
through Partnership: Promoting collaborative
research in community intellectual disability l Bi-annual internal research seminars that
services’ seminar in UCD. showcased impactful research projects
Over the past ten years, the partnership has allowed l 15 research projects presented at the 2019
for cost effective, practical improvements in service World Congress of the International Association
provision in St. Michael’s House and supports UCD’s for the Scientific Study of Intellectual and
wider research agenda. Developmental Disabilities (IASSIDD) in Glasgow.
The research was overseen by a Key Working Project The collaboration was led by Dr. Philip Dodd,
Steering Group, a multidisciplinary group including Director of Research at St. Michael’s House and Dr.
researchers from University College Dublin and Suzanne Guerin, Deputy Director of the UCD Centre
clinicians from St. Michael’s House. for Disability Studies.
18th 1 90
Anniversary of Quality and Safety Department Clinicians attending
Sibshops (sibling workshops) formally established. 3 different clinical training
in our services. sessions.18 St. Michael’s House – Annual Report
Re-Launch of HomeSharing Programme
New to You Fashion Show Annual Christmas Party
7th Feb. 25th Sept. 29th Nov.
Collaborated in BrushMyTeeth.ie Service users and staff Presentation Presentation at the Assisted
with TCD teams & Nursing Dept. in the National Disability Operations Decision Making Conf., Cork on
to promote effective tooth Office on National Disability supporting service users to
brushing in people with ID. Services Sharing Day. communicate their will/preference.St. Michael’s House – Annual Report 19
Mental Health Awareness Day
ST. MICHAEL’S HOUSE SCHWARTZ ROUNDS
ne of the St Michael’s House strategic
O
A Schwartz Round is a structured forum where ALL
objectives for 2019 was to promote staff staff in the organisation can come together and have
health and wellbeing and to establish an opportunity to discuss and reflect on the
structure and policies to ensure the employment emotional aspects of their work. The discussion
experience of staff supports their safety, health, revolves around the emotional aspects of caring for
welfare and well-being at work. service users and their families through the sharing
As part of the 2019 strategy, St. Michael’s House of ‘stories’ associated with their work.
introduced “Schwartz Rounds” to staff. Funding for Research has shown many benefits of running
training of facilitators was supported by the NMPDU. Schwartz Rounds to both staff wellbeing and the
St. Michael’s House joined other Nationwide Health quality of care provided within an organisation.
Care Providers to deliver this framework, with The initial Schwartz Round was held in December
St. Michael’s House being one of the first 2019 with the Workforce Planning Committee.
Intellectual Disability Care providers to introduce Feedback from this Round was very positive. Roll-
this service. This initiative is now licensed through out of future rounds across the organisation is
the HSE Quality Improvement Team. planned for 2020.
4th 7 Week 10
Annual St. Michael’s House Mindfulness Resource Pack launched Service users benefited from
Mental Health Awareness Day – developed by the Psychology Dept. development of a specialised
and funded by corporate sponsors lympoedema service by the
event celebrated.
DAC Beachcroft. Physiotherapy Department.20 St. Michael’s House – Annual Report
GOAL 4:
Make sure that Individuals,
Families, Employees and
Volunteers are Skilled.
Expand QQI Develop a Volunteer Programme
By 2021, we will expand the National Framework of We will develop and put in place a volunteer
Qualifications QQI (Quality and Qualifications development programme to give the people who use
Ireland) programmes and we will expand the focus our services opportunities for growth and
on partnering with schools, external colleges, development.
universities and other agencies. These programmes
are programmes that give accreditation (such as Our main achievements 2019;
certificates) that are recognised nationally and in
Europe. l Re- submit a Business Case sent into the HSE for
a Volunteer Co-ordinator post 2020.
Our main achievements 2019;
l Completed re-engagement process with QQI Set up an Independent Living Programme
l Developed new Social Care Level 7 Programme to We will develop and put in place a structured
comply with CORU requirements ‘real-life’ programme to help people to learn skills
for independent living.
l Applied to CORU for programme recognition
l Completed programme development on Our main achievements 2019;
Department of Health programme l Completed a review and proposal to re-develop
l Department of Health Patient Safety programme Marsfield Independent Respite service with
completed by 100 participants submission to the HSE for funding approval.
l Completed evaluation of Department of Health
programme
l Developed a training plan for unqualified Health
Care Assistants – FETAC Level 5 Intellectual
Disability Care and Practice Programme.
