360 Forward

360 Forward is a quality improvement and practice development company providing a range of products and services including work based learning, diagnostic assessment and consultancy . We focus on helping organisations, managers and staff at all levels within health and social care settings to develop dynamic, sustainable relationship based person centred cultures in their organisations working towards excellence and business growth..

Updated:
10 February 2016
Location:
National
Sectors:
Health, Care, Clinical Commissioning Group, Hospitals and Hospital Trusts, Local Authorities, Membership Organisations, Voluntary Sector

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?

360 Forward is a quality improvement (QI)and practice development company with products and services providing diagnostic assesment of organisational culture. Includes coaching, consultancy and education in health and social care settings. Helping care homes to systematically plan and deliver continuous improvement for outstanding CQC ratings, excellence and business growth, focusing on outcomes for dynamic relationship focused person centred practice.

The 360 Standard Framework practical tool provides quality strategic, operational and practice level guidance and learning about how to deliver quality outcomes from the interrelated perspectives of the resident, the relative and staff perspectives for quality outcomes. 

It helps people living with dementia by meeting the following key outcomes:

To give personal choice and control over decisions about them, design services around them that match their needs ;to ensure they receive the support that suits them best; to ensure carers are suitably trained and supported; ensures an enabling and supportive environment  so that they feel valued and understood in the care they receive 

Our work based learning programmes form an essential part of Elizabeth Care developed by us. It provides a highly effective new kind of integrated multi disciplinary courses for nurses and carer practitioner for care settings, with an accredited career pathway. This enables them to lead and deliver high quality person centred care for people with complext long term conditions that is measured from their perspective .

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

The key challenges for 360 Forward in delivering these outcomes to those with dementia are:-

Challenges of custom and practices in social care organisations that are process rather than outcomes driven:

Many care providers  focus only on regulation rather than seeing the need to focus on the experience of the client using the services to drive their quality improvement.

There has been little preparation of social care providers in how to do effective continous quality improvement and capture evidence for the regulator and others in a way that also delivers for their business in measurable form from the user perspective.

Others do not know what they need to discover how to sustain good outcomes or to achieve them in measurable form

Lack of funding from organisations such as HEE  has limited the health education for staff working with people living with dementia in social care.

The sector does not yet have its own quality standard that is focused on what the citizen wants - such as the 360 SF which articulates this

Poor commissioning has not included ongoing education and QI limiting the capacity of organisations to focus on developing beyond the mandatory requirements

2. Actions

  • Engaging the views of those with dementia

    Having identified the problem of engaging the views of those with dementia, we are working with Talking Mats to develop a customised tool to enable those with dementia to express their views and care experience within the 360 Standard Framework Audit of cultures of care.

    Status:
    Completed

    2015 - Second Quarter Update

    One day training with tools is now available to purchase about finding out the views of people living with moderate dementia in a care home or receiving care in any setting. This course is undergoing endorsement with the University of Surrey for a quality mark.

    Julia Pitkin is leading on delivering the first 5 day programme on how to deliver the Validation approach. Thefollowing course in London which teaches the Validation/ advanced empathetic communication knowledge, skills and behaviours in Jan/Feb next year. If you know anyone who might be interested. https://conversations-that-matter.eventbrite.co.uk

    Update - Second Quarter 2013

    Training in the use of the Talking Mats method to include people with dementia specifically to assess the resident centredness of care homes from their perspective has been completed. Guidelines are now developed for assessors and a tailor made training course available for providers wishing to diagnose how people with moderate dementia feel about thier quality of life and culture from the customer perspective, beyond a survey. This is incorporated into reports and guidance for continous improvement action planning.

