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Nurse Plus

Nurse Plus UK in Plymouth provides care, support, assistance and companionship to individuals allowing them to remain in the comfort of their own home and maintain a quality of life. We are dedicated to promoting the independence and dignity of all our service users through holistic assessment to meet the outcomes they wish to achieve. . Our highly trained Community Care and Nursing staff can offer person-centred care and support to the following client groups: • Elderly and physically disabled. • People with Learning Disabilities. • People with Mental Health Disabilities. • Those with Complex Care needs. Our friendly and helpful care plan assessors can visit you and you’re loved-ones at times to suit so we can understand and evaluate all of your individual needs and requirements. Assistance can be provided with personal hygiene, appearance, morning and evening bed routines, meal preparation, medication, shopping trips, appointments, days out and social inclusion.

31 July 2014
South West
Health, Care
Local Alliances:
Plymouth 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 domiciliary agency we are registered and regulated by the CQC so have to meet the essential standards as minimum to maintain our registration.

It is compulsory that all 195 staff members undertake the following training:

Mandatory Training to meet skills for Care Common Induction Standards

Basic Care Skills

Moving and Handling - Medication Awareness - Mental Capacity Act Awareness

In addition to the above staff also undertake various other specific training such as NCFE level 2’s in Dementia Awareness – End of Life and Mental Health.

All clients are allocated key workers who have all of the above training to enable continuity of care and identify changes very quickly; we have 21 key workers, 51 domiciliary carers and 111 healthcare assistants and 12 Registered Nurses. We find the benefits to having a key worker are continuity of carer which builds trust and knowledge of that individual, which also leads to identifying changes that can be followed up. This allows someone to remain independent for longer in their own home, along with their family.

 Our Care Planners work to ensure holistic assessment is undertaken with all clients; we discuss spiritual and cultural needs, advanced care planning and preferred priorities of care at initial meetings and subsequent 3 monthly reviews to ensure person centred planning.

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

We face many challenges daily; normally the lack of time given for each visit- a ½ hour morning visit does not allow for much more than a wash, breakfast and medication, so lack of opportunity for social interaction.

When we raise concerns regarding deterioration in living conditions, cognitive function, personal safety and ability, we are sometimes disregarded. This is frustrating as we feel our carers are a skilled workforce who can and do recognise declines in function. It can take too long to get a review of medication or care, which can impact the person with Dementia.

In addition there is a fluid turnover of care agency staff and this is poses a challenge in maintaining our staff knowledge base.

Member website


2. Actions

  • To promote person centred care.

    By carrying out holistic assessment this identifies the individual and care is tailored to personal need and outcome, and use this information in a format that can be shared with other agencies to support the person with dementia, which in turn allows the individual to be who they are. Everyone is different and their likes and dislikes should be respected, it also allows carers to know who this person is and interacts accordingly. 

    Being implemented
  • To promote Advanced Care Planning

    By promoting advanced care planning, it allows the individual to be in control of their preferred priorities of care whilst they are still able to make these decisions about the care they want. This allows all involved to respect an individual’s wishes, when they are unable to communicate these with the use of advanced directives.

  • To increase the 40% of carers with Dementia Training to 80% of our carers receiving dementia awareness training.

    . Our Dementia training covers the following topics

    •           The brain anatomy and functions

    •           Types of dementia

    •           Memory and symptoms of dementia

    •           Person centred care

    •           Support for individuals with dementia

    •           Providing safe environments and safety from abuse

    •           Communication

    •           The role of medication

    •           Roles responsibilities and boundaries of the individuals, team, organisations

    •           Legislation, guidance and organisational policy & procedure

    •           Dealing with challenging behaviour

     By doing this will not only enable our carers to better informed it also allows them to share their knowledge with family and friends to promote a better understanding of this disease.

    Being implemented