Case Study: Brain Injury Rehabilitation Centre
The Training Challenge A brain-injury rehabilitation hospital, with a specific focus on short- to medium-term care and support for people with brain injuries, operated a unit specifically for cases with challenging behaviour. The hospital service manager — responsible for care quality and health and safety — engaged Dynamis to provide a comprehensive training programme that […]
Case Study: Foster Carers Training
The Training Challenge A foster agency, contracted to the local authorities in its area, was receiving requests from its foster families to have training in the use of physical interventions. Families wanted clarity on the rules regarding this area and asked us for Foster Carers Training. The fostering agency maintained strong links to the local […]
Care Home Safe Holding: Issues in Managing Distress in Dementia Care
Time and again, caregiving staff in services for older people describe scenarios where they believe fundamental safety and care processes have broken down. Across the many care homes we work with, six concerns surface repeatedly. What Care Home Staff Are Reporting 1. Inadequate pre-admission assessment. The resident’s care needs and previously reported challenging behaviour or […]
Restraint Training: How many people to clean a resisting subject in a bed?
In addition to the issues we have previously identified in regards to residents who combatively resist efforts to assist them with personal hygiene (particularly if they have incontinence without awareness of this), one further example of the risk assessment and manual handling issue is one I often hear: a care home has a resident who […]
Care Home Safe holding: Judge concerned with violent dementia patients
The Globe and Mail is reporting about a judge who has asked for mandatory secure units in care homes which look after people with dementia who present with violent behaviour. Speaking in Canada, the judge said that the number of people who suffer from dementia-related cognitive impairment is rising sharply and that there must be […]
Restraint Training: Managing Distress and using force to clean a resident
Where an older person in care is soiled and needs the attention of care staff to get cleaned up, but resists verbally and physically (sometimes combatively) their efforts to do so, then we believe it is important that every step of the process to manage this scenario is managed in a clear, ordered and auditable way. […]
Care Home Safe Holding: Dementia ward patient found bashed
ABC in Australia is reporting on an inquest that is ongoing in regard to violent attacks by a man in a high-care dementia ward which left one man dead and others in the ward seriously injured and terrified. Charles McCulloch, 94, was found dead in his bed a day after he had moved into a high-care […]
Autistic man prosecuted for assault on care worker: focus on training
In October last year, a female care worker at a Leonard Cheshire home in Penrith was struck five times on the back and shoulder by George Robert Ostle, a 22-year-old autistic resident with epilepsy, diabetes, and other health conditions. As she and a male colleague left the room, Ostle threw a mug of tea in […]
Managing Distressed Behaviours: Personal Hygiene and Bathing
Managing Distressed Behaviours with Older People in Care — Hygiene Tasks Managing Distressed Behaviours, particularly with residents presenting combative resistance to basic personal hygiene care, is an increasingly common scenario in care homes for older people that we visit, in our training team’s experience. Staff should have clear guidance on when and how this scenario […]
Care Home Safe Holding: Fatality when Elderly Man with Violence History Bit Care Home Resident
The Oldham Evening Chronicle reports on an incident where a man with a recent history of serious violence towards care home staff, other residents and his family was admitted to another care home after he had caused the death of a resident. Frederick Adams (93) was bitten on the finger and hit with a shoe […]