Nottinghamshire County Council

Our vision is for people in Nottinghamshire to live well with dementia. We work with other health and social care providers as set out in the National Dementia Strategy to promote a better public and professional knowledge about dementia to remove the stigma currently associated with it; to encourage early diagnosis and intervention, and ensure quality accessible services that will effectively meet the needs of people with dementia and their carers.

Updated:
3 August 2017
Location:
East Midlands
Sectors:
Local Authorities, Arts, Care, Health, Housing Sector, Recreation, Schools, Emergency Services Sector, Transport Sector, Education Sector, Commissioners Sector, Domiciliary Care
Local Alliances:
Nottinghamshire Dementia Action Alliance , Newark and District 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?

Nottinghamshire County Council will work with partners to deliver the following priorities to achieve these outcomes:

Improved quality of care in general hospitals Living well with dementia in care homes Reduced use of anti psychotic medication Improved quality for care in community based services Good quality diagnosis and early intervention for all Improved engagement with those with dementia and carers

Nottinghamshire County Council delivers and commissions services for a population of 786,000, Nottinghamshire County Council is the 11th largest local authority in England. 9700 are predicted to have dementia, a projection of the increase in dementia diagnosis indicates 19,000 adults across Nottinghamshire by 2030 representing 106% increase between 2010 and 2030.

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

Raising public and professional awareness of dementia.

Assumptions about what is possible and right for people with dementia, which may restrict choices and limit their scope for living as good a life as possible.

Agreeing a shared vision with providers of what constitutes quality services.

Implementing agreed models of quality care in commissioned services including care homes, community personal support services for people living at home, in hospital settings and at the end of life.

To identify and engage with service users and carers in consulting, on assessment of needs and delivery of services.

To make efficient use of limited resources including staffing and considering value for money.

Develop and offer sufficient training to workforce internally and ensuring independent sector engagement.

Working with a range of partners in health to improve good quality early diagnosis, suppotr and treatement of people with dementia and their carers.

2. Actions

  • Making information available using different communication methods, languages and formats

    Nottinghamshire County Council website provides pages where people with dementia or their carers can access information on council services and signposts to other organisations who may assist and support. The Council's customer service centre staff are encouraged to attend dementia friends information sessions and updates on issues for those with dementia are brought to the attention of the carers team. NCC website includes information on care homes across the county who have been awarded the Dementia Quality Mark.

    Status:
    Completed

    2015 - First Quarter Update

    Website content is checked and corrected throughout the quarter including services offered through the library service, through technology in the home, for carers and care home quality.

    2013 - Third Quarter Update

    Website updated to provide details of organisations who provide advice and support to people with dementia and their families, and to statutory services. Link on website to elearning resource to support the training of all health and social care staff in recognising, assessing and managing dementia, and in providing high quality dementia care.

  • Working with staff and internal departments as well as other organisations to develop opportunites and maximise development of quality services

    Dementia Care Quality mark 34 of 105 care homes awarded the mark and there is anopportunity to apply each year.

    All mental health intermediate care teams have a social worker attached to ensure joined up support for people and their families, integrated working practices in the community embedded.

    Training schedule in place for occupational therapists, social worker and staff working in patient's home to promote their independence.

    Planning to provide management and development course for managers in social care to include coaching and mentoring.

    Officers attend partnership meetings across the county to publicise services for those with dementia and their carers. Officers participate in Dementia Action Alliance events to understand best practice.

    Promotion and delivery of Dementia Friends information sessions to internal departments and partners across the county. Encourage participation in Dementia Awareness week activities.

    Status:
    Delivery

    2015 - First Quarter Update

    In progressDementia Friends information sessions planned for internal staff, partners and voluntary sector. Cross departmental planning of Dementia Awareness week. Library service launches Health Hub in one library and plans to develop more, resources for those with dementia and their families widely publicised. Publicise the newly established Compass worker team particularly to health colleagues.

    2013 - Third Quarter Update

    Dementia friends champion a number of staff attended training in order to deliver dementia friends information sessions to Notts County Council staff and any partner organisations in the locality where being delivered. 2 information sessions held at County Hall, more planned.

  • Provide training and encourage greater take up of assistive technology for people with dementia

    Training opportunities publicised to service providers, including the organisation or participation in events.

