Oral Health Care Oral Health Care Training & Toolkit Training & Toolkit Managing oral care for the Managing oral care for the frail and elderly in frail and elderly in residential homes residential homes Sarah Peckham – OHP Co-ordinator Sarah Peckham – OHP Co-ordinator Jeni Malpass – Oral Health Jeni Malpass – Oral Health Educator Educator Solent NHS Trust Dental Service Solent NHS Trust Dental Service
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Oral Health Care Training & Toolkit Managing oral care for the frail and elderly in residential homes Sarah Peckham – OHP Co-ordinator Jeni Malpass – Oral.
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Oral Health Care Oral Health Care Training & ToolkitTraining & Toolkit
Managing oral care for the frail and Managing oral care for the frail and elderly in residential homeselderly in residential homes
Sarah Peckham – OHP Co-ordinatorSarah Peckham – OHP Co-ordinator
Jeni Malpass – Oral Health EducatorJeni Malpass – Oral Health EducatorSolent NHS Trust Dental ServiceSolent NHS Trust Dental Service
Dental Screening for elderly residentsDental Screening for elderly residents
Oral Health Promotion Input to StaffOral Health Promotion Input to Staff
Assist care homes with OH Care PlansAssist care homes with OH Care Plans
Why develop the Training & Toolkit ?Why develop the Training & Toolkit ?
Many of us have been in to a residential care home and given “The Talk”
Advantages
Raises awareness of oral diseases/conditions
Motivates the care home staff (if only for a short while)
Disadvantages
Difficult to measure outcomes
Practically impossible to evaluate
Improvements in carers’ oral health but not necessarily for residents
What the “new approach” aims to achieve:
Carers able to:
Demonstrate the use of an oral health assessment tool
Use the tool to identify the individual needs of residents
Develop and document individual oral health care plans
Demonstrate that they can provide the appropriate oral care for clients requiring assistance/support
Provide evidence to meet CQC Outcomes
Care Quality CommissionCare Quality Commission
Health & Social care Act 2008 (Regulated Activities) Health & Social care Act 2008 (Regulated Activities) defines personal care as:defines personal care as:
(a)(a) Physical assistance given to a person in connection Physical assistance given to a person in connection with……(v) oral care.with……(v) oral care.
(b)(b) The prompting, together with supervision, of a person, The prompting, together with supervision, of a person, in relation to the performance of any of the activities in relation to the performance of any of the activities listed in paragraph (a).listed in paragraph (a).
What What wewe can do for can do for themthem – meeting – meeting outcomes:outcomes:Outcome 2:Outcome 2: Consent to care and treatmentConsent to care and treatment
Each resident, or an appropriate person acting on their behalf, has Each resident, or an appropriate person acting on their behalf, has to give valid consent for the dental screeningto give valid consent for the dental screening
The care home can provide evidence of this to help meet this The care home can provide evidence of this to help meet this outcomeoutcome
If any dental treatment was required after the screening, valid If any dental treatment was required after the screening, valid consent would be sought again, providing the care home with consent would be sought again, providing the care home with another opportunity to collate evidenceanother opportunity to collate evidence
What we can do for them – meeting What we can do for them – meeting outcomes:outcomes:Outcome 4:Outcome 4: Care and welfare of people who use the serviceCare and welfare of people who use the service
Staff are trained to devise individualised Oral Health Care Plans for Staff are trained to devise individualised Oral Health Care Plans for their residents their residents
This provides evidence for the CQC that residents’ individual needs This provides evidence for the CQC that residents’ individual needs and abilities have been taken into account and abilities have been taken into account
Oral Health Care Plans are based on published research evidence Oral Health Care Plans are based on published research evidence
What we can do for them – meeting What we can do for them – meeting outcomes:outcomes:Outcome 14:Outcome 14: Supporting workersSupporting workers
Staff who complete the Oral Health Care Training are given a Staff who complete the Oral Health Care Training are given a certificatecertificate
This enable care homes to provide the CQC with evidence that staff This enable care homes to provide the CQC with evidence that staff have skills relevant to the taskhave skills relevant to the task
Provides evidence that carers are keeping skills up to date in order Provides evidence that carers are keeping skills up to date in order to continue to carry out their role effectivelyto continue to carry out their role effectively
What we can do for them – meeting What we can do for them – meeting outcomes:outcomes:Outcome 6:Outcome 6: Co-operating with other providersCo-operating with other providers
Supporting residents to access other health and social care servicesSupporting residents to access other health and social care services
- allowing dental staff into the care home and facilitating care at - allowing dental staff into the care home and facilitating care at local clinics when appropriate local clinics when appropriate
The care home can provide evidence that any information that The care home can provide evidence that any information that needs to be shared (e.g. medical history and DOB) is done so in a needs to be shared (e.g. medical history and DOB) is done so in a confidential manner confidential manner
Oral Health Care ToolkitOral Health Care Toolkit
The Toolkit contains:The Toolkit contains:
• IntroductionIntroduction
• Assistance for meeting CQC outcomesAssistance for meeting CQC outcomes
•Staff’s role in supporting residentsStaff’s role in supporting residents
•Introduction to oral health assessments and care plansIntroduction to oral health assessments and care plans
•Communication tipsCommunication tips
•Routine and planningRoutine and planning
•Oral care productsOral care products
•Referral guideReferral guide
•ResourcesResources
The Training :The Training :
• Background knowledge to dental Background knowledge to dental diseasesdiseases
• Choosing appropriate oral health care Choosing appropriate oral health care productsproducts