398 76 Over 90
Professional funding MNPDU Nursing applications Staff celebrated our
applications for staff were processed by 1st Health & Social Care
Professional Development Staff Education and Professionals Day.
Training DepartmentSt. Michael’s House – Annual Report 21
Assistive Technology Develop our Early Years’ Services
We will develop and put in place a policy on using We will develop and deliver key working and family
assistive technology to promote and support training models to support early years’ services. A
independent living. This is using electronic devices key worker is your point of contact on the clinical
to help an individual to be more independent in their team who works with 0-18 year olds.
home.
Our main achievements 2019;
Our main achievements 2019;
l Implemented key working pilot in Children and
l Developed Assistive Technology policy for Young Persons Services.
organisation
l Finalised St. Michael’s House Assistive
Technology report and implementation plan.
Expand Family-based Respite
We will expand the family-based respite project to
include home share arrangements. We will continue
to support the current respite services.
Our main achievements 2019;
l Reviewed incidents in Homeshare services in
2018 to inform service learning and
improvements
l Completed review of Homeshare and contract
families – to ensure service model is consistent
with HSE Homesharing Report 2016
l Promotion of Homeshare programme appeal with Early Services Christmas Party
launch video and marketing.
Family Summer Party Leisureplex Corporate Partnership
1 400 256
Bloom in the Park Festival Adults enjoy an Golfers tee’d off to support
display of Templeogue’s Green Annual Sponsored Leisureplex 29th Jill Donnelly
Fingers Project. Christmas Bowl. Golf Classic.22 St. Michael’s House – Annual Report
ABSEIL 2019
t. Michael’s House
S hosted the first
Croke Park Abseil
fundraising event. The
event was lead by thrill
seeker Dina McAnaspie
and supported by
Director of Children and
Young Persons services
Tracey McKenna.
A team of 60 staff,
family members and
corporate partner groups
descended 100ft from
the roof of Croke Park,
Dublin. Some brave
supporters included:
Aircoach, Arklife
Assurance and Dundrum
Town Centre.
19th Nov. 24th Sept. 10
IDDSI launched in Presentation in the National Team members participation in
St. Michael’s House. Federation of Voluntary Bodies the HSE New Directions
Open Disclosure and Vulnerable eLearning Module videos.
Adults session.St. Michael’s House – Annual Report 23
ST. MICHAEL’S HOUSE
BED PROJECT 2019
Our achievements in 2019;
he Bed Prescription Project was
T introduced in late 2018 and was
a new collaborative service Informal queries via phone, email or face
innovation led by the Nursing
185 to face.
Department and supported by the OT
Department.
122 Formal referrals.
The overarching aims to date have
been to ensure the comfort and
Increase in referrals for issues relating to
safety of service users within 75% skin integrity.
St. Michael’s House and to promote
a safe ergonomic environment for
Specialist air mattresses introduced for service
staff. 8 users with complex physical needs.
The project scope was initially to
provide a bed prescription service to New/replacement electric profiling beds
service users within residential units. 17 for residents.
The need extended in 2019 to
include day services, adult and
children respite services and 3 Referrals directly from service users.
community services. The community
service was specific to the needs of
service users living in the community 5 Referrals associated with Sleep Hygiene.
with links to our services through
Occupational Therapists and Public
Health Nursing referrals. 3 Community referrals – for specialist bed advice.
Celebrations Digitise the Nation
40 30 1
Early services children danced Service users and 60 staff Earn as You Learn –
and sang at Annual Early complete Digital Skills for Citizens Work/Study scheme launched
Service Christmas Party. in-house training courses. by HR Department and OTC.24 St. Michael’s House – Annual Report
GOAL 5:
Build Strategic
Alliances to Bridge
Gaps.
New Premises Acute Hospital Liaison
By 2021, we will develop new day and residential We will put in place the Acute Hospital Liaison
support premises in partnership with local programme proposal. The programme exists to
authorities and housing agencies. promote access to hospital services for people with
intellectual disabilities.
Our main achievements 2019;
Our main achievements 2019;
l Established plans for St. Michael’s House and
Cluid Partnership l Explored the process to expand services to service
users living in family homes with elderly carers
l Agreed process with Fingal Co. Council regarding
Seatown Road development l Reviewed how this service would be of value of
service to support families of young people aged
l Agreed process with Fingal Co. Council regarding
16-18 years.
