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Smarter data, better care: Empowering care homes to use data to transform quality of care.

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Smarter data, better care: Empowering care homes to use data to transform quality of care.

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The state of health care and adult social care in England 

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The state of health care and adult social care in England 

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Rapid literature review - improvement CQC

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Rapid literature review - improvement CQC

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Spotlight on sepsis your stories your rights

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Spotlight on sepsis your stories your rights

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Aim

The aim of the Teaching and Learning Care Homes programme is to develop a geographically spread network of homes that:

Demonstrate an ongoing commitment to person-centred care and ways of working, which will be experienced by all who live, die, visit and work in the home

Are centres for learning, practice development and research, actively engaging with staff, students, residents and the community

Have strong working relationships with academic and education providers and are a resource for other care homes

This aim was developed in recognition of the issues of recruitment and retention of both registered nurses and carers, attempting to raise the profile of long term social care as an exciting, rewarding and forward thinking career choice.
About the programme - summary About the TCH programme TCH model - September 2019 TCH vision - September 2018 TCH programme overview PPT - November 2019 TCH programme evaluation - September 2020
Teaching and Learning Care Homes News
12th May 2023
We are delighted to share the 'huge and heartfelt "thank you"' from Helen Whatley, Minister for Social Care for all social care nurses on . Read Helen's letter here.

February 2022 saw the launch of the Norfolk and Waveney Teaching and Learning Care Home Programme. Commissioned by Norfolk and Waveney CCG, the programme is being delivered and evaluated by the Foundation of Nursing Studies (FoNS), ImpACT Research Group at the University of East Anglia and Norfolk and Waveney CCG. The programme, working with 4 Care Homes providing Nursing Care across the Norfolk and Waveney system is focusing on the 4 interrelated components of the Teaching Care Home Programme:

A good care experience, enabled by:

Research and practice development in and from practice

Education/learning for staff and students

Community engagement

These are underpinned by

Working collaboratively across sectors/systems and

Acting as a resource across the social care sector

Each participating home will be focusing on a workplace project linked to the local priorities identified in the Enhanced Health in Care Home programme - projects identified by participating homes include Falls Prevention and End of Life Care. The Teaching and Learning Care Home Programme is running for 18 months which will include the development of a Community of Practice for participating and non-participating homes.
Cath Byford, Chief Nurse, NHS Norfolk and Waveney Clinical Commissioning Group, said: 'Care homes are highly valued within our Integrated Care System and this is a fantastic opportunity to work closely with the teams on this programme.'
Professor Sally Hardy, Dean of the School of Health Sciences at UEA, and Co-Director of the ImpACT Research group states: 'This is such important work for our region in supporting and enabling the best care for our older population. The TLCH programme also recognises the learning potential that takes place in our care homes, harnessing this to further inspire the people who have a privileged role in looking after those in need, across all aspects of service provision in Norfolk and Waveney.'

Kate Sanders, Practice Development Facilitator at FoNS commented: 'I am delighted to be working with the participating homes as we deliver the programme on a locality basis for the first time. This is an exciting opportunity to explore how the programme can enable learning and transformation at an individual, team, service and system-wide level. We also look forward to connecting with the national TLCH community of practice.'

For more details please contact: Dr Kate Sanders, Practice Development Facilitator, FoNS, email: [email protected]

Future programmes

Would your local authority, ICB/ICS, health and scoial care trust, helath and social care partnership or local health board etc. be interested in supporting a programme, enabling a number of homes to lead innovations addressing local priorities, the learning from which can be shared?

Would your organisation be interested in supporting a number of homes to become Teaching and Learning Care Homes? They could act as a resource within your organisation but also be active contributors to the TLCH community

If you are interested, or would like to know more, please contact [email protected]

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The aim of the Teaching and Learning Care Homes programme is to develop a geographically spread network of homes that: Demonstrate an ongoing commitment to person-centred care and ways of working, which will be experienced by all who live, die, visit and work in the home Are centres for learning,

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HSIB summary report variations in the delivery of palliative care services to adults

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HSIB summary report variations in the delivery of palliative care services to adults

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Recognising and responding to acute deterioration in care home residents: a scoping  review (2023)

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Recognising and responding to acute deterioration in care home residents: a scoping  review (2023)

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Article: Caregivers of people with learning disabilities and their experiences of communicating with healthcare professionals. 

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Article: Caregivers of people with learning disabilities and their experiences of communicating with healthcare professionals. 

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E-nursing homes: transforming access to nurses in nursing homes in response to the staffing crisis.

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E-nursing homes: transforming access to nurses in nursing homes in response to the staffing crisis.

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British Journal of Nursing Vol. 32. No.9
Published Online:12 May 2023

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Y&H Public Health Network. North East & Yorkshire Falls Conference

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Y&H Public Health Network. North East & Yorkshire Falls Conference

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YHPHN | Yorkshire and Humber Public Health Network

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North East & Yorkshire Falls Conference 2022

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The North East & Yorkshire Falls Conference will provide blended learning (online with pre-recorded videos). Please note the content for this conference will be released on each day and will be available on demand from 8am.

