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BESPOKE CLINICAL SKILLS TRAINING

Train with Care provides both theoretical and practical skills training with competency assessments for personal assistants, carers, and nurses.

We offer tailored training in complex, mandatory, and routine care to meet the specific needs of adults, children, and young people with complex needs, delivered in their home, school, or another agreed location.

To request training, please provide details of the care and support plan as well as the experience level of the staff to be trained. A personalised training needs analysis, including costs, will be provided within 5 working days.

COMPETENCY ASSESSMENT AND SIGN OFF

We’re committed to building skills and knowledge through hands-on support with each individual and their family. For newborns, children, and adults with complex needs under Acute Trust care, we work closely with their healthcare team to provide essential training and build competency. This may involve shadowing and other agreed methods to help support a safe transition to home care.

All clinical competencies are signed off by qualified nurses and are re-assessed every year or as needs change.

Clinical skills training offered:


Condition Specific Training:

• LD & Autism awareness

Course details: at the end of the session care workers should be able to:

  • Describe the difference of Learning Difficulties & Learning Disability
  • Understand the key barriers to healthcare for people with LD
  • Describe the communication difficulties people with LD may experience
  • Describe the different ways people with Autism communicate
  • Describe what sensory sensitivities are and the effect on people with Autism
  • Describe the key legislation and policies related to people with LD and Autism
  • This course is supported with a Certificate of Attendance
  • This course is delivered in co-production by a person with lived experience
• Dementia Care Awareness

Course details: at the end of the session care workers should be able to

  • Understand how to improve care delivered to people with dementia
  • List the different forms of dementia & understanding memory loss
  • All about me and life history
  • Understand person -centred dementia care, applying a person-centred approach
  • Behaviours you may find challenging
  • Seeing behaviour as a form of communication
  • Mealtime, activities, the living environment,
  • The support framework for people with dementia
  • The course is supported with a Certificate of Attendance
• MND, MS and Parkinson’s Awareness

Course details: at the end of the session care workers should be able to:

  • Understand the symptoms of the conditions
  • Describe the treatment options for people with MND, MS & Parkinson disease
  • Describe the importance of the medication management
  • Describe how the condition affects the patients
  • Understand the swallowing difficulties and how to manage these
  • Have an awareness of the risk of choking and what to do
  • Have an understanding of the prognosis and end of life care

This course is supported with a Certificate of Attendance

• Epilepsy Awareness

Course details: at the end of the session care workers should be able to

  • To explain the causes of Epilepsy
  • To define seizures and their characteristics
  • To discuss the different types of seizures and their causes
  • Seizure management & first aid
  • To explain the process of administering medications to children/adults having seizures
  • To understand the side effects of different anti-epileptic medication
  • The course is supported with a selection of videos of most common seizure types
  • The course is supported with a Certificate of Attendance
• Diabetes Care with recognition of Hypoglycaemia & Hyperglycaemia

Course details: at the end of the session care workers should be able to

  • To define the different types of Diabetes
  • To describe the physiology of carbohydrates
  • To discuss the management of Diabetes, the insulins and diet and devices
  • To discuss the complications and their causes
  • To explain the Hypo and Hyper glycaemia, ketones and ketoacidosis
  • To explain and demonstrate sub-cutaneous injections
  • To explain (long term) complications of diabetes
  • The course is supported with practical skills with blood glucose monitoring on trainers themselves
  • The course is supported with a Certificate of Attendance
• Blood Glucose Monitoring and Sub Cut Injections (Insulin)

Course details: at the end of the session care workers should be able to:

  • To discuss the management of Diabetes, the insulins and diet and devices
  • To discuss the complications of Diabetes and their causes
  • To explain the Hypo and Hyper glycaemia, ketones and ketoacidosis
  • To explain (long term) complications of diabetes
  • To explain and demonstrate sub-cutaneous injections
  • The course is supported with practical skills with blood glucose monitoring and sub cutaneous injection
  • The course is supported with practical competency sign off with trainer


Acute Skills Training:

• Administration of Entonox

Course details: at the end of the session care workers should be able to:

  • Understanding of the use and effects of medical gas
  • Have knowledge and understanding of contraindications
  • Recognise when patients need support with self-administration
  • Safely prepare & maintain equipment
  • Safe transport of medical gases
  • Understanding of policies and protocols
  • How to complete documentation appropriately
  • The course is supported with a Certificate of Attendance
• Administration of Nebuliser Medication

Course details: at the end of the session care workers should be able to

  • To explain the indications of medications via nebuliser in children/adults
  • To understand how nebulisation works
  • To explain the process of administering nebulisers to children/adults
  • To have an opportunity to practice administering medication via a nebuliser
  • The course is supported with practical competency sign off
• Administration of Oxygen

Course details: at the end of the session care workers should be able to

  • To explain the Anatomy of the Respiratory Tract
  • To understand how administration of Oxygen works
  • To explain the risks and monitoring whilst administering Oxygen.
  • The course is supported with practical skills with Oxygen Cylinder and (nasal) masks
  • The course is supported with practical competency sign off
• Catheterisation (Male & Female, Suprapubic) and Catheter & Bag Care

Course details: at the end of the session care workers should be able to

  • Understand the professional Practice requirements
  • To describe the Anatomy of the Urinary Tract
  • Understand the indications, risk and complications
  • Understand infection prevention and control importance
  • Demonstrate a safe technique of catheterisation (female and male, suprapubic, intermittent)
  • Understand the importance of catheter care & bag care
  • Trouble Shooting
  • The course is supported with practical skills with a manikin (male, female & suprapubic)
  • The course is issued with a Certificate of Attendance & competency workbook to complete
• Clinical Observations & National Early Warning Score (NEWS)

Course details: at the end of the session care workers should be able to

  • Outline different types of clinical observations and bed-side assessment methods
  • Explain the relevant legal, professional and ethical issues
  • Demonstrate the correct and safe practice of a range of clinical observations
  • Complete a NEWS form and explain the action to be taken
  • Explain the importance of recording vital signs and escalation of alert
  • The course is supported with a Certificate of Attendance
• Continence Care, Catheter Care & Supra Pubic Care

Course details: at the end of the session care workers should be able to:

  • To identify the anatomy of the male and female urinary tract
  • To identify the many different factors that keep us continent
  • Describe the different types on incontinence
  • To describe how to carry out personal care and catheter care
  • To understand the different types of catheters and their benefits

This course is supported with a Certificate of Attendance

• Injections with Preassembled Device Epipen

Course details: at the end of the session care workers should be able to

  • To recognise the signs of an allergic reaction
  • To discuss the management Epipen and side effects
  • To explain and demonstrate sub-cutaneous injections (diabetes)
  • The course is supported with video and practical skills with a demo sub cutaneous injection on life person
  • The course is supported with competency sign off
• Medical Gas Safety

Course details: at the end of the session care workers should be able to:

  • Understand the legal background for use of medical gases
  • Define a rage of medical gases and list properties and hazards
  • Describe the dangers of medical gases
  • Understand how to handle, store medical gas cylinders safely
  • Prepare medical gas for use & connect to a piece of medical equipment (only for staff using the equipment in an additional practical training session for sign off)
  • This course is supported with a Certificate of Attendance and a practical competency sign off where relevant.
• Recognition of Sepsis

Course details: at the end of the session care workers should be able to

  • To explain what Sepsis is
  • To recognise the causes and symptoms of Sepsis and types of associated infections
  • To understand what to do when presented with a case with Sepsis
  • Explain the red flags for Septic in Children & Adults
  • Explain what the Sepsis Six Care Bundle is
  • Understand the recovery process
  • The course is supported with a Certificate of Attendance
• Saturation Monitoring

Course details: at the end of the session care workers should be able to

  • To explain the how saturation monitoring works
  • To understand how the equipment works and where to put the probes
  • To understand when people will need saturation monitoring
  • The course is supported with practical skills with Saturation monitor (finger probe or clients own)
  • The course is supported with competency sign off
• Skin Care, Pressure Ulcer Prevention

Course details: at the end of the session care workers should be able to

  • Explain what a pressure ulcer is and how it is caused
  • Explain factors which contribute to the development of a pressure ulcer
  • Explain who is at risk of pressure damage and why
  • Explain how you can reduce the risk of developing pressure damage
  • Explain the care required for a client with a pressure ulcer
  • The course is supported with the completion of a workbook to pass
  • The course is supported with a Certificate of Attendance
• Venepuncture and Cannulation

Course details: at the end of the session care workers should be able to

  • Understand the professional Practice requirements
  • To describe the Anatomy of Venous System
  • Demonstrate knowledge of selecting a venepuncture/ cannulation site
  • Demonstrate venepuncture and cannulation procedure
  • Understand infection prevention and control importance
  • Understand the risk and complications
  • The course is supported with practical skills with various arm manikins
  • The course is issued with a Certificate of Attendance & competency workbook to complete


Complex Care Training:

• Administration of Medication Basic and Specific in Accordance with Prescription via Internal Tubes/Nasogastric Tubes.

Course details: at the end of the session care workers should be able to:

  • To explain the management of medications to children & adults
  • To explain the process of administering medications, NMC Standard 8
  • To explore the different types of routes of administering medication & reason for routes
  • Define pharmacodynamics and the basic processes involved in pharmacokinetics and describe the following:
  • Drug absorption
  • Drug distribution
  • Drug metabolism • Drug excretion
  • Understand the concept of agonist and antagonist
  • Describe bioavailability, half-life and therapeutic index
  • To have an opportunity to practice administering medication at the home face to face with client
  • The course is supported with practical competency sign off with trainer
• Administration of Buccal Midazolam

Course details: at the end of the session care workers should be able to

  • To explain the indication of buccal Midazolam in children & adults
  • To understand how the medication works
  • To explain the process of administering buccal Midazolam
  • The course is supported with practical competency sign off with trainer
• Administration of Rectal Medication with Pre-Packaged Dose-Rectal Diazepam / Suppositories

Course details: at the end of the session care workers should be able to

  • To explain the indication of rectal medication in children & adults
  • To understand how the medication works
  • To explain the process of administering rectal medication
  • The course is supported with practical skills with a manikin & competency sign off
• Administration of Rectal Paraldehyde

Course details: at the end of the session care workers should be able to

  • To explain the indication of rectal paraldehyde in children & adults
  • To understand how the medication works
  • To explain the process of administering rectal paraldehyde
  • The course is supported with practical skills with a manikin & competency sign off.
• Autonomic Dysreflexia

Course details: at the end of the session care workers should be able to

  • To describe what Autonomic Dysreflexia is
  • To identify when Autonomic Dysreflexia can happen and how to avoid it
  • To understand how to act when Autonomic Dysreflexia occurs
  • The course is supported with a Certificate of Attendance
• Bag Mask Ventilation

Course details: at the end of the session care workers should be able to

  • Understand the principles of Ambu Bag Ventilation
  • Describe the equipment needed and procedure
  • Explain the reasons for using the Ambu Bag Ventilation method
  • Identify possible problems and risks with Ambu Bag Ventilation and what actions to take in emergencies
  • The course is supported with a Certificate of Attendance level 1 & 2
• Bowel Management

Course details: at the end of the session care workers should be able to

  • To explain reasons for effective bowel management (people with spinal cord injuries)
  • To understand how to deliver effective bowel management
  • What to do when there are problems
  • The course is supported with a Certificate of Attendance
• Catheterisation (Male & Female, Suprapubic) and Catheter & Bag Care

Course details: at the end of the session care workers should be able to

  • Understand the professional Practice requirements
  • To describe the Anatomy of the Urinary Tract
  • Understand the indications, risk and complications
  • Understand infection prevention and control importance
  • Demonstrate a safe technique of catheterisation (female and male, suprapubic, intermittent)
  • Understand the importance of catheter care & bag care
  • Trouble Shooting
  • The course is supported with practical skills with a manikin (male, female & suprapubic)
  • The course is issued with a Certificate of Attendance & competency workbook to complete
• Cough Assist Machine

Course details: at the end of the session care workers should be able to:

  • Explain with reasons for cough assist support
  • To demonstrate the equipment and technique of helping someone with the cough assist
  • Understand the importance of cleaning and taking care of the equipment
  • This course is supported with a Certificate of Attendance and a practical competency sign off where relevant
• Dysphagia and Risk of Choking

Course details: at the end of the session care workers should be able to

  • To understand the swallowing problems and symptoms
  • How to manage the swallowing problems: dry mouth, runny or thick saliva
  • Understand consistency in diet textures: IDDS
  • What to do in an emergency
  • The course is supported with a Certificate of Attendance
• Enteral Feeding (Gastrostomy, Jejunostomy)

Course details: at the end of the session care workers should be able to:

  • Understand what a gastrostomy is and the indication of gastrostomy devices in children & adults
  • Understand how the gastrostomy works and how to take care of a gastrostomy and the skin
  • Explain what to do when a gastrostomy falls out or is blocked
  • Explain the process of administering feed and medication via a gastrostomy device
  • Explain the principles of a Ketogenic diet and checking blood sugar and ketones
  • The course is supported with practical skills with a manikin
  • The course is supported with competency sign off
• Naso-Gastric Tube Feeding & Administration of Medication

Course details: at the end of the session care workers should be able to

  • Understand the reasons for inserting a Naso-gastric tube
  • Understand the ethical background
  • Understand how to check prior to administering feed and medication via NG tube
  • Understand the procedure for feeding via a NG tube
  • Understand the procedure for administration of mediation via NG tube
  • Explain what the risks are and identify how to escalate concerns
  • The course is supported with a Certificate of Attendance & competency if required
• Oral Suction with Yankauer or Suction Catheter

Course details: at the end of the session care workers should be able to:

  • To explain reasons for suctioning
  • List the equipment needed for suctioning
  • Learn the best practice techniques for oropharyngeal & nasopharyngeal suctioning
  • Describe the observations required; before, during and after suctioning
  • What to do when there are problems and know when to call for assistance
  • The course is supported with practical skills with a manikin
  • The course is supported with competency sign off
• Seizure Management and Observations (see Epilepsy Awareness)

Course details: at the end of the session care workers should be able to

  • To explain the causes of Epilepsy
  • To define seizures and their characteristics
  • To discuss the different types of seizures and their causes
  • Seizure management & first aid
  • To explain the process of administering medications to children/adults having seizures
  • To understand the side effects of different anti-epileptic medication
  • The course is supported with a selection of videos of most common seizure types
  • The course is supported with a Certificate of Attendance
• Stoma Care and Maintenance

Course details: at the end of the session care workers should be able to

  • To explain the digestive tract and normal bowel movements
  • To understand what problems can occur in bowel movements and what can be done
  • To explain how to administer suppositories, enema
  • To explain what a colostomy is, different types and the reasons for a colostomy.
  • How to care for a colostomy
  • To explain how to care for stoma site problems
  • The course is supported with practical skills with a manikin
  • The course is supported with a Certificate of Attendance
• Tracheostomy Care including Emergency or Planned Change of Tracheostomy Tube and Suction with a Suction Catheter

Course details: at the end of the session care workers should be able to:

  • To learn about the anatomy of the respiratory tract
  • To understand the reasons for a tracheostomy
  • To understand how to care for a tracheostomy
  • To learn about how to change a tracheostomy (acute and non-acute) + use of manometer
  • To understand how to suction a tracheostomy and to perform tie changes + complications, secretions
  • Skin care and tracheostomy safety care
  • The course is supported with practical skills with a manikin
  • The course is supported with a Certificate of Attendance & competency sign off
• Tracheostomy Basic Life Support

Course details: at the end of the session care workers should be able to

  • To recap the algorithm of Basic Life Support in children & adults
  • To learn the algorithm of Trachy Basic Life Support in children & adults
  • To learn about the emergency response to tracheostomy care, to keep a patent upper airway children & adult
  • To practice trachy basic life support
  • The course is supported with a Certificate of Attendance level 1 & 2
• Ventilation, BIPAP, CPAP

Course details: at the end of the session care workers should be able to:

  • To explain the Anatomy of the respiratory tract & normal mechanics of breathing and ventilation
  • To explain what BiPAP & CPAP is
  • To understand how to use the ventilator and mask
  • To explain reasons for cough assist support
  • To show the machine and technique
  • How to clean/ take care of the equipment
  • The course is supported with video clips and practical skills with the client
  • The course is supported with a Certificate of Attendance & competency sign off


End of Life Care Training:

• End of Life Care and After Care

Course details: at the end of the session care workers should be able to

  • Understand End of Life Care, what are the indicators?
  • Communication During End of Life Care
  • Assessment and Care Planning in End of Life Care
  • Person-Centred Approached to End of Life Care
  • Care During the Final Hours of Life and Bereavement Care
  • The course is supported with a Certificate of Attendance
• Mouth Care

Course details: at the end of the session care workers should to able to:

  • To understand what good oral hygiene is
  • Understand how to assess a mouth and explain what makes a mouth dry
  • Identify oral problems
  • Mouth care for semi-conscious / conscious patients
  • Understand the use of oral mouth care equipment
  • The course is supported with practical skills assessment

The course is supported with a Certificate of Attendance

• Syringe Driver McKinley T34

Course details: at the end of the session care workers should be able to

  • List the equipment necessary and be able to safely set up a Syringe pump for patient use
  • Identify the key component parts of the McKinley T34 Syringe Pump.
  • Select appropriate sites that may be used for infusion by the Syringe Pump and subcutaneous bolus dosing.
  • To understand the need for subcutaneous bolus dosing.
  • Set up the McKinley T34 Syringe Pump
  • Identify drugs that are commonly used in the syringe pump
  • List T34 alert and alarm types, possible causes and action to be taken.
  • Understanding of and adherence to local guidelines and policies regarding use of the relevant equipment
  • The course is supported with practical use of a McKinley Syringe Driver
  • The course is supported with a Certificate of Attendance
• Syringe Feeding & Ethical Dilemma’s

Course details: at the end of the session care workers should be able to

  • Understand the reasons for syringe feeding
  • Understand Nutrition related to dementia
  • Understand what the evidence is
  • Understand consistency in diet textures: IDDS
  • Understand what the risks are
  • Understand the ethical dilemma’s and difference with force feeding

The course is supported with a Certificate of Attendance


Care Certificate (Skills for Care):

• All theoretical training 15 modules

Course details: at the end of the session care workers should to able to:

  • The Care Certificate covers the learning outcomes, competences and standards of behaviour that must be expected of support workers in the health and social care sectors.
  • It aims to make sure that you are caring, compassionate and provide quality care in your work.
  • The certificate builds on and replaces the earlier induction programmes: social care’s Common Induction Standards (CIS) and National Minimum Training Standards (NMTS).
  • There are 15 standards that make up the Care Certificate.
  • The assessments and training will be delivered in the preferred setting and availability and time will need to be considered
  • The course is supported with a workbook and mentor arrangements
  • Practical Basic Care Skill Workshop
• Practical Basic Care Skills Workshop

Course details: at the end of the session care workers should to able to:

  • Understand what personalised care is
  • Assist patients with personal hygiene and grooming
    • Techniques and best practices for assisting with personal hygiene, grooming, and maintaining dignity in care
    • Techniques for good mouth care and oral hygiene
    • Techniques for skin care and pressure relieving care
    • Techniques to support eating and nutrition
    • Support with activities and going out and about
  • Develop effective Communication Skills
    • Building empathy, active listening, and communication strategies for working with individuals who have diverse needs
  • Record-Keeping & Documentation
    • Guidelines for maintaining accurate and confidential records, including daily care logs and incident reports
  • Understand infection prevention and control importance
  • The course is supported with practical skills with a manikin
  • The course is issued with a Certificate of Attendance


Mandatory Training:

• Moving & Handling

Course details: at the end of the session care workers should to able to:

  • State their obligations and that of their employers with regard to manual handling
  • Understand the consequences of poor manual handling practice
  • State the actions to be taken in the event of a manual handling manoeuvre being required at their place of work
  • Identify the correct manoeuvre for use on a range of different manual handling situations.

Courses are supported with a Certificate of Attendance.       

• Basic Life Support

Course details: at the end of the session care workers should to able to:

  • List actions to be taken in the event of an emergency occurring at their place of work
  • Use cardiopulmonary resuscitation methods, including use of an AED
  • Provide first aid to an unconscious casualty
  • Provide first aid to a choking casualty
  • Describe the correct actions to take regarding control of wounds and bleeding
  • Describe the correct actions to take regarding a range of other first aid situations.

