BESPOKE CLINICAL SKILLS TRAINING

Train with Care will deliver theoretical and practical skills training with assessment of competence to personal assistants, carers & nurses.

Train with Care will train staff complex, mandatory and routine care tailored to the specific needs and outcomes of the people, children, and young people with complex needs in his/her living accommodation, school or alternative agreed facility.

A request for training received by Train with Care will need to have details of the care and support plan and the care experience of the staff to be trained. A personalised training needs analysis including costs will be issued within 5 working days.

COMPETENCY ASSESSMENT AND SIGN OFF

We will ensure that competence and knowledge is developed through direct work with the person or child and their family. In the case of new-born infants, children, and adults with complex needs under the care of an Acute Trust we will work in partnership with them to ensure the necessary training and competence required is achieved through shadowing and other agreed means to support and encourage discharge at home.

Clinical Competencies will be signed off by qualified nurses and re-assessed annually thereafter or in response to changing needs.

DATABASE

Under strict GDPR rules we can provide a database for organisations we are working with to include:

• All certificated training with review dates.
• All competencies with review dates.
• Reminders of care staff training due.

Please get in touch to discuss your specific requirements.

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

• 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

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

To describe the Anatomy of the Urinary Tract
Understand the National Guidance surrounding catheterisation
Demonstrate a safe technique of catheterisation (female and male, suprapubic)
Understand the catheter maintenance and changing
Understand various drainage options
Trouble Shooting
The course is supported with practical skills with a manikin (male & female)
The course is issued with a Certificate of Attendance & competency workbook to complete

• 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

• Naso-Pharyngeal Suctioning with a 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

• 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

• 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

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

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: