Resources for Care Homes
Advice and support dedicated telephone line for professionals
If you need any advice or support during this time, please call us on 020 8768 4582
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Administration of injection video guide and paper prompts
This audio-visual resource was developed at the request of NHS nurse educators tasked with supporting and integrating newly appointed international nurse recruits.Watch video https://www.youtube.com/watch?v=KKHqOXDgX5c&feature=youtu.be
Admission and Care of Residents during COVID-19 Incident in a Care Home
Advance Care Plan
Advance Care Planning is a process of discussion between an individual and their care provider. Wishes and preferences are documented in an Advance Care Plan booklet which becomes a patient held record. This has been designed to be provided in the hard copy format which you can obtain from St Christopher’s bookshop. Please do not print from the website. Thank you.Download
Advance Care Planning by phone or video
This framework has been designed to support GPs to have advance care planning conversations
with patients by phone or video, in the context of COVID-19. It is a tool to help you have honest
and open conversations.
Advice and support dedicated telephone line for professionals
If you need any advice or support during this time, please call us on 020 8768 4582
Anticipatory prescribing for symptom control
Anticipatory prescribing refers to charts and, where appropriate, medications that are left in a person’s usual place of residence for use by visiting clinicians should problems arise with uncontrolled symptoms.
- Patients are most vulnerable to these in the last days of life and when they are no longer able to swallow
- The common ones are pain, nausea and vomiting, distress and agitation and respiratory secretions
- The guidance below covers these.
There has been controversy over the best practice for clinicians to adopt following the widely publicised Gosport Enquiry.
- General, national guidance and policies are currently under development and several members of the clinical team at St Christopher’s are closely involved with this work
- Our current guidance reflects the developing thinking, is subject to regular review and scrutiny and will be modified as further evidence emerges around the best and safest practice to adopt
- Our 24 hour specialist advice and support is there to back up this general guidance to ensure, as far as possible, that clinical decisions are individualised and safe.
DOWNLOAD ANTICIPATORY PRESCRIBING GUIDANCE FOR FRAIL ELDERLY PATIENTS (PDF)
DOWNLOAD ANTICIPATORY PRESCRIBING GUIDANCE FOR ADULTS (PDF)
DOWNLOAD PAN LONDON SYMPTOM CONTROL MEDICATION AUTHORISATION AND ADMINISTRATION RECORD (PDF)
Avoid frailty score in Covid-19 guidance when assessing LD patients
Nursing Times article advising clinicians not to use the Clinical Frailty Scale (CFS) when assessing whether people with learning disabilities and other conditions should be admitted to critical care.https://www.nursingtimes.net/news/policies-and-guidance/avoid-frailty-score-in-covid-19-guidance-when-assessing-ld-patients-24-03-2020/
Clinical guide for the management of palliative care in hospital during the coronavirus pandemic
NHS Clinical Guide for Management of Palliative Care in Hospitals during the coronavirus pandemichttps://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0081-Speciality-guide-Palliative-care-and-coronavirus-FINAL-02.04.20.pdf
Community palliative, end of life and bereavement care in the Covid-19 pandemic
A guide to end of life care symptom control when a person is dying from Covid-19 for General Practice Teams, prepared by the Royal College of General Practitioners and the Association for Palliative Medicine.https://elearning.rcgp.org.uk/pluginfile.php/149457/mod_page/content/22/COVID%20Community%20symptom%20control%20and%20end%20of%20life%20care%20for%20General%20Practice%20FINAL%20v2.docx.pdf
Confidential support for individual Care Home staff
We have had several requests from Care Homes asking if we can offer support to individual staff. This is why we have created a new staff support service called Hear For You.
What is Hear For You?
Hear For You offers confidential telephone and email support to all care home staff. It is provided by experienced staff and counsellors here at St Christopher’s. Think of this as a ‘check in’ service to support your wellbeing. You may want to talk about a difficult moment at work, worries about your family or friends or simply offload for a few minutes. Whatever you need we’ll do our best to support you – your emotional wellbeing is very important to us.
How do I access support?
Simply email us at firstname.lastname@example.org or call us on 020 8768 4688. Let us know which CCG you work in, and where possible the care home you work for. This will remain completely confidential. We will be available between 9am and 5pm, Monday to Friday. If you want to book in a call outside of these times simply email us and we’ll do our best to fit this in for you.
Is this support confidential?
Please rest assured that everything you share will remain confidential unless we have a concern that falls within our safeguarding protocol.
