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Warwickshire County Council

Warwickshire County Council is the top-tier local authority for the non-metropolitan county of Warwickshire, which provides a range of public services.

Updated:
15 August 2016
Location:
West Midlands
Sectors:
Local Authorities
Local Alliances:
Coventry and Warwickshire Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists a number of outcomes that we 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?

Our vision is that people with dementia and their carers will regard Warwickshire as a good place to live well with dementia.

Success will mean:

  • People will receive their diagnosis at the earliest stage possible in their dementia journey and will be provided with appropriate support following this;
  • People with a dementia diagnosis are supported to retain their independence and are able to exercise choice and control;
  • People in Warwickshire are able to live full lives within the community doing the things they did before their diagnosis and feeling confident in undertaking every day tasks such as visiting the shops without fear of stigma
  • Awareness of the signs and symptoms of dementia and how dementia effects people’s lives are increased, thereby reducing the overall stigma

We have been instrumental in establishing the Coventry and Warwickshire Living Well with Dementia Partnership and have agreed a joint local strategy for Dementia. We believe this partnership approach will aid a seamless, integrated approach to dementia service delivery and support. At a local level, we will seek to lead and influence the delivery of the joint strategy and champion local organisations and communities to become dementia friendly.

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

The biggest challenges in Warwickshire are as follows:

  • Tackling perceptions about how people who have a dementia diagnosis can live their lives. In particular, promoting that people can live well with dementia and are still able, and have a right to, choice and control over the way they live their lives;
  • Ensuring that those working across the health and social care economy have the correct skills and knowledge and also relevant specialist knowledge to ensure that the needs of people with dementia are met most effectively;
  • Maintaining and improving partnership working at a time when financial challenges in the public sector are at their greatest and structural changes are taking place.

2. Actions

  • Challenge perceptions and stigma

    Challenge perceptions and stigma through different awareness and marketing campaigns that will see a large volume of public - facing activity. We have recently launched a Dementia Friends Challenge for Warwickshire aimed at increasing the number of Dementia Friends locally and raising awareness of dementia across local communities, businesses and organisations. We also participated in this year's Dementia Awareness Week where a number of singing 'flashmob' tyope sessions were held across Warwickshire, in public places. We have also produced a short video clip with a person living with dementia and his wife sharing their experiences, joys and sorrows of living with dementia. The clip is aimed at making people aware of the improtance of dementia friendly communities and how people can become involved in this initiative. The clip can be accessed via Coventry and Warwickshire Living Well with Dementia Portal www.livingwellwithdementia.org (Dementia Friendly Communities page).

    Status:
    Delivery

    2015 - Fourth Quarter Update

    Warwickshire are now planning for 2016 Dementia Awareness Week to promote our existing dementia services and initiatives such as dementia Friends, in a co-ordinated way.

  • Deliver the joint commissioning strategy for Warwickshire

    We are delivering the joint commissioning strategy for Warwickshire and its 5 key themes which are linked to the national dementia strategy:

    Raising Awareness and Understanding of dementia,Timely Diagnosis and Support,Living Well with Dementia through the provision of a wide range of community support services (including support to carers),Living Well with Dementia in acute/residential/housing with care setting,An informed and effective workforce across all services.

    Status:
    Delivery

    2016 - Third Quarter Update

    Warwickshire County Council launched Warwickshire’s Living Well with Dementia Strategy Refresh 2016-2019 in May 2016. The refreshed strategy details the extent to which the objectives in the original strategy were achieved as well as what needs to be done moving forward. Warwickshire’s Living Well with Dementia Strategy Refresh 2016-2019 has the following five strategic objectives:

    1.    Raising awareness and understanding of dementia

    2.    Timely diagnosis and support

    3.    Living Well with Dementia through the provision of a wide range of community support services including support to carers

    4.    Living Well with Dementia in acute/residential/housing with care settings

    5.    An informed and effective workforce across all services

    We will seek DAA members buy-in to help us achieve this aim and continue to improve lives of people with dementia and their carers living in Warwickshire.

    2015 - Fourth Quarter Update

    Warwickshire will aim to implement and promote our refreshed Dementia Strategy 2015-2018 and focus on promoting the following key objectives: Raising Awareness and Understanding of dementia, Timely Diagnosis and Support, Living Well with Dementia through the provision of a wide range of community support services (including support to carers), Living Well with Dementia in acute/residential/housing with care setting, An informed and effective workforce across all services. We will seek DAA members buy-in to help us achieve this aim and continue to improve lives of people with dementia and their carers living in Warwickshire.

    2015 - First Quarter Update

    We are currently refreshing Warwickshire's Living Well with Dementia Strategy. The Strategy will reflect the Council's priorities around care and support of people living with dementia and their carers, over the next four years (i.e. 2015-2018). 

  • Expand membership of Coventry and Warwickshire DAA

    The Coventry and Warwickshire Dementia Action Alliance will seek to expand, gaining commitment and buy-in from a diverse range of organisations across the Public, Private and Voluntary Sectors.

    Status:
    Delivery

    2016 - Third Quarter Update

    At the beginning of August 2016 there were 50 organisations members of Coventry and Warwickshire DAA. Our aim is to have at least 120 organisations signed up to  Coventry and Warwickshire’s DAA by 2019.

    2015 - Fourth Quarter Update

    In January 2014 Coventry and Warwickshire Living Well with Dementia Partnership became Coventry and Warwickshire Dementia Action Alliance, drawing together organisations acrossCoventry and Warwickshire that are willing to actively work towards becoming dementia friendly. The Alliance is used as a forum to share ideas, identify joint actions for developing a dementia friendly region, and encourage other partners to join us.

    At the end of 2015 we have 40 members of the Alliance and are looking forward to expanding further in 2016. 

  • Develop workforce across Partnership organisations

    Develop the workforce across Partnership organisations to ensure consistent