Fit For Life Nursing Home Services

 

Since 2001 Fit For Life have designed and developed our services and training by listening to our customers and ensuring that the support and expertise we provide is immediately applicable in the day to day delivery of care.

We have the capacity to deliver onsite Allied Healthcare Professional (AHP) services such as Physiotherapy, Occupational Therapy, Group Exercise Therapy and other therapies listed below. We have a vast amount of experience providing weekly contracted hours in any or all of the therapies listed.

Most commonly Fit For Life provide a multidisciplinary service for a nursing home or day care centre on a weekly basis. This usually consists of a mixture of physiotherapy, occupational therapy and exercise therapy (individual and group exercise sessions). We can work together to develop a weekly service that best suits your specific needs! Fit For Life also have experience working in tandem with in house therapists, assisting in setting up or remodelling current services and providing additional specialised training to qualified therapists in older adult care.

In addition to onsite clinical input Fit For Life offer a range of training courses in falls prevention, manual handling, positioning, cognitive screening and training to deliver exercise to older adults which are all listed below.

Other services that we provide related to providing support for senior management and or proprietors in the areas of providing pre inspection audits in the area of falls, manual handling (including equipment) or assistance in complex individual cases.

 

Finally, we can also provide support and expertise in all stages of new build or renovations including OT environmental assessments and sourcing and recommendations for specialised equipment.

Further details of all of these services are listed below but please don’t hesitate to contact us for further information or to book a training course for your team!

Seated Exercise Instructor Course


Learn how to deliver effective and fun seated exercise classes for Older Adults! This course will equip you with the knowledge, skills and confidence to run varied fitness classes for the older adults you work with!

Key course content:

  • Introduction to Fit For Life and course

  • Benefits of physical activity & exercise guidelines

  • Common medical conditions and guidelines for exercise

  • Exercise classes set up & safety considerations

  • Practical exercise delivery techniques – Warm-up and cold down exercises and stretching; batons, balls, seated endurance exercises, and games/challenges.

Duration: 3-day course. Certified 18 CPD points.

Venue: In-house, at Sandyford Clinic, and locations nationwide.

Cost: €350 per person (discounts for group bookings)

Results/Benefits:

  • You can deliver Fit For Life quality group exercise sessions.

  • Learn from experienced trainers who have expert knowledge on effective exercise delivery.

  • You have continued support from Fit For Life if your team need a refresher or upskill session on exercise delivery.




Seated Strength Training Course


Learn how to run effective and fun seated Strength exercise classes for Older Adults!

This fitness training course was developed for Activity Co-Ordinators, Healthcare Assistants or Home Carers who have completed our ‘Exercise Instructor for the Older Adult Course’. This course enables you to progress your knowledge and skills base to provide seated strength training classes for the older adults you work with!

Key course content:

  • Introduction

  • Skeletal muscle, aging & resistance exercise

  • Session structure: warm up, cool down & stretching

  • Resistance band exercises – assessment, techniques & all to practice teaching same

  • Other strength exercises – other types of equipment e.g. dumbbells

  • Exercise programming

Duration: 1-day course, 9.30am-5pm. Certified 7 CPD points.

Venue: In-house, at Sandyford Clinic, and locations nationwide.

Cost: €125 per person (discounts for group bookings)

Results/Benefits:

  • You can deliver Fit For Life quality strength training classes.

  • You can add more variety and physical challenge for the older adults participating in your exercise classes.

  • You learn from our experienced trainers who have expert knowledge on effective exercise delivery.




People Manual Handling


New to people manual handling? Learn best practice techniques with us!

This training is suitable for healthcare professionals, and carers who work in the home and community who have not undergone training previously.

Course Outline:

  • Course follows HSA & Fetac guidelines

  • Full day course including theory overview, quizzes, demonstration and practice (unsafe handling, best practice techniques, use of hoist and other handling aids), risk assessment, problem solving and case-study discussion.

Duration: 6 hours, Certified 6 CPD points.

Venue: In-house and at Sandyford Clinic.

Cost: € varies depending on location.

No. of Attendees: 8-10

Results/Benefits:

  • Certificate of attendance

  • Personalised courses - Our manual handling instructors will contact you before the course to discuss and assess your specific manual handling goals.

  • In-depth know-how - Fit For Life have been working alongside nurses and care assistants in residential care settings for over 15 years. We understand the challenges they face on a daily basis and that allows us to focus on the issues that are most important to them.

