Results for 'care homes'
An online resource pack which brings together a collection resources to help promote the importance of arts and creative activities for older residents in care homes. The resource aims to support care staff to plan and run creative arts sessions and help then work with professional artists. It includes a film where three care homes and their residents share their experience of participating in the arts and the difference it has made to living life well. It also includes ‘recipe cards’ for five different arts forms created by artists for care staff. These cards provide ideas and methods to help care staff to run a variety of creative arts sessions within care homes. They cover creative dance, writing poetry, facilitating a singing session, print making and salt dough. The pack also contains guidance on working with professional artists. The pack was developed in partnership with Luminate and a national working group which included representatives from Creative Scotland, the voluntary and independent sectors, Scottish Care, the Scottish Poetry Library, NHS and professional artists.
et al, NHS ENGLAND
This quick guide provides ideas and practical tips to commissioners and providers on how to improve hospital discharge for people with care home places or packages of care at home. The guide identifies areas for improvement, setting out checklist actions for local health economies to consider and examples of practical solutions and links to resources. The areas identified are: culture of collaboration between care sector, NHS and social care; improving communication; clarity on information sharing and information governance; difficulties with achieving the ‘home before lunch’ ambition; assessments undertaken in hospital leading to ‘deconditioning’ and longer, unnecessary hospital stays; delays to discharge due to awaiting for assessment; capacity of community-based services; and patient experience and involvement.
NHS ENGLAND, et al
This quick guide highlights a number of case studies from around the country where technology is being used successfully to enhance the delivery of care to support independent living (telecare), to enhance the health and wellbeing information exchange between patients and professionals (telehealth) and to enhance the information exchange between professionals (telemedicine). It also includes information about secure email and collaboration. Drawing on the case studies, the guide sets out a series of top tips for developing and implementing successful technological initiatives.
This report sets out key steps that commissioners can take in collaboration with service providers to enable people who are approaching the end of life to avoid being admitted to hospital when this is possible and appropriate, as well as enabling those who are admitted to make a transition to a community setting quickly. The report argues that as well as reducing the costs to the NHS, enabling people to stay out of hospital at the end of life can make a significant difference to the experiences of dying people and their families. The report makes a number of recommendations for commissioners, service providers and health and social care staff, including: commissioning the increased provision of 24/7 care in community settings, through care homes and hospices, and community health and social care services that can provide care in people’s homes; commissioning anticipatory prescribing of medicines for people approaching the end of life; using available funding, through System Resilience Groups, the Better Care Fund, and Integrated Personal Commissioning, to improve co-ordination between hospitals and community settings, including hospices, for people approaching the end of life; and health and social care staff identifying carers of people who are approaching the end of life and referring them for local authority assessments.
Sets out Care England’s vision for the next five years on how the organisation and the sector plan to deal with a number of issues facing the health and social care system. The report focuses on critical areas of the current social care landscape, including: integrated and person-centred care; falling fees and local authorities’ budgetary constraints; recruitment of nurses; recruitment, pay and training of the care workforce; raising awareness of the value of the sector; the Care Quality Commission and the need for further improvement of the regulation process; learning disabilities; and dementia. The report warns of the risk of a collapse in the system if providers and commissioners do not work together and more nurses are not recruited into the independent sector.
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
Summarises selected new evidence published since the original literature search was conducted for the NICE guidance 16 Occupational therapy and physical activity interventions to promote the mental health wellbeing of older people in primary care and residential care (2008). A search was conducted for new evidence from 1 June 2011 to 28 July 2014 and a total of 8,973 pieces of evidence were initially identified. The 21 most relevant references underwent a critical appraisal process and then were reviewed by an Evidence Update Advisory Group, which advised on the final list of 6 items selected for the Evidence Update. The update provides detailed commentaries on the new evidence focussing on the following themes: occupational interventions, physical activity, walking schemes, and training. It also highlights evidence uncertainties identified.
There is strong evidence that people with dementia in care homes and hospital wards do not go outside and that, if there is outdoor space, it is not usually dementia friendly. This article reviews the evidence which shows that being outside is essential for mental and physical health and well-being. Vitamin D deficiency is due mainly to a lack of exposure to sunshine, and has been shown to be associated with falls and with a low mood and cognitive impairment. Physical exercise is also important for health and can reduce the risk of falls. Going outside and keeping active have been shown to: improve general health; reduce risk of depression; reduce cognitive decline; provide older people with a sense of freedom; improve sleeping patterns; improve appetite; reduce incontinence; and reduce aggressive behaviour. The article argues that the benefits of being outside, of being exposed to light, and taking part in exercise can lead to a reduction in the use of drugs. Savings in the cost of care can be used in the creation of therapeutic outdoor spaces. A second article will cover the key design features that can enable the use of outside space.
AL-ORAIBI Saleh, FORDHAM Ric, LAMBERT Rod
This study looked at whether new assistive technology (AT) systems in care homes for elderly residents, reduced the number of falls and demands for formal health services. The project collected retrospective data about the incidence of falls before and after AT systems were installed in two care homes in Norfolk, UK. These homes were selected purposefully because a recent assessment identified the need for upgrading their call system. They had different resident profiles regarding the prevalence of dementia. Standard incident report forms were examined for a period starting ten months before the upgrades to ten months after in Care Home 1 and from six months before to six months afterwards in Care Home 2. Overall there were 314 falls reported during the course of the study; the number reduced from 202 to 112 after the introduction of AT. The mean health care costs associated with falls in Care Home 1 were significantly reduced (more than 50%). In Care Home 2 there was no significant difference in the mean cost. The results suggest that installing an AT system in residential care homes can reduce the number of falls and health care cost in homes with a lower proportion of residents with advanced dementia compared to those with more residents with advanced dementia.