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

9 June 2021

Following guidance from the Department of Health received 8 June 2021, the visiting arrangements outlined previously 10 May 2020 remain in place for a further 3 weeks, with a proposed review 22 June 2021.  As such the following arrangements remain the policy for visits to any Larchwood Care Ni Home.

Virtual, Window, End of Life Visiting and Care Partners

There have not been any changes in the arrangements for the above visiting opportunities. All continue to be available within the Homes and can be booked, where necessary, through the Home Administrator.

General Visiting

In line with the Regional guidelines referenced above Larchwood Care NI is also facilitating General and Room Visits. The difference between a General Visit and a Room Visit is the location in which they take place within the Home. A General Visit will take place within the designated visiting area of the Home and a Room Visit, for those residents unable to come to the visiting area, will take place in the Resident’s room.

All General and Room 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. The following guidelines will help you to understand the process and arrangements for both types of visits

- Book in advance.
- Undertake risk assessment over the phone.
- 2 visitors may visit twice per week per week for maximum 60 minutes.
- Visitors may include children. Children are included within the maximum 2 persons per visit.
- Arrive to the Home wearing a face mask 20 minutes prior to your visiting slot.
- All visitors will be swabbed using a rapid antigen COVID-19 test.
- You will be asked to wait until the result of your test is confirmed as negative
- You will be provided with an apron, but do not have to wear gloves.
- You may touch and hold hands with the resident. At this stage hugging is discouraged.

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.

In addition to visiting, independently mobile residents may avail of meeting with relatives in the grounds and gardens of the Homes. At this stage non-staff facilitated trips away from the Home are not accommodated.

The plans phases 2 and 3 are outlined below, however dates for implementation are now on hold until further reviews are conducted.  The next review date is 22 June 2021 and the Department of Health will release advice at this time.

Phase 2 – date to be agreed (subject to change)

All the above risk management protocols will be in place with the following changes.

- Maximum of 4 people from 2 households may visit twice per week
- Introduction of “brief hugging”
- Risk assessed trips outside of the Home.
- Hairdressers may return

Phase 3 – date to be agreed (subject to change)

The following easements are encouraged from this date.

- No restriction on number of people but limited to two households twice a week.
- Overnight stays away from the Home may be facilitated.