Digital transformation in the care sector is no longer the future and the benefits of the technological revolution have been felt far and wide across the sector.

Despite this, and the numerous benefits that technologies have shown in all areas of care, we are still seeing some reluctance towards digital transformation. While there is a common misconception that this is down to many care professionals fearing technology, this is simply not the case.

Past research from Skills for Care revealed that 95% of those working in the sector use digital technology in their work; and that the great majority are strongly positive about the potential of digital technology to improve efficiency and quality of care services. We also know that digital transformations are occurring, because we work with care providers up and down the country who are looking to digitise their care records every day.

It is, therefore, not the fear of technology that acts as the barrier, but, in fact, the fear of change.

In our experience, there is a clear misunderstanding between what the perceived barriers are to adopting technology, versus what the actual barriers are.

Few worry about job automation. There are many instances where advancements in technology remove the need for physical people – you only need to go to your local supermarket to see self-service check-outs, or go online to realise how much of your daily life you can manage without interacting with a person.

In the care sector, however, suggestions that Pepper the Robot will eventually replace carers are disregarded because there are two key things that computers cannot impersonate: social intelligence and emotional interpretation. The adoption of technology in care is not about replacing human interaction, but facilitating more of it through time-saving.

In contrast, the biggest barrier that we do hear care providers talk about is their concern that their staff will not have the necessary skills or inclination to adopt technology. In reality, we actually find the opposite is true.

According to Skills for Care’s The State of the Adult Social Care Sector and Workforce in England, 2017, the average age of a care worker is 43 and a fifth are aged over 55. Data from Statista shows that in these age groups, smartphone ownership is at 88% and 47% respectively. So, the physical use of technology is not alien. With a new younger generation of care workers coming into the sector, all of whom have grown up using technology, confidence in ability is only likely to increase.

The level of notes we have to record in care is often a point of contention and this can also act as a barrier. However, the fact of the matter is that we have to record notes, because without doing so, we have no method of evidencing care. After all, ‘if it wasn’t written down, it didn’t happen’.

It’s not about working out how we can get away with recording less information, but instead how we can improve the amount of high-quality information we record in the least amount of time. This is exactly what digital solutions allow you to do.

Further to this, technology also allows you to make use of all of that recorded information, so that it can be better used to directly benefit care; rather than being filed away in a locked room.

The problem, usually, is not care team capability or the use of the actual technology, but how the digital transformation process is approached, and the tools and support provided during this process.

Going from paper to electronic care notes and care plans is not just a change in the physical process, but also to the content that is recorded. As a result, the approach to managing the change must address culture as much as technology.

In the latest issue of Care Management Matters, our Head of Digital Transformation, Luis Zenha Rela, explains how care providers can implement an effective change management process.

You can read the full article online here.

Digital transformation will never be a ‘one-size-fits-all’ scenario, and the power of technology comes just as much from how it is integrated as the functions of the technology itself.

Embrace this innovation, choose the right solution for you and give special consideration to the change management process, and you might be surprised by how much technology can enhance the quality of care your service provides.

Last week, we attended yet another fantastic Dorset Care Conference, hosted by Care Management Matters at the Lighthouse in Poole. This time, we were invited to present on the role of digital in modern care delivery.

The fact that so many people joined us in the discussion was testament to the event organisers, but also showed that more and more care providers are considering how technology can help them improve the way they plan, record and report care.

Our care consultant, Luis Rela, shared some useful tips on how to approach the digital transformation process and how change management is key; while Juliana Jeffery from Luxury Care Group talked about her experience of using the Nourish system in her care home and how to overcome challenges.

The floor was obviously open for questions at the end, of which there were many. Here, we’ve shared a few of them.

Understandably, a banker in the audience wanted to know about the return on investment of going digital in care. Luis explained that there are both tangible and intangible benefits, and that care providers should think about the bigger picture when considering investing in a digital care management system:

“The tangible benefits are easier to define, of course. You only need to think about the paper you will no longer need to print, store, archive and shred to understand how those costs can be reduced over time.

