Enhanced Health in Care Homes
What we do
The EHCH team delivers care to permanent residents in CQC-registered homes across South Sefton. The team delivers:
- A comprehensive, holistic assessment - reviewed annually
- Learning disability annual reviews and health action planning/reviews to individuals identified as living with a learning disability.
- Implementation and annual review of personalised care and support plans
- Anticipatory/advanced planning, including:
treatment escalation planning (TEP)
ceilings of treatment (CoT)
decisions about cardiopulmonary resuscitation - Structured medication reviews
- Identification of patients who require addition to a GP's 'Gold Standards Framework' - a system for highlighting those who may, at some stage, require additional support. Such patients are reviewed at the monthly in-practice multi-disciplinary Gold Standards Framework (GSF) meetings.
- Education for homes
- Referral to other services (i.e.: falls prevention teams)
- Home ward round
- Multi-disciplinary team input
- Review +/- reassessment after patients have had a hospital admission
- Review and assessments for any residents home staff may be concerned about
Referrals
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Acute referrals
2-Hour Urgent Community Response (Visiting Service) (GTD)
- Homes can refer any acutely unwell patients (excluding end of life) who do not need an ambulance
- The service offers: Advice, assessment and home visits
- 7 days per week: 8am - 6:30pm
- Remember: Have a full set of observations available for the clinician to triage (see online training section, below)
- Further information is available here
2-Hour Urgent Community Response (Visiting Service) (GTD): 07738837779
2-Hour Urgent Community Response (Merseycare)
Homes must refer all patients with any of the conditions below directly to the 2-hour UCR service, not the usual GP. Referrals can be made by any health or social care staff member where there is/has been any of the following:
- Fall - no SERIOUS injury, fracture or loss of consciousness
- Increased frailty - sudden loss of mobility or independence due to an event, such as infection
- Reduced function or mobility - sudden or gradual change in being able to cope with daily living
- End of life crisis support - where core services are not available to offer symptom control or pain relief
- Urgent equipment provision - equipment needed to support function and to keep the patient safe
- Confusion or delerium - increased or new confusion, including worsening dementia
- Urgent catheter care - blocked catheter or pain from a catheter-related issue
- Urgent diabetes care - when at risk of hospital admission or for a blood sugar measurement concern
Clinical Observations: Undertaking observations can be vital. These include: breathing rate, pulse, peripheral oxygen saturation, blood pressure, temperature and level of alertness. You will find instructions in the 'online training for community and care home staff' section, below.
2-Hour Urgent Community Response (Merseycare) Referral line: 0300 323 0240 and select option 1