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Care homes

All NICE products on Care homes. Includes any guidance, NICE Pathways and quality standards.

Managing medicines in care homes (SC1)

This guideline covers good practice for managing medicines in care homes. It aims to promote the safe and effective use of medicines in care homes by advising on processes for prescribing, handling and administering medicines. It also recommends how care and services relating to medicines should be provided to people living in care homes.

Social care guideline Published March 2014

Managing medicines in care homes

Everything NICE has said on systems and processes for managing medicines in care homes in an interactive flowchart

NICE Pathway Published May 2014 Last updated January 2018

Oral health for adults in care homes (NG48)

This guideline covers oral health, including dental health and daily mouth care, for adults in care homes. The aim is to maintain and improve their oral health and ensure timely access to dental treatment.

NICE guideline Published July 2016

Medicines management in care homes (QS85)

This quality standard covers managing medicines safely and effectively in care homes. It includes processes for prescribing, handling and administering medicines for adults, young people, and children living in care homes. It also includes providing care and support relating to medicines. It describes high-quality care in priority areas for improvement.

Quality standard Published March 2015

Oral health for adults in care homes

Everything NICE has said on maintaining and improving the oral health of adults in care homes in an interactive flowchart

NICE Pathway Published July 2016 Last updated September 2018

Oral health in care homes (QS151)

This quality standard covers oral health, including dental health and daily mouth care, for adults in care homes (with and without nursing provision). It describes high-quality care in priority areas for improvement.

Quality standard Published June 2017

Mental wellbeing of older people in care homes (QS50)

This quality standard covers the mental wellbeing of older people (aged 65 and over) receiving care in care homes (including residential and nursing accommodation, day care and respite care). It focuses on support for people to improve their mental wellbeing so that they can stay as well and independent as possible. It describes high-quality care in priority areas for improvement.

Quality standard Published December 2013

Transition between inpatient hospital settings and community or care home settings for adults with social care needs

Everything NICE has said on the transition between inpatient settings and community/care homes for adults with social care needs in an interactive flowchart

NICE Pathway Published November 2015 Last updated November 2017

Moving between hospital and home, including care homes

NICE quick guide - moving between hospital and home, including care homes

Published January 2019

Improving oral health for adults in care homes

A quick and easy-to-read guide for care home managers about achieving good oral health in care homes.

Published January 2019

Transition between inpatient hospital settings and community or care home settings for adults with social care needs (NG27)

This guideline covers the transition between inpatient hospital settings and community or care homes for adults with social care needs. It aims to improve people's experience of admission to, and discharge from, hospital by better coordination of health and social care services.

NICE guideline Published December 2015

Improving-oral-health-for-adults-in-care-homes

A quick and easy-to-read guide for care home managers about achieving good oral health in care homes.

Published March 2017

Older people with social care needs and multiple long-term conditions (NG22)

This guideline covers planning and delivering social care and support for older people who have multiple long-term conditions. It promotes an integrated and person-centred approach to delivering effective health and social care services.

NICE guideline Published November 2015

Pressure ulcers (QS89)

This quality standard covers preventing, assessing and managing pressure ulcers (bed sores) in adults, young people and children. It includes risk assessment and support to prevent pressure ulcers. It applies to all settings, including hospitals, care homes (with and without nursing care) and people’s own homes.

Quality standard Published June 2015

Controlled drugs: safe use and management

Everything NICE has said about the general safe use and management of controlled drugs in all NHS settings except care homes in an interactive flowchart

NICE Pathway Published April 2016 Last updated August 2017

Preventing falls in older people

Everything NICE has said on assessing and preventing falls in older people in the community and in hospital, in an interactive flowchart

NICE Pathway Published June 2013 Last updated September 2017

Delirium

Everything NICE has said on preventing and managing delirium in adults presenting to hospital or in long-term care in an interactive flowchart

NICE Pathway Published September 2012 Last updated March 2019

Mental wellbeing and independence in older people

Everything NICE has said on promoting mental wellbeing and independence in older people over 65 in an interactive flowchart

NICE Pathway Published November 2012 Last updated December 2016

Social anxiety disorder

Everything NICE has said on recognising, assessing and treating social anxiety disorder in children, young people and adults in an interactive flowchart

NICE Pathway Published May 2013 Last updated December 2018

Faecal incontinence

Everything NICE has said on managing faecal incontinence in adults in an interactive flowchart

NICE Pathway Published February 2013 Last updated April 2019

Safeguarding adults in care homes

In development [GID-NG10107] Expected publication date: 21 October 2020

NICE guideline In development

Dementia

Everything NICE has said on assessment, management and support for people living with dementia and Alzheimer's disease and their carers in an interactive flowchart

NICE Pathway Published May 2011 Last updated November 2018

Controlled drugs: safe use and management (NG46)

This guideline covers systems and processes for using and managing controlled drugs safely in all NHS settings except care homes. It aims to improve working practices to comply with legislation and have robust governance arrangements. It also aims to reduce the safety risks associated with controlled drugs.

NICE guideline Published April 2016

Common mental health disorders in primary care

Everything NICE has said on identifying and managing common mental health disorders in adults in primary care in an interactive flowchart

NICE Pathway Published November 2013 Last updated December 2018

Social care for older people with multiple long-term conditions (QS132)

This quality standard covers the planning and delivery of social care and support for older people (aged 65 and over) with multiple long-term conditions. It includes people living in their own homes, in specialist settings or in care homes, both those who receive support with funding for their social care and those who do not. It describes high-quality care in priority areas for improvement.

Quality standard Published September 2016

Mental wellbeing of older people in care homes

resource for managers of care homes for older people Next Introduction This resource is for managers of care homes for...

Published November 2014

Delirium in adults (QS63)

This quality standard covers the prevention, diagnosis and management of delirium in adults (aged 18 and over) in hospital or long-term care settings (such as residential care or nursing homes). It describes high-quality care in priority areas for improvement.

Quality standard Published July 2014

Mental wellbeing of older people in care homes

Statement 1 Statement 2 Statement 1 says: Older people in care homes are offered opportunities during their day to participate in...

Published September 2014

Hip fracture: management (CG124)

This guideline covers managing hip fracture in adults. It aims to improve care from the time people aged 18 and over are admitted to hospital through to when they return to the community. Recommendations emphasise the importance of early surgery and coordinating care through a multidisciplinary hip fracture programme to help people recover faster and regain their mobility.

Clinical guideline Published June 2011 Last updated May 2017

Intermediate care including reablement (NG74)

This guideline covers referral and assessment for intermediate care and how to deliver the service. Intermediate care is a multidisciplinary service that helps people to be as independent as possible. It provides support and rehabilitation to people at risk of hospital admission or who have been in hospital. It aims to ensure people transfer from hospital to the community in a timely way and to prevent unnecessary admissions to hospitals and residential care.

NICE guideline Published September 2017

Home care: delivering personal care and practical support to older people living in their own homes (NG21)

This guideline covers the planning and delivery of person-centred care for older people living in their own homes (known as home care or domiciliary care). It aims to promote older people's independence and to ensure safe and consistently high quality home care services.

NICE guideline Published September 2015

Pressure ulcers

Everything NICE has said on preventing and managing pressure ulcers in all age groups in primary care and community settings in an interactive flowchart

NICE Pathway Published January 2012 Last updated June 2019

Unintentional injuries in the home: interventions for under 15s (PH30)

This guideline covers home safety assessments, supplying and installing safety equipment and providing education and advice. It aims to prevent unintentional injuries among all children and young people aged under 15 but, in particular, those living in disadvantaged circumstances.

Public health guideline Published November 2010

Intermediate care including reablement

Everything NICE has said on referral and assessment for and delivery of intermediate care including reablement in an interactive flowchart

NICE Pathway Published September 2017 Last updated August 2018

Intermediate care including reablement (QS173)

This quality standard covers referral and assessment for intermediate care and how to deliver the service. It covers bed-based intermediate care, crisis response, home-based intermediate care and reablement. It describes high-quality care in priority areas for improvement. It does not cover rehabilitation for specific conditions.

