Zest Professional
Here’s how we do what we do…
We have a positive approach
You are in control
We are here to help you
The Element of Zest
We are super convenient
What we do works
We have a wide variety of treatment options and strategies to offer you safe and practical solutions for older people. We have developed efficient ways of working with our clients to ensure quick, demonstrable results with clear evidence of the workings which you can show to interested stakeholders such as CQC.
We aim to help you to…
Improve CQC inspection reports in all 5 domains.
- Safety: demonstrate self-audit, environmental audit, data analysis, and action plans to reduce falls and fractures, choking, malnutrition and dehydration within your care home or day centre. Demonstrate risk enablement to promote an activity culture within your service.
- Effective: demonstrate that your care helps to maintain quality of life and uses evidence based approaches such as exercise for bone health and management of falls risk, dysphagia risk assessment, reduced aspirations and associated complications such as pneumonia and development of nutritious appropriate menus for your residents.
- Caring: demonstrate compassionate care plans which include passive movements and positioning for residents managed in bed, communication strategies, and enjoyable meal choices. Help residents to participate in purposeful activity and continue with activities they enjoy. Improved client experience and feedback and peace of mind for families.
- Responsive: avoid lengthy waiting lists for your clients with regular onsite professional services. Assess all new residents on admission to improve care planning from the outset.
- Well led: develop your business support network. Demonstrate openness in availability of falls data and falls reporting and multidisciplinary working with our multi professional services to seek and act on feedback. We can deliver comprehensive training on manual handling and passive movement techniques and supervision of exercise programmes, seating choices, communication strategies, swallowing difficulties and effective nutrition and hydration.
In addition our services can be extended to providing services for your team to include assessment and treatment for injuries and lifestyle advice.
We offer the following on-site consultancy services…
Physiotherapy
Action plans will be specific to each care home and led by your needs and aspirations to the quality of care you aim to deliver.
Development of proactive action plans for falls and fracture management strategies
Audit of safety and data analysis with regards to falls and fracture management strategies including environmental audit.
Promotion of activity culture through activities audit and action planning. Help your residents to continue to be active using a risk enablement approach.
Staff training, supervising exercise programmes, passive stretching regimes and positioning, reporting falls, seating assessments.
Falls risk assessment, manual handling care planning, multifactorial falls assessments, mobility care planning, bone health care planning, seating assessments, new resident assessments and specific physiotherapy advice for individual residents and staff.
Dietitian
Review of textured foods on menu ensuring food is of correct texture and provides adequate nutrition working closely with speech and language therapist.
Review of resident’s wishes to allow menu to be created that they will enjoy.
Malnutrition screening (MUST) training and assessment.
Review of supplements used or prescribed. Food fortification training and recommendations as needed. Clear recommendations and protocols for common health problems e.g. osteoporosis/fractures, malnutrition, diabetes, heart disease, constipation, IBS. Regular review of services, procedures and menus.
Counselling
Speech and Language Therapy
Recommendations tailored to individual residents.
Regular reviews for long term residents.
Development of pathway for staff to follow if resident’s status changes.
Staff training on swallowing risk screening and safer swallowing for residents, communication screening, and optimising communication for residents.
Occupational Therapy
We can advise on environmental adaptations and can recommend equipment and strategies to help staff and residents feel more confident with the daily activities that are important to them.
Promotion of activity culture through activities audit and action planning. Help your residents to continue to be active using a risk enablement approach.
Staff training on selection and use of equipment and selecting appropriate seating and living well through activity.
CQC Citation
Overall Rating: Good
CQC said: People had risk assessments in place to reduce the likelihood of them falling, developing skin ulcers, malnutrition and being at risk when they were being supported to move by staff. We saw that people were supported to move safely; for example when staff used a hoist they used the correct sling and gave people reassurance throughout the manoeuvre.
The provider had ensured that lessons were learned and improvements made when things had gone wrong. Records showed accidents and near misses were analysed so they could establish how and why they had occurred. Actions had then been taken to reduce the likelihood of the same thing happening again. These actions included considering the need to refer people to specialist healthcare professionals such as their GP or health professionals who focus on helping people to avoid falls.
The home also employed their own physiotherapist one day a week to assess and support people at risk of falling.
CQC Citation
Overall Rating: Good
CQC said: Senior staff analysed all accidents and incidents to look at where lessons could be learned and improvements made to people’s care. For example, analysis showed one person was having an increase in the number of falls in their room at a particular time of day. The care they received had been changed to make sure they received attention at this time and with their permission they were moved to a room locatedin a busier area of the home to help reduce the risk.
CQC Citation
Overall Rating: Good
CQC said: Accidents and incidents were reviewed monthly to identify themes or increased risks. The service had worked with the local healthcare trust’s falls prevention lead. This had resulted in a reduction in the number of falls at the service
Since our previous inspection, the registered manager had put further checks in place. They had worked with healthcare professionals to develop an overview and analysis of accidents
Zest Physiotherapy aims to motivate older people to engage in taking positive steps to proactively improve their health and wellbeing, enabling them to maintain their Zest for life.
© 2020 Zest Physiotherapy.
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