#WeCareHomes - Thursday 25th March 2021 8pm (GMT Standard Time)
QI in Care Homes
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Chat Details
Hosted by WeNurses using #WeCareHomes
This chat is guest hosted by @louisebrady17 @nchadborn
Excellent practice already exists in many care home settings, together with a wide breath of MDT input confirming the systems overarching and on-going commitment to quality improvement. However, as yet there is no systematic and care sector-wide approach to quality improvement, within UK Care Homes. Quality Cycles, are used in comparable settings such as healthcare, and clinical audit is well understood and utilised in care planning and as part of a complex regularly framework. We want to find out from care homes in partnership with the MDT, what does quality improvement mean to you?
To read Louise Brady's (Clinical Practice and Development) & Susan Barnes's (Registered Manager at Mais House) blog post ‘Ground Control to Major Tom’ - Quality Improvement and Innovation in care exploring quality improvement in care homes CLICK HERE
Questions
1/‘Quality Improvement’ can mean different things to different people. How do we define quality improvement?
2/ What comes to mind when we think about QI in a care home setting?
3/ How do care homes work and communicate with the wider health and care team to capture, measure document and showcase QI?
4/ How do care staff create quality improvement partnerships with their residents and families and communities?
5/ What examples of quality improvement initiatives can our community share?
6/ A care home quality improvement framework is in development to support teams across the care sector, what would you like to see included in this framework?
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#WeCareHomes transcript
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@WeNurses
25 March 2021 20:01
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Hi everyone - welcome to tonights #WeCareHomes tweetchat Tonights topic is "Quality improvement in care homes" - thanks to guests @louisebrady17 & @nchadborn for suggesting and developing this tweetchat https://t.co/wCqPWnz45C |
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@WeNurses
25 March 2021 20:01
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@BarbaraALawson @nchadborn @louisebrady17 @PeetAnita @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BunterDawn @BSGcarehomes Hello Barbara #wecarehomes |
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@kilgore_cliff
25 March 2021 20:02
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RT @WeNurses: Hi everyone - welcome to tonights #WeCareHomes tweetchat Tonights topic is "Quality improvement in care homes" - thanks to… |
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@WeNurses
25 March 2021 20:03
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@BunterDawn @BarbaraALawson @nchadborn @louisebrady17 @PeetAnita @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BSGcarehomes Evening Dawn.. don't forget to add #wecarehomes so we can see your tweets. |
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@nchadborn
25 March 2021 20:03
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@WeNurses @louisebrady17 Hello everyone! I'm a researcher at University of Nottingham, and I've been studying #carehomes & #dementia for several years, with @adamgordon1978 & others #wecarehomes |
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@AgencyNurse
25 March 2021 20:03
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Hi Louise great to have you leading the tweetchat this evening #WeCareHomes https://twitter.com/WeNurses/status/1375176031561203715 |
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@WeAreTendable
25 March 2021 20:03
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Good evening everyone from the social team at Perfect Ward delighted to be talking part in our first TwitterChat #WeCareHomes #DigitalTech #QualityImprovement @nchadborn https://t.co/ww67TJCfOh |
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@BunterDawn
25 March 2021 20:03
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@WeNurses @BarbaraALawson @nchadborn @louisebrady17 @PeetAnita @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BSGcarehomes Sorry! New to TweetChat! Think ive figured it out #wecarehomes |
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@AgencyNurse
25 March 2021 20:04
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@BunterDawn @WeNurses @BarbaraALawson @nchadborn @louisebrady17 @PeetAnita @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BSGcarehomes 10/10 so far ... welcome :D #wecarehomes |
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@kilgore_cliff
25 March 2021 20:04
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RT @AgencyNurse: Hi Louise great to have you leading the tweetchat this evening #WeCareHomes |
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@PeetAnita
25 March 2021 20:04
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@BunterDawn @BarbaraALawson @WeNurses @nchadborn @louisebrady17 @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BSGcarehomes #wecarehomes not sure how to do this ... |
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@nchadborn
25 March 2021 20:04
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@BunterDawn @WeNurses @BarbaraALawson @louisebrady17 @PeetAnita @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BSGcarehomes It's fairly straightforward if you can remember to add hashtag #wecarehomes (although this is a #wenurses tweetchat...) |
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@WeNurses
25 March 2021 20:05
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QUESTION 1 ‘Quality Improvement’ can mean different things to different people. How do we define quality improvement? #WeCareHomes https://t.co/sfvPU8yxhf |
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@PeetAnita
25 March 2021 20:05
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@WeNurses @BunterDawn @BarbaraALawson @nchadborn @louisebrady17 @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BSGcarehomes #wecarehomes ?? |
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@JadaAbrams6
25 March 2021 20:05
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Hi Everyone!! #WeCareHomes https://twitter.com/agencynurse/status/1375176502438944775 |
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@nchadborn
25 March 2021 20:07
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@WeNurses I think #QualityImprovement can mean different things in hospital compared to community settings eg #carehomes & #primarycare - eg it might not be so easy to get everyone together round a table to discuss problems #wecarehomes |
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@PeetAnita
25 March 2021 20:07
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#wecarehomes do we need a national development programme for nurses working in nursing homes? |
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@BarbaraALawson
25 March 2021 20:07
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@WeNurses #WeCareHomes |
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@Brunelcare
25 March 2021 20:07
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Hello - we are really interested in tonights #WeCareHomes tweetchat - Quality Improvement is something we are passionate about ... our Brunelcare Excellence in Nursing Programme aims to support #BrunelcareNurses in leading quality improvement > https://www.brunelcare.org.uk/news/excellence-in-nursing-programme/ |
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@JadaAbrams6
25 March 2021 20:08
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Quality Improvement can be defined as constant evaluation of a service to ensure that it at the highest standard possible #WeCareHomes https://twitter.com/wenurses/status/1375176956946309124 |
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@kilgore_cliff
25 March 2021 20:08
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Quality improvement to me is about looking at what we do and seeing how we can make it better #WeCareHomes |
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@WeCommNurses
25 March 2021 20:08
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Does your nursing involve supporting patients and colleagues in care homes? @wenurses are tweeting about Quality Improvement in Care Homes this evening via #WeCareHomes NOW Do jump in and share ideas and experiences :) Everybody welcome... everyone (that's you) adds value :) https://t.co/h1gFTsDm0j |
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@naojane18_PT
25 March 2021 20:08
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@WeNurses #Wecarehomes working together for improvement |
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@kilgore_cliff
25 March 2021 20:08
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RT @PeetAnita: #wecarehomes do we need a national development programme for nurses working in nursing homes? |
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@WeNurses
25 March 2021 20:08
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@nchadborn Great thoughts Neil.. Our residents families & carers should be at the heart of all QI initiatives #wecarehomes do others think? |
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@MrsBosanquet
25 March 2021 20:08
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RT @WeNurses: QI in Care Homes with @louisebrady17 and @nchadborn A #WeCareHomes tweetchat starting in 30 minutes time Background read… |
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@AgencyNurse
25 March 2021 20:08
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So pleased to be supporting this programme - the nurses involved are simply amazing #BrunelcareNurses #wecarehomes https://twitter.com/Brunelcare/status/1375177576008855562 |
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@nchadborn
25 March 2021 20:08
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@WeNurses Also hospitals can have their own #QualityImprovement teams ie resources! How many #carehomes - maybe larger companies? - have QI teams? #wecarehomes |
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@louisebrady17
25 March 2021 20:09
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RT @WeNurses: @nchadborn Great thoughts Neil.. Our residents families & carers should be at the heart of all QI initiatives #wecarehomes… |
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@WeGPNs
25 March 2021 20:09
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Tweetchat happening right NOW with @wenurses on QI in Care Homes... If it's of relevance or interest to you... hop on via #WeCareHomes https://t.co/Hjte7adoyM |
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@millar1927
25 March 2021 20:10
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@nchadborn @WeNurses I think it is also important to consider who sets the measure of quality. Eg what is quality to different groups re care homes. Different for residents, families, staff, healthcare professionals. #wecarehomes |
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@naojane18_PT
25 March 2021 20:10
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@WeNurses @nchadborn #wecarehomes yes, because they are ones living it, cannot be forcing change on anyone |
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@PeetAnita
25 March 2021 20:10
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@janeeedouglas @WeNurses @BunterDawn @BarbaraALawson @nchadborn @louisebrady17 @CoxonGeorge @dtbarron @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BSGcarehomes Hi good to chat #wecarehomes |
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@JillAnneWill
25 March 2021 20:10
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@WeNurses #WeCareHomes a few definition and models but moving practice forward for better outcomes and experiences of those working, living in and visiting care homes |
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@nchadborn
25 March 2021 20:10
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@PeetAnita That sounds like a good idea (better than a round of applause...) What resources are available at the moment for development? #wecarehomes |
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@BarbaraALawson
25 March 2021 20:10
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@WeNurses @nchadborn #WeCareHomes yes it should involve all types of people. I also agree with it meaning something different to different people and also maybe depends on what level you are starting to make the improvements from |
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@nchadborn
