​​​​​Care Home Support Team

This multi-disciplinary team is designed to go into homes and provide training to care staff, with the aim of upskilling and empowering them to deliver an even greater standard of care where and when it is needed.

Liaison Nurses

Having developed strong working relationships with care home managers and staff, Liaison Nurses provide regular on-site training and support as required. The Liaison Nurses undertake comprehensive holistic assessments and care planning in order to coordinate packages of care in partnership with GP's and health and social care colleagues.

Supportive Care Home Team (also known as End of Life Care Team)

Read more about the work of this team on https://www.schs.nhs.uk/end-life-care.

Support on all aspects of end of life care is given to both nursing and residential homes, and is now being piloted in 11 of our Learning Disability care homes.

Read more about the work of the End Of Life Care Team.

Care Home Pharmacists

Care Home Pharmacists work with care home managers and staff to review medications, prescriptions and identify gaps in knowledge and training.

Reviews are systematically carried out by the pharmacist, and then the outcomes are discussed with the resident or family member, care home lead and GP involved. Any change recommendation is subject to GP approval.

Regular medication reviews increase resident safety by reducing the burden of poly-pharmacy and identify risks of harmful side-effects, amongst other things. The reviews take a multi-disciplinary approach and are undertaken proactively. The reviews have improved communication and joint working between the team. The work in Sutton has also demonstrated significant financial savings. 


The Dietitian has developed and provided a training programme for care home staff that includes identifying and avoiding malnutrition using "M.U.S.T." The Dietitian highlights the importance of replacing oral nutritional supplements with real food, and how to accomplish food fortification. The Dietitian works closely with the Liaison Nurses, care home managers, carers and chefs, as well as pharmacists and GPs to communicate the goals of the programme and needs of the resident.

Dementia Support Workers

Dementia Support Workers provide guidance and support to care home staff, residents, their carers and families, and provide information on dementia. They work closely with the care homes to develop a support package to improve levels of care, helping to empower and improve person-centred care, encouraging a holistic approach to healthcare and facilitate the sharing of positive practice.

Read more about the work of the dementia support work.

Challenging Behaviour Team

The Challenging Behaviour Service is a specialist service who provides support for staff caring for residents with a diagnosis of dementia who are experiencing behavioural and psychological symptoms of dementia (BPSD).

Read more about this service here or on their website http://www.swlstg-tr.nhs.uk/our-services/find-a-service/service/sutton-merton-challenging-behaviour-for-older-people.


The physiotherapist undertakes comprehensive holistic assessments and care planning in order to maintain and optimise the residents' physical ability, providing equipment to support this as necessary.

The physiotherapist has undertaken safety checks on all mobility aids used by residents in the care homes and trained staff to be able to do these checks themselves going forwards; and provided falls training for staff, which includes risk factors relating to the environment and to the individual.

The physiotherapist also provides bespoke training and support for care home staff on an individual resident basis, and works closely with all members of the multi-disciplinary team involved in the residents care across primary & secondary care to provide a seamless service.

In addition to the work with the care homes, the physiotherapist is working with domiciliary physiotherapy colleagues so residents can receive timely intervention in their home environment.

Occupational Therapist

The Occupational Therapist works closely with the Physiotherapist to assess and support residents and provide training to care staff, including manual handling, transfers, and falls prevention. In addition the Occupational Therapist provides assessment for specialist seating, and postural management. The Occupational Therapist works with residents to identify purposeful activity, and can offer psychological support including anxiety management, relaxation, screening for depression and anxiety.