HCSUK

  • Are your residents sitting comfortably?

    Correct posture is critical to wellbeing and selecting the right seating option for your residents is a major decision. Good seating can help to prevent and correct the development of poor posture and some of the back and neck health problems associated with it.

    Whilst we can instinctively make changes to our position it becomes more difficult for your residents when their abilities to reposition themselves are reduced by illness or disability. It is essential that your choice of seating for them helps to maintain their comfort and stability, particularly as many of them may be sitting in chairs for long periods of time during the day.

    Utilising the latest frame mechanisms, innovation in pressure management and new fabric technology we are able to offer you quality British crafted chairs that are tailored to be person centred.

    Why is good seating so important for your residents?

    • To improve or accommodate specific postural or healthcare problems
    • To provide improved support and comfort
    • To ease getting in and out of chairs
    • To elevate lower legs when sitting

    You should place emphasis on chairs fitting your residents correctly when deciding upon chair sizing and accessories. Issues around pressure care, moving and handling and infection control issues should also be considered and addressed. The chair should provide long term comfort and adequate lumbar support, ensuring good pressure distribution of body weight and enabling your resident to rise from the chair easily.

    What is good seating?

    • It is designed to ENABLE not DISABLE function
    • It is comfortable, well ventilated and allows your residents to have maximum stability
    • It provides effective pressure relief
    • It is easy to maintain and is durable
    • It is well fitted to encourage good posture, pressure management, care and comfort.

    The achievement of a good sitting position is the result of a number of interrelated factors requiring the chair to be tailored to your residents’ needs in terms of:-

    Correct Seat Height

    Too High - and the seat is difficult to get into and provides no support for the feet. This can lead to deformities (foot) and encourages your residents to slouch to enable them to rest their feet.

    Too Low - and your resident’s body weight is supported on a smaller area which leads to more pressure on the coccyx and buttocks. Your resident’s knees and thighs will lift off the seat surface increasing pressure on a smaller area of the buttocks and bony prominences.

    Correct Seat Width

    Too Wide - and the seat offers no support or stability as the body will lean to one side causing imbalance in pressure. The arm rests will be out of reach and since these are crucial to stability your residents will lean and shift position to fill the space causing unbalanced pressure distribution.

    Too Narrow - and there is an increased risk of pressure to the trochanter area on the outer thigh as well as difficulty getting in and out of the chair.

    Correct Seat Depth

    Too Short - and only a small area of the buttocks is supported giving a smaller area of higher pressure on the buttocks and thighs rather than an evenly distributed area at lower pressure levels, this can lead to pressure damage.

    Too Long - and your residents will need to slouch down to get foot support for stability. This position puts pressure on the heels and sacral area and can inhibit circulation to the lower limbs.

    A pictograph showing how badly fitting chairs can cause residents issues. Diagram showing the problems with badly fitting chairs.

    What measurement are required to achieve a well fitting chair design?:

    In order to ensure a good fitting chair, a full seating assessment is needed including the following measurements:

    Seat Height – floor to top of seat cushion measurement with a thigh to lower leg angle of 90 degrees where possible. Your residents’ feet should ideally be positioned flat on the floor in the type of footwear normally worn when relaxing with a right angle bend at the knees to allow the upper leg to rest fully and flat on the seat cushion. To achieve the ideal chair height, measure your resident’s lower leg length from the floor to approx 1" below the back of the knee joint.

    Seat Depth – the measurement is from the front of the seat cushion to the backrest of the chair. The seat cushion should be deep enough to support the entire length of the upper leg to the back of the knee without the seat cushion putting pressure on the back of the calf. To achieve the ideal chair depth measure your resident’s back from the back of the bottom to back of knee and then deduct 1" from this measurement.

    Seat Width – the internal width of the seat between the armrests. To achieve the ideal chair width measure the widest point of your resident’s hips plus 0.5" to allow for thicker clothing.

    Back Height – the measurement is from the top edge of the seat cushion, located at the back of the seat cushion, to the top of the backrest cushions. Make sure that your resident’s head sits comfortably on the back cushion.

    Arm Height – the measurement is from the top of the seat cushion to the top of the armrest. Your resident’s arms should ideally rest comfortably on the arm rests, with the arms bent at 90 degrees and with the shoulders in a relaxed, level position.

     

    Wine coloured recliner chair The Repose Rimini Recliner in Wine

    Here at Hcsuk we can help you by providing a seating assessment service to help you indentify the right seating solutions for your residents.

     

    What are the essential elements of good seating?

    Dynamic seating has a range of adjustments to tailor the chair to your residents’ physical requirements which enables posture and pressure distribution to be adjusted throughout the day to prevent pressure build up and encourage circulation.

