National Association for Providers of Activities for Older People

NAPA helps care staff support older people to live in the way that they choose, with meaning and purpose. Things to do, people to see and places to go – these are vital to us all at every stage of life.

Updated:
10 February 2016
Location:
National
Sectors:
Communication, Health, Care

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?

NAPA, the National Association for Providers of Activities for Older People, is a membership organisation with 3000 members, including care homes, hospitals, sheltered housing and day centre settings.  Our vision is to put activity at the heart of good care for older people, including for those people with dementia living in care settings.  Our membership Inspirations bulletins and Living Life magazine provide very practical ideas for things to do with people with dementia and lots of examples of residents enjoying a range of activities.  Our annual challenge competition with a theme such as 'Music in the Air' or 'Food Glorious Food' invites organisations to think of creative ways for older people to enjoy life to the full. 

NAPA's Activity Toolkit provides a training DVD and 8 practical guides to help care providers put activity at the heart of care. 

NAPA's distance learning course and training programmes are interactive learning opportunities to encourage all members of a staff team to bring activity and conversation into everyday routines.    All our training has a strong focus on working with people living with dementia.

 

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

  • Many care homes are now working with people who are very physically frail and who have advanced levels of dementia.  NAPA's challenge is to help staff to understand that activity is still important to people nearing the end of their lives.  This involves thinking about activity in a different way to the more traditional structured group programmes.
  • One of the biggest challenges we face is that many institutions can fall into the trap of becoming quite rigid about routines and overly restrictive health and safety policies. 
  • Tidy clinical environments are not the best places for people with dementia to live!  There need to be things around the place which offer opportunities for things to talk about and things to do. 
  • Homes need to balance the needs of those who like a smart hotel style feel with others who would welcome more participation in daily life.
  • Some care environments find it challenging creating good links with the local community in order that residents can enjoy more contact with different people, including children and animals, and to go out of the home more often.
  • Some family members struggle to think of things to do and how to communicate with relatives with dementia. This can sometimes mean that visits to care homes are limited and for a shorter period. Little is offered in the way of support and guidance for ways of spending time with people, particularly in the later stages of dementia.

2. Actions

  • NAPA publications and training courses

    NAPA publications and training courses emphasise:  the importance of one to one activities; creating an environment which offers opportunities for things to talk about and do; and making the most of shorter spontaneous activities with people in the later stages of dementia.  We will continue to disseminate these resources to our members and others. We aim to increase our membership by 30% to 4000 members by the end of 2014, ensuring our messages are reaching a wider audience.

    Status:
    Implementation

    2014 - Third Quarter Update

    Our membership is steadily growing and now stands at 3,000. Following a survey of our members, we have revised our magazine format and now send 4 more substantial publications a year. We now offer a Level 2 QCF award, Supporting Activity Provision in Social Care, which teaches the knowledge and skills for activity providers to facilitate meaningful individualised activity in care settings, and focusses on the particular needs of people with dementia.  

    2012 - Second Quarter Update

    NAPA’s membership has increased to 2,682 members an increase of over 200 from the last report. All members receive 8 magazines a year that share ideas and best practice as well as recognising the achievements of care home staff. We encourage our members to ensure all staff, whatever their role, to contribute to the ‘activity life’ of residents. This is particularly important in dementia care where the most fleeting interaction can have a lasting effect on someone’s well- being.

  • NAPA Activity Toolkit

    The NAPA Activity Toolkit promotes activity as being everybody’s job including nurses, care workers, maintenance, catering and domestic staff and family members.  We aim to sell 1000 guides and DVDs in the next two years. 

    Status:
    Implementation

    2014 - Third Quarter Update

    We continue to promote and sell our toolkit and other pinted resources, which are proving very popular with our members. 

    2012 - Third Quarter Update

    In progress. 

    2012 - Second Quarter Update

    Sales of our books, collectively called the NAPA Activity Toolkit, continue at a steady pace.

    2012 - First Quarter Update

    New member. 

  • NAPA's resources support a whole day

    NAPA's resources support a whole day approach to activity which includes seeing routines and tasks in the day as potential experiences to be enjoyed, supported by the right attitude and approach from staff. We will continue to publish articles which challenge institutionalised practice and inspire creative approaches.

    Status:
    Implementation

    2014 - Third Quarter Update

    We have published a number of articles which promote this approach, and have been undertaking audits and training for providers aimed at helping them to change their cultire where necessary to incorporate the "whole day" approach and the involvement of all staff in tha care setting. 

    2012 - Third Quarter Update

    In progress. 

    2012 - Second Quarter Update

    All members receive 8 magazines a year that share ideas and best practice as well as recognising the achievements of care home staff. We encourage our members to ensure all staff, whatever their role, to contribute to the ‘activity life’ of residents. This is particularly important in dementia care where the most fleeting interaction can have a lasting effect on someone’s well- being.

    2012 - First Quarter Update

    New member. 

  • Living Life with relatives and friends

    Our new Living Life with relatives and friends bulletin will be disseminated widely to families offering support and ideas for one to one and small group activities in which they can get involved.

    Status:
    Implementation

    2014 - Third Quarter Update

    The Living Life initiative is now firmly embedded as an important part of our magazine.

    2012 - Third Quarter Update

    In progress. 

    2012 - Second Quarter Update

    The new Living Life for Relatives and Friends has been well received and we will continue to offer ideas for making visits to the care home more enjoyable for all.

    2012 - First Quarter Update

    New member. 

  • Delivering and promoting a range of new training course

    NAPA will be delivering and promoting a range of new training courses within the new Qualifications Credit Framework, which we will ensure includes guidance on activities which are accessible and meaningful to individuals with dementia.

    Status:
    Completed

    2014 - Third Quarter Update

    The Level 2 QCF award, Supporting Activity Provision in Social Care, is now in full swing, with a significant number of people enrolling, studying and completing.

    2012 - Third Quarter Update

    In progress. 

    2012 - Second Quarter Update

    Our new qualification, which includes a specialist unit on Dementia, is slowly taking off. Along with our bespoke training days we are seeing a marked decrease in requests for training, through pressure on care home budgets, which we are concerned about. Knowledge and skills can make a real difference to the level of care offered in dementia settings.

    2012 - First Quarter Update

    New member.

  • Go for Gold

    NAPA plans to be a key player in a 'Go for Gold' initiative with the British Heart Foundation and other partners to tie in with the Olympics in 2012.  This will promote the importance of physical activity for older people including people with dementia.  This initiative will run throughout the year and will offer inspiration, ideas and goals for new physical activity ideas, particularly in care settings for older people.

    Status:
    Completed

    2014 - Third Quarter Update

    The initiative was a great success, involving hundreds of care homes in planning and implementing appropriate activities within their settings. I culminated in an awards gala in London which celebrated the best examples from around the UK

    2012 - Third Quarter Update

    In progress. 

    2012 - Second Quarter Update

    Our NAPA 'Go for Gold' Challenge, in conjunction with the British Heart Foundation and many other partners, was launched in February .Care homes around the country are now ‘in training’ for the Challenge week starting on Sun 1 July. This will promote the importance of physical activity for older people including people with dementia.

    2012 - First Quarter Update

    NAPA is a new member and has nothing further to report this quarter.

  • Update Technology

    To make NAPA's website more accessible and informative. 

    Status:
    Being implemented

    2014 - Third Quarter Update

    We have engaged an expert, who has recently created a shadow website, which will go live by the end of 2014