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Annual Report: 1997

West London Initiative on Single Homelessness

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CHRISTMAS ROOF

In conjunction with Jesus House

In conjunction with Jesus House, WISH set up and ran a temporary shelter on North Acton offering 24 hour accommodation to the single homeless population in West London. The Roof provided over 240 bed space nights, more than 8,000 cups of tea and served in excess of 3,500 hot meals. Other services included clothing, hot showers, live and televised entertainment, arts and crafts, hairdressing and various healthcare services. Perhaps what was most appreciated by our guests was the peaceful, friendly and non-threatening environment.
 

Guest Profile

Guests ranged in age from 18 to 70 years. The average age was 43. 91% were male and 9% female. 79% were British. Guests spent an average of 4 days at the roof, 76% staying the night. Previously 40% had been sleeping rough snf 14% had spent the previous night in a hostel. 41 (80%) guests received over-the-counter medication. First aiders, nurses and doctors handed out 33 doses of paracetamol; 26 doses of antacid as well as cough syrup, lemsips and karvol capsules. 8 (15%) were prescribed prescription-only drugs, mainly antibiotics and 15 (29%) received non-drug treatment such as dressings, support bandages and physiotherapy.

Many guests had problems that needed follow-up. Two were accepted into rehabilitation following alcohol detoxification whilst a third guest could not be found a place. Several others would have liked to go into rehabilitation had more spaces been available. Three guests were referred to hospital, but none required admission; two received treatment at the hospital, the other was advised to continue on treatment started at the Roof. At least seven guests were provided with letters to help them register with a local general practitioner. In the past we have found that registering with a GP is easier with a letter from WISH. Once a homeless person has accessed these services successfully, they are more confident in approaching similar agencies in the future.
 

Dental

Of the 26 guests that used the dental service: 9 (35%) had seen a dentist in the last six months, 2 (8%) had seen one in the last year, 13 (50%) had not seen a dentist for a year or more, 12% had tried to see a dentist and were refused treatment, 35% were experiencing pain when they saw the dentist at the Roof.
 
 
Complained of Dentist's Findings
Check up 9 (35%) Good 4 (15%)
Cleaning 2 (8%)
Toothache 6 (23%) Decay (1-10 teeth) 10 (39%)
Hole 2 (8%)
Broken tooth  7 (23%) Broken teeth 2 (8%)
Loose tooth 0 Loose teeth  3 (12%)
Gum problem 2 (12%) Gum infection  6 (23%)
Other 1 (4%) Other 3 (12%)
Total of 28 complaints

Dentists carried out scaling on 12% of guests seen; fillings on 15% and extractions on 12%. 12% of guests seen by the dentist did not require any treatment. 46% were given advice on follow-up care.

Chiropody

26 guests saw the chiropodists. 13 (50%) had seen a chiropodist before, 10 (38%) had not and 3 (12%) did not give an answer. Of those that had had previous chiropody: 4 (31%) had seen one in the previous month; 4 (31%) had seen one in the previous year; 5 (39%) had not seen a chiropodist for a year or more. Guests presented with a variety of complaints, calluses being the most common.
 
 
Diagnoses Number % of guests
Callus 16 62
Blisters 4 15
Chillblains 2 8
Ulcers 2 8
Fungal infections 6 23
Ingrowing toenail 4 12
Other nail problem 4 15
Other 6 19
Total diagnoses (0-4 per guest) 43

A total of 57 treatments was carried out from callus reduction (the most common) to nail cutting.

Optician

9 guests had eye tests and 8 required glasses.

Advice

A housing and benefits advice service was available and was used by about 40 people. Two were accepted for rehabilitation following alcohol detoxification; 2 were assisted with their claim for housing association accommodation; and 3 others were referred to hostels. Contact was established with outreach workers from the Kensington and Chelsea and the West London Rough Sleepers Initiative.

Entertainment

Live entertainment was provided by a choir from Jesus House, two bands and a solo performer. A variety of books, games, jigsaws and cards were well used. Televisions were available and were mainly used from early evening onwards. A number of arts and crafts projects were undertaken under the direction of a professional artist, culminating at the end of the week in the production of a large collage. These activities proved to be extremely popular.

Guest feedback questionnaire

Guests were asked to fill in a questionnaire to help feed back on the services provided. About 20% of guests answered all or part.
 
 
%age of guests that reported service as being good or excellent
General enviroment 76 Arts & Crafts 57
General atmosphere 94 Advice 86
Food 82 First aid  91
Washing facilities 65 Doctors 100
Entertainment 37 Dentists 80
Clothing Store 71 Chiropodists 100
Hairdressing 59 Optician 75

Closing The Roof

On leaving, each guests was given a 'lunch pack' containing food, toiletries and tobacco. Any excessive produce from the Roof was donated to other local organisations working with homeless people.
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