“There are then intangible benefits such as time saved by recording notes digitally. Many of our care providers say they save at least one hour per carer each day because they don’t have to spend that time at the end of a shift writing notes and instead, record as they go. For some care organisations, this leads to a cut in the number of staff needed on each shift. However, what we find is that care providers instead maintain staff levels to increase the available one-on-one care for residents.

“In fact, one provider said that this decision led to them achieving an outstanding rating with CQC across three of the homes in the group.”

Juliana added: “There is also less time needed to get new or agency staff up to date with individual care plans and they have the time to get to know and spend time with that resident instead.”

So digital transformation is not primarily about driving costs down but improving the amount and quality of care that can be provided.

We were joined in the room by care providers of varying sizes, and many of them wanted to know how much time it takes to go from paper notes and care plans to digital ones.

Luis said: “Typically, it takes two months and we break down the transfer into stages; starting with daily notes and then care plans. However, this really depends on the size of the care home and whether it’s part of a group. If you take Luxury Care for example, they are still going through the process but that’s because they are doing one care home at a time. It also depends on whether we are developing unique features that work with their service. In one instance, a provider wanted to amend the digital care plan template to mirror that of the paper one, so we would do that first.”

Another member of the audience, who is already using Nourish in their care service, commented: “You could argue that there is never an end date once you are using an electronic care management system because you are always evolving and innovating. Every day we are learning something new and get more confident with the system, so every time we have a new idea, we integrate that into our process.”

Going digital obviously involves the use of physical handsets and electronic devices and some members of the audience were concerned that the responsibility of purchasing such equipment would be left to them.

As part of the Nourish service, we provide tablets for managers; handheld devices similar to Smart Phones for carers; and secure log-ins to our cloud-based system which can also be accessed from desktop. The number of devices needed will usually be the same amount of people you will have on each shift. The user will keep the device for the full duration of a shift, log out and handover to the carer taking over the next shift. Each member of the care team has their own log in with set permissions that have been pre-agreed and there are also log ins for agency workers.

Luis explained why this is the best way forward for everyone: “Care providers do not need the added pressure of having to find and purchase their own compatible devices and set them up. Because our software is completely adaptable to the care you provide, we get these ready for you prior to your training. We also have a dedicated technical support team on hand to help you with any queries.”

During her part of the presentation, Juliana explained how having a digital care management system in place had made communication between members of the care teams much easier and members of the audience wanted her to expand on that.

“Because it’s as easy as using Facebook and the device is with them all the time, it’s great for communicating important messages between members of the care team,” said Juliana. “Everyone can see and send messages through Nourish and handovers are now seamless. It’s been brilliant for ensuring everyone is informed immediately. For example, we also use this system to make sure we notify everyone of quality assurance audit results, which would otherwise have been left for meetings. Now everyone feels involved.”

Juliana also highlighted the added benefits of using these devices when recording notes: “We have carers who are not confident in writing notes or perhaps English isn’t their first language, so they love the speech dictation feature. As you speak, it records what you say.”

If you have any questions about the role of digital in modern care delivery and would like to find out how your care service can benefit, please give our team a call on 02380 002288.

As a whole, the care sector is yet to fully embrace the power of Digital Transformation and all of the benefits that can offer.

Working with Care Management Matters magazine, we shared our views on how to make the most of current digital technology within the care environment; to enhance the depth of notes and care plans, to allow a greater degree of control across the management process and ultimately support care providers and care teams to provide the best possible quality of care.

Gaining knowledge and insight from three care providers who have embraced Digital Transformation, the article answers some important questions. How does the digital system impact at the individual level? What impact will the digital system have on staff? And how will that impact the quality of care you provide?

The full article can be found here:

Below, however, we discuss our Five Top Tips for how you, as a care provider, can make the most of Digital Transformation.

