February 2019
Care Providers Bulletin
In this issue CQC Outcomes at Norfolk and Waveney Care Homes
Dementia Awareness A number of care homes and care providers have been recently rated as and Resources Good or Outstanding following CQC inspection: Page 2
Care Recruitment Chiswick House, Norwich (Black Swan Care Group) : OUTSTANDING campaign https://www.cqc.org.uk/location/1-121489513 Page 3 Windmill House, Wymondham (Runwood Homes): OUTSTANDING Pregabalin and https://www.cqc.org.uk/location/1-228954249 gabapentin update Page 4 All of the care homes operated by Norse Care Services are currently rated
RCN Care Home either GOOD or OUSTANDING Event Page 5 Well done to all staff and colleagues whose hard work, care and compassion has been reflected in these outcomes.
Windmill House were particularly noted for the dedication and commitment of the whole team in caring for their residents, primarily people over 65 who may have sensory or physical impairments, or dementia.
Julie Aldred, Home Manager at Windmill House, said “Working as a team makes a big difference to ensure each individual staff member feels valued and supported in doing their job well. Team building is a focus here at Windmill House and my administrator is the champion in our team to organise different events for staff morale.
“My activities coordinator also works hard to deliver individualised, person–centred approaches to activities, to make sure that residents are involved within the community and the community is involved with Windmill House.”
“The environment in and around the home is so important for our residents, particularly those living with dementia. Areas of the home have different themes based on the life and story of the residents. It’s important for the home to be welcoming, homely and safe for residents and staff alike.”
More information about Windmill House is available here: https://www.runwoodhomes.co.uk/homes/windmill-house Bulletin — February 2019 Page 2
NNUH—Getting creative for dementia awareness
The Norfolk and Norwich University Hospital (NNUH) is casting off a community art project to raise dementia awareness.
People are being encouraged to knit or crochet forget- me-not flowers, which will form a new piece of artwork that will go on display at the NNUH’s Dementia Information and Advice Fayre in May.
The annual event will take place between 10am and 4.30pm on Monday 13th May in the East Atrium of the hospital.
The Dementia Information and Advice Fayre goes from strength to strength every year with a host of speakers, information stands and pop-up café. The event is traditionally held on the week before Dementia Action Week, which this year runs between 20th and 26th May.
The Trust is working with the Norfolk Knitters and Stitchers Club on this community project.
Liz Yaxley, Dementia Services Manager at NNUH, said: “We are really excited to be launching this project. The support of the county’s knitters and stitchers has been phenomenal in the past when we asked for donations of hand-crafted lap blankets and sensory bands. We are hoping that this year’s project will create a stunning piece of art with a flower to represent every single person in Norfolk who is living with dementia.”
The deadline for this project is April 16th and people can drop off their knitted or crochet flowers at reception desks at NNUH, Cromer Hospital, or NNUH offices at 20 Rouen Road, Norwich.
They can also be posted to the Communications department, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY.
A suggested pattern for the forget-me-not flowers can be found on the Norfolk Knitters and Stitchers website: https://www.norfolkknitters.org.uk/patterns.html?name=Knitting&mparent=PATTERNS
Dementia UK—Resources
Dementia UK have recently launched a range of resources and information for professionals supporting people with dementia:
Coping with distress: https://www.southnorfolkccg.nhs.uk/sites/default/files/ COPING%20WITH%20DISTRESS%20%28JAN%202019%29.pdf
Dealing with restlessness: https://www.southnorfolkccg.nhs.uk/sites/default/files/ DEALING%20WITH%20RESTLESSNESS%20%28JAN%202019%29.pdf
Good habits at bedtime: https://www.southnorfolkccg.nhs.uk/sites/default/files/ GOOD%20HABITS%20AT%20BEDTIME%20- %20%28JAN%202019%29.pdf Bulletin — February 2019 Page 3
Support the Care Recruitment Campaign!
Twitter: @CareSectorNfk (https://twitter.com/CareSectorNfk)
Facebook: https://www.facebook.com/norfolkcarejobs/
BOOK NOW: Diabetes standards in Care Homes study day—April 8th 2019
The Diabetes Facilitator team NNUH is hosting a Study Day for Care Homes, focusing on diabetes standards, to be held on Monday 8th April 2019.
