The Good Care Group

The Good Care Group is a professional provider of live-in care services, supporting older people to stay safely and happily in the familiarity of their own homes and communities. Around three-quarters of our clients are living with dementia. Providing an excellent and specialist service to these people is a priority for us.

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

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?

The Good Care Group is a professional provider of live in care services for older people who wish to stay safely and happily in their own homes and communities. 75% of our client base consists of people who are living with dementia, and our clients live across England. We were formed in 2009 by a management team who wanted to make a difference. We see our role as that of raising standards in the home care sector; professionalising and revitalising the industry. We aim to set the bar, and deliver a high quality, tailored home care service which enables people with dementia to continue to live at home for as long as they wish to do so, in a state of calm contentment and wellbeing, free from anxiety, and without unnecessary medications or hospital admissions. We believe our service gives precious time and energy back to family care-givers, who can go back to enjoying their relationship with their loved one, and taking pleasure in their own lives as well. As a growing company, with access to both internal and external expertise, we feel well placed to lead the way when it comes to delivering an innovative and effective home based model of care to people with dementia. 

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

The challenge for The Good Care Group will be in finding creative ways of supporting and supervising a disparate and remote staffing team, who will largely be working independently in the client’s own home. Leveraging technology to support communications and identifying a model of care which is relatively straight forward and cost effective to implement and yet highly impactful on client outcomes will be key to our success.

Member contacts

www.thegoodcaregroup.com/‎

Member website

www.goodcaregroup.com

2. Actions

  • The SPECAL Method of care

    We have adopted The SPECAL Method of care for people with dementia, developed by the Contented Dementia Trust. The SPECAL Method has been shown to increase wellbeing, reduce the need for medications and enable people with dementia to stay at home for longer. The SPECAL Method is a model of care which provides a blue print for a contented life, promoting sustainable 24 hour wellbeing every day for life. This methodology starts with an understanding of dementia from the perspective of the person living with it, and suggests simple strategies which can be employed by family or professional care givers to reduce anxiety and promote wellbeing for the person with dementia. We have found this method to be both cost effective and extremely accessible to our staff. all staff continue to be inducted in this methodology.

    Status:
    Being implemented

    2015 - First Quarter Update

    We continue to induct all staff in this method and give each a copy of contented dementia. We work with the contented dementia trust on practice based evidence and are co presenting at several conferences. Behaviours that challenge have been reduced by 80% over 3 months 

    2015 Q1: our continuous training and implementation of this model with our clients has enabled us to reduce behaviours that challenge and improve well being and quality of life 

  • Continue to monitor usage

    We will continue to monitor usage of antipsychotic medications in our organisations, and ensure that where a risk has been identified, we use psycho-social techniques to support people displaying distressed reactions. We believe that antipsychotics should always be a last resort

    Status:
    Being implemented

    2015 - First Quarter Update

    Q1 2015: we continue to monitor antipsychotics and where they are in use we challenge this, working with clients and MDTs to use psycho social techniques. Our specialist nurse is particularly skilled at managing behaviours and using innovative interventions to avoid the need for medication. our new assessment tool will help us to better report on antipsychotic usage. our new client assessment tool enables us to track the use of antipsychotics and ensure that these are always a last resort. At the last poll less than 6% of clients were prescribed this medication. Our new assessment ensures that all clients prescribed one of these drugs has an action plan and follow up.review strategy. 

    2014 - Third Quarter Update

    we continue to monitor antipsychotics and where they are in use we challenge this, working with clients and MDTs to use psycho social techniques. Our specialist nurse is particularly skilled at managing behaviours and using innovative interventions to avoid the need for medication. our new assessment tool will help us to better report on antipsychotic usage. 

    2015 Q1: our new client assessment tool enables us to track the use of antipsychotics and ensure that these are always a last resort. At the last poll less than 6% of clients were prescribed this medication. Our new assessment ensures that all clients prescribed one of these drugs has an action plan and follow up.review strategy. 

  • Provide robust training for our staff

    We will provide robust training for our staff – with dedicated mandatory induction training in dementia care, as well as advanced options for carers who wish to specialise. We offer all carers the chance to embark on an advanced apprenticeship in health and social care, specialising in dementia care. All of our care delivery managers are undertaking a 12 month course in the SPECAL Method, to ensure they are equipped to full support staff and clients

    Status:
    Delivery

    2015 - First Quarter Update

    Q1 2015: Our newly appointed head of learning and delivery works closely with the head of care strategy and specialist dementia nurse to implement a robust and multi faceted dementia training strategy at all levels in the organisation. 

    2014 - Third Quarter Update

    We have appointed a head of learning and development as well as a specialist dementia nurse who is also an admiral nurse who will help us continually improve our training offer. we have developed a bespoke managers course with the contented dementia trust. 

    Q1 2015: Our newly appointed head of learning and delivery works closely with the head of care strategy and specialist dementia nurse to implement a robust and multi faceted dementia training strategy at all levels in the organisation. 

  • Staff team is fully supported

    We will ensure that our staff team is fully supported, despite the challenges of managing a disparate workforce. We will recruit dedicated Care Delivery Managers to support and supervise our carers, and be responsible for the delivery of high quality care to clients. We will ensure that staff have access to technology which enables easy two way communication and contact when in the field

    Status:
    Implementation

    2015 - First Quarter Update

    Last year we restructured to enable an even greater level of support for our professional carers. This involved the introduction of a new regional care coordinator role as well as additional resource in our 24/7 carer support centre, and the introduction of a specialist dementia nurse. 

    2014 - Third Quarter Update

    we have recruited an internal communications and engagement manager to ensure that the staff team always feel supported. 

    Last year we restructured to enable an even greater level of support for our professional carers. This involved the introduction of a new regional care coordinator role as well as additional resource in our 24/7 carer support centre, and the introduction of a specialist dementia nurse. 

  • Actively measure and evaluate

    We will actively measure and evaluate our performance against agreed targets including client wellbeing, family stress, carer motivation and commercial viability. We will seek feedback, regularly reviewing our service, and develop improvement plans based on what our clients tell us

    Status:
    Delivery

    2015 - First Quarter Update

    Q1 2015: The company has now introduced a set of company goals and role related KPIs to ensure that everyone plays their part in helping us achieve outcomes for our clients. Recent research has shown that we have reduced behavioural challenges and falls by over 80% in 3 months. 

    2014 - Third Quarter Update

    We are developing a new client assessment which will help us to better monitor and report on client outcomes. we have introduced the '3 wishes' idea to our care plans - asking clients what are the three most important things to them and helping them turn these into goals that we can support them to achieve. 

    Q1 2015: The company has now introduced a set of company goals and role related KPIs to ensure that everyone plays their part in helping us achieve outcomes for our clients. Recent research has shown that we have reduced behavioural challenges and falls by over 80% in 3 months. 

  • Continue to build links

    We will continue to build links with external parties, ensuring that we not only share our own ideas and successes, but also are able to leverage the expertise of others

    Status:
    Implementation

    2015 - First Quarter Update

    Q1 2015: we work with a wide range of charities and leading medical and social care experts to develop our leading dementia care strategy. Our director of operations is now a Board member for the UK HCA and we are involved in a number of initiatives working with government and DoH to improve outcomes for people with dementia. 

    2014 - Third Quarter Update

    Our director of operations dominique kent is not on the board of the UKHCA which has helped us to forge new links and work collaboratively to improve services. We are part pf the social care commitment and the social care compact. 

    Q1 2015: we work with a wide range of charities and leading medical and social care experts to develop our leading dementia care strategy. Our director of operations is now a Board member for the UK HCA and we are involved in a number of initiatives working with government and DoH to improve outcomes for people with dementia. 

  • The Good Care Group

    Testimonial

    TGCG is made up of passionate, driven people who are committed to changing the provision of care to older people, enabling as many as possible to stay in their own homes

     

    Status:
    Completed

    2017 - Third Quarter Update

    new action

  • Home focus

    We are a option for people wanting to stay at home, we will have a more clinical service, working closely with NHS and private clinicians to offer a more holistic and joined up service which meets medical as well as social care needs. Particularly focussing on excellence in home palliative care for people with dementia. 

    Status:

    2017 - Third Quarter Update

    new member action

  • Risk assessment for falls

    We are doing a review of falls risks and development of a falls management tool kit to help managers and carers reduce the risk of falling in people with dementia

    Status:

    2017 - Third Quarter Update

    new member action

  • Early diagnosis

    We are supporting a campaign to support earlier identification and diagnosis especially treatment of urinary tract infections to keep people well at home and avoid unnecessary hospital admissions 

    Status:
    Being implemented

    2017 - Third Quarter Update

    new action