Connect with CARE webinar series
Continuous drug stock balance chart
Controlled drug stock balance chart
Coordinate My Care
Coordinate My Care is an innovative NHS service that builds medical care around the wishes of each patient. You create the plan with your GP: then we share it with all the healthcare professionals who might treat you. So everyone looking after you knows exactly what you want.https://www.coordinatemycare.co.uk/
Coordinate My Care quick reference guide
Quick Reference Guide to CMC Urgent Care Planshttps://coordinatemycare.co.uk/wp-content/uploads/2018/12/cmc-quick-reference-guide.pdf
Coronavirus (COVID-19): looking after people who lack mental capacity
Guidance for health and social care staff who are caring for, or treating, a person who lacks the relevant mental capacity.https://www.gov.uk/government/publications/coronavirus-covid-19-looking-after-people-who-lack-mental-capacity
Coronavirus resource hub
The Royal College of GP’s coronavirus resource hub which includes a palliative care sectionhttps://elearning.rcgp.org.uk/mod/page/view.php?id=10537
Coronavirus: resources for people with a learning disability
Learning Disability Wales guidance resources for Covid-19https://www.ldw.org.uk/project/coronavirus/https://www.ldw.org.uk/project/coronavirus/
Covid-19 Learning Disability Resources
Carers in Southampton, Covid 19 learning disability resourceshttps://www.carersinsouthampton.co.uk/covid-19-learning-disability-resources
COVID-19 rapid guideline: critical care in adults
National Institute for Health and Care Excellence, Covid 19 Guidance on supporting staff who are self-isolating, communicating with patients, remote working and reviewing and stopping critical care treatmenthttps://www.nice.org.uk/guidance/ng159
COVID-19: Guidance for community and inpatient services
Royal College of Psychiatrists, Community and inpatient services – COVID-19 guidance for clinicianshttps://www.rcpsych.ac.uk/about-us/responding-to-covid-19/responding-to-covid-19-guidance-for-clinicians/community-and-inpatient-services-covid-19-guidance-for-clinicians
COVID-19: How to work safely in care homes
COVID-19: Our Action Plan for Adult Social Care
End of Life Care in Frailty
The aim of this guidance is to support clinicians and others in considering the needs of and providing high quality care for frail older people as they move towards the end of their lives.https://www.bgs.org.uk/resources/resource-series/end-of-life-care-in-frailty
End of Life Journal
End of Life Journal was a free, online, peer-reviewed journal that published articles on all aspects of nursing practice relating to end-of-life care.
The journal was primarily aimed at generalist nurses working in hospital, community and care home settings. Many articles will also be of interest to the palliative care nursing audience as well as members of the wider multidisciplinary team.
The journal focused on care for patients with both malignant and non-malignant disease and their family and friends.https://www.stchristophers.org.uk/end-of-life-journal/
Free critical training to help care home staff
Our End of Life Care webinar series launched April 16 and is free to all care homes. In this three-part weekly series, we share our expertise in practices such as Advance Care Planning, Coordinate my Care (myCMC), and Challenging Conversations – covering the important aspects of communications around death and dying during Covid-19.https://www.stchristophers.org.uk/stc_education_event/virtual-learning/
Guidelines when using syringe pump community charts
Alternative video (no introduction):Watch video
HEE guidance: Learning disability
HEE guidance: In light of the COVID-19 pandemic, HEE, Skills for Care and the Department of Health and Social Care have decided to extend the deadline for tenders for trial and evaluation partners for the Oliver McGowan Mandatory Training to 24 April at 18:00. This was communicated on 18 March, to those who had expressed an interest in bidding. The delay of one month extends the time existing bidders have left to submit from 7 to 26 working dayshttps://www.hee.nhs.uk/our-work/learning-disability
Information about PPE
Personal protective equipment (PPE), environmental decontamination, clinical waste and aerosol generating procedures.https://www.england.nhs.uk/coronavirus/primary-care/infection-control/
Information to support education for care homes
Infusion administration record checklist
Leaflets for healthcare professionals
St Christopher’s has produced a range of information leaflets for patients and carers. Healthcare professionals and other organisations may use this material providing St Christopher’s is credited as author. Copyright remains with St Christopher’s Hospice. For further information regarding use of leaflet material, please contact the Communications Manager on tel: 020 8768 4585 or email: email@example.com://www.stchristophers.org.uk/patients/leaflets
Learning Disability Service useful resources
A range of resources and printable materials from Oxford Health NHShttps://www.oxfordhealth.nhs.uk/learning-disability-service/useful-stuff/
Managing acute disturbance in the context of COVID-19
