[PDF] Diabetes in care homes : are we getting it right now?

Guidelines and Audit Implementation Network - GAIN
Guidelines and Audit Implementation Network (GAIN)
Publication date:
01 March 2013


The aim of this audit is to examine and review current practice in line with the specific GAIN diabetes standards, and to identify aspects of good practice and areas for improvement to ensure that those people in care homes receive high quality care.

The objective of the audit is to identify the percentage of care homes who have implemented the GAIN standards. Each of those care homes who have implemented the standards should  identify their compliance with each of these standards.

  • Standard 1 Each adult resident in a care home will be screened annually for diabetes. When an annual health check takes place, a fasting blood sample will be checked for glucose using an accredited laboratory method. Blood glucose concentration or any other abnormality will be reported to the GPand documented in the resident’s care plan.
  • Standard 2 Each resident with diabetes will have their diabetes care documented in their care plan. When possible each resident (or relative) should be involved in developing their diabetes care plan. The diabetes care plan will be written by a registered nurse. This may be a practice nurse or community nurse if there is not a registered nurse working in the care home. Diabetes care will be evaluated at least annually (at the annual review) and more frequently if necessary.
  • Standard 3 Each resident with diabetes will have an annual review of their diabetes in the most appropriate setting. The review will take place at the GP’s surgery or if this is not possible, in the care home. Some patients will attend a hospital diabetes clinic. The frequency of this review and where it will take place will be documented in the care plan. Transport plans should be included when necessary. Local optometrists may, in special cases, visit homes to provide eye screening.
  • Standard 4 Each resident with diabetes will have access to a named member of staff appropriately trained in the care of people with diabetes.