Enhanced Health in Care Homes (EHCH - Proactive Care)

Patient and Families Information Leaflet

Overview

• We are the Enhanced Health in Care Home team (EHCH) and we work with care homes in west Haringey.
• The EHCH team includes the following professionals:
  • Community Matron
  • Trusted Assessor (nurse)
  • Consultant Geriatrician (older person doctor)
  • Pharmacist
  • Learning Disability Community Matron
  • Administrator

What is EHCH?

• The Enhanced Health in Care Homes team (EHCH) provides residential care homes with high quality, personalised care.
• They make sure that all residents, and their families, receive the correct healthcare services that they need.

What do the EHCH Team do?

• Once your referral to the EHCH team is accepted the team will visit you in your care home.
• The team will then discuss and review, with you, your family, and the care home staff, what your needs are and how they can be supported by the EHCH team.
• Your review will be with either the Community Matron, Pharmacist or Consultant Geriatrician.
• If you are in hospital and ready to go home, you will be visited by a Consultant Geriatrician or Trusted Assessor (Nurse).
• They will check how you are doing before you go home.
• You may also be visited if you are moving into a residential care home.
• The Trusted Assessor (Nurse) will work with you, the residential care home, and the hospital to make sure you are discharged (leaving) the ward as safely as possible.
• The EHCH Team will then talk to your GP, and other healthcare professionals, and create a detailed assessment for you.
• The Learning Disability Community Matron provides specialist support to people with learning disabilities.
• They can support people living in supported living, sheltered housing, extra care housing or residential care homes.
• They help people stay physically healthy and support them to have their yearly health checks.
• They also help people stay as independent and well as possible.

The EHCH team would like to see:

• New residents who have recently moved into the care home.
• Residents who have been in hospital recently.
• Residents who have fallen over or keep falling over.
• Residents who have complex advance care/treatment escalation planning issues (those who have greater care needs).
• Residents who are on 6 or more medications.
• Residents approaching their annual review.

We aim to:

• Improve the management of any long-term conditions that you may have.
• Improve the management of specific healthcare issues, such as dementia.
• Reduce the number of times you visit the Accident and Emergency Department at the hospital by helping you with support and recovery.
• Work with you to manage and improve your health and wellbeing.
• Reduce the number of falls you may have.
• Provide support to residential care home staff and other healthcare professionals who are caring for you.
• Support you with advanced care planning and creating a universal care plan for you.

Contact our service

• Please raise any concerns or questions you might have with your residential care home Manager.
• They will contact the EHCH team who will make an appointment to visit you.