Addressing skills training challenges in care homes across County Durham

Care home residents now experience more complex illnesses, with high levels of health and social need. Nurses and care staff working within care homes do not have regular access to NHS training opportunities, and can therefore lose practice and confidence in professional nursing skills. Consequently, some care home residents may have unmet health needs and may be admitted to hospital unnecessarily.

The aim of the project is to up-skill care home staff so they can confidently manage the health status of their own residents within the care home setting, and thus reduce unnecessary interventions by NHS services. The project worked in two stages to provide training for registered nurses and for senior carers and carers in care homes across the North Durham, Durham Dales, Easington & Sedgefield, and Darlington CCG areas. Stage 1 (for registered nurses in care homes) covered 5 main areas: venepuncture, catheterisation, end of life care, verification of death and emergency response. Stage 2 (for senior carers and carers in care homes) covered 3 main areas: application of the 6Cs, best care for long term conditions, and mental capacity and managing challenging behaviour. In Stage 1 (registered nurses), 1,174 training modules were attended by nurses from 88 nursing homes. In Stage 2 (senior carers and care staff), 751 training modules were attended by care staff from 89 care homes. Session evaluations were extremely positive. Since training programmes began there has been a 72% overall reduction in incidents reported on the Safeguard Incident and Risk Management System (SIRMS) in Darlington and a 65% reduction in County Durham.

Project Resources

Addressing skills training challenges in care homes across County Durham: Case Study

Powerpoint From November 2014 Workshop

PowerPoint from September 2015 Workshop

The following articles linked to the project have been published in the Nursing and Residential Care Journal (only abstracts accessible):

 (Case study uploaded on 1st December 2016)

Search the Innovation Exchange