MHA Care Group

MHA is an award-winning charity providing care, accommodation and support services for older people throughout Britain. We are one of the most well-respected care providers in the sector and amongst the largest charities in Britain, providing services to older people for more than 70 years. Our aim is to eliminate isolation and loneliness among older people by connecting older people in communities that care. MHA delivers a range of high quality services to 17,000 individuals: • 4,350 older people living in 84 care homes including specialist dementia care. • 2,500 older people living independently in 72 retirement living communities • 10,000 older people supported through 66 Live at Home services in the community. Our services are delivered by 7,000 dedicated staff and enhanced by the commitment of 5,500 volunteers.

Updated:
25 October 2016
Sectors:
Care, Housing Sector
Local Alliances:
Manchester Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

MHA works with 17,000 people across a range of settings – care homes, retirement living and community based schemes.  In our care homes and retirement living schemes we are working to ensure dementia friendly living environments exist. We will work with experts in dementia appropriate design in both new schemes and in planning the refurbishments of our existing estate.

We employ 7,000 staff and have 5,500 volunteers.  We can ensure that all staff receive, as a minimum, dementia awareness training.  We also provide specialist dementia training, The Person Inside, developed with the University of Bradford, which is being refreshed.  This is for our staff and volunteers in our more specialist  dementia services. This includes looking at how best to support the families and friends of a person living with dementia.

Our Dementia Lead role was introduced in 2015 and is working on a new Dementia strategy for MHA to ensure the very dementia offer across all that we do.

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

Existing buildings have a wide variety of layouts and standards within them.  Some buildings have more challenges than others to become dementia friendly. 

 We have a renewed commitment for training across all services to ensure that all staff and volunteers have some awareness around the impact of dementia in order for the organisation to become dementia friendly.  Timescales may be an issue due to the size and spread of the organisation.  There can be issues around delivering cascade training due to the numbers of internal trainers.

 We have a renewed commitment, again through staff development, to support the families and friends of people living with dementia to enable more collaborative working. 

Member website

www.mha.org.uk

2. Actions

  • Seek opportunities for the development of housing and care for older people

    We will be continuing to seek opportunities for the development of new specialist care homes, particularly in urban and deprived areas as well as further building purpose built apartments for people who may wish to live more independently.

    Status:

    2013 - Fourth Quarter Update

    We have now opened our new Care Home in Chippenham as part of our new care village from the 1st of May 2013.

    The home will offer 30 residential general  and 30 residential dementia placements as well as 50 other resident places due to open in early 2015 where residents may choose a more independent way of life.

    We have also opened further apartments for independent and assisted living in Dovercourt in Essex, Victoria Court in Headingly and in Emmandjay Court in Ben Rhydding, Ilkley.

  • Developing through conversion

    We are developing, through conversion of our existing sheltered housing schemes, and new-build, new housing with care services to include specialist dementia care.

    Status:
    Planning

    2014 - First Quarter Update

    In 2014 we are planning to build new schemes in Corsham (190 apartments), Peterborough ( 50 assisted living apartments) and Swindon ( 37 new assited living apartments with communal facilties shared with our care home at Fitzwarren House. 

    2013 - Fourth Quarter Update

    Whether in our community Live at Home schemes, our retirement living communities or our care homes, we continue to extend our support to more older people every year. We also seek to provide more than one of these services from the same location, so that service users are offered both the lifestyle they wish now and the support they may need in the future.

  • Developing more community services

    We are developing more community services for people with dementia including personal care, dementia day care, carers' support groups, befriending, signposting and regular contact, especially where we can link this with existing or new care homes and schemes nearby to enable sharing of resources and staffing, and maximise the use of volunteers. 

    Status:
    Implementation

    2014 - First Quarter Update

    Our care home at Maple Leaf House in Ripley has established close links with the local Sainsbury's store who have adopted our care home as their 'Charity of the Year'.The local store supports in store promotions to support the home as well as raising the profile of dementia amongst its customers.

    2013 - Fourth Quarter Update

    In addition to our traditional stand alone ‘Live at Home’ Services, we are developing similar models of support across our Retirement Housing, Housing with Care and Care Homes. We continue to explore the integration of all of our schemes in a given locality in order to support and deliver these valuable services.

    We have this year opened a new dementia café to support older people and their carers at Field Court in York.

    We also have a number of ‘Live at Home’ schemes which provide support for older people and their carers to include lunches, befriending, weekly focus groups and advisory services.  These schemes are often linked to our care homes so that we can share valuable resources and seek the valued support of our volunteers.

    Our first 'Live at Home' scheme in Lichfield marked its quarter centenary this year with a celebratory lunch to recognise the great efforts of our volunteers and members.

  • Dementia training strategy

    Our dementia training strategy will include local dementia champions, new e-learning and other induction training in dementia awareness for all staff,  training resource packs and targeted training for care staff, both in specialist and general care settings.

    Status:
    Implementation

    2016 - Fourth Quarter Update

    49 dementia facilitators have now been trained in conjunction with the Bradford Dementia Group to deliver 'The Person Inside', a modular dementia programme deveoped by the University for MHA.

    The titles of the six dementia awareness modules are:

    Positive communication

    Understanding care planning

    Life story

    Redefining challenging behavior

    Expressing sexuality and sexual needs

    Engaging in positive activities

    The first annual CPD events for facilitators have been held recently with Bradford University which also supports the sharing of best practice . Two further cohorts of facilitators are being trained during the first half of 2014.

    A further 24 mappers qualified with the Bradford Dementia group in April 2013.Further discussions are currently taking place with Bradford University about how to embed mapping into our organisation and how it can be used as a tool to help measure the effectiveness of our Dementia Awareness programme.

    MHA continue to invest in staff with the delivery of specific training related to caring for people living with dementia. The Person Inside – Dementia Awareness Training continues to be delivered at all homes and schemes caring for residents and tenants living with dementia.

    MHA continues to maintain their commitment to Dementia Care Mapping. In February 2012 a further 28 members of staff were trained to undertake Dementia Care Mapping.

    The dementia resource box which has been developed by the MHA training department was piloted and followed by a full roll out in late summer 2012. The resource box was jointly produced by Bradford University prior to the full roll out and implementation.

    2016 - Fourth Quarter Update

    We are introducing refreshed dementia awareness training across the organisation.  We are  currently working with the School of Dementia Studies, University of Bradford to refresh the current in house training package, The Person Inside, along with a number of additional service developments and CPD days for Dementia Care Mappers and Dementia Facilitators

    2013 - Fourth Quarter Update

    Thirty one dementia facilitators have now been trained in conjunction with Bradford University to deliver the six dementia awareness modules that have been developed. A further 24 mappers qualified with the Bradford Dementia group in April 2013.Further discussions are currently taking place with Bradford University about how to embed mapping into our organisation and how it can be used as a tool to help measure the effectiveness of our Dementia Awareness programme.

    The titles of the six dementia awareness modules are:

    Positive communication

    Understanding care planning

    Life story

    Redefining challenging behavior

    Expressing sexuality and sexual needs

    Engaging in positive activities

    MHA continue to invest in staff with the delivery of specific training related to caring for people living with dementia. The Person Inside – Dementia Awareness Training continues to be delivered at all homes and schemes caring for residents and tenants living with dementia.

    MHA continues to maintain their commitment to Dementia Care Mapping. In February 2012 a further 28 members of staff were trained to undertake Dementia Care Mapping.

    The dementia resource box which has been developed by the MHA training department was piloted and followed by a full roll out in late summer 2012. The resource box was jointly produced by Bradford University prior to the full roll out and implementation.

