Taking Positive Steps Falls Prevention Project

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Taking Positive Steps Falls Prevention Project
Taking Positive Steps
Falls Prevention Project
Sue Gray
Alison Wells
The impact of a fracture...
• The Department of Health) states that the cost of
treating a fractured neck of femur in hospital is
£12,000, this may vary depending on the length of
stay which can be affected by complications such
as pneumonia and pressure ulcers.
• One-third of those patients admitted from a
residential home to hospital with a fractured neck
of femur are discharged to a nursing home NICE
(2011) .
• The average price of care in the West Midlands for
2011/12 is £470 per week for a residential
home and £700 for a nursing home. (Laing &
Buisson 2011)
• One-fifth of those residents that are
discharged from hospital with a fractured
neck of femur are readmitted to hospital
within 3 months.
• Mortality is high – about 10% of people with
a hip fracture die within 1 month and about
one third within 12 months.
• A fractured hip will also have an impact on
quality of life, during the first 12 months after
a hip fracture over half of people who
walked unaided prior to the fracture will be
unable to walk independently and a third
will experience difficulty sleeping due to
pain (Osnes EK, Lofthus CM et al 2004)
Project details
Aim
• To use a partnership approach to provide training
about falls and Fracture Prevention for staff in Care
Homes.
Objectives
• To develop and deliver a range of training
methods and materials suitable to all staff and
their working environments, including
workbooks, eLearning, DVD material and face
to face training
• To develop a portfolio of education that will be
accessible to all grades and levels of staff,
ranging from direct care to those with
responsibility for writing and implementing
strategies
• To develop training that is suitable for both
Health and Non Health Professionals, Managers
and ancillary staff
Approach
• Culture
– Focusing on no (or appropriate) blame
– Promoting openness and candour
– Root Cause Analysis
• Holistic
– Not just falls but looking at the resident as
an individual
Homes invited to participate
Nursing Homes
Residential Homes
23
28 (one home closed during the
summer leaving 27 homes)
Number of participating homes
Nursing
Number of Number of
Homes
beds
18
815
Residential
10
348
Total
28
1163
Types of training delivered
•
•
•
•
•
•
•
Managers Workshops
Train the Trainer
In House Training Sessions (half day)
Root Cause Analysis Workshops
Workbooks
Sessions for domestics/housekeepers
Session delivered to CQC inspectors
Number of people we have
trained
Session
Managers
40
Train the Trainer
64
Half Day sessions
200
Root Cause Analysis
20
CQC Inspectors
12
Domestics
10
Total
346
Data Collection
• Birmingham City Council
• West Midlands Ambulance Service
• University Hospitals Birmingham NHS
Foundation Trust and The National Hip
Fracture Data Base
• Nursing and Residential Homes involved
in the project
• Questionnaires from training sessions
• Evaluations from training sessions
9 17
18 22
8
2
Some comments...
• The materials and handouts uses in the
presentation and the lectures were
informative and clearly explained
• The trainers made it interesting and not
boring, they did an excellent training session
• It was good training, educative and
informative
• It was very interesting, I learnt a great deal
• I have learnt that there are ways to help and
reduce falls in the care home, also how to
record them.
• I am now more aware now of reasons
why falls risks are so high and now have
more knowledge of how to prevent and
reduce the risk
• I can now develop a programme of
education relating to falls and fractures
prevention for nursing homes
• Trainers were interesting to listen to ,
anecdotes and additional information to
the slides made for captivating learning’
Issues
• Encouraging all homes to participate
• Communication with homes
• Trainers Training

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