Risk Assessments, Audits & Reports

As a consequence of the multidisciplinary background of our senior management team we can provide additional support and expertise while preparing for reregistration, reviewing current policies and providing objective analysis of current work practices in your Nursing Home.

 

We can also assist in assessing the suitability of a new build or renovation through or provide recommendations on the purchase of specialised equipment. Below are just some of the areas that we can support your team.

Nursing Home Audit - Manual Handling Practices

We have found that the best review happens when we spend time on site asking staff how they manage tasks, do they know their responsibilities and do they use the correct controls to carry out manual handling tasks safely. We ensure that everyone knows that the most important result is a safe practice of manual handling tasks, avoiding injury.

Outline:

  • To observe the clinical team completing manual handling tasks during morning care, dayroom activities and dining room manual handling tasks.

  • For your non-clinical team (kitchen, laundry, housekeeping, maintenance and admin) we observe work areas, review systems and look at existing policies.

Duration: This will vary depending on the pre-agreed scope, size of home, number of staff etc. It will range from a half to full day.

Results/Benefits:

  • We provide a detailed report on our observations

  • We provide personalised recommendations on systems, training and related equipment needs

  • We source best prices on recommended equipment

 

Nursing Home Environmental Assessment

Our OT department has been working with purpose built homes and building adaptation projects, to help in creating the best working environment. This has involved Fit For Life visiting sites, reviewing room design for fittings and furniture and equipment requirements.

Outline:

  • Seating review, including product ordering and pricing

  • Bedroom layout and design

  • Bathroom fittings and design

  • Dayroom layout and chair specifications

  • Dining room layout and furniture specifications

  • Additional equipment that allow staff to assist residents to lead independent lives when possible

Duration: Determined by size of site

Results/Benefits:

  • Ensure that buildings will be in line with best practice regulations

  • Reduce the risk of falling from environmental factors

  • Efficient use of the building to promote independence for your residents

  • Reduce the rate of staff injury due to correct ergonomics in place for healthcare and non healthcare staff

  • Safeguarding against any additional refit costs due to incorrectly placed furniture and fittings

 

Falls Policy Audit

This involves a review of your current Falls Prevention policy, with the Director of Nursing and/or CNM. We review your falls report to establish if any necessary information is missing. During this process we make recommendations and the decisions made are implemented into an updated policy.

This report is then followed up in your post fall protocol, so that team members’ roles are detailed within the policy. Recommendations on new screening methods, reporting systems and policy details are provided in a report.

 

Outline: It involves a meeting to go through your policy focusing on its contents covering the following:

  • Purpose

  • Definitions

  • Responsibilities

  • Assessment protocol

  • Falls protocol

  • Action plan protocol

Duration: 3 hours

Results/Benefits:

  • Revision of best practice Falls Prevention and Management

  • Improved knowledge on Falls Screening and Risk assessment in long term care

  • Policy review and recommendations

 

Falls Database Design and Implementation

One of the most important roles in Falls Prevention is the good collection of raw data. The data from your falls report is crucial to helping you to self-evaluate the common causes of falls in your environment. For some people it will mean keeping a Falls Diary to help provide information to your medical support team. For clinical staff, it will mean a more comprehensive form (standard) that must be completed when a fall occurs. We can help you to design a database that collects the information off your report and enables you to audit and create visual graphs to illustrate the prevalence of falls periodically.

Outline: We come to visit you and review your current falls report database and auditing system. A bespoke database is designed and a member of your team is trained in using the system.

Duration: 3 hours

Results/Benefits:

  • A computer system designed to assist you in assessing your common cause of falls

  • Review of current best practice data collection

  • Education to support your team

  • System to manage falls data and action plans

 

Falls report creation and methods of dissemination

If you find it hard to create monthly reports on falls data, we can create monthly reports from your falls database for you. We create them online and send a detailed report back to you, with the selected variables in an easy to follow graph layout. This system quickly highlights variables such as the most common time of day when falls occur, or the most common location where falls occur. We will create whatever variable you wish to illustrate, and this is then used to educate your team in your monthly meetings.