25 March 2021 20:10
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RT @Brunelcare: Hello - we are really interested in tonights #WeCareHomes tweetchat - Quality Improvement is something we are passionate a… |
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@WeNurses
25 March 2021 20:10
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?? Good points. Can this feel a daunting prospect? #wecarehomes https://twitter.com/nchadborn/status/1375177901881110530 |
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@AgencyNurse
25 March 2021 20:10
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I think it should be what it says on the tin .. improving quality of care ... i also think that we need to ensure that nurses are empowered to lead this and it should be in partnership with the people we care for #wecarehomes https://twitter.com/WeNurses/status/1375176956946309124 |
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@WeNurses
25 March 2021 20:10
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RT @BarbaraALawson: @WeNurses @nchadborn #WeCareHomes yes it should involve all types of people. I also agree with it meaning something dif… |
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@nchadborn
25 March 2021 20:10
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RT @kilgore_cliff: Quality improvement to me is about looking at what we do and seeing how we can make it better #WeCareHomes |
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@LynneBowers2
25 March 2021 20:10
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@WeNurses #WeCareHomes Yes! It needs to be centrally funded, led and delivered by the sector for the sector and recognising all levels of all age specialties to Consultant ( or sector appropriate Principal) level. https://twitter.com/peetanita/status/1375177517187932169 |
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@WeNurses
25 March 2021 20:10
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RT @JillAnneWill: @WeNurses #WeCareHomes a few definition and models but moving practice forward for better outcomes and experiences of tho… |
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@kilgore_cliff
25 March 2021 20:10
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RT @naojane18_PT: @WeNurses #Wecarehomes working together for improvement |
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@nchadborn
25 March 2021 20:11
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RT @naojane18_PT: @WeNurses #Wecarehomes working together for improvement |
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@WeNurses
25 March 2021 20:11
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RT @naojane18_PT: @WeNurses @nchadborn #wecarehomes yes, because they are ones living it, cannot be forcing change on anyone |
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@kilgore_cliff
25 March 2021 20:11
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RT @WeNurses: @nchadborn Great thoughts Neil.. Our residents families & carers should be at the heart of all QI initiatives #wecarehomes… |
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@WeNurses
25 March 2021 20:11
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Welcome along to #Wecarehomes and your Excellence in nursing programme sounds brilliant.... keep us informed with how it goes! Well done and welcome @Brunelcare https://twitter.com/Brunelcare/status/1375177576008855562 |
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@WeAreTendable
25 March 2021 20:11
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@WeNurses At a basic level quality improvement means finding effective ways to identify, measure and correct issues on a consistent basis. There are many challenges here but the principle is the same across all health and care services. #WeCareHomes |
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@JillAnneWill
25 March 2021 20:11
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@millar1927 @nchadborn @WeNurses Definitely, person centred measures #weCareHomes |
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@WeNurses
25 March 2021 20:11
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@naojane18_PT @nchadborn Really important thoughts here Naomi #wecarehomes |
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@WeNurses
25 March 2021 20:11
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RT @LynneBowers2: @WeNurses #WeCareHomes Yes! It needs to be centrally funded, led and delivered by the sector for the sector and recognisi… |
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@janeeedouglas
25 March 2021 20:11
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@WeNurses @nchadborn #WeCareHomes yes I agree we need inclusivity, all people who make the community that is a #carehome offer important insights into QI |
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@CoxonGeorge
25 March 2021 20:11
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@Crouchendtiger7 and the #mumtest springs to mind. But equally it’s about seeing things that need to be seen inc the little things. Scrutiny & Support. A culture of curiosity & always striving to be better ??. #wecarehomes https://twitter.com/wenurses/status/1375176956946309124 https://t.co/nZtQASZcFI |
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@nursesmithy
25 March 2021 20:11
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@WeNurses Lots of definitions describe it as tackling complex problems however the smallest of changes can have big impacts in the quality of care. #WeCareHomes |
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@DaniCollinsRN
25 March 2021 20:11
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RT @WeNurses: Hi everyone - welcome to tonights #WeCareHomes tweetchat Tonights topic is "Quality improvement in care homes" - thanks to… |
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@nchadborn
25 March 2021 20:12
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@naojane18_PT @WeNurses Good point Naomi, and 'together' for care homes means different disciplines & different organisations - GP, community health as well as care homes themselves? #wecarehomes |
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@WeNurses
25 March 2021 20:12
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@JadaAbrams6 Hi and welcome to tonight's chat via #WeCareHomes :) |
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@PeetAnita
25 March 2021 20:12
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@WeNurses #wecarehomes to me quality improvement relates to making changes to practice, performance, knowledge base in order to secure better outcomes for those we serve |
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@WeNurses
25 March 2021 20:12
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RT @PeetAnita: #wecarehomes do we need a national development programme for nurses working in nursing homes? |
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@MrsBosanquet
25 March 2021 20:12
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@WeNurses #wecarehomes I would refocus around #practicedevelopment as this is a far more inclusive process and if done right is #personcentred ?? |
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@nchadborn
25 March 2021 20:12
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RT @WeNurses: @nchadborn Great thoughts Neil.. Our residents families & carers should be at the heart of all QI initiatives #wecarehomes… |
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@JillAnneWill
25 March 2021 20:13
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@WeNurses @nchadborn Without question- no decision about me without me= participation! #WeCareHomes |
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@WeNurses
25 March 2021 20:13
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@PeetAnita Now there's a #QI project! #wecarehomes |
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@nchadborn
25 March 2021 20:13
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RT @JillAnneWill: @WeNurses @nchadborn Without question- no decision about me without me= participation! #WeCareHomes |
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@WeNurses
25 March 2021 20:13
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RT @JillAnneWill: @WeNurses @nchadborn Without question- no decision about me without me= participation! #WeCareHomes |
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@LynneBowers2
25 March 2021 20:13
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@WeNurses #WeCareHomes without doubt! Social Care is skilled relationship based care with the resident AND their family & carers. #Coproduction @360Fwd https://twitter.com/wenurses/status/1375177867458383874 |
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@kilgore_cliff
25 March 2021 20:13
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@nchadborn @WeNurses Absolutely Neil. That’s why the development of @HomesQi by @louisebrady17 is so important as it brings care homes together and supports the idea and model of QI #wecarehomes |
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@BarbaraALawson
25 March 2021 20:13
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Key to everything ?? #WeCareHomes https://twitter.com/jillannewill/status/1375178938763337734 |
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@kilgore_cliff
25 March 2021 20:13
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RT @naojane18_PT: @WeNurses @nchadborn #wecarehomes yes, because they are ones living it, cannot be forcing change on anyone |
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@BunterDawn
25 March 2021 20:13
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Quality Improvement in care homes, is usually based upon inspection and performance measurements. At at times with little support and resources in respect of on how to implement #wecarehomes |
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@kilgore_cliff
25 March 2021 20:14
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RT @JillAnneWill: @WeNurses #WeCareHomes a few definition and models but moving practice forward for better outcomes and experiences of tho… |
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@nchadborn
25 March 2021 20:14
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RT @MrsBosanquet: @WeNurses #wecarehomes I would refocus around #practicedevelopment as this is a far more inclusive process and if done ri… |
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@kilgore_cliff
25 March 2021 20:14
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RT @BarbaraALawson: @WeNurses @nchadborn #WeCareHomes yes it should involve all types of people. I also agree with it meaning something dif… |
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@nchadborn
25 March 2021 20:14
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RT @PeetAnita: @WeNurses #wecarehomes to me quality improvement relates to making changes to practice, performance, knowledge base in order… |
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@PeetAnita
25 March 2021 20:14
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@LynneBowers2 @WeNurses Totally agree but how do we secure such funding in today’s climate #wecarehomes |
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@AgencyNurse
25 March 2021 20:14
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@PeetAnita @WeNurses I think there is a huge point here around evidence and ensuring any improvement, development or change is evidence based #wecarehomes |
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@LynneBowers2
25 March 2021 20:14
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@WeNurses #WeCareHomes Need an alternative QI infrastructure as so many providers are SMEs. https://twitter.com/nchadborn/status/1375177901881110530 |
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@WeNurses
25 March 2021 20:15
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Have you not joined a tweetchat before? Here is ALL you need to know to be an expert... 1. Click on #WeCareHomes to see the chat. 2. Add #WeCareHomes to your tweets to join in. 3. Look our for questions from the hosts @wenurses or respond to anybody else's tweets :) https://t.co/VBl2Q7xN34 |
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@AgencyNurse
25 March 2021 20:15
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RT @BarbaraALawson: Key to everything ?? #WeCareHomes https://twitter.com/jillannewill/status/1375178938763337734 |
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@WeNurses
25 March 2021 20:15
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QUESTION 2 What comes to mind when we think about quality improvement in a care home setting? #WeCareHomes https://t.co/2vwTXHVIpB |
