1. Care Home Transfer Documents
September 2011.
Network Name

2. Lesley Spall from The Care Home Effective Support Service (CHESS)
Aim to support Care Homes (Nursing and Residential) improve the health outcomes for residents.
Links to Falls Prevention Service and Dieticians.
We offer a proactive and holistic service, which promotes the safe and appropriate use of medication, aiming to prevent unnecessary admission .
Actively support care home staff in implementing quality end of life care in the care home setting.

3. Care Home Transfer Documentation
Why am I here?
999 study undertaken last year highlighted problems regarding the discharge of Residents from the Acute setting
Safeguarding Concerns
Good communication works both ways

4. Task and Finish Group
Group established with reps from LCC, NHS PCT and Acute Hospitals and Care Home Providers
Best Practice Process Developed
Best Practice Transfer Documentation Developed
Adverse Discharge Form to be included
Acute Hospital Discharge Document being revamped

5. The Process

6. The Transfer Documents
Hospital Passport
Transfer Document
Medication Administration Record (COPY)
Any other Passports
COPY of any Advanced Care Plans
Catheters

7. The Admission? Care Home Contacts Ward (24 hrs)
Case Manager details given to Care Home
Care Home then liaises with Case Manager
Case Manager informs Ward Staff if Nurse from Care Home is visiting to undertake a Re-assessment (when fit for discharge)(24 – 72 hrs)
Resident returns home

8. Problems Adverse Discharge Form – To be used for “minor incidents”
Acute Setting Hospital Transfer Documentation is being re-designed.
Medication – Discussions on Going

9. All Care Homes Across Central Lancashire???
We are asking ALL Care Homes (Older People) across Central Lancashire to adopt the process and the documentation
Adapt existing paperwork to include elements of above?
Review in 6 months time – any volunteers

10. Thank you
A big Thank you to all the Care Home Providers that have attended the meetings, provided feedback regarding the process or been involved in the pilot.
Swansea Terrace, Preston Private, Moor Park, Hazel House, Rivington Park, Croston Park and Stocks Hall

11. Any Questions?
Lesley Spall