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Chelsea and Westminster Hospital NHS Foundation Trust

We are an acute hospital trust, serving our local and surroundings communities.

Updated:
8 October 2015
Location:
London
Sectors:
Care, Health, Hospitals and Hospital Trusts, Medical, Emergency Services Sector
Local Alliances:
Royal Borough of Kensington & Chelsea 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?

As a hospital we are working on improving our environment. We have 1 dementia friendly ward environment and have also begun the process of replacing flooring and signage throughout the hopsital. We are dedicated to educating both our clinical and non clinical staff in dementia awareness and plan to develop further training porgrammes tailored to professionals needs. The dementia case manager is currently working with staff from both the Royal Marsden Hospital and Royal Brompton hospital to develop a training programme aimed at members of staff form the 3 organisations. Dementia case manager will continue to find ways to engage carers in changes and improvements for our dementia patients using the service. We have also introduced the 'This is me' tool as a pilot on our elderly care ward, we hope to find that this encourages carer involvement and effective communication between porfessionals, subsequently improving the experience for both the patient and their carer.

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

Challenges so far have been; meeting room space to deliver the 1 day dementia training more frequently than once a month, fincancially supporting the necessary environmental changes, finding carers who have time to meet and discuss changes throughout the trust, reaching all memebers of staff to promote dementia awareness and finding/developing an audit tool to measure the impact of the training sessions.

Member website

www.chelwest.nhs.uk

2. Actions

  • Raise dementia awareness throughout the trust.

    Raising dementia awareness continues to be a priority at our trust, we are currently using Barbara's story as a teaching tool and have had great feedback on the sessions. In the coming months we will also be able to offer dementia friends training to our staff and local community.

    Status:
    Delivery

    2014 - Second Quarter Update

    The trust trained a total of 132 members of staff during this quarter.

  • Improving the inpatient stay for patients and carers living with dementia

    The dementia case manager is working closely with the senior OT and volunteers on our care of the elderly ward. We are developing a lunch group and activity sessions. We hope to improve engagement on the ward and help our patients to socialise. It is also felt that by encouraging patients to continue with interests they had prior to coming to hopsital, we may help to reenable the patient to maintain as much independence as possible. We have introduced a piped music system whcih was introduced by our hospital arts charity. We have seen this improve patients mood and reduce agitation in some patients. We are currently working on an admission pathway for patients living with dementia, the aim is to provide the patient and/or their carer/relative with an admission pack consiting of the 'This is me' tool, information regarding local support services and a patient identifier.  

    Status:
    Implementation

    2014 - First Quarter Update

    Lunch groups have already started and are proving very popular, patients are appearing to enjoythe social interaction and also being away from the bed space for a while. The 'This is me' tool initially had good uptake, however it did not embed into every day practice, we will therfore be relaunching the document as part of our dementia admission pathway. We are also discussing the possibility of a charity funded activity co-ordinator, as lunch groups have become very sporadic owing to lack of staff.

  • Develop a carer support group

    The dementia case manager has been attempting to engage carers in decisions and changes made at the trust. It is hoped that the dementia case manager can work together with the therapy department to develop an exercise class for people with dementia, to provide an opportunity for carers to be free, to engage in future planning for trust developments in relation to dementia. It could also be opportunity to provide carers with information regarding community support if they require it.

    Status:
    Planning

    2014 - Second Quarter Update

    This action has proved to be the most challenging. Finding cares who have the time to attend a support group has been problematic. The dementia case manager is looking at alternative options, such as an online forum for carers to feedback on their experiences.

  • Dementia champions throughout the hospital

    We currently have 6 candidates that are participating in the training. We aim to finish by January 2015. 

    Status:
    Delivery

    2014 - First Quarter Update

    We aim to have 6 qualified champions by January 2015.