To support this work , we have devised a suite of generic training materials based on RESTORE 2 Mini ( a softer signs tool to help colleagues identify early deterioration ) and SBARD ( a structured communication tool ). We have also created some adapted versions for specialist care settings such as dementia care ; working with expert partners like Wakefield Hospice ’ s specialist Admiral nurse , and learning disability ; working with a specialist provider and a learning disability nurse .
A new training module has also been developed to compliment this training package which focusses on empowering care home staff to discuss Advance Care Planning ( ACP ) and End of Life ( EoL ) care with residents .
Through this work and other programmes of support provided by our partners , we estimate to have helped over 70 % of care homes to start the process of adopting a deterioration recognition and response tool and we have developed two new networks that
31 Transforming Lives Through Innovation are now working to spread and embed these solutions into other social care settings .
We are incredibly proud of our established networks in this area , which is our way of continuing to spread and sustain the work we deliver and drive improvements in social care across other partner organisations . Our Care Homes Patient Safety Network has a membership of over 200 colleagues and our PCN support network ( set up in response to feedback ) has a growing membership of over 100 .
Medicines Safety
The target to reach a 50 % reduction in medicine administration errors in care homes across the country by March 2024 is being delivered through the Medicines Safety Improvement Programme ( MedSIP ).
The past 12 months have been about finding out what works in practice to reduce medicine administration errors in care homes , with five main areas of focus :
Supporting better management of deterioration
70 % of care homes are adopting a deterioration recognition and response tool
1 . Safety culture : Ten staff surveys and feedback discussions have led to some changes in practice to improve safety and break down barriers .
2 . Interruptions : We designed and tested a simple audit tool to better understand why staff are interrupted when doing medicines rounds ( increasing the chances of mistakes happening ) with six homes .
3 . Understanding errors : We have adapted the Yorkshire Contributory Factors Framework and tested it in two care homes , helping teams to understand why errors occur and how the cause can be addressed .