National Falls Programme Scotland Up & About in Care Homes - - PowerPoint PPT Presentation

National Falls Programme Scotland Up & About in Care Homes

Lianne McInally

MBA Public Services Management, Bsc (HONS) Occupational Therapy Scottish Improvement Leader Twitter: @liannemcinally1 #ThinkActivity #ActiononFalls #Steadyonstaysafe

The National Falls Programme 2010 - present

The Up and About Pathway

http://www.scotland.gov.uk/Publications/2014/10/9431

Sponsored by the Chief Health Professions Officer in the Scottish Government

Managing Falls & Fractures in Care Homes

NHSScotland/Care Inspectorate Good Practice Resource

http://www.careinspectorate.com/index.php/guidance/managing-falls-and-fractures

Self Assessment Toolkit Information

Up and About in Care Homes Project Team Lianne McInally, Project Lead Lynn Flannigan, Deputy Project Lead Amaia Ibanez De Opacua , Improvement Advisor Arlene McNiven, Administrator

National Falls Programme working in partnership with the Care Inspectorate

Up and About in Care Homes

Jan 2014 – June 2015

• Three partnership areas (Highland, West Dunbartonshire, Dumfries and Galloway).
• 38 care homes for older people (all sectors).
• Local project lead with falls knowledge and experience.
• The wider local health and social care team attended learning sessions.
• National Expert Group.

Up and About in Care Homes

Approach based on IHI Breakthrough Series Collaborative

• Everybody teaches,

everybody learns.

• Share generously.
• Steal shamelessly.
• Acknowledge graciously.

To reduce falls in participating care homes by 50% by the end of 2015. Up and About in Care Homes

What were we trying to accomplish?

What is a fall?

‘An unexpected event in which the participant comes to rest on the ground, floor, or lower level’ Recommended by Prevention of Falls Network Europe (ProFaNE) and Outcomes Consensus Group2 (The World Health Organization definition of a fall uses nearly identical wording3.)

A reduction in the number of falls resulting in injury in care homes who have taken a proactive approach to improvement.

Up and About in Care Homes Outcomes (1)

Collaborative started here

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.

Up and About in Care Homes Outcomes (2)

*Number of falls/number of residents

Collaborative started here Collaborative started here

Improved systems for collecting and analysing data for improvement and monitoring.

Up and About in Care Homes Outcomes (3)

• Improved quality of practice, care and

resident experience through:

• increased staff knowledge and skills

and improvement capabilities

• more 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.

Up and About in Care Homes

Outcomes (4)

Pillars for success

Improvement support Systematic and person centred approach Data collection, reporting and analysis Leadership and empowered staff Team working and shared responsibility Working with the wider team Sharing learning Care Inspectorate recognition

East Dunbartonshire - Campsie View

‘The outcome of these interventions for one resident resulted in a significant reduction in falls. From 19 falls between January – April 2017 (four month period) some of which resulted in injuries to 6 falls between May – October 2017 (6 month period) none of which resulted in injury.’ Mavisbank Manager

East Dunbartonshire

Campsie view video – Katy story

Key to success is being a Falls Detective

What makes a good falls detective?

• Falls are everyone's business ethos
• A good team and team leader
• Using the managing falls and fractures

information in the resource for improvement

• Self assessment with action plan and

regular review

• Induction for anyone new to care home
• Education/training is mandatory
• Involving the wider Health and Social

Care Team

• Collecting and Analysis of Falls Data
• Multifactorial Assessment on admission,

regular review and daily staff huddle

• Links to other work

What makes a good falls detective? Exploring the resource

Data for improvement: analysis

Multifactorial falls risk screening/action planning

Links to other work

Think about what you have heard today … what is our best story about managing falls and fractures in care homes and making it work? What if this best was every day? What would that be like for residents, staff and families? What can you do tomorrow to start this journey? Now that you’ve started this journey stand in that future, what is happening that is different/new Our recommendation for the wider system is: What actions can you personally take to make it work for your care home What actions does the wider system need to do to achieve the future?

Thank You

liannemcinally@nhs.net