Firstly, for a smooth, quick and efficient transition there will need to be strong board-level support to align all stakeholders. One key tip would be to develop an in-house ‘centre of excellence’ team of skilled staff that can focus on digitising and integration.

“To make the most out of electronic management, a provider must be committed to change, with a fully equipped staff team who believe in it” – Paul Dennis-Andrews, Operations Manager (Encompass)

The most successful organisations will be those that gain feedback direct from the care team. Listen to the everyday challenges your care team face. Evaluate and assess how these challenges can be tackled and overcome before you start the move to digital.

“Ensure the staff that will be using the system are also involved in the decision-making and transition. These are the people who will directly use the system and will raise queries or concerns. It has to be inclusive or it just doesn’t work properly” – Simon Francis, IT Project Manager (Silverline)

The transition to digital can be a lengthy process, but it is also an excellent opportunity to review your paperwork templates and quality of care plans. To allow for a smooth transition, it is crucial that you have your current records in order.

“Ensure that before making the transition to digital, your paper records are in good order. This will make the transition a lot smoother and a lot less stressful for your staff. If you are trying to get your paperwork in order at the same time as transition, you will create extra work for your team. You should also identify any differences between your paperwork and how that translates onto a system. If you can make that as close as possible, the transition will be streamlined and much easier for staff” – Simon Francis, IT Project Manager (Silverline)

The best digital care management system needs to be flexible and enhance your care team. It will support the great work your teams are currently doing, rather than forcing them to work in a different way, and it will offer more than simply a digital representation of your current records. Do your research, understand what it is you want from a system, and find a system that matches your needs.

“I work with a system that is responsive, adaptable, instant, consistent, person-centred and surprisingly cost efficient” – Paul Dennis-Andrews, Operations Manager (Encompass)

“We have been able to work directly with our system providers to give feedback and make direct changes; we very much feel like stakeholders in the system” – Simon Francis, IT Project Manager (Silverline)

Finally, if you’re going to transition to digital care management, you need to commit fully. Having some records digital and other paper causes confusion and extra work for staff members. It also undermines all of the benefits of full integration.

“It’s about having all your information in one place, which you simply can’t do on paper. If you’re going to use an electronic system, maximise it to its full potential and move everything over; certificates, audits, training. I have been able to stop writing my endless to-do lists because my system does that for me” – Megan Read

Have you embraced digital transformation? What did your experience teach you and what top tips would you share?

To find out more about how we can support you to make the most of Digital Transformation, please don’t hesitate to give us a call on 023 80 002288.

Get to grips with the fundamentals of care plans and care recording. This post in our Care Planning 101 series covers how you can work towards improving your care recording processes. We all know that record keeping is an integral part of providing great care, keeping good records is not optional, and that the quality of your record keeping can reflect the standard of your professional care practice.

Robust record keeping is a mark of skilled and safe carers, whereas careless and incomplete record keeping often highlights wider issues. Great record keeping helps to protect the welfare of people in care and support services, the question is;

CQC has set out a whole host of different guidelines and recommendations when it comes to care planning. For a full in-depth set of resources, we’d always recommend you visit the CQC website to ensure you’re up to date. Having said that, as a clear starter we’d advise that care records must present information that is:

*Remember this reflects a commitment to person-centred care, equality & diversity principles

Recording care notes via pen and paper has been the accepted norm within the care industry, however, in light of the recent Covid-19 pandemic, digital care planning is becoming the new norm, offering greater efficiency, infection control, and more in-depth analysis of those being supported. The CQC and other regulatory bodies are now becoming more aware of the necessity of updating guidelines to enforce their use (in line with their 2021 vision). Systems like Nourish empower carers during care recording by,

If you’d like to find out more about how Nourish can help you improve your care planning and recording processes, then give us a call on 02380 002 288, or alternatively, you can book a personalised demonstration with our team today.

The care sector is crammed full of different acronyms all of which clamour for your attention as a care provider. One of the most basic and the most important are KLOEs. Over the next coming weeks and months our Care Planning 101 series will focus on each of the KLOEs in more detail, to improve your understanding as a care provider and help you to provide better care.

