Anchor

At Anchor, our passion is giving older people a choice of great places and ways to live. We provide housing to rent for people over 55 at over 700 locations across England, as well as homes for leaseholders in managed estates. Anchor runs around 125 care homes, including several specialist dementia homes for people with higher care needs.

Updated:
28 June 2016
Location:
National
Sectors:
Utility, Care, Housing 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?

We show absolute commitment to supporting and empowering all our customers living with a dementia by supporting all staff, not only direct care staff with information and education.

We achieve this with:

Structured training courses tailored to the needs of all staff and services; these courses range from awareness sessions to more advanced courses leading to dignity champion status. All cover an extensive variety of dementia related topics and we have a dementia knowledge development plan. We aim to empower people living with dementia by educating staff effectively and enabling staff to signpost customers and family to community sources of additional support and information.

We build on the training by providing a rolling programme and supporting and coaching staff and provide debriefing sessions to enable them to identify approaches and solutions to improve the lived experience of people with dementia wherever that person lives.  

We support current and future family and friends with free education and information sessions and one to one support as needed.

We are recruiting volunteers to meet individual needs to share and enhance life experience.

We positively encourage people with dementia to influence the services we provide with residents' forums across the different settings in which they live.

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

Meeting the needs of all staff as staff leave and join the organisation ie addressing turnover that can be high in some care settings.

Ensuring solid effective management systems in place to support staff, motivate, lead and inspire.

Challenging values and attitudes amongst some staff and relatives that are misconceived about dementia or the person living with a dementia

Encouraging family and friends and staff to be active partners in care.

Meeting the needs of people with dementia at different episodes along their journey, from diagnosis through to end of life

Ensuring people with dementia are continually empowered and central to all considerations about their life, care environment and support given

Ensuring people have access and choice to a diagnosis or the process of a diagnosis if they are exhibiting symptoms that suggest a possible dementia

Ensuring people with dementia are not prescribed drugs to 'control behaviours' ie antipsychotic drugs unnecessarily.

Reviewing the use of antipsychotic medication prescribed for people with dementia living in our care homes.

People living with dementia do not receive controlling or restrictive care that deprives them of their liberty, choice or personhood; the need to revisit and reinforce Anchor's value base and approach to care and support with staff.

Enabling people to have access to activities/hobbies/leisure pursuits they have always enjoyed relevant to their ability to engage. 

Member website

http://www.anchor.org.uk/

2. Actions

  • Providing specialist advice and support for all employees

    We have a group of support services which include a dedicated dementia specialist team that provide expert advice and support in all dementia related matters to support employees in all locations. We work alongside individuals and teams to find solutions and build on good practice to identify and implement improvements that enhance the quality of life of customers.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    We have a number of Care & Dementia Advisors who provide in-depth knowledge to support residents and employees for all dementia related advice.  The advisors also hold regular workshops to further embed this knowledge and share good practice.  This is to ensure that employees understand the importance of personal choice and having control over any decisions making.

    2014 - Fourth Quarter Update

    We have a group of support services which include a dedicated dementia specialist team that provide expert advice and support in all dementia related matters to support employees in all locations. We work alongside individuals and teams to find solutions and build on good practice to identify and implement improvements that enhance the quality of life of customers.

    2014 - First Quarter Update

    We have a group of support services which include team of care and dementia advisers that provide expert advice and support in all care and dementia related matters to support employees in all locations. We work alongside individuals and teams to find solutions and build on good practice to identify and implement improvements that enhance the quality of life of customers.

    2013 - First Quarter Update

    We have a group of support services which include a dedicated dementia specialist team that provide expert advice and support in all dementia related matters to support employees in all locations. We work alongside individuals and teams to find solutions and build on good practice to identify and implement improvements that enhance the quality of life of customers.

    2012 - Third Quarter Update

    Refer to second action for related progress

    2012 - Second Quarter Update

    Refer to seond action for related progress

    2012 - First Quarter Update

    Refer to second action for related progress

  • Training in dementia care and support for all employees

    We have created a comprehensive set of training and development opportunities, including organisational mandatory training in the area of dementia care and support rising to more advanced knowledge development training. In addition we have a library of dementia related subject areas to meet particular individual and service need.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    Since our last report we have continued to invest in our employee’s development to support and care for Anchor customers with the delivery of dementia training and support and expanded our support team of care and dementia advisors, dementia leads and dementia trainers.

