Implementation of the ACTiON FALLS prevention programme (formally GtACH) into UK care homes
Falls prevention in care homes
The ACTiON FALLS Collaborative Events will take the form of workshops and include: • Activities to encourage feedback on the use of the ACTiON FALLS programme • Networking time for discussion between staff from different • Training provided by NHS staff and researchers • Collaborative engagement between care home staff, researchers, clinicians and policy makers together to develop implementation tools and techniques. • Agreed actions for adaptations to the use of the ACTiON FALLS Programme to be taken forward by care home staff and research teams. Feedback from ACTiON FALLS Collaborations (AFC) will inform the quality improvement cycle and help us to understand the barriers and facilitators to using the ACTiON FALLS Programme in day-to-day care within care homes. Therefore, the ACTiON FALLS programme will be used within the participating care homes and adapted to assist with it's use in real time. Local NHS Falls Leads will be trained and deliver training to care home staff in the use of the ACTiON FALLS programme. Data will be collected via: • Observation and field notes made by researchers from AFC meetings. • Interviews and focus groups of Care home staff in the homes which will take place within their workplace (care home), via VOIP e.g. Microsoft Teams or at the AFC events. • NOMAD questionnaires completed by care home staff either electronically or via paper copies of the questionnaire sent to care homes. The data from each of the four sites will be brought together to compare and contrast findings and to produce the final tool kit. Participating care homes and staff will be enrolled in the study for 12 months. Within this time participating care home staff will be: • Asked to take part in ACTiON FALLS training provided by the NHS falls leads within the care home, or remotely via VOIP e.g. Microsoft Teams. • Encouraged to use the ACTiON FALLS programme within their day-to-day work with residents within the care home. • Invited to up to three AFC events whi
Care Home inclusion criteria: 1. Long stay with old age and or dementia registration 2. Routinely record falls in resident personal records and on incident sheets Care Home staff inclusion criteria: 3. Employed by a Care Home participating in FinCH Imp study 4. Employed in a caring role Falls Leads inclusion criteria: 5. Participated in ACTiON FALLS trainer training 6. Provided ACTiON FALLS training in at least one participating care home
Care Home exclusion criteria: 1. Homes exclusively providing care for those with learning difficulties or substance dependency 2. Homes with contracts under suspension with health or social providers, or that are currently subject to safeguarding investigations Care Home staff exclusion criteria: 3. Not employed directly by the care home e.g., agency worker or student Falls lead exclusion criteria: 4. None, provided inclusion criteria are met