The Davis Centre, Bolton, Ontario

1. The Davis Centre, Bolton, Ontario Barb Swail, Administrator

2. The Davis Centre is a 64-bed long term care home, one of five operated by the Region of Peel. It is a one-story 47,000 square foot building. Our residents range in age in age from 50 – 101 with a variety of complex care needs. We provide an Adult Day Service program 6 days per week. The community is a mix of rural/suburban, with a minor cultural Italian influence

3. AIM To reduce the number of falls by 30% by February 2009 To reduce the severity of injury by 50% by February 2009 We have remained true to our philosophy that our residents have the right to walk and consequently may fall We will continue to analyze why residents fall

4. OUR TEAM Barb Swail Kathy Topping Administrator Director of Care Greg Szczerba Virginia Lavery Physiotherapist Resource Nurse Jane Sutherland-Firth Gayle Thorp Registered Nurse Personal Support Worker Wendy Beattie Executive Sponsor

5. CHANGE IDEAS Prevention: Lighting audit of all resident rooms Communication board for all staff and visitors Storyboard presentation at mandatory inservice Walk to Dining program with our physiotherapist

6. CHANGE IDEAS Intervention Strategies: Individual resident assessments Revised post falls assessment tool Post falls assessment tool

7. CHANGE IDEAS Awareness of Risk: Pharmacy review for our residents who are falling more than once Testing to evaluate increased awareness of our logo and the project Introduction of the logo, the INUKSHUK MOMA assessments on all ambulatory residents Modification of Morning Report to inform staff of a fall

8. CHANGE IDEAS Reduction of Injury:

9. MEASURES For the eight month period May – Dec 2007, we reported 60 falls. For the same time period this year we reported 73 falls but in both cases only two of these were category 3. We believe this increased number of falls can be attributed to staff becoming more aware of falls prevention and reporting more accurately. Also, our numbers fluctuate due to the level of cognitive impairment and limited physical abilities that our new residents are admitted with.

11. CHALLENGES Due to our relatively small staff size, we were faced with a lack of time for committee meetings and champions to maintain the momentum We also had Classification and Compliance during the same time period It is a challenge to change routines with long-time staff We have recognized the importance of focusing on an individual instead of trying to make sweeping changes in our facility

12. LESSONS LEARNED It is imperative to reinforce resident-centered care rather than routines Some falls are out of our control due to resident ability/disability/choice Statistics are variable when it comes to human nature and the health status of new admissions Publish successes

13. NEXT STEPS Work on our communication techniques Complete our ten step program on falls prevention/reduction Continue with restraint reduction process Look at reduction of injury strategies Ensure sustainability of the program

14. EXAMPLE National Collaborative on the Prevention of Falls in Long-Term Care storyboards will be displayed on tabletop poster boards that are 4 feet wide (2 feet in center and 2 one-foot fold outs) and 3 feet tall.

15. CONTACT INFORMATION Name: Barb Swail, Administrator Email: barb.swail@peelregion.ca Phone Number: 905 857-0977 ext 3003