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Advance Care Planning and Bereavement Toolkit

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Advance Care Planning and Bereavement Toolkit

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The West Yorkshire Advance Care Planning and Bereavement toolkit includes resources for people to have better conversations, support and personalised care about advance care planning and bereavement.

The toolkit was developed to ensure our workforce is equipped with resources to connect and support people across West Yorkshire with a range of needs and backgrounds, who may be experiencing inequalities and barriers in accessing information, services and advocacy. For example, people with learning disabilities, people with dementia, people from different cultural backgrounds, and people experiencing homelessness.

Each resource was co-produced by staff from Overgate, Wakefield and St Gemma's hospices working in partnership with a range of stakeholders and people with lived experience of palliative and end of life care.

We hope this toolkit will be used alongside the 'My Future Wishes' resources to ensure people throughout West Yorkshire have better personalised care, and shared decision making conversations about advance care planning and bereavement.

The toolkit also includes advance care planning and bereavement resources which have been published by other organisations.

If you have any suggestions to improve the toolkit, please contact: .

Most Recent Videos

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Advance Care Planning and Bereavement Toolkit

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The West Yorkshire Advance Care Planning and Bereavement toolkit includes resources for people to have better conversations, support and personalised care about advance care planning and bereavement. The toolkit was developed to ensure our workforce is equipped with resources to connect and support people across West Yorkshire with a range of needs and backgrounds, who may be experiencing inequalities and barriers in accessing information, services and advocacy.

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Understanding Implementation in Care Homes – Summary Report

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Understanding Implementation in Care Homes – Summary Report

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"Primary care engagement with remote monitoring in North Central London"

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"Primary care engagement with remote monitoring in North Central London"

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Barriers and enablers to successful implementation
of remote monitoring in care homes and implications
for the future

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NAPA Nutrition and Hydration Toolkit for Activity Providers (napa-activities.co.uk)

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NAPA Nutrition and Hydration Toolkit for Activity Providers

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This NAPA interactive flipbook is created with FlippingBook, a service for streaming PDFs online. No download, no waiting. Open and start reading right away!

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Care Home Patient Safety Network

We host a quarterly meeting for all health and social care professionals who support care homes. The network provides a space where we can identify and share good practice, test ideas and share learning relevant to the care home sector and for specific at risk patient groups e.g. Learning Disabilities, Mental Health, Dementia etc.

PCN Support Network

We host a regular meeting for Primary Care Network colleagues who work with care homes. The purpose of this network is to provide support from peers across the region and an opportunity for shared learning. This is specifically for staff in ARRS roles such as; care coordinators, pharmacists, pharmacy technicians, therapists, paramedics, GPs, nurses etc.

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On the 2.2.23 we had our Care Home Patient Safety Network with a focus on medicines in care homes.
We had our pharmacy colleagues at

@LeedsHCP

sharing their vast work with care homes

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Slides from Care Home Patient Safety Network 2.2.23

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Slides from Care Home Patient Safety Network 2.2.23

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S1 GP Proxy ordering manual with DSP

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EMIS GP manual with DSPT

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CARE HOME guidance for managing online services with DSPT

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CARE HOME guidance for managing online services with DSPT

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What influences decisions to transfer older care-home residents to the emergency department A synthesis of qualitative reviews (Marincowitz et al., 2022)

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What influences decision to transfer elderly to ED

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Urgent Community Response teams provide urgent care to people in their homes which helps to avoid hospital admissions and enable people to live independently for longer.

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CALDERDALE Urgent Community Response- Poster _2_

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Urgent Community Response teams provide urgent care to people in their homes which helps to avoid hospital admissions and enable people to live independently for longer.

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Calderdale Data for Improvement Jan 2023

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Calderdale Data for Improvement Jan 2023

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Caldedale EHCH Case Study - using data for improvement v10 09.01.23

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Urgent Community Response teams provide urgent care to people in their homes which helps to avoid hospital admissions and enable people to live independently for longer.

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Care Home Resources:                           Deterioration Resources     

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Care Home Resources:                           Deterioration Resources     

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The Restore-2 Mini is used to recognise the softer signs of deterioration. The SBARD is used to discuss concerns with another professional.

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Care Home Resources:         Hydration               

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Care Home Resources:         Hydration               

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Melanie Johnson - Patient Safety Collaborative Programme Manager 

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Melanie Johnson - Patient Safety Collaborative Programme Manager 

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Email: Melanie.Johnson@yhia.nhs.uk

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Lizzie Sweeting - Programme Manager of the Deterioration Workstream

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Lizzie Sweeting - Programme Manager of the Deterioration Workstream

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Email: Elizabeth.Sweeting@yhia.nhs.uk

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On the 16.12.22, we heard from Selby Town PCN talking about their Dietetics Project in care homes in our final PCN Support Network of 22/23! Excited to see you all next year.

