Chesterfield Royal Hospital, NHS Foundation Trust

Updated:
19 December 2014
Location:
East Midlands
Sectors:
Health, Hospitality, Care, Medical, Hospitals and Hospital Trusts
Local Alliances:
Derbyshire Dementia Action Alliance , Chesterfield 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? 

Evidence suggests that people aged 65 and over occupy two-thirds of beds in acute hospitals, and of these up to 40% have dementia.  Therefore managing the care of people with dementia is a significant part of the work of our staff.    In order to ensure that these patients, and their carers, receive good quality care we need to:

  • Recognise which patients may be affected by dementia by ensuring that we assess all relevant patients on admission.  We do this via FAIR (Find, Assess, Investigate, Refer) assessment which was introduced in April 2012.
  • Ensure that staff are appropriately trained to manage those patient’s who are affected.  We have already trained over 250 staff, and have plans to role this out further.
  • Have mechanisms in place to support staff caring for patients with dementia, for example using this “This is me” document to ensure that staff have access to key information with regard to the individual.
  • Ensure that carers are actively involved, whilst recognising and responding to their needs, for example by working with social care to access carer’s assessments.

All of these issues are reflected in the Trust’s Dementia action plan.

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

Our key challenges in relation to the above are:

  • Activity levels – this impacts on both the quality of care we are able to deliver for our patients, particularly recognising that patients with dementia may require additional support, and our ability to release staff to attend training.
  • Assessment and recognition – willingness of medical staff to complete the assessments and take appropriate action, as their focus is on treating the acute illness which has led to the admission.
  • Flexibility of services – we need to recognise that the needs of dementia patients do not always “fit” with organisational policies and structures e.g. the need for a more flexible approach to visiting times for carers, a different approach to catering as the standard three meals a day may not allow us to meet the nutritional needs of patients with dementia.

2. Actions

  • To ensure continued roll-out of dementia awareness

    Develop a robust training plan to ensure continued roll-out of dementia awareness and more in-depth training for staff of all levels.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress

  • Appoint a clinical lead for dementia

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress

  • To raise awareness with medical staff of the need to complete the dementia assessment

    Continue to raise awareness with medical staff of the need to complete the dementia assessment.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress

  • Improve the physical environment within the hospital to ensure it is “dementia friendly”

    Improve the physical environment within the hospital to ensure it is “dementia friendly”.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress

  • Complete the national dementia audit

    Complete the national dementia audit.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress

  • Develop a Carer’s policy

    Develop a Carer’s policy and introduce a survey for carers of people with dementia to assess their experience of hospital services.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress

  • A more flexible approach to nutrition

    Look to introduce snacks between meals to enable a more flexible approach to nutrition.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress

  • Develop a care pathway for patients with dementia

    Develop a care pathway for patients with dementia.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    In progress