Notting Hill Housing

At Notting Hill Housing (NHH) we provide a range of housing options, care, and support services. Our services currently include extra care and sheltered housing, floating support to older people, and day care and outreach services. These services are located in 13 different boroughs, the majority in inner London. We recognise that not everyone who lives in our housing will have a formal diagnosis of dementia and that it is important for all our staff in contact with customers to be aware of dementia.

Updated:
25 October 2013
Location:
London
Sectors:
Health, Care

1. Action Plan

1. The National Dementia Declaration lists a number of outcomes that we 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?

At Notting Hill Housing (NHH) we provide a range of housing options, care, and support services. Our services currently include extra care and sheltered housing, floating support to older people, and day care and outreach services. These services are located in 13 different boroughs, the majority in inner London. We recognise that not everyone who lives in our housing will have a formal diagnosis of dementia and that it is important for all our staff in contact with customers to be aware of dementia.

We are committed to providing the best possible services to our service users and their carers. To make this a reality we have a five year action plan on implementing our Dementia Strategy (2009-2013) which we developed with the involvement of customers, their carers and staff.

At the core of our work is the ethos of our service users living life to the full. In turn, what follows is a person-centred approach to providing care and support including those people living with dementia. Both our ethos and the objectives in our action plan support the outcomes contained within this declaration.

Typically our staff work alongside a range of other people (professionals, volunteers and carers) to provide the best services we can for people with dementia. Wherever possible, we encourage mutual support and learning amongst the wider multi-disciplinary team. Most recently, we have worked with Bradford University, Wigmore Hall, and Ladder to the Moon, on research and therapeutic arts projects.

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

 There are 7 key challenges Notting Hill Housing is seeking to address through the work of our Dementia Strategy: 

  • Whilst we are providing training for staff according to their roles, we recognise the need to ensure a culture change so that all of our staff and partner agencies adopt best practice approaches to working with people with dementia. We need to advocate on behalf of our service users for funding to supply assistive technology and resources to provide end of life care.
  • We have to find effective and creative ways to communicate and involve people with dementia in expressing their views and make this a positive experience for them.
  • We need to sensitively re-visit our care plans to identify end of life care wishes for all of our older service users.
  • We have to engage with other communities to ensure we have good links with key agencies and that they have a good understanding of our ethos and Dementia Strategy (for example, other health professionals).
  • We know the realities of trying to provide consistency in terms of staff but recognise this is crucial if we are going to develop a workforce who really know their service users well and can help to record life history information. This in turn will enrich the experiences of those receiving our services.  
  • We need to engage and work with carers whilst recognising that they will sometimes be stressed or upset and find it difficult to talk about their loved ones.

2. Actions

  • Training

    To oversee the implementation of NHH Dementia Strategy and find solutions to the challenges we face we have established a Working Group. The first phase of our work is to increase dementia awareness and provide training to staff across NHH.

    Training

    We have an in-house dementia trainer who is leading on developing well structured courses that for our care staff relate to Skills for Care and Qualifications and Credit Framework. And for our non-care staff is relevant to their job role and contact with people with dementia.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Develop our Dementia Champions

    We will continue to develop our Dementia Champions role for both care and support staff, and our housing officers in permanent rented housing.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Staff trained in dementia care mapping

    We have staff trained in dementia care mapping and will develop its use at our extra care services to ensure we deliver person centre care, to help identify staff training needs and development, monitor quality assurance and service improvements.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Improve Dementia Awareness

    Improve Dementia Awareness

    We will continue to work with our service users, relatives and friends to improve awareness of dementia through articles in our Feedback magazine and presentations advising of campaigns being run by the Alzheimer's Society e.g. Worried about your memory?, Be head strong, and Remember the person. For NHH staff we will continue to develop our in-house 'Be Dementia Aware' campaign.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Further Strategy Implementation

    Further Strategy Implementation

    During 2011-2012 we are going to set up project groups to look at specific area of NHH Dementia Strategy and how outcomes can be achieved. These project groups will involve service users, their relatives and friends to ensure we meet the outcomes that are important to them. They will provide a report and make good practice recommendations. 

    • Communication - to improve understanding of the communication needs of people living with dementia so that our service users can be involved in decisions about the care and support services they receive and want.
    • Nutrition and Mealtimes - to improve awareness of the importance of a good diet in maintaining health and ensuring mealtimes are an enjoyable experience for service users.
    • Environment and Design - to provide accommodation that promotes the well- being of people living with dementia
    • Working with Communities - to ensure that services users from the diverse range of communities we work with are aware of dementia prevention, care and support services 
    • Friends and Relatives - to actively involve friends and family who are carers 
    • End of Life Care - for our policy and procedures to include best practice when providing end of life care to people with dementia.
    • Activities - to work with volunteers and other agencies to provide activities that services users want to participate in
    • Telecare and Assistive Technology - to provide service users with choice in telecare and assistive technology to enable them to live independently and safely.
    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress