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Smiling matters: oral health care in care homes
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 34
- Place of publication:
- Newcastle upon Tyne
This review draws on one hundred inspections of care homes in England to examine oral health in care homes, with specific reference to the NICE guideline NG 48 on oral health for adults in care homes. It includes direct quotations from managers, staff and people using services and their relatives. It also includes good practice examples to highlight the benefits of good oral care for older people, people with learning disabilities and people living with dementia. The review found that staff awareness of the NICE guideline recommendations was low, over half of care homes visited had no policy to promote and protect people’s oral health, and nearly half of care homes were not providing staff training to support people’s daily oral healthcare. The review also identified challenges such as: a lack of dentists who were able or willing to visit care homes and local dentists not accepting new patients and the length of time it took to get an appointment with an NHS dentist. The report recommends mandatory staff training in oral care, oral health check-ups for all residents upon admission, better signposting to local dental services and awareness raising. (Edited publisher abstract)
Health care in care homes: a special review of the provision of health care to those in care homes
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
This review explores how older people and people with learning disabilities living in care homes access healthcare services, whether they have choice and control over their healthcare and whether they receive care that is safe and respects their dignity. The results are based on an analysis from the inspections of 81 care homes in 9 primary care trust areas during January and February 2011. The inspection teams interviewed managers, residents and staff, observed care provided to residents, and examined case files. The findings are discussed against 4 themes: involvement and information; personalised care, treatment and support; safeguarding and safety; and suitability of staffing. Among the findings were that 77% of care plans considered the views of the resident, and that 96% of care homes identified the changing health care needs of residents through informal or responsive monitoring. However, the review also showed that: 25% of residents did not feel they were offered a choice of male or female staff to help them use the toilet; 44% of care homes indicated they received routine visits from GPs; 30% of nursing homes did not have a 'do not attempt resuscitation' policy (and, of those that did, just 37% of staff had received training on it); 35% of homes reported they sometimes had problems getting medicines to residents on time; and 10% of care homes said they paid for their GP surgeries to visit.
A different ending: addressing inequalities in end of life care: overview report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 41
- Place of publication:
- Newcastle upon Tyne
This report provides the background to the Care Quality Commission thematic review of how dying patients are treated across various settings, an overview of the key findings and recommendations for providers, commissioners and local health and care system leaders, as well as information on what CQC will do going forward. The review focused on end of life care for people who may be less likely to receive good care, whether because of diagnosis, age, ethnic background, sexual orientation, gender identity, disability or social circumstances. The report shows that where commissioners and services are taking an equality-led approach that responds to people’s individual needs, people receive better care. Although some commissioners and providers of end of life care are doing this well, many are not. People from the groups included in the review reported mixed experiences of end of life care, and highlighted barriers that sometimes prevented them from experiencing good, personalised end of life care. In particular, the review found that lack of awareness of people’s individual needs is a significant barrier to good care and that commissioners and providers do not always consider the needs of everyone in their community. (Edited publisher abstract)