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.

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Customer Testimonials

“We’ve built a strong working relationship with Hcsuk over many years, having used them to source, install and service our medical training equipment. We have always found the team very professional, helpful, and well-organised. We’d like to give a particular shout out to Phil, the technician / engineer who has been the consistent friendly face visiting our business to inspect and test our mobility hoists every 6 months. Thank you for all your support and advice.”

P. B. (Care Manager), Blue Bird Care Ltd

You are part of a great company, if we can help you grow by contracting you out to our sites its good for you, but it’s great for us because your service is fantastic, very efficient, everyone within Hcsuk is super helpful in answering queries and every time we’ve had an issue, Hcsuk has always been there to solve the problem almost immediately, which is fantastic.

Leicestershire County Council

Truly exceptional levels of customer service, the best I have experienced for many years. Very helpful staff made follow up calls to ask how the equipment was performing and supplied extra user instructions to supplement the manufacturers manual. I would not hesitate to order from this company again.

Savills Estate Agents

We would just like to pass on our thanks for all of your help with our orders and would be pleased if you would also pass on our thanks to the manufacturers for being so accommodating in meeting our requirements. We have found everyone very helpful.

Lincs Partnership NHS Foundation Trust

Since I set up the account for Hcsuk over 18 months ago I have found them to be an excellent advocate of our products. They have been willing to learn about the technical and servicing elements to our hoists and the sales staff have really taken on board and proactively promoted our range where possible. I feel that as a company Hcsuk have got the desire and right people in place for growing in this competitive industry. They seem to push themselves to go that little bit further and offer that little bit more to stand out from the rest. May our relationship continue going from strength to strength.

Joerns Healthcare

As a care home manager I have used Hcsuk for my supplies for the last 20 years in two homes. I have always found them to be helpful and reliable. Their products are of the highest standards, they are able to source anything. The delivery service is prompt and regular so I do not have to keep large amounts of stock. They supply extra services such as servicing and repairs which are done efficiently, and training in COSHH. The reps are pleasant and helpful bringing new products to my attention but are never ”pushy”. Aftercare is good, any problems soon sorted. I would recommend them highly and would not think of using anyone else.

Littleover Nursing Home

HPC have supplied Hcsuk (Health Care Services Ltd) for well over a decade now and we would consider them to be a high quality and professional business run in an organised and progressive manor. We do not rank our customers or have a preferred customer status but if we were to introduce such a scheme I can confirm that Hcsuk would easily make such a grade.

HPC Healthline

As a manufacturer we look for key values in a distributor some of these include honesty, reliability, commitment and reputation. Hcsuk carry all of these and many more. With a twenty plus year working relationship we now place Jo and the team at the top of our distributor list. I have no hesitation in recommending Hcsuk to any prospective manufacturer or customer and wish Jo and the team all the best for the future.

Cleenol Group Ltd

It is brilliant that we are able to ring Health Care Services and that you will go the extra mile to get us the stock we need as soon as possible.

Rykneld View Nursing Home

Just to say a huge thankyou to you and your fantastic team, and I mean that from the Heart. I have never before experienced such a person centred company.

Hampton Grange Nursing Home

What I like about working with Health Care Services is the relationship we have built up and the personal service. The homes report that you always deliver on time, the quality is consistantly good and the prices competitive. Your team members are always willing to go that extra mile for us and if ever we have an issue there is always someone there to save the day.

Eastgate Care

VAT Relief Information

Conditions for VAT relief for disabled people

Some of the products which can be purchased from the Hcsuk website are available for an eligible person to purchase without paying VAT on them. HM Revenue and Customs sets out the conditions when equipment for disabled people might be free of VAT and how to claim exemption from paying VAT on these products.

Products a can only be exempt from VAT when all the following conditions are met:

  1. The customer is eligible to purchase supplies at the zero rate
  2. The goods are for the personal or domestic use of the customer
  3. The goods and services are eligible to be supplied at the zero rate

A more detailed explanation of each of these conditions is given below, but you should visit the HM Revenue and Customs Website to fully understand the conditions

The product must be being purchased for someone who is chronically ill or disabled.

A person is ‘chronically sick or disabled’ if he/she is a person:

It does not include a frail elderly person who is otherwise able-bodied or any person who is only temporarily disabled or incapacitated, such as with a broken limb.

‘personal or domestic’ use means that the supply must be made available specifically for the use of an eligible individual.

You don’t have to physically buy the goods in person. If your parent, guardian or wife or husband buys the goods and services for you, then you won’t be charged VAT.

What counts as personal or domestic use?

Personal or domestic use means that the goods or services are supplied for your own private use, rather than for business purposes. Also, the goods or services must be just for your own use – not for use by anyone else, or chronically sick or disabled people in general. However, if you and your partner are both chronically sick or disabled and you buy goods or services for both of you to use, then you won’t have to pay VAT.

Products which are offered for sale on this website which qualify for VAT relief to be claimed for an eligible person.

The products which can be bought without paying VAT are:

Only the products on our site carrying the VAT exemption price (the smaller price marked ex VAT) are eligible to be purchased this way and you must tick the box on the basket page indicating that you wish to claim VAT exemption on the items in your basket that are eligible for VAT relief.

How to claim

On the my basket page of this website a link to the online declaration form is provided if the basket contains a product that qualifies for VAT relief. You must tick the box to state you wish to claim VAT relief on the eligible product and complete in full the reason by which you are ‘chronically sick or disabled’ and name and address of the claimant. If possible the person making the claim should complete this form, but a family member, carer or medical professional may complete the form on the claimants behalf. To submit the claim and receive the VAT relief, click the ‘Submit VAT Relief Claim’ button before proceeding to the checkout.

Please note that all orders submitted with a VAT relief claim form completed are checked before the order is processed.

It is necessary to complete a separate claim form each time a qualifying product is purchased from Hcsuk.

 

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