The Davis Centre, Bolton, Ontario

Barb Swail, Administrator

The Davis Centre is a 64-bed long term care home, one of five operated by the Region of Peel. It is a one-story 47,000 square foot building. Our residents range in age in age from 50 – 101 with a variety of complex care needs. We provide an Adult Day Service program 6 days per week. The community is a mix of rural/suburban, with a minor cultural Italian influence

AIM To reduce the number of falls by 30% by February

2009

To reduce the severity of injury by 50% by February 2009

We have remained true to our philosophy that our residents have the right to walk and consequently may fall

We will continue to analyze why residents fall

OUR TEAM Barb Swail Kathy Topping Administrator Director of Care

Greg Szczerba Virginia Lavery Physiotherapist Resource Nurse Jane Sutherland-Firth Gayle Thorp Registered Nurse Personal Support Worker Wendy Beattie Executive Sponsor

CHANGE IDEASPrevention:

Lighting audit of all resident rooms

Communication board for all staff and visitors

Storyboard presentation at mandatory inservice

Walk to Dining program with our physiotherapist

CHANGE IDEASIntervention Strategies:

Individual resident assessments

Revised post falls assessment tool

Post falls assessment tool

CHANGE IDEASAwareness of Risk:

Pharmacy review for our residents who are falling more than once

Testing to evaluate increased awareness of our logo and the project

Introduction of the logo, the INUKSHUK

MOMA assessments on all ambulatory residents

Modification of Morning Report to inform staff of a fall

CHANGE IDEASReduction of Injury:

MEASURES For the eight month period May – Dec 2007, we reported

60 falls. For the same time period this year we reported 73 falls but in both cases only two of these were category 3. We believe this increased number of falls can be attributed to staff becoming more aware of falls prevention and reporting more accurately. Also, our numbers fluctuate due to the level of cognitive impairment and limited physical abilities that our new residents are admitted with.

CHALLENGES Due to our relatively small staff size, we were faced

with a lack of time for committee meetings and champions to maintain the momentum

We also had Classification and Compliance during the same time period

It is a challenge to change routines with long-time staff

We have recognized the importance of focusing on an individual instead of trying to make sweeping changes in our facility

LESSONS LEARNED It is imperative to reinforce resident-centered care

rather than routines

Some falls are out of our control due to resident ability/disability/choice

Statistics are variable when it comes to human nature and the health status of new admissions

Publish successes

NEXT STEPS Work on our communication techniques

Complete our ten step program on falls prevention/reduction

Continue with restraint reduction process

Look at reduction of injury strategies

Ensure sustainability of the program

EXAMPLE

Title

Background

Aim

Team Members

Results Changes Tested

Lessons Learned

Next Steps

Title

Background

Aim

Team Members

Results Changes Tested

Lessons Learned

Next Steps

National Collaborative on the Prevention of Falls in Long-Term Care storyboards will be displayed on tabletop poster boards that are 4 feet wide (2 feet in center and 2 one-foot fold outs) and 3 feet tall.

CONTACT INFORMATION

Name: Barb Swail, Administrator

Email: barb.swail@peelregion.ca

Phone Number: 905 857-0977 ext 3003