End of Life Care

Gold Standards Framework

The Gold Standards Framework for Care Homes


All our nursing care centres have achieved or are working towards the Gold Standards Framework for Care Homes. The staff and care centre have undertaken to follow the Gold Standards Framework for Care Homes, which supports families and residents at this time. Residents are given greater control and more involvement in their care choices.

Beacon Status

A number of our nursing homes have achieved Beacon Status as part of their recent re-assessment process. This is the highest accolade awarded under the scheme and reflects the true excellence provided by each nursing home in its end of life care.
  • John Joseph Powell: Beacon Status awarded 2011
  • Hyde Nursing Home: Beacon Status awarded 2011
  • White Rose House: Beacon Status awarded 2011
  • Stamford Court: Commend Status awarded 2012
  • Westwood Lodge: Quality Hallmark

Care centre staff create Advance Care Plans where residents and their families are invited to discuss their choices, preferences and the options available in order to meet their individual needs and wishes. This type of pre-planning of care cuts down on unnecessary hospital admissions, allowing residents the dignity to live out their last days in a comfortable environment with familiar staff who have cared for them throughout.

The care centre works in conjunction with residents, families and other multidisciplinary colleagues to improve the quality and organisation of care for people in the last years of their lives through the Gold Standards Framework (GSF) End of Life Care.

For most people a care home setting is their final residence, a place where they will spend the last years of their life. The GSF is about end of life care, palliative care and ensuring that the individual is comfortable and pain free, thus providing a 'Gold Standard' level of care.

Aims of GSF:

  • Improve the quality of care for people nearing the end of their life.
  • Improve the co-ordination and collaboration with GP and Primary Health Care Teams.
  • To reduce the number of admissions to hospital in the last stages of life.
  • To ensure the individual's dignity is maintained at all times.

Objectives

  • Better care towards the end of life.
  • A better death in accordance with the resident's and family's wishes.
  • Fewer crises or hospital admissions.
  • Move from relative to proactive care with better advanced care planning.
  • Focus on the needs and preferences of the resident and family.
  • Listen to and value the opinion of the resident and family.
  • Closer collaboration with specialists in palliative care.
  • A holistic approach to care.
  • Better link to out-of-hours services.
  • Improved clinical skills and knowledge at all levels within the care team.

Good levels of communication underpin the GSF process:

Identify

The first stage of the process is to identify and raise awareness of the prognostic stage of the resident, which is carried out by using a coding criteria tool. Once coding has been carried out this information is written on a register and communicated to the care team on a daily basis.

Monthly GSF meetings are then held with the care team and the palliative care specialist using the multidisciplinary approach to care delivery.

Assess

Each individual's needs - physical, psychosocial and spiritual - are assessed and communicated with the resident, their family and the team.

Plan

Plan ahead for all occurrences, including preference for place of care and out-of-hours issues. A completed advance care plan is communicated to the out-of-hours services and to all of the care team.

For more information about the Gold Standards Framework in Care Homes please click here to visit the official GSF website.