This article will review what KLOEs means and what you need to look into in order to meet your requirements set by regulators like CQC.

KLOEs stands for “Key Lines of Enquiry” and covers the various different areas, which regulatory bodies such as CQC will investigate when they come to do an inspection of your care setting.

The key lines of enquiry can be broken down into 5 different areas:

According to CQC they use KLOEs, “To direct the focus of their inspection, our inspection teams use a standard set of key lines of enquiry (KLOEs) that directly relate to the five key questions we ask of all services – are they safe, effective, caring, responsive and well-led? Having a standard set of KLOEs ensures consistency of what we look at under each of the five key questions and that we focus on those areas that matter most. This is vital for reaching a credible, comparable rating. To enable inspection teams to reach a rating, they gather and record evidence in order to answer each KLOE. “

Each KLOE has its own requirements and areas where the regulator will ask to see you demonstrate in order to perform well during inspection. This could be anything from responding to complaints and reports promptly, to involving people in the care they receive. There are a whole host of different ways you can achieve this and we will be looking into each KLOE in more detail in our upcoming articles. CQC will take a close look at your care plans and look at your care plan software if you use one.

Care management systems like Nourish help enable care providers to demonstrate the care and services they provide more effectively and efficiently. This is done through the provision of complete audit trails for point of care delivery and instant reporting functionality, that the care management system provides. This means when CQC or another inspectorate decides to investigate, you are able to successfully demonstrate the care you provide and show how your organisation meets their requirements when it comes to their KLOEs.

To find out more about Nourish can help with your regulatory inspections and compliance, then get in touch today – alternatively you can find out more information by reading the other Care Planning 101 articles found in our blog.

Discover the benefits that care providers using Nourish have experienced since using our innovative care management software, such as increasing 1-to-1 resident care by 40%. By facilitating efficient communication and record keeping between managers, carers and shifts, Nourish are proud to demonstrate the results with a great little infographic.

So far, over 2.6 million electronic care records have been recorded, saving over an hour a day vs. paper-based notes and more. This care management software infographic demonstrates the potential benefits from using Nourish has on empowering the care you provide.

To find out how Nourish can help with your care management, please email caring@nourishcare.co.uk or call 02380 00 22 88

Over the past few years we’ve formed a close working relationship with former CQC inspector Anne Weston. Anne is now is part of RHW Care Consults, a specialist team designed to help care providers with their regulatory commitments. Her understanding of how the regulatory bodies aim to operate, combined with her vast knowledge of the care industry are really second to none. This week, we spoke to Anne and challenged her to come up with the 5 key areas she felt that care providers’ care services and plans needed to really get to grips with, in order to perform well in their inspections.

Your safeguarding systems need to be reviewed regularly. This will ensure that those using your service are protected from any bullying, harassment, avoidable harm or potential abuse and may include DOLS applications.

Ensuring that you have a safe environment to operate within is critical. This means you need to ensure that you have everything from equipment to risk assessments on premises and specialised equipment in place where required, in order to provide care safely.

You need to make sure that you have robust infection prevention and control. Both of these need to be compliant with the Code of Practice and PPE monitoring.

Safe management of medication including: audits, ensuring behaviour isn’t controlled by inappropriate medicine usage, competency assessments, reconciliation when transferring and monitoring visits from Pharmacies.

Staffing levels reviewed based on those in your care’s needs to ensure enough competent staff are available who have the right skills to provide effective care.

Active Dignity Champions, maintaining a dignity diary which recognising good practice and supporting continuous improvement. Ensure the “10 Dignity Dos” and factors are always promoted. Do you have dignity themed supervisions and meetings? If so do they use the 7 common core principles to underpin their content?

Person-centred care plans need to be regularly reviewed. If they don’t show personal history, expressed preferences and how needs are met they are unlikely to pass muster. Staff also need to understand and respond to people’s diverse needs in a caring and compassionate way.

