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Found 288 results
  1. Content Article
    The national Patient Safety Improvement Programmes (SIPs) collectively form the largest safety initiative in the history of the NHS. They are delivered by 15 Patient Safety Collaboratives (PSCs), each hosted by an Academic Health Science Network (AHSN). However, while they have done some work in out-of-hospital settings in the five years since PSCs launched, there is massive potential to explore improving patient safety outside of acute hospital trusts and expanding into more community settings. Natasha Swinscoe, patient safety national lead for the AHSN Network, looks at the importance of safer care in community settings, such as care homes.
  2. News Article
    Care homes looking after thousands of vulnerable residents have said none of their staff has been tested for coronavirus. Out of 210 care providers spoken to by the BBC, 159 said none of their workers had had a test. BBC England spoke to care homes and companies across the country, who between them employ nearly 18,000 staff and have almost 13,000 residents. Many said they had seen no testing at all, while others have spoken of struggles to access official test centres after reporting online that they have symptoms. Some have told how staff face long journeys to test centres, with one reporting a three-hour round trip. On Sunday it was announced that the military will begin testing essential workers in mobile units operating at sites in "hard to reach" areas, including care homes. Anna Knight runs Harbour House Care Home on the Dorset coast and said getting enough personal protective equipment (PPE) and testing for coronavirus were her biggest challenges. Read full story Source: BBC News, 26 April 2020
  3. News Article
    “I am really angry about this,” said Dr Anna Down, scanning her computer for figures to show how coronavirus has ravaged her patients living in nursing homes. “One home had 23 deaths, another lost 19, and another 13,” the Ealing GP said. “In two units 50% of residents died in the space of 10 days.” Down is the clinical lead at a practice with 1,000 residents on its books in 15 privately run nursing homes in the area of west London hit harder than anywhere in Britain by COVID-19 deaths in the first weeks of the outbreak. In a normal month, she might expect to lose around 28 people. In the last month she has lost 125. Down has a warning to the rest of the country informed by her practice’s experience: reform how social care handles Covid-19 or face rising deaths and a second devastating wave of infection. Read full story Source: The Guardian, 22 April 2020
  4. News Article
    The coronavirus pandemic has already caused as many as 41,000 deaths in the UK, according to a Financial Times analysis of the latest data from the Office for National Statistics. The estimate is more than double the official figure of 17,337 released by ministers on Tuesday, which is updated daily and only counts those who have died in hospitals after testing positive for the virus. The FT extrapolation, based on figures from the ONS that were also published on Tuesday, includes deaths that occurred outside hospitals updated to reflect recent mortality trends. The ONS data also showed that deaths at home and in care homes had also jumped sharply during the pandemic. In the week ending 10 April, deaths in care homes reached 4,927, almost double the figure of 2,471 a month earlier. The ONS said on Tuesday it had asked Public Health England to investigate why care home deaths were rising so sharply. Read full story Source: The Financial Times, 22 April 2020
  5. Content Article
    Government guidance for those working in care homes providing information on how to work safely during this period of sustained transmission of COVID-19.
  6. Content Article
    This is the written transcript and the video recording of the Health and Social Care Committee meeting that took place on Friday 17 April on the topic of: Management of the Coronavirus Outbreak. Witness(es): Dr Alison Pittard, Dean, Faculty of Intensive Care Medicine; Dame Donna Kinnair, Chief Executive and General Secretary, Royal College of Nursing; Professor Anthony Costello, Professor, UCL Institute for Global Health Witness(es): Matt Hancock, Secretary of State, Department for Health and Social Care; Jonathan Van-Tam, Deputy Chief Medical Officer for England, Department for Health and Social Care
  7. News Article
    All care home residents and staff with COVID-19 symptoms will be tested for coronavirus as laboratory capacity increases, the government has promised. Health Secretary Matt Hancock said he was "determined" to ensure everyone who needed a test had access to one. Care providers have been calling for more testing for weeks, with charities saying the virus is "running wild" amid outbreaks at more than 2,000 homes. At the moment only the first five residents who show symptoms in a care home are tested, to determine whether there is an outbreak of the virus. Providers have also complained that deaths among residents were being "airbrushed" out of official figures and demanded greater support for the industry. Read full story Source: BBC News, 15 April 2020
  8. Content Article
    BBC Radio 4's You and Yours programme discusses the impact of coronavirus on social care and asks listeners if they feel their relatives in care are being properly protected? One listener, Amanda, speaks about the recent loss of her father who had Alzheimer's Disease. Following a fall and a hospital admission, he contracted the virus. A second caller, Bill, talks about the challenges and risks associated with needing care and support at home as a disabled man. Follow the link below to hear the full programme.  This feature aired on 14 April 2020.
