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Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands

Author

Listed:
  • Reena Devi

    (School of Healthcare, University of Leeds, Leeds LS2 9JT, UK)

  • Graham Martin

    (The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge CB2 0AH, UK)

  • Jay Banerjee

    (University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK
    Department of Health Sciences, University of Leicester, Leicester LE1 7RH, UK)

  • Louise Butler

    (Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust, Salford M6 8HD, UK)

  • Tim Pattison

    (Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust, Salford M6 8HD, UK)

  • Lesley Cruickshank

    (Essex County Council, Chelmsford, CM1 1QH, UK)

  • Caroline Maries-Tillott

    (West Midlands Academic Health Science Network, Birmingham B15 2TH, UK)

  • Tracie Wilson

    (Walsall Clinical Commissioning Group, Walsall WS2 7JL, UK)

  • Sarah Damery

    (Institute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK)

  • Julienne Meyer

    (School of Health Sciences, City University of London, London EC1V 0HB, UK)

  • Antonius Poot

    (Department of Public Health and Primary Care, Leiden University Medical Centre, Hippocratespad 21, 2300 RC Leiden, The Netherlands)

  • Peter Chamberlain

    (South Sefton Clinical Commissioning Group, Bootle L20 3DL, UK)

  • Debbie Harvey

    (South Sefton Clinical Commissioning Group, Bootle L20 3DL, UK)

  • Clarissa Giebel

    (Department of Primary Care & Mental Health, University of Liverpool, Liverpool L69 3GL, UK
    National Institute for Health Research, Applied Research Collaborations, North West Coast, University of Liverpool, Liverpool L69 3GL, UK)

  • Kathryn Hinsliff-Smith

    (Faculty of Health and Life Sciences, De Montfort University, Leicester LE1 9BH, UK)

  • Neil Chadborn

    (Division of Graduate Entry Medicine, University of Nottingham, Derby DE22 3NE, UK
    NIHR Applied Research Collaboration–East Midlands (ARC-EM), University of Nottingham, Nottingham NG7 2TU, UK)

  • Adam Lee Gordon

    (Division of Graduate Entry Medicine, University of Nottingham, Derby DE22 3NE, UK
    NIHR Applied Research Collaboration–East Midlands (ARC-EM), University of Nottingham, Nottingham NG7 2TU, UK)

Abstract

The Breakthrough Series Quality Improvement Collaborative (QIC) initiative is a well-developed and widely used approach, but most of what we know about it has come from healthcare settings. In this article, those leading QICs to improve care in care homes provide detailed accounts of six QICs and share their learning of applying the QIC approach in the care home sector. Overall, five care home-specific lessons were learnt: (i) plan for the resources needed to support collaborative teams with collecting, processing, and interpreting data; (ii) create encouraging and safe working environments to help collaborative team members feel valued; (iii) recruit collaborative teams, QIC leads, and facilitators who have established relationships with care homes; (iv) regularly check project ideas are aligned with team members’ job roles, responsibilities, and priorities; and (v) work flexibly and accept that planned activities may need adapting as the project progresses. These insights are targeted at teams delivering QICs in care homes. These insights demonstrate the need to consider the care home context when applying improvement tools and techniques in this setting.

Suggested Citation

  • Reena Devi & Graham Martin & Jay Banerjee & Louise Butler & Tim Pattison & Lesley Cruickshank & Caroline Maries-Tillott & Tracie Wilson & Sarah Damery & Julienne Meyer & Antonius Poot & Peter Chamberl, 2020. "Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach: Lessons Learnt from Six Projects Conducted in the UK and The Netherlands," IJERPH, MDPI, vol. 17(20), pages 1-21, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7601-:d:431121
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    Citations

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    Cited by:

    1. Ryuichi Ohta & Yoshinori Ryu & Takuji Katsube & Chiaki Sano, 2020. "Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    2. Sarah Damery & Sarah Flanagan & Janet Jones & Kate Jolly, 2021. "The Effect of Providing Staff Training and Enhanced Support to Care Homes on Care Processes, Safety Climate and Avoidable Harms: Evaluation of a Care Home Quality Improvement Programme in England," IJERPH, MDPI, vol. 18(14), pages 1-18, July.
    3. Anna Dadswell & Ceri Wilson & Hilary Bungay, 2024. "Sustainable Creative Practice with Older People: A Collaborative Approach between Arts and Care Sectors," Sustainability, MDPI, vol. 16(9), pages 1-17, April.
    4. Everink, Irma & Urlings, Judith & Griffiths, Alys & Verbeek, Hilde & Haunch, Kirsty & Spilsbury, Karen & Hamers, Jan & Devi, Reena, 2023. "Bridging the gap between science and care: a qualitative exploration of the role of the Scientific Linking Pin researcher working in research and practice partnerships," LSE Research Online Documents on Economics 120712, London School of Economics and Political Science, LSE Library.
    5. Marcello Nonnis & Alessandro Lorenzo Mura & Fabrizio Scrima & Stefania Cuccu & Ferdinando Fornara, 2022. "The Moderation of Perceived Comfort and Relations with Patients in the Relationship between Secure Workplace Attachment and Organizational Citizenship Behaviors in Elderly Facilities Staff," IJERPH, MDPI, vol. 19(2), pages 1-17, January.
    6. Reena Devi & Adam Gordon & Tom Dening, 2022. "Enhancing the Quality of Care in Long-Term Care Settings," IJERPH, MDPI, vol. 19(3), pages 1-3, January.

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