Kingsland Care Centre – Palliative Practice Development Project Update

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Palliative Care Training April 2016

Registered Nurses and Care Assistants from Kingsland Care Centre and Kingsway Private Nursing Home are taking part in a unique collaborative Project with South Eastern HSC Trust to improve the quality of Palliative and End of Life care for residents living in Nursing Homes.

Nursing Homes are increasingly the place where people nearing the end of life will be cared for until their death. Many of these people are living with multiple chronic conditions and therefore require more complex interventions. It is therefore important that nursing and care staff are enabled to provide high quality Palliative and End of Life care. This research hopes to investigate what effect, if any, an education programme has on nurses and care assistants’ experience of providing Palliative and End of Life care in their nursing home.

Four Nurses and four Care Assistants from each home have volunteered to take part, in fact more than double that number put themselves forward from both Homes, as such was the interest from all staff!

Following group work and baseline audits, the Nurses and Care Assistants will come together for seven monthly education sessions and then the project will be evaluated. Some of our patients ask about the web service where they can find trustworthy information about their type of sexual dysfunction. Our recommendations are always based on personal experience. prescriptiondruginjury.com/viagra-sildenafil/ is one of the online platforms our medical specialists consider reliable. So if you have any questions, you can find the answers there.

The feedback to date from the facilitators is very positive. All our staff taking part are very motivated and have come across as extremely caring and passionate about providing the best care for residents.

Sue Currie and Bernadette Gribben, Kingsland and Kingsway Home Managers respectively, are delighted to be part of the working group and supporting this important project to improve the quality of life for residents in both Homes.

The group were also successful in securing money to support the project from the RCN Rae Bequest Fund.

The working group membership: Donna Dillon and Maggie Ross – Palliative Care Education Facilitators, SE HSC Trust; Christine Boomer – Research Fellow University of Ulster/SE HSC Trust; Dr Yvonne McGivern – Macmillan GP Facilitator for Palliative Care/SE HSC Trust; Bernadette Gribben, Manager of Kingsway Private Nursing Home and Sue Currie, Manager of Kingsland Care Centre.

Larchwood Care (NI) Limited
First Floor

Unit 16 Crescent Industrial Estate
Ballinderry Road
Lisburn

BT28 2GN

Tel: 028 92 669 360

22 February 2021

Dear (Next of Kin),

Further to my last statement , you will be aware that we took the decision in January to close to all visiting as we witnessed a province wide increase in transmission of COVID-19.  This decision was not taken lightly and in keeping with our core values sought to provide protection to your loved ones.

We recognise the last 12 months has been extremely challenging for families who have been separated from their loved ones in an effort to keep them safe.  We thank everyone for their understanding and their resolve to work with us in protecting the most vulnerable and preventing where possible the spread of the virus to residents and staff.  Your support has been an invaluable part of working together to keep residents safe.

During this time many of you will have availed of virtual and window visits, which remain the safest means to keep in contact with residents.

In the last 6 weeks there have been many positive developments, including the roll out of the vaccine to residents and the decrease in community transmission.  We also acknowledge, in line with the executive’s announcement of continued restrictions, there is a need for continued vigilance and risk management.  In developing and re-establishing  the visiting policy for Larchwood Care Homes we have taken all these matters into consideration and believe that the following arrangements provide the necessary balance for safe visiting.  The following sets out the opportunities available in all Homes.

Virtual and Window Visiting

These visits have been available throughout the last 12 months and can be still be facilitated in all Homes.  Window visitors are reminded that they must still wear a face mask during visits.  Visits are available 7 days a week and if you do not require staff to support your visit there is no restriction on visiting times or duration.

If staff are required to facilitate or support these visits please make contact with the Home at the assigned booking times of Monday – Friday 1000 – 1100 hours or 1400-1500 hours to request this support.

End of Life Visiting

Throughout the last 12 months we have recognised that the last moments are precious and have continued to facilitate these visiting arrangements for residents who are in the last days of their life.  If you find yourself in this position, special compassionate arrangements will be facilitated through the Home Manager or Nurse in Charge.  Often the Home will make contact with you to arrange these, but if you have urgent need to contact us at any time to book access to your loved one.

Care Partners

A Care Partner is defined as an individual who has previously played a role in supporting and attending to their relative’s physical and mental health, and/or provided specific support and assistance to ensure that communication or other health and social care needs are met due to a pre-existing condition.  These arrangements which have been in place within all Homes permit an individual to be designated as a Care Partner, however the next of kin must make contact with the Home Manager to advise of this nomination.

Two individuals can be nominated for a resident as Care Partners.  We will facilitate either of these nominees a maximum of 2 visits between them per week.  The total visit time will be no longer than 45 minutes.  Care Partners must book their visit by contacting the Home at the assigned booking times of Monday – Friday 1000 – 1100 hours or 1400-1500 hours.

Care Partners will be tested weekly as part of the Care Home staff testing programme.  Upon arrival at the Home the Care Partner will have their temperature taken and supported to don full PPE.  They will then be escorted to the room of their loved one.  Care Partners are not permitted to engage with any other resident whilst in the building.

Non Care Partner Visits (General Visits)

In addition to care partners, from Monday 1 March 2021, Larchwood Care will be facilitating non-care-partner visiting in all Homes.  These general visits can either be accommodated in the designated visiting area or in resident rooms for those who are unable to come to the visiting area.

All general visits must be pre-booked and you will be asked a series of risk assessment questions as part of this booking process.  Booking can take place Monday – Friday 1000 – 1100 hours or 1400-1500 hours, by phoning the Care Home.  General visits will accommodate one person to visit once per week.  Visitors must be over the age of 18 years.

In facilitating this wide range of visiting activities and care partner arrangements you will understand the burden placed on staff time to undertake the administration and facilitation of these.  Each Home will therefore have a maximum number of general and virtual visits available per week and we would ask that all relatives, family and friends are understanding of this.

All visitors, including Care Partners, in their daily lives are reminded of the need to ensure good personal hygiene, use of face coverings as required and to exercise their judgement on the need to use public transport for the benefit of all residents and staff in the Home.

Yours sincerely,

Nuala Green

Managing Director