Service specification: Care units in care homes
Contents
SCHEDULE 2 – THE SERVICES
A. Service specifications
This is a service specification for local populations/systems, to support new surge capacity for predominately older people to recover/ receive rehabilitation or reablement in a care home instead of residing in a hospital bed.
The new care units, to be established in care homes, can be used flexibly and will be suitable for people on discharge pathways 1,2, and 3.
The service will offer the following elements within a care home:
- Recovery – Support the person through the recovery phase whilst having access to diagnosis including geriatrician, treatment and prescribing interventions, personal and social care and time for recuperation where appropriate
- Rehabilitation – Active therapy led interventions aimed at optimising a person’s potential and restoring autonomy where early intervention will be of benefit. Professionally assessed and goal/ outcome orientated and agreed with the individual
- Re-ablement – Optimising a person’s independence within agreed short term and goal focused care plans. Care provided by generic and specialist health and social care workers working with the enablement ethos. Professionally led assessment, goals setting and monitoring.
These service specifications outline the core expectations for care homes, professionals, and commissioners of the service.
Service name | Winter Framework for short term rehabilitation/reablement/recovery beds in care home settings. | ||||||
Service specification number |
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Status | Approved for publication 20th December 2021 |
Aim of the Service:
Provide a safe and responsive rehabilitation, reablement and recovery service that supports people to regain independence post discharge. Provide quality care and support to all residents through a person-centred approach, giving full support to moving people on to more permanent arrangements, where moving back to their home is the first option to be considered. It will be essential to embed a reablement ethos into these units using the expertise of physiotherapist and occupational therapists. |
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Cohort definition People who are ready to leave hospital (under Pathway 1, 2 or 3) with an identified recovery/rehabilitation or reablement need/goal. These people:
Estimated LOS (Length of Stay):
Professional/clinical care expectations Rehabilitation professionals:
Medical care
Nursing care
Care home staff
Social care
Communication/transition along the discharge to assess (D2A) pathway
Outcomes measured
NHS outcomes framework domains and indicators
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Service Specific Outcomes
Reasons for Admissions
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Service description |
Service model
Pathways
{INSERT flowchart} Essential Service Components The Provider shall
Eligibility Criteria
Essential equipment and/or facilities
Other exceptional requirements This contract is not suitable for the following:
Links to other key documents CQC guidance on Trusted Assessors: |
Specification 1 – equipment list
Type of equipment | Responsibility to supply |
For administration of medicine | |
For administration of oral medicine eg measures, medication boxes | Provider |
For administration of rectal medication eg gloves | Provider |
For administration of medication by injection | Provider |
Bathing equipment | |
Range of bath seats | Provider |
Range of bath boards | Provider |
Electric/manual bath lift | Provider |
Range of chairs | Provider |
Range of shower stools and shower chairs with or without wheels | Provider |
Specialist Shower Chairs (eg Tilt-in-space) | NHS |
Beds | |
General beds under risk-management | Provider |
Standard hospital beds – variable height and profiling | Provider |
Standard electric profiling | Provider |
Non-standard beds eg for people with extra care needs –additional width or length e.g. with bariatric needs | NHS |
Bed attachments for risk management | Provider |
Range of back rests | Provider |
Rope ladder | Provider |
Range of bed raisers | Provider |
Mattress variations –single | Provider |
Hollow core fibre overlay (for comfort) | Provider |
Over bed trolley table | Provider |
Lifting pole | Provider |
Bed Rails: divan/padded | Provider |
Chairs / Seating | |
Range of high seat chairs- varying height and width |
Provider |
