Director of Nursing Portal

A dependable external foot-care service, built around your standards

This is the full detail behind the highlights on our homepage - how Footwise approaches resident safety, clinical communication, infection prevention and reliable service delivery, question by question.

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Supporting your care team

Foot-care awareness huddles for your carers

Alongside resident clinics, we offer short staff education huddles - a practical way to help your team spot foot problems sooner and escalate them with confidence. It is part of how we support the wider care team, not just individual appointments. These huddles are free of charge - part of Footwise's holistic approach to care.

What a huddle covers

A 10-15 minute visual session for carers on what normal, healthy nails and feet look like compared with changes that deserve a closer look.

When to escalate

Clear guidance on when to involve the nurse on duty or call Footwise - for example ingrown nails, very thick nails, pressure areas, sores, or changes that may affect gait or falls risk.

Mentoring, not certification

These huddles are mentoring and support for your carers rather than a certified training programme. They demonstrate proactive quality improvement and help staff catch issues sooner.

Immediate assurance

The practical concerns addressed from day one

Continuity of care

The same practitioner wherever possible, with any substitute identified and agreed well in advance.

Regulator ready

Qualifications, Garda vetting, required safeguarding training and insurance evidence provided before service begins.

Defined clinical scope

Clear treatment boundaries, risk-aware care and prompt escalation through your nursing team.

Same-day records

Assessment, treatment, findings and follow-up advice entered in the home's record system on the day.

Infection prevention

Home-specific protocols, medical-grade instruments, autoclave sterilisation and agreed waste handling.

Collaborative working

Direct handover to the nurse in charge and coordination with GP or specialist pathways when required.

Predictable scheduling

Visits planned around resident routines, with practical space and staff requirements agreed beforehand.

Reviewable service

References and quality evidence available, with periodic service reviews agreed with the home.

Due diligence

External foot-care service: questions for the Director of Nursing

Use the categories below to review the areas most relevant to your home.

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Practitioner and scope

1.Who will actually attend our nursing home, and will we have the same practitioner each visit?

We aim to provide continuity, so the same practitioner will attend each visit. Any substitute will be identified and agreed with the home well in advance and will undergo the home's Garda vetting process.

2.What qualifications and practical experience do you have in caring for older nursing-home residents?

All our practitioners are fully qualified, have varying levels of experience and specialise in providing foot care for older people. We provide full evidence of training before services begin.

4.Which foot-care procedures do you provide, and which do you explicitly exclude?

We provide routine foot-care treatments. We do not undertake surgery or procedures outside our training or the scope agreed with the home. We do not administer anaesthesia or prescribe prescription-only medicines, including antibiotics. We work as part of the wider healthcare team, including the GP and diabetes team where relevant.

5.Do you hold Garda vetting appropriate to this work, safeguarding training, and insurance covering the services you will perform here?

All practitioners are already Garda vetted. Before services begin, we will also complete the home's Garda vetting process, undertake any safeguarding training the home requires, and provide evidence of professional indemnity, malpractice and public liability cover for the agreed work.

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Resident safety

6.How do you identify residents whose feet need specialist assessment before routine care?

Before each treatment, we review the relevant care plan and history in the home's record system and liaise with the resident's care team. We raise findings outside routine foot care with the nurse in charge.

7.What is your approach to residents with diabetes, poor circulation, neuropathy, previous ulcers or fragile skin?

We identify these risks before treatment and adapt our approach accordingly. We remain within the agreed scope and refer concerns requiring clinical assessment through the nursing team.

8.What will you do if you find a wound, infection, unexplained swelling or another urgent concern?

We stop routine treatment, inform the nurse in charge immediately and document our specific findings. The nursing team then activates the home's GP or specialist referral pathway. We can provide a referral note for the GP if preferred.

9.What happens if a resident is injured or becomes unwell during treatment?

We stop treatment, call the nurse in charge immediately and assist within our competence. We document the event and cooperate with the home's incident process.

10.How do you decide when to stop treatment and refer to a GP or specialist foot service?

We stop when a finding or procedure is outside our competence or treatment could put the resident at risk. We explain the concern to the nurse in charge and document the recommended referral.

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Infection prevention

11.What infection prevention procedures do you follow between residents and between nursing homes?

We follow the home's infection control policy, including hand hygiene, appropriate protective equipment, cleaning the treatment area and separating clean from used equipment.

12.Are your instruments single use or reusable? How are reusable instruments cleaned, sterilised and traced?

We use medical-grade reusable instruments sterilised using an autoclave. Instruments remain sealed in sterile pouches until immediately before use.

13.Who supplies and safely disposes of sharps, used instruments and clinical waste?

Our service agreement specifies the supplies and disposal arrangements. We contain and handle sharps, used instruments and clinical waste through the agreed safe process.

14.How will you follow our infection control policies, including during an outbreak?

We complete the home's induction and follow its current infection control instructions. We adapt or postpone visits when advised by the home's infection control lead. Practitioners who are unwell do not visit the home.

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Running the service

21.How will visits be scheduled around residents' routines, and what space or support will you need from our staff?

We agree the visit list and timing with the home. We require a suitable treatment space with good lighting and hand-hygiene access; any assistance needed from staff is agreed beforehand.

22.How often would you recommend routine visits, and how will you avoid unnecessary treatment?

Routine foot care every two to three months is our usual starting point. We recommend a different interval only where a resident's needs justify it and discuss this with the nursing team.

23.Who pays for the service, what exactly is included in the price, and how are cancellations or additional treatments charged?

We charge a set fee for each visit and invoice the home centrally each month. Invoices list each resident by initials and room number to limit the personal information shared. Cancellation and additional-treatment terms are to be confirmed.

24.How will complaints, incidents and concerns about your practice be reported and resolved?

We report concerns promptly through the home's procedures, provide relevant records and cooperate with its review. We agree corrective actions and confirm when they are complete.

25.What cover is available if my practitioner is unavailable, and how will continuity of care be assured?

We give the home as much notice as possible and arrange a rescheduled visit as soon as possible.

26.What evidence can you provide to help us review the quality and safety of the service?

We provide evidence of qualifications, relevant policies, insurance and training, and can provide references. We can also agree periodic reviews of incidents, referrals, resident feedback and record completion.

Discuss your home's foot-care requirements

Arrange a conversation about resident needs, visit schedules, governance requirements and next steps.

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