1. Heaven and Hell Exercise
2 way – hospitals to work better with homes – recognised standard paperwork
Hospital discharge to be improved
Vanguard
Care Home
Champions
Heaven and Hell Exercise
GPs to have more time with residents
Partnership to be improved
“Secret Millionaire” type for owners/ managers to go back to the floor
Training opportunities – regardless of care home type
Clear communication with outside professionals
Paperwork to be streamlined
Apprenticeship levy
Good staffing levels
Achieve outstanding (CQC)
Happy home/happy residents
Need registered nurse – care practitioner – can’t do insulin/bloods as not nursing home
Paperwork backs up work/care delivery – trying to streamline and avoid duplication
Leadership – workforce – providers/ managers
Reward staff/
recognition
Terms and conditions for staff
Choice for residents
I’m satisficed that I do a good job at the end of my shift
Paperwork – bed rails, observations and checks – food and fluid
Dementia training for families and health professionals
Valued – praise for hard work from management
Electronic care plans and more charts
Clean environment – dedicated cleaners
Not knowing if I need to call GP or UCT very time consuming/Chasing all the time – pulled from pillar to post
Families not fully understanding dementia
Work with external health professionals – value care staff and knowledge they have
Health and Safety
Good managers / good leadership
Employee of the month scheme – care staff feel valued
Respect and partnership/ staff know residents well – lack of understanding from external professionals
Families understand and involved
Training – external open to learn something new eg. bloods
UCT ask to speak to residents rather than the staff - even those with dementia
Minimal paperwork - tablet
Regular resident meetings ensure activities/outings are what they want
Lack of respect from professionals – don’t value (poor under-standing dementia related)
Waiting times once resident has been referred to dietician
Lack of Discharge info from hospitals
Change in legislation
Dehydration, pressure sores
Some families very involved/conflict with family
Perceptions – because the patient is in a care home – think they will be okay (ambulance)
More regulation
No person centred care
Our staff provide good person centred care – good training package for staff
Late night discharge – especially with dementia patients – QE don’t understand
Cuts in fees from commissioners
Procedures not followed
Family moves resident
Staffing levels – sickness – causes stress
Lack of skills
No LA involvement
Lack of involvement
Poor training- knowledge
Good teams within care home - apprenticeships sometimes lack motivation - culture/
values
Restructure to care homes – lack of funding
Increase in hospital admissions
CURRENT
THE ROAD TO HELL
HELL
HOW WE GET TO HEAVEN
HEAVEN
KEY
Lack of choice for individual
Neglected safeguarding – closed down
Malnutrition
Death not being able to deal with it