Projects and initiatives with care homes and domiciliary care
React to Red
React to Red’ is an NHS initiative which aims to educate people on pressure ulcer prevention and the simple steps that can be taken to avoid them. By adapting this national approach, the CCG has reduced pressure ulcers in care homes by 75% thanks an intensive face-to-face training programme within primary care settings.
React to Falls
‘React to Falls’ prevention is an NHS campaign which educates people on prevention of falls and the risks associated with falling. By adapting this national approach, the CCG is currently working with 27 care homes in the Vale of York with over 200 carers trained since June 2019.
The CCG provide a training programme which includes a series of educational videos, group activities, resources and on-going support to the care homes signed up.
Recognising and Responding to Deterioration in Residents Using a Softer Signs Tool
The number of elderly patients admitted to hospital from care homes as an emergency has increased by 63% since 2011. Admissions to hospital are costly and can put residents at increased risk of stress and harm. Residents care needs are increasingly complex and on average they will have six or more diagnosed conditions and seven or more prescribed medicines, placing them at greater risk of deterioration.
The NHS Vale of York CCG is committed to supporting Care Homes and Domiciliary Care organisations in providing best care to residents. The aim of this work was to reduce avoidable harm, enhance clinical outcomes and improve the experience of deteriorating residents in care homes or their own home. To achieve this focus was placed on improving recognition (softer signs and NEWS2), response and communication.
By using softer observational signs It has been found that nursing assistants in care homes identified changes in residents up to 5 days before clinical observations were taken by spotting “ behavioural and functional status changes”[i], identifying deterioration early has the potential of reducing harm, improving quality and reduction in hospital visits.
The face to face training programme delivered by the CCGs project team and is providing positive impact in the care home and domiciliary care settings The training develops care staff skills and knowledge in recognising deterioration how to respond to change. Training also includes communication skills and how to use the SBAR (situation, background, assessment and recommendations) tool to help care staff relay accurate, relevant and timely information to other health and care services including GPs and District Nurses.
Care staff are supported to use the tools and how to embed this change in to practice.
[i] Boockvar K1, Brodie HD, Lachs M, J Am Geriatr Soc. 2000 Sep;48(9):1086-91. Nursing assistants detect behaviour changes in nursing home residents that precede acute illness: development and validation of an illness warning instrument.
Care Home Capacity Tracker
The Care Home Capacity Tracker is a digital portal designed by the North East Commissioning Support Unit in partnership with NHS England with the aim of making the discharge process into care homes more efficient and improving a patient’s transfer of care.
The tracker allows care homes to upload information about:
- The number of beds they have available to admit to;
- The type of beds available;
- The cost of the beds
- Any useful information about the services that are offered at the home.
This allows our care partners to locate beds more efficiently and find care that is the most appropriate to the individual’s
The system runs efficiently thanks to our care home partners regularly updating their bed figures and availability. The tracker is very quick and easy to use and it takes just 30 seconds to update. One of the greatest benefits is that our healthcare provider partners save an enormous amount of time in trying to find suitable care. Best of all the system is free!
For a step by step demonstration of how to use the tracker, please view this video. The CCG, in collaboration with partners at North Yorkshire County Council, East Riding of Yorkshire Council, City of York Council and York Teaching Hospital NHS Foundation Trust, is aiming to implement the tracker in all in scope care homes in the Vale of York. Currently 93% of eligible homes within the area are registered and using the tracker.
The CCG’s system champions are Sarah Fiori and Sam Varo. They assist care homes to get the tracker up and running and resolve queries. For assistance or more information regarding the tracker contact:
Sam Varo or phone 01904 551 773
Sarah Fiori or phone 07702 657592