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@JillAnneWill
25 March 2021 20:15
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@WeNurses #WeCareHomes maybe... or a really exciting opportunity. It’s one of the reasons I chose to work in care home sector, lots of opportunity for improvement and the autonomy & support to do it. |
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@BarbaraALawson
25 March 2021 20:15
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@millar1927 @kilgore_cliff @nchadborn @WeNurses Interesting thought, maybe this could be with expectations of quality, but should best practice be at the heart of everyone’s expectations #WeCareHomes |
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@nchadborn
25 March 2021 20:15
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RT @LynneBowers2: @WeNurses #WeCareHomes Need an alternative QI infrastructure as so many providers are SMEs. https://twitter.com/nchadborn/status/1375177901881110530 |
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@WeNurses
25 March 2021 20:15
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Excellent. This is so important #wecarehomes https://twitter.com/nursesmithy/status/1375178637612359681 |
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@WeNurses
25 March 2021 20:15
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RT @MrsBosanquet: @WeNurses #wecarehomes I would refocus around #practicedevelopment as this is a far more inclusive process and if done ri… |
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@WeCommNurses
25 March 2021 20:15
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RT @LynneBowers2: @WeNurses #WeCareHomes without doubt! Social Care is skilled relationship based care with the resident AND their family &… |
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@JillAnneWill
25 March 2021 20:16
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@LynneBowers2 @WeNurses Yes but there is lots of good practice already which could be shared too. #WeCareHomes |
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@WeNurses
25 March 2021 20:16
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@MrsBosanquet Evening Joanne.. we love your personal definition, beautifully articulated below @louisebrady17 @HomesQi #wecarehomes https://t.co/9ewTMoJPkE |
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@BarbaraALawson
25 March 2021 20:17
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@nursesmithy @WeNurses Yes - start small with things that can be quick wins, this can inspire and motivate the quality improvement team and those involved #WeCareHomes |
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@nchadborn
25 March 2021 20:17
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Several comments have mentioned 'the little things' - this indicates reflecting on daily routines, the everyday things - maybe focusing on one little thing could make a big difference or change attitudes? Also good question-whether this is practice development or QI #wecarehomes |
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@AgencyNurse
25 March 2021 20:17
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@WeNurses I'm not sure it is thought of in the same context as it is in hospital settings ... 'improvement' can often be top down and without much or any consultation in my experience #WeCareHomes |
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@drrichardp
25 March 2021 20:17
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@WeNurses @louisebrady17 Quality Improvement is perhaps better defined by behaviours and actions than words. If all have a mindset and ambition to continually improve then the likelihood of success is high. If they don’t then there is little chance of success whatever they try. #WeCareHomes |
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@janeeedouglas
25 March 2021 20:17
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@millar1927 @nchadborn @WeNurses Yes this is important, we all have different perceptions & values. What is quality to me maybe different to someone else #WeCareHomes |
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@MarielyonsBrown
25 March 2021 20:17
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RT @WeNurses: Hi everyone - welcome to tonights #WeCareHomes tweetchat Tonights topic is "Quality improvement in care homes" - thanks to… |
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@kilgore_cliff
25 March 2021 20:17
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There are some good free resources available such as https://www.health.org.uk/topics/quality-improvement #WeCareHomes |
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@kilgore_cliff
25 March 2021 20:18
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RT @PeetAnita: @WeNurses #wecarehomes to me quality improvement relates to making changes to practice, performance, knowledge base in order… |
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@WeNurses
25 March 2021 20:18
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@janeeedouglas @millar1927 @nchadborn absolutely Jane.. welcome & good to focus on values and perceptions #wecarehomes |
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@naojane18_PT
25 March 2021 20:18
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@WeNurses #wecarehomes better outcomes for residents- but not just health- quality of life, social interaction, meaningful activities etc |
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@kilgore_cliff
25 March 2021 20:18
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RT @MrsBosanquet: @WeNurses #wecarehomes I would refocus around #practicedevelopment as this is a far more inclusive process and if done ri… |
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@WeNurses
25 March 2021 20:18
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RT @WeNurses: QUESTION 2 What comes to mind when we think about quality improvement in a care home setting? #WeCareHomes https://t.co/2vw… |
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@JillAnneWill
25 March 2021 20:18
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@kilgore_cliff @nchadborn @WeNurses @HomesQi @louisebrady17 Thanks for sharing, what geographical area does this include? #WeCareHomes |
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@AgencyNurse
25 March 2021 20:18
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I think this is key and i think that this is something that nurses working in care homes need to understand ... little things make a huge difference #WeCareHomes https://twitter.com/nchadborn/status/1375180026438635523 |
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@WeNurses
25 March 2021 20:19
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RT @PeetAnita: @WeNurses #wecarehomes to me quality improvement relates to making changes to practice, performance, knowledge base in order… |
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@MrsBosanquet
25 March 2021 20:19
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@WeNurses #Innovation #Creativity #Collaboration #CoProduction #ParticipatoryActionResearch #ActiveLearning #wecarehomes |
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@nchadborn
25 March 2021 20:19
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@kilgore_cliff Really interested in everyone's views on whehter these kind of resources are overly focused on 'health' - possibly hospitals - and we need more community-orientated resources? #wecarehomes |
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@mynameisAndyJ
25 March 2021 20:19
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Just lurking may join in #WeCareHomes take Care all |
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@dtbarron
25 March 2021 20:19
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@louisebrady17 @PeetAnita @CoxonGeorge @LynneBowers2 @adamgordon1978 @LisaRenshaw14 @KarenDavies9040 @BarbaraALawson @BunterDawn Sorry, late to #wecarehomes tonight |
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@janeeedouglas
25 March 2021 20:19
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@nursesmithy @WeNurses Yes they definitely can. That whole premise of one small change will create another change #wecarehomes |
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@JillAnneWill
25 March 2021 20:19
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@BunterDawn The best initiatives I’ve been involved in have stemmed from casual conversations or curious questions #WeCareHomes |
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@WeAreTendable
25 March 2021 20:20
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Pen, paper and a clip board. #WeCareHomes https://twitter.com/WeNurses/status/1375179478381555712 |
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@MrsBosanquet
25 March 2021 20:20
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RT @WeNurses: Have you not joined a tweetchat before? Here is ALL you need to know to be an expert... 1. Click on #WeCareHomes to see the c… |
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@MrsBosanquet
25 March 2021 20:20
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RT @LynneBowers2: @WeNurses #WeCareHomes Need an alternative QI infrastructure as so many providers are SMEs. |
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@JillAnneWill
25 March 2021 20:21
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@WeNurses OPPORTUNITY! #WeCareHomes |
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@WeCommNurses
25 March 2021 20:21
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RT @WeNurses: QUESTION 2 What comes to mind when we think about quality improvement in a care home setting? #WeCareHomes https://t.co/2vw… |
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@paeds_Ellena
25 March 2021 20:21
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@WeNurses Needs to be team focused, individualised care - stepping away from the ‘status quo’ of how things have always been done, listening and communicating to the needs of the residents ??? #WeCareHomes |
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@millar1927
25 March 2021 20:21
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@naojane18_PT @WeNurses #wecarehomes I totally agree shorter quality of life preferable to some than longevity. |
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@CoxonGeorge
25 March 2021 20:21
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@WeNurses Leadership ownership role modelling with a smile atmosphere based on fun quirky imaginative life in a care home spending time listening to what is going on being receptive, curious and having an enthusiasm for balanced life in older old age #wecarehomes #wenurses ?? https://t.co/HdoYm6u6LD |
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@dtbarron
25 March 2021 20:22
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@millar1927 @nchadborn @WeNurses Asking #whatmatterstoyou helps to focus QI on what residents want #wecarehomes |
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@kilgore_cliff
25 March 2021 20:22
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@MrsBosanquet @WeNurses The only thing I’d say is that QI can be smaller to manage than practice development which is often seen as a longer development. I find I can manage QI as part of my daily work #wecarehomes |
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@nchadborn
25 March 2021 20:22
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RT @dtbarron: @millar1927 @nchadborn @WeNurses Asking #whatmatterstoyou helps to focus QI on what residents want #wecarehomes |
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@mynameisAndyJ
25 March 2021 20:22
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QI in care is different to Hospitals - often it’s the small things make the biggest and best improvement - use the clients in care to also drive QI #WeCareHomes |
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@kilgore_cliff
25 March 2021 20:22
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RT @LynneBowers2: @WeNurses #WeCareHomes without doubt! Social Care is skilled relationship based care with the resident AND their family &… |
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@WeNurses
25 March 2021 20:22
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Here is a simple but effective idea via @HomesQi @KarenDavies9040 supporting residents during #covid19 prior to testing in homes. 'The brown sauce Test' Small impact BIG outcomes #wecarehomes @FoNScharity https://t.co/aMxgFIJDZG |
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@LynneBowers2
25 March 2021 20:22
