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Care home resources and updates

The care home service directory

The Care Home Service Directory is a resource to signpost care homes staff to the health and specialist services for residents. You will find contact details for each of the services, the criteria for referral, copies of the referral forms themselves, as well as some useful websites.

Should you experience any issues in using the directory or errors in the information provided contact the Care Home Support Team (CHST).

Care home staff flash cards

These flashcards (PDF) were developed by the Care Home Support Team for care home nurses. The flash cards were designed to provide nurses with a quick reference guide in areas including SBAR, changes in condition and mental capacity. 

Medicines Management in Care Homes 

The Medicines Management team at Bristol CCG aims to encourage working with care homes to improve the safe use of medicines, also ensure optimal medication therapy is in place by providing updates on newsletters, Care Homes with Nursing Clinical Forums as well as education and training sessions on various medicines optimisation topics.

Good Practice Guidelines: 

The Medicines Management team has produced a variety of guidance documents and tools based on national standards, legislation and guidance 

NHS Bristol CCG Good Practice Guidelines: Covert Administration of Medicines (PDF)

NHS Bristol CCG Good Practice Guidelines: Homely Remedies (PDF)

NHS Bristol CCG Good Practice Guidelines: Reduce Medicines Waste (PDF)

NHS Bristol CCG Medicines Expiry Date Guidance for Care Homes (PDF)

Extended Hours Pharmacies:

Bristol

National Early Warning Score (NEWS)

Early Warning Scores have been developed to facilitate early detection of deterioration by categorising a patient’s severity of illness and prompting nursing staff to request a medical review at specific trigger points.

Adopting a National Early Warning Score (NEWS) is beneficial for standardising the assessment of acute illness severity, enabling a more timely response using a common language across hospitals, SWAST and the community.

Nutrition/ Hydration

How good is your nutritional care?

Malnutrition is a state of nutrition in which a deficiency, excess or imbalance of energy, protein and other nutrients causes measurable adverse effects on tissue / body form (body shape, size and composition) and function and clinical outcome.

Malnutrition affects every system in the body and always results in increased vulnerability to illness, increased complications and in very extreme cases even death.

Recognising the problem is the most important first step. Treatment should always be tailored to the needs of the individual, but in general, if a person is able to eat and does not have a diminished appetite, then the first step would to encourage this with a “Food first” approach. This may be in the form of advice on meals, snacks, nourishing drinks and food fortification, but should include setting goals of treatment and a plan for monitoring to ensure that these goals are met.

Below is a range of resources to help with the identification and treatment of malnutrition in your setting:

UTI forms

Bristol Mental Health providers for wellbeing therapies

The Bristol Wellbeing Therapies (IAPT) service is part of the new Modernising Mental Health Service in Bristol. It is a partnership of 15 organisations all working together to deliver a range of Talking Therapies to support individuals experiencing a range of difficulties including:

  • Depression
  • Anxiety/panic
  • Work related stress
  • Obsessions and compulsions
  • Post-traumatic stress
  • Anger difficulties
  • Relationship difficulties
  • Eating problems
  • Loss/bereavement
  • Long term physical health problems

The Wellbeing Therapies service is open access which means that anyone can refer themselves or be referred by their or GP or other professional. Call 0117 982 3209 or email awp.bwt@nhs.net.

You can download the IAPT leaflet from the Bristol Wellbeing Therapies website.

Care Home Conference Presentations and Resources

Care Home Conference 27 March 2017

Care Home Conference 17 November 2016