Is hoisting a nursing need in a care home?

Greciangirl

I think I would be thankful that Mum is being well looked after,.
She obviously needs some sort of support if unable to stand up.
Surely the hoist can only be a good thing.
Does your mum disapprove of the hoist, and if so, why?
Maybe try and explain it’s for her safety.

The OP does not object to the hoist.
She just needs to know if her mum could be moved to the residential part of the care home so she can have the company of residents who would be good company. As the hoist is a care need, not a nursing need this is probably possible.

I am in Social Care (a social work manager) and hoisting is classed as a care need; thousands of people live in their own home and are hoisted for all transfers and it is carers not nurses who do this

I'd say a care need if she needs to use it to get onto the commode. Is it a sling hoist i.e. she sits in a sling or chair or is it more of a standing frame where she is supported but holds on? Either are a care issue so if there's a room on the residential floor it sounds like she'd be happier there where she could see and chat to other residents

Hoisting is both.

I think I would be thankful that Mum is being well looked after,.
She obviously needs some sort of support if unable to stand up.
Surely the hoist can only be a good thing.
Does your mum disapprove of the hoist, and if so, why?
Maybe try and explain it’s for her safety.

OldFrill

icanhandthemback

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.

I read it that on the nursing floor most of the residents stay in their rooms, mum being "mentally switched on" she would benefit from being on the care floor where she could interact with others and enjoy her time more. I didn't read anywhere that it was financial. I think the OP just wants the best for her mum.

I wasn't sure of the reason, OldFrill which is why I put the question mark there. You may well be right. As for which floor the residents are on, a good care home would ensure that a resident would be able to use the facilities on other floors if it suited them better regardless of where they sleep. My Mum's care home has her on the non-dementia floor because although she has problems she isn't loud and uncontrollable. The Dementia floor patients often join her in the lounge and only go back up when they are distressed or going to bed. It may be that the OP needs to ensure that her mother is getting the socialisation rather than move rooms.

I’d ask if she could be moved absolutely. If she is completely in charge of all other faculties she would need the stimulus.

My mum also needed hoisting along with many other health problems. I would certainly ask if she could be moved but in my mum's case it was the care home who decided which wing was most suitable for her.

Hoisting is a care need

Shinamae

At my care home, we have a standing,aid,a Sara steady and a full hoist…

Residential not nursing

At my care home, we have a standing,aid,a Sara steady and a full hoist…

icanhandthemback

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.

I read it that on the nursing floor most of the residents stay in their rooms, mum being "mentally switched on" she would benefit from being on the care floor where she could interact with others and enjoy her time more. I didn't read anywhere that it was financial. I think the OP just wants the best for her mum.

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

Definitely a care need.

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.

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.

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

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

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.

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 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.

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.

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.

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

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.