The examples below provide insight into how other Good or Outstanding rated services are succeeding in this area of inspection.
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Using Champions to connect with healthcare and wider community
Staff were champions in safeguarding, dementia, skin integrity, falls, medication, end of life care, nutrition and infection control. The champions linked with community agencies to ensure up to date guidance and best practice was followed to drive improvements and ensure these were embedded into practice.
For example, the infection control champion had strong links with the local healthcare team. The nutrition champion had recently introduced healthy snack making into the activities programme, to support people with weight management.
Read more about this service here.
Care provider: Hepworth House
Date published: November 2022
Working with ambulance services
The provider worked hard with the ambulance service so that paramedics knew how to work with the autistic person in a person-centred way. The result was that paramedic had information on how best to support the person before they even arrived at their home.
By reviewing this, and meeting with NHS England and ambulance services about learning disabilities and DNACPR's, the provider was able to ensure that the person and others would get the correct care when ambulances were called and when they went to hospital.
Read more about this service here.
Care provider: Avenues South East
Date published: November 2022
How nurse associates and wider support reduces hospital admissions
Staff worked with external agencies to provide effective care. The registered manager worked collaboratively with Nottingham University NHS Trust and Health England to reduce hospital admission through promoting good practice.
The service supported the training of nursing associates to work with the nurses and advanced nurse practitioners to maintain people's health. This has made a real difference to people as the service was able to pick up issues quickly and resolve them quickly without the need for a hospital admission. It also means that on the very few occasions people are admitted to hospital, their stay is brief as the service has the support in place to enable them to return.
Read more about the service here.
Care provider: Landermeads Care Home
Date published: March 2020
Ensuring people get the necessary healthcare support
Staff advocated on behalf of one person by talking to their consultant which resulted in a longer hospital stay to further investigate their condition. Another person had a hospital appointment in London. The staff member made the travel arrangements, accompanied the person and stayed overnight in a hotel to make sure they were at hand, hence working many extra hours.
Read more about this service here.
Care provider: No Place Like Home
Date published: April 2019
Specialist advice to improve quality of life
The service was committed to working collaboratively with other healthcare services and specialists and was consistent in supporting people to live healthier lives. For example, specialist advice and support was proactively sought and accessed for those who required specialist equipment to help maximise their quality of life. One person had reduced mobility due to their acquired brain injury. The registered manager had accessed specialist equipment to help stimulate movement, which greatly improved the person's mobility and quality of life.
Care provider: Anonymous
Date published: January 2019
Working to minimise hospital admissions
Recognising the impact that hospital admission has on people, the registered manager ensured the service regarded any occurrence as a significant event. This would prompt them to carefully review events leading up to the hospital admission to identify ways to learn from these and mitigate future risks. Their investigations involved detailed discussions with the GP.
Care provider: Anonymous
Date published: April 2018
Supporting people with complex needs in hospital
A young person with special needs was to be admitted to hospital for in-patient emergency treatment. Our staff ensured their complex needs, communication and eating difficulties would be taken into account by spontaneously building a team to work alongside hospital staff throughout the duration of the hospital stay. This transformed the care experience and ensured a positive outcome.
Read more about the service here.
Care provider: Elysium Care Partnerships
Date published: April 2018
Sharing accurate health data
People’s care plans and care records were kept on computer under a system that was also used by 95% of the GPs in the local area, as well as district nurses and other healthcare professionals. This meant that with the person’s consent, external healthcare professionals involved in their care could have immediate and up-to-date information about changes in health, treatment and medication.
Care provider: Anonymous
Date published: April 2018