    In the last 3 months in line with our training calendar of induction and colleague development: over 300 employees have completed Dementia Awareness QCF Level 2 session and e-learning module.

    2014 - Second Quarter Update

    Since our last report we have continued to invest in our employee’s development to support and care for Anchor customers with the delivery of dementia training and support and expanded our support team of care and dementia advisors, dementia leads and dementia trainers.

    In the last 3 months in line with our training calendar of induction and colleague development: over 200 employees have completed Dementia Awareness QCF Level 2 session and e-learning module.

    Housing colleagues complete a dementia awareness session and we are encouraging colleagues to become dementia friends.

    We continue to offer a wide range of dementia knowledge development sessions, these are bespoke to meet individual service need including, developing customers life stories, understanding behaviour as form of communication, later stages of dementia, enhanced dining, activity and meaningful occupation, and understanding a supportive environment.

    2014 - First Quarter Update

    Since our last report we have continued to invest in our employee’s development to support and care for Anchor customers with the delivery of dementia training and support and expanded our support team of care and dementia advisers and specific dementia trainers.

    In the last 3 months in line with our training calendar of induction and colleague development: 160 employees have completed Dementia Awareness B-Tech session and e-learning module.

    Housing colleagues completed a dementia awareness session. 205 colleagues attended Mental Capacity Act 2005 awareness training.

    123 colleagues attended a wide range of dementia knowledge development sessions, these are bespoke to meet individual service need including, developing customers life stories, understanding behaviour as form of communication, later stages of dementia, enhanced dining, activity and meaningful occupation, and understanding a supportive environment.

    We are providing additional investment in our activity coordinators through piloting a new qualification a BTEC Level 2 Award in Supporting Activity Provision in Social Care (QCF) focusing on the delivery of activities in social care, the benefits of engaging in activities. Therapeutic approaches for activity. Understand the benefits of reminiscence as activity and contributing to supporting group care activities.

    Whilst we continue to invest in our employees through a programme of formal training opportunities we recognise that it only provides the foundation to the development of people. To extend the development of employees we concentrate on personal learning thorough value based leadership and access to expert advice.

    2013 - First Quarter Update

    Since reporting progress in the Third Quarter we have continued to invest in our employee’s development to support and care for Anchor customers with the delivery of specialist dementia training and support by our dedicated Dementia Specialist team.

    In the last 3 months in line with our training calendar of induction and colleague development: 265 employees have completed Dementia Awareness B-Tech session and e-learning module.

    Housing colleagues completed a dementia awareness session.

    33 colleagues have attended and completed the intermediate dementia session, Improving Dementia Care which builds on the learning following the Dementia Awareness session.

    215 colleagues attended Mental Capacity Act 2005 awareness training. Colleagues have undertaken MUST Malnutrition Universal Screening Tool training session to ensure additional knowledge and understanding of importance of good nutritional care.

    235 colleagues attended a wide range of dementia knowledge development sessions, these are bespoke to meet individual service need including, developing customers life stories, understanding behaviour as form of communication, , later stages of dementia, enhanced dining, activity and meaningful occupation, and understanding a supportive environment.

    We are providing additional investment in our activity coordinators through piloting a new qualification a BTEC Level 2 Award in Supporting Activity Provision in Social Care (QCF) focusing on the delivery of activities in social care, the benefits of engaging in activities. Therapeutic approaches for activity. Understand the benefits of reminiscence as activity and contributing to supporting group care activities.

    Whilst we continue to invest in our employees through a programme of formal training opportunities we recognise that it only provides the foundation to the development of people. To extend the development of employees we concentrate on personal learning thorough value based leadership and access to expert advice.

    2012 - Third Quarter Update

    Since reporting progress in the May 2012 report we have continued to invest in our employee’s development to support and care for Anchor customers with the delivery of specialist dementia training and support by our dedicated Dementia Specialist team.

    In the last 3 months in line with our training calendar of induction and colleague development: 289 employees have completed the 1 day Introduction to Dementia Care session.

    Housing colleagues completed a dementia awareness session and non direct care employees completed the dispelling the myths session.

    94 employees have attended and completed the intermediate session, Improving Dementia Care which builds on the learning following the Introduction to Dementia Care session. 

    134 employees attended Mental Capacity Act 2005 awareness training. 52 colleagues have undertaken MUST Malnutrition Universal Screening Tool training session to ensure additional knowledge and understanding of importance of good nutritional care. 

    206 employees attended a wide range of dementia knowledge development sessions, many are bespoke to meet individual service need including, developing customers life stories, rarer causes of dementia, understanding behaviour as form of communication, night time activity, later stages of dementia, mental health, enhanced dining, activity and meaningful occupation, and understanding a supportive environment. 

    Whilst we continue to invest in our employees through a programme of formal training opportunities we recognise that it only provides the foundation to the development of people. To extend the development of employees we concentrate on personal learning thorough value based leadership and access to expert advice.

    2012 - Second Quarter Update

    We have continued to invest in our employee’s development to support and care for Anchor customers with the delivery of specialist dementia training and support by our dedicated Dementia Specialist team. In the last 3 months in line with our training calendar of induction and colleague development:

    269 employees have completed the dementia awareness session

    Introduction to Dementia Care.

    36 employees have attended and completed the intermediate session,

    Improving Dementia Care.

    290 employees attended Mental Capacity Act 2005 awareness training.

    Colleagues continue to undertake MUST Malnutrition Universal Screening Tool training session to ensure additional knowledge and understanding of importance of good nutritional care.

    275 employees attended a wide range of dementia knowledge development sessions, many are bespoke to meet individual service need including, customers life stories, rarer causes of dementia, understanding communication as behaviour, night time activity, depression, later stages of dementia, enhanced dining, activity and meaningful occupation, leadership and promoting best practice dementia care and understanding a supportive environment.

    2012 - First Quarter Update

    We have continued to invest in our employee’s development to support and care for Anchor customers with the delivery of specialist dementia training and support by our dedicated Dementia Specialist team.

    • In the last 3 months in line with our training calendar of induction and development:

    152 employees have completed the dementia awareness session Introduction to Dementia Care. 96 employees have attended and completed the intermediate session, Improving Dementia Care. 51 employees attended Mental Capacity Act 2005 awareness training. Colleagues continue to undertake MUST Malnutrition Universal Screening Tool training session to ensure additional knowledge and understanding of importance of good nutritional care. 280 employees attended a wide range of dementia knowledge development sessions, many are bespoke to meet individual service need including, customers life stories, understanding communication as behaviour, night time activity, depression, later stages of dementia, enhanced dining, positive risk assessment, and understanding a supportive environment.

  • Supporting customers family, friends and significant others

    We offer our customers families friend’s and significant others support, information and advice individually and where appropriate in small groups.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    We continue with delivering dementia information and education sessions for families and friends for our existing and new customers. Since last report we have held several sessions around the country, this service is being expanded in some areas to the wider community including sessions for local professionals.

    Dementia Specialist key contacts supporting individual family and friends across the country to help gain understanding of dementia and the impact of the illness on the person living with dementia.

    2012 - Third Quarter Update

    We continue with the rolling programme of dementia information and education sessions for families and friends for our existing and new customers. Since last report we have held several sessions around the country, this service is being expanded in some areas to the wider community.

    Dementia Specialist key contacts supporting individual family and friends across the country to help gain understanding of dementia and the impact of the illness on the person living with dementia.

    Individuals linking to Dignity in Care network, Canterbury Christ Church University, Kent on Adaptive Interaction, community older peoples groups and Contact the Elderly.

    2012 - Second Quarter Update

    We continue with the rolling programme for families and friends for our existing and new customers of information and education sessions. Since last report we have held 16 sessions around the country 46 people attended, many requiring additional advice.

    Dementia Specialist key contacts supporting individual family and friends across the country to help gain understanding of dementia and the impact of the illness on the person living with dementia. How to develop individual customers living stories and adapting to changing communication needs and different behaviours. Signposting family and friends to local specialist support services for additional support and advice. Individuals linking to Dignity in Care network, Skills for Care and community older peoples groups.

    2012 - First Quarter Update

    We continue with the rolling programme for families and friends for our existing and new customers of information and education sessions.

    Since last report we have held 7 sessions around the country 32 people attended, many requiring additional advice.Dementia Specialist key contacts supporting individual family and friends across the country to help gain understanding of dementia and the impact of the illness on the person, how to develop customers living stories and adapting to changing communication needs and different behaviours.Signposting family and friends to local specialist support services for additional support and advice.Continuing to build community links by meeting with other organisations such as Age UK, NAPPA, WHELD project and Home Instead Senior Care to share ideas and initiatives.Continuing with community art project encouraging and supporting customer’s involvement from all services in the organisation.

  • Promoting the development of individual life stories

    We work with individuals and teams to understand the importance of the development of individual’s life stories to become a living story that reflects the persons past, present and future experiences, likes, hopes and wishes.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    Since the last quarter we have reveiwed the personal plan documentation to consider meaninful conversations with the customer but also the families too.  We have also held a Life Story event with our activity co-ordinators to further enhance their skills in this area, as we really understand the importance of this and how this important information links with the care quality aspects of all of our customers.

    2014 - Second Quarter Update

    Since the last quarter we have reveiwed the personal plan documentation to consider meaninful conversations with the customer but also the families too.  We have also held a Life Story event with our activity co-ordinators to further enhance their skills in this area, as we really understand the importance of this and how this important information links with the care quality aspects of all of our customers.

    2014 - First Quarter Update

    We know to provide excellent care and support the approach must be based on person/relationship centred care which is founded on the ethical principle of respect for autonomy and based on flexibility around care tasks and routine.

    This requires skilled responses that are integrated within the care relationships. It includes awareness by employees to physical changes and emotional states of customers with timely and appropriate individual responses; this results in the subsequent reduction in behaviours that appear unusual or difficult.

    We have introduced a new personal plan that focuses on knowledge of each person through the development of an individual’s living story. 

    We know this is essential and should be seen as the fundamental step of creating relationship based care and support with the inclusion of meaningful activities for each customer which is gained from knowing each individual well and is viewed as usual and integrated into everyday living.

    We are working with the University of York in a life story research project to assess the impact of commencing a life story for people living with dementia, their family, friends and significant other and those caring in a formal role.

    2013 - First Quarter Update

    We know to provide excellent care and support the approach must be based on person/relationship centred care which is founded on the ethical principle of respect for autonomy and based on flexibility around care tasks and routine.

    This requires skilled responses that are integrated within the care relationships. It includes awareness by employees to physical changes and emotional states of customers with timely and appropriate individual responses; this results in the subsequent reduction in behaviours that appear unusual or difficult.

    We have introduced a new personal plan that focuses on knowledge of each person through the development of an individual’s living story.  

    We know this is essential and should be seen as the fundamental step of creating relationship based care and support with the inclusion of meaningful activities for each customer which is gained from knowing each individual well and is viewed as usual and integrated into everyday living.

    2012 - Third Quarter Update

    Refer to fourth action for related progress

    2012 - Second Quarter Update

    Refer to fourth action for related progress

    2012 - First Quarter Update

    Refer to fourth action for related progress

  • Establish links and develop relationships with community facilities and other resources.

    We continue to support locations to build links with their local community facilities and other resources.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    As part of the new Anchor Inspire accreditation and Dementia & Dignity Champion Programme we encourage people to build links with the community by becoming a dementia friends.  We also recognise that the community is an extension of the care location and again encourage participation in community activities.

    2014 - Second Quarter Update

    As part of the new Anchor Inspire accreditation and Dementia & Dignity Champion Programme we encourage people to build links with the community by becoming a dementia friends.  We also recognise that the community is an extension of the care location and again encourage participation in community activities.

    2012 - Third Quarter Update

    Refer to fourth action for related progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    In progress.

  • Improving environments to be more supportive

    We continually look at ways to improve our environments to be supportive to encourage and promote independence for those living with dementia.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    We know how important a supportive environment is for a person living with dementia and have taken many steps over the last years to improve this.

    To ensure we capture all area of best practice we are standardising our approach.

    The environmental standards cover all areas including outside areas to ensure our customers are supported to live well with dementia.

    2014 - Second Quarter Update

    We know how important a supportive environment is for a person living with dementia and have taken many steps over the last years to improve this.

    To ensure we capture all area of best practice we are standardising our approach.

    The environmental standards cover all areas including outside areas to ensure our customers are supported to live well with dementia.

    2014 - First Quarter Update

    We know how important a supportive environment is for a person living with dementia and have taken many steps over the last years to improve this.

    To ensure we capture all area of best practice we are standardising our approach.

    The environmental standards cover all areas including outside areas to ensure our customers are supported to live well with dementia.

    2013 - First Quarter Update

    We know how important a supportive environment is for a person living with dementia and have taken many steps over the last years to improve this. To ensure we capture all area of best practice we are standardising our approach.

    The environmental standards cover all areas including outside areas to ensure our customers live well with dementia.

    The following areas are examples of the approaches we are taking:  

    Corridors All corridors will be decorated to ensure that they are visually interesting to stimulate activity or a sense of purpose. Lighter flooring will be laid to make the corridors appear wider and brighter Corridors on different floors will be decorated in different colours.

    Bathrooms Bathrooms (or en suites) will be decorated and equipped to create an atmosphere of warmth and tranquillity that suggests peacefulness and relaxation.

    Dining Rooms All dining areas will be decorated in light colours to make the room feel airy and relaxing. Colours of baked foods will stimulate the appetite and aid digestion.

    Doors Doors to areas where the customer should have access (personal rooms, communal areas) will be decorated to clearly stand out. Door handles will be sufficiently different in colour to the door itself and the vertical edge will be in strong contrast to the door and walls. Doors leading to areas that should not be accessed by customers will be painted to match the wall paintwork.

    Walls Brighter wall colours will be used to emphasise areas of particular activity.

    Stairs Where stairs are in use, handrails will be highly visible in a bright colour and have stepped skirting so the customer can recognise the ascending or descending threads. The edge of the thread will be indicated with a high contrast band of colour. 

    Pictures and Plants  All pictures, ornaments and living plants will be chosen in keeping with the interests of the customers in the home and will reflect the usage of the room in a sympathetic and complimentary manner.

    Skirting boards  Skirting boards will be painted in a bright colour contrasting to the wall and flooring.

    Handrails Handrails will be sufficiently different in colour from the supporting wall to show up clearly using contrasting colours.

    Flooring Non reflective earth coloured flooring will be used.  The colour will be consistent all along the corridors and into communal rooms to increase a sense of size. Where textured carpet is selected, it must be of a short pile to facilitate the use of walking aids

    Toilets Sanitary ware will be sufficiently different in colour from the surrounding wall colour. Taps will be of a domestic design with the normal operating position for hot and cold. The outside door colour will be strongly contrasted to the wall colouring of the corridor and not used anywhere else in the building.

     Furniture & Furnishings Furniture/furnishing will be; •impervious and as plain as possible in design •strong and sturdy in construction •contrast in colour to the flooring with no shiny edging or feet •be free of any sharp edgings •Dining tables will be square to provide a sense of individual space •Dining chairs should have armrests and no cross bar between front legs

    Windows and glass panel areas In areas of the home with large glass areas, the glass will be; •marked with tape/stickers (in theme with the rest of the décor) to identify the glass barrier •will be covered with blinds/curtains to block direct sunlight (day) and avoid reflections (night)

    Colour & Contrast Themes Anchor will ensure that correct contrasting is used to facilitate the identification of objects

    Orientation and way finding All customer rooms will have a memory box outside to help the customer locate their room. The room will be further differentiated (where assessed as appropriate) with additional personal signage such as name plates/room numbers, photos. Identifying specific areas of the building Floors and corridors will be clearly named and accompanied by a relevant image/design.

    Room indicators - All communal rooms/facilities will be signposted by using signage to communicate the use of and direction of communal rooms.

    2012 - Third Quarter Update

    Continuing to support individual and groups of employees such as Activity Coordinators and Dignity Champions in across location workshops focusing on sharing best practice and leading the development of customers living stories.

    Supporting housing colleagues to find positive solutions for those customers living with dementia and their families.

    2012 - Second Quarter Update

    Continuing to support individual and groups of employees such as activity coordinators and Dignity Champions in leading the development of customers living stories.

    Having promoted customer life stories over the last 18 months in care homes we have more than doubled the number that have commenced, this positive trend has continued over the last 3 months with many care homes having 100% of customers with a living story.

    Supporting housing colleagues to find positive solutions for those customers living with dementia and those recently diagnosed.

    2012 - First Quarter Update

    Continuing to support individual and groups of employees such as activity coordinators and dignity champions in leading the development of customers living stories.

    Having promoted customer life stories over the last 12 months in care homes we have doubled the number that have commenced, this positive trend has continued over the last 3 months.

    Closely working with activity coordinators and team leaders to improve knowledge and understanding of the individual living with dementia to create more individual based activity to focus on everyday living.Focus on planning special events for forth coming Dignity in Action day.Supporting activity coordinators to develop bespoke packs of communication cards from large generic set for individual customers to enhance living experience.Planning and developing sensory gardens to encourage customers to use outside space.

  • Support the reduction of the inappropriate use of antipsychotic medication

    We continue to be committed to reduce the inappropriate use and to ensure customers living with dementia are not prescribed drugs to ‘control behaviours’, unnecessarily and are committed to review the use.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    The Care & Dementia Advisors, Dementia Leads continue to review of the use of antipsychotic medication for customers in our care homes.

    We are continuing to support customers and colleagues through the review of and where appropriate the withdrawal of antipsychotic medication and building strong links with the health professionals.

  • Contribute to the National Dementia Strategy and Dementia Action Alliance and other related initiatives.

    We are committed to the National Dementia Strategy and contribute to other related initiatives in the National agenda.

    Status:
    Delivery

    2014 - Fourth Quarter Update

    We are committed to the National Dementia Strategy and continue to contribute to other related initiatives including Skills for Care, National Council of Palliative Care, Housing and Dementia Research Consortium and the Housing Federation.

    2014 - Second Quarter Update

    We are committed to the National Dementia Strategy and continue to contribute to other related initiatives including Skills for Care, National Council of Palliative Care, Housing and Dementia Research Consortium and the Housing Federation.

    2014 - First Quarter Update

    We are committed to the National Dementia Strategy and continue to contribute to other related initiatives including Skills for Care, National Council of Palliative Care, Housing and Dementia Research Consortium and the Housing Federation.

    2013 - First Quarter Update

    We are committed to the National Dementia Strategy and continue to contribute to other related initiatives including Skills for Care, National Council of Palliative Care, Housing and Dementia Research Consortium, Housing Federation and Dementia Priority Setting Partnership.

    Also following the success of The Grey Pride campaign were we succeeded in getting 137,000 petition signatures, MP and celebrity support and Labour appointing a Shadow Minister for Older People.

    We wanted to build on the campaign’s success so we looked at the talents of our customers and colleagues. More than 350 customers and colleagues have been recorded either singing or playing an instrument on the Anchor Community Band’s charity record “See Yourself”.

    The single was released on the 3rd June. We need to make sure that we sell 15,000 singles to get into the top 40 and to raise as much money as possible for Contact the Elderly.

    This national charity aims to combat the loneliness and social isolation faced by many older people aged over 75, who live alone. Volunteers host free, monthly Sunday tea parties in their own homes for the elderly with other charity workers driving and accompanying older people to these events.

    2012 - Third Quarter Update

    In progress

    2012 - Second Quarter Update

    In progress

    2012 - First Quarter Update

    In progress

  • Improve our understanding of Dementia

     

    Description: Our manager will arrange for all staff and volunteers to attend awareness sessions on dementia to ensure greater understanding of the condition and how we can help

    Status:
    Planning

    2014 - Fourth Quarter Update

    New Member