Presentation on theme: "Up and About in Care Homes"— Presentation transcript:
1 Up and About in Care Homes The Management of Falls and Fractures in Care Homes for Older People Improvement ProjectApril 2015Lianne McInallyNational Project LeadLynn FlanniganDeputy Project Lead
2 Workshop Plan Project Overview Case Study - Practical Development of New Resource
3 Why falls in care homes matter… Older people in care homes are:3 times more likely to fall, and10 times more likely to have a hip fracture.89% of people in care homes have dementia and have a higher incidence of falls.6 month mortality for someone with dementia is 71% following hip fracture
4 Managing falls and fractures in care homes for older people Issued in 2011 Get people thinking, talking and doing something about falls and fractures in care homes.Articulate what ‘good practice’ means.Provide answers to many of the questions care home managers and staff have.Provide some practical solutions.Provide a catalyst for care homes to develop stronger links with the wider health and social care team.Improve the quality of care.
5 Up and About in Care Homes Project TeamFirst time project like this has been done in social care setting.
6 Our approach Phase One: Test out a ‘prototype’ approach Based on IHI Breakthrough Series Collaborative methodologyEverybody teaches, everybody learnsShare generously (transparency)Steal shamelesslyAcknowledge graciouslyUsing the Model for Improvement:measurement for improvementsmall tests of change (involving all staff)The learning from this period of testing will informPhase Two
7 In summary…… provide focused support to care home managers and staff to:utilise the Care Inspectorate/NHS Scotland good practice resource and self-assessment tool to best effect,gather and analyse data to understand and address the local causes and patterns of falls,provide training,facilitate integrated working with the local health and social care team, andthrough learning sessions, bring together participating care home ‘improvement teams’ and members of the wider MDT, to help foster a support and learning network to ensure sustainability.
8 The project’s improvement aim: To reduce falls in participating care homes by 50% by the end of 2015.
11 Achievements (1)A reduction in the number of falls and the number of falls resulting in injury in care homes who have taken a proactive approach to improvement.Improved systems for collecting and analysing data for improvement and monitoring.Key Achievements1. A reduction in the number of falls and the number of falls resulting in injury in care homes who have taken a proactive approach to improvement. One care home achieved a 74% reduction.2. Improved systems for collecting and analysing data for improvement and monitoring, resulting in(a) improved intelligence of the scale and nature of the problem at care home and national level.(b) understanding of average falls rates, enabling identification of care homes with higher than expected rates, who may benefit from focused support. This was previously unknown.3. Improved quality of practice, care and resident experience through(a) increased staff knowledge and skills and improvement capabilities(b) more integrated working with local health and social care teams and wider community.4. Proof of the concept that technology can be used to provide virtual specialist support in care home settings.5. Development of a number of resources and tools for education, information, advice, to support daily practice in the management of falls and fractures.
12 Achievements (2)Improved quality of practice, care and resident experience through:increased staff knowledge and skills and improvement capabilitiesmore integrated working with local health and social care teams and wider community.Proof of the concept that technology can be used to provide virtual specialist support in care home settings.Development of a number of resources and tools for education, information, advice, to support daily practice in the management of falls and fractures.
14 Pillars for successHolistic approach to the management of falls and fractures.Regular and ongoing dedicated support to identify, initiate, implement and sustain improvements.A systematic and person centred approach to falls risk assessment and management.Consistent data collection, reporting and analysis to identify trends and highlight areas for improvement using the data collection tool and IT dashboardCommitted and respected care home leadership empowering staff to make falls prevention and management a priority.Team working and shared responsibility within the care home to sustain improvements.Working with the integrated health and social care team and wider community.Sharing and learning from innovations and examples of good practice.Recognition and acknowledgement of good practice by the Care Inspectorate.
18 Key messages for care homes Make falls everyone’s business every day.Self assessment annually.Implement systems to collect data.Multifactorial risk assessment and actions.Analyse falls when they happen (person centred analysis and care planning).Discuss falls and learning from analysis regularly with everyone.Involve the wider health and social care team (and community).Use available resources to support improvement.
19 Up and About in Care Homes Workshop Please use this thinking mat to capture your thoughts from each conversationWhen the prevention and management of falls and fractures really works, what kinds of things happen for you and care home residents?Walk 12 months down the line and imagine the the prevention and management of falls and fractures really works exceeds all expectations – what will you have to put in place to allow this to happen?Postcards to the future What will you today if you knew that success was guaranteed?Postcards to the future....What one thing can you do tomorrow to start this journey?