    Update – Third Quarter 2012

    No third quarter report

    Update – Second Quarter 2012

    360 PQ interview methods developed with Talking Mats to involve people with dementia in continuous quality improvement:

    Progress: first course running in May in Hampshire

    Update – First Quarter 2012

    360 Forward are a new member and therefore have nothing to report this quarter.

  • Work based learning

    We have delivered a number of short half day and full day courses for care homes and developed a pre apprenticeship programme working with the Princes Trust based on our work based action learning courses. These support the delivery of person centred care and socio -therapeutic gerontological practice and tranformational leadership for managers leading dementia registered care homes

    Status:
    Completed

    2015 - Second Quarter Update

    New 5 day courses in maximising quality of life and reablement for care staff and upskilling nurses in person centred clinical skills have been delivered in Surrey care homes working in collaboration with the CCG and Surrey County Council Skills Academy. These include work based action plans developed from student pledges do demonstrate changes that have been made. These courses have built in aspects of involvement and capturing views of people who are hard to reach as well as providing quality socio-health gerontological assessment

    Update - Second Quarter 2013

    All courses now developed and available as stand alone developmental learning programmes supporting how to deliver continous improvement for the delivery of relationship-activated person centred care in socio-health settings. Aimed at those caring for people with dementia care, long term conditions and frailty .

    Anyone for Tea? new training resourcenow available for care settings to use with book and DVD flip book version, helping people from other cultures caring for the over 85's to understand the customs and culture of older English people to support dignity and person centred practice. Launched at NHS Expo March 2013

    Activity at the Heart of Care - NOW AVAILABLE practical guidance how to integrate activity into daily life and provide a compenduim of ideas for working with people at different levels of dementia, developed by experienced occupational therapists in DVD flip book format with PDF.

    Update – Third Quarter 2012

    No third quarter report

    Update – Second Quarter 2012

    Developed Work-based Learning in Health and Social Care Pathways to Person Centred Care supporting, embedding and sustaining the delivery of the Declaration outcomes

    360 Forward courses have been designed to help all staff and managers at all levels of organisation acquire the unique blend of knowledge, skills and behaviours that enable people using services to experience good care and support, family and friends to have confidence in the quality of care, and staff to find the work fulfilling, (Parts 1, 2, and 3 of the 360 Standard Framework).

    Key areas of learning for achieving person centred care based on positive relationships are woven into all our course topics that support developing and sustaining relationship based cultures that deliver person centred outcomes.

    Adult learning and blended learning methods include work based projects and action research which has the added value of achieving planned organisational and practice development objectives. 

    Progress:

    360 Forward Primer Courses now available start the process of acquiring the knowledge, skills and behaviours necessary for achieving this primary goal. Primer courses are run as half day workshops, which can be followed up with an on the job learning project and review360 Forward Intermediate Courses advance the depth and scope of the knowledge, skills and behaviours necessary for achieving person centred outcomes from the separate but related perspectives of the person, their families and staff. Some are now available and will be advertised on the website in June

    Action:

    Activity at the Heart of Care, as resource to support ‘how to do’ outcomes for excellence in providing a meaningful day (Resident Std 2) including steps how to provide occupational activities to people at different stages of dementia

    Progress: To be launched in June as PDF and later as EBook

    Action:

    Anyone for Tea? a unique and practical learning resource to help health and social care staff who come from other cultures to understand shared history, customs and traditions of the English. It includes Intergenerational comparisons with ideas to support therapeutic conversations with people with dementia to tap into long term memory

    Progress : to launch in June as PDF and develop into an EBook

    Update – First Quarter 2012

    360 Forward are a new member and therefore have nothing to report this quarter.

  • Raising awareness of quality improvement in dementia care

    360 Forward help with action planing to achieve measurable improvements in the culture of care based on evidence from survey and assessment tools, putting the experience of the consumer at the heart of the orgnaisation. The 360 SF provides guidance on how to deliver outcomes for excellence.

    Status:
    Completed

    2015 - First Quarter Update

    A new quality outcomes survey tool available and  linked to helping organisations to achieve outstanding ratings towards customer defined excellence has been developed and packaged for care homes to focus on outcomes, working closely with families- It is an interrelated set of statements that enables care homes to identify what is working and what is needed to be improved, with guidance how to achieve this. It is mapped to the KLOE and a tool to help care homes with their CQC PIR requirements.