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#WeCareHomes Often yes - at worst irrelevant, sadly sometimes patronising, and can be alienating. The NHS does not understand the sector (with a few notable exceptions). https://twitter.com/nchadborn/status/1375180491968614402 |
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@WeAreTendable
25 March 2021 20:22
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#WeCareHomes totally agree. A journey of a 1000 miles starts with a single step. We worked with a small group that focused just on one issue and the impact was huge! https://twitter.com/WeNurses/status/1375179527962365955 |
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@WeNurses
25 March 2021 20:23
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RT @dtbarron: @millar1927 @nchadborn @WeNurses Asking #whatmatterstoyou helps to focus QI on what residents want #wecarehomes |
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@JillAnneWill
25 March 2021 20:23
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@naojane18_PT @WeNurses Yes ?? #WeCareHomes |
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@PeetAnita
25 March 2021 20:23
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#wecarehomes has our chat dried up? |
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@kilgore_cliff
25 March 2021 20:23
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RT @JillAnneWill: @WeNurses #WeCareHomes maybe... or a really exciting opportunity. It’s one of the reasons I chose to work in care home se… |
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@kilgore_cliff
25 March 2021 20:23
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RT @JillAnneWill: @LynneBowers2 @WeNurses Yes but there is lots of good practice already which could be shared too. #WeCareHomes |
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@dtbarron
25 March 2021 20:23
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@nchadborn @WeNurses Not sure I agree re getting everyone together - the pandemic has shown us what was once thought not possible we simply go and achieve #wecarehomes if we want to do it, we can |
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@nchadborn
25 March 2021 20:24
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@kilgore_cliff @MrsBosanquet @WeNurses That's an important point Cliff - keep it manageable! ie within the resources available #wecarehomes |
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@WeNurses
25 March 2021 20:24
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RT @MrsBosanquet: @WeNurses #Innovation #Creativity #Collaboration #CoProduction #ParticipatoryActionResearch #ActiveLearning #wecarehomes |
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@janeeedouglas
25 March 2021 20:24
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@BarbaraALawson @WeNurses This will need change , we need to prepare people for this, involve everyone #wecarehomes |
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@kilgore_cliff
25 March 2021 20:24
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RT @millar1927: @naojane18_PT @WeNurses #wecarehomes I totally agree shorter quality of life preferable to some than longevity. |
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@AlyMcKechnie
25 March 2021 20:25
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@millar1927 @nchadborn @WeNurses I feel as well the focus should lie with the word improvement as even still the quality or definition of quality maybe change on your improvement journey. #wecarehomes |
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@WeNurses
25 March 2021 20:25
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QUESTION 3 How do care homes work and communicate with the wider health and care team to capture, measure document and showcase quality improvement? #WeCareHomes https://t.co/FJJ9dV7tJl |
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@millar1927
25 March 2021 20:25
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#WeCareHomes this to some extent reminds me of the sparc tool in palliative care. Sometimes surprising what we as health proffs thing are the main problems for patients when in fact it's the tiniest things that are worrying them. Smallest changes can make the biggest impact. |
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@Brunelcare
25 March 2021 20:25
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@WeNurses One of our #BrunelcareNurses Fama Diop summed up her thoughts on quality improvement by saying 'Even if it is one positive change that came about from this programme for the well-being and better care for all the residents in our care, it will be all worth it' #WeCareHomes |
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@JillAnneWill
25 March 2021 20:25
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@mynameisAndyJ Join in the fun when you’re ready Andy. I’m sure you will have some valuable experience and perspectives to share ?? #WeCareHomes |
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@nchadborn
25 March 2021 20:25
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@dtbarron @WeNurses Indeed & we can still 'get together' virtually, or via Whatsapp or other messaging - maybe a peer network or community of practice? #wecarehomes |
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@LynneBowers2
25 March 2021 20:25
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#WeCareHomes Hi Andy! We had a previous chat on nutrition and hydration in care homes best practice. We’ve seen the importance of food during lockdown. https://twitter.com/mynameisandyj/status/1375180502274031617 |
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@dtbarron
25 March 2021 20:25
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@naojane18_PT @WeNurses Agreed, quality, compassionate care need to be delivered which means more than just ‘good health’ #wecarehomes |
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@WeAreTendable
25 March 2021 20:25
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This is good! Thank you for sharing. #WeCareHomes https://twitter.com/kilgore_cliff/status/1375180179258114055 |
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@naojane18_PT
25 March 2021 20:26
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@kilgore_cliff @MrsBosanquet @WeNurses That's why I love QI - quick wins!! #wecarehomes |
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@WeNurses
25 March 2021 20:26
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@MrsBosanquet Hi Joanne, lovely to see you on tonight's #wecarehomes thank you for joining :) We hope you and all your lovely colleagues at @FoNScharity are doing OK :) |
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@dtbarron
25 March 2021 20:26
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@JillAnneWill @BunterDawn Love that @JillAnneWill ‘curious conversations’ #wecarehomes |
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@MrsBosanquet
25 March 2021 20:27
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@kilgore_cliff @WeNurses Both And! #wecarehomes |
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@nchadborn
25 March 2021 20:27
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@AlyMcKechnie @millar1927 @WeNurses Quality of care, quality of life - these kind of concepts are difficult to measure, and so people may be put off by 'quality' - so, yes, why not focus on improvement and on person-centred care #relationships etc #wecarehomes |
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@BunterDawn
25 March 2021 20:27
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@JillAnneWill Exactly, and mine. A casual conversation about the impact of the lack of family visits, lead to our own visiting pilot last September and enabling visits of essential family carers #wecarehomes |
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@LynneBowers2
25 March 2021 20:28
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@WeNurses #WeCareHomes The pandemic has really shown what Care Homes can do. https://twitter.com/dtbarron/status/1375181687966085120 |
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@WeCommNurses
25 March 2021 20:28
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Are any of you involved in care home QI programmes? Let us know what you are up to via #WeCareHomes https://twitter.com/WeNurses/status/1375181965817741313 |
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@nchadborn
25 March 2021 20:28
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@kilgore_cliff Do people prefer the kind of guidance etc that @SCIE_socialcare produce eg https://www.scie.org.uk/publications/guides/guide52/ #wecarehomes |
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@dtbarron
25 March 2021 20:29
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@kilgore_cliff @MrsBosanquet @WeNurses They are different but linked - @Pollybird1 leads our QI team and PDN #wecarehomes |
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@shimada_angela
25 March 2021 20:29
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RT @WeDistrictNurse: Are any of you involved in care home QI programmes? Let us know what you are up to via #WeCareHomes |
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@kilgore_cliff
25 March 2021 20:29
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RT @dtbarron: @millar1927 @nchadborn @WeNurses Asking #whatmatterstoyou helps to focus QI on what residents want #wecarehomes |
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@WeGPNs
25 March 2021 20:29
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Anybody supporting QI projects in care homes? Interesting chat going on now via #WeCareHomes ... jump in! https://twitter.com/WeNurses/status/1375181965817741313 |
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@AgencyNurse
25 March 2021 20:30
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We do not work in isolation in care homes - we are constantly and consistently involving the wider MDT and community ... i think we could do more of the showcasing though and raise the voice of nurses in social care #WeCareHomes https://twitter.com/WeNurses/status/1375181965817741313 |
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@WeNurses
25 March 2021 20:30
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RT @WeGPNs: Anybody supporting QI projects in care homes? Interesting chat going on now via #WeCareHomes ... jump in! https://t.co/n8BAWb0… |
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@LynneBowers2
25 March 2021 20:30
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@WeNurses #WeCareHomes A mechanism and protected time to share our data in multiagency forums. https://twitter.com/wenurses/status/1375181965817741313 |
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@naojane18_PT
25 March 2021 20:30
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@WeNurses #wecarehomes- being devil's advocate- what is the extent of knowledge and desire to engage with QI in care homes? |
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@JillAnneWill
25 March 2021 20:30
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@dtbarron @BunterDawn @MHLscotland @belindajdewar has some excellent resources around this #WeCareHomes |
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@WeNurses
25 March 2021 20:30
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@WeDistrictNurse thanks for sharing... would love to see what collobations are out there :) #WeCareHomes |
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@janeeedouglas
25 March 2021 20:30
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@nchadborn @AlyMcKechnie @millar1927 @WeNurses And my quality of life will mean something different to everyone else around me. #wecarehomes |
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@kilgore_cliff
25 March 2021 20:30
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RT @LynneBowers2: #WeCareHomes Often yes - at worst irrelevant, sadly sometimes patronising, and can be alienating. The NHS does not unders… |
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@WeNurses
25 March 2021 20:30
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RT @LynneBowers2: @WeNurses #WeCareHomes A mechanism and protected time to share our data in multiagency forums. https://twitter.com/wenurses/status/1375181965817741313 |
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@CoxonGeorge
25 March 2021 20:31
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@WeNurses #positivenoise #workingoutloud #assertivewithasmile Embedding values - kind, keen, curious, fresh, proud #walkthewalk & #talkthetalk ?????? #wecarehomes #wenurse https://t.co/V5tDGxp8YV |
