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Nursing Care Homes

The Gold Standards Framework in Care Homes (GSFCH) programme:

In October 2008, St Christopher’s Hospice became the 1st regional training centre for the Gold Standards Framework in Care Homes (GSFCH) programme with the establishment of the Care Home Project Team (CHPT). The GSFCH is a programme that systematically helps staff establish palliative care for the “right person, in the right place, at the right time, every time”.

For nursing care homes within the hospice’s catchment area (Bromley, Croydon, Lewisham, Lambeth & Southwark) we use high facilitation which means role modelling different aspects of the programme such as advance care planning, monthly review meetings and reflective de-briefings within the nursing care homes. We visit the nursing care homes 2-3 times a month during the first year of the GSFCH programme in order to:

  • Help coordinators empower other staff through the monthly review meetings using the Supportive/Palliative Care register alongside a specific care needs matrix that corresponds to the different prognostic codes.
  • Work alongside primary care teams including the local hospice teams.
  • Introduce assessment tools such as pain, depression & constipation

We have worked with 76 local nursing care homes to implement the GSFCH programme and the majority are now accredited. We have managed to reduce inappropriate hospital admission by nearly 50% (from 57% across 19 nursing care homes audited before the GSFCH programme began to 79% across 76 nursing care homes audited in 2014/15).

Posters & Presentations

Hockley J, The Visible and Invisible Process of Dying. The 12th Congress of the European Association of  Palliative Care, Lisbon. May 2011.

Hockley J (2013) – A strategic development using ‘high’ facilitation to implement and sustain the Gold Standards Framework for Care Homes in 71 Nursing Care Homes. Poster presented at the 13th Congress of the European Association of Palliative Care, Prague May 2013

Kinley J, Hockley J & Stone L (2013) – End of Life Care provision for 2,444 nursing care home residents: findings emerging from a Cluster Randomised Controlled Trial. Poster presented at the 13th Congress of the European Association of Palliative Care, Prague May 2013

Papers

Hockley J, Watson J, Oxenham D & Murray S A(2010) The integrated implementation of two end-of-life care tools in nursing care homes in the UK:  an in-depth evaluation. Palliative Medicine, 24 (8): 828-838.

Watson J, Hockley J & Murray S A(2010) Evaluating effectiveness of the GSFCH & LCP in care homes. End of Life Care 4 (3): 42-49

Hockley J. and Kinley J. (2016) A practice development initiative supporting care home staff to deliver high quality end-of-life care International Journal of Palliative Nursing 22(10), 474-481.