National Association of Psychiatric Intensive Care guidance on supporting patients presenting acute disturbancehttps://napicu.org.uk/wp-content/uploads/2020/03/NAPICU-Guidance_rev1-1.pdf
Medicines A to Z
NHS A to Z list of medicineshttps://www.nhs.uk/medicines/
Mental Capacity Act (MCA) and the COVID-19 crisis
Mental Capacity Assessmenthttps://www.scie.org.uk/care-providers/coronavirus-covid-19/mca
Mindfulness Live Events
Stirling Moorey is a Consultant Psychiatrist in CBT, South London and Maudsley NHS Trust and Visiting Senior Lecturer Institute of Psychiatry, Psychology and Neuroscience. Stirling provides weekly mindfulness sessions. To be included in the notifications for these sessions, please email Stirling on Stirling.Moorey@slam.nhs.uk
NHS Advance Care Planning
This guide is for people who are approaching the end of their life. Some parts of it may also be useful for people who are caring for someone who is dying, or people who want to plan in advance for their own end of life care.https://www.nhs.uk/conditions/end-of-life-care/?tabname=planning-ahead
Nurse Verification of Expected Adult Death
Principles and Practice of Palliative and End of Life Care for Health and Social Care Assistants
Principles and Practice of Palliative and End of Life Care for Registered Nurses, Nursing Associates and Allied Health Professionals
PRN As required – SC Injection chart
Putting on PPE – visual support
YouTube video – Infection prevention control guidance to staff – Donning and DoffingWatch video https://www.youtube.com/watch?v=JEnuKKY04Bc&feature=youtu.be
Re-use of medicines in care homes webinar
Important information: Both the Webinar and Q&A session were presented on 1 June 2021 by Lelly Oboh and Bethan Warner. All content was accurate at the time.
DownloadsRe-use of medicines in care homes webinar presentation (PPT converted to PDF)
Re-use of medicines in care homes webinar Q&A (PDF)
The webinar is presented by Bethan Warner, Integrated Care Pharmacist – Care Homes and Lelly Oboh Consultant Pharmacist, Care of Older People Guy’s & St Thomas’ NHS Foundation Trust.
Bethan Warner Integrated Care Pharmacist
Bethan Warner is Care Home Pharmacy team lead pharmacist for Integrated Care, Guy’s & St Thomas’ NHS Trust.
The team work with nursing homes in Lambeth and Southwark, delivering person-centred medicines reviews for the residents and providing “Care Home centred care” to support the care homes with their medicines processes.
Lelly Oboh Consultant Pharmacist
Lelly Oboh is a Consultant Pharmacist (care of older people) with considerable experience working within general practice, care homes and integrated care teams in the community to optimise medicines use .
Her leadership role involves championing innovative pharmacy service developments, showcasing and driving uptake at local and national levels.
Her areas of interest include patient centred care, deprescribing, frailty, care co-ordination, transfer of care, medicines use in care homes and social care settings.Watch video
Regular and Single Stat Dose – SC and IM – Injections Chart
Saying Goodbye – A Resource for Care Homes
This new resource aims to support you to acknowledge the losses you, your colleagues and the people you support are experiencing during the Covid – 19 Pandemic. We believe Activity and Care teams can play a vital role in coordinating essential activity related to saying goodbye.
Contributors include Sarah Guyan from St Christopher’s Hospice.https://napa-activities.co.uk/wp-content/uploads/2020/10/Saying-Goodbye-A-Resource-for-Care-Homes.pdf
St Christopher’s Library and Bookshop
The Halley Stewart Library at St Christopher’s Hospice comprises an extensive collection of resources, mainly books, journal articles and various types of unpublished printed material, on hospice and specialist palliative care and allied subjects. Various publications, available from the Bookshop and Library, give a full account of the history of this hospice and of its founder Dame Cicely Saunders.
The Bookshop at St Christopher’s comprises a core collection of books and articles on hospice and palliative care. Publications by St Christopher’s staff are also available from the Bookshop.
Supporting patients presenting acute disturbance
Managing acute disturbance in the context of COVID-19https://napicu.org.uk/wp-content/uploads/2020/03/NAPICU-Guidance_rev1-1.pdf
The Age of Inclusion
This guide shares lessons for civil society and public sector organisations on how to design and deliver social action programmes that are more age-inclusive and age-friendly. It outlines some of the tactics and practical approaches that worked well for the innovations NESTA have backed.https://media.nesta.org.uk/documents/The_Age_of_Inclusion_zEtwIhJ.pdf
The Hand Washing Rap
The Hand Washing Rap video made with Purple All Starshttps://vimeo.com/134952598
Verification of death procedure in Covid-19 pandemic
Verification of Expected Adult Death virtual training
St Christopher’s has developed an online version of our Verification of Expected Adult Death course for registered nurses to support the urgent need for expertise in this area during this time.