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Showing results for tags 'Care home'.
Found 287 results
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Content ArticleResearch has shown that there is variability in quality of life (QOL) outcomes for people with intellectual disabilities who live in group homes. The aim of this study from Humphreys et al. was to examine dimensions of group home culture as predictors of QOL outcomes.
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Content ArticleResearch has shown that there is variability in quality of life (QOL) outcomes for people with intellectual disabilities who live in group homes. The aim of this study from Humphreys et al. was to examine dimensions of group home culture as predictors of QOL outcomes.
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Content ArticleBuilding on cultural dimensions of underperforming group homes, Bigby and Beadle-Brown analyses culture in better performing services. In depth qualitative case studies were conducted in three better group homes using participant observation and interviews. The culture in these homes, reflected in patterns of staff practice and talk, as well as artefacts differed from that found in underperforming services. Formal power holders were undisputed leaders, their values aligned with those of other staff and the organization, responsibility for practice quality was shared enabling teamwork, staff perceived their purpose as “making the life each person wants it to be,” working practices were person centered, and new ideas and outsiders were embraced. The culture was charactersed as coherent, respectful, “enabling” for residents, and “motivating” for staff. Though it is unclear whether good group homes have a similar culture to better ones the insights from this study provide knowledge to guide service development and evaluation.
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Content ArticleA rapid-learning report on the role of Patient Safety Collaboratives (PSCs) during the pandemic has been published by the AHSN Network. PSCs are just one part of the health and care system which responded quickly to the immediate crisis from COVID-19 in March. They reprioritised their day-to-day work and took on new programmes at speed, such as promoting safer tracheostomy care. The report has been published as part of the NHS Reset campaign and gives examples of how PSCs refocused their work ‘almost overnight’ to respond to the pandemic. It illustrates some of the creative ways AHSNs supported their local systems and how this experience will be built into future patient safety programmes.
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Content ArticleA 24/7 clinical tele-triage service for care homes in Wirral has resulted in an average 66% decrease in the number of NHS 111 calls and a 10% decrease in ambulance conveyances to A&E for care home residents. The service is delivered by all the area’s health and social care partners with funding support from the Innovation Agency. Care homes have been provided with iPads and secure nhs.net email addresses, and staff have been trained to take basic observations and equipped with blood pressure monitors, thermometers, urine dipsticks and oximeters.
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Content ArticleThis report from the AHSN Network shines light on ways we can do more to improve safety for residents of care homes. The publication showcases over 30 examples of projects delivered by England’s 15 Patient Safety Collaboratives (PSCs) and the Academic Health Science Networks (AHSNs) which host them. They include case studies in medicines safety, dementia, monitoring and screening, and workforce development.
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Content ArticleUrinary tract infection (UTI) was identified as the main reason to call a GP out-of-hours or to result in an unplanned admission to hospital from residential and nursing homes. Care home staff were using a urine dipstick to diagnose a urinary tract infection then calling a health care professional (HCP) for antibiotics, resulting in inappropriate use of antibiotics and over-treating what is perceived as a UTI in the absence of clinical symptoms.
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Content ArticleA digital tablet intervention to record and communicate data on the health of residents was used in care homes in Sunderland. Between April 2017 and March 2018, a small-scale evaluation compared data between eight of the care homes routinely using the intervention with eight similar care homes who weren’t. The evaluation found that the eight care homes using the intervention made an estimated saving of around £756,144 in A&E attendances and ambulance services during this period.
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Content ArticleGood Hydration! is a quality improvement initiative designed by care homes for care homes to reduce urinary tract infections (UTIs) through structured drinks rounds. Developed in partnership with East Berkshire Clinical Commissioning Group, it is now delivering sustained improvements and spreading further afield. Oxford Academic Health Science Network has produced a range of useful resources for care homes to use.
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Content Article
Wessex AHSN: RESTORE2
Claire Cox posted an article in Health Innovation Networks (formerly AHSNs)
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. -
Content ArticleThe 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.
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Content ArticleCare home residents are particularly vulnerable to patient safety incidents, due to higher likelihood of frailty, multimorbidity and cognitive decline. However, despite residents and their carers wanting to be involved in safety initiatives, there are few mechanisms for them to contribute and make meaningful safety improvements to practice. This study aimed to develop a measure of contributory factors to safety incidents in care homes to be completed by residents and/or their unpaid carers.