 

Outline: We take away the task of falls report production to give you more time to apply action plans and manage monthly meetings. Reviewing your action plans is key to a successful Falls Prevention System. You need to know whether actions were completed on time, achieved and if they were effective. Your monthly reports will give you information to discuss at your multidisciplinary (MDT) meetings.

Duration: Monthly reports sent to you using the falls data that is provided.

Results/Benefits:

  • Provided with reports ready to review at monthly meetings

  • Visual graphs to help educate the team on common risk factors

  • Empower the team to understand their role in Falls Prevention

  • Action plan reviews to help measure success of interventions prescribed

  • Individual Falls Risk Assessment

 

Individual Falls Risk Assessments

We support clients, nurses, home carers and families with assessments to help identify risk factors that increase a person’s risk of falls. Our therapists organise an appointment which involves a comprehensive review of the client, including a falls history, physical functional ability, medications and possible psychological risk factors (Fear of Falling).

With knowledge that falls are one of the leading causes of injury to an older adult and subsequent reduced quality of life, we aim to provide best practice interventions to reduce the risk of falls.

Post assessment an accurate, informative and educational handover to allied healthcare professionals and carers is essential to maximise the effectiveness of the action plans indicated.

 

Outline: This assessment can take up to 2 hours. The individual determines the length of time required to carry out a comprehensive, multifactorial assessment.

Duration: Starts at 1 hour and max 3 hours.

Results/Benefits:

  • Multifactorial assessment following best practice guidelines (NICE)

  • Comprehensive report and handover compiled outlining appropriate interventions and actions plans identified

  • Specific falls prevention education given to staff/carer

  • Maximising the likelihood of a reduction in falls

 

Complete Facility/Home Falls Assessments and Action Plan Implementation

Fit For Life have carried out numerous successful projects aimed at dramatically reducing falls in long term care facilities and Nursing Homes and implementing a system that ensures falls are kept to an absolute minimum. In one 12 week intervention study, we instigated a 64% reduction in falls.

Using this experience we have developed an effective and cost efficient model to ensure that once we start the intervention there are immediate and long lasting results.

This service involves our team of experts coming and assessing your population. Each person receives an action plan, with team members allocated specific responsibilities. We recommend 12 week intervention periods to carry out an audit to measure how successful the Falls Prevention plan was.

Outline: We carry out falls risk assessments on the preselected individuals. A report is produced and an outline of the main actions and person responsible is delivered. This is integrated into your monthly meetings to keep accurate information on completed targets.

Duration: The assessment period depends on the numbers. On average 2 hours per person.

Results/Benefits:

  • A comprehensive multifactorial assessment and intervention plan

  • Informed team on current profile of assessment population

  • Tools to self audit on completion of applied actions and effectiveness of interventions in falls prevention

Complex People Manual Handling Assessments

Our senior patient handling experts provide support for complex people manual handling cases. They have expertise in bariatric profiles in particular for bed handling and repositioning. There is a larger number of complex handling cases being observed by our experts in relation to bariatric and dementia care.
 
Outline: One of our senior experts comes and assesses the complex task you have referred.

Duration: Approx. 2 hours
Results/Benefits:

  • Consultant expert support and advice on complex handling tasks

  • Ensures that no residents or member of your team are at risk of injury

New Build Environmental OT Assessment and Recommendations

Over the past 14 years we have witnessed the changing face of nursing homes and long-term care facilities with many new homes being built. Almost all other homes have had to extend and or renovate to continue to operate within HIQA standards. We have witnessed successful projects in accommodating and improving the needs of their residents and staff but also some that have been ill advised and requiring expensive post build alterations. Due to this onsite practical experience and the widening base of our expertise we have been providing proprietors of new builds or extensions expert advice at all stages of planning.

This expertise covers an initial comprehensive Occupational Therapy (OT) environmental assessment to ensure that all aspects of the building configure to standard regulations. In addition, multidisciplinary (MDT) based expertise is provided on the design of all the types of rooms (bedrooms, bathrooms) ensuring the correct layout and positioning of assistive devices (handrails) to promote safety and independence.

