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Service provision at PCI’s Aaron House

The Presbyterian Church in Ireland (PCI) met with the families today, along with the staff who care for their loved ones at Aaron House, PCI’s home for adults with both learning and physical disabilities in Dundonald, to inform them that it is no longer able to deliver a service to meet the increasingly complex needs of its residents - a decision that it ‘deeply regrets’. PCI is, however, actively engaging with the relevant Health and Social Care Trusts, and other organisations to identify an alternative service provider.

Aaron house care service
Aaron House in Dundonald, County Down.

Opened in 1995, Aaron House is home to 15 permanent residents and offers 1 respite placement. In 2009 PCI’s social care arm, the Council for Social Witness, took over the running of the residential care home on behalf of the Church, along with the separate day care service it provides there. PCI manages the service in partnership with Choice Housing, who maintains the building.

Speaking about the decision, PCI’s Director of Operations, Ken Swarbrick, said,

“We deeply regret the decision that we have had to take. Informing the residents and their families, along with staff, was a difficult thing to do, as Aaron House has always had a strong close knit family ethos about it. As a social care provider, it has always been our desire to provide the best possible care for our residents, some of whom have called Aaron House home for most of their adult lives.

“At the same time, we have always respected the trust that their families have placed in us in caring for their loved ones. We very much appreciate that hearing this news today has not only been upsetting, but distressing, for the considerable uncertainty it creates. We hope that in working with the Health and Social Care Trusts, and actively engaging with other organisations as a matter of urgency, an alternative service provider can be found.”

Mr Swarbrick explained that the Regulation and Quality Improvement Authority (RQIA) had raised concerns that the day care premises was no longer fit for purpose as it did not have dedicated toileting and personal care facilities as new regulations required. In addition, the support needed within both the day care and residential services had evolved considerably over time. As a result, these support needs, being extended beyond the original remit and design of Aaron House, had created significant financial pressures for a number of years.

Mr Swarbrick continued,

“While our staff team, the Health and Social Care Trusts, and other partners have worked tirelessly to support the increasingly complex needs of our residents over the years, following a comprehensive review, our charity trustees have taken the decision to deregister the day care service with RQIA, so we can begin the process of ceasing the service.

“Alongside this, it has been acknowledged by ourselves and the Health and Social Care Trusts that provision of care at this enhanced level, and within the current service model, is no longer possible. Our trustees have therefore also decided that we can no longer continue to deliver the residential service. We have always recognised the importance of these services to those who use and rely on them. This is why these decisions have been so difficult to take, and made only after the utmost careful consideration of all available options, and with the wellbeing, safety, and future care, of our residents and day care users who have been at the forefront of our thinking.

“Our priority remains the wellbeing of our residents and service users, and we are working closely with the Health and Social Care Trusts to ensure that continuity of care and support for our residents and their families, are maintained throughout this process.”

The Council for Social Witness also manages the denomination’s residential, nursing, and supported housing provision, alongside a number of community-based programmes. CSW Interim-Director, Mrs Caroline Yeomans, was also at the meeting with families and the meeting with staff. 

Mrs Yeomans said,

“As Ken has said, we deeply regret the decision that we have come to, as it has been a privilege to support the families and their loved ones for so many years.

“It has, however, become increasingly challenging to continue to deliver the service in a way that meets the standards expected for the people we support in the current financial, recruitment and regulatory environment. We are, however, committed to working closely with families, relevant Health and Social Care Trust staff, and others, to help ensure that appropriate arrangements are put in place and that transitions are managed as smoothly as possible and with dignity, respect, and care.

"We have also assured the families and staff, that we will continue to keep them informed as discussions on an alternative provider progress.” 

Along with Mr Swarbrick and Mrs Yeomans, Rev David Brice, Convener of the Council for Social Witness, Mrs Sarah Leung, Head of HR, and a representative of the Belfast Health and Social Care Trust, also attended the meetings.’

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