Topics to be covered include:
How to do a good foot health check: Introducing the new foot health checker—Catherine Gooday, Lead Podiatrist, NNUH How to write a personalised diabetes care plan/ diabetic passport—Sophie Painter, Diabetes Nurse Facilitator, NNUH Nutrition in diabetes—Sejal Jacob, Specialist Dietitian, NNUH Protocol for blood glucose monitoring for residents with diabetes—Alexandra Young, Diabetes Nurse Facilitator, NNUH Sick day rules and medications—Julie Grand, Diabetes Facilitator, NNUH
A full agenda is available here: https://www.southnorfolkccg.nhs.uk/sites/default/files/Diabetes% 20standards%20for%20care%20home%20staff%20study%20day%20agenda%208%20April%202019.pdf
Venue: Dereham Football Club, Aldiss Park, Norwich Rd, Dereham, NR20 3PX
To book for your free place please email [email protected]
Managing Diabetes in Care Homes—Resources
A range of resources have been made available on Knowledge Anglia for managing diabetes in care homes:
Good Practice Guideline for Residents with Diabetes in Care Homes
Managing Diabetes in Care Home Residents and Housebound Older People - Diabetes Standards Audit Tool for Care Homes
Managing Diabetes in Care Home Residents and Housebound Older People - Guideline for Community and Primary Care Practitioners Bulletin — February 2019 Page 4
Learning Disabilities Mortality Review (LeDeR) - Preventing Avoidable Deaths
Unrecognised and untreated constipation in people with learning disabilities is causing avoidable deaths. This is not only recognised at national level but is happening locally as well. In February of last year was an inquest held into the death of a local man aged 33 who died at Ipswich Hospital in November 2012. It was acknowledged by the Coroner at the inquest this death could have been preventable https:// www.bbc.co.uk/news/uk-england-suffolk-42989091
Early feedback from completed LeDeR reviews also continues to identify concerns relating to the complications of untreated constipation.
To raise the profile the Learning Disabilities Mortality Review (LeDeR) is working with NHSE to raise the issue of the risks constipation poses to people with learning disabilities. The following link provides information around diagnosis and recognition, prevention and treatment and a Briefing Paper for Carers: https://bit.ly/2Glo4el
Registered Nurse Event—Feb 13th 2019
Thank you to all attendees and presenters at the ‘Supporting Practice for Registered Nurses working in a Care Home’ event that took place on February 13th; everyone responded positively to the quality of information, presentations and networking opportunities at the event.
Copies of the presentations are available here: https://www.southnorfolkccg.nhs.uk/sites/default/files/RN%20Event%20Feb%2013.zip
Arden and GEM CSU—Medicines Optimisation Team Bets Practice Bulletins: https://nww.knowledgeanglia.nhs.uk/KMS/SouthNorfolk/Home/Prescribing,PharmacyandMedicinesOptimisatio n/CareHomes.aspx
The link to the safeguarding referral checklist is here – page 11: https://www.norfolksafeguardingadultsboard.info/assets/NSAB-Procedures/NSAB-Safeguarding- Procedures-SEPT2016FINAL.pdf
The main NSAB website is here: https://www.norfolksafeguardingadultsboard.info/
Transition into Care Home Nursing QNI: please find the presentation here: https://vimeo.com/313378632/8b6a4502bf
Medicines Optimisation Update: Change of legal status for pregabalin and gabapentin
From April 2019, the legal status for pregabalin and gabapentin will change to them both being classed as a Controlled Drug. This will mean the supply is limited to 28 days and all prescriptions will now be on a paper prescription rather than sent electronically via EPS.
This also means the pharmacy will need to collect monthly scripts from the pharmacy but they should already be aware of this change. The prescriber will need to ensure they are written to comply with CD prescription requirements.
Although from a care home perspective not much will change, you do need to be aware of this. There is no need to store pregabalin or gabapentin in the CD cupboard and there is no need for extra recording. Bulletin — February 2019 Page 5
SAVE THE DATE: Activities Coordinator Study Day—May 22nd 2019
Limited spaces are still available for the Activities Coordinator Study Day on 22nd May, 9am—13.30pm at the Willow Centre, Cringleford. Thank you to the overwhelming response to the day already—there is a waiting list for coordinators and staff that wish to attend.
Topics include: Active Norfolk, Wheelchair and bed bound activities, Friend In Deed, Balance and Strength exercises to prevent falls, Making Drinking Fun update, and Cognitive Stimulation Therapy.
To be added to the waiting list, please email: [email protected]
BOOK NOW: RCN—Sensitive conversations and decision making in Care Home, including at the End of Life—April 25th 2019
In response to a number of fitness to practice referrals to the NMC and requests for advice and support, the Royal College of Nursing is delighted to be able to offer an interactive learning event, focusing on sensitive conversations and decision making in the care of people at the end of life, within the Care Home Sector.
