Providers of specialist healthcare equipment, services, and Changing Places toilets

Author: multicare

Warwick Town Hall, Warwick

The historic town of Warwick, benefits from a thriving tourist sector, due to the world famous castle on the banks of the river Avon. The County Council was keen to ensure that every visitor to Warwick could access changing facilities with safety and dignity so converted an existing room in Warwick town hall to a changing places room.

Multicare were asked to provide a ceiling hoist system, wash dry toilet, height adjustable basin and height adjustable changing couch.

Liaising with the local services provider, Multicare strengthened the wall to take the weight of the changing couch and provided new electrical and hot and cold water points for the additional equipment.

Upon completion Multicare installed a radar told handle to ensure that only those with the appropriate key could access the room.

The Pentagon Centre, Chatham

The Pentagon centre approached Multicare when they were planning the installation of a changing places room in the place of a disused storage area and cleaner’s cupboard. By not installing Christmas lights one year in the centre they had saved enough money to install a changing places room, and they felt that this would benefit the shoppers significantly.

After an initial visit Multicare established that although the room was small, it could be adapted to meet the changing places requirements. Multicare prepared space planning drawings and a full schedule of works including structural requirements for a new beam that had to be installed.

Due to the location of the changing places room, at the entrance to the main toilets for the shopping centre, all the works had to be carried out at night. The fitters worked through the night for six weeks to provide this changing places room.

The works were completed on schedule and on budget and shoppers in Chatham can now enjoy a changing places room.

The Royal Festival Hall, London

Multicare was approached by the Southbank Centre when they were considering installing a new changing places facility. An unloved male and female toilets were in need of some refurbishment, and being on the lower ground floor well ideally placed to provide level access for disabled users. 

This project presented several unique challenges

  • Due to the nature of the building work had to be scheduled round performances to ensure that noise and vibration did not affect performances in the building.
  • A grade one listed building, the Southbank Centre has very strict rules stipulating that work must be carried out in a sensitive manner and Multicare had to work within these guidelines.
  • Due to its location in the centre of London materials logistics had to be carefully coordinated with other deliveries to the building

Following a site visit Multicare drew up a detailed schedule of works and a specification of all materials to be used. The work included the demolition of a separating wall and a complete refurbishment of the new enlarged space to provide a compliant changing places room.

Once the contract was agreed Multicare produced a detailed schedule of works with an accurate timeline. this gave the centre confidence that the work would not interfere with their programme. To facilitate this some work was scheduled for nights.

The entire project was completed within a six-week time span unfinished on time and on budget despite some significant challenges. The Southbank Centre is a proud owner of a compliant changing places room which has proved a great success for their clientele.

Hygiene room – The essential guide

Hygiene Rooms – an essential part of school provision (Part 1)

Hygiene rooms are an essential part of disability provision in mainstream and SEN schools. Unfortunately they are the Cinderella of schools, unloved, left out and only thought about at the last minute! The result often is a room that is impractical for the pupils it is supposed to serve. We’ve seen a few hygiene rooms in our time, and we wanted to share what works and what doesn’t, so you can get it right.Read on for our essential guide on how to get your new hygiene room right.

Make it big!

When your hygiene room is full of a wheelchair, student and maybe two carers plus other equipment, space is often at a premium, so make it as large as you can. We recommen 3 metres by 4 metres, if you can make it bigger than that that is even better.

Get the right equipment

Think about the needs your student will have, and what needs may come up in the future. Questions you may want to ask are

Hoists – Will the student need hoisting? If so a ceiling may only need one carer to operate, reducing staff time and restoring student dignity.

Showering – Will the student need showering? If so how often. How will they be changed? Is a wall mounted couch better, or will a shower trolley that can be accessed from both side meet their needs betters?

Toilet – Many designers place the toilet in a typical disabled configuration, i.e. close to the wall in a corner but if you are hoisting this is awkward to access. Place your toilet centrally with plenty of room each side and if you are working with teenagers consider a toilet that washes and dries users – perfect for preserving dignity through those awkward teenage years.

Location, Location, Location

Think about where in the school your hygiene room is located, remember that time will be evry short during breaks for personal procedures, and you dopn’t want to spend 15 minutes three times a day walking from one end of teh school to another. Choose a central location that is accessible to all students, no matter what year or class they are in.

Make it bright

Make it cheerful, bright, warm and inviting – you want your students to feel safe and protected, they are being put into a vulnerable position and need to feel secure.

Part 2 coming soon…

Multicare – Hygiene Room fitout specialists

Call us today or fill in the form below – we’re here to help and would love to assist with fitting out your next hygiene room. We can offer a full service from concept to completion, or work wit your contractors to supply the equipment. Whatever your needs we have the answer!

Stop Infection in its tracks

PROTECT YOUR RESIDENTS AND STAFF

Multicare are delighted to support the global fight against COVID-19 with the introduction of a new sanitizing cleaning service specifically designed for Nursing and Care Homes.

Using the very latest technology, our trained operatives will visit your premises and sanitize all surfaces preventing the spread of infection and reducing the risk of cross contamination.

Suitable either as a preventative measure, or following an outbreak of COVID-19, gastro-enteritis or any other infectious disease our proven sanitization will help protect your residents and staff, and keep them healthy and well.

Key benefits of using our service are;

  • Electrostatic sprayer uses less chemical and evenly coats all surfaces – killing all bacteria, viruses and pathogens
  • Unique battery powered sprayer is very quiet and fast, reducing disruption to your facility
  • Effective against viruses, bacteria and pathogens creating a hygienic environment
  • Can be used on all surfaces – residue free
  • Single step disinfection – no wiping required
  • Full COSHH Assessment included
  • Chlorine free, alcohol free, treatment with very low levels of chemicals – non toxic, non irritant, non corrosive and food safe.

BOOKINGS NOW BEING TAKEN – SERVICE AVAILABLE FROM MONDAY 23rd MARCH 2020

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Casa 180 Mobile Hoist -A new disabled hoist for sale

Disabled hoist for sale from Multicare

Multicare are pleased to announce the launch of a new disabled hoist for sale. the Casa 180 is an entry level hoist with advanced features that make it perfect for the demands of the care home environment.

The Casa 180s a lightweight and versatile lifting hoist for use when transferring individuals. Use of the Casalift is facilitated considerably by its wide leg width adjustment, allowing easy manoeuvrability around furniture and other obstacles. The ultra-portable hoist can be dismantled for transportation, or for storage after use.

CLICK HERE TO BUY THE CASA 180 HOIST NOW!

Easy to move

The Casa 180 offers you easy manoeuvrability and access due to it’s four high quality easy running castors and wide leg width adjustment. The lightweight frame is easy to move into position, allowing the user to achieve a lower lifting position from the floor whilst the wide leg adjustment means it can go around wheelchairs and shower chairs, ye it is compact enough for easy access through domestic doorways.

Excellent lifting range

The Casa 180 has a high lifting range and safe working load of 180kg (28 stone) for greater versatility and maximum flexibility, ensuring that you can lift even the largest person confidently. An ergonomic, user friendly handset features patient lifting symbols for easy identification, as well as recessed buttons to reduce the chance of unintended operation if the handset is dropped.To keep the working area neat and tidy the handset features a magnetic back, making it easy to secure to the hoist for added safety.

High quality components

the high quality Linak actuator features emergency lowering function, which is easier to control than a traditional quick release actuator and harder to misuse giving staff confidence. It also features an exchangeable cable which allows for cable damage to be rectified by replacing just the cable, rather than the whole actuator. Control box features emergency stop and lowering functions, as well as an acoustic low battery alarm which emits an alert at 50% battery level.

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Deluxe Leg In Situ Sling

What is a Deluxe Leg In Situ sling?

The Deluxe Leg In Situ sling (formerly called an all day sling) is a type of sling that can be left underneath a user for a limited amount of time. It is called an in situ slings as it can be left “In Situation” or underneath a user for a limited period of time.

Why would I use a Deluxe Leg In Situ sling?

The Deluxe Leg In Situ sling, is simply the most supportive and comfortable sling available on the market today. It is supplied with an integral head support to assist users when lifting from the bed,and the parasilk lined legs provide comfort and make it easy to apply.

Other benefits of the Deluxe Leg In situ sling are;

  • Very supportive leg design gives users comfort and support whilst being hoisted
  • Soft binding prevents damage to the skin
  • Removable bones provide exceptional level of support to the head
  • Adjustable types on the head support offer fantastic support
  • Can be used for below knee amputees
  • Toileting aperture as standard
  • Optional adjustable waist and chest belts available
  • Optional hip types available for additional support
  • Compatible with most types of joist open (subject to documented risk assessment)

How long can I leave an in situ sling underneath a user?

As stated above, an in situ sling is not a substitute for quality nursing care, and the length of time you can leave a sling underneath a user depends on a number of factors. A documented risk assessment and care plan must always be carried out on an in situ sling prior to use, and the results of this will determine the amount of time a sling can be left underneath a user. Factors to consider may include.

  • Does the user have any skin integrity issues?
  • Are they liable to overheating?
  • How tight is the fit of the wheelchair?
  • How comfortable is the sling when in place/

What sizes are available?

The Deluxe Leg In situ sling is available in a wide range of sizes to suit most needs. They are very common in schools, where parents/carers can put the sling on in the morning, ready for care staff to hoist immediately at school. The following standard sizes are kept in stock.

  • Sizes XXXSmall – XSmall for Children – Up to 58 Kg
  • Sizes Small – Large for adults
  • XXLarg – XXLarge for larger adults – Up to 220 Kg
  • Custom made slings are also available for users with specific needs such as Scoliosis or Kyphosis

What fabrics are available?

In situ slings are available in a range of fabrics to suit users needs. The most common fabrics are listed below.

  • Superfine – a very fine mesh fabric with Coolmax to prevent overheating in the sling. Ideal for children and small adult, only available for weights up to 58kg.
  • Superfine Plus – A High performance mesh fabric offering superior comfort. The mesh is breathable, helping to combat overheating and compresses to provide high levels of comfort and support. The Safe Working Load is 220kg. SUITABLE FOR BATHING
  • Double Layer Superfine Coolmax – COOLMAX fabric is designed to move moisture away from the body and enhance fabric drying rate thus keeping users feeling cool and dry. A double layer gives a weight capacity of up to 220 kg SUITABLE FOR BATHING.
  • Parasilk – The original In situ fabric, parasilk has become less popular as it is extremely slippery, leading to repositioning issues, and it can also get very hot. It is now mainly used for moulded wheelchairs, where the user is fitted very tightly into the chair.

Click here to buy the Deluxe leg in situ sling, fast delivery from stock!

Changing Places Design

What is an XY ceiling track hoist?

XY ceiling track hoist – all you need to know

An XY ceiling track hoist (sometimes called an H frame ceiling track hoist) is a ceiling track hoist system for moving disabled persons that offers complete coverage of the area, enabling fast and smooth transfers from one location to another.

It consist of two fixed primary parallel rails with a secondary traverse rail mounted to them, and a hoist mounted to the traverse rail. The traverse rail moves along the length of the parallel rails, enabling the hoist to cover the complete area underneath them.

It is known as an XY hoist system, as the hoist moves on the X axis and the Y axis  It is also called a ‘H’ frame, as in plan view the system forms an ‘H’. It is sometimes known as a ‘room covering’ system, although this is less common, as the may not always cover the whole room.

Watch the video below to see an XY hoist system in action (Courtesy of V.Guldmann A/S)

Benefits of an XY ceiling track hoist

There are many benefits to the XY layout, some of which are summarised below.

  • TIME – The XY ceiling track hoist layout enables users to move directly between wheelchair/bed/showerchair by taking the most direct route, saving time.
  • SAFETY – As an XY hoist is quicker, the patient is less time in the hoist, reducing the risk.
  • COMFORT – The patient is in the hoist for a shorter amount of time, reducing the discomfort of being hoisted.
  • COVERAGE – If there is a mobile patient, who has a fall within the room, the hoist is always available to assist in lifting them up.

In summary a XY hoist system will decrease the time your carers spend hoisting – thereby reducing your costs, the risks to them and the patient will be minimised, reducing the risk of an accident. Patients being hoisted will be happier and more comfortable making for a much more pleasurable hoisting experience.

Design options

H frame hoists can be designed in may ways to meet varying needs. The parallel rails can be as long as required – providing there is sufficient structural fixings along the length of the track. The traverse rail can be up to 8 metres long, and can be hung underneath the parallel rails, or set in between them.

The H frame hoist can also link to other systems via a combi lock gate locking system. This enable the hoist to traverse into another room, where it can connect to a straight track, or even another H frame ceiling track hoist system.

DOWNLOAD LAYOUT DRAWING Generic XY ceiling track hoist layout – Basic layout

Please contact us for bespoke drawings for your project.

 

Fixing options

There are many fixing options for the XY hoist systems as listed below.

  • CEILING FIX – Probably the most common, ceiling fixings can be mounted to steel, timber or concrete. Each fixing has to be strong enough to take the SWL of the hoist, plus a 50% safety margin.
  • END WALL FIX – H frame hoists can be mounted at each end of the parallel rails to either solid walls of=r stud walls strengthened with pattresses. If the track is being mounted this way, the maximum length of the parallel rail is 8 metres.
  • SIDE WALL FIX using our new innovative wall rail system, the primary parallel rails can be mounted to the side walls of the room. Not only does this look incredibly neat, but it can also be fitted to a single skin plasterboard wall.

In summary the XY ceiling track hoist is the ideal ceiling hoist solution where access to multiple points in a room is required – fast safe and simple to operate, it has many benefits over the traditional straight track, or turntable.

 

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Illegal Moving and Handling Techniques

Illegal Moving and Handling Techniques – Is there such a thing?

During our training we are often asked the question Are there illegal moving and handling techniques? The strict answer is ‘no’, there are no moving and handling techniques that have been specifically banned by legislation. However there are moving and handling handling techniques that are highly controversial and are banned in most modern care environments. Rather than being called illegal manual handling techniques we call the practices ‘Controversial lifts’.

If there was an accident involving a controversial lift, it would be very hard to defend the action, expert witness would identify the controversial lift and ask questions why it was employed. So ensure you and your staff know what controversial lifts are and make sure that no-one in your organisation is using them!

What lifts are controversial?

below is a list of controversial lifts that have effectively been banned and therefore could be classed as illegal moving and handling techniques. For a more thorough explanation of these lifts, book onto one of our training courses, where they will be explained in greater detail, along with the reasons that they are controversial.

The Drag Lift

This refers to lifting or supporting a patient under the armpit by use of the carers crook of the elbow. It could be used to lift someone up the bed, support to a standing position or to lift off the floor. THis lift puts strain on the patient’s shoulders, transfers strain to the lumbar region of eth carers back and could create shear forces damaging to the skin. Additionally the patient is encouraged by this action to be passive, making the carer do most of the heavy lifting, creating a risk for carer and patient.

The Orthodox Lift

A lift where two carers stand either side of a patient and form a cradle with their hands, arms and wrist in order to lift and move a patient. As the lift is done at arms length there is an immediate risk, and the position puts immense strain on the carer lumbar region.

Lifting with the Person’s Arms around the Carer’s Neck

A carer places their arms under the person’s shoulders and hands around the back. This is a high risk transfer, especially if the chair is a low back chair. This relies on the momentum of the carer to get a person to sa standing position and there is no control over the person’s lower back or pelvis and if something goes wrong.

Through Arm Lift

A technique used to lift a person from bed or backwards from a bed into a wheelchair where two carers face the bottom of the bed sitting behind the patient.  The carers link arms behind the patients back and under the person’s knees or thighs and the person is lifted. This lift is operated at a distance from the carers spine, putting strain on the spine and there is twisting and risk of injury to the carers shoulders.

Walking a Person Linking Arms

A carer and patient linking arms when walking is a high risk activity as the carer may take most of the patient’s body weight and will take all of it if they stumble or fall, resulting in injury to the carer.

Combined Lift

A lift where one carer uses a shoulder lift and the other faces the opposite way placing an inner hand under the person’s sacrum. Both carers hold a handling sling placed under the person’s thighs. This is a high risk activity and has the same dangers as the drag lift.

Flip Turn on Bed

To move a patient across the bed, one or two carers place both hands under the patient moving the person towards them and then roll away in one movement. This is a high risk activity because the load is taken at distance from the carer’s body.

For more information on these, or other controversial lifts, visit the HSE or RCN website.

Don’t take the risk on illegal moving and handling techniques- book your training today

If you want to ensure that these techniques are never used in your establishment why not book  atrining session today? Our inspirational trainers will

  • Explain why these lifts are banned
  • Explain the consequences
  • Offer alternatives

Call us on 0800 298 6000 or fill in the form below to enquire about our training programme.

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© 2023 Multicare Medical Ltd - Registered in England and Wales No. 08565494.
Registered Office: Progress House, Jacknell Road, Dodwells Bridge Industrial Estate, Hinckley. LE10 3BS