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Care home residents on multiple medications have an increased risk of falling
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Place of publication:
- London
Falls among residents in UK care homes are commonplace. A new study examined whether multiple medications and drugs that act on the brain may contribute to the risk. The research, which included 84 UK care homes, found that residents taking multiple medicines had an increased risk of falling. Risk was also increased with a regular prescription for antidepressants or benzodiazepines (sedative drugs). Two-thirds of the residents in the study were living with dementia. Researchers suggest that care homes should emphasise non-drug approaches such as massage, music or art therapies. These interventions could help residents with depression and common symptoms of dementia such as agitation or sleep disturbance. Over a three-month period, the study found that: almost one in three residents (519 or 31%) had one or more falls; the risk was higher in those taking antidepressants and sedatives; older residents were more likely to fall than their younger counterparts; men had more falls than women; residents with dementia had 75% more falls than those without dementia. (Edited publisher abstract)
Living life: activity at the heart of care
- Authors:
- GOODMAN Alexander, (Director)
- Publisher:
- National Association of Providers of Activities for Older People
- Publication year:
- 2010
- Pagination:
- DVD
- Place of publication:
- London
This DVD contains three short films, entitled 'Why activity is important'; Living a meaningful life; and 'Starting the transformation' which provide an insight into providing good quality care in care homes for older people. The films draw on interviews with older people, staff, relatives and volunteers to show how life in a care home can include real relationships and a sense of community. The DVD, produced as part of the Activity Toolkit series, can be used as a training resource for those working in care homes.
Bettercaring
- Publisher:
- Pavilion Interactive
Bettercaring offers a searchable database of all registered care homes in the UK with more than four beds. The database contains information on more than 20,000 care homes, in all regions of the UK. It is possible to search by location, size, cost and special support services offered. The resource also provides a frequently-asked questions page, and a number of articles on topics related to residential care.
Managing risk, minimising restraint: exploring restraint
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
One of a series of e-learning resources which explore the nature of managing risk and minimising restraint when working with older people in care homes. The resource provides an interactive exploration of definitions - what the word restraint means to different people and different types of restraint; thoughts and ideas about the use of restraint and how to minimise it. Knowing the individual, valuing the views of relatives and working as a team will help reduce the need for restraint. This resource contains audio and video.
SCIE research briefing 10: terminal care in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
- Edition:
- Rev. ed.
A web-based briefing providing a concise summary of the current knowledge base on the provision of care to terminally ill older people aged 65 and over within care homes settings. The briefing divides the knowledge available into organisational knowledge, policy community knowledge, practitioner knowledge, research knowledge, and user and carer knowledge. Highlights additional contacts and resources and includes links to the full text of documents. The document was commissioned by the Social Care Institute for Excellence (SCIE).
Social Care Working Group consensus statement, March 2021
- Author:
- SCIENTIFIC ADVISORY GROUP FOR EMERGENCIES. Social Care Working Group
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2021
- Place of publication:
- London
Outlines the SAGE Social Care Working Group’s methodology for determining the minimum level of vaccine coverage in care home settings. Modelling analysis in March 2021 estimated that 75% of staff (given that 90% of residents in each individual care home had been vaccinated) provided a level of protection sufficient to limit outbreaks assuming other mitigations are in place. During March this analysis was updated to 80% coverage in staff and 90% in residents reflecting a slight change in evidence for efficacy of vaccination. This statement indicates that the calculations on recommended coverage should be taken as the best estimate at the time of writing. Given the changing epidemiological situation, they should be continually reviewed as evidence emerges. There is no certain threshold for protective vaccine coverage levels – the 80% to 90% coverage values previously calculated were based on single dose reported AZ efficacy rates. Vaccine is not a silver bullet, just part of our armoury against COVID-19. There is a risk that vaccination may lead to a reduced use of testing, PPE and IPC at a time that vigilance is needed against new variants with poorer vaccine efficacy. (Edited publisher abstract)
My Home Life DVD site
- Publisher:
- My Home Life
The My Home Life initiative aims to improve the quality of life of those living, visiting and working in care homes for older people. This site contains a series of films developed to promote discussion and improve practice. The films cover the topics of: maintaining identity, creating community, involving residents in decision making, managing the transition of moving into a care home, improving health and healthcare, support good end of life care, keeping workforce fit for purpose, and creating a positive culture. Each film is split into two parts: a case study and a question about the film answered by a series of experts. A forum is available to allow those viewing the film to add their own comments on issues raised by the films. Worksheets designed to be used with the films to help guide discussion are also available to download.
Star rating tool
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
This Star Rating Tool has been developed by SCIE in association with the Prolix (Process-orientated Learning and Information Exchange) project. It is intended for the social care sector and care homes for older people in particular. The tool allows care home organisations to self-assess their performance, related to the 38 official KLORA inspection ‘outcome headings’, and it generates the star rating that the care home is likely to achieve if an inspection were to be carried out. It evaluates the current strengths of the care home and guides the user to the relevant part of the National Occupational Standards which need to be included in the development programme of the organisation. Individual workers are also able to make a self-assessment of their relevant skills and abilities.
Quick guide: Creating a positive safeguarding culture
- Authors:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE, SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publishers:
- National Institute for Health and Care Excellence, Social Care Institute for Excellence
- Publication year:
- 2021
- Pagination:
- 4
- Place of publication:
- London
This quick guide, aimed at registered managers of care homes, covers policy and procedure requirements with the aim of creating and maintaining a positive safeguarding culture. Safeguarding adults in care homes means protecting their right to live in safety and acting to prevent abuse and neglect. The Care Act 2014 and its statutory guidance outline what safeguarding arrangements all organisations should have in place, including a policy and procedure that reflect the local safeguarding arrangements. Safeguarding in care homes should also be informed by the Making Safeguarding Personal framework. (Edited publisher abstract)
Promoting positive mental wellbeing for older people
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publishers:
- Social Care Institute for Excellence, National Institute for Health and Care Excellence
- Publication year:
- 2020
- Pagination:
- 4
- Place of publication:
- London
A quick guide to help managers of care homes to identify older people’s individual needs and to improve their mental wellbeing by offering personalised support. The guide covers: valuing personal identity, providing a choice of meaningful activity, helping people to improve their health and mental wellbeing, and providing access to healthcare. The guide is based on NICE’s quality standard on mental wellbeing of older people in care homes. (Edited publisher abstract)