Falls Prevention

Prevention/Management of falls

999 calls from care homes – falls

A recent review of local calls made to the ambulance services has highlighted that falls is the main reason for ambulance attendance at care home locations across Herefordshire. The implications of which for the residents are wide ranging and of course, related injury can have debilitating consequences for the resident and provides challenges to the care home in which they fell.

Prevention of falls needs to be a key priority for Herefordshire care homes. Educational resources are available however; we would like to highlight two key documents below;

Older people living in care homes are three times more likely to fall than older people living in their own homes, with the results of a fall often being much more serious; there are ten times more hip fractures in care homes than in other environments. Many factors can contribute to this heightened risk, such as physical frailty, the presence of long term conditions, physical inactivity, taking multiple medications and the unfamiliarity of new surroundings. For this reason, it is important that all care homes for older people implement a person centred process to manage and reduce falls and fractures. This will help to improve the overall quality of care for an individual and will have a huge impact on a person’s independence and participation in life.

Prevention and management of falls

The ‘Good Practice Self-Assessment Resource managing falls and fractures in care homes for older people’, is available on line and provides the direction, advice and support that staff in a care home need to make a difference in this area of care. The resource which is research based not only gives the guidance required, but offers tools which can be downloaded and used in a care home to help improve or change practice (NHS Scotland, 2011)

NICE guidance (June 2013) published guidance and tools for falls: assessment and prevention of falls in older people. Click on the link for full guidance Falls: assessment and prevention of falls in older people

Root Cause Analysis Concise Investigation Report - Slips/Trips/Falls

CI Falls and fractures guidance

Medication & falls 

Care homes medication and falls bulletin

Medication and falls risk classification guide

Medication and falls information for GPs

Medication and falls information for care home staff

Falls risk questionnaire