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Falls Prevention Team, Bradford District Care NHS Foundation Trust

Our Falls Prevention Team runs an evidence based 16 week falls prevention exercise and education programme for individuals who have fallen or who have been identified as being at risk of falling. This programme is aimed at improving strength and balance and providing service users with falls risk reducing advice all aiming to prevent future falls. The sessions run for an hour and service users are offered one session per week over a 16 week period. We also offer a home exercise programme where appropriate.

Updated:
9 January 2018
Location:
Yorkshire and Humber
Local Alliances:
Bradford District Dementia Action Alliance, Yorkshire & Humber Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

 Throughout the 16 week course, our primary aim is to improve people’s strength and balance in order to prevent a fall through the delivery of a structured and evidence based exercise programme. We also aim to improve people’s confidence and work to reduce their anxieties around falling. Service user’s start the programme together and finish together and form friendships with each other throughout their journey. Most people comment on how they never used to go out and it has given them that confidence to start socialising again. People with dementia have a higher risk of falling and we recognise this as part of our falls assessment pathway. We assess all our service user’s prior to attending class regarding their suitability both physically and cognitively. If attending the sessions, it is required that service users are able to follow instructions to ensure the exercises can be delivered safely and effectively. However, we do ensure that we spend more time explaining clearly and repeating as needed if a service user has dementia. Two staff run the sessions to ensure one-to-one direction can be given as necessary.      

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

Obviously, it requires extra time and staff to be able to fully support individuals that attend class with dementia. Sometimes we have a member of staff working one- to-one if assessed as necessary for a person with dementia. Also, a suitable environment needs to be provided to minimise any confusion or disorientation for the individual who is in unfamiliar surroundings. It may be that an individual with dementia becomes distressed whilst performing the exercises or struggles to understand the directions and instructions.

Member contacts

Rachel Morris, Falls Prevention Nurse

Eccleshill Clinic, Rillington Mead, Bradford BD10 0EA

07701288058

Rachel.morris@bdct.nhs.uk

 

 

 

Member website

http://www.bdct.nhs.uk/services/falls-prevention-team

2. Actions

  • All staff within the falls prevention team to have a good understanding or dementia.

    All our staff have now received dementia friends awareness training.

    -This will also be essential for any new starters within the team for a basic understanding of dementia but also a greater awareness of the different types of dementia and what our service can do support our service users and families affected.

    - For our service to be effective, staff need to ensure they communicate clearly and effectively and repeat any instructions or descriptions as necessary.

    -All staff must display patience, empathy and kindness promoting dignity and respect to ensure all service users feel comfortable and motivated to attend.

    - We need to ensure there are enough staff at each session to ensure one-to-one care can be delivered as necessary for additional support if somebody has dementia.

    Status:

    2017 - Fourth Quarter Update

    New member

  • Design and develop a notice board with relevant information for service users

    Develop a notice board with team information clearly displayed to be put out in the community room we use

    -       Photographs of team members to be displayed with names and job roles

    -       Any other information relevant to our service to be displayed. 

    -       To seek feedback from service users around our service and any other information they feel they would benefit from.

    -       Ensure all service users have our contact details and know how and when to contact the team. If suitable, these should also be given to a family member.

    Status:

    2017 - Fourth Quarter Update

    New Member

  • All staff within the falls prevention team to have a good understanding or dementia

    All our staff have now received dementia friends awareness training.

    -This will also be essential for any new starters within the team for a basic understanding of dementia but also a greater awareness of the different types of dementia and what our service can do support our service users and families affected.

    - For our service to be effective, staff need to ensure they communicate clearly and effectively and repeat any instructions or descriptions as necessary.

    -All staff must display patience, empathy and kindness promoting dignity and respect to ensure all service users feel comfortable and motivated to attend.

    - We need to ensure there are enough staff at each session to ensure one-to-one care can be delivered as necessary for additional support if somebody has dementia.

    Status:
  • Provide a safe environment for the service users to exercise in

    - To ensure a safe environment is maintained at all times whilst service users are in our care.
    - Exercise classes now run at a local fire station which is easily accessible by car/patient transport.
    - Maintain disabled access, ensure community room is free from clutter or any tripping hazards.
    - Use bright coloured chairs for exercise purposes to ensure clear contrast with the walls and floor.
    - Ensure toilets are pointed out at each visit to the venue and signs to direct also.
    - Ensure exits and toilets are clearly marked.
    - Provide refreshments and ask for preferences for tea/coffee at each visit to the venue.
    - Ensure service users are encouraged to leave the room with a member of staff to a quieter area if they begin to feel anxious.

    Status:
  • Design and develop a notice board with relevant information for service users

    - Develop a notice board with team information clearly displayed to be put out in the community room we use
    - Photographs of team members to be displayed with names and job roles
    - Any other information relevant to our service to be displayed.
    - To seek feedback from service users around our service and any other information they feel they would benefit from.
    - Ensure all service users have our contact details and know how and when to contact the team. If suitable, these should also be given to a family member.


     

    Status: