Quality management by result-oriented indicators Towards benchmarking in residential care for older people
Measuring Progress: Indicators for care homes Co-financed by the European Commission DG Employment, Social Affairs and Equal Opportunities
Indicator No 1
Percentage of residents who suffer from decubitus ulcers stage 2 4 that began in the care home.
Indicator No 2
Percentage of residents who suffer from intertrigo
Indicator No 3
Percentage of residents for whom medication errors have been reported over the past 30 days
Indicator No 4
Percentage of residents who have had a health check by a specialist (ophthalmologist/dentist/chiropodist/hearing specialist) periodically
Indicator No 5
Percentage of residents who had a relative weight loss in the last month that was unintended and was not agreed in the treatment plan of the resident.
Indicator No 6
Percentage of residents with dehydration symptoms
Indicator No 7
Percentage of residents who had a fall incident in the past 30 days
Indicator No 8
Percentage of residents who have displayed signs of challenging behaviour towards staff members and/or other residents during the past seven days
1
Indicator No 9
Percentage of residents who were physically restrained during the last seven days
Indicator No 10
Percentage of residents who are incontinent of urine at least once a week
Indicator No 11
Percentage of residents with a long-term catheter, inserted more than 14 days ago
Indicator No 12
Percentage of residents suffering from pain in the last 30 days
Indicator No 13
Percentage of residents who use anti-psychotic medication
Indicator No 14
Percentage of residents suffering from dementia who use neuroleptics
Indicator No 15
Percentage of residents who use anti-depressants
Indicator No 16
Percentage of residents diagnosed with depressive symptoms at one point in time
Indicator No 17
Percentage of residents with deficits in their mouth and teeth status
Indicator No 18
Percentage of residents with diagnosed care needs due to gerontopsychiatric disorders
Indicator No 19
Percentage of residents who are satisfied with the personal care
Indicator No 20
Percentage of residents suffering from thromboses
Indicator No 21
Percentage of residents with contractures
Indicator No 22
Percentage of permanently bed-ridden residents
Indicator No 23
Percentage of residents with enteral tube feeding (PEG-tube)
Indicator No 24
Percentage of residents with an assessment of individual nutrition
2
resources and risks
Indicator No 25
Percentage of residents who feel emotionally supported in managing their sense of loss
Indicator No 26
Percentage of relatives/friends who feel emotionally supported
Indicator No 27
Percentage of staff who feel emotionally supported in dealing with constant loss and bereavement at work
Indicator No 28
Percentage of residents who feel staff in their unit know their life story
Indicator No 29
Percentage of relatives/friends who feel staff know who they are
Indicator No 30
Percentage of staff who feel their personal skills and abilities are recognised by colleagues
Indicator No 31
Percentage of relatives/friends who feel welcomed in the care home
Indicator No 32
Percentage of residents, relatives and staff who feel the care home is part of their local community
Indicator No 33
The percentage of decisions implemented by the leadership of the care home based on decisions made by the residents’ council
Indicator No 34
Percentage of residents who feel their own rights are acknowledged and acted on
Indicator No 35
Percentage of relatives/friends who feel involved in decisionmaking about their resident’s care
Indicator No 36
Percentage of staff who feel that they can take informed risks in caring for residents
Indicator No 37
Percentage of residents who feel their health is promoted to optimise their quality of life
3
Indicator No 38
Percentage of relatives/friends who feel their resident has adequate access to healthcare services
Indicator No 39
Percentage of staff who feel their own health (physical health and wellbeing) is valued at work
Indicator No 40
Percentage of residents who feel able to talk about death and dying if staff, when they wish so
Indicator No 41
Percentage of relatives/friends who have discussed with staff endof-life care plans for their resident
Indicator No 42
Percentage of staff who feel emotionally supported when residents die
Indicator No 43
Percentage of residents who feel there are not enough staff available to meet their needs
Indicator No 44
Percentage of relatives/friends who feel staff are competent to care for their resident
Indicator No 45
Percentage of staff who feel their training needs are met to care for residents
Indicator No 46
Percentage of residents who feel there is a positive atmosphere in the care home
Indicator No 47
Percentage of relatives/friends who feel their suggestions for improvement are welcomed by staff
Indicator No 48
Percentage of residents who feel safe, protected and secure in the care home
Indicator No 49
Percentage of residents who feel staff are friendly to them
Indicator No 50
Percentage of residents who feel they can have visitors whenever they like
Indicator No 51
Percentage of residents who feel staff encourage them to help themselves
4
Indicator No 52
Percentage of residents who feel staff give them time to do things on their own
Indicator No 53
Percentage of residents who feel staff respect their personal belongings
Indicator No 54
Percentage of staff who feel residents’ families appear to trust them.
Indicator No 55
Percentage of relatives/friends who feel staff respond quickly when their relative asks for help.
Indicator No 56
Percentage of relatives/friends who feel their resident seems happy in the home
Indicator No 57
Percentage of relatives/friends who feel the home smells pleasant
Indicator No 58
Percentage of relatives/friends who feel they are involved in decisions about their resident’s care
Indicator No 59
Percentage of relatives/friends who feel staff appreciate their input to their resident’s care
Indicator No 60
Percentage of relatives/friends who feel they are kept up-to-date with changes affecting their resident.
Indicator No 61
Number of joined initiatives that engage positively residents, relatives and staff with the external community in the last year
Indicator No 62
Percentage of resident voluntary participation in organised social activities during a chosen period
Indicator No 63
Percentage of residents who feel their privacy is adequately protected
Indicator No 64
Percentage of relatives with whom at least two meetings to review care were carried out per year
5
Indicator No 65
Percentage of residents (and their relatives) with a defined key worker
Indicator No 66
Percentage of residents who received professional end-of-life care in the last year
Indicator No 67
Percentage of residents whose cultural needs and preferences are met
Indicator No 68
Percentage of residents who have an up-to-date end-of-life care plan that is consistent with their preferences
Indicator No 69
Percentage of residents who are satisfied about the taste and quality of the meals
Indicator No 70
Percentage of residents who feel they have sufficient control over their daily living
Indicator No 71
Percentage of complaints by different stakeholders that have been adequately addressed in the framework of a complaints management system
Indicator No 72
Percentage of residents who have had defined care plans that are regularly updated and evaluated with specific measures according to their individual needs
Indicator No 73
Ratings of family members/close friends/advocates with respect to their satisfaction with care quality
Indicator No 74
Average percentage of overtime work (including non-paid hours)
Indicator No 75
Average percentage of working time lost due to sickness of staff
Indicator No 76
Average direct financial resources available for health promotionrelated training, meetings and infrastructures per staff member
Indicator No 77
Percentage of staff with advanced training in dealing with dementia and cognitive decline
6
Indicator No 78
Average number of hours in formal training per staff member by profession
Indicator No 79
Percentage of staff who agree with the statement that high standards of moving and handling are practiced in their care home
Indicator No 80
Percentage of staff who agree with the statement that colleagues work with them as part of a team
Indicator No 81
Percentage of staff who agree with the statement that records are kept up-to-date in their care home
Indicator No 82
Percentage of staff who agree with the statement that their care home has the goal to deliver high standards of care
Indicator No 83
Percentage of staff who agree with the statement that all grades of staff are being equally valued in their role
Indicator No 84
Percentage of residents/family/friends who agree with the statement that they had been provided relevant information by admission into the care home
Indicator No 85
Percentage of staff who agree with the statement that the decisions in their care home are made based on the quality of care rather than purely on financial resources
Indicator No 86
Percentage of absence times (sickness, vacation, other) and auxiliary times (meetings, training, etc.) as a share of the total working time
Indicator No 87
Percentage of staff by age groups (professional groups)
Indicator No 88
Overall cost per resident for the care home, per year
Indicator No 89
Staff cost per care days
Indicator No 90
Average time for direct care provided per day per resident
7
Indicator No 91
Degree of capacity utilisation
Indicator No 92
Average number of hours provided by volunteers to the care home (per year and per resident)
Indicator No 93
Average length of employment per staff member in the care home at one point in the year (e.g. 31st December)
Indicator No 94
Average length of time (days) needed to fill a staff vacancy with the same level of qualification
8