About Royal Star and Garter
For the last 100 years, Royal Star and Garter have been supporting veterans living with disability or dementia and providing with a range of quality care and therapy services. What first began in 1916 as a service to support injured military personnel returning from the First World War has evolved into three state-of-the art care homes, with a fourth on the way, where highly skilled and motivated staff meet the nursing, disability and dementia needs of residents in a person-centred and compassionate way.
Their work has been recognised within the industry, having been awarded the ‘Top 20 Rated Care Home Group’ three times, among many other awards, and by regulatory bodies, with the High Wycombe Care home being rated Outstanding by the CQC in 2023.
Recently, we spoke to Kelda Fasasi, Head of Innovation for Royal Star and Garter, to discuss how our Staffing and Dependency tool has made a huge impact on the way they deliver care.
At Royal Star and Garter we’ve always embraced change and innovation, especially when it comes to improving how we deliver care. This mindset guided our transformation as we began to use and benefit from emerging digital technologies.
One of the most significant steps in that journey was implementing mCare, Person Centred Software’s digital care planning system.
While mCare offers many capabilities for supporting care dependency, we needed deeper, more dynamic insights to build on such as real-time data to support consistent, informed decision-making across recruitment, quality and safety. When we learned that PCS also offered a staffing and dependency tool, we knew it could meet all our needs.
Previously, we were using a bit of a mishmash of Excel sheets to try and stay on top of dependency and staffing. In search of a better solution, I reached out to a contact in another service for recommendations. They shared four tools, but each had gaps and issues, even combining the best parts didn’t meet our needs, until we saw a demonstration of PCS’s Staffing and Dependency tool and realised what was possible.
We were blown away even just by the demo. It was straightforward and clearly designed with care professionals in mind. What makes the Staffing and Dependency tool so valuable is that it compliments rather than replaces and doesn’t discount your experience as a manager or a care worker. While some fear that digital tools might diminish the human element of care, using this tool provides the perfect balance: the human touch augmented by data. It supports your instincts built through years of experience in care and helps you to turn them into actionable information for smarter staffing decisions.
With that in mind, adopting the Staffing and Dependency tool alongside our use of mCare was a no brainer; we didn’t really have to be sold on it.
What stood out for us was how easy it was to implement the Staffing and Dependency tool. The process is very straightforward: just input all your resident information into the system – inputting names and the number of beds – and that’s most of the work that needs to be done. Even that, however, was even more straightforward for us because we were already using mCare. This meant we could avoid inputting data twice; we could just pull it through from mCare and it went into the Staffing and Dependency tool immediately, which saved us so much time and effort.
What made this process even more intuitive was the user guide. When we first started to use the tool, we made full use of the guide that is embedded into the platform. So, if we weren’t sure what a particular section meant, we could hover on that section and see a detailed description. This saved us a lot of time because we didn’t have to keep going back and forth to consult an external guide. Features like this are great examples of how intuitive the platform is, and how it was designed with the care worker in mind.
Many of the tool’s benefits are obvious: more efficient staffing, more accurate dependency scores, among others. But we also found that it brings holistic benefits that we hadn’t considered. For example, the process of implementing the system – inputting the resident and staff data – wasn't just a case of me sitting alone with my laptop. Instead, it was a collaborative experience that encouraged everyone to work closer together and allowed care colleagues to showcase how much knowledge they have about those for whom they care.
It gave us a space to question and challenge ourselves, to think about the best person to fill in each resident section. It gave us key insights into how we needed to work from day one.
The first entry took about 20 minutes to input, but once we were familiar with the system that time was reduced greatly. From then on, it took no more than 10 minutes per entry. From there, the Staffing and Dependency tool can be updated as often as needed and takes very little time.
The data provided by the platform is easy to read and understand, but more still it’s very user friendly and presented clearly, with all the pertinent information clearly viewable in the main dashboard. It’s helped us to improve consistency because now it’s expected that every home keeps the Staffing and Dependency tool updated, and because of this we’ve been able to highlight patterns and share learnings across our homes.
That consistency comes easy because the ability to pull data through from mCare into the Staffing and Dependency tool means that we have uniform information on resident needs across our digital platforms, and it saves us a huge amount of time if, for example, a new resident comes in and we have to add them to the system. From the very start of that process with mCare, it makes the process much easier and more accurate. There’s a very thorough process of due diligence done before that person moves in. We have clinical leads conduct care assessments, for example, but the reality there is a short window of time to get a lot of information down. So, when we’re trying to paint a picture of someone who might be coming to us from a hospital setting, we’re lucky in that we can use PCS’s integration with GP Connect to pull that information through, which goes into mCare, and then goes into the Staffing and Dependency tool.
One of the best things about the tool is that it gives our home managers or senior team members considerable weight to what they’re saying, because everything is reinforced by data. So, when we have staffing issues, they can build an internal process and ask questions like what that process looks like and what needs to change. They can ask, do we need more staff? And if so, how can we prove it? That’s the kind of difference the Staffing and Dependency tool makes; it gives you clear cut data that shows when and where you need your staff the most.
That same data is also invaluable for external use. Whether it’s to justify higher fees based on higher needs of residents or to use for proof for improved local authority funding, it helps us evidence what we require to provide the best possible care, and it eliminates any chance of wasted recourses. You can show the level of support you are offering and use that as a basis for what can be improved. That, coupled with the level of detail in care records available through mCare, means we can provide a full 360-degree view on our methods and practices.
On our compliance journey, we’ve taken great steps to overhaul our audit process, and the Staffing and Dependency tool has helped us do that. From a local authority perspective, there have been more questions asked on how we are calculating dependency. For them, it isn’t good enough anymore to just say, ‘We’re using an Excel spreadsheet’, or we just ‘know’ - that kind of process isn’t acceptable anymore.
We needed something more solid than that, and we’ve been able to demonstrate compliance by showing that we have identified the areas where before we didn’t know we had issues, and that we are taking steps to make things better. But also, it shows the depth of our efforts to improve care provision. It’s been said that when it comes to compliance, providing care is only half of it – you must show how you’re doing it. Now we can go to them and say, we’re doing a lot more than you think we are, and here is the proof. We wouldn’t be without it now!
The Staffing and Dependency tool hasn’t just improved our care provision, or staffing decision-making and streamlined our overall operations through integration with mCare, but it’s also helped us save money. One crucial way it’s done this is by helping us to reduce our agency usage across all homes.
While we are a not-for-profit organisation, it’s still essential that we remain financially stable, particularly in today’s changing climate. The Staffing and Dependency tool has reduced our agency spend because it helped us to make the most use out of the staff we have, where they are best suited and when, and in what skill mix.
It's helped us to pinpoint when and where staff have been brought in unnecessarily. Once we started using the tool, we understood the best ways to maximise the resources we had. It’s all down to the efficiency of the system, and it helped us be more efficient with our staffing.
Where we found the most value was how mCare and the Staffing and Dependency tool worked together to help us streamline and integrate our data. In this, we didn’t have to input data multiple times. We could just pull it through from mCare and use it to start calculating dependency. We couldn’t go back to what we were doing before, and we’ve found that using the Staffing and Dependency tool has been crucial for us to take that next step in the journey of digital transformation. I couldn’t recommend it, or working with PCS, highly enough!
Adopting the Staffing and Dependency tool alongside our use of mCare was a no brainer; we didn’t really have to be sold on it.
Kelda Fasasi
Head of Innovation, Royal Star and Garter
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