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The Good Care Group, Kent

The Good Care Group is an award-winning provider of high quality home care that enables people to live in their own homes for as long as possible. Services include 24-hour live in care, day care and a respite service. All professional carers are employed by us – we do not use agency staff, and receive market-leading training and professional development to ensure the very highest standards of care. We are leading the way in supporting those with specialist conditions, including dementia, Parkinson’s, MS, stroke recovery and palliative care, improving overall wellbeing and quality of life. For more information visit: www.thegoodcaregroup.com

Updated:
14 January 2016
Location:
South East
Sectors:
Care
Local Alliances:
West Kent 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?

The Good Care Group is a professional provider of live in care services for older people who wish to stay safely and happily in their own homes and communities. 75% of our client base consists of people who are living with dementia, and our clients live across England and Scotland. We launched a local service in Kent. in 2014 which has focused on collabrative working with legal, health care professionals and the charity sector to raise awareness of dementia and the resources available to those living with a damentia diagnosis. We are active in the Dementia Friendly Communities Forums.

We were formed in 2009 by a management team who wanted to make a difference to the quality of care and services provided to people living with dementia. We see our role as that of raising standards in the home care sector; professionalising and revitalising the industry. We aim to set the bar, and deliver a high quality, tailored home care service which enables people with dementia to continue to live at home for as long as they wish to do so, in a state of calm contentment and wellbeing, free from anxiety, and without unnecessary medications or hospital admissions. We believe our service gives precious time and energy back to family care-givers, who can go back to enjoying their relationship with their loved one, and taking pleasure in their own lives as well. As a growing company, with access to both internal and external expertise, we feel well placed to lead the way when it comes to delivering an innovative and effective home based model of care to people with dementia.

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

The Good Care Group have creative ways of supporting and supervising a remote staffing team, who are trained with the ability to work independently in the client’s own home. We use technology to support communications and identify a model of care which is relatively straight forward and cost effective to implement and yet highly impactful on client outcomes which is key to our success. Creating a local service to Kent has enabled us to increase our client and carer contact and improve opportunities to link families and care givers across a local community. We are engaged with local professional services and charities and seek to continue contacts working collabratively to enhance our clients experience and link the community with credible and up to date information which drives informed choices.

Member website

www.thegoodcaregroup.com

2. Actions

  • Best Practice in Dementia Care Planning

    We deliver continuity and regularly update the training we give to our teams. One area we use is The SPECAL Method of care for people with dementia, developed by the Contented Dementia Trust. The SPECAL Method has been shown to increase wellbeing, reduce the need for medications and enable people with dementia to stay at home for longer. The SPECAL Method is a model of care which provides a blue print for a contented life, promoting sustainable 24 hour wellbeing every day for life. This methodology starts with an understanding of dementia from the perspective of the person living with it, and suggests simple strategies which can be employed by family or professional care givers to reduce anxiety and promote wellbeing for the person with dementia. We have found this method to be both cost effective and extremely accessible to our staff.

    Status:
    Delivered

    2015 - Fourth Quarter Update

    What our organisation did this year to deliver the National Dementia Declaration 

    We have continued to work to reduce antipsychotic usage in our clients. All our managers and carers are receiving on going training in dementia care. Our managers are continuing on their 12 month course, and our carers are now embarking on advanced dementia training. We have continue to review and refine our operational structure in order to better support staff and clients and have increased the staff available to support – reducing manager case loads. We have recruited a Consultant Admiral Nurse – Dr. Penny Hibberd, in partnership with Dementia UK, and we now offer a nurse-led care service to people with complex needs. Our Admiral Nurse service enables us to support families and all people affected by dementia, offering a higher level of professional emotional and clinical support. We have reduced behavioural challenges by 80% through effective care planning and the promotion of well being. We have introduced an activities toolkit called ‘a meaningful day’ which promotes stimulation and community involvement. We continue to work closely with the contented dementia trust who train all our staff. We are piloting a service for people with young onset dementia and our director of operations sits on the national steering group for young onset dementia. 

    2015 - Third Quarter Update

    Collaborative Working in Kent

    Through 2015 we have worked with solicitors, Independent Financial Advisors, Local authorities and charitable organisations where we have designed and delivered informational seminars and advice events for people diagnosed and living with dementia and their families.

     

    The Prime Minister Challenge for Dementia 2020 outlines the next steps for diagnosing those with a cognitive impairment and where GP responsibilities now lie.  Dementia 2015 highlighted sharing knowledge and information can support personal choice and control over decisions (AS 2015).  The Care Act calls for support and planning and a legal entitlement to a personal budget. Working collaboratively care providers and solicitors can support GPs, people living with dementia and their families to make choices and decisions (DH 2014).

    Our aim was to provide collaborative, community seminars to people with dementia and their family members. The seminars were designed to give concise current advice and information about legal decisions and actions to take when planning ahead with practical advice about how to broach difficult conversations and decisions. We hypothesised that by providing both legal, practical information and knowledge about dementia we would help people feel comfortable to talk to legal and social care professionals about forward planning without obligation. Following feedback from our audiences about lack of availability of information; which was reaffirmed by a separate short survey undertaken locally in this field, we went on to develop seminars for GP surgeries.

    The evaluations and the type of questions people were asking from the sessions showed that people were often feeling lost and uninformed, this was surprising as a good percentage of people were involved with memory clinics or had consulted with their GP.

    This project is reliant on collaborative working information sharing. The expertise of all participants requires recognition and values of respect and person-centeredness are central. The next phase will be open to GP surgeries and surgery teams. We are aware of the constraints that this may bring and the burden of work on surgeries in 2015 but with the pressure of the 2020 Prime ministers challenge we are keen to encourage a ‘team approach’. 

    Key points

    collaborative working across sectors information and advice is required throughout the sector from a range of professionals expertise should be recognised and respected  in all areas

  • Continued Best Practice - Medication, Training, Innovation and Expertise

    We have continued to work to reduce antipsychotic usage in our clients. All our managers and carers are receiving on going training in dementia care. Our managers are continuing on their 12 month course, and our carers are now embarking on advanced dementia training. We have continue to review and refine our operational structure in order to better support staff and clients and have increased the staff available to support – reducing manager case loads. We have recruited a Consultant Admiral Nurse – Dr. Penny Hibberd, in partnership with Dementia UK, and we now offer a nurse-led care service to people with complex needs. Our Admiral Nurse service enables us to support families and all people affected by dementia, offering a higher level of professional emotional and clinical support. We have reduced behavioural challenges by 80% through effective care planning and the promotion of well being. We have introduced an activities toolkit called ‘a meaningful day’ which promotes stimulation and community involvement. We continue to work closely with the contented dementia trust who train all our staff. We are piloting a service for people with young onset dementia and our director of operations sits on the national steering group for young onset dementia. 

    Status:
    Being implemented

    2014 - Second Quarter Update

    New member

  • Training Our Teams

    We  provide robust training for our staff – with dedicated mandatory induction training in dementia care, as well as advanced options for carers who wish to specialise. We offer all carers the chance to embark on our diploma in health and social care. All of our regional care managers are undertaking a 12 month course in the SPECAL Method, to ensure they are equipped to full support staff and clients.  We have undertaken  work with the Stroke Association to gain level 2 training in Stroke Awareness throughout our care teams. This is ongoing and will contunue through 2016.  We design, record and deliver informative webinar training for our care teams which include, nutrition, pressure areas, best paractice in activities of daily living and our meaningful day care planning.

    Our teams are encouraged to become Dementia Friends, we also sit on the local Dementia Friendly Communities Forum and co chair a local group in Kent.

    Status:
    Being implemented

    2014 - Second Quarter Update

    New member

  • Supporting our Staff

    We will ensure that our staff team is fully supported, despite the challenges of managing a disparate workforce. We recruit dedicated Regional Care Managers to support and supervise our carers, and be responsible for the delivery of high quality care to clients. We will ensure that staff have access to technology which enables easy two way communication and contact when in the field.

    We have increased our support teams through 2015 which has added further support to our care teams, each regional manager supports our regional care managers who support the care managers in our placements.  We also have a large office based support team available 24 hours per day for advice and action.

    We have a Consultant Admiral Nurse on staff who drives best practice throughout the team and is available to support families.

    Status:
    Being implemented

    2014 - Second Quarter Update

    New member

  • Monitoring our Service

    We will actively measure and evaluate our performance against agreed targets including client wellbeing, family stress, and carer engagement. We will seek feedback, regularly reviewing our service, and develop improvement plans based on what our clients tell us.

    Status:
    Being implemented

    2014 - Second Quarter Update

    New member

  • Sharing Best Practice - Collaborative Working

    Collaborative Working in Kent

    Through 2015 we have worked with solicitors, Independent Financial Advisors, Local authorities and charitable organisations where we have designed and delivered informational seminars and advice events for people diagnosed and living with dementia and their families.

     

    The Prime Minister Challenge for Dementia 2020 outlines the next steps for diagnosing those with a cognitive impairment and where GP responsibilities now lie.  Dementia 2015 highlighted sharing knowledge and information can support personal choice and control over decisions (AS 2015).  The Care Act calls for support and planning and a legal entitlement to a personal budget. Working collaboratively care providers and solicitors can support GPs, people living with dementia and their families to make choices and decisions (DH 2014).

    Our aim was to provide collaborative, community seminars to people with dementia and their family members. The seminars were designed to give concise current advice and information about legal decisions and actions to take when planning ahead with practical advice about how to broach difficult conversations and decisions. We hypothesised that by providing both legal, practical information and knowledge about dementia we would help people feel comfortable to talk to legal and social care professionals about forward planning without obligation. Following feedback from our audiences about lack of availability of information; which was reaffirmed by a separate short survey undertaken locally in this field, we went on to develop seminars for GP surgeries.

    The evaluations and the type of questions people were asking from the sessions showed that people were often feeling lost and uninformed, this was surprising as a good percentage of people were involved with memory clinics or had consulted with their GP.

    This project is reliant on collaborative working information sharing. The expertise of all participants requires recognition and values of respect and person-centeredness are central. The next phase will be open to GP surgeries and surgery teams. We are aware of the constraints that this may bring and the burden of work on surgeries in 2015 but with the pressure of the 2020 Prime ministers challenge we are keen to encourage a ‘team approach’. 

    Key points

    collaborative working across sectors information and advice is required throughout the sector from a range of professionals expertise should be recognised and respected  in all areas

    Status:
    Delivered

    2014 - Second Quarter Update

    New member