  9. News Article
    Once COVID-19 seeps into care homes, it is a monumentally difficult job to protect the residents, writes Sky's Alex Crawford. We will look back at this appalling, tragic episode in our global history, and our children and grandchildren will ask us: "Did that really happen? Did you really leave the most vulnerable of our society - the elderly, the infirm, the defenceless, the muddled, sick and weak - in care homes, shut away from their closest relatives? Did you leave them to be ravaged by a deadly virus, and do very little to help them?" Because that is what's happening right now. There are elderly people - many with Alzheimer's, many with dementia, many frail - in thousands of residential homes up and down Britain, and they are very much at risk. Read full story Source: Sky News, 11 Aril 2020
  10. News Article
    Hundreds of people are dying in care homes from confirmed or suspected coronavirus without yet being officially counted, the Guardian has learned. More than 120 residents of the UK’s largest charitable provider of care homes are thought to have died from the virus in the last three weeks, while another network of care homes is reported to have recorded 88 deaths. Care England, the industry body, estimated that the death toll is likely to be close to 1,000, despite the only available official figure for care home fatalities being dramatically lower. The gulf in the figures has prompted warnings that ministers are underestimating the impact of Covid-19 on society’s most frail, and are failing to sufficiently help besieged care homes and workers. Read full story Source: The Guardian, 7 April 2020
  11. Content Article
    Day 1, Dad goes into a care home so Mum can have respite care. Day 5, the care home provider announces a lockdown is in place. Day 12, Dad develops a raging temperature. Day 13, he develops a persistent cough, and they try to evict him back home to Mum. Here’s our story...
  12. News Article
    The first two coronavirus deaths among care workers in England were announced, as industry leaders hit out at chronic shortages of protective equipment and urged the government to start treating social care as “a second front line”. Carol Jamabo, 56, a community carer for Cherish Elderly Care in Bury in Greater Manchester, died last Wednesday. Another carer died in a home run by MHA, the UK’s largest charitable social care provider, which said it was unclear where she contracted the virus. The death of a West Dumbartonshire care worker that emerged on Sunday was also confirmed by the Scottish first minister, Nicola Sturgeon. The fatalities came amid rising concern that those working in social care still do not have the protection they need amid the Covid-19 pandemic and that, without testing for the virus, staff risk contaminating care homes where elderly people are supposed to be “shielded”. Read full story Source: The Guardian, 6 April 2020
  13. News Article
    Elderly care home residents have been categorised “en masse” as not requiring resuscitation, in a strategy branded unacceptable by the healthcare regulator. People in care homes in Hove, East Sussex and south Wales are among those who have had “do not attempt resuscitation” (DNAR) notices applied to their care plans during the coronavirus outbreak without proper consultation with them or their families, MPs and medical unions fear. Care homes in Leeds have reported that district nurses have been asking them to “revisit do not resuscitate conversations with people who said they didn’t want them” and a care worker in Wales told the Guardian that after a visit from a GP, all 20 of their residents had DNAR notices attached to their plans. DNAR notices are a common part of care plans and many people wish to have them in place because, in the event of cardiac arrest, attempts to resuscitate can cause serious trauma, including broken bones. But the Care Quality Commission and other medical bodies are so concerned about the blanket application of the notices that it has issued a warning to stop. “It is unacceptable for advance care plans, with or without DNAR form completion, to be applied to groups of people of any description,” the notice states. “These decisions must continue to be made on an individual basis according to need.” Read full story Source: The Guardian, 1 April 2020
  14. Content Article
    Safe Steps Ltd creates digital web applications for UK care homes, local authorities and NHS trusts to help reduce falls for older people and residents.
  15. Content Article
    The Coroners and Justice Act 2009 allows a coroner to issue a Regulation 28 report to an individual, organisations, local authorities or government departments and their agencies where the coroner believes that action should be taken to prevent further deaths. Eileen Pollard died of a myocardial infarction. This coroners report was due to concerns raised by the patient numerous times around the call bell either not being near the patient or not working.
  16. Content Article
    In this interview, Cheryl Crocker, AHSN Network Patient Safety Director, tells us more about her role and why she is passionate about care homes.
