Barchester Healthcare

Barchester is a leading independent provider for nursing and residential care for older people. We also have a diverse portfolio of other services, including complex mental health and learning disabilities.

Updated:
10 February 2016
Location:
National
Sectors:
Care, Health
Local Alliances:
Northamptonshire Dementia Action Alliance , Nottinghamshire Dementia Action Alliance , East Midlands Regional Board , Leicester, Leicestershire and Rutland Dementia Action Alliance , South Lincolnshire Dementia Action Alliance , Selby & District Dementia Action Alliance, Hambleton Dementia Action Alliance

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?

Barchester Healthcare focuses on outcomes and improved quality of life for people living with dementia through its Memory Lane communities, assisted living and independent living options (helped through outreach). Important aspects of this approach include a commitment to person-centred care embodied in care plans developed with the individual. Person centred care plans include cooking, gardening, music therapy and specialised activities based on reminiscence and life work. Predicated on the basis that dementia does not mean people cannot make a contribution to life, staff work to make the day meaningful, engaged and enjoyable. Care planning also involves relatives and a wide range of in-house nurses, therapists, hospitality specialists and professionally trained staff. Staff work with PCT staff on reduction of anti-psychotic drugs, rehabilitative work, the management of difficult behaviours and end of life care to prevent the need for disruptive and damaging hospital admissions. 

Barchester Healthcare makes its presence felt nationally in the debate on dementia through engagement with national and local media, co-sponsoring the 'Older People and the Media' awards. Barchester works collaboratively with many reputable providers within the dementia field, sponsoring the UK Dementia Congress, Admiral Nurses and the 'Music in the Air' challenge with the National Association for Providers of Activities for Older People. Barchester also develops dementia cafes with Dementia UK and the Alzheimer's Society. Barchester supports innovation for people with dementia and attracted much national publicity and public support for its booklets for children of grandparents with dementia and its work on pilot Quality Accounts.

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

The National Dementia Strategy is right to emphasise the importance of early diagnosis of dementia: diagnosis in residential homes (and discussion of diagnosis with relatives) is also vitally important. Dementia care pathways need to be better mapped out and to include collaborative work with health commissioners on avoiding unnecessary hospital admissions; recognising that good residential care is a better and less expensive option for people with dementia and/or continuing care needs. This must involve clear agreements on funding, greater attention to transfer of important information and a willingness to define required goals and outcomes.

There is a clear and urgent need for a government sponsored, sustainable and fair framework for the funding of long term care generally.

There is an equal need for the sector concerned with dementia as a whole to gather together to build on its lobbying strengths and to work on positive publicity for its achievements.

2. Actions

  • Work Collaboratively with Health Commissioners

    To continue to work collaboratively with health commissioners and providers on establishing better dementia care pathways, refining Quality Accounts to produce information on outcomes, quality of life issues and costs.

    Status:
    Delivery

    2012 - Third Quarter Update

    Enabled our care staff teams to evidence that they are becoming more skilled through bespoke and dementia specific train-the-trainer courses, learning in action, and taking learning beyond awareness.

    Explored systems to support staff team in the delivery of person centred care – such as tele-care and tele-health systems.

    Focused on reducing inappropriate medication, and developing skills in staff teams to support and care for individuals whose ‘behaviour’ may be described as challenging.

    Appointed an academic Chair for Dementia Research with the University of Nottingham.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Quality Accounts refined with Lincolnshire.

  • Build on Our Training Framework

    To build on our training frameworks, incorporating QCF and new guidelines and offering staff training focused on the importance of choice, care planning, activities, collaborative work with therapists and work with relatives.

    Status:
    Implementation

    2012 - Third Quarter Update

    Concentrated on developing our ‘Memory Lane’ communities and supporting individuals living with a dementia to continue to live well. This has been achieved by embedding the core philosophy of being person-centred and relationship-focused with our care staff teams, by commissioning the ‘Achieving’ manual, and by re-introducing key workers in line with the personalisation agenda.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    In progress.

  • Join in the Public Debate About Dementia

    To continue to join in the public debate about dementia, to vigorously demonstrate that a high quality of life is possible for everyone living with dementia and to stand against the stigmatisation of the illness at a local and national level.

    Status:
    Implementation

    2012 - Third Quarter Update

    In progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Responding to APPG and CQC.

  • Improve quality of life of people living with dementia

    To continue to develop approaches for improving the quality of life of all residents (including those living with later stage dementia) through dementia mapping and matching to appropriate environments, communication activities and techniques

    Status:
    Implementation

    2012 - Third Quarter Update

    Enhance the end of life experience for people with dementia and their families – this will include asking and finding answers for the ‘difficult’ questions.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Continuance with observational quality of life methods and action plans to enhance the lived experience within a care home.

  • Develop Audit Tools

    To work on the development of audit tools that ensure we facilitate the highest quality of life, can demonstrate delivery of clearly defined outcomes for our residents and that we involve residents and relatives in planning and managing change.

    Status:
    Implementation

    2012 - Third Quarter Update

    In progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Residents and family members involved in evaluation of the lived experience.

  • The Barchester Foundation helping individuals and family members

    To support individuals and family members through our charitable organisation The Barchester Foundation and to continue to work collaboratively with carers and local organisations representing people with dementia in order to develop community links and offer support and advice through dementia cafes, in-reach and out-reach work.

    Status:
    Implementation

    2012 - Third Quarter Update

    In progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Residents and family members involved in evaluation of the lived experience.

  • Help those with dementia and their relatives

    To develop a capacity to help people living with dementia and their relatives manage personal budgets, maximise their effectiveness and report back on outcomes to health commissioners.

    Status:
    Implementation

    2012 - Third Quarter Update

    In progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Projects underway across the country.

  • Collaborate with health sector employees

    To work collaboratively with health sector employees to improve communications around outcomes and quality reporting for people living with dementia and to offer training and work experience to health personnel where appropriate

    Status:
    Implementation

    2012 - Third Quarter Update

    In progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Projects underway across the country.

  • Continue joint work with groups representing dementia

    To continue our joint work with groups representing people living with dementia, their relatives and professional development within the sector, expanding collaborative projects and developing our joint lobbying capacity

    Status:
    Initial Scoping

    2012 - Third Quarter Update

    In progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Discussions with Admiral Nurses and other organisations on working collaboratively.

  • Collaborate with GPs & other health members

    To continue to work collaboratively with local GPs and other health team members on early diagnosis, the reduction in use of anti-psychotic drugs and the avoidance of unnecessary hospital admissions.

    Status:
    Implementation

    2012 - Third Quarter Update

    In progress.

    2012 - Second Quarter Update

    In progress.

    2012 - First Quarter Update

    Discussions continue with GP dementia Leads.

    Use of supportive telecare system to reduce perceived behaviour challenges.