  • Reduction in the risk of injury for the patient/resident and the worker

Testimonial:

"The Manual Handling Training was great because it gives me a lot of knowledge and ideas how to use the proper equipment and to move residents safely."

Healthcare Assistant Carechoice Montenotte.




Refresher Training – People Manual Handling


Renew and refresh your people manual handling skills with Fit For Life!

This course is ideal for those who have previously undergone a full day of manual handling training. There is more time to dedicate to practical applications in your workplace. Our goal is to identify what challenges you have, and how you can change the risk assessment to allow you to continue with the manual handling tasks safely.

Course Outline:

  • Review and update staff on the correct manual handling techniques they should be using.

  • Practice transferring and repositioning residents from different situations using the full range of the equipment available in your home.

Duration: 4 hours, Certified 4 CPD points.

Venue: In-house & Sandyford Clinic

Cost: € varies depending on location. No. of Attendees: 8-10

Results/Benefits:

  • Ensuring you are applying best practice manual handling techniques in all aspects of work

  • Reduction in the risk of injury for the patient/resident and the worker

  • Educating you to know your role in risk assessment and applying it in everyday tasks

Testimonial:

"The Manual Handling Training was great because it gives me a lot of knowledge and ideas how to use the proper equipment and to move residents safely." Healthcare Assistant Carechoice Montenotte.





Training courses: Manual handling & Exercise Instructor Courses

 

We can deliver a variety of training courses in-house with your team at your nursing home or daycare centre. Your team members can also join our courses at our Sandyford Clinic, or at locations nationwide. We run new and refresher people handling and manual handling courses for clinical and non-clinical team members. And, we can discuss your specific in-house needs and tailor the course content to suit. Why not contact Mark on 01-2137915, or email info@fitforlife.ie to chat through your specific training needs!

Seated Exercise Instructor Course


Learn how to deliver effective and fun seated exercise classes for Older Adults! This course will equip you with the knowledge, skills and confidence to run varied fitness classes for the older adults you work with!

Key course content:

  • Introduction to Fit For Life and course

  • Benefits of physical activity & exercise guidelines

  • Common medical conditions and guidelines for exercise

  • Exercise classes set up & safety considerations

  • Practical exercise delivery techniques – Warm-up and cold down exercises and stretching; batons, balls, seated endurance exercises, and games/challenges.

Duration: 3-day course. Certified 18 CPD points.

Venue: In-house, at Sandyford Clinic, and locations nationwide.

Cost: €350 per person (discounts for group bookings)

Results/Benefits:

  • You can deliver Fit For Life quality group exercise sessions.

  • Learn from experienced trainers who have expert knowledge on effective exercise delivery.

  • You have continued support from Fit For Life if your team need a refresher or upskill session on exercise delivery.




Seated Strength Training Course


Learn how to run effective and fun seated Strength exercise classes for Older Adults!

This fitness training course was developed for Activity Co-Ordinators, Healthcare Assistants or Home Carers who have completed our ‘Exercise Instructor for the Older Adult Course’. This course enables you to progress your knowledge and skills base to provide seated strength training classes for the older adults you work with!

Key course content:

  • Introduction

  • Skeletal muscle, aging & resistance exercise

  • Session structure: warm up, cool down & stretching

  • Resistance band exercises – assessment, techniques & all to practice teaching same

  • Other strength exercises – other types of equipment e.g. dumbbells

  • Exercise programming

Duration: 1-day course, 9.30am-5pm. Certified 7 CPD points.

Venue: In-house, at Sandyford Clinic, and locations nationwide.

Cost: €125 per person (discounts for group bookings)

Results/Benefits:

  • You can deliver Fit For Life quality strength training classes.

  • You can add more variety and physical challenge for the older adults participating in your exercise classes.

  • You learn from our experienced trainers who have expert knowledge on effective exercise delivery.




People Manual Handling


New to people manual handling? Learn best practice techniques with us!

This training is suitable for healthcare professionals, and carers who work in the home and community who have not undergone training previously.

Course Outline:

  • Course follows HSA & Fetac guidelines

  • Full day course including theory overview, quizzes, demonstration and practice (unsafe handling, best practice techniques, use of hoist and other handling aids), risk assessment, problem solving and case-study discussion.

Duration: 6 hours, Certified 6 CPD points.