Courses are supported with a Certificate of Attendance.       

• Emergency First Aid at Work

Course details: at the end of the session care workers should be able to:

  • List actions to be taken in the event of an emergency occurring at their place of work
  • Use cardiopulmonary resuscitation methods, including use of an AED
  • Provide first aid to an unconscious casualty
  • Provide first aid to a choking casualty
  • Describe the correct actions to take with regard to control of wounds and bleeding
  • Describe the correct actions to take with regard to a range of other first aid situations
  • This course is supported with an Accredited Certificate of Attendance
• Food Hygiene Level 1 & 2

Course Details: at the end of the session participants will be able to:

  • Describe the legal requirement with regard to food hygiene and safety
  • Explain the results of poor food hygiene practices at work and at home
  • Recognise the causes of food poisoning
  • Recognise food poisoning symptoms
  • Understand the importance of good personal hygiene
  • Understand the importance of correct food handling and preparation at work
  • The course is supported with a Certificate of Attendance
• Health & Safety Level 1

Course Details: at the end of the session participants will be able to:

  • State the legal obligations of themselves and their employers with regard to health and safety
  • Recognise a range of hazards in their working environment
  • Recognise a range of harms that could be caused by hazards in their working environment
  • Explain the importance of following hazard controls that have been put in place
  • The course is supported with a Certificate of Attendance
• Infection Control & Prevention

Course Details: at the end of the session participants will be able to:

  • Understand legal obligations with regard to infection control
  • Describe the consequences of poor infection control practice
  • Explain the infection control requirements put in place at their workplace
  • Identify a range of different infection control situations
  • Explain the importance of using universal precautions
  • Train others in infection control requirements within their healthcare working environment
  • The course is supported with a Certificate of Attendance
• Mental Capacity & LPS

Course details: at the end of the session care workers should to able to:

  • List the functions of the Mental Capacity
  • Describe the groups that will be affected by the legislation
  • Explain what is meant by the term ‘best interests’
  • Explain the role of Lasting Power of Attorneys
  • Describe the function of the Court of Protection
  • Explain the Deprivation of Liberty Safeguards (DoLS)
  • The course is supported with a Certificate of Attendance
• Record Keeping and Documentation

Course details: at the end of the session care workers should be able to

  • To explain the principles of written communication
  • To explain the importance of record keeping
  • To understand the legal issues in record keeping
  • To explain the principles of record keeping
  • The course is supported with a Certificate of Attendance
• Safeguarding Vulnerable Adults Level 2 & Children Level 1

Course details: at the end of the session care workers should to able to:

  • Explain what is meant by the term 'vulnerable adult & child'
  • List the forms abuse may take
  • Recognise signs and symptoms of abuse
  • Understand how to respond appropriately to disclosures of abuse
  • Understand the legislation and guidance concerning safeguarding adults at risk.
  • The course is supported with a Certificate of Attendance
• Conflict Resolution

Course details: at the end of the session care workers should be able to:

  • List the most common causes of conflict
  • Describe the different types of assault, why they occur and the most appropriate type of intervention
  • Explain the different types of communication and the impact they can have in a conflict situation
  • Recognise different types of behaviour patterns
  • Explain the importance of keeping a safe distance in conflict situations
  • Explain the use of ‘reasonable force’ as described in law and its limitations and requirements 
  • Identify and signpost support mechanisms within their organisation
  • This course is supported with a Certificate of Attendance
• Clinical Governance and Quality Assurance

Course details: at the end of the session care workers should be able to:

  • To describe what Clinical Governance is
  • To identify the National standards for Clinical Governance
  • To identify the 7 key components of Clinical Governance
  • Understand the concept of Peer review
  • Able to demonstrate quality improvement cycle
  • This course is supported with a Certificate of Attendance
• Clinical Supervision

Course details: at the end of the session care workers should be able to:

  • To understand what clinical supervision is
  • Able to define clinical supervision & why we benefit from it
  • To explore reflective practice
  • To define the Models of supervision
  • How to prepare and execute supervision and the importance of a contract
  • Practical session with supervision
  • This course is supported with a Certificate of Attendance