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Email: alice.cunningham@yhia.nhs.uk

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Y&H PCN Support Network: Friday 18th November 2022 Slide Set                       

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Y&H PCN Support Network: Friday 18th November 2022 Slide Set                       

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Using The YCFF to review the factors involved in medicines incidents - May 2022

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Using The YCFF to review the factors involved in medicines incidents - May 2022

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Using The YCFF to review the factors involved in medicines incidents.

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Reducing emergency hospital admissions paper (Abel et al., 2022)

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Academic Paper British Journal of General Practice_ November 2018 by Julian Abel

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https://www.improvementacademy.org/programmes/managing-deterioration/

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Our current work focusses on improving the recognition and response to the deteriorating care home resident.

The term 'deterioration' can be defined as when a person moves from their normal clinical state to a worse clinical state.

To reduce the chances of this happening we focus on three main areas:

Recognition: how do we assess people to spot early signs they are deteriorating?
Response: what actions do we take when we think a person has deteriorated?
Communication: how do we communicate with the person to be sure they agree with any decision we make and how do we work effectively with other health and social care staff to get the best outcomes?

Here in Yorkshire & Humber the care home work sits as part of the Patient Safety Collaborative, which the Improvement Academy has been commissioned to deliver for the Y&H AHSN on behalf of NHS England & Improvement.

Our current work includes:
Softer Signs in Care Homes
'Softer signs' tools are a relatively new approach aiming to help colleagues recognise functional and behavioural changes in patients, residents and service users as an early sign of deterioration. These 'softer signs' are often detectible before you start to see changes in physiological measures such as NEWS 2.

These tools are often said to capture and give credence to gut instinct, for example when you know something is wrong but find it hard to describe. There are some good tools available - RESTORE 2TM Mini tool as well as SBARD.
Advance Care Plans
An important but often overlooked aspect is understanding, capturing and acting on the wishes of patients and residents when they are nearing the end of life. Harm can be unwittingly caused when end life wishes are not known or communicated well in the team. Advance Care Plans (ACP) aim to redress this (6)

We have worked with staff from Calderdale and Huddersfield hospitals, the Clinical Network for Dementia and Older People's Mental Health and other key stakeholders using a behaviour change approach to understand better the barriers that stop Advance Care Plans being commenced and completed.
Following two co design workshops using the ABC toolkit we developed some interventions including:

A core ACP document to be agreed and used in the region

Focus groups to better understand how patients and carers would like to be approached to commence and complete advance care planning

A series of videos aimed at colleagues and patients around key aspects of Advance Care Plans such as living well with frailty, capturing advance care wishes and how to recognise delirium.

Personalised Care and Support Plans

Building on our work on Advance Care Plans, we are continuing to work with the Clinical Network for Dementia and Older People's Mental Health to broaden the use of personalised care plans beyond end of life care. Our work will focus on people in community settings, whether that be in a care home or their person's own home.

All of our work is built upon previous experience of working across both health and social care. One of our most successful pieces of work across social care has been the implementation of safety huddles.

Safety Huddles are short discussions with the whole team aiming to reduce the harm the team are focussed on reducing harm. They can be used effectively for a variety of patient and resident harms e.g. falls, medications errors etc. We have used this highly effective approach to reduce deterioration both on acute wards and in community settings.

Despite having a focus on care homes, we appreciate that a whole systems approach is needed to reduce deterioration-associated harm in care homes. We link with other networks in the acute sector e.g. Sepsis , ED to improve system-wide pathways of care.

If you would like to work with us to improve the use of deterioration tools such as Restore2mini in your area, please contact Lizzie Sweeting

We also host two networks in our Care Homes work in order to improve adoption and spread of deterioration tools. These networks are:
Care Home Patient Safety Network
We host a quarterly meeting for all health and social care professionals who support care homes. The network provides a space where we can identify and share good practice, test ideas and share learning relevant to the care home sector and for specific at risk patient groups e.g. Learning Disabilities, Mental Health, Dementia etc.
PCN Support Network
We host a regular meeting for Primary Care Network colleagues who work with care homes. The purpose of this network is to provide support from peers across the region and an opportunity for shared learning. This is specifically for staff in ARRS roles such as; care coordinators, pharmacists, pharmacy technicians, therapists, paramedics, GPs, nurses etc.

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Managing Deterioration Safety Improvement Programme - Improvement Academy

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Our current work focusses on improving the recognition and response to the deteriorating care home resident. The term 'deterioration' can be defined as when a person moves from their normal clinical state to a worse clinical state. To reduce the chances of this happening we focus on three main areas: Recognition: how do we assess people to spot early signs they are deteriorating?

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https://twitter.com/YHManDetSIP

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On Friday 2.12.22, we attended: ‘Health & social care; achieving excellence together’ conference with many interesting topics including: the importance of continuity of care to improve outcomes for care home residents and proactive approaches to hydration and nutrition to reduce the risk of deterioration.