Surrey Stroke Network Care Home Project

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Surrey Stroke Network Care Home Project

• Frank Foreman RN
• Stroke Coordinator
• Surrey Community Health

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Surrey's Heart and Stroke Network is

• committed to enhancing patient care and services
  through integrating the quality standards set by
  the National Framework for Coronary Heart Disease
  and the National Stroke Strategy.
• The network's core values are to provide services
  that are
• patient and carer centred
• equitable
• reducing inequalities in health
• responsive to changes in practice and the needs
  of the community
• co-ordinated and managed through partnership
• geographically consistent
• value for money
• http//www.surreyhealth.nhs.uk/services/HeartStrok
  eNetwork/Pages/home.aspx

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Why a care home project?

• Up to 50 of people in nursing homes thought to
  have had a stroke
• A large client group for whom a blind spot has
  been created
• Not receiving the same level of support as people
  at home
• Hopefully the beginning of doing something about
  it!

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Network Care Homes Project (Nursing Homes and
Care Homes)

• Aim
• to improve the level of care which stroke
  patients receive in care homes
• improve care home staff skills in caring for
  people affected by a stroke
• MDT in NHS how much information gets passed on ?
• Massive training and improvement programme in NHS

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Project Deliverables

• A realistic, cost effective and sustainable plan
  which will facilitate basic level training for
  care home staff on caring for patients who have
  had a stroke
• TIA recognition and action
• Web pages which provide care home staff with
  easily accessible and relevant information
• Possible model of advice line provision - ? pilot
  option
• Identification of key links into care homes
  across Surrey into the Surrey Heart Stroke
  Network to support ongoing interaction and ways
  of promoting primary prevention initiatives
• Specific recommendations of how the requirements
  of QM14 and the Long term review project in SW
  Surrey can by informed by this project

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Initial thoughts

• 1. Poor level of information sent to care homes
  when pt transferred from NHS.
• Propose to link with joint health / social care
  discharge care plan project
• 2. Access to care home residents to 6 week, 6
  month and yearly reviews
• Propose to work with review project to ensure
  care home residents do not miss out on review
  (does it need to be provided in care setting?)
• 3. Lack of access to equipment
• For example a social care funded resident is not
  entitled to wheel chair services so even if plan
  to do so equipment may not be available

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• 4. Access to information
• Currently awaiting replies from questionnaire
  sent to care homes asking if they would access
  web based information or a potential email /phone
  information service
• 5. Training
• Could care home staff access existing 3 level
  stroke education programmes? 5 homes currently
  trialling STARS training, questionnaire has
  options about whether level 2 training would be
  appropriate to care home staff and how this could
  be provided (cost )
• http//www.strokecorecompetencies.org/node.asp?id
  core

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Survey (17 replies)

• Wide range of stroke pts as of clients
• 57 happy with info received from NHS
• 40 happy with ongoing support and information
• Training 60 would like on site training / 53
  workshops
• Training priorities identified
• Interest in website (88) and contact line (94)
  high

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What now?

• Target appropriate care homes
• Need to discuss with NHS / care homes where they
  see their responsibilities lying
• Look at needs of care home clients in bigger
  stroke picture discharge care plans / 6 month
  review etc
• Discuss with care homes how best to make staff
  available for education /access to web etc
• Make recommendations

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Any questions?

• Contact me.
• Frank.foreman_at_surreypct.nhs.uk
• 01932 414189