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Introduction of the exercise instructor role to support mobility and independence for elderly residents in a dementia care setting

Leading change A senior support worker at a Belong Wigan care village led a project to introduce an exercise instructor role, after identifying best practice in this area. Belong is a charitable non-profit making care organisation whose ethos is ‘To support older people to live their own lives through the creation of vibrant village communities’. […]

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End of life training for social care providers

Leading change A Senior Learning Disability Nurse (SLDN) and Senior Nurse Specialist in Palliative Care addressed unwarranted variation in end of life care for people with learning disabilities in Hertfordshire through education of staff and adapting the end of life model used in care homes. Where to look Hertfordshire County Council Community Learning Disability Nursing […]

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Care staff leadership implementing the Esther care model at a care home in Kent

Leading change A Care Coordinator led the implementation of the internationally recognised Esther care model, initially within a care home at the Graham Care Home Group after they identified unwarranted variation in practice in relation to how residents were involved in their care planning. The Graham Care Group (GCG) is a group of nine care […]

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“Our Lives, Our Way, Our Journey” empowering people through co-production to influence the quality of their services

Leading change Castle Supported Living Ltd, a charity in the Ribble Valley, Lancashire, is registered with the Care Quality Commission to provide personal care to adults with a learning disability living in their own homes. Recognising unwarranted variation, care staff at the organisation engaged with people who have learning disabilities to introduce co-production to further […]

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Palliative care ‘day service’ re-design at Willow Wood Hospice

Leading change The Day Services Development Lead at Willow Wood Hospice, an adult hospice providing specialist palliative care for patients with life-limiting illnesses, has transformed the day service after addressing unwarranted variation in the model of care for the patients. The service developments supported the home’s care staff to encourage empowerment and self-management in the […]

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District nursing students lead change to reduce pressure ulcers in care homes

Leading change District nursing students at the Bradford District Care NHS Foundation Trust (BDCT) led a programme of work to reduce the incidence of pressure ulcers in local care homes. The programme has demonstrated pressure ulcer reduction, as well as improved staff and resident experience, combined with better use of resources. Where to look The […]

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Development and implementation of a holistic hydration care assessment tool (RoC)

Leading change A hydration specialist nurse in Cornwall led on the development and implementation of a hydration risk assessment tool to help carers and staff assess patient need and risk. Where to look The hydration specialist nurse first noticed unwarranted variation in hydration support for patients through visits to a care of the elderly ward. […]

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An urgent call communication checklist and training package for care homes

Leading change Nurses within South Norfolk CCG supported residential and nursing homes to reduce avoidable hospital admissions. They developed a checklist and trained care staff in its use, to help them when making urgent calls to other services. There are fewer urgent calls as a result, as the care staff feel better equipped in making […]

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Preventing and managing skin tears in residential homes

Leading change District nurses at East Coast Community CIC, a social enterprise providing community care across Norfolk and Waveney, flagged high numbers of referrals for suspected skin tears in local care homes. The Tissue Viability team, including a specialist tissue viability nurse and three Assistant Practitioners (APs), then led a structured change to address the […]

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