162 An Audit of Comprehensive Geriatric Assessment in the Southern Trust Acute Care at Home Service

Background The population is ageing. Acute Care at Home (AC@H) is a consultant led multidisciplinary team, providing acute non-critical care to our older population, preventing hospital admissions and promoting a better quality of life and supporting them to live independently for longer. A recent Cochrane review shows that older people who receive Comprehensive Geriatric Assessment rather than routine medical care after admission to hospital are more likely to be living at home and are less likely to be admitted to a nursing home at up to a year after hospital admission. Methods One-hundred patient charts were selected at random who had been under the AC@H team between 2016 and 2018. The nursing and medical assessments were reviewed to assess how well Comprehensive Geriatric Assessment was being carried out. The domains selected for audit are shown in the results table Results The domains were assessed appropriately as follows in percentages - Dementia 93%, Delerium 85%, Depression 6%, Falls, 99%, Fractures/Osteoporosis: 27%, Medication/Polypharmacy: 100%, Pain: 91%, Nutrition: 98%, Skin: 93%, Incontinence: 94%, Advanced Care Planning: 39%, Visual Acuity: 7%, Social Support: 99% Conclusion Whilst some areas of Comprehensive Geriatric Assessment are achieved adequately, others are not. Our electronic assessment did not include a Geriatric Depression Score. Although pain was frequently assessed, again a score was not always used. Other areas for improvement include visual acuity, fractures and osteoporosis and advanced care planning The results of this audit have been presented to the team, adjustments have been made to our electronic assessments so that we can record and capture this data better. There will be a reaudit in 6 month’s to evaluate improvement.