    Status:
    Delivery

    2013 - Fourth Quarter Update

    9 courses delivered to assessment teams across social care staff, provided an open access course and courses to reviewing teams who assess the changing needs of people living in the community.

    5 sessions delivered to community mental health team and older people intermediate care teams who provide services for people living in the community

    Use of Just Checking systems enabling people with dementia to assess the independence of people with dementia living in their own homes has increased in this quarter by 65%.

    Purchased a further 25 Just Checking systems for use in assessments.

    Use of Just Checking system in pilot at care home with increased provision of assessment beds.

    Planning to work with Alzheimer's on information provision in this field leading to increased choice, reopening referral pathways to ensure closer integration of health and social care.

    2013 - Third Quarter Update

    Third cohort of Dementia Care Matters training in care homes to be undertaken, designing further training courses around dementia.

  • Deliver a high quality of care in care homes and home care services through promotion of good practice

    To encourage and support care homes across the county to achieve the dementia quality mark recognising excellent and high quality care of those with dementia.

    Status:
    Completed

    2015 - First Quarter Update

    34 of 105 care homes awarded Dementia Care Quality and the opportunity to apply for it will be renewed.

    2013 - Third Quarter Update

    Extra care site in Mansfield approved 64 units both apartments and bungalows with 10 bungalows specifically designed to support those with dementia, due to open 2015. 32 care homes across the county achieve dementia quality mark out of a total of 105, further opportunities will be offered.

    Work in care homes to ensure that providing stimulating environments does not compromise health and safety of the residents.

  • Enhancing support services to carers

    Projects designed to support carers of those with dementia of any age.

    Status:
    Delivery

    2015 - First Quarter Update

    Compass worker team in place across the county to support carers of those with dementia regardless of age. Service taking referrals and offering emotional, practical and social support to carers who may be at risk of crisis. Carers Information Advice and Engagement hub awarded to Carers Trust and will provide information and advice to all carers, encourage peer support group development, organise or signpost to training and enable the Council to engage and consult with carers.

    2013 - Fourth Quarter Update

    Funding in place to commission a service for carers of people with dementia of any age, service will provide practical and emotional support for carers in order to assist the carer with the skills and understanding.

    2013 - Third Quarter Update

    Preparation underway to commence service in April 2014 to support carers of those with dementia to allow them to continue their caring role.

  • Care

    Promoting carers assessments and and implementing care plans

    Status:
    Delivery

    2015 - First Quarter Update

    Team of advisors based at the Council's customer service centre encourage and complete carers assessments, the numbers are increasing as a result to approx 4700 in 2014. Carers hub will encourage and signpost all carers accessing the service to contact the Council's customer service centre to complete a carers assessment.

    2013 - Fourth Quarter Update

    Promotion of carers assessments through the county council website, linking into topics the public may search for like dementia, and requiring those commissioned services to ensure all service users complete a carers assessment

    2013 - Third Quarter Update

    Projects being developed to deliver services to carers to be asked to ensure all are offered as carers assessment. 

  • Workforce development

    Workforce development through promoting training courses both internally and externally, workforce awareness training events, dementia training for providers

    Status:
    Planning

    2013 - Fourth Quarter Update

    Staff attended local dementia summits to develop better understanding of locality issues, meet local staff and public and to enable them to bring back ideas for future training.

    Link into training to develop other techniques for managing complex behaviours

    2013 - Third Quarter Update

    New member

  • Understanding what quality means

    Developing an understanding of what quality means in dementia services and commissioning appropriate services 

    Status:
    Planning

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

  • Accessibility of services

    Ensuring services are accessible at all stages of the dementia pathway

    Status:
    Planning

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

  • Ensuring services are person centred by offering a range of interventions and ensuring that the workforce has an understanding of their clients needs

    Overview of projects supported that include people with dementia or their carers.

    Status:
    Delivery

    2013 - Fourth Quarter Update

    Shared Lives initiative promoted via Nottinghamshire County Council website that would assist people willing to share life and home with person with dementia.

    First Contact initiative continues to assist 3000 customers by directing them to services appropriate to their needs.

    Community outreach advisors funded by Notts County Council gave advice and information to 2500 customers across the county in 2013.

    2013 - Third Quarter Update

    Project in partnership with Alzheimer's Society to promote uptake of direct payments for people with dementia.