Use values based interview to recruit staff who are genuinely caring, compassionate and empowering.

People’s preferences in their end of life care are clear in care plans.

Is your training and development programme underpinned by the Care Certificate and the 6 Cs, with training in equality, diversity, inclusion and human rights? If not, then you should consider updating its content to show your adherence to current best practice.

People involved and contribute with assessment and care planning processes. People are listened to and have their diverse circumstances respected. People supported to make choices and have control of their lives. Changes in people’s needs recognised and action swift.

Clear complaints and comments policy and procedure. Respond to complaints and concerns promptly, ensuring that effective resolutions are sought.

Involvement with the local community promoting inclusion. People using your service should be supported to maintain community links.

Staff are creative in fostering support for people to live as full a life as possible, this includes ensuring that those in your care are helped to achieve as meaningful a set of activities as possible

Structured staff handovers to promote effective teamwork so that people receive a consistently responsive care services.

Nutritious meals and snacks supporting a balanced diet, according to people’s preferences. Ensuring a positive mealtime experience with meals appropriate to meet the needs of those in your care.

Ensure those who you care for have access to relevant healthcare services and support. Accompanying people to healthcare appointments, so that they experience consistent, planned co-ordinated care and support.

Do your working practices account for the importance of consent to care, treatment and support and consideration of mental capacity?

Training and development programme which enables all staff to have the relevant qualifications, knowledge, skills, and behaviours to effectively carry out their role.

A staff supervision programme, used to develop and motivate staff and review their practice needs to be implemented and maintained.

Registered Manager actively promoting a supportive and open person-centred culture. Leads with values that include compassion, dignity, independence, equality and safety which staff understand and practice.

Quality assurance systems with the aim of continuous improvement. Learning lessons through any safeguarding and complaint outcomes. Creation of action plans where improvements are needed.

Management links with external organisations to foster good practice. Working practices follow recognised good practice methodologies which are then implemented into the care services you provide.

Legal obligations from CQC or other external organisations are achieved. This includes regular review of policies and procedures; submission of Notifications to CQC; Nurses working in accordance with NMC guidelines and reporting to Health Protection Agency (HPA), Clinical Commissioning Group (CCG) and RIDDOR.

Designated Champions within the service who support staff to ensure people experience good health and social care outcomes leading to quality of life e.g. Dignity Champion; Moving and Handling Champion; Infection Prevention and Control Lead; Dementia Lead; Communication Champion; Medication Lead.

To find out more about how Nourish can help with your care planning and management, then please do feel free to get in touch at caring@nourishcare.co.uk or give us a call. We work closely with a whole range of care providers, from residential and nursing settings to domiciliary care providers right the way through to large national groups. This means we’re expertly placed to offer practical help and services to support the quality of care you provide.

If you work in care you will probably spend a great deal of time carefully planning and organising your care plans and pathways. So how do you know if your care plans are comprehensive enough to not only pass a regulatory inspection, but actively help those in your care receive effective support?

In order to help care providers avoid the many pitfalls that come with poor care plans, we’ve compiled a list of the top 12 mistakes poor care plans make and a subsequent list of methods you can use to avoid making them and ensure you always use effective care plans.

Each of the points we’ve made above has its own set of risks and requirements which all lead to a lower quality of care, but with the right approach, technology and techniques, care plans can be designed to avoid all of these pitfalls entirely.

Below we’ve detailed the best ways we’ve found to overcome these care plan pitfalls and how you can navigate through them yourself:

If you’d like to find out more about how Nourish can help you improve your care planning and avoid some of the pitfalls we’ve discussed above, then give us a call on 02380 002 288, get in touch with the team or book a demo.

Let’s face it, when you work in care there can seem to be an overwhelming number of different buzzwords, jargon and acronyms involved in the information you get given. This is especially true when you look at the practices involved with providing people with good quality care. Today we’re going to be looking into integrated person-centred care planning – we’ll help you to demystify the term and try to encourage you to adopt the practices it involves into your care provision.

