Gransnet forums

Care & carers

Is hoisting a nursing need in a care home?

(37 Posts)
Flower007 Tue 04-Mar-25 12:54:32

Mum is 90 and has been in a care home for the past nearly 5 weeks. Overall she hates it, but we know it is early days.
At the end of January the options we had were a hospital admission or 24 hour nursing home admission. The home we selected was at the high end price wise, but they could take Mum within 24 hours (at the time she was bedridden at home with a live in carer) and had a catheter. She had also previously viewed the home so knew what it was like.
There have been a few teething problems but the Home Manager has been responsive and has sorted them out.
Since being in the home, the catheter has been removed and although she cannot walk, she is being hoisted using a standing hoist. There are no actual nursing needs required now the catheter has gone, unless the hoist is counted as a nursing need? She obviously needs to be hoisted to use the commode.
The other residents on Mum's floor are quite poorly and mainly stay in their rooms. Although Mum has heart failure, etc., this is all controlled by medication and has been for the last 2 or 3 years. Mentally she is really switched on and this makes her situation now harder I think.
My question is, does anyone know if hoisting is a nursing need or a care need. If it's a care need would be be justified in asking the home if she could move to the ground floor which is residential care?

Lathyrus3 Tue 04-Mar-25 12:59:21

I’d just ask anyway, if there are hoists in the Care section. If they don’t think it’s suitable they can tell you why and you then won’t have to be anxious about what is best for her.

Be aware that any payment she’s receiving to cover medical needs will almost certainly stop if she changes placement.

Aldom Tue 04-Mar-25 13:12:23

I've just Googled this question and the advice is that generally speaking, hoisting is a care need, unless the patient's situation/symptoms dictate otherwise.

keepingquiet Tue 04-Mar-25 13:48:20

Yes, hoisting is both. Lifting incorrectly harms both patients and staff- so using a hoist eliminates accidents that would compromise insurance etc for both users and care companies. How would being in the ground floor eliminate the need for a hoist?

Visgir1 Tue 04-Mar-25 13:54:34

It's a H&S issue for staff and mum. If she was being nursed at home, and she needed a hoist they would get one in.

Marilla Tue 04-Mar-25 13:56:40

Your mum was bedridden at home and required a live in carer and is now receiving care in a Nursing home. I’m not quite sure what your concern is re the hoist. It is used to keep your mum safe and the staff.
Regarding moving to a ground floor room, are you thinking she might have more access to other residents and activities?
Doesn’t the home have a lift?

Rosie51 Tue 04-Mar-25 14:05:51

Unless I'm misunderstanding Flower is wondering if hoisting is a nursing need that would prevent a move to the ground floor (residential) for her mother. If hoisting is a care need then there would not be a barrier to such a move, which sounds as if it would benefit her mother's potential social activity. Flower your best path is to ask the home, only they can advise their position on this. Best wishes for a positive outcome.

Davida1968 Tue 04-Mar-25 14:11:23

From my own experience of visiting a relative in a care home, I'd say yes, "hoisting" can be undertaken (as needed) in a in care home. My advice is to ask if you're not sure in a specific care home.

Jaxjacky Tue 04-Mar-25 14:13:41

I understand your concerns with sociability, as suggested you need to have a chat with the manager.

dalrymple23 Tue 04-Mar-25 15:01:22

Definitely a care need, rather than a nursing need. I used to be a community carer and we used all kinds of hoists on a daily basis. Training/instruction was, of course, given by the care company and I would expect the residential home to give similar training to its carers. Generally speaking, nurses are not trained to use hoists (neither are paramedics, by the way). They are also not trained in the correct use of incontinence pads. I have witnessed them in action!!!

loopy007 Wed 05-Mar-25 07:18:00

Sorry I didn't put the question very well. I know that she will need hoisting wherever she is, my question was does hoisting = a nursing need, or could she move to the ground floor residential and still be hoisted.

loopy007 Wed 05-Mar-25 07:24:43

Marilla

Your mum was bedridden at home and required a live in carer and is now receiving care in a Nursing home. I’m not quite sure what your concern is re the hoist. It is used to keep your mum safe and the staff.
Regarding moving to a ground floor room, are you thinking she might have more access to other residents and activities?
Doesn’t the home have a lift?

Sorry I didn't put the question very well. I have no concerns over hoisting, my question was is hoisting a nursing need and if not would my mother be able to move to a residential floor and still be hoisted. The home has a lift and I think she would benefit from more social interaction on the residential ground floor. She does not have any other nursing needs as the catheter she went in with was removed 3 weeks ago.
The background was that my mother had live in care for 2.5 years at home, she became bedridden less than 3 days before she was admitted to the nursing home, prior to that she had been mobile. The health care professionals recommended hospital admission or a care home, we chose care home as being in her best interests and keeping her safe. Her condition has improved since she has been in the care home (no cathether) although she still cannot walk.
I have made enquiries of several other care homes who all say that hoisting is not a nursing need, so now that I know that I will contact her care home and discuss.

loopy007 Wed 05-Mar-25 07:26:45

Rosie51

Unless I'm misunderstanding Flower is wondering if hoisting is a nursing need that would prevent a move to the ground floor (residential) for her mother. If hoisting is a care need then there would not be a barrier to such a move, which sounds as if it would benefit her mother's potential social activity. Flower your best path is to ask the home, only they can advise their position on this. Best wishes for a positive outcome.

Yes sorry that was what I was trying to ask although I probably didn't put it very well!
Thank you I will contact the home. I have rung other homes as Mum is so unhappy atm and they have all said that hoisting is not a nursing need, but do point out that each care home company have their own rules.

NotSpaghetti Wed 05-Mar-25 08:05:07

I do hope she is soon able to socialise with others.
I can see how she might be rather isolated where she is currently.
🤞

dragonfly46 Wed 05-Mar-25 08:11:50

Can they not get her out of bed and dressed then take her down to the downstairs lounge? It’s what they did with my mum.

BlueBelle Wed 05-Mar-25 08:13:49

I think what you have been told is correct Hoisting is a need not part of a nursing regime and could be used on anyone anywhere I had a friend in her own home with carers but a hoist was installed and needed
Her catheter was a nursing need and now removed So I would say your mum could be accommodated in a more socially accepted room if there are any free
I understand your concerns her mental care is as paramount as her physical needs
Good luck, the price you are probably paying will be eye watering enough, she should be happy.

Marilla Wed 05-Mar-25 11:52:16

It is very early days for both you and your mother to get used to the new living arrangements. Any care home no matter the cost will rarely match what we think our loved ones need.
On each visit you may find something ‘irritates’ you or does not meet your expectations. There will be members of staff you warm to immediately and others you may find more distant. It takes time for it all to settle down. You will find a balance and develop a good relationship with the staff over time.
Of course anything unsatisfactory regarding your mum should be brought to the staff’s attention and dealt with appropriately. If over the coming months both you and your mum are still unhappy, you should look elsewhere. Sometimes the more expensive surroundings are not the best in actual caring.

Elowen33 Wed 05-Mar-25 12:07:10

It would depend on staff ratios, hoisting needs 2 people. Ask the manager, there may be enough staff on the ground floor to allow this.

4allweknow Wed 05-Mar-25 15:17:44

Depends on the physical condition of the person to be hoisted. There may be exceptional handling needs. However, carers both in Homes and in a person's own home can also use a hoist.

Fudgemonkey Wed 05-Mar-25 17:16:33

Hoisting is easier, and safer than being handled by 2 carers. Can she stand, this may be why it's used. Fully appreciate it's not liked as it's not comfortable. It's a care need not nursing. Ask about a move, they can always say no. Good luck

OldFrill Wed 05-Mar-25 17:45:20

Elowen33

It would depend on staff ratios, hoisting needs 2 people. Ask the manager, there may be enough staff on the ground floor to allow this.

It's a standing hoist, just needs one carer. There may be other reasons two carers are needed, but not for a standing hoist

icanhandthemback Wed 05-Mar-25 18:06:54

I am assuming that it is cheaper in the Care section rather than the Nursing Section which is why you think she should move?
Perhaps it would be a good idea to look at the Care to be Different website and see what constitutes medical care as it is in split over several domains. If you feel your mother fits any of those, you might be entitled to a Nursing Care payment. If you aren't then you would have good grounds to ask for the move to Care Only.

charley68 Wed 05-Mar-25 18:07:41

Hoists and all other pieces of kit used to help care staff, or family members, to move or change position of a person in need of care, are used for the safety of staff and the person in need.
People do need training in how to use all pieces of such equipment, and this was called 'Manual Handling' when I was working, and protecting the backs of all staff is a top priority, and preventing injury to a patient.
Health and Safety at work Act became our bible!

It is everyone's responsibility to make sure that all equipment is used properly and safely, and that it is fit for purpose.

I and others were lucky not to injure our backs when I was a student nurse - there were no aids to help us move patients safely, and we all hoped that the person we were partnered with would use the same amount of effort, and no one would be injured.
Of course, it took some time before all health care areas had the same level of equipment - years, in many cases.

Lemontart Wed 05-Mar-25 20:01:32

Definitely a care need.

Anniebach Wed 05-Mar-25 20:17:09

I live in a nursing home, nurses and carers, carers use hoists