Prompts that may be used by CQC inspectors to explore this…
E5.1 How are people's day-to-day health and wellbeing needs met?
E5.2 How does the service make sure that people can understand the information and explanations about their healthcare and treatment options, including medicines, and their likely outcomes?
E5.3 How are people involved in regularly monitoring their health?
E5.4 Can people access care, support and treatment in a timely way and, where the service is responsible, are referrals made quickly to appropriate health services when people’s needs change?
Products that can help include...
Avoiding unnecessary hospital admissions among older people: residential care homes (2012)
Avoiding unnecessary hospital admissions among older people: residential care homes (2012)
Use this film to explore the steps that care homes can take to reduce the need for hospital admissions amongst residents despite their complex health care needs and high levels of dependency.
Commissioning home care for older people (2014)
Commissioning home care for older people (2014)
Use this guide to find out the latest research findings on commissioning home care for older people with complex needs. Aimed at health and social care commissioners. Includes;
- what older people want
- what is a good care home
- the commissioning cycle
- funding and costs
- practice examples
Mental wellbeing of older people in care homes (2013) (QS50)
Mental wellbeing of older people in care homes (2013) (QS50)
NICE quality standard on the mental wellbeing of older people receiving care in all care home settings. It includes statements and measures on;
- participation in meaningful activity
- maintaining and developing personal identity
- access to healthcare services
- recognition of mental health conditions, sensory impairment and physical problems in care plans.
The statements are specific and concise and focus on priorities for quality improvement.
In particular, please see statements 3, 5 & 6.
Faecal incontinence in adults (2014) (QS54) Faecal incontinence in adults (2014) (QS54)
NICE quality standard on the management of faecal incontinence (involuntary loss of faeces that is a social or hygiene problem). It includes statements and measures on;
- asking people who are at risk about faecal incontinence
- referring people with bowel control problems for a baseline assessment
- providing support and appropriate products to help people cope with symptoms
- management plans including when to refer to a specialist.
The statements are specific and concise and focus on priorities for quality improvement.
In particular, please see statement 1.
Pressure ulcers (2015) (QS89) Pressure ulcers (2015) (QS89)
NICE quality standard on the prevention, assessment and management of pressure ulcers. It covers people of all ages living in care homes and their own homes. It includes statements and measures on;
- pressure ulcer risk assessment and reassessment
- skin assessment
- advice and help with repositioning
- providing information on preventing pressure ulcers
- pressure redistribution devices.
The statements are specific and concise and focus on priorities for quality improvement.
In particular, please see statements 1, 5, 6, 7 & 8.
Social care for older people with multiple long-term conditions (2016) (QS132) Social care for older people with multiple long-term conditions (2016) (QS132)
NICE quality standard on the planning and delivery of coordinated, person-centred social care and support for older people with multiple long-term conditions. It includes statements and measures on;
- including physical and mental health needs in a care and support needs assessment
- discussing services that could help at a care and support needs assessment
- having a named care coordinator
- the planning and review of a health and social care plan.
The statements are specific and concise and focus on priorities for quality improvement.
In particular, please see statements 1, 3, 4 & 5.
Mental wellbeing and independence for older people (2016) (QS137) Mental wellbeing and independence for older people (2016) (QS137)
NICE quality standard on interventions to maintain and improve the mental wellbeing and independence of people aged 65 or over living in their own homes. It includes statements and measures on;
- identification of people at risk of a decline in their independence and mental wellbeing
- offering access to a range of activities to build or maintain social participation.
In particular, please see statements 2 & 3.
Oral health promotion in the community (2016) (QS139) Oral health promotion in the community (2016) (QS139)
NICE quality standard on oral health prmotion in the community. It includes statements and measures on;
- Inclusion of oral health in care plans of people receiving social care support
In particular, please see statement 3.
Learning disabilities: identifying and managing mental health problems (2017) (QS142) Learning disabilities: identifying and managing mental health problems (2017) (QS142)
NICE quality standard on the prevention, assessment and management of mental health problems in people with learning disabilities in all settings. It includes statements and measures on;
- mental health assessments
- key workers
- tailoring psychological interventions.
The statements are specific and concise and focus on priorities for quality improvement. In particular, please see statements 1, 2 & 3.
Improving oral health for adults in care homes: A quick guide for care home managers (2016) Improving oral health for adults in care homes: A quick guide for care home managers (2016)
This is a short and visually appealing guide for care home managers, containing key information from the relevant NICE guidance.
Older people with social care needs and multiple long-term conditions (2015) (NG22) Older people with social care needs and multiple long-term conditions (2015) (NG22)
The guideline covers planning and delivering social care and support for older people who have multiple long-term conditions. It promotes an integrated and person-centred approach to delivering effective health and social care services.
Oral health in care homes (2017) (QS151) Oral health in care homes (2017) (QS151)
NICE quality standard on oral health including daily mouth care for adults in care homes. It includes statements and measures on;
• oral health assessment in care homes
• Recording mouth care needs in care plans
• Supporting daily mouth care in care homes
In particular, please see statement 1, 2 & 3.
Common Core Principles for Self-Care
Common Core Principles for Self-Care
Self-care is about everyone taking responsibility for their own health and wellbeing. This includes keeping both the body and mind fit and healthy. With Skills for Health we have developed the common core principle for self-care. The toolkit includes focus on;Person-centred practiceEffective communicationWell-informed decisionsLearning and developmentNew technologySupport NetworksRisk
The role of housing in effective hospital discharge The role of housing in effective hospital discharge
Working with the Chartered Institute of Housing, we've produced a set of case studies from a wide range of housing providers who have shared their experiences of developing hospital discharge services, including what this has meant for their workforce.
Healthier lives (Good and outstanding care guide) Healthier lives (Good and outstanding care guide)
Recommendations and practical examples from services rated good and outstanding including;
- How to promote healthier lives across the service, encouraging people who neeed care and support consider health and wellbeing
- How to avoid approaches that do not support people's health and wellbeing
QS165 Drug misuse prevention (2018) QS165 Drug misuse prevention (2018)
NICE quality standard on the prevention or delay of harmful use of drugs by children, young people and adults most likely to start using drugs, or already experimenting or using drugs occasionally. It includes statements and measures on:
• assessment of care leavers
• information and advice for adults
The statements are specific and concise and focus on priorities for quality improvement. In particular, please see statement 4.
NG96 Care and support of people growing older with learning disabilities (2018) NG96 Care and support of people growing older with learning disabilities (2018)
This guideline covers care and support for adults with learning disabilities as they grow older. It covers identifying changing needs, planning for the future, and delivering services including health, social care and housing. It aims to support people to access the services they need as they get older.
Helping to prevent pressure ulcers: A quick guide to preventing pressure ulcers for managers of care homes (2019) Helping to prevent pressure ulcers: A quick guide to preventing pressure ulcers for managers of care homes (2019)
This is a short and visually appealing guide for registered managers of care homes and care homes with nursing, containing key information from the relevant NICE guidance.
CG103 Delirium: prevention, diagnosis and management CG103 Delirium: prevention, diagnosis and management
This guideline covers diagnosing and treating delirium in people aged 18 and over in hospital and in long-term residential care or a nursing home. It also covers identifying people at risk of developing delirium in these settings and preventing onset. It aims to improve diagnosis of delirium and reduce hospital stays and complications.