Tuath development to aim to achieve
de-congregation support for four individuals.
Subject to HSE funding 2020. Links with Nursing Homes
By 2018, we will develop formal links with nursing
Maternity Hospitals home services for senior citizens. We will do this so
that they can increase their ability to provide
We will set up structures and relationships with
appropriate cost-effective supports to older
maternity hospitals and put in place the principles
individuals with intellectual disabilities.
and practice of the Informing Families Project. This
project was developed by the HSE and the National
Federation of Voluntary Bodies. It explains best
Our main achievements 2019;
practice guidelines for explaining a child’s disability l Reviewed the development of protocols on
to their family. clinical service delivery to individuals who may
move appropriately to nursing home services
Our main achievements 2019;
l Reviewed the development of a formal structure
l Developed Terms of Reference for implementation meeting with linked nursing home providers to
group ensure person centred co-ordination of service
provision
l Developed joint funding proposal for
Multi-disciplinary team (MDT) community l Managed clinically appropriate and Fair Deal
neurodisability services in partnership with solutions to changing need of older service users
Temple Street Children’s Hospital / Children’s in a transparent and person centred way with
Hospital Group Dublin. HSE.St. Michael’s House – Annual Report 25
168 113
Students
Enrolled at Students
Level 5 Enrolled at
Level 6
224 3000
Awards Conferred Podcasts Availed of
116
243 Workshops Delivered 1000
Students
Students
Enrolled to
Enrolled at Level
Online Courses
7/8 The OTC supported the education
of 1,524 learners in 2018-2019
Identify Community and Strategic Partners Review Open Training College
We will map and identify potential community and We will review the Open Training College (OTC). The
strategic partners using an Asset Based Community OTC provides learning and consulting services to the
Development mapping approach. human services and non-profit sector. ‘Human
services’ means the organisations and agencies
Our main achievements 2019; responsible for delivering services and ensuring their
quality, efficiency and accessibility. We will also
l Developed existing relationships with appropriate develop a plan that makes the most of our
nursing home and private providers
knowledge – as individuals and as an organisation –
l Agreed Mental Health Intellectual Disability while also increasing the college’s income.
(MHID)- Children/Adults Mental Health Service
(CAMHS) ID catchment area provision Our main achievements 2019;
l Developed proposal in conjunction with Temple l Following successful Re-engagement
Street University Hospital and UCD School of (Institutional Review) with QQI, implementation
Medicine for medical students in training of an improved governance structure, revision of
strategic objectives, development of new
l Developed proposal on community neurodisability
programmes/content and innovative project work
services in conjunction with Temple Street
with the Department of Health.
University Hospital
l Achieved St. Michael’s House as a research
centre affiliated to International Association for Transition Services
the Scientific Study of Intellectual and We will identify and work with other providers to
Developmental Disabilities (IASSIDD). support the changes of men and women who require
services and supports beyond those that
St. Michael’s House can provide.
Our main achievements 2019;
l Clarified governance of Home Care Packages
with the HSE
l Submitted a completed multi element
comprehensive respite proposal to the HSE.
3 24th April 26th Sept.
Health and wellbeing nursing 1 Presentation and 2 Posters at 2 Poster presentations –
series events on issues that the Nursing & Midwifery Planning Royal College of Speech and
impact service users hosted by & Development Dublin North Language Therapy Conference
Nursing Department. Reg. Conference. in Nottingham, UK.26 St. Michael’s House – Annual Report
SHARING THE LEARNING IN
IASSIDD CONGRESS 2019 – FUTURE 4ALL
t. Michael's House made a significant contribution to the World Congress of the International Association
S for the Scientific Study of Intellectual and Developmental Disabilities (IASSIDD) held in Glasgow in
August 2019.
Fifteen presentations were delivered, a mixture of papers and posters, many describing original studies
conducted by research teams involving members of St. Michael's House staff and, in the case of one of the
studies, service users as research team members.
The topics listed opposite of the studies were wide-ranging. This unprecedented level of research productivity
and dissemination is clear evidence of the value and strength of the St. Michael's House - University College
Dublin research partnership. Furthermore, the opportunities for learning from and networking with international
colleagues were hugely valuable and will continue to inform and energise practice into the coming years.
Bone Health Education, Management and A qualitative study of a Men’s Shed Model in
01 Treatment.
09 an adult intellectual disability service:
D. Rodger , L. Ledger and A. Spencer
1 2 2
Supported inclusion through self determined
behaviour.
