1. Older People’s Residential & Nursing Care Provider Forum Caroline Brown Commissioning Manager, ICES Susan Rackley, Project Support Officer Thursday 8 th January 2015 Wellshurst Golf Club

2. Aim of session To outline the revised draft guidance: 2 Key Principles to highlight Equipment provision guide table (Appendix 1)

3. Background to the project  Provider workshop Nov 2013 Identified common themes  ICES Care Homes Guidance project commissioned April 2014 to review the current guidance  Working group of representative stakeholders – met May 2014+

4. Purpose of the guidance The purpose of the guidance is to outline the principles regarding the provision of community equipment via the Integrated Community Equipment Services (ICES) to adults living in care homes with or without nursing.

5. Key Principle Adults living in CQC registered care homes with or without nursing have the same access to the provision of community equipment via ICES, to meet their individual assessed need as those adults living in their own home.

6. Key Principle Provision of community equipment via ICES will be based on the outcome of an assessment, of an individual, carried out by health or social care practitioner who is an authorised ICES Prescriber, so long as it is to meet an identified assessed need which is eligible for community equipment provision via ICES.

7. Equipment provision guide 1. Care Homes (CH) – Care Homes with or without Nursing provide a range of equipment for use by residents. This equipment is used or shared by any of the residents at any time within the care home setting. This equipment is the property and responsibility of the Care Home.

8. Equipment provision guide 2.Integrated Community Equipment Services (ICES) – equipment provided via ICES is for the exclusive use by a specific named individual living in either a Care Home with or without Nursing. The provision is based on the outcome of an assessment, carried out by an authorised ICES Prescriber, to meet an identified eligible need. Where assessed as needed, provision should be arranged via ICES. In these cases, the equipment will not be shared with another resident because it is on loan from ICES to that individual.

9. Equipment provision guide table (Appendix A)

10. Type of equipment Care Home with Nursing Care Home without Nursing BEDS A divan bed with mattress CH CH Profiling bed CHICES Bed side rails and bumpers &/or bed grab rail CHICES Bariatric bed for an individual with an assessed need ICES Bariatric mattress to go with a bariatric bed for an individual with an assessed eligible need ICES

11. Type of equipment Care Home with Nursing Care Home without Nursing MATTRESSES - Pressure care & prevention management Low to medium risk Static overlay for use on either a divan or profiling bed. CH Medium to high risk Air filled overlay mattress for use on either a divan or profiling bed. CH ICES Dynamic airflow mattress overlay system with pump CHICES Dynamic airflow mattress replacement system with pump CHICES PRESSURE CARE CUSHIONS - Pressure care & prevention management Static cushion for low to medium riskCH Dynamic airflow cushion (with pump) for medium to high riskCHICES Foot / heel protectorsCHICES

12. Type of equipment Care Home with Nursing Care Home without Nursing MOBILITY EQUIPMENT - WALKING EQUIPMENT All walking sticks ICES All types of walking frames with/ without wheels ICES All types of crutches ICES MOVING & HANDING - (Lifting and manual handling) Mobile hoist and a generic sling for use by residents CH Mobile HoistCHICES Sling for an individual with an assessed eligible needICES Other equipment to assist moving & handling, e.g. transfer boards, glide sheets, rotating turning discs CHICES Other equipment to assist moving & handling for a specific individual with an assessed eligible need ICES

13. Type of equipment Care Home with Nursing Care Home without Nursing SEATING Suitable chairs and armchairs to meet a range of seating needs CH Seating for an individual with an assessed eligible need ICES TOILETING Toileting equipment such as: commodes, raised toilet seats, toilet frames CH Toileting equipment for an individual with an assessed eligible need ICES

14. Next steps: Formal sign off by ICES Commissioning Board and other Boards Operational implementation Review guidance in 2015