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@emilyjonesmed
25 March 2021 20:31
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RT @PeetAnita: #wecarehomes do we need a national development programme for nurses working in nursing homes? |
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@PeetAnita
25 March 2021 20:31
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@AgencyNurse @WeNurses #wecarehomes to have evidence of the need to make QI we need to benchmark. Who benchmarks and how do you do it. We use #LPZ |
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@millar1927
25 March 2021 20:31
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Community network meetings with care home staff as equal partners. #WeCareHomes |
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@JillAnneWill
25 March 2021 20:31
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@BunterDawn Brilliant, well done ?? taking time to connect and build relationships really helps people to express their wonderings and wants ??#WeCareHomes |
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@kilgore_cliff
25 March 2021 20:32
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@LynneBowers2 I apologies Lynne on behalf of the NHS. I do feel you make a valid point. It’s a QI project in itself ?? #wecarehomes |
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@kilgore_cliff
25 March 2021 20:32
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RT @Perfect_Ward: #WeCareHomes totally agree. A journey of a 1000 miles starts with a single step. We worked with a small group that focus… |
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@AgencyNurse
25 March 2021 20:32
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which is one of the aims of the @Brunelcare Excellence in Nursing Programme #BrunelcareNurses ... give nurses in social care a voice > https://www.brunelcare.org.uk/news/excellence-in-nursing-programme/ #WeCareHomes |
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@HeatherHenry4
25 March 2021 20:32
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@Perfect_Ward Sorry just dropping by. Glad I did. Just writing about QI for Student nurses & wondering if IHI, lean, SPC tools etc are used in care homes-or not? Noted point about SMEs #wecarehomes |
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@nchadborn
25 March 2021 20:32
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@dtbarron @kilgore_cliff @MrsBosanquet @WeNurses @Pollybird1 I have been reviewing literature on #QI (specifically) as well as broader 'advancing practice' approaches. Many different methods have been used, but no common or popular method. QI often focuses on realtime data, and that can be difficult in #carehomes #wecarehomes |
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@kilgore_cliff
25 March 2021 20:32
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RT @LynneBowers2: @WeNurses #WeCareHomes The pandemic has really shown what Care Homes can do. |
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@kilgore_cliff
25 March 2021 20:32
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RT @WeDistrictNurse: Are any of you involved in care home QI programmes? Let us know what you are up to via #WeCareHomes |
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@kilgore_cliff
25 March 2021 20:32
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RT @dtbarron: @kilgore_cliff @MrsBosanquet @WeNurses They are different but linked - @Pollybird1 leads our QI team and PDN #wecarehomes |
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@AgencyNurse
25 March 2021 20:32
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@PeetAnita @WeNurses what is LPZ?? #WeCareHomes #NotVeryGoodWithAbbreviations ! |
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@kilgore_cliff
25 March 2021 20:33
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RT @WeGPNs: Anybody supporting QI projects in care homes? Interesting chat going on now via #WeCareHomes ... jump in! |
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@kilgore_cliff
25 March 2021 20:33
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RT @LynneBowers2: @WeNurses #WeCareHomes A mechanism and protected time to share our data in multiagency forums. |
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@nchadborn
25 March 2021 20:33
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@HeatherHenry4 @Perfect_Ward Ha ha - just tweeted about that...! We reviewed literature on QI in #carehomes and found lots of different methods, no one methods was favourite #wecarehomes |
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@kilgore_cliff
25 March 2021 20:33
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RT @naojane18_PT: @WeNurses #wecarehomes- being devil's advocate- what is the extent of knowledge and desire to engage with QI in care home… |
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@kilgore_cliff
25 March 2021 20:33
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RT @JillAnneWill: @dtbarron @BunterDawn @MHLscotland @belindajdewar has some excellent resources around this #WeCareHomes |
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@janeeedouglas
25 March 2021 20:33
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@WeNurses This is the difficulty, we are not so good at evidencing & capturing, due to resources, knowledge & time #wecarehomes |
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@dtbarron
25 March 2021 20:34
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@WeNurses Get involved, write for publication in professional journals, blog, showcase your work on social media - ensure you make links with wider networks (too easy to become isolated) #wecarehomes |
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@kilgore_cliff
25 March 2021 20:34
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RT @PeetAnita: @AgencyNurse @WeNurses #wecarehomes to have evidence of the need to make QI we need to benchmark. Who benchmarks and how do… |
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@AgencyNurse
25 March 2021 20:34
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@HeatherHenry4 @Perfect_Ward I have not seen them routinely used but we are using a simple PDSA approach at @Brunelcare #wecarehomes |
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@kilgore_cliff
25 March 2021 20:34
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RT @millar1927: Community network meetings with care home staff as equal partners. #WeCareHomes |
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@LynneBowers2
25 March 2021 20:34
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@WeNurses #WeCareHomes It’s ok Naomi - assumptions are made about this. Our professionals are committed to QI but capacity is severely constrained. Did colleagues see the NAO report today on social care? https://twitter.com/naojane18_pt/status/1375183321941082115 |
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@janeeedouglas
25 March 2021 20:34
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@WeNurses And sometime too shy to share #wecarehomes |
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@AgencyNurse
25 March 2021 20:34
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Yes this !! And then more of this ! #wecarehomes https://twitter.com/dtbarron/status/1375184230620221450 |
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@JillAnneWill
25 March 2021 20:34
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@naojane18_PT @WeNurses I’d say developing. It’s something our student nurses cover within their undergraduate degree @RGUNMandP but it hasn’t always been part of education #WeCareHomes |
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@BreathChamps
25 March 2021 20:34
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RT @naojane18_PT: @WeNurses #wecarehomes- being devil's advocate- what is the extent of knowledge and desire to engage with QI in care home… |
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@janeeedouglas
25 March 2021 20:35
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@WeNurses Or be that tall poppy #wecarehomes |
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@WeNurses
25 March 2021 20:35
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@LynneBowers2 Critical thinking Lynne.. Flexibility & time a must. Outlined by the work of @adamgordon1978 #Peach Study et al #wecarehomes |
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@WeNurses
25 March 2021 20:35
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QUESTION 4 How do care staff create quality improvement partnerships with their residents and families and communities? #WeCareHomes https://t.co/3iSIkJEWLF |
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@MrsBosanquet
25 March 2021 20:35
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@WeNurses #wecarehomes Come on to our @FoNScharity #TeachingCareHomes pg. and work with us to develop shared values & #personcentred care with likeminded people, hey @PeetAnita @KarenDavies9040 @ros_heath amongst others ?????? |
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@nchadborn
25 March 2021 20:35
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@HeatherHenry4 @Perfect_Ward We describe the diverse occupational groups involved and the range of clinical problems that were addressed. See the full review: https://link.springer.com/article/10.1007%2Fs41999-020-00389-w @arc_em #wecarehomes @PEACHStudy |
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@BunterDawn
25 March 2021 20:35
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@JillAnneWill We learn alot about the "quality" a resident group needs from the families involved, it needs to be person centred quality involvement #wecarehomes |
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@AgencyNurse
25 March 2021 20:36
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I think they already have those partnerships .... they just need to untilise them in a different way #WeCareHomes https://twitter.com/WeNurses/status/1375184490537086978 |
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@WeNurses
25 March 2021 20:36
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RT @AgencyNurse: I think they already have those partnerships .... they just need to untilise them in a different way #WeCareHomes https://… |
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@AlyMcKechnie
25 March 2021 20:36
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@WeNurses @HomesQi @KarenDavies9040 @FoNScharity #engagement as it can only come from challenging meaningful conversations and relationships, opening the dialogue to invest collaboratively in the future of our togetherness. #wecarehomes #fifecares |
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@nchadborn
25 March 2021 20:36
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#wecarehomes https://twitter.com/BarbaraALawson/status/1375184263826526208 |
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@janeeedouglas
25 March 2021 20:36
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@dtbarron @WeNurses We need to increase confidence in the sector to showcase their improvements #wecarehomes |
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@AgencyNurse
25 March 2021 20:37
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@PeetAnita @WeNurses sounds interesting ! #WeCareHomes |
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@WeAreTendable
25 March 2021 20:37
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@PeetAnita @AgencyNurse @WeNurses Effective benchmarking is driven by effective data analysis? #WeCareHomes |
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@BarbaraALawson
25 March 2021 20:37
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#wecarehomes https://twitter.com/barbaraalawson/status/1375185032583778309 |
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@nchadborn
25 March 2021 20:38
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RT @MrsBosanquet: @WeNurses #wecarehomes Come on to our @FoNScharity #TeachingCareHomes pg. and work with us to develop shared values & #pe… |
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@JillAnneWill
25 March 2021 20:38
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@WeNurses Start questioning what we do and why. Ask those around you, “if there was something you’d change about today, what would it be and why?” #WeCareHomes |
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@PeetAnita
25 March 2021 20:38
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@MrsBosanquet @WeNurses @FoNScharity @KarenDavies9040 @ros_heath #wecarehomes I can’t endorse this programme enough... it’s brilliant |
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@kilgore_cliff
