Therapy

The therapy and nursing team are made up of a range of professional health care workers including an Occupational Therapist, Physiotherapists, School Nurses, a Speech and Language Therapist and Health Care Support Workers.

The primary aim of the therapy team is to ensure that the pupils are fully able to access the range of educational and social activities provided within the school. The class teachers work with the therapists and parents to agree upon therapy objectives, which are then included in the pupil’s Individual Education Plan and home programmes. All members of the therapy team collaborate closely with each other and the professionals in health, social services, education and other voluntary organisations. The team are provided with mandatory training each year and endeavour to keep their skills and practice up to date to provide an excellent quality of care and practice is evidence based. We are fortunate to be able to hold most of the clinics in the school. Health training is provided to staff in school as required.

Physiotherapy
The physiotherapists work with the school staff to facilitate access to the school’s Physical Curriculum and promote 24 hour postural management. Movement is an essential tool in learning and our contribution is to make this as effective as possible. Each pupil has a physiotherapy assessment generating specific targets, which are regularly reviewed. These are identified in the physiotherapy programme and implemented in activities in the classroom and at home.

Activity is key to development, improving muscle power and practised patterns of movement all help this to happen.  Physiotherapy can be preventative as well in maintaining joint range of movement and reducing the risk of contractures. The physiotherapists regularly work with children with respiratory problems to maintain good respiratory function.

The physiotherapists work as a part of a multidisciplinary team and co-working must involve the parents/carers to ensure that a holistic approach is provided. Home visits are carried out as required. The physiotherapists participate in medical, wheelchair and orthotic clinics in school. They have close links with the professionals locally and regionally.

School Nurse and Health Care support workers
The school nurse is responsible for the medical needs of the pupils within Rosewood School, which may include enteral feeding and the administration of prescribed medication, which is kept under lock and key. The school nurse attends feeding clinics and medicals when required. She works closely with parents. In addition the School Nurse must ensure that correct guidelines and staff training is carried out regularly to ensure that any health care procedures carried out in class or when on trips are performed to the highest standard.  They act as advisors to the school team with regard to the medical welfare of individual pupils and liaise closely with parents and carers.  The School Nurse is in close liaison with the Paediatricians, Paediatric Community Nursing Team, GPs, Dentists, and the School Medical Officer.

The Nursing and Therapy team hold regular joint meetings to liaise together regarding the pupils current needs and required ongoing interventions.

Occupational Therapy
The Occupational Therapist (OT) works closely with class staff and physiotherapists to find appropriate positioning and seating to encourage the highest level of function as possible. She also liaises with the local wheelchair service to monitor wheelchairs and organise clinics, which are run at Rosewood school. The OT assesses hand function and other aspects of daily living skills such as bathing, toileting and feeding, both in school and at home, on pre-arranged home visits. The OT works with other professionals on feeding assessments.

Speech & Language Therapy
The Speech and Language Therapist (SLT) works closely with class staff to promote the child’s communication skills, both verbal and non-verbal and to advise on communication programmes and intervention.

The Speech and Language Therapist provides assessment, training and advice on feeding and drinking skills reviewing these regularly with class staff, Occupational Therapist, Physiotherapist and parents/ carers.  Class programmes are provided and there is regular liaison with school nurses, doctors and the dietician. The Speech and Language Therapist participates in medical clinics concerning feeding, when required.

 VISITING PROFESSIONALS

A wide range of other professionals visit Rosewood School on a very regular basis.  They are called upon to act as specialist advisors within their own specific area of expertise.

Educational Psychologists
The school accesses the Southampton Educational Psychology Service on an individual needs basis.  All new Early Years pupils will be seen by an Educational Psychologist as part of the formal assessment process.

Teacher Advisor
We have contact with the teacher advisers of the Visually and Hearing Impaired who assess pupils with visual and hearing impairment and who act as advisors to teaching staff.

School Medical Officer
Regular visits are made to Rosewood School by the School Medical Officer for medical examinations, advice and general medical support.  Pupils have a medical check-up, prior to an Annual Review and the School Medical Officer presents a report as part of the Annual review process.

Senior Paediatric Consultant
The Community Paediatric Consultant attends fortnightly clinics at the Rosewood School and is available for consultation.

Community Paediatric Nursing Team
We are fortunate to have a range of community nursing facilities open to us.  Some pupils are allocated a community nurse with specialist skills in dealing with pupils with profound and multiple learning difficulties.  Parents may request advice or the school may make a referral on a variety of subjects such as sleeping problems, family anxieties, difficulties with siblings and other similar subjects

Dietician
The community based Dietician visits school regularly to provide advice to the teachers, parents and School Nurse on the children’s’ specific nutritional requirements.  She liaises with the Speech and Language Therapist and specialist doctors to hold a feeding clinic in school once a term.

Orthotist
Weekly visits are made to Rosewood School by the Orthotist to assess and provide footwear and appliances.

Dentist
Yearly visits are made to Rosewood School by the dentist who will advise parents of treatment considered necessary for their child.

Wheelchair Clinics
Wheelchair clinics are held at least monthly with the Southampton Wheelchair Service. These include reviews and multi-disciplinary assessments involving the pupils and their parent/carers in the decision making. These can be challenging to ensure that the complex needs are met in the most effective way for all concerned. Southampton Wheelchair Service also provides a regular repair service to the equipment in Rosewood school. In addition the therapy team provide regular checks on equipment in order to identify mechanical deficiencies or additional requirements.

Advocacy
Choices Advocacy is an independent charity which seeks to provide an advocate for young people and adults with learning difficulties in Southampton and South West Hampshire.  Rosewood School has links with the Advocacy Service and encourages families and carers to involve an independent advocate to work alongside young people in the 16-18 age group.  This is a time when young people are making the difficult transition to adulthood and from the Educational environment to Social Services adult provision.  Both carers and young people have a lot of adjustments to make during this period and it can often be useful to involve an advocate in order to give an independent voice and to act as an independent support to the young person.