This event is specifically aimed at Care Home Managers and senior nurses in the care home sector, as it will address key issues relating to end-of-life decisions and the roles and responsibilities of owners, managers and staff.
The learning outcomes for this event include:
review the current context for End of Life Care and policy explore decision making and risk management for care home managers and leads in complex clinical scenarios share learning from the surveillance of NMC cases relating to DNACPR examine real case scenarios around DNACPR, decision making and examples of good practice discuss sexual intimacy and older people explore end of life care decision making in the care of younger people with complex neurological conditions.
The event takes place 10am-15.15pm at RCN Eastern Region, Abbotsgate House, Hollow Road, Bury St Edmunds IP32 7AU
The cost of attending this event is £145.00. Interested parties can find out more and book their place via the following link: https://www.rcn.org.uk/news-and-events/events/sensitive-conversations-and-decision- making
Stradbroke Court Care Home—Wish Initiative
Stradbroke Care Home in Lowestoft has developed a ‘Wish Initiative’ to give their residents access to activity for the first time—such as tap dancing, riding in a horse and cart, or a trip on a fishing boat.
Fulfilling the Home’s approach to person-centred activity planning, residents put their wishes onto a ‘wish tree’, and activities are coordinated based on their submissions.
Read more about the initiative here: https://www.lowestoftjournal.co.uk/news/stradbroke-court-lowestoft- wish-initiative-1-5867485 Bulletin — February 2019 Page 6
Broadacres Care Home—Community Café Project
Broadacres Care Home, in Barton Turf, is continuing its joint project with Worstead Church of England Primary School in running a monthly community café in their area, run by children from Years 5 and 6 at the Primary School.
Teresa Hope, Activities Coordinator at Broadacres, explains how this was developed: “We wanted to develop a project that would integrate our care home with the wider community, and build on our
relationship with the School – so we’ve come up with a café where the children design the menu and ideas for food to serve to our residents and other local people, with help from the catering team
from Broadacres.”
Nick Read, Head Teacher at Worstead Primary School, said: “The children love being part of the Community Café project, and it really engages with their learning and development—from cooking and food hygiene, to money handling and conversational skills with people coming to the café.”
Any care homes that wish to speak to Broadacres to discuss the project further can contact Teresa via [email protected]
REMINDER: Are You Using Bed Tracker?
Norfolk County Council’s Bed Tracker, our relaunched residential capacity monitoring tool, is a quick, convenient and powerful way of sharing your vacancies during the busy winter months. Many providers are using Bed Tracker to notify Norfolk County Council and the NHS of their vacancies at the click of a button.
We encourage all care and nursing homes in Norfolk to submit weekly vacancy updates to help us work on your behalf and ensure information about your services and vacancies are in the hands of people when they need to make important care choices. There is no set up or signing in. All you need is your CQC location ID and one minute to fill in our online form. Your vacancies can change, as can when you can next accept hospital discharges, so the information you submit weekly through Bed Tracker is invaluable.
Please submit your vacancies today at www.norfolk.gov.uk/bedtracker Bulletin — February 2019 Page 7
Training and Activities—Information
Please note that training and information about promotions provided in this bulletin does not mean it is endorsed by the producers of the Care Providers Bulletin. Further details on local training can be found on the Norfolk & Suffolk Care Support Ltd website: https://norfolkandsuffolkcaresupport.co.uk/learning-development/listings/search
Future Learn—Free Online Training
https://www.futurelearn.com/courses/categories/health-and- psychology-courses
A range of online learning modules are available via the Future Learn website link above.
In particular, there is a good module on Dysphagia and Medicines:
https://www.futurelearn.com/courses/dysphagia
Identifying and Treating Malnutrition (’MUST’ Training) - March 5th 2019
Community Dietitian led training ‘Identifying and treating malnutrition’ is being offered to care homes across Norfolk. Following the training attendees will be able to undertake nutritional screening of patients/clients, make a nutritional plan and evaluate it. This training will improve knowledge and skills and enable carers to be more confident in providing good nutritional care.
NNUH is hosting a Training Session for Care Home Staff (including catering staff) on 5th March 2019, 10am-12pm.
Venue: Two Acres Care Home, Lily Unit, 212-216 Fakenham Road, Taverham, Norwich, NR8 6QN
Trainer: Bryony James RD Specialist Community Dietitian, Norfolk and Norwich University Hospital
Cost: £25 per person
For further information or to apply for a place please contact Bianca Crawley, Nutrition and Dietetics at 01603 287011 or email [email protected]