25 March 2021 20:38
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@dtbarron @WeNurses Definitely Derek. @GeriSoc has published some good blogs by care home staff in the past but definitely need more #wecarehomes |
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@HeatherHenry4
25 March 2021 20:38
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@nchadborn @Perfect_Ward @arc_em @PEACHStudy Now that’s spooky. I’ve not joined a chat in a while and then I get an answer straight off. #wecarehomes |
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@KarenDavies9040
25 March 2021 20:38
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RT @MrsBosanquet: @WeNurses #wecarehomes Come on to our @FoNScharity #TeachingCareHomes pg. and work with us to develop shared values & #pe… |
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@dtbarron
25 March 2021 20:38
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@nchadborn @WeNurses Community of practice would be great start ?? #wecarehomes |
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@kilgore_cliff
25 March 2021 20:38
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RT @LynneBowers2: @WeNurses #WeCareHomes It’s ok Naomi - assumptions are made about this. Our professionals are committed to QI but capacit… |
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@kilgore_cliff
25 March 2021 20:38
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RT @janeeedouglas: @WeNurses And sometime too shy to share #wecarehomes |
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@kilgore_cliff
25 March 2021 20:38
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RT @AgencyNurse: Yes this !! And then more of this ! #wecarehomes |
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@WeNurses
25 March 2021 20:38
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YES. In the future we are likely to see more homes providing more complex care or specialist services within a broader health & care paradigm. #QI Having confidence to do this will be a key factor #wecarehomes https://twitter.com/janeeedouglas/status/1375184938316742661 |
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@AgencyNurse
25 March 2021 20:39
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@JillAnneWill @WeNurses and start empowering and supporting nurses to do this #WeCareHomes |
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@WeNurses
25 March 2021 20:39
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RT @dtbarron: @nchadborn @WeNurses Community of practice would be great start ?? #wecarehomes |
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@janeeedouglas
25 March 2021 20:39
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@JillAnneWill @BunterDawn Love that ‘curious question’ #wecarehomes |
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@CoxonGeorge
25 March 2021 20:39
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@WeNurses By being open, reflective & receptive & connecting with groups & movements such as @rightsforresid2 @JohnCampaign @age_uk @CarersUK et al and sharing a vision, debating the difficult stuff & being positive together #wecarehomes #wenurses https://t.co/XDcYuzYK6U |
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@AlyMcKechnie
25 March 2021 20:39
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@WeNurses #findyourvoice trust your own knowledge and expertise and believe that the wider health and care team can contribute for you but you for them. Equitable opportunities to be present for each other and big each other up investing in partnerships and collaboration. #wecarehomes |
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@nchadborn
25 March 2021 20:39
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RT @dtbarron: @nchadborn @WeNurses Community of practice would be great start ?? #wecarehomes |
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@PeetAnita
25 March 2021 20:39
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@naojane18_PT @AgencyNurse @WeNurses @adamgordon1978 ?????? @adamgordon1978 enlighten us #wecarehomes |
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@millar1927
25 March 2021 20:39
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Encouraging a bottom up approach. Often those who can make the most difference and the most valuable suggestions dont feel their opinion to be valid #WeCareHomes |
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@kilgore_cliff
25 March 2021 20:39
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RT @MrsBosanquet: @WeNurses #wecarehomes Come on to our @FoNScharity #TeachingCareHomes pg. and work with us to develop shared values & #pe… |
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@LynneBowers2
25 March 2021 20:39
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@WeNurses #WeCareHomes Good advice Derek - it takes confidence though ( sometimes undermined by others) and often feels like ‘sponsor’ permission is needed. https://twitter.com/dtbarron/status/1375184230620221450 |
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@PeetAnita
25 March 2021 20:40
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@AgencyNurse @WeNurses #wecarehomes it does what it says on the tin |
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@kilgore_cliff
25 March 2021 20:40
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RT @AgencyNurse: I think they already have those partnerships .... they just need to untilise them in a different way #WeCareHomes |
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@RebeccaCrossle2
25 March 2021 20:40
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@WeNurses https://youtu.be/eJDO1rcJbBw love this listen to those who need the improvement #wenurses #wecarehomes |
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@dtbarron
25 March 2021 20:40
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@AgencyNurse And if you’re asked to contribute in any way, jump at the chance to showcase the dynamic field of practice that being a #carehomenurse is all about #wecarehomes |
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@kilgore_cliff
25 March 2021 20:40
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RT @janeeedouglas: @dtbarron @WeNurses We need to increase confidence in the sector to showcase their improvements #wecarehomes |
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@PeetAnita
25 March 2021 20:40
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@Perfect_Ward @AgencyNurse @WeNurses #wecarehomes definitely |
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@kilgore_cliff
25 March 2021 20:40
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RT @Perfect_Ward: @PeetAnita @AgencyNurse @WeNurses Effective benchmarking is driven by effective data analysis? #WeCareHomes |
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@AgencyNurse
25 March 2021 20:40
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@dtbarron I could not agree more #WeCareHomes |
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@WeNurses
25 March 2021 20:41
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RT @RebeccaCrossle2: @WeNurses https://youtu.be/eJDO1rcJbBw love this listen to those who need the improvement #wenurses #wecarehomes |
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@kilgore_cliff
25 March 2021 20:41
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This is definitely the crux for me in QI wherever we do it ??#wecarehomes https://twitter.com/jillannewill/status/1375185291829448708 |
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@PeetAnita
25 March 2021 20:41
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@Yorkshire_Nurse How sad! Come back #wecarehomes |
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@janeeedouglas
25 March 2021 20:41
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@AgencyNurse I agree, we need to raise the profile of this very unique and complex nurse role #wecarehomes |
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@dtbarron
25 March 2021 20:41
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@WeNurses Ask #whatmatterstoyou that’s the foundation #wecarehomes |
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@WeNurses
25 March 2021 20:41
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@RebeccaCrossle2 Thanks Rebecca ?? #wecarehomes |
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@LynneBowers2
25 March 2021 20:42
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@WeNurses #WeCareHomes Provision is fundamentally changing, expedited by #covid https://twitter.com/wenurses/status/1375185467017211909 |
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@kilgore_cliff
25 March 2021 20:42
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RT @dtbarron: @nchadborn @WeNurses Community of practice would be great start ?? #wecarehomes |
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@nchadborn
25 March 2021 20:42
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@janeeedouglas @AlyMcKechnie @millar1927 @WeNurses This is an important point. Quality of Life can be measured for large studies, at a population level. But when you apply recommendations, it's in relationship with an individual resident, & awareness of individual quality is different from those population measures #wecarehomes |
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@JillAnneWill
25 March 2021 20:42
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@janeeedouglas @BunterDawn You should connect with @belindajdewar and read https://onlinelibrary.wiley.com/doi/abs/10.1111/hsc.12436 Brilliant work #WeCareHomes |
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@Andy_Notman
25 March 2021 20:42
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RT @dtbarron: @WeNurses Ask #whatmatterstoyou that’s the foundation #wecarehomes |
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@kilgore_cliff
25 March 2021 20:42
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RT @janeeedouglas: @JillAnneWill @BunterDawn Love that ‘curious question’ #wecarehomes |
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@LynneBowers2
25 March 2021 20:42
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@WeNurses #WeCareHomes Funding nurses to do this https://twitter.com/agencynurse/status/1375185471521894403 |
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@nchadborn
25 March 2021 20:43
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RT @janeeedouglas: @dtbarron @WeNurses We need to increase confidence in the sector to showcase their improvements #wecarehomes |
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@BunterDawn
25 March 2021 20:43
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RT @millar1927: Community network meetings with care home staff as equal partners. #WeCareHomes |
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@BarbaraALawson
25 March 2021 20:43
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Sounds so simple! Yet why don’t we do this more? #wecarehomes https://twitter.com/jillannewill/status/1375185291829448708 |
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@ESlibrarian
25 March 2021 20:43
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RT @RebeccaCrossle2: @WeNurses https://youtu.be/eJDO1rcJbBw love this listen to those who need the improvement #wenurses #wecarehomes |
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@kilgore_cliff
25 March 2021 20:43
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RT @LynneBowers2: @WeNurses #WeCareHomes Good advice Derek - it takes confidence though ( sometimes undermined by others) and often feels l… |
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@LynneBowers2
25 March 2021 20:43
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@WeNurses #WeCareHomes ?????? https://twitter.com/coxongeorge/status/1375185518267359232 |
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@AgencyNurse
25 March 2021 20:43
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@janeeedouglas This is something that the @Brunelcare Excellence in Nursing Programme is aiming to do > https://www.brunelcare.org.uk/news/excellence-in-nursing-programme/ raise the profile of the amazing work that nurses in social care are doing #WeCareHomes |
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@nchadborn
25 March 2021 20:43
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RT @BarbaraALawson: Sounds so simple! Yet why don’t we do this more? #wecarehomes https://twitter.com/jillannewill/status/1375185291829448708 |
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@janeeedouglas
25 March 2021 20:43
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@BarbaraALawson @WeNurses Caring conversations, so important #wecarehomes encourage staff to flourish & confidence to share their views #wecarehomes |
