Orchard Portman

Orchard Portman is a specialist provider of mental health services in the South and South West. At Orchard Portman we are passionate about understanding people together with their interests, aspirations, frustrations and fears. We offer personalised care and rehabilitation that enables individuals to reach their full potential and make the most of life.

Updated:
4 June 2015
Location:
South West
Sectors:
Pharmaceutical, Health, Care
Local Alliances:
Exeter Dementia Action Alliance (EDAA)

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?  

Orchard Portman has two distinct environments that provide Dementia care services. 

Hospital facility – For services users who present with complex needs including behaviours that are difficult to manage in the home or in main stream care facilities. The aim is to assess, treat symptomatically and facilitate the service user to return home or to the least restrictive environment, to achieve this we use a modified recovery model approach. This requires working closely with family and community teams, or local charitable agencies such as Huntingtons Disease Association where the local advisor is involved with all parties.  

Nursing Homes – The ethos of Orchard Portman is striving for homliness and activity, particularly as for some people it is exactly that – their home, it is also important that this is extended to family and friends who can look upon the care home as an extension of their own, that their involvement in the day to day activities is encouraged, that the welcome and visiting experience is as comfortable as the staff can make it. Respite and or day care may also be provided and can help to build relationships before a placement becomes more permanent 

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

  • The balance between ‘homely’ and meeting the criteria of health and    safety can be challenging as well as the appropriate use of signage or an environment that is not purpose built.
  • Staff training in ensuring that this is consistent and of the right level.
  • Funding of care home beds for people with Dementia does not allow for the type of service that is necessary, particularly where the presentation and needs are complex

2. Actions

  • Activities

    Activities – Currently we have activity organisers in all our facilities, the services provided are quite varied and there is a considerable amount of ‘entertainment’

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Hands on activities

    The facilities are developed both internally and extrnally for service users to do more ‘hands on’ activities.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Develop horticulture and animal therapy

    We plan to develop horticulture and animal therapy – particularly for younger Dementia sufferers, we want to link up with other community groups, so they can use our services, thus developing local relationships.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Started discussions with the local NHS trust

    We have started discussions with the local NHS trust with regards to collaboratively working, supporting the local unit with over spill beds – this will avoid delayed admissions or individuals having to go too far from the local area.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress 

  • Provide facilites for those unable to transfer to nursing homes

    We will also be able to provide a facility for individuals who are not able to transfer to a nursing home and still require a hospital environment, but not necessarily remain on an assessment ward within the local trust.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress

  • Feasibility of working together with Dementia training

    We have started discussions about the feasibility of working together with Dementia training and possible staff sharing.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress

  • Ready and able to be discharged

    Where service users are ready and able to be discharged, we are keen to set up a more practical type of handover, where the key worker goes with the person to aid the transition and support receiving staff or family.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress

  • Gold Standard Framework for Palliative care

    As an organisation, we are going to work towards the Gold Standard Framework for Palliative care, as we recognise this is an important aspect of Dementia care.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress

  • Occupational therapist

    We now have an occupational therapist who will take the lead with activity staff providing leadership and clinical supervision.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress

  • Facilitate our care staff

    We will facilitate our care staff in achieving the Qualification and credit Framework (QCF) Dementia qualification.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress

  • Facilitate staff member

    We will facilitate staff members to become champions of specific aspects of care such as dignity and respect. Recovery star, palliative care.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress

  • Skilled mix of staff

    A working group made up of a skilled mix of staff from each unit, who will oversee the action plan and help drive it forward and review the progress, ensuring that all sites are working towards the same outcomes.

    Status:

    First Quarter

    In progress

    Second Quarter

    In progress

    Third Quarter

    In progress