National Falls Programme Scotland Up & About in Care Homes

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1 National Falls Programme Scotland Up & About in Care Homes Lianne McInally MBA Public Services Management, Bsc (HONS) Occupational Therapy Scottish Improvement Leader #ThinkActivity #ActiononFalls #Steadyonstaysafe

2 The National Falls Programme present The Up and About Pathway Sponsored by the Chief Health Professions Officer in the Scottish Government

3 Managing Falls & Fractures in Care Homes NHSScotland/Care Inspectorate Good Practice Resource Information Self Assessment Toolkit

4 Up and About in Care Homes Jan 2014 June 2015 Up and About in Care Homes Project Team Lianne McInally, Project Lead Lynn Flannigan, Deputy Project Lead Amaia Ibanez De Opacua, Improvement Advisor Arlene McNiven, Administrator National Falls Programme working in partnership with the Care Inspectorate

5 Up and About in Care Homes Approach based on IHI Breakthrough Series Collaborative Everybody teaches, everybody learns. Share generously. Steal shamelessly. Acknowledge graciously. Three partnership areas (Highland, West Dunbartonshire, Dumfries and Galloway). 38 care homes for older people (all sectors). Local project lead with falls knowledge and experience. The wider local health and social care team attended learning sessions. National Expert Group.

6 Up and About in Care Homes What were we trying to accomplish? To reduce falls in participating care homes by 50% by the end of 2015.

7 What is a fall? An unexpected event in which the participant comes to rest on the ground, floor, or lower level Recommended by Prevention of Falls Network Europe (ProFaNE) and Outcomes Consensus Group2 (The World Health Organization definition of a fall uses nearly identical wording3.)

8 Up and About in Care Homes Outcomes (1) A reduction in the number of falls resulting in injury in care homes who have taken a proactive approach to improvement. Collaborative started here

9 Up and About in Care Homes Outcomes (2) A reduction in the number of falls and the number of falls resulting in injury in care homes who have taken a proactive approach to improvement. Collaborative started here Collaborative started here *Number of falls/number of residents

10 Up and About in Care Homes Outcomes (3) Improved systems for collecting and analysing data for improvement and monitoring.

11 Up and About in Care Homes Outcomes (4) Improved quality of practice, care and resident experience through: increased staff knowledge and skills and improvement capabilities more integrated working with local health and social care teams and wider community. Proof of the concept that technology can be used to provide virtual specialist support in care home settings. Development of a number of resources and tools for education, information, advice, to support daily practice in the management of falls and fractures.

12 Improvement support Care Inspectorate recognition Systematic and person centred approach Sharing learning Pillars for success Data collection, reporting and analysis Working with the wider team Team working and shared responsibility Leadership and empowered staff

13 East Dunbartonshire - Campsie View

14 East Dunbartonshire The outcome of these interventions for one resident resulted in a significant reduction in falls. From 19 falls between January April 2017 (four month period) some of which resulted in injuries to 6 falls between May October 2017 (6 month period) none of which resulted in injury. Mavisbank Manager

15 Campsie view video Katy story

16 Key to success is being a Falls Detective

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18 What makes a good falls detective? Falls are everyone's business ethos A good team and team leader Using the managing falls and fractures information in the resource for improvement Self assessment with action plan and regular review Induction for anyone new to care home Education/training is mandatory Involving the wider Health and Social Care Team Collecting and Analysis of Falls Data Multifactorial Assessment on admission, regular review and daily staff huddle Links to other work

19 What makes a good falls detective? Exploring the resource

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21 Data for improvement: analysis

22 Multifactorial falls risk screening/action planning

23 Links to other work

24 Think about what you have heard today what is our best story about managing falls and fractures in care homes and making it work? What if this best was every day? What would that be like for residents, staff and families? What can you do tomorrow to start this journey? What actions can you personally take to make it work for your care home Now that you ve started this journey stand in that future, what is happening that is different/new What actions does the wider system need to do to achieve the future? Our recommendation for the wider system is:

25 Thank You