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@AgencyNurse
25 March 2021 20:44
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@LynneBowers2 @WeNurses yes indeed - supportive and caring employers are at the heart of this #wecarehomes |
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@kilgore_cliff
25 March 2021 20:44
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RT @janeeedouglas: @AgencyNurse I agree, we need to raise the profile of this very unique and complex nurse role #wecarehomes |
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@WeNurses
25 March 2021 20:44
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RT @LynneBowers2: @WeNurses #WeCareHomes Good advice Derek - it takes confidence though ( sometimes undermined by others) and often feels l… |
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@WeAreTendable
25 March 2021 20:44
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Taking you at your word Derek, here is a long read case study on Silverline Care.... Adopting technology to drive QI https://indd.adobe.com/view/3e7388e8-2e43-4393-a40a-40c69711b706 #WeCareHomes https://twitter.com/dtbarron/status/1375184230620221450 |
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@kilgore_cliff
25 March 2021 20:44
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RT @dtbarron: @WeNurses Ask #whatmatterstoyou that’s the foundation #wecarehomes |
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@WeNurses
25 March 2021 20:44
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RT @AgencyNurse: @LynneBowers2 @WeNurses yes indeed - supportive and caring employers are at the heart of this #wecarehomes |
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@dtbarron
25 March 2021 20:44
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#wecarehomes critical aspect to that is the cycle, going back to ask - did that work? Do more of it, less of it - what did outcomes for people look/feel like ?? https://twitter.com/barbaraalawson/status/1375184263826526208 |
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@kilgore_cliff
25 March 2021 20:44
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RT @BarbaraALawson: Sounds so simple! Yet why don’t we do this more? #wecarehomes |
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@WeNurses
25 March 2021 20:45
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QUESTION 5 What examples of quality improvement initiatives can our community share? #WeCareHomes https://t.co/gtFfjUrgNA |
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@LJ_Ali1
25 March 2021 20:45
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@MoatedGrange gave a fabulous talk today @rcpsychOldAge #OAPsych2021 & highlighted the lost opportunity for improved outcomes with poor engagement with care sector #wecarehomes |
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@nchadborn
25 March 2021 20:45
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@BarbaraALawson Pressures of daily routine, tasks and ensuring safety of residents. Inspections etc. lead to a risk averse practice, which is in tension with person-centred practice #wecarehomes |
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@HeatherHenry4
25 March 2021 20:45
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@WeNurses Evidence is that you need a positive organisational culture and that’s down to inclusive leadership at every level #wecarehomes |
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@AlyMcKechnie
25 March 2021 20:45
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@WeNurses Practice real listening - allow people to see themselves, their ideas in the improvement #ListeningIsEverything give a platform to demonstrate there willingness to #engage - but remember not everyone will & that’s ok - non-engagement is not always a negative response #wecarehomes |
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@LynneBowers2
25 March 2021 20:45
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@WeNurses #WeCareHomes And Social Care Reform and progressive commissioning https://twitter.com/agencynurse/status/1375186778601193476 |
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@PeetAnita
25 March 2021 20:46
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#wecarehomes anymore questions to answer? |
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@nchadborn
25 March 2021 20:46
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@BarbaraALawson I say this as an outsider, looking in! I'm a #publichealth researcher #nonclinical #wecarehomes |
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@dtbarron
25 March 2021 20:46
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@kilgore_cliff @WeNurses @GeriSoc Agreed, I have done one and (my bad) ran out of time for another ahead of the recent conference ????? #wecarehomes |
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@janeeedouglas
25 March 2021 20:46
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@JillAnneWill @BunterDawn @belindajdewar Thanks @JillAnneWill, I have met @belindajdewar & been lucky enough to take part on in #myhomelife wonderful experience with @tamsinmac #wecarehomes |
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@WeNurses
25 March 2021 20:47
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Important points: #QI initiatives dependent on 'Culture' and impact #system leadership #wecarehomes https://twitter.com/HeatherHenry4/status/1375187072928088066 |
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@millar1927
25 March 2021 20:47
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Allow different forums for suggestions and discussions. Not everyone likes to speak in public but may have a lot to offer. #WeCareHomes |
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@WeNurses
25 March 2021 20:47
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RT @LynneBowers2: @WeNurses #WeCareHomes And Social Care Reform and progressive commissioning https://twitter.com/agencynurse/status/1375186778601193476 |
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@nchadborn
25 March 2021 20:47
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@AlyMcKechnie @WeNurses Indeed, I think if improvement is done in cycles - stands to reason people who haven't been involved in this cycle might join the next cycle...! #wecarehomes |
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@BarbaraALawson
25 March 2021 20:47
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@nchadborn Also a pandemic that has overwhelmed so many, and also paralysed some in fear #wecarehomes |
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@AgencyNurse
25 March 2021 20:47
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oooh not sure if i have shared this enough yet .... but here is the @Brunelcare programme > https://www.brunelcare.org.uk/news/excellence-in-nursing-programme/ ... Lots of exciting stuff yet to come throughout 2021 / 22 #WeCareHomes https://twitter.com/WeNurses/status/1375187024395837449 |
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@kilgore_cliff
25 March 2021 20:48
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RT @naojane18_PT: @kilgore_cliff @MrsBosanquet @WeNurses That's why I love QI - quick wins!! #wecarehomes |
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@WeNurses
25 March 2021 20:48
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@LynneBowers2 Strong Evidence base for #effective #QI in: Staff morale, workforce.. safety measures care and compassion! #wecarehomes |
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@dtbarron
25 March 2021 20:48
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@HeatherHenry4 @Perfect_Ward Yes, we use methodologies borrowed from all of these - personcentred practice needs to be at the heart of QI #wecarehomes |
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@JillAnneWill
25 March 2021 20:48
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@BarbaraALawson I wouldn’t always have had confidence to ask this, probably because I’d have been afraid it was something I couldn’t “fix” but realise now that the conversation is important helps #WeCareHomes |
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@WeNurses
25 March 2021 20:48
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RT @WeNurses: QUESTION 5 What examples of quality improvement initiatives can our community share? #WeCareHomes https://t.co/gtFfjUrgNA |
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@mynameisAndyJ
25 March 2021 20:48
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@WeNurses #wecarehomes take a look at @NHWeek for some great ideas for QI in CareHomes from afternoon tea to improve nutrition & Hydration to how to prevent/record intake to working with clients to improve wellbeing #sharing https://twitter.com/wenurses/status/1375187024395837449 |
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@BarbaraALawson
25 March 2021 20:49
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@nchadborn @AlyMcKechnie @WeNurses Bringing new people into the quality improvement cycle is vital, fresh eyes, new ideas, inspires change, fresh blood, motivation and enthusiasm go a long way #wecarehomes |
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@WeAreTendable
25 March 2021 20:50
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For our customers it starts with removing the hassle from the job. The unnecessary time spent doing admin. Given the right tools things change - motivation, results, care and quality. When we say Person-centred approach it should always be people #wecarehomes |
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@nchadborn
25 March 2021 20:50
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@kilgore_cliff @JillAnneWill @WeNurses @HomesQi @louisebrady17 Indeed, and are we trying to reach UK-wide!? @HomesQI @louisebrady17 @CoxonGeorge I've just been talking #QualityImprovement with some people in Scotland.... #wecarehomes #HomesQI |
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@mynameisAndyJ
25 March 2021 20:50
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@WeNurses Encourage staff from non clinical to be involved join associations like @NACCCaterCare #weCareHomes https://twitter.com/wenurses/status/1375187024395837449 |
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@Brunelcare
25 March 2021 20:50
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Our #BrunelcareNurses are just setting out on their quality improvement journey's but their enthusiasm so far is wonderful to see > https://www.brunelcare.org.uk/news/100-words-on-the-brunelcare-excellence-in-nursing-programme/ #WeCareHomes https://twitter.com/WeNurses/status/1375187024395837449 |
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@AlyMcKechnie
25 March 2021 20:50
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RT @janeeedouglas: @dtbarron @WeNurses We need to increase confidence in the sector to showcase their improvements #wecarehomes |
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@RebeccaCrossle2
25 March 2021 20:50
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RT @LynneBowers2: @WeNurses #WeCareHomes Good advice Derek - it takes confidence though ( sometimes undermined by others) and often feels l… |
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@kilgore_cliff
25 March 2021 20:51
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#wecarehomes ?? https://twitter.com/rebeccacrossle2/status/1375187193250123784 |
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@WeNurses
25 March 2021 20:51
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Top tips for #QI via @louisebrady17 & @nchadborn can you help us to add to these? #wecarehomes https://t.co/H1dCs2998b |
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@BunterDawn
25 March 2021 20:51
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@JillAnneWill @janeeedouglas @belindajdewar Thank you #wecarehomes |
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@LynneBowers2
25 March 2021 20:51
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@WeNurses #WeCareHomes @HomesQi @skillsforcare @TheQNI @FoNScharity @SCIE_socialcare @FabNHSStuff all have great examples https://twitter.com/wenurses/status/1375187024395837449 |
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@nchadborn
25 March 2021 20:51
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RT @WeNurses: Top tips for #QI via @louisebrady17 & @nchadborn can you help us to add to these? #wecarehomes https://t.co/H1dCs2998b |
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@dtbarron
25 March 2021 20:51