Quality standard Published August 2018

Helping to prevent pressure ulcers

A quick guide to preventing pressure ulcers for managers of care homes

Published May 2019

Dementia: independence and wellbeing (QS30)

This quality standard covers supporting people with dementia to live well and maintain their independence. It is for all social care settings and services working with and caring for people with dementia or suspected dementia. It describes high-quality care in priority areas for improvement.

Quality standard Published April 2013

Stroke rehabilitation in adults (CG162)

This guideline covers stroke rehabilitation for adults and young people aged 16 and over who have had a stroke with continuing impairment, activity limitation or participation restriction. It aims to improve rehabilitation for people who have had a stroke by specifying how stroke units and multidisciplinary stroke teams should be organised. It makes detailed recommendations on assessments and interventions for the functional difficulties caused by stroke.

Clinical guideline Published June 2013

Mental wellbeing in over 65s: occupational therapy and physical activity interventions (PH16)

This guideline covers promoting mental wellbeing in people aged over 65. It focuses on practical support for everyday activities, based on occupational therapy principles and methods. This includes working with older people and their carers to agree what kind of support they need.

Public health guideline Published October 2008

Transition between inpatient hospital settings and community or care home settings for adults with social care needs (QS136)

This quality standard covers admissions into, and discharge from, inpatient hospital settings for adults (aged 18 years and over) with social care needs. It describes high-quality care in priority areas for improvement. It does not cover inpatient mental health settings, which will be covered by a quality standard on transition between inpatient mental health settings and community or care home settings.

Quality standard Published December 2016

Transition between inpatient mental health settings and community or care home settings (NG53)

This guideline covers the period before, during and after a person is admitted to, and discharged from, a mental health hospital. It aims to help people who use mental health services, and their families and carers, to have a better experience of transition by improving the way it’s planned and carried out.

NICE guideline Published August 2016

Preventing excess winter deaths and illness associated with cold homes (QS117)

This quality standard covers reducing the health risks (including preventable deaths) associated with cold homes. It includes identifying people at risk who are particularly vulnerable to the cold, such as young children, older people, and people with cardiovascular disease or mental health problems. It describes high-quality care in priority areas for improvement.

Quality standard Published March 2016

Faecal incontinence in adults (QS54)

This quality standard covers managing faecal (bowel) incontinence in adults (aged 18 and over) in the community (at home and in care homes) and in all hospital departments. It includes assessment of bowel control problems, advice and support, and treatment options. It describes high-quality care in priority areas for improvement.

Quality standard Published February 2014

Advance care planning

A quick guide for registered managers of care homes and home care services supporting advance care planning

Published March 2019

Type 2 diabetes: prevention in people at high risk (PH38)

This guideline covers how to identify adults at high risk of type 2 diabetes. It aims to remind practitioners that age is no barrier to being at high risk of, or developing, the condition. It also aims to help them provide those at high risk with an effective and appropriate intensive lifestyle-change programme to prevent or delay the onset of type 2 diabetes. The recommendations in this guideline can be used alongside the NHS Health Check programme.

Public health guideline Published July 2012 Last updated September 2017

Nutrition support in adults (QS24)

This quality standard covers care for adults (aged 18 and over) who are malnourished or at risk of malnutrition in hospital or in the community. It includes identifying people at risk of malnutrition and providing nutrition support, including dietary changes and artificial nutrition support given through feeding tubes (enteral nutrition) or directly into a vein (parenteral nutrition). It describes high-quality care in priority areas for improvement.

Quality standard Published November 2012

People's experience in adult social care services: improving the experience of care and support for people using adult social care services (NG86)

This guideline covers the care and support of adults receiving social care in their own homes, residential care and community settings. It aims to help people understand what care they can expect and to improve their experience by supporting them to make decisions about their care.

NICE guideline Published February 2018