How a Community of Practice (COP) can C. Byrne , K. Treacy and S. Guerin
1 2 1
02 Promote Good Bone Health and Falls
Awareness in Persons with an Intellectual Positives through participation: Staff views of
Disability.
10 the benefits of Men’s Sheds for an intellectual
L. Ledger , A. Spencer and D. Rodger
1 1 2
disability population.
C. Connolly , S. Guerin and K. Treacy
1 1 2
Audit of the use of communication supports
03 in mental health of intellectual disability Living in localities: examining the main
(MHID) settings.
11 theoretical/conceptual frameworks and
S. Keane, C. Howorth and P. Dodd measurement scales of social inclusion in
neighbourhoods of adults with intellectual
Exploring the Range of Emotional Response disabilities. A systematic review.
04 Experienced When Parenting a Child with G. Boland , E. De Paor and S. Guerin
1 2 3
an Intellectual Disability: The Role of Dual
Process. Bridging the research to practice gap in
P. Sheehan and S. Guerin
1 2
12 intellectual disability settings through
strategic collaborations.
05 Impact of tennis coaching on players with R. O’Connor , S. Guerin and P. Dodd
1 2 1
an intellectual disability.
L. O’Donohoe and S. Hewitt
1 2
Exploring the validity of self reported
13 complicated grief symptoms in parentally
Bridges Help Us to Cross the Boundaries. bereaved adults with intellectual disabilities
06 M. Ní Riain and G. Bourke
1 2
compared to a non bereaved group.
S. Guerin , J. McEvoy and P. Dodd
1 2 3
Implementing a new model of key working
07 in children’s disability services: Findings Understanding and supporting the process of
from a pilot project. 14 grief in adults with intellectual disabilities.
M. Nolan , SKWP. Steering Group and S. Guerin
1 1 2
Interventions and recommendations for
Exploring the process of goal setting using supporting the process of grieving among
08 Person Centred Planning for individuals people with intellectual disabilities: Findings
with severe/profound intellectual disabilities from a systematic review.
with inconsistent yes/no responses. J. McGrath , G. Boland , P. Dodd and S. Guerin
1 2 3 2
C. Molony , E. Teague , M. Sloan , G. Clarke
1 2 2 2
and S. Guerin 1
15 Synthesising existing research on complicated
grief in intellectual disability: Findings from a
systematic review.
D. J. O. Riordan , S. Guerin and P. Dodd
1 2 3
Full Research Publications, Titles and Authors on www.smh.ie/newsSt. Michael’s House – Annual Report 27
GOAL 6:
Have Strong Governance
Structures.
Performance Management and
Development System
We will put in place the nationally agreed
‘Performance Management and Development
Infoshare process (Information sharing) System’ across the organisation. We will put in place
We will put in place an ‘Infoshare process’. This is a a shared way of supporting our staff to do the best
process to maximise knowledge sharing and positive possible job they can by identifying and meeting
change in how we communicate. This will involve their development needs (training needs, role change
regular staff, service user, families and management needs).
gatherings to communicate and share information.
Our main acievements 2019;
Our main achievements 2019;
l Completed review of supervision policy and
l Continued with implementation of Infoshare supports for heads of discipline and all clinicians
process quarterly arising from PDS changes
l Reviewed frequency of supervision requirements
Communications Strategy l Ensured all new Persons In Charge (PIC) and
We will develop and put in place a communications Person In Management (PPPIMs) are introduced
strategy and action plan. to supervision training and policy
l Cascaded executive leadership development
Our main achievements 2019; initiative to all senior management personnel.
l Revised and refreshed St. Michael’s House
Communications Strategy
Develop Workforce
l Increased our digital footprint on social media
We will develop a yearly plan to make sure that our
channels.
employed staff and other people who help us (such
as volunteers) have the skills they need to work with
service users.
Our main achievements 2019;
l Reviewed minimum required training policy
document to ensure best use of limited training
funds and resources.
