Care Provider Learning and Engagement Meeting

RCPA digital May LEM Review & Repulish

May LEM SWAN Pres

Gloves-Off-Campaign-Somerset LEM

2 April LEM recording

Oral Health Training

OHC – UPDATE 02-04-2024 V1 NPCC LEMS April 2nd NP Guidance update 1st April 2024 Somerset LEM April 24

Optimal Handed Care

OHC – UPDATE 02-04-2024 V1 NPCC

Technology Enabled Care

LEMS April 2nd NP

Acute Respiratory Infections – Updates to National Guidance

Guidance update 1st April 2024

Skills for Care Workstream Update

Somerset LEM April 24

Nursing Homes Syringe driver Competencies

Nursing Homes Syringe driver competencies A4

March LEM

https://youtu.be/NgQGgfNLRBk

Diabetes Care Homes

External link for the LEM

https://youtu.be/0DuHP0cF8n4

Michelle Bell – I&PC Winter Readiness.

UKHSA update https://swcouncils.gov.uk/ukhsa-care-home-and-residential-care-guidance/

Jessica Huges – Fresensius Kabi thickener update/demonstration.

Olivia Blunn – Dysphagia training offer update.

For enquiries

sltcarehomes@somersetft.nhs.uk

Basic Dysphagia Training Poster 2024

Gemma Beasley and James Sangster – commissioning.

Care home in Somerset presentation

Care Homes in Somerset LEM

Maria Tutton – DSCR and falls update.

digitisationinsocialcare@somerset.gov.uk

Expression of interest form – digitisation in Social Care (DiSC). Somerset Council and NHS Somerset are working together and have secured a fixed amount of funding from the NHS Transformation Directorate Digitising Social Care Programme (DiSC). The project will contribute to the continued development of the evidence base for digital social care records and falls prevention, evaluate the impact and share the benefits across our integrated Care System footprint. If you are partially or fully digitised you may still be able to apply for funding.

Expression of Interest Form – Digitisation in Social Care (DiSC) (Page 1 of 4) (office.com)

Deb Geraghty – CSE – keep your home warm presentation.

Safe and warm a5 leaflet

Safe and warm A5leaflet

RCESN leaflet

RCESN-leaflet-A5-dec-2022

Phil Mackey from Symmetrikit – mini demonstration of equipment, training offer – Contractures guidance.

Jo Hawkins

Social care nursing council information

Contact for further details:

Charlotte Fry cfry@caringfootsteps.co.uk

 https://theoutstandingsociety.co.uk/case-study/scnac/

https://theoutstandingsociety.co.uk/case-study/scnac/42-somerset/

7 November – Presentations from the November LEM and link to a recording of the meeting

Service updates

2:00pm Fay Clutterbuck – oral health

Oral Health Training

2:10pm Jo Jones DSCH

Digitalisation Update

Guest speakers

2:15pm Natalie Green – Safeguarding

Somerset Safeguarding Adults

2:45pm Covid Vaccination team

Covid Vacination Training

3:00pm Kate Buckle – Swan Advocacy

Swan advocacy

3:30pm Liz Jones – insulin training offer for residential homes

insulin Competency booklet

Insulin Training Offer

LEM 3^rd October 2023

• Penny Edwards – new way of reporting outbreaks
• The new outbreak response process LAUNCH FINAL DRAFT_
• Lucy Champion – I&PC update
• ARiOB Poster
• Jo Jones – Business Change provider funding update
• Lianne Clarke – SASP service update

Guest speakers 

• Daniel Plummer – RCPA presenting on digital social care
• RCPA Presentation
• Harriet Lewis – Tissue Viability Presentation
• skin-protection-patchway-v5
• sompar-pressure-sores-leaflet-easy-read
• pressure-ulcer-classification-system
• preventing-pressure-ulcers
• Steve Bell – Business Continuity Planning

DSCR Update

Information from the 5 September 2023 LEM.

It was lovely to see so many faces and have really good interactive discussions.  Please do get in touch if you would like to suggest a topic. guest speaker or if you would like to share a good news story or challenges that you have overcome. There is so much great work going on, would be fantastic to hear it and share it!