Venue: In-house and at Sandyford Clinic.

Cost: € varies depending on location.

No. of Attendees: 8-10

Results/Benefits:

  • Certificate of attendance

  • Personalised courses - Our manual handling instructors will contact you before the course to discuss and assess your specific manual handling goals.

  • In-depth know-how - Fit For Life have been working alongside nurses and care assistants in residential care settings for over 15 years. We understand the challenges they face on a daily basis and that allows us to focus on the issues that are most important to them.

  • Reduction in the risk of injury for the patient/resident and the worker

Testimonial:

"The Manual Handling Training was great because it gives me a lot of knowledge and ideas how to use the proper equipment and to move residents safely."

Healthcare Assistant Carechoice Montenotte.




Refresher Training – People Manual Handling


Renew and refresh your people manual handling skills with Fit For Life!

This course is ideal for those who have previously undergone a full day of manual handling training. There is more time to dedicate to practical applications in your workplace. Our goal is to identify what challenges you have, and how you can change the risk assessment to allow you to continue with the manual handling tasks safely.

Course Outline:

  • Review and update staff on the correct manual handling techniques they should be using.

  • Practice transferring and repositioning residents from different situations using the full range of the equipment available in your home.

Duration: 4 hours, Certified 4 CPD points.

Venue: In-house & Sandyford Clinic

Cost: € varies depending on location. No. of Attendees: 8-10

Results/Benefits:

  • Ensuring you are applying best practice manual handling techniques in all aspects of work

  • Reduction in the risk of injury for the patient/resident and the worker

  • Educating you to know your role in risk assessment and applying it in everyday tasks

Testimonial:

"The Manual Handling Training was great because it gives me a lot of knowledge and ideas how to use the proper equipment and to move residents safely." Healthcare Assistant Carechoice Montenotte.





Advanced People Manual Handling Workshops

Home/facility 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.

Audit 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.

Assessment 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.

Audit 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 Database Design and Implementation


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 to 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





Falls Prevention Training Courses

Home/facility 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.

Audit 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.

Assessment 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.

Audit 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 Database Design and Implementation


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 to 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





Risk Assessments, Audits & Reports

Physiotherapy


Physiotherapy involves evaluating, diagnosing and treating a range of injuries, disorders and disabilities in order to optimize the person’s mobility and functional capacity. Our chartered physiotherapists are graduate level healthcare practitioners specializing in the assessment and treatment of musculoskeletal, neurological, orthopaedic, respiratory and cardiac conditions. They provide a broad range of assessment and therapy services specifically developed for the older adult population.

Physiotherapy Services Include:

  • ½ Day Inhouse Physiotherapy Services for Nursing Homes: ½ day weekly (3-4hrs)
  • Extended Inhouse Physiotherapy Service for Nursing Homes: e.g. 2 ½ days p/week
  • Private Inhouse Physiotherapy sessions: Individual residents can book private appointments with our physiotherapists weekly
  • Falls Risk Assessments

*All of these services are carried out by Chartered Physiotherapists, members of the I.S.C.P.




Occupational Therapy


Occupational Therapy is designed to promote health, prevent injury or disability and develops, improves or sustains an individual’s level of independence.

​The most common referrals for our OT services include:

  • Seating and pressure relief
  • Positioning and the prevention of contractures
  • Assisting activities of daily living (ADL’s) e.g. showering, eating, correct use of aids
  • Recommendations for environmental changes to assist ADL’s

Occupational Therapy Services Include:

  • ½ Day inhouse Occupational Therapy Services for Nursing Homes: ½ day weekly (3-4hrs)
  • Extended inhouse Occupational Therapy Services for Nursing Homes: e.g. 2 ½ days p/week
  • Private Inhouse Occupational Therapy sessions: Individual residents can book private appointments with our occupational therapists weekly
  • Falls Risk Assessments
*All of these services are carried out by Occupational Therapists, members of the AOTI (Assoc. of Occupational Therapists of Ireland).




Fit For Life - Group Exercise Therapy – Fitness Classes for Older Adults


Fit For Life have been delivering researched based group exercise therapy since 2001. Group exercise has been extensively researched and is highly recommended as an ideal form of physical activity especially for the older adult. Fit For Life’s experience and expertise has led to the development of successful exercise intervention for older adults at all levels of physical ability. We deliver progressive, innovative and fun group exercise classes for older adults ensuring that benefits are gained by all who participate in our programmes.

