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In search of continuous progress in care

In search of continuous progress in care at Peverel Court Care


At Peverel Court Care, we embrace the opportunity to continuously improve our business and, as a result, the lives of our residents and staff. In this post, we wanted to explore further what a continuous improvement model is, and how our commitment is driving positive results.

Whilst there are a number of different methodologies for identifying and implementing opportunities for improvement, these all share a number of core principles. It is these upon which we have based our model for advancing the way in which we operate.


The core principles of continuous improvement

Beyond that, we have taken the following core principles upon which to base our programme of continuous improvement for our already award-winning care homes in Buckinghamshire and Oxfordshire:

As the first to test the GP Connect extension within Nourish, we will be shaping the way care environments interact with GP services and taking a significant step towards a joined-up care environment. We look forward to seeing how our care teams engage with GP Connect and the impact it will have on care practice.

  • Small steps rather than giant leaps are more likely to achieve progress. We have acknowledged that huge changes to the way we run the business are going to be much scarier and more time consuming than smaller changes. So we’re focusing our efforts on identifying opportunities that can be implemented much more quickly, in order to ensure constant progression. This allows fast improvements in the day-to-day lives of our residents and staff, rather than strategic shifts that will take much more time to realise.
  • The thoughts, ideas and experiences of our employees are invaluable. Our leadership team understands that no-one understands the challenges and opportunities in the business better than the people who work in it everyday. That’s why we want to know which elements of their jobs and our processes, activities and communications are sticking points for our team. This helps us to identify opportunities for us to make improvements that will benefit our staff and residents every day, and help us to make constant progress towards a better business.
  • Incremental changes can usually be implemented very cost-effectively. Our leadership team has noted that when receiving feedback from the team, the focus is often on smaller changes which can be implemented without a huge amount of expense, yet can make a big impact. Indeed, it has been noted that many ideas from employees involve simplifying processes rather than complicating them. This is a great way to ensure that every step we make adds value to our residents and staff, and reduces wasted time and effort. This insight from employees is therefore fundamental to our continuous improvement programme.
  • Encouraging employees to own and drive our continuous improvement program. Whilst appreciating the importance of the key insights we can gain from our team, and the way we can utilise these to progress the business, we’re asking for even more from our team. We want them to be proud of the business in which they work, and therefore believe that it’s important for them to not only buy into what we’re doing, but to proactively contribute to the direction of our improvement programme.
  • Reflecting on our improvement. Ensuring a constant feedback loop is essential for the success of our continuous improvement programme. Open communication throughout the improvement process is critical to ensuring that the changes we make are making the desired improvements. We know that not every idea, or the way we attempt to make change, will be a success. Therefore, keeping track of and communicating our successes and failures will help us to learn more and improve even our continuous improvement programme.
  • Measuring the success of improvement. It’s vitally important that we don’t just make changes, but that we measure their effectiveness. This might be in the form of time or cost savings, but equally it could be in terms of quality of life improvements for our staff or residents. By measuring the impact that our changes make in the pursuit of improvement, we’re better able to determine whether that change could also be applied successfully to other similar challenges in the business.


Creating a sound continuous improvement programme

A sound continuous improvement programme should be able to demonstrate a number of features which Peverel Court Care’s leadership team aim to embrace:

  • Baseline – the current situation the service is trying to change
  • Planning – improvements and the expected benefit to the care recipient
  • Monitoring – systems to monitor a new process or activity during its implementation
  • Evaluation – systems to monitor a process or activity once it has been implemented, which should help ensure its sustainability and capture the actual improvements.

The following framework has been utilised to help drive and support the process and to ensure that all changes we make are fully aligned to our business strategy and values:

  • Care recipient focus
  • Strategic planning and implementation
  • Involvement of key stakeholders; crucially ensuring that staff feeling involved and listened to
  • Innovation – particularly in terms of gathering ideas from staff
  • Regular monitoring and evaluation.

Progress to date from our continuous improvement programme

At Peverel Court Care, our continuous improvement programme has already been in place for a little while. So we wanted to share a couple of great examples of how it’s already working for us as we seek to improve the day-to-day lives of our residents and staff.

One recent example came from Hillary, one of our Activities Coordinators, who proposed a number of suggestions, including “Around the world through takeaway”, “Virtual family time” and “Glam day ladies club”. There were some brilliant ideas, and we have already incorporated suggestions such as the bespoke takeaway evenings, which take our residents to different places around the world via their cuisine. 

We are also implementing quarterly reverse mentoring sessions with our CEO. These sessions are constructive and fun, and allow employees to tell the CEO what they would do differently and why. We’ve found this opportunity has improved insight and communication across management and employees.


About Peverel Court Care

Peverel Court Care is a group of one residential and two nursing homes, located in Buckinghamshire and Oxfordshire: Bartlett’s Residential Care Home and Stone House Nursing Home in Aylesbury, and Merryfield House Nursing Home in Witney. We are a long-standing family business, providing exceptional, personalised care, delivered by talented and compassionate people, in exclusive and idyllic settings.

With happiness at the heart of our homes, we recognise and respect the contribution made by our residents to society during their lifetimes. Valued by residents and their families; our reputation, investment in each property, and approach to appointing and developing our staff makes each home unique and the benchmark in premium care.

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