To begin with we’ll be looking at what “person-centred” actually means in regards to care. Simply put, it’s a shortened way of expressing the creation of a series of activities aligned to specifically cater for a person and their requirements. In a way it’s how you choose to culminate your care pathways & activities in a bespoke manner to provide someone with actions, activities and results that are focused totally on the individual. 

Person-centred, applies to care planning, when you take into account the clinical, holistic, desires, needs and wants of person when creating their care plans. It doesn’t stop there, however and in order to be truly person-centred, care plans must be created collaboratively with the person in control of the care interventions they want to accept, how they wish to receive them and designed to enable the person at every opportunity.

Here’s where things get a bit trickier. In order to provide integrated person-centred care planning, care professionals from all areas need to work together in order to ensure that the person in care has a seamless provision of their care, no matter the setting. When you have a person whose care requires the interventions from a variety of different social care and healthcare organisations, this can become fairly complex and has only realistically been achievable with the introduction of electronic health records and electronic care planning systems.

Here at Nourish we focus firmly on empowering person-centred care for those who provide and are in care. You can read more about our vision in our recent article on “framing personhood to manage frailty, needs and wants” from our founder Nuno Almeida. It’s why we’ve designed the Nourish system from the ground up to help enable people to receive tailored care and empower carers to do just that.

Nourish’s care planning system helps care workers, care teams, care managers and senior care providers with person-centred care planning by:

Our team of experts are always happy to help talk through how the Nourish system empowers care teams and care providers – talk to us today to find out more.

At Nourish we’ve always been about developing better ways to care and empowering people who care, so they can provide the best outcomes possible. We believe that one of the fundamental ways that care providers can improve the way that they provide care is by adopting an electronic care planning system. We know that this can sometimes be a huge shift in established behaviours and ways of working, so we’ve put together our top ten reasons why we believe adopting an electronic system will help in your care setting.

What this means is that whenever you enter information, care records or notes into an electronic care management system its securely backed up to servers on the cloud. Although this does require an active internet connection to achieve, this can be done easily through most handheld devices or computers, automatically – without you having to worry.

By entering your care notes digitally, you’ll be able to make use of a whole host of different methods to speed your recording, such as voice to text and automatic time stamps – always helpful in evidencing the care you’ve provided.

Because all care notes and records are able to be accessed by those who need them, you are able to provide more effective handovers between staff & shifts. Gone are the days where the night shift would be unaware of every aspect of a person’s daily care notes. Care planning systems like Nourish give your staff access to the right information, no matter their shift pattern.

Because you’re entering information in an electronic format, some care management platforms are able to automatically calculate a person’s MUST score as soon as they have the required data saving you time and enabling more one-to-one care for the people in your charge.

Most electronic care planning systems don’t automatically empower person-centred care; however, Nourish is unique as its built from the ground up to put the person in care at the heart of their care management.

When you’re managing care provision you need to immediately be aware of what is happening in your care settings as a whole. By offering a suite of different reports and overviews electronic care management systems like Nourish are able to help care managers and senior care staff instantly gain an overview of the care provided and help identify changes, which need to be made.

Nourish provides an instant messaging function to users of the system, this allows care team members to immediately communicate as long as they’re with their handheld device.

Overall the features that are available from electronic care planning systems like Nourish are there to help empower your care team to provide more effective care. All of the designs, inputs and reporting are structured in such a way to provide your care teams with the information they need, when they need it.

My care team are always aware of the issues that are currently at hand. By having all devices setup to receive warnings when certain tasks aren’t completed we are able to prioritise actions and work more effectively.

We’ve designed Nourish from the ground up to support those who provide and receive care. At the touch of a button you can bring up a person’s full care record enabling carers to provide truly person-centred and positive care, with the most minimal amount of administration.

If you would like to find out more about adopting the benefits of an electronic care planning system into your care setting, then please don’t hesitate to book a demonstration or give us a call on 02380 00 22 33.