  17. Content Article
    RESTORE2 is a physical deterioration and escalation tool for care/nursing homes based on NEWS2 and has been a key element of the process of implementing NEWS2 within care Homes, initially across Wessex and subsequently nationally via the AHSN network. In July 2019 RESTORE2 won a Parliamentary Award for Excellence.
  18. Content Article
    You must notify the Care Quality Commission (CQC) of the death of a person using your service if either of the following has happened: the person died while a regulated activity was being provided their death may have been a result of the regulated activity or how it was provided. You must report the death without delay. CQC has provided the notification form to complete along with guidelines.
  19. Content Article
    Marginalised groups (‘populations outside of mainstream society’) experience severe health inequities, as well as increased risk of experiencing patient safety incidents. To date however no review exists to identify, map and analyse the literature in this area in order to understand 1) which marginalised groups have been studied in terms of patient safety research, 2) what the particular patient safety issues are for such groups and 3) what contributes to or is associated with these safety issues arising. This review from Cheraghi-Sohi et al. in the International Journal for Equity in Health highlights that marginalised patient groups are vulnerable to experiencing a variety patient safety issues and points to a number of gaps. The findings indicate the need for further research to understand the intersectional nature of marginalisation and the multi-dimensional nature of patient safety issues, for groups that have been under-researched, including those with mental health problems, communication and cognitive impairments.
  20. Content Article
    In this short video, Professor Martin Green explains why good nutrition in care homes is essential. He explains that screening patients before they come to the care home is a 'must do' rather than a 'nice to have'. This video was made for the National Nutrition awareness week in 2019.
  21. News Article
    The Care Quality Commission (CQC) has awarded 'Outstanding' ratings to St Giles Hospice in Walsall and Whittington. The CQC, an independent regulator of health and social care services in England, has recently introduced a new regime holding hospices to the same level of scrutiny as hospitals, making this outstanding rating all the more impressive. St Giles hospice, founded in 1983, started as a charity caring for local people dying from cancer and now supports people living with incurable illnesses and their families for free. Care providers from the hospice work on-site and in patients’ own homes, and their level of care has made them one of only a handful of hospices to ever have been awarded this accolade. In the CQC report inspectors complimented the hospice for its “compassionate” range of speciality services. Inspectors added: “People were truly respected and valued as individuals. They were empowered as partners in their care, practically and emotionally, by an exceptional and distinctive service.” Read full story Source: National Health Executive, 16 January 2020
  22. News Article
    The daughter of a man with dementia who died after being pushed by another patient in a care facility, has said her family has been let down by authorities. John O'Reilly died a week after sustaining a head injury at a dementia care unit in County Armagh. The 83-year-old was pushed twice by the same patient in the days leading up to the fatal incident. His family were not made aware of this until after his death. On 4 December 2018, Mr O'Reilly was pushed by another dementia patient causing him to hit his head off a wall. His family have said he was pushed with such force that it left a dent in the wall. He was admitted to Craigavon Area Hospital with severe head injuries and died a week later. Last week, an inquest heard that the dementia patient who pushed Mr O'Reilly had a history of aggressive behaviour linked to dementia. The Southern Trust is carrying out as Serious Adverse Incident (SAI) investigation into Mr O'Reilly's death. Maureen McGleenon said: "Our experience of the SAI process has been dreadful. In our view it allows the trust to park the fact that something catastrophic has happened to a family. We were told it would be a 12-week process. It's over a year now and we've expended so much energy trying to figure out this process and find things out for ourselves." She added: "The system just knocks you down and makes you want to give up." "We'll never get over what happened to dad and we can't give up on trying to understand it." Read full story Source: BBC News, 20 January 2020
  23. Content Article
    Medicines errors in care homes are unacceptably high. A key study found that residents taking 7 or more medicines had a 79% chance of being a victim of a medicines error (Alldred et all 2009). In his article, published by Care Right Now, Steve Turner discusses the benefits and challenges of electronic MAR charts and best practice in medicine record keeping.
  24. Content Article
    In his blog, Steve Turner, Head of Medicines and Prescribing at Medicine Gov, talks about how to manage medicines in care homes and implement quality standards. This blog is designed to provide information for care homes and for those choosing a care home.
  25. Content Article
    A frank account from a healthcare assistant on the bullying she experienced after raising concerns at the care home she worked in.
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