  • Research into care and support

    We are committed to research into care and support for people with dementia, including into pioneering work with music and reflexology therapies, and will initiate and participate in research with academic, funding and provider partners, including through the Housing and Dementia Research Consortium (HDRC). 

    Status:

    2014 - First Quarter Update

    MHA has participated in the Memory Bank project at our care homes in Ilkley,Hull and Bradford. This involves the use of archive film footage which can stimulate happy and positive memories in older people including those living with mild or moderate dementia.

    2013 - Fourth Quarter Update

    The results of our Music Therapy research will be available at the end of Quarter 4 2014.

    We are awaiting the results of this research project which will provide important evidence relating to the value and contribution of music therapy in support of improvement to cognitive symptoms and BPSD in residents living with dementia

    The pioneering work of using Music Therapists within MHA homes caring for people with dementia continues. A total of thirteen Music therapists are now employed across MHA projects.

     

  • Developing more opportunities for people living with dementia

    We will be developing more opportunities to raise awareness locally to our services with resource libraries in homes and schemes, holding public events and sending out "signposting" newsletters.

    Status:

    2014 - First Quarter Update

    We initiated  a project in May 2013 to determine the value of social media and other interactive web sites for residents. This will also allow homes to better promote local activities.We actively encourage the use of i Pads and other interactive systems and services e.g. on line memory books that all family members can access and contribute to in order to support residents with their hobbies and interests. All of our care home are Wi-Fi enabled to allow both residents and relatives access to the internet in our homes and to be able to access Skype, Facetime and other interactive systems.

    2013 - Fourth Quarter Update

    All of our care homes posses resources to promote the home on a local basis and to extend networking and relationships through word of mouth through volunteers, chaplaincy support, and activities and fund raising events.

  • Work closely and collaboratively with local healthcare colleagues

    We will work closely with local healthcare colleagues to give people as much information and support as possible, using single assessment processes where available, easier access, shared resources and a joint approach to high quality end of life care.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    We have now set up a palliative care model at Abbey Park in Coventry. This has been a joint effort between MHA, Coventry NHS, local GPs and our Pharmacy provider. This model ensures that residents who require urgent palliative care are provided with medication from a set formulary without delay and with prompt improvement to the standards and quality of care for residents in their final stages of life.

  • Developing an Antipsychotic Policy across our Care Homes

    MHA has launched an Antipsychotic Policy across all care homes from July 2013.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    We have now launched our MHA antipsychotic policy across all of our care homes and we will be measuring the impact of this policy over the coming months through the tracking of prescribed medication using resident bar code technology which is an integral part of the service provided by our Pharmacy provider.

     We are also providing an assessment tool for our care staff which captures important resident information for inclusion and discussion at MDT reviews.We are also working closely with our Pharmacy provider to support our staff in identifying opportuntnties to reduce antipsychotic medication in our care homes.

    We have appointed a new position of Antipsychotic Lead Person (ALP) across all of our care homes which are registered for dementia residents. This will ensure consistency in the delivery of this new policy.

     

  • Reviewing existing buildings

    A review is currently being carried out of the current establishment portfolio.  Part of this will involve giving consideration to the general dementia-friendliness of the stock and then looking at what can be done to improve it using dementia friendly building audit tools.

    Status:
    Initial Scoping

    2016 - Fourth Quarter Update

    Reengaged - October 2016

  • Supporting the families and friends of people living with dementia

    As part of the refresh of the in house training modules, The Person Inside, a new module has been commissioned from the School of Dementia Studies, University of Bradford, in order to give staff and volunteers  knowledge and insight into what the experience is like for the families and friends of people living with dementia.  This will include scenarios at the point of diagnosis, transitioning from home into a community service, requiring full time care etc.  It is hoped that this additional knowledge will enable staff and volunteers to deal more sensitively and thoughtfully with relatives and also enable them to see the vital role that families play in caring for people with dementia.  

    Status:
    Initial Scoping

    2016 - Fourth Quarter Update

    Reengaged October 2016