Kent Community Health NHS Foundation Trust
Kent Community Health NHS Foundation Trust (KCHFT) is one of the biggest providers of NHS community healthcare in the country,providing healthcare in Kent, London and East Sussex and serving a population of about 1.4 million. We look after people in their homes, community settings and within 12 Community Hospitals. KCHFT employs 5,500 staff including community nurses, dieticians, podiatrists, mental health practitioners, occupational therapists, physiotherapists, family therapists, clinical psychologists, speech and language therapists, radiographers, pharmacists, health trainers, health improvement specialists, and many more. KCHFTs vision is ‘to be the provider of choice by delivering excellent care and improving the health of our communities’. KCHFT acts with integrity and professionalism by: Caring with compassion Listening, responding and empowering Leading through partnerships Learning, sharing and innovating Striving for excellence
- 12 January 2016
- South East
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?
All staff joining Kent Community Health NHS Foundation Trust (KCHFT) receive Basic Dementia Awareness Training. This may include porters and administrative staff in addition to clinical staff. In raising awareness KCHFT strives to remove the stigma that has been attached to dementia and to deliver appropriate care and support to people living with dementia, their families and carers.
We have a dementia strategy that supports the development of services and initiatives for people with dementia and others involved in their care in collaboration with strategic partners and third sector care.
KCHFT is working towards making the 12 Community Hospitals dementia friendly environments and have embedded 'This is me'(Alzheimer's Society 2009) and the Forget me not Scheme in addition to be a member of the Hospital Alliance.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
A significant challenge has been to ensure that the Basic Dementia Awareness Training has been made available to all staff already working in KCHFT. Over 2,000 staff have been trained and this is ongoing. This training aims to promote the values of person-centred care and the challenge is that this is translated positively in the caring environment whether it be in the person's home, a 24hr care setting or hospital.
Staff working within KCHFT have been introduced to new resources and have been required to develop new ways of to ensure that people with dementia are receiving appropriate and consistent care that is taylored to their individual needs.
An additional challenge will be the delivery of an Intermediate Level of Dementia Training to all staff who are involved in the assessment and delivery of care to people with dementia.
Improving Dementia care in community hospitals across Kent and Medway (Dementia challenge fund)
1) Dementia awareness training for 95% of our community hospital workforce who come in to contact with PLWD and/or their carers:
Basic Dementia Awareness Training to be delivered to all staff working in the Community Hospitals including ward management; housekeeping; healthcare assistant; therapy; nursing; and administrative staff. Volunteers and students to be included.Training to be provided by the Dementia Service.
Learners to show an increased awareness and understanding of what dementia is and is not; to demonstrate an understanding of the most common types of dementia; to demonstrate an increased awareness of person centred care and how to care for the dementia patient.
Training aims to improve support to seek diagnosis; lower rates of falls; less prescribing of anti-psychotic medications; less safeguarding and S.I. incidence; and reducing lengths of stay
The training will also be used as a module for the future training for our community workforce outside of the hospitals, to ensure all our employees are equipped to meet the required needs and standards of care. Such training will require enhancements for specific professional groups in practice application.
2) Embedding of the Forget Me Not Scheme in the Community Hospitals alongside the This is me tool (Alzheimer's Society).
3) Dementia ‘Champions’ in every hospital: To champion the maintenance of the 'Forget me not scheme' and best practice; and be contact points and information providers for staff, people living with dementia and carers. Supported by the Dementia Service
4) Adapt our hospital environments to enhance healing and well-being: The enabling healing environments scheme (EHE Kings Fund, London) and tools were utilised to provide ideas and recommendations for environmental adaptation to improve: safe way finding / orientation; sleep patterns; continence and personal hygiene; opportunities for time out and relaxation; security; engagement in purposeful and social activities; encouragement of mobility; frequency of falls; promotion of eating and drinking; levels of anxiety and distress; the perceptual and emotional impact of colour and light; and generally enhance well-being.
These changes aspire to improving the patient care for everybody entering the hospitals and to improve the well-being and worker satisfaction of the staff working within these services.
2015 - Fourth Quarter Update
Basic dementia Awareness Training has been delivered to 95% of the target audience and continues to be delivered to staff working within KCHFT. This training will now be delivered to all staff jioning the Trust from January 2016.
As a result of this training there has been an increase in people receiving early screening using the Six Item Cognitive Screening Tool which has enabled people to be referred appropriately to Memory Services ensuring further screening and earlier diagnosis.
'This is me' is embedded in the Community Hospitals promoting person centred care which has improved the physical and emotional well-being of people with dementia therefore reducing the use of antipsychotic medications and behaviours that cause distress.
The creation of Dementia Friendly Hospital Environments is ongoing.
The delivery of Intermediate Level of Dementia Training to all staff providing direct care to people with dementia directly.
Intermediate level of training to be delivered to all staff in KCHFT who have more regular and intense contact with people with dementia providing specific interventions, care and services. To enhance their knowledge so that they acquire the necessary skills.
This training will be delivered initially to the appropriate staff who work in the 12 Community Hospitals.
Promoting the 12 Community Hospitals as Dementia Friendly Environments
The 12 Community Hospitals have been assessed using Patient Led Assessments of the Care Environment (PLACE) and as a result an action plan has been developed in order that the shortfalls are addressed.
The Dementia Service will be collabrating with Service Leads in order to ensure that actions are met and to create consistency across the Community Hospitals.
There are anticipated challenges in relation to funding and access to appropriate resources. KCHFT does not own all of the hospital sites hence the need to work in partnership with others.
- Initial Scoping