LEM meeting external link:

https://youtu.be/StTRm-71EGg

CQC (presentation) new ways of working:

https://youtu.be/YnvoSvC77aQ

EOL Team update

The website: Somerset – End Of Life Care & Bereavement Support (eolcare.uk)

The education prospectus: End of Life_Education Prospectus_A4_12pp_Amy Childs Laura James.indd (eolcare.uk)

The conference: Somerset End of Life Conference 2023 Tickets, Thu 14 Sep 2023 at 08:45 | Eventbrite

Please contact Jo Hawkins – joanne.hawkins2@nhs.net direct if you would like to be involved with hospital discharge discussions.

Diabetes – James Loder – full information to follow, however please use link to explore diabetes Team net.

Diabetes (clarity.co.uk)

Information from the latest LEM – 1 August 2023.

Guest speakers:

• Mental capacity – Chris Hamilton
• Restore2 mini – Jonathan Davies
• Mini Thickener training session – Jess Hughes

Link to watch the meeting:

https://youtu.be/-_m24fR6D1s

Resources

• Mental Capacity Act Essentials  The Mental Capacity Act the essentials April 2016
• Mental Capacity Act presentation   LEM August 2023 MCA
• Full Restore2 training and Restore2 mini training slides. As mentioned in the presentation the full restore 2 tool needs to be used only if there is oversight by a competent registered clinician, as you will tell from the slides there is a lot more clinical decision making and skill sets that need assessing attached to the full restore2.  SomersetRESTORE2 full training, SomersetRESTORE2 Training – mini

Introductions

Service updates

• Amy Giles – EOL team
• Jo Jones – Business Change provider funding updates

Guest speakers 

• Lee Summers – YDH LD services and offer of support
• Gemma Richards – Introduction to new role (TEP)
• Oliver McGowen training offer

Any other business

Opportunity for audience to share updates and ask questions.

Transference of care discussion and future topics in the LEM – 2023 suggestions

Resources

Sarah Ashe, Associate Director of Safeguarding, Mental Health, Learning Disability and Autism, NHS Somerset ICB.

Oliver McGowan link to training and generic email address for any queries:

somicb.olivermcgowantraining@nhs.net

https://www.e-lfh.org.uk/programmes/the-oliver-mcgowan-mandatory-training-on-learning-disability-and-autism/

CQC 1^st July update on provider training.

https://www.cqc.org.uk/guidance-providers/training-staff-support-autistic-people-and-people-learning-disability

End of Life Team update:

Gemma Richards – TEP Lead: Gemma.Richards@somersetft.nhs.uk

Amy Giles – Advance Care Planning Lead:

Amy.Giles@somersetft.nhs.uk

Eventbrite page: all events as well as the Somerset End of Life Care Conference – September 14th at Canalside: https://www.eventbrite.co.uk/o/somerset-eolc-education-team-42690042023

Somerset end of life care and bereavement support website: http://somerset.eolcare.uk 

Jo Jones, business change presentation SWAHSN Event digitisationinsocialcare@somerset.gov.uk

Data Security & Protection Toolkit  admin@rcpa.org.uk

somicb.digitalcarehomes@nhs.net

Digitalisation in Social Care Fund; Expression of Interest https://forms.office.com/Pages/ResponsePage.aspx?id=BvYktXr3okqNov5wNDsMzqDzxvo_3ptEmdpx7vQratFURFM2Wk1HOUlLT0ZWMkNMQUpDUzdHQjJSMi4u

DiSC Email: digitisationinsocialcare@somerset.gov.uk

Watch the recording.