    Update – Third Quarter 2012

    No third quarter report

    Update – Second Quarter 2012

    Action not addressed in report

    Update – First Quarter 2012

    360 Forward are a new member and therefore have nothing to report this quarter.

  • Work based education for Nurses and care staff

    360 Forward has developed university accredited courses that deliver practical learning in person centred practice including clinical care, reablement and maximsing qualty of life 5 courses  with work based actions for reflection and practice develoment that have been delivered in 2015. Working in collaboration with Guildford and Waverley CCG and local authority skills academy..The learning focuses on knowledge,skills and behaviours needed to develop socio-health expertise within the care home sector that is multidisciplinary in its approach and delivery

    Status:
    Delivery

    2015 - First Quarter Update

    Delivering 5 day course for care staff to understand aspects about how to integrate person centred activity into care planning, and promote physical activity, normal movement and optimal positioning, correct use of equipment .

    Update - Second Quarter 2013 

    360 forward has completed powerful reconstruction of real scenarios in  training film in empathy and advanced communication - Conversations that Matter :Breaking through dementia. A 4 day work based coaching programme has been developed to accompahy the film.

    Curricula is being developed for workbased learning accreditation with the University of Surrey for socio-health gerontological nurse and care practitioner . Funding being pursued to commence first course in 2014. Dementia care forms the core modules in delivering person centred outcomes and compasionate care.

    Update – Third Quarter 2012

    No third quarter report

    Update – Second Quarter 2012

    Refer to second action 

    Update – First Quarter 2012

    360 Forward are a new member and therefore have nothing to report this quarter.

  • Developing courses that support a career pathway: Elizabeth Care

    360 Forward is developing courses for degree and foundation degree level focused on providing higher education qualifications and CPD  to address knowledge, skills and behaviours needed to support complex co-existing conditions of ageing including demenita . This forms the content of the Elizabeth Care curricula. 

    Status:
    Delivery

    2015 - First Quarter Update

    First Elizabeth Care students undertaking 360 Forward 30 Credit course at Level 6 (BSc) accredited by the University of Surrey in delivering person centred outcomes, including specific focus on dementia and relation activate care and support for the person and their families, received their certificates in Surrey presented by MP's Jeremy Hunt and Anne Milton.

    Update - Second Quarter 2013

    Working with the University of Surrey to develop flexible workbased accredited career pathway for socio health qualifications for nurses and (enhanced /enriched) care practioners based on measurable outcomes for dignity and compassionate care

    Update – Third Quarter 2012

    No third quarter report

    Update – Second Quarter 2012

    Refer to second action

    Update – First Quarter 2012

    360 Forward are a new member and therefore have nothing to report this quarter.

  • End of life support plan for families supporting a person with dementia

    Developed course for an Elizabeth Care module for person centred end of life care that involves the person, their family and the supports the staff delivering care.   Our Plan is incorporated to provide information for family carers through the journey from diagnosis to bespoke person centred end of life care planning. Aspects of this programme have been incorporated into an innovative new course for upskilling nurses in care homes funded by HEE

    Status:
    Completed

    2015 - First Quarter Update

    Delivered teaching sessions on end of life care and pain management that incorporated knowledge, skills and practice to support a person living with dementia or other long term condition by skilling up registered nurses working in care homes as part of an innovation grant from Health Education England. Our Plan developed with Waverley CCG and Waverley Carers was incorporated as a key reference for good practice in dementia care involving families

    Update - Second Quarter 2013

    New Action

  • Create accessible YouTube film to show what older people want in a care home

    After interviewing my mother living in a care home about what mattered most to her over a number of weeks her words were used in a book about finding the right careh home and insight into dementia as well as Elizabeth Care education courses. Students advised this should be available for general viewing. It was assembled and uploaded in May 2015 for wide circulation to demonstrate how positive relationships matter and activate person centred practice in dementia care. The 4 minute film provides an important message from the perspective of a very old person living in a care home. 

    https://www.youtube.com/watch?v=bZvPMIxeCGM

    Status:
    Completed

    2015 - Second Quarter Update

    Film circulated on socical media. Further promotion being carried out to help people focus on the things that matter to the emotional wellbeing of people living in care homes with dementia.