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The challenges of implementing a multi-centre audit of end-of-life care in care homes
Jean Levy1, Julie Kinley2, Frances Conway3
1Family Perception of Care Audit Project Lead, Care Home Project Team, St Christopher's Hospice, London.
Aims:
This article aims to share the experience of a hospice in facilitating a multi-centre audit of end-of-life care in care homes, particularly noting the challenges and enablers of carrying out the audit.
Methods:
The audit was a retrospective multi-centre survey of bereaved relatives/next of kin of residents who died in the care home, using an anonymous, validated questionnaire: the Family Perception of Care Scale. Questionnaires were sent 3-months after bereavement. Returned questionnaires were analysed using SPSS and Excel. The care homes were in areas encompassing outer and inner city populations.
Findings:
The team identified eight challenges to the audit process, in particular, embedding procedures within the care homes, non-responses and developing action plans for improvement.
Conclusion:
Overall, the audit provided an indication of where improvements could be made and where care was already excellent, built confidence and increased expertise in the care-home staff.
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