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@WeNurses We have numerous (as you know @louisebrady17 from your visit) - simple things like safety briefs and huddles improve info flow to the whole team; audit cycles, always going back to review learning and implementation #wecarehomes |
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@BarbaraALawson
25 March 2021 20:52
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#wecarehomes yes we have some amazing examples of #qi in Scotland @MHLscotland ?????????????? @janeeedouglas and lots of amazing resources on the @CareInspect Hub https://twitter.com/nchadborn/status/1375188275225300996 |
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@AgencyNurse
25 March 2021 20:52
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Love it :D #wecarehomes https://twitter.com/dtbarron/status/1375188659062865924 |
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@kilgore_cliff
25 March 2021 20:52
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RT @dtbarron: #wecarehomes critical aspect to that is the cycle, going back to ask - did that work? Do more of it, less of it - what did ou… |
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@AgencyNurse
25 March 2021 20:52
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RT @WeNurses: Top tips for #QI via @louisebrady17 & @nchadborn can you help us to add to these? #wecarehomes https://t.co/H1dCs2998b |
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@nchadborn
25 March 2021 20:52
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RT @BarbaraALawson: #wecarehomes yes we have some amazing examples of #qi in Scotland @MHLscotland ?????????????? @janeeedouglas and lots of amazi… |
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@NRCUK
25 March 2021 20:52
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@adamgordon1978 @naojane18_PT @AgencyNurse @PeetAnita @WeNurses Looks like a pretty standard set of condition/event benchmarking for any long term care setting? Very similar to the mandated safety thermometer in acute settings... so, benchmarking more than QI model? #WeCareHomes |
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@JillAnneWill
25 March 2021 20:52
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@nchadborn @kilgore_cliff @WeNurses @HomesQi @louisebrady17 @CoxonGeorge Brilliant! ?????????????? is home for me too. If you’d like me to spread the word with my networks then I’d be happy to ?? #WeCareHomes |
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@AgencyNurse
25 March 2021 20:52
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RT @mynameisAndyJ: @WeNurses Encourage staff from non clinical to be involved join associations like @NACCCaterCare #weCareHomes https://t.… |
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@dtbarron
25 March 2021 20:52
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@WeNurses We introduced SBAR communication tool to improve quality of information flowing to our ANPs or outward to GP, which includes a feedback loop #wecarehomes |
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@kilgore_cliff
25 March 2021 20:53
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RT @mynameisAndyJ: @WeNurses #wecarehomes take a look at @NHWeek for some great ideas for QI in CareHomes from afternoon tea to improve nut… |
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@janeeedouglas
25 March 2021 20:53
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@dtbarron @WeNurses @louisebrady17 Daily huddles & open culture helps to get feedback & reflect on what it happening & working well #wecarehomes & safety briefings |
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@nchadborn
25 March 2021 20:54
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#wecarehomes https://twitter.com/adamgordon1978/status/1375185230584287235 |
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@WeAreTendable
25 March 2021 20:54
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This is real world transformation..... from Australia but the same is happening in care homes and community care in the UK. #WeCareHomes https://vimeo.com/486807206 https://twitter.com/WeNurses/status/1375187024395837449 |
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@dtbarron
25 March 2021 20:54
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@WeNurses It’s about never being afraid to learn #wecarehomes |
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@kilgore_cliff
25 March 2021 20:54
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RT @WeNurses: Top tips for #QI via @louisebrady17 & @nchadborn can you help us to add to these? #wecarehomes https://t.co/H1dCs2998b |
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@LynneBowers2
25 March 2021 20:54
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@WeNurses #WeCareHomes of course! Great work in Scotland. And in Wales. And in N Ireland! https://twitter.com/nchadborn/status/1375188275225300996 |
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@kilgore_cliff
25 March 2021 20:54
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RT @BarbaraALawson: #wecarehomes yes we have some amazing examples of #qi in Scotland @MHLscotland ?????????????? @janeeedouglas and lots of amazi… |
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@WeNurses
25 March 2021 20:54
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RT @LynneBowers2: @WeNurses #WeCareHomes of course! Great work in Scotland. And in Wales. And in N Ireland! https://twitter.com/nchadborn/status/1375188275225300996 |
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@WeNurses
25 March 2021 20:55
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QUESTION 6 A care home quality improvement framework is in development to support teams across the care sector, what would you like to see included in this framework? #WeCareHomes https://t.co/HR4B6vkIje |
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@kilgore_cliff
25 March 2021 20:55
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RT @dtbarron: @WeNurses It’s about never being afraid to learn #wecarehomes |
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@kilgore_cliff
25 March 2021 20:55
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RT @LynneBowers2: @WeNurses #WeCareHomes of course! Great work in Scotland. And in Wales. And in N Ireland! |
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@naojane18_PT
25 March 2021 20:55
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@NRCUK @adamgordon1978 @AgencyNurse @PeetAnita @WeNurses Benchmarking to start, then the QI follows from findings #wecarehomes |
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@WeNurses
25 March 2021 20:55
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RT @mynameisAndyJ: @WeNurses #wecarehomes take a look at @NHWeek for some great ideas for QI in CareHomes from afternoon tea to improve nut… |
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@janeeedouglas
25 March 2021 20:55
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@dtbarron @WeNurses @louisebrady17 Regular audit, feedback, increase the audit process, regular meetings with all those who are part of the carehome community, listening & hearing #wecarehomes |
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@PeetAnita
25 March 2021 20:55
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@nchadborn @naojane18_PT @AgencyNurse @WeNurses @adamgordon1978 Nope #wecarehomes |
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@dtbarron
25 March 2021 20:55
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@WeNurses Ever care home will have evidence of changes they have made in the last year - sometimes what is forgotten is to go back and review to capture learning and improvements #wecarehomes |
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@nchadborn
25 March 2021 20:56
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@LynneBowers2 @WeNurses Yes, I was reading about #QualityImprovement in #socialcare in #NorthernIreland - @SCIE_socialcare resources better than I've seen developed in #England... #wecarehomes |
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@WeAreTendable
25 March 2021 20:56
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Real, active listening is both difficult and rare. As a result extremely powerful if it can be achieved. #WeCareHomes https://twitter.com/AlyMcKechnie/status/1375187161591468034 |
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@PeetAnita
25 March 2021 20:56
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@adamgordon1978 @NRCUK @naojane18_PT @AgencyNurse @WeNurses It a fabulous tool #wecarehomes |
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@AgencyNurse
25 March 2021 20:56
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@WeNurses I don't know .... what's in it already ?? #WeCareHomes |
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@kilgore_cliff
25 March 2021 20:56
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RT @Perfect_Ward: Real, active listening is both difficult and rare. As a result extremely powerful if it can be achieved. #WeCareHomes |
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@JillAnneWill
25 March 2021 20:56
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@WeNurses Not content but presentation- Accessible language/format which empowers everyone in care homes to get involved #WeCareHomes |
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@LynneBowers2
25 March 2021 20:57
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@WeNurses #WeCareHomes and yes international best practice. Many Countries are facing demographic challenges https://twitter.com/perfect_ward/status/1375189262170198018 |
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@dtbarron
25 March 2021 20:57
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@JillAnneWill @BarbaraALawson Perhaps start with a simple question to colleagues - how was our shift today? What would have made it better? OR why was it such a great shift today, how do we do that again? #wecarehomes |
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@WeNurses
25 March 2021 20:57
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Absolutely Derek. Can staff identify the areas they have already led in? and build upon opportunities for improvement? #wecarehomes https://twitter.com/dtbarron/status/1375189717831061507 |
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@WeNurses
25 March 2021 20:57
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RT @LynneBowers2: @WeNurses #WeCareHomes and yes international best practice. Many Countries are facing demographic challenges https://t.co… |
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@NRCUK
25 March 2021 20:58
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@naojane18_PT @adamgordon1978 @AgencyNurse @PeetAnita @WeNurses That's pretty much QI in a nutshell... though, many forget the baseline benchmark :) so it is good to see these discussions happening here allowing people to see that QI isn't rocket science #wecarehomes |
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@AlyMcKechnie
25 March 2021 20:58
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RT @dtbarron: @WeNurses It’s about never being afraid to learn #wecarehomes |
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@BarbaraALawson
25 March 2021 20:59
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@WeNurses #wecarehomes I like the idea of information that can be shared at all levels and can be used by all involved in the cycle |
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@WeAreTendable
25 March 2021 20:59
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@nchadborn @AlyMcKechnie @WeNurses Surely that depends Neil? If the cycle is poorly designed it will simply keep missing those outliers. Emphasis needs to be on a system that draws people in, engages them and motivates them to do a superb job. #WeCareHomes |
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@nursesmithy
25 March 2021 20:59
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@dtbarron @WeNurses Agree. And how often are the quick wins overlooked and not given the acknowledgement they deserve? #wecarehomes |
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@JillAnneWill
25 March 2021 20:59
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@dtbarron @BarbaraALawson Love the changing emphasis there ?? #WeCareHomes |
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@dtbarron
25 March 2021 20:59
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@janeeedouglas @WeNurses @louisebrady17 We start every day with a virtual huddle between our four homes (5-8 mins) that is replicated within each home morning & afternoon - good communication is key safety and therefore QI tool #wecarehomes |
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