After Consultation After Consultation After Consultation
Completion of the live phase of Developed a good practice Early Services teams developed
the Key Working Service model on transitions to guide a set of principles to guide
pilot project. planning for transitions across individual planning with families
Partnership with UCD schools. the CYP service. of children 0-6 years.28 St. Michael’s House – Annual Report
Staff Well-being Finance Sustainability
We will set up structures and policies to make sure We will implement the financial sustainability plan
that we support the safety, health, welfare and well- to achieve fully funded service provision.
being of our staff in their work. We will improve how
we support our employees’ well-being. We will do Our main achievements 2019;
this based on findings from a survey of staff needs.
l Implementation of robust control mechanisms to
ensure and monitor that WTES and Budgets are
Our main achievements 2019;
kept in line with authorised spend and use of
l Developed action plan and commenced resources
implementation following survey
l Implementation of Service Manager and Person
l Supported employee engagement committee in In Charge quarterly reviews of rosters and budgets
achieving goals and objectives. to ensure resources are sufficient to safely meet
needs of people who use the services
Evidence-based Costing l Engaged with the HSE on financial review of the
services.
We will develop and put in place a better method to
record how much our services cost. These recorded
costs – ‘evidence’ – will help us to provide a more Finance Strategy
accurate estimate of the cost of developing new
We will develop a finance strategy to develop new
services.
services in accordance with HSE National and Local
priorities and service user needs.
Our main achievements 2019;
l Developed a robust costing model to incorporate Our main achievements 2019;
governance and overhead costs to ensure service
l Completed review of St. Michael’s House forecast
safety and quality
document for the next 10 years to develop a
l Completed Disability Supports Application Finance, HR and Service development strategy to
Management Tool (DSAMT) for all changing meet needs
support needs driving increased costs for
l Progressed school leavers capital requirements
escalation to the HSE ensuring tracking of all
document with the HSE estates
DSAMT through Service Operations, HR and
Finance. l Scoped out appropriate accessible office and
clinical therapeutic spaces to address service
expansion requirements
l Scoped out the development of a structured
service level agreement and formal
communication approach with SMHHA CEO and
management team.
Aircoach Corporate Partnership
Established 1 Established
Horizons Project by the Thérèse Carroll A Splinting Clinic by the
Community Support Team in winner of the Club Draw Physiotherapy and OT Dept. for a
collaboration with clinical Car Prize 2019. monthly assessment clinic for
services, OTC & DCU. adults and children.St. Michael’s House – Annual Report 29
Purchasing Policy
We will put in place the St. Michael’s House
Procurement plan and purchasing policy. This plan
and policy will help us to decide what to buy, when
to buy it, and where to buy it so that it best meet
the needs of our service users and our staff. This
means that when we need to buy supplies, services
or works such as furniture or training services, we
can follow a clear process which will help us get
quality services for the best value
Our main achievements 2019; Family Summer Party
l Implemented the findings from Procurement
Function internal audit report
l Developed a communication strategy and
Schools Patron Body Report
implementation plan to further embed We will put in place in full the recommendations of
procurement policy at all levels of the St. Michael’s House Schools Patron Body report.
organisation. This is a list of improvements.
Our main achievements 2019;
Information and Communication
l Implemented a number of the recommendations
Technology (ICT) of the SMH Patron body report.
We will develop, invest in and put in place computer
systems that meet our needs l Transferred accountability for schools finance
management to School Board of Management
(SBOMS) and returned full set of accounts
Our main achievements 2019;
l Progressed work with the Department of
l Prioritised phases of ICT developments based on
Education (DOE) on the schools buildings
recommendations from ICT Development
programme for three of the SMH schools
Committee
l Reconstituted New Schools Boards of
l Implemented phases of ICT project plan in
Management
accordance with available funds.
l Established a new team based clinical support
systems.
Premises and Housing Maintenance
We will develop and implement a time bound
resourced programme of premises and housing Executive Framework
infrastructure maintenance and development. We will put in place the St. Michael’s House
Executive Governance Structures Framework. This is
Our main achievements 2019; a set of guidelines to manage and deliver services in
the best way.
l Reviewed the development of a structured
Service Level Agreement (SLA) and formal
Our main achievements 2019;
communications approach with SMMHA CEO and
management team l Fulfilment of Governance Structures, Terms of
Reference and Membership of groups
l Developed a shared prioritised housing
development strategy to meet emerging and new l Completed review of Chairpersons membership
needs of people using SMH services. and Terms of Reference of Groups.
1,221 €648,209 51
Candidates interviewed for Fundraised directly Junior Infant class teachers and
St. Michael’s House careers. for units projects SNA’s plus 42 pre-school staff
and programmes. trained in LAMH module 1 course.You can also read
