Wessex PSC is working to implement a standardised common language for managing deterioration across all healthcare settings including the Domiciliary Care Sector.
Early signs of physical “unwellness” can be recognised intuitively by physical healthcare practitioners as evidenced by staff saying “I know something is wrong, I just don’t know what”. Even people without training, but who are familiar with someone’s usual behaviour and habits, can often sense a problem resulting in them reporting that the relative, resident or child in their care “just isn’t themselves”.
Support to Domiciliary Care Providers across Wessex from Wessex PSC
RESTORE2TMmini encourages Carers to look out for, and respond to, 'Soft Signs' of Deterioration in their clients. Using a simple question 'How are you today?' the card includes a series of prompts to support staff to consider possible 'soft signs' of deterioration.
Possible triggers include breathing difficulties; changes in appetite, mobility, consciousness or confusional state; bowel or urinary tract problems.
Carers can then raise the alert and communicate their concerns using the SBARD communication process.
Carers working in domiciliary care settings and family carers supporting someone in their own home, can access a number of tools including RESTORE2 and Soft Signs from the AHSN network to help recognise physical deterioration and take the appropriate actions.
SBARD Communication Tool (Wessex PSC version)
SBAR is an easy to use, structured form of communication that enables information to be transferred accurately between individuals.
SBARD is not copyrighted and Wessex PSC have developed an open version in Word format to assist Carers wanting either a generic form or a template that they can customise for local use.
The generic SBARD Communication Tool can be downloaded from the Resources Zone on the right hand side of this webpage.
Links to NHS resources
If you have any questions about the Wessex Patient Safety Collaborative's Deterioration workstream or any other aspects of the Wessex PSC, please contact us via the link