UN/APPROVED

NHS GRAMPIAN

Title of Meeting: OHI Operational Group Meeting

Action Note: 3rd April 2014

Present: Karen Tosh (Chair), Bruce Archibald, Shirley Beattie, Linda Chessor, Brian Dawson, Carole-Ann Duff, Elaine Gray, Angus Henderson (VC), Rosemary Hutcheson, Ann Ovall and Kim Penman

Note Taker: Indyia Bradley

Item. / Subject / Discussion/Recommendation/Action / Responsibility for Action / Deadline/Timescale / Action Completed/Updated
1. / Welcome, Introduction and Apologies / KT welcomed the group and IB was introduced to the Group.
Apologies were received from; Iain Bovaird, Carol Craig, Karen Garner, Diane Milne, Jackie Park, Barbara Smith, Jane Smith & Diane Trigger.
2. / Action note of Meeting held on 26/02/14 / Most of the Actions from the last note had been taken forward; the only remaining Actions were discussed at today’s meeting.
3. / CHP Staffing Decisions / LC & SB discussed the team leaders visitto NHS Tayside to see how they operated Caring for Smiles with the Tayside Award Scheme –
DHSWs – work on both childsmile and priority groups, some are dedicated staff but they are dual trained so they can cover and assist each other as required, no term time contracts.
OHE qualified DNs – provide training programme and plaque scores.
DHSW – make initial contacts with care home managers and explain programme and arrange appts for training with DN’s – they have access to DN’s diary to arrange these appointments.
If home wishes to go for oral care award – home has base line plaque scores complete by DN – 10 patients regardless of size of home.
Once 75% of staff have received training, oral care champion in place and 90% of residents have CFS paperwork or equivalent paperwork in place and all dentures in a home are marked there is a 2nd plaque score screening complete. At this point award would be given.
Interviews being held on 16th April for OHI Team Leader for Moray – 5 Interviewees.
Interviews being done by Angus Henderson
Job description from Tayside has been circulated. City having no decision at present. CHP to decide whether staffing will be DN or DHSWs.
KT informed that each of the CHPs will now have to decide what they want to do.
The group discussed the potential of having a Team Leader based in the hospitals to help monitor wards, carry out spot checks, offer support, train staff and be a resource for each area – this was suggested due to lack of attendees to training days organised by team leaders within hospitals due to staff shortages and time constraints.
KT and BA to discuss. / AH
CHPs
KT / BA
4. / Screening Paperwork Format & Content / Work is still ongoing with the screening paperwork – mouth map to be updated and then paperwork sent to all dentists.
Decision to be made as to how to input the data on to the spreadsheet for collation – at present have the incorrect software so to process would take twice as long.
It was discussed that the screening process needed to be done regularly, and that every new resident would undertake this. This would result in continuing care.
Needs to be more clarity on registering patients– is the patient already registered with a dentist?
If patient is already registered with a dentist and following the screening, treatment is required, then the GDP should be contacted.
HC1 Form available for patients who may be unable to afford treatment.
It was thought that this may need to be done 6 monthly.
BD to finalisepaperwork. / BD
5. / Training /
  • E-Learning
CAD had an initial meeting in regards to E-Learning – they have said it is not possible to do the training online due to the amount of work involved with inputing Non-NHS staff onto the system – especially as there is a large turnover of staff in care homes. The suggestion was raised by them to make CDs – this can be done by going on a 1 Day course for the Articulate Programme through them and using the facilities at Ashgrove House (staff on hand to help with any queries) – can choose which demonstrations are included – could then be uploaded online to Teeth TLC website.
It was agreed that this was a good idea as a lot of care home workers are non-British and so struggle with the training, those unable to attend training sessions can do it in their own time or quieter times at work. Also a good way of getting the information out to all medical staff as well.
CAD to speak to Tom re a way to monitor / put in steps to show training had been undertaken, cost implicationsfor distributing etc.
Team Leaders are to approach DentalSchool for people willing to take part in videos, and to make a list of possible demonstrations to video.
  • Dental Staff
This has yet to be discussed by the clinical leads.
BD & RH will put forward at the Next Clinical Leads Meeting.
  • Dementia Training
This training to a certain level is a requirement when working with Caring for Smiles.
Available on E Learning – KT to circulate trainers’ details.
  • Plaque Training
The group discussed the potential of making plaque training recognised. Dentists need to be screening patients more regularly, with Dental Nurses following up if required. Training can be delivered via ADEC.
CHP are to identify suitable people for training / CAD
LC / SB / JP/EG
BD / RH
KT
CHPs
6. / Oral Health Printouts / It was decided that the Oral Health Print Out needs to be Amended / Updated – also a suitable Caring for Smiles.
CC will update.
Leaflet to be sent out – KT to action. / CC
KT
7. / Oral Health Award / It was discussed that some care homes are declining to take part in Caring for Smiles as they believe it entails too much work.
Local Care Inspectorate staff have been contacted re progress – they have stated that when they do an inspection they do ask if involved in the programme.
Nationally group still working on trying to have Caring for Smiles as a mandatory programme as part foof the inspection
8. / Alzheimer’s Scotland / KT was asked whether anyone from Caring for Smiles would be available to attend a training day that is being held on Saturday 10th May for 1.5hours just to give some information to their call handlers etc about what it is that Caring for Smiles does, deliver some key messages and answer any of their questions.
LC agreed to attend this meeting. / LC
9. / Just in Case / Team Leaders mentioned that some nurses in nursing homes had enquired in regards to ‘Just in Case’ Pack and its oral health contents.
KT to email all current information in regards to ‘Just in Case’ packs out. / KT
10. / Caring for Smiles / Leaflets requiredfor relatives– develop what is needed, update / amend information
KT to email / KT
11. / Date of Next Meeting / Action: KT to decide date of next meeting. Request for it to be on a Tuesday.
IB to organise / KT
IB

1