The Quality Improvement Team is committed to enhancing the quality of care delivered by Independent Care Providers across Dorset. Our Quality Improvement Nurses (QINs) are dedicated to support staff and managers to achieve optimum levels of care delivery. This is achieved through quality monitoring and providing support and signposting to relevant resources. This role is carried out in partnership with teams from the Dorset CCG Personalised Healthcare (PHC), Local Authority Quality and Service Improvement teams and the Care Quality Commission (CQC).

Our work is underpinned by the service specification and standards set out within the contract, the Care Act 2014 and The Mental Capacity Act 2005, supported by National Guidance including: National Institute of Health & Care Excellence (NICE), The Nursing & Midwifery Council (NMC); Social Care Institute for Excellence (SCIE).

We aim to promote integrated working, innovation and sharing of information for the development of best practice, highlighting local developments and networking opportunities for independent care sector staff. To assist independent care providers with meeting these standards, a number of tools, templates and useful links are included on this website.

Contact us

You can contact us via our administration team Monday to Friday, 9am-5pm by telephoning: 01305 213644 or via email: QIT@Dorsetccg.nhs.uk.

The Eating and Drinking Well with Dementia Toolkit

Based on their research, Professor Jane Murphy, Dr Joanne Holmes and the team at the Ageing and Dementia Research Centre at Bournemouth University have developed a toolkit to provide freely available resources (a film, workbook, leaflet and guides) to deliver person-centred nutritional care for people living with dementia.

The toolkit has been used all over the UK and overseas, as far afield as Australia and is the winner of the 2019 CN Award for Nutrition Resource of the Year.
The workbook and film aims to develop knowledge and skills around nutrition and hydration to provide best quality care that also offers an excellent CPD opportunity, completed flexibly. To date over 1200 known recipients of the workbook (including nurses and allied health professionals, hospital and care home staff) have reported benefits and inspired action to reconfigure the way in which nutritional care is delivered.

Testimonial care home manager: ‘We have revolutionised our meal times and this has proven to be of great success. In the few short weeks we have observed and recorded an increase in weight with the majority of our residents and a more sociable and interactive feel that surrounds our mealtimes.”

Testimonial commissioner of care services: ‘We used the workbook as a superb resource to input in our action plan to improve nutrition care in our borough across health and social care providers for people living at home and in a residential home.’

Nutrition and Dementia Care

Care Home learning Contractures from Dorset Healthcare University NHS Trust

We have recently had some patients develop pressure ulcers behind their contracted limbs. We are working with our staff to develop a care pathway but I have been sent some info that would be useful for the care homes and I was hoping you may be able to raise this as a concern and disseminate the information.

These have been developed by the county council and passed on to some of our DN teams. We are distributing to our DN and community teams but I think this needs to go via the care homes and am hoping you can help.

7 minute Learning

Contractures and their Implications

Training

Infection Prevention and Control refresher training offer

The Government, through NHS England, has raised the need for additional infection prevention and control (IPC) and Personal Protective Equipment (PPE) training and as we have with Dorset Care Homes, would like to offer the same for all Dorset Independent Care providers and their staff.

Whilst we understand both you and your staff will have been trained on IPC and PPE, guidance and techniques have changed during COVID 19. This offer of support uses the latest Public Health England guidance. It is a very practical and interactive session for you and your staff. These sessions will take no longer than 2 hours in total and will be delivered through a virtual model using IT applications such as Microsoft Teams. There will be some pre and post reading material for staff that will be sent out in advance of the session. Our system trainers will have the competency to provide high quality support and guidance to you and your staff.

We hope you will take up our offer and submit your interest. Taking up our offer will be part of the assurance process across Dorset.

Restore 2

In April, the British Geriatrics Society (BGS) released a new guide, COVID-19: Managing the COVID-19 pandemic in care homes. The good practice guide offers 13 key recommendations to help all care home staff and the NHS staff who work with you to support residents through the pandemic.

One of these recommendations advises staff in care homes taking vital signs to use the RESTORE2™ tool to recognise deterioration in residents, measure vital signs and communicate concerns to other healthcare professionals in order to escalate care appropriately. RESTORE2TM also addresses End of Life care (DNACPR/Advanced Care Plans etc.) to ensure residents preferences are considered.

In areas where it is not appropriate for staff to measure vital signs a “Soft Signs” only version is available. RESTORE2MiniTM uses soft signs to enable early identification and treatment of deterioration and thereby avoid unnecessary transfers to hospital. It is based on evidence that physical deterioration can be identified by carers before vital signs measurements change.

Training Opportunities

We now have training available for Dorset Care Home Managers, Nursing and Care staff. This 2 ½ hour interactive training will involve delivery via ZOOM enabling staff to feel more confident when using the RESTORE2TM physical deterioration and escalation tool with patients that are becoming unwell and at risk of deteriorating.

If you require any further information, please contact QIT@Dorsetccg.nhs.uk

Bookings are now being taken for the following dates; (please be aware that places are allocated on a first come basis)

  • Thursday 26th November 2.00pm – 4.30pm
  • Tuesday 1st December 9.30am – 12.00pm
  • Wednesday 9th December 2.30pm – 5.00pm
  • Thursday 17th December 2.00pm – 4.30pm

To book a place on a course, please complete the booking form and return via email to: QIT@Dorsetccg.nhs.uk

Verification of Expected Adult Death

Introduction to sepsis and serious illness