Particular attention is paid to seating to ensure that there is appropriate variation and suitability for all dependency levels and areas. The selection of the appropriate seating for sitting rooms, dining rooms and bedrooms at this stage can greatly enhance individual’s functional ability, reduce the need for specialised seating and reduce the risk of falls.

Expert advice can also be given to ensure that the new build is a dementia friendly environment including appropriate areas for activities to encourage independence. Set up of treatment rooms and sourcing therapeutic equipment is also a service that we can provide. Further recommendations can be provided upon review of fixtures and fittings and the structure and layout of the kitchen, laundry rooms, treatment rooms and activity rooms. In order to ensure that your new build works as seamlessly as possible for everyone we also recommend that ergonomic assessments of all staff activities are carried out.

New build assessment outline:

  • Comprehensive OT environmental assessment, report and recommendations

  • MDT recommendations on appropriate furniture and fittings

  • Specifications for safe environment for all while promoting independence

  • Ergonomic manual handling assessments for all staff activities

Duration: Depends on the size of the build and the level of input required

Results/Benefits:

  • Avoid costly structural adaptations post build completion and furnishing

  • To ensure appropriate furniture is purchased for long term use and suitability for all resident dependency and body shapes and sizes while maintaining aesthetic look.

  • Avoiding the purchase of expensive specialised chairs for more dependent residents due to poor initial variety in selection of chairs

  • Reduce the risk of falling from environmental factors

  • Ensure that buildings will be in line with best practice regulations

  • Efficient use of the building to promote independence for residents

  • Reduce the rate of staff injury due to correct ergonomics in place for healthcare and nonhealthcare staff

  • Marketing tool to educate potential clients in relation to the best practice efforts to maximise all resident’s independence

Bed, Bedrails and Mattresses prescription

One area that is a source of great expense and importance to Nursing Home owners is the sourcing and prescription of beds and mattresses. Our team have been trained to the highest standard in order to advise you on the correct bed and mattress types appropriate for the diverse and complex nature of long term residents.

In relation to beds it is imperative to have the correct types of beds not only for your residents but in order for your staff to be able to perform manual handling as easily and safely as possible. It is important that you have a bed that can operate at the appropriate height for carer intervention and/or residents transfers.

This principle carries through with mattresses whereby prescribing the correct mattresses is imperative to those residents with previous pressure area breakdowns. In addition, the type of mattress prescribed for a resident can determine the ease or lack of ease of positioning and repositioning in the bed.

 

​Outline: We can provide you with expert advice in these areas so that you are buying high quality beds and mattresses appropriate to cater for all individuals regardless of their size, medical conditions or dependency levels.

 

Results/Benefits:

  • Unbiased expert opinion on appropriate beds/mattresses to purchase ensuring no additional costs down the line

  • Alleviate the possibility of any injury or entrapment for residents

  • Reducing the possibility of pressure sores (in conjunction with best practice manual handling)

  • Reduction in patient handling time

  • Reduction in work related injuries for your staff

People Manual Handling equipment

Our manual handling experts are constantly upskilling with new best practice manual handling techniques using the most effective equipment available to ensure that any form of ‘lifting’ is a thing of the past.

 

Outline: We provide reports and recommendations and sourcing on equipment such as:

  • Hoists & Standing Aids

  • Slings

  • Sliding sheets inclusive decisions on bed systems such as: Single sheets, Tubular sheets, In bed sheet systems

  • Handling belts

  • Repositioning aids – Bed and Chair

  • Pressure cushions

Results/Benefits:

  • Unbiased expert opinion on appropriate equipment required

  • Training can be provided to maximise the efficiency in the use of equipment

  • Reduction in staffing levels for manual handling

  • Reduction in work related injuries due to the availability and ease of use of appropriate equipment

To find out how we can tailor our services to meet your specific needs,

contact Mark or Jessie on info@fitforlife.ie or click on the request a call back button (bottom right)!

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