The benefits of physical activity include staying independent if possible. We all know the importance of independence and we work with people as this becomes more challenging. We ensure that individuals achieve their own potential, providing support with personal goals, and best practice interventions to achieve these goals.

A Fit For Life group exercise class will be:

  • Researched, designed and developed from years of experience and expertise
  • Measured – individual assessments are made prior, during and post 12 weeks block classes to measure progress
  • Able to cater for specific populations and medical conditions and for participants of different levels of ability or fitness
  • Fun, social, innovative and easily tailored to all participants
  • Delivered by a certified Fit For Life trainer

Group Exercise Therapy Services Include:

  • Groups adapted to all levels of capabilities: Nursing Home/Day-care Populations

  • Stand Strong Balance and Falls prevention classes: Community & Fit for Life Clinic

  • Physical and Cognitive Classes; Suitable for Alzheimer’s and related dementia.




Alzheimer’s and Related Dementia – Group and Individual Exercise Therapy


We have developed programmes that are suitable for varying levels of cognitive impairment. Our aims and goals improve physical function, reducing the risk of falls and improving mood and levels of agitation. We introduce equipment with our programmes that have very positive results with this population, creating socially engaging environments, and positive stimulation.

We introduce programmes that combine endurance exercise, functional exercise and social games. What is important is that our therapists know the clients and provide meaningful activities that ensure a person-centered intervention. Thus, providing a specific session to the client’s needs and abilities.

Using this approach and having flexible programmes that can be adapted when required our therapists have the experience and know how to consistently deliver effective and engaging programmes.




Allied Therapies


Physical Therapy

Physical Therapy is a healthcare profession which involves the treatment or management of pain, disability and impaired movement by means of massage, myofascial techniques, joints mobilizations and exercise therapy.

Our Physical Therapists are graduate level healthcare practitioners, who work to restore full normal movement and to reduce or eliminate pain resulting from injury, infirmity and from medical conditions.

*All of these services are carried out by Physical Therapists, members of the IAPT (Irish Assoc. of Physical Therapists).

Athletic Rehabilitation Therapy

A Certified Athletic Rehabilitation Therapist (ARTC) is a graduate level (BSc, level 8 NFQ) healthcare practitioner specializing in musculoskeletal management, exercise-based rehabilitation and fitness. This therapist specializes in evidence-based assessment, treatment and advanced rehabilitation of musculoskeletal conditions.

Your Athletic Rehabilitation Therapist will complete a comprehensive assessment of your presenting condition and contributing factors. This may include physical tests for range of motion, strength and specific special tests of the involved body parts as appropriate.

Your ARTC will then develop, implement, review and progress a treatment and rehabilitation plan with you. Your treatment plan may include manual therapies such as massage, myofascial/soft tissue release techniques, trigger point dry needling, joint mobilizations; and/or electro or thermotherapies or taping techniques. And it will almost definitely include a home rehabilitation and exercise program which may focus on developing strength, range of motion, improving your balance and decreasing your falls risk!

*All of these services are carried out by Certified Athletic Rehabilitation Therapists, members of A.R.T.I. (Athletic Rehabilitation Therapy Ireland) and BASRAT (British Assoc. of Sports Rehabilitators & Trainers).





Buildings and Equipment

Home/facility 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.

Audit 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.

Assessment 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.

Audit 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 Database Design and Implementation


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 to 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





OUR CLIENTS

‘We have found Fit For Life a great service which we have used for many years. Our residents benefit from both weekly class and individual physiotherapy service which they provide. We at Kinvara House would be very happy to recommend Fit For Life’.

Kinvara House Nursing Home, Bray

'Fit for Life makes a tremendous contribution to the physiological and occupation health of our residents. The program provides a comprehensive repertoire of interventions meeting the physical needs of residents with ongoing assessments, exercises programs, individual and group mobilisation activities. All of which is provided by a professional team who continually engage residents with clear goals & motivational programs that build on the strengths and abilities of residents which enhances their well being each day'.

'This course is brilliant, very useful for all activity coordinators or healthcare professionals about how important exercise is for residents and how to engage them in fun exercises’.

Exercise Instructor for the Older Adult

Course attendee.

Bridie McGroary Fletcher

Director of Services

St. Monica’s Nursing Home Ltd., Dublin

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