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Quality Improvement Project in The Independent Care Home Sector
By Lee EdmondsTissue Viability Nurse
Four Seasons Health Care
Quality Improvement Project
Three Independent Care Home providers involved
‘Relieving the Pressure’ developed quality improvement in pressure area care‘Talking Quality’ developed quality
improvement in communication‘Getting the Record Straight’ developed
quality improvement in record keeping and documentation
Four Seasons Health Care
3100 Care beds in Northern Ireland 6th Largest Employer in NI. Range of facilities and care units Quality improvement already in place This initiative formalised and strengthened
current and future quality improvement into a more structured approach.
‘Relieving The Pressure’
Care Circle Ltd.
93 Care home Beds Provide high quality care to Frail Elderly
persons Standard setting is seen as intrinsic to Care
Circle’s ethos Main thrust of this initiative is to compliment
the primary nurse concept using a formalised, structured approach
‘Getting the Record Straight’
Clonlee/Massereene Care Home Group
95 Care home beds in group Caters for Elderly mentally infirm, Frail
elderly and physically disabled Have already developed a pro-active
approach to effective and efficient care practices focusing mainly on training
‘Talking Quality’
Destination
Quality/standards were assessed & improved
Information shared between groups to avoid duplication
Various methods were used to illicit information needed
Organisational structure User participation was seen as essential Objective data gathering
– Quality assessment tool created Subjective opinion gathering
– Clients group encouraged to give opinion
Coordinating Committee
Group Support
Working Groups
Professional groups Other CarersClients groups
Information Gathering
Anticipated Quality Outcomes
Quality systems developed – Various quality systems already in place– System changes
Increased client involvement & satisfaction Increased involvement of key groups Increased awareness of quality Care system improvements
Resource Management
Time Frame Original meetings were held to discuss the
way forward, schedules etc. Organisational structure developed to
facilitate quality initiative Audit system developed at the outset
Resource ManagementObstacles
Multi-disciplinary team Management changes Time
– Time frame– Motivation
Quality Outcomes
Goal is simply to increase quality in three key areas from a client centred perspective
Key areas identified:– Targeted training needs– Creation of more robust policy/guidelines– Improvement of existing documentation– Empowerment of client group– Increasing staff awareness/involvement in quality improvement– Formalised quality assessment – Formalised equipment replacement
Performance Vs Budget
Time was the only initial resource Recommendations were considered in light
of cost – effectiveness assessment. Financial resources were allocated when
goal setting was completed.