Jewish Care recently introduced a Key Performance Indicators (KPI) system to compare and evaluate key aspects of care.
Gaby Wills, assistant director of care, said the system originated when they were found to be an effective way of measuring and improving practice. The results are taken to the committee for review and comment.
She added: “The KPIs recorded in each home are looked at by the home manager and staff to assess how the results compare to the previous months. More importantly what can be done to improve these outcomes.”
The procedure requires more engagement from staff and management, inviting them to put forward and discuss solutions if targets are not being reached and face the issues head on.
Ms Wills added: “Managers and staff will provide comments and possible reasons and causes. They discuss actions they are implementing to prevent it from happening again. Where appropriate they will consult the GP, review medication or refer people for further tests. Sometimes it may need changes in the environment.”
Nurse and deputy care manager at the Hyman Fine home in Brighton, Maxminah Hungwe, said: “We are finding it’s really helpful in seeing the bigger picture or identifying themes and trends. It is a lot of work to collect the data but it is worth it. I am thinking about the best way to share it with the other nurses, team leaders and carers in the team”.
KPIs are now a regular agenda in monthly meetings meaning that sharing learning and best practice is the norm.
Four of the 11 homes provide nursing care as well as personal care to people living with dementia and mental health needs.
Also at Jewish Care…
Jewish Care is improving the end-of-life care of dementia patients through a scheme helping them to identify their wishes and ensure they happen.
The organisation is looking to set up teaching homes to provide training after participating in practice-based research to improve end of life, dementia and sensory impairment care.
The scheme, in partnership with Care England, builds on a study that took place between 2009 and 2012, aimed at breaking down the barriers of looking after end-of-life residents with dementia, looked at how the process can be made easier for staff, more comforting to residents and their families. The study consisted of a 10-month training programme for all staff involved and became the starting point of the programme.
The results displayed a growth in the number of residents dying in the home rather than the hospital from 47% to 76%. The number of people with dementia who had documented advanced wishes grew from 14% to 73%. After the study, residents’ wishes were adhered to 100% of the time, compared to 71% prior to the study.
Relatives were less stressed about the process and felt quality provided had improved. They also felt the staff had a better understanding of the pain residents were experiencing. Staff felt they were better equipped to handle the frailty of residents and found it easier to communicate with relatives about death and planning for it. They became less worried about blame for following the residents’ wishes.
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