Service Updates

2:05pm Teresa Mason – Alzheimer’s Society – Dementia Support offer/introduction

2:10pm Emma Dunford – Hospital at Home service update

Guest Speakers

2:30 pm Amy Rogers – Safeguarding session 2

2:50pm Jacqui Cross – Vine Surgery – over-view of surgery

3:15pm Gillian Keniston-Globle and colleague – Health Watch

3:45pm Gemma Richards – Introduction to TEP role

The agenda for 2^nd May LEM

Service updates

• Lucy Champion – IPC service update and presentation

Guest speakers 

• Emma Savage and Kerrie Jose – update on Patient Safety Incident Response Framework (PSIRF)
• Amy Rogers – Safeguarding session
• Nigel Pluckrose – SILC update

• Jamie Brockhurst – Redcrier training offer

Resources:

PSIRF presentation to LEM

Please do get in touch if you would like a specific topic, training, guest speaker to attend. The LEMS are a resource for you! ASCContractsandQualityMonitoring@somerset.gov.uk

2pm Service updates

• Amy Giles/EOL team service update/offer
• Nicky Cooper – update on service offer
• Rosie and Megan (thickening provider) introductions
• Melanie Stovold – Ageing Well Lead Service

Guest speakers 

• 2:25pm Charlie Spark Sourcing Care – service presentation
• 2:40pm Charlotte Harrison and Tim Sproston – CPI training offer

Break 3:10pm-3:15pm

Guest speaker

• Mayors of Somerset  – Yeovil and Street                                                                                                                       Sarah House – Devon and Somerset home safety fire

Any other business

Opportunity for audience to share updates and ask questions.

Transference of care discussion and future topics in the LEM – 2023 suggestions

Resources:

• Aging Well Updates March Presentation
• Fire Home Safety Visits PDF
• SCC CPI Presentation 4.4.23
• End of Life Education Team Presentation

Amy Giles- Advance care planning lead for Somerset / End of life care education team: Amy.Giles@somersetft.nhs.uk / Team email is: EOLCEducation@somersetft.nhs.uk

somerset.eolcare.uk (end of life website)

Fresenius-kabi – thickener company (presentation available by contacting direct)

Rosie Chalk-Baker

Tel: 07970 084053

rosiec.baker@fresenius-kabi.com

NHS Somerset have made Thick & Easy™ Clear FIRST LINE ON THE PRESCRIBING FORMULARY. This is to support a system wide approach to the patient safety issues in dysphagia patients and the IDDSI Framework.

Files:

• IDDSI Mixing Instructions PDF
• 2023 TEC mixing poster NH
• Digital Patient Tips and Tricks
• FAQ TEC Thick & Easy Clear 2022

The Somerset Speech and Language team have asked that:

•  Any patient discharged on Thick & Easy™ Clear in an acute setting should remain on it.

• Any new referral patient should be prescribed Thick & Easy™ Clear.
• Where appropriate, all care and nursing homes should use one thickener (Thick & Easy™ Clear). This ensures patient wellbeing as multiple brands may cause dosage and safety issues.
• Patients who have an historic use of a starch thickener for GI tolerance issues, e.g Thick & Easy™ Original, should remain on it.

• Fresenius Kabi Dysphagia Materials: whisks, beakers, posters, guidelines, etc
• For further information about dysphagia and how to care for people affected by it, visit www.dysphagia.org.uk
• Hydration information and online training https://www.whatwearemadeof.org/
• Health Education England Dysphagia e-learning supported by Fresenius Kabi https://www.e-lfh.org.uk/programmes/dysphagia/
• Mouth care Matters webinar – Mouth Care Matters | East of England (hee.nhs.uk)
• IDDSI Poster for food and fluid modification – https://iddsi.org/IDDSI/media/images/Posters/IDDSI_Whole_Framework_A3_Poster_INT_VERSION_May_16_2020_no_bleed.pdf

For general advice regarding laxatives;

• Laxatives and thickeners tend to oppose each other due to their different modes of action and this can make thickening difficult.
• Gum based thickeners (e.g. Thick & Easy™ Clear) tend to be more successful than starch based thickeners when thickening osmotic laxatives.
• The laxative will significantly increase the time required to thicken, therefore it is important to ensure the solution has finished thickening before it is given to the patient.
• Try making up the laxative as directed and then add this solution to a dry cup containing the thickener powder. Alternatively place both powders together (laxative and thickener) into a dry cup and then add the water.
• Using hot water is effective at reducing the thickening time required.

