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  • 15 November 2018
  • News

Joint report looks at healthcare support for people living in care homes in North Wales

We’ve published a joint review between ourselves and Healthcare Inspectorate Wales (HIW).

This pilot project considered how well the healthcare needs of older people living in care homes in North Wales were met, and how the two inspectorates might work together on this issue.

This came about as a result of a review by the Older People’s Commissioner for Wales, “A Place to Call Home?”

Findings

The report found some common issues across services which need to be addressed in order to provide seamless, good-quality care to people living in care homes.

These included being clear about roles and responsibilities between care homes and the health board; improved communication between care homes and the health board to  enable ongoing feedback; and organisations working together in the best interests of the people they support.

Feedback from care homes about out-of-hours support was mixed, and included reports that residents are sometimes unnecessarily transported to hospital because the out-of-hours GP was unable to visit.

The report found that there are opportunities to consider how to introduce more consistent and formal mechanisms for care home managers to raise concerns about access to, and quality of, healthcare support.

Areas for improvement

The review identified areas for improvement for the health board to take forward, including:

  • Work with care homes to identify training to maintain care workers’ confidence and competence in managing residents’ routine health needs.
  • Provide greater clarity around the roles and responsibilities of community nurses, particularly for different types of care homes.
  • Develop an information pack setting out what is available to people living in care homes and how to access it, along with dedicated points of contact for information and feedback.
  • Work proactively with the care home sector to identify concerns and issues around continence support and how these will be addressed.
  • Ensure that sufficient resources are available to meet the needs of people with dementia in care homes and that services are provided in a timely and consistent way across North Wales.