National Falls Programme Scotland Up & About in Care Homes Lianne McInally MBA Public Services Management, Bsc (HONS) Occupational Therapy Scottish Improvement Leader Twitter: @liannemcinally1 #ThinkActivity #ActiononFalls #Steadyonstaysafe
The National Falls Programme 2010 - present The Up and About Pathway http://www.scotland.gov.uk/Publications/2014/10/9431 Sponsored by the Chief Health Professions Officer in the Scottish Government
Managing Falls & Fractures in Care Homes NHSScotland/Care Inspectorate Good Practice Resource Information Self Assessment Toolkit http://www.careinspectorate.com/index.php/guidance/managing-falls-and-fractures
Up and About in Care Homes Jan 2014 – June 2015 Up and About in Care Homes Project Team Lianne McInally, Project Lead Lynn Flannigan, Deputy Project Lead Amaia Ibanez De Opacua , Improvement Advisor Arlene McNiven, Administrator National Falls Programme working in partnership with the Care Inspectorate
Up and About in Care Homes Approach based on IHI Breakthrough Series Collaborative • Everybody teaches, everybody learns. • Share generously. • Steal shamelessly. • Acknowledge graciously. • Three partnership areas (Highland, West Dunbartonshire, Dumfries and Galloway). • 38 care homes for older people (all sectors). • Local project lead with falls knowledge and experience. • The wider local health and social care team attended learning sessions. • National Expert Group.
Up and About in Care Homes What were we trying to accomplish? To reduce falls in participating care homes by 50% by the end of 2015.
What is a fall? ‘An unexpected event in which the participant comes to rest on the ground, floor, or lower level’ Recommended by Prevention of Falls Network Europe (ProFaNE) and Outcomes Consensus Group2 (The World Health Organization definition of a fall uses nearly identical wording3.)
Up and About in Care Homes Outcomes (1) A reduction in the number of falls resulting in injury in care homes who have taken a proactive approach to improvement. Collaborative started here
Up and About in Care Homes Outcomes (2) A reduction in the number of falls and the number of falls resulting in injury in care homes who have taken a proactive approach to improvement. Collaborative Collaborative started here started here *Number of falls/number of residents
Up and About in Care Homes Outcomes (3) Improved systems for collecting and analysing data for improvement and monitoring.
Up and About in Care Homes Outcomes (4) • Improved quality of practice, care and resident experience through: • increased staff knowledge and skills and improvement capabilities • more integrated working with local health and social care teams and wider community. • Proof of the concept that technology can be used to provide virtual specialist support in care home settings. • Development of a number of resources and tools for education, information, advice, to support daily practice in the management of falls and fractures.
Improvement support Systematic Care and person Inspectorate centred recognition approach Pillars Data collection, Sharing for reporting learning and success analysis Leadership Working and with the empowered wider team staff Team working and shared responsibility
East Dunbartonshire - Campsie View
East Dunbartonshire ‘The outcome of these interventions for one resident resulted in a significant reduction in falls. From 19 falls between January – April 2017 (four month period) some of which resulted in injuries to 6 falls between May – October 2017 (6 month period) none of which resulted in injury.’ Mavisbank Manager
Campsie view video – Katy story
Key to success is being a Falls Detective
What makes a good falls detective? • Falls are everyone's business ethos • A good team and team leader • Using the managing falls and fractures information in the resource for improvement • Self assessment with action plan and regular review • Induction for anyone new to care home • Education/training is mandatory • Involving the wider Health and Social Care Team • Collecting and Analysis of Falls Data • Multifactorial Assessment on admission, regular review and daily staff huddle • Links to other work
What makes a good falls detective? Exploring the resource
Data for improvement: analysis
M ultifactorial falls risk screening/action planning
Links to other work
Think about what you have heard today … what is our best What if this best was every day? What would story about managing falls and fractures in care homes and that be like for residents, staff and families? making it work? What can you do tomorrow to start this journey? Now that you’ve started this journey stand in that future, what is happening that is different/new What actions can you personally take to make it work for your care home What actions does the wider system need to do to achieve the future? Our recommendation for the wider system is:
Thank You liannemcinally@nhs.net
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