Older People’s Residential & Nursing Care Provider Forum

Caroline Brown Commissioning Manager, ICES

Susan Rackley, Project Support Officer

Thursday 8th January 2015

Wellshurst Golf Club

Aim of session

To outline the revised draft guidance:

•2 Key Principles to highlight

•Equipment provision guide table (Appendix 1)

Background to the project

Provider workshop Nov 2013

• Identified common themesICES Care Homes Guidance project

commissioned April 2014 to review the current guidance

Working group of representative stakeholders – met May 2014+

Purpose of the guidance

The purpose of the guidance is to outline the principles regarding the provision of community equipment via the Integrated Community Equipment Services (ICES) to adults living in care homes with or without nursing.

Key Principle

Adults living in CQC registered care homes with or without nursing have the same access to the provision of community equipment via ICES, to meet their individual assessed need as those adults living in their own home.

Key Principle

Provision of community equipment via ICES will be based on the outcome of an assessment, of an individual, carried out by health or social care practitioner who is an authorised ICES Prescriber, so long as it is to meet an identified assessed need which is eligible for community equipment provision via ICES.

Equipment provision guide 1. Care Homes (CH) – Care Homes with or without Nursing provide a range of equipment for use by residents. This equipment is used or shared by any of the residents at any time within the care home setting. This equipment is the property and responsibility of the Care Home.

Equipment provision guide2. Integrated Community Equipment Services (ICES) –

equipment provided via ICES is for the exclusive use by a specific named individual living in either a Care Home with or without Nursing. The provision is based on the outcome of an assessment, carried out by an authorised ICES Prescriber, to meet an identified eligible need. Where assessed as needed, provision should be arranged via ICES. In these cases, the equipment will not be shared with another resident because it is on loan from ICES to that individual.

Equipment provision guide table (Appendix A)

Type of equipment Care Home

with Nursing

Care Home without Nursing

Notes

BATHING EQUIPMENT A range of bathing and showering equipment such as: Bath seats & bath boards, Electric / manual bath lift, shower chair, shower stools

CH CH

The Care Home with or without Nursing will have bathing and showering equipment for use by residents in the Care Home. (ref 1.)

Bathing or showering equipment for an individual with an assessed eligible need

ICES ICES

ICES bathing or showering equipment is provided to an individual following assessment. (ref 2.)

Type of equipmentCare Home with

NursingCare Home

without Nursing

BEDS 

A divan bed with mattressCH

 CH

 

Profiling bed 

CH ICES

Bed side rails and bumpers &/or bed grab rail 

CH ICES

Bariatric bed for an individual with an assessed need 

ICES ICES

Bariatric mattress to go with a bariatric bed for an individual with an assessed eligible need 

ICES ICES

Type of equipmentCare Home with

NursingCare Home without

Nursing

MATTRESSES - Pressure care & prevention management Low to medium risk

 Static overlay for use on either a divan or profiling bed. 

CH CH

Medium to high risk

Air filled overlay mattress for use on either a divan or profiling bed. 

CH ICES

 Dynamic airflow mattress overlay system with pump 

CH ICES

 Dynamic airflow mattress replacement system with pump CH ICES

PRESSURE CARE CUSHIONS - Pressure care & prevention management 

Static cushion for low to medium risk CH CH

Dynamic airflow cushion (with pump) for medium to high risk CH ICES

Foot / heel protectors CH ICES

Type of equipmentCare Home with

NursingCare Home

without Nursing

MOBILITY EQUIPMENT - WALKING EQUIPMENT  

All walking sticks 

ICES ICES

All types of walking frames with/ without wheels  ICES ICES

All types of crutches  ICES ICES

 MOVING & HANDING - (Lifting and manual handling)

 Mobile hoist and a generic sling for use by residents 

CH CH

Mobile Hoist CH ICES

Sling for an individual with an assessed eligible need ICES ICES

Other equipment to assist moving & handling, e.g. transfer boards, glide sheets, rotating turning discs

CH ICES

Other equipment to assist moving & handling for a specific individual with an assessed eligible need

ICES ICES

Type of equipmentCare Home with

NursingCare Home without

Nursing

SEATING 

Suitable chairs and armchairs to meet a range of seating needs 

CH CH

Seating for an individual with an assessed eligible need 

ICES ICES

TOILETING 

Toileting equipment such as: commodes, raised toilet seats, toilet frames 

CH CH

Toileting equipment for an individual with an assessed eligible need 

ICES ICES

Next steps:

• Formal sign off by ICES Commissioning Board and other Boards

• Operational implementation

• Review guidance in 2015