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Older people on
the move
Care…About Physical Activity
improvement programme
Rami Okasha
Care Inspectorate, Scotland
@ramiokasha
What is the CAPA improvement programme?
What
• 18 month national programme designed and led by
Care Inspectorate
• Funded by Scottish Government
Why
• Activity leads to emotional and physical wellbeing
• Need to build skills and confidence of care staff
How
• Based on Care…about physical activity resource pack
• IHI Breakthrough series, PDSA test of change
• Measurement framework
135 care services involved
•67 care homes
•68 care at home & support services
Internal programme
•230 Care Inspectorate staff
•Adult and Children, YP and EY
Learning events
•Almost 1000 social care professionals and others
•Last (3rd ) set of events May/ June 2018
The programme so far
“I know enough about movement
to encourage older people to move
more”
Feedback from learning events
“Older people should limit the
amount of movement they take
part in”
13%
15%
(good!)
Using the model for improvement
13%
What are we trying to
accomplish?
How will we know a change is
an improvement?
What changes can we make
to result in improvement?
Do
StudyAct
Plan
Results for people after 6 weeks
Berg Balance Test
Sit to Stands
Grip strength
Lower risk of falls
Increased mobility
Reduced risk of
mortality, falls and
disability
Sit to stand by 20%
Grip strength by 28%
Sit and reach by 40%
Berg balance by 13%
Low falls risk
Abe’s story
Appetite, 4.5 kilo weight gain
Skin changes
Conversation, speech
Engagement
No walking aid, no falls
Enjoyment in life
Older People on the Move

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Older People on the Move

  • 1. Older people on the move Care…About Physical Activity improvement programme Rami Okasha Care Inspectorate, Scotland @ramiokasha
  • 2. What is the CAPA improvement programme? What • 18 month national programme designed and led by Care Inspectorate • Funded by Scottish Government Why • Activity leads to emotional and physical wellbeing • Need to build skills and confidence of care staff How • Based on Care…about physical activity resource pack • IHI Breakthrough series, PDSA test of change • Measurement framework
  • 3. 135 care services involved •67 care homes •68 care at home & support services Internal programme •230 Care Inspectorate staff •Adult and Children, YP and EY Learning events •Almost 1000 social care professionals and others •Last (3rd ) set of events May/ June 2018 The programme so far
  • 4. “I know enough about movement to encourage older people to move more” Feedback from learning events “Older people should limit the amount of movement they take part in” 13% 15% (good!)
  • 5. Using the model for improvement 13% What are we trying to accomplish? How will we know a change is an improvement? What changes can we make to result in improvement? Do StudyAct Plan
  • 6. Results for people after 6 weeks Berg Balance Test Sit to Stands Grip strength Lower risk of falls Increased mobility Reduced risk of mortality, falls and disability
  • 7. Sit to stand by 20% Grip strength by 28% Sit and reach by 40% Berg balance by 13% Low falls risk Abe’s story Appetite, 4.5 kilo weight gain Skin changes Conversation, speech Engagement No walking aid, no falls Enjoyment in life

Editor's Notes

  1. Welcome
  2. How do we measure the impact of CAPA? When measuring improvement you need to know where you are starting from, and where you get to. The Learning Events are designed to engage with care professionals and ensure they take on board that part of their job of ensuring a good quality of life is to support and promote movement for those they work for. These results are statistically significant. Once care professionals had a chance to think about their role in supporting movement, they returned to their services and started putting small tests of change into action
  3. had a chance to think about their role in supporting movement, they returned to their services and started putting small tests of change into action
  4. Moving forward 4 months and the improvements are even more apparent Last week Abe took another resident for a walk