Skip to the content

Resources for Care Home Workers

This training series is based on the training programme “Is my Resident Well?” also known as RASD (Recognising and Acting on Signs of Deterioration) produced for care homes across North West London. It is designed for carers to recognise and manage unwell care home residents.

The original guide can be found here.

The training covers 10 assessment areas and 3 sections on how to get help, as well as 2 case studies.

Introduction

Introduction covers the principles of deterioration, end of life trajectories and frailty. 

Breathing

Breathing covers the assessment of a resident’s breathing and cough.

Bowel Habits

Bowel Habits covers the assessment of a resident’s bowel habits including diarrhoea, constipation and using the Bristol Stool Chart.

Hydration

Hydration covers the assessment of a resident’s drinking and urine production and the concept of fluid restriction.

 

Confusion

Confusion covers the assessment of residents with confusion.

 

Pain

Pain covers the assessment of residents who are in pain, both those who can communicate and those who cannot.

 

Wellbeing

Wellbeing covers the assessment of the wellbeing of residents and includes mood, social interaction, and function.

 

Skin

Skin covers the assessment of any red areas of skin and pressure sores.

Sepsis

Sepsis covers the assessment of any resident with an infection that may lead to sepsis. It explains what sepsis is and how it affects the body.

 

Falls

Falls covers the assessment of any resident who has fallen.

 

End of Life Care

End of Life Care covers how to recognise when residents may be at the end of their life.

 

Getting Help 111*6

Getting Help 111*6 covers how to use the designated out of hours GP support for London care homes available by calling 111*6.

 

Getting Help CIS

Getting Help CIS covers how to use the Community Independence Service to get a rapid response for unwell care home residents. The CIS service is available in the boroughs of Hammersmith & Fulham, Kensington & Chelsea and Westminster.

 

Handover SBAR

Handover SBAR  covers a tool that can be used to help staff communicate clearly with other healthcare professionals when they need to ask for help with a resident. SBAR stands for Situation, Background, Assessment and Recommendation.

 

Case 01 Harry

Case 01 Harry gives an example of a resident who becomes unwell and shows you how to use the ‘Is my Resident Well?’ assessment guide in practice.

 

Case 02 Sheila

Case 02 Sheila gives an example of a resident who becomes unwell and shows you how to use the ‘Is my Resident Well?’ assessment guide in practice.