Watch the recording: https://youtu.be/YZLdE38p5c0

Guest Speakers

1.Sarah Higgins and Tamsin Carey 

Intermediate care discharge pathway and D2A process 

2.Cindy Furse – Dementia Wellbeing Service 

3.Kirsty Withers – Dementia overview and how to manage behaviours 

LEM topics and transference of care discussion topics:

Please do get in touch if you would like to see certain speakers, have particular health and social care colleagues in attendance, provide topics for discussion or offer to be a guest speaker.

Resources:

Dementia presentation (LEM 4th March)

Watch the recording: https://youtu.be/QYGm_0DwmdY

Guest Speakers

• Jude Glide - Clinical Skills taster training session and presentation on catheter care and catheter passports
• Jason Mckenna – Quality Assurance and commissioning team - Talk on Medi-equip

• Olivia Blunn – SLT Dysphagia presentation and Q&A

LEM topics and transference of care discussion topics.

Resources:

SASP Feb – active ageing meeting

Jude Glide – SCTT presentation LEM Feb 2023

Thank you to the Guest speakers. It really is great to have you attend and share your expertise and knowledge.

1.Jessica Carvell from YDH Dementia Team

• Delirium presentation, Q&A

2.Joanne Hawkins

• MCA/BI Somerset Competency framework, Q&A

3. Kerrie Jose and Emma Savage, Deputy Director of Quality and Improvement, Integrated Care Board presenting:

• Patient Safety Incident Response Framework

4. Emily Hutt

• Oral Health talk

Thank you to all that joined the meeting: Care Providers, Health and Social care colleagues. I look forward to seeing you all at the next LEM.

All resources, links, presentations are shared in the LEM teams chat and are available on the LEM page on the provider engagement website under January 2023.

The LEM was recorded and you can view it here: https://youtu.be/CU2KC0AayWA

Resources

Jessica Carvell

Delirium presentation

Joanne Hawkins

3 attachments – MCA self-assessment, MCA audit and Somerset MCA competency framework

Amy Giles and Karen Peters

EOL team update power point

https://somerset.eolcare.uk/education-1/events-calendar/january-2023-1/train-the-trainer-the-deteriorating-resident-workshops

Emily Hutt

Priority:

Oral health is an essential part of everyone’s overall health.

Oral Health for adults in care homes NG48 Overview | Oral health for adults in care homes | Guidance | NICE

The Care Quality Commission expects registered managers to take account of nationally recognised guidance, including guidance from NICE.

Evidence about how you support residents to maintain good oral health will help you demonstrate that your service is both effective and responsive.

NICE’s guideline on oral health for adults in care homes, including the baseline assessment tool, can be used as part of your preparation for inspection and to support requests for help to other services.

Oral Health toolkit for adults in Care Homes Oral health toolkit for adults in care homes – GOV.UK (www.gov.uk)

Action/Request:

Respond to the regional survey findings and address the recommendations – recruit members for a co-production task and finish session.

Aim:

Develop an oral health improvement offer available across all care homes, nursing and residential, nurses and LD. Launch a blended offer (face to face, virtual, cascade, champion) delivered by Somerset Oral Health Improvement Service in collaboration with Health Education England.

Proposal:

February co-production meeting – workshop session/coproduction – I welcome contact from representatives ahead of a wider doodle poll

Agenda of co-production meeting:

• Scope – what is available/working, what are the gaps/need
• Agree future model; suggested Train the champion
• Confirm measures of improvement
• survey – how do we know it makes a difference

Service updates

• Clinical skills Team
• Nicky Cooper – Update/feedback on Optimal handling Care event 8/9 November
• Lauren Dyer – Somerset Activity and Sports Partnerships (SASP) – love to pedal and exercise and activity

Guest speakers 

Larch Team – good news story joined by Manager Molly from Arthurs Court

Amy Hardwick

• Mental Health – Orange button community awareness scheme
• Q&A

Break

Transference of Care Discussion:

Claire Bunclark:

• Urgent Community Response
• Falls response and MANGA equipment funded offer
• Q&A

Hospital Discharge

• Discharge summaries
• Discharge planning meetings
• Training for care providers to facilitate discharge

Open floor discussion on Hospital Discharge

Any other business

Service updates

Transference of care discussion for 3rd January 2023 suggestions

Please do get in touch if you would like to see certain speakers, have particular health and social care colleagues in attendance, provide topics for discussion or offer to be a guest speaker sharing a good news story. It is so important to share the positive experiences.  The LEM is the Care Providers of Somerset Resource so please get in touch: ASCContractsandQualityMonitoring@somerset.gov.uk

I look forward to seeing you very soon.

Rachel Caunce, Care Provider Support Officer

Additional Resources

Contact:

Lauren Dyer: LDyer@Sasp.co.uk

All links and details are on here for our projects and youtube: videos https://www.sasp.co.uk/things-to-do

LD carers learning and engagement meeting presentation.odp (sharepoint.com)

Amy Hardwick

https://www.healthysomerset.co.uk/support-with-your-mental-health/orange-button/

https://www.mindinsomerset.org.uk/training/orange-button/

https://www.eventbrite.co.uk/o/every-life-matters-somerset-42223065913

Social Care Training Team

Newsletter

Leaflet

2 distinct areas:

Sedentary Time and Physical Activity

It’s great to do some physical activity, however, even better if, as well as this, people break up their sedentary/sitting time regularly as well.

Please read the UK Chief Medical Officers Physical Activity Guidelines for adults (page 29) and older adults (page 39): UK Chief Medical Officers’ Physical Activity Guidelines (publishing.service.gov.uk). There are really good infographics for physical activity for adults and older adults (page 35) and disabled adults (page 36).

Watch the recording on Youtube: https://youtu.be/YJ7uVd8ry8E

Introductions

Service update

• Lucy Champion – IPC update – Scabies
• Nicky Cooper – Update on Optimal handling Care event 8/9 November

Guest speakers

• Guest Speaker Trusted Assessors
  • Role and Service Offer
  • Q&A
• Guest speaker Complex Care Team
  • Overview of the Complex Team in YDH and the community offer
  • Community – What area and surgery is covered
• Q&A

Transference of Care Discussion:

Public Health Teri Underwood speaking on:

Presentation slide show – Winter Planning Work

Hospital Discharge

• Night-time transfer from care homes to hospital issues (having a member of staff transfer in ambulance, refusal to take residents without staff travelling with resident)
• Discharge planning meetings – earlier in the discharge process instead of when someone is medically fit- in particular when new or changed care and support needs have been identified, which impact on providers ability to meet care and support needs: requiring additional training to facilitate discharge (consider timeline for training and discharge planning/date)
• Q&A

Open floor discussion on Hospital Discharge

Any other business

• Service updates
• Transference of care discussion for 1^st November suggestions

Watch the recording on Youtube: https://youtu.be/nJ9RbGcuVYA

Introductions

Service update

• Jude Glide – Clinical skills team.

Guest speakers

• Guest Speaker Lucy Dowland
  • Advanced Care Planning
  • Q&A
• Guest speaker Nicky Cooper
  • Optimal handling
  • Care event 8/9 November
  • Q&A

Transference of Care Discussion:

Hospital Discharge

• Dr Lucy Pollock (Consultant) Hospital at home service
• Guest speakers Natalie Mogg
• presentation on pathways
• Q&A

Open floor discussion on Hospital Discharge

Any other business

Service updates

Introductions

Guest speakers

• Guest speaker Dr Anna Baverstock
  • Kindness
  • Sharing of wellbeing resources
  • Q&A

Updates

IPC updates Lucy Champion

Care Provider vision for the LEMS discussion

Open to the audience – Care Providers what is your vision for the learning and engagement meetings This is your opportunity to share your visions of the LEMS, what you want to achieve from them, what you want to discuss, what you find beneficial, which professionals you would like to attend and any other ideas you have. The LEMs are a resource for ALL of you.

Any other business – open floor for discussion

Service updates