Chair blocks and raisers |
Provider |
Non- customised, non-adjustable seating, e.g. riser recliner chairs- electric, fixed angle seat and back rest |
Provider |
Adult’s individualised complex customised seating including variable tilt-in-space chairs |
NHS |
Help with nutritional status |
|
Peg feeding equipment (EL (95) 5) |
NHS |
Peg feeding consumables |
NHS |
For intravenous feeding and transfusion |
NHS |
Equipment eg plate accessories |
Provider |
Range of feeding equipment including adapted cutlery | Provider |
Environmental support | |
Helping hand | Provider |
Trolley | Provider |
Perching stool | Provider |
Dressing Aids | |
Dressing Aids Stocking / tights aids | Provider |
Long- handled shoe horn | Provider |
Wheelchairs | |
Push wheelchairs, standard transit chairs, and wheelchair cushion | Provider |
NB: Wheelchairs and accessories for permanent and substantial usage, following individual assessment where appropriate; Self propelled and manual chairs, indoor and indoor/ outdoor electric. All subject to current Wheelchair Services criteria. | Provider |
Wheelchair accessories | |
Ramps | Provider |
Nursing equipment | |
Venepuncture | |
Vacutainer bottles for blood tests |
NHS |
Syringes and needle |
NHS |
Catheterisation |
|
For management of catheterisation eg bag, stand, packs |
Provider and via prescription |
Prescription for catheters and bags | NHS |
Dressings | |
For procedures related to aseptic and clean dressings | Provider and via prescription |
Nursing procedures | |
Routine nursing procedures, eg, testing urine, BP, BM (glucometer) | Provider |
Moving and Handling Equipment | |
For lifting and manual handling under health & safety at work act, e.g. hoists, slings- varying sizes and styles, transfer boards, glide sheets | Provider |
Hoists: ceiling tracks | Provider |
Hoists: toileting | Provider |
Standard Slings, including toileting and full slings in a range of sizes | Provider |
Individual specialist slings | NHS |
Standing frames/ hoist | Provider |
Stand aids | Provider |
Standing turntable | Provider |
Prevention therapy and management of pressure ulcers | |
Mattresses: static with stretch vapour permeable cover (e.g. Low zone) |
Provider |
Static Air filled mattress overlays (e.g. Repose) |
Provider |
Static Foam replacement mattress- for use with non profiling bed (e.g. MSS premier) |
Provider |
Static Foam replacement mattress- for use with profiling beds (e.g. MSS glide) | Provider |
Very High Risk Foam replacement mattress (e.g. MSS glide) | Provider |
Mattresses: dynamic | |
Deep cell alternating pressure mattresses replacement specific to risk e.g Talley Quattro plus/prime |
Provider |
Low air loss replacement mattress (e.g Breeze) |
Provider |
Mattresses for NHS Provided non-standard beds |
NHS |
Heel Protectors (e.g. repose heel trough) |
Provider |
Pressure relieving Cushions | Provider |
Foam for at risk/ low risk | Provider |
Foam / gel for medium / high risk and treatment | Provider |
Foam / gel / clay for high / very high risk and treatment | Provider |
Electric alternating cushions e.g Base cushion | Provider |
Respiration | |
For maintenance of respiration eg suction units | Provider |
Oxygen cylinders | Provider |
Oxygen administration consumables | Provider |
Simple nebulisers | Provider via prescription |
Resuscitation equipment (eg mouth to mouth) | Provider |
Pulse oximeters | NHS |
Nebulisers and humidifiers (eg for ENT, CPAP, BIPAP) | NHS |
Sensory/ hearing | |
Vibrating clocks |
Provider |
Flashing fire alarms |
Provider |
Flashing door bells | Provider |
Mini comms | Provider |
Hearing loops | Provider |
Sensory/visual | |
Range of canes |
Via Adult Social Care Contact Centre |
Telecare |
|
Range of alarms |
Provider |
Range of monitoring equipment |
Provider |
Toileting | |
Fracture pan (bed- pan) | Provider |
Range of commodes: standard | Provider |
Toilet seats: standard raised 2”, 4”, 6” | Provider |
Free standing/fixed toilet frames & wall mounted rails | Provider |
Urinals/ bottles | Provider |
Urinals/ bottles: non-return valves | Provider |
Special sheets | Provider |
Continence pads | Provider |
Commodes: non – standard | Provider |
Specialist Commodes (e.g. Tilt-in-space) | NHS |
Falls | |
Hip protectors | Provider |
Walking aids | |
Range of walking aids appropriate to individual needs | Provider |
Therapy Equipment | |
Equipment required to deliver therapy/rehabilitation, including:
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Provider |