Bupa Care Services

In the UK, Bupa provides 215 dementia care communities within care homes, where more than 8,000 people with dementia live, mostly with complex, high-dependency and end-of-life care needs. Some of these communities also provide day and respite care. Bupa also provides advice for people with dementia and their caring families.

Updated:
10 February 2016
Location:
National
Sectors:
Health
Local Alliances:
East Midlands Regional Board

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 main roles of Bupa Care Homes relate to the delivery of continuing quality of life to people in the later stages of dementia when their needs are complex and potentially challenging to carers and the continued involvement of their families and local communities in their lives. This is a time when many, often including the families themselves, fail to recognize the continuing personality and rights of our residents. Over-prescribing of anti-psychotic drugs, to deal with behaviours that challenge, can also significantly compromise life quality. 

Our Person First approach to care is built around a deep understanding of and respect for the continuing personality of every resident, as a means to delivering positive, personalised engagement and an environment and spirit of community which enable that. This commitment to personalised care is reliant for its success on partnerships with a number of other stakeholders prior to care home admission. 

Bupa will work to support earlier diagnosis and information provision which enable people to plan appropriately, particularly through life-story work and Advance Directives. We will continue to encourage more and better training of NHS staff and reduced prescribing of anti-psychotics by them, particularly recommending that our Dementia Champions initiative is taken up by hospitals. We will work with others to provide a much more supportive and integrated pathway of care.

 

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

The key challenges to our ability to deliver Person First care are:

  • Failure to diagnose early
  • Poor information and minimal support to people post-diagnosis resulting in isolation, medical emergencies and crisis admissions to care homes and hospitals.
  • Insensitive treatment of people with dementia in general hospitals due to poor knowledge and leadership
  • Insufficient personal information about new residents due to lack of continuing relative involvement and/or of life-story work well before admission
  • Inappropriate prescribing of anti-psychotics and insufficient review of their continued use
  • Insufficient community involvement in our homes because of fear and taboos arising from poor public understanding
  • Inadequate public funding of dementia care in care homes which compromises staff quality and numbers and, as a consequence,  the lifestyles we can provide for residents 

2. Actions

  • Improve Public Understanding

    Continue to improve public understanding through press, TV and web advertising, information on our website and the distribution of our booklet "Caring for someone with dementia".

    Status:

    2012 - Third Quarter Update 

    In September Bupa launched a series of ‘Understand Dementia’ films with Arlene Phillips who as a result of personal experience is an Ambassador for Alzheimer’s Society. She is in conversation with Bupa’s Director of Dementia Care, Professor Graham Stokes and Dementia Care Manager of the Year, Lesley Tart.

    The nine films provide information on dementia; how to meet the We continue to present Dementia Seminars around the country for health and social care professionals, and have now started to run ‘Friends and Families’ public meetings to provide awareness and information on dementia. The first was in Stratford-upon-Avon in February.67 needs of people with dementia; advice and support for people looking after a loved one with the condition; and information on the latter stages of the dementia. The films are located on the Bupa website.

    In 2012 Bupa launched a TV campaign called ‘Finding Charlie’s Chickens’ – this is designed to help people with dementia and their families consider their life history and what they enjoyed in their younger days which in turn will be of benefit when people with dementia go to live in a care home.

    2012 - First Quarter Update

    Our social media work continues with video blogs posted on our Facebook page and You Tube. In November in partnership with Alzheimer’s Australia Bupa launched BrainyApp, a dementia-awareness, risk-reduction mobile app.

  • Newly Launched Suite

    Use our newly launched suite of dementia training modules (developed with the University of Bradford and others) to train every staff member in our dementia specialist communities in the basics of Person First care ; senior members of staff in more advanced care ; and specialist staff in appropriate skill areas e.g. nutrition, activity provision, palliative care etc. Complete this in 2011, maintain and develop it thereafter and extend training to non-specialist units by 2014.

    Status:

    2012 - Third Quarter Update

    With our partners at Bradford University Dementia Research Group we continue to design and test a family carers’ education resource that will be delivered in Bupa’s care homes by our Dementia Champions and Person First Coaches. It is for relatives who are negotiating transitions in their journey of care and who wish to look to the future with knowledge and confidence. 

    2012 - Second Quarter Update

    With our partners at Bradford University Dementia Research Group we are designing a family carers’ education resource that will be delivered in Bupa’s care homes by our Dementia Champions and Person First Coaches. It is for relatives who are negotiating the transitions to care that is now being provided for a loved one in a care home and for families who wish to learn more about dementia and wish to look to the future with knowledge. 

    2012 - First Quarter Update

    At the UK Dementia Congress in November Bupa presented with our partners at Bradford University’s Dementia Research Group the outcomes of our Person First training programme that advances best-practice in person centred dementia care. 

  • Train a Dementia Champion

    Continue to work with Alzheimer's Society to train a Dementia Champion for every dementia specialist community (currently 192 trained) and encourage the NHS and other care providers to follow this example.

    Status:

    2012 - Third Quarter Update 

    A total of 204 Alzheimer’s Society trained Dementia Champions set the cultural tone and shape practice on our registered dementia specialist unit (as of September 2012).

    2012 - Second Quarter Update

    A total of 204 Alzheimer’s Society trained Dementia Champions set the cultural tone and shape practice on our registered dementia specialist unit (as of May 2012).

    2012 - First Quarter Update

    Courses being held to replace leavers and provide a Dementia Champion to every new or newly registered dementia specialist unit. Currently 204 had been trained (as of 31st December 2011).