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Contacts

Contact:

Theresia Mapfumo

East Ham Care Centre

Organisation:

Forest Gate

London E7 8QP United Kingdom

Tel:

0208 475 2117

Email:

Case study:

11 May 2010

Implementing the Preferred Place of Care in Daken House Care Home (nursing)


Key points

  • Newham PCT is introducing the Preferred Place of Care tool in care homes to support residents to remain in their place of choice and reduce hospital admissions and ambulance call-outs
  • Cultural differences between staff and residents proved an initial barrier to implementation but these were acknowledged and have been successfully overcome

A team of three nurses working for Newham PCT is helping to introduce the Preferred Place of Care tool in care homes within the borough to allow residents to remain where they wish and so reduce hospital admissions and ambulance call-outs.

The PPC tool has now been fully implemented in one home, Daken House Care Home (nursing).

It was chosen because many residents have in the past indicated their desire to die in their place of care.

Families and residents value the tool and have expressed their satisfaction with how it is working.

Introducing the tool has not been easy because everyone’s time is so pressured. Engaging staff and raising awareness about palliative care has also proved difficult at times.

Newham is also a diverse borough and there were cultural differences between staff – mainly from ethnic minorities – and client groups, most of whom were white.

Staff needed to ensure their own emotions and experiences did not interfere with clients’ needs and preferences.

But the tool has proved to be successful.

It has been helped by good working relationships with GPs who have been very supportive.

Newham’s Care Homes (Nursing) Project is now developing a database of all clients using the PPC.

It also plans to roll out a local end of life care pathway for all care homes in Newham.


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