    These include:

    • Tilt-in-space
    • Back angle recline
    • Elevating foot or leg rest
    • Riser facility
    • Vertical riser function

    A correctly fitted seat will assist your residents to achieve:

    • Best achievable posture
    • Pressure relief
    • Functional ability e.g. ease of transfer out of the chair
    • Maximum comfort

    Here at Hcsuk, we are proud to be working in partnership with trusted British manufacturer, Repose Seating Solutions, to bring you a comprehensive range of healthcare chairs designed to provide adaptable and affordable care solutions that give you the options you need to meet the very specific requirements of the people you care for.

    We will work with you to help build your own seating solutions with choices in chair backs, pressure cushions and health grade fabrics; and with the Multi Range, the ability to continue to adapt and change the chair to meet changing care needs or to fit the chair for someone new, providing a sustainable option.

    We have invested in researching specialist healthcare chairs which focus on pressure management and a wide range of individually constructed seat cushions that address a host of specific pressure area care issues. In addition, expertise in recline technology ensures that people who are sat for long periods can easily and comfortably change their position, relieving pressure on bony prominences and the weight on hip and knee joints. Whether you are nursing at home, in a residential home or in a healthcare environment our chairs carefully balance all this functionality with a range of designs to fit any setting.

    How Hcsuk can help you to ensure that your residents are sitting comfortably

    We can:

    • Offer you an extensive new range of beautiful healthcare chairs in stunning fabrics
    • Provide you with a fully bespoke, cost effective chair design service
    • Conduct free individual on site seating assessments

    Helping you to achieve:

    • Improved patient comfort
    • Increased utilisation of seating
    • Reduced lifetime costs on seating

    Give us a call today on 01773 713713 or email sales@hcsuk.co.uk to book in your on site seating assessment.

  • How to create visually appealing, appetising and delicious tasting meals for the people you support with swallowing difficulties.

    We all eat with our eyes first. A plate full of food needs to visually stimulate us first to whet our appetite, to get those taste buds tingling and the saliva flowing. Colours, shapes, delicious aromas and the arrangement of food on a plate all play an important part in our mealtime experience.

    But what if, due to complex health needs, for your own safety, your meals had to be pureed for you, like baby food? How would you feel? How do you think that might affect your appetite?

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  • How to ensure that every mouthful of food stays hot, delicious and enjoyable for the people you support who eat slowly.

    Do you know anyone who enjoys eating food that’s gone cold?

    What would you do if your food was served cold? You would send it back if you were in a restaurant or reheat it if you were at home. If it was really cold you might lose your appetite and give up on the idea of eating it at all.

    What if, due to a physical or cognitive condition, it takes you longer to eat your meals?

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  • Jo is reunited with an old friend ...

    Delighted to be reunited once more with Chas the bear, team mascot for the Care Home Advisory Service in Derbyshire (CHAS) at their recent Create to Innovate Ideathon.

    I first met Chas over a year ago at one of the CHAS’s Going for Gold in Dementia Care events and I’m pleased to say he is still sporting his purple Hcsuk nurse bug!

    Gave me a warm and fluffy feeling :)

    Happy Friday! - Jo

    Jo and Chas getting cuddly. Jo and Chas getting cuddly.
  • Hcsuk Team Members become Disability Confident

    On Wednesday 13th September, Hcsuk team members Jo, Beckie and Phil attended a Disability Confident Course hosted by the Warrington Disability Partnership in conjunction with the British Healthcare Trades Association.

    The course has been designed, by people who themselves have disabilities, to help people working within the care industry, to consider the barriers faced by disabled people, gain a better understanding of the term ‘disability’ and most importantly to increase ‘disability confidence’ and to see a person first, not just their disability.

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  • How ready are you to meet the new CQC Quality Standard – Oral Care in Care Homes?

    On 7th June 2017, NICE Quality Standard 'Oral Care in Care Homes' was published.  It recommends that residents in care homes have their oral health needs assessed on admission and recorded in their personal care plans, and are supported to clean their teeth twice a day and/or their dentures daily.

    The Care Quality Commission (CQC) expects care managers to take account of the nationally recognised guidance, including CQC Guidance from NICE, in essence, CQC want to see care homes prioritizing oral care.  Also, being able to evidence how you support residents to maintain good oral health will help you to demonstrate that your service is both effective and responsive.

    Included in the guide below are the tools to help you make those improvements:

    Improving Oral Health for Adults in Care Homes - A Quick Guide for Care Home Managers in association with NICE and SCIE -  which highlights areas for Care Managers to focus on

    We know that many of you social care managers and your staff out there know what is expected of you when it comes to supporting your residents with oral care, but due to a lack of available training, fit for purpose oral care product solutions, tools and resources, are unaware of the best practices and how to implement these.

    Here at Hcsuk, we really want to help and support you to achieve compliancy, and are therefore really proud and excited to announce that we have teamed up with Jane Peterson, RDH, BSc, Dental and Healthcare Professional and founder of oral health training company Oral Health Matters, to host:

    Our First CPD Accredited Seminar

    ‘How to achieve CQC compliancy in oral care for adults in care homes’

    Wednesday 20th September 2017

    8.30 a.m. - 12.30 p.m.

    at

    Jury’s Inn, East Midlands Airport

    £99 per person

    Including refreshments, networking opportunities, car parking and buffet lunch

    To book this course now, please go to https://hcsuk-oral-health.eventbrite.co.uk

    As well as teaching you best practice in assisting and supporting your residents on oral health matters, these best practices will demonstrate to your stakeholders that you prioritise oral care.

    Who should attend this course?

    This oral care seminar is designed for all staff who are involved in the personal care of residents, senior care staff including care managers, oral champions, learning and development leads and trainers.

    What are the course objectives?

    To raise awareness of the importance of daily mouth care for older people in residential care and to provide practical advice on oral care techniques. Carers will be provided with the knowledge and ability to plan and deliver daily mouth care within residential and nursing care homes.  This course combines the practical and theoretical aspects of our basic and advanced level courses to deliver a complete guide to oral care provision for the elderly in care homes.

    Which topics does the course cover?

    • The mouth and teeth
    • Oral health and the body
    • Daily oral care
    • Denture care
    • Oral care and dementia
    • For highly dependent and medically compromised residents
    • Oral health assessments
    • Mouth Care Policy in accordance with NICE Guidelines and CQC recommendations

    What are the expected learning outcomes for you and your staff?

    On successful completion of this course delegates will be able to:

    • Identify basic dental anatomy and recognise abnormalities
    • Carry out mouth care assessments for residents in care homes
    • Create oral care plans for all residents
    • Outline the potential effects of poor oral health on individual's general health and well-being
    • Provide daily mouth care for all residents
    • Use newly learned oral hygiene techniques
    • Deliver denture care
    • Acknowledge coping strategies for residents with challenging behaviour towards mouth care
    • Provide daily mouth care for highly dependent and medically compromised residents including:
      • Dementia
      • Nil by mouth
      • Palliative care

    Meet Jane, our trainer for the day

     

     

     

     

    Jane Peterson RDH, BSc

    Jane has completed a Bachelor of Science degree in Oral Health Promotion, which highlighted to her the need for Oral Health Promotion in Care Homes and enabled Jane to reflect on oral health status and develop preventive strategies for care staff and the elderly in care homes. Jane carries out oral healthcare visits in a number of care homes and because of her experience she understands the challenges some residents pose with daily oral care. Jane currently works in General Practice 1 day a week, the rest of her time is dedicated to teaching and speaking at group meetings and seminars nationally to Dental and Healthcare Professionals.

    We have limited spaces available and we are expecting a high level of demand for this event so we recommend that you book your places today to avoid disappointment!

    So here’s that link again: https://hcsuk-oral-health.eventbrite.co.uk

    We look forward to sharing our knowledge with you on the day.

  • Nottingham Evening Post Awards Video!

    We know a lot of you won't have been able to attend the awards ceremony last week so we took a video of Jo presenting the Special Recognition Award.

  • Rummage and Reconnect

    Are you looking for a way to connect with a loved one? Our Themed Memory Baskets or Boxes are ideal to help people reminisce, prompt memory, encourage activity for well-being and share special moments with the person you care for. There are several themes to chose from ranging from the seaside and baking to gardening and the 1950s which we've chosen to show here, plus more.

     

    People with dementia can often remember the distant past more easily than recent events. The rummage box is a means of tapping into memories from the past and helps people with dementia feel empowered and secure in familiarity. It is about reminiscence.
    When a person has dementia they begin to lose their short term memory and memories. They can forget about things that have happened in the last few days, months or years. They may even have forgotten what occurred earlier in the day.

    However, people with dementia can retain their long term memories and find comfort in discussing things from their past. Particularly things they enjoyed like past interests, hobbies or even their past employment. The rummage box can be used as an activity, as a distraction, and therapeutically as a reminiscence tool.

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  • Focus on Food

    This week we're talking about Nutrition and Hydration and we like to put our money where our mouth is (pardon the pun), so last week, Chief HCSUK Elf, Jo, was talking about this very topic in a workshop at Leicester General Hospital. Here she is leading the workshop with registered nurses and managers of Leicester Care Homes.

    Remember to reserve  your Dignified Dining Brochure on sales@hscuk.co.uk

    This afternoon we will be the Nottingham Post Carer of the Year Awards so stick around the Facebook page for exciting updates and pop back here tomorrow for the round up the event!

  • 28 Years in Business

    Last Friday was our 28th anniversary and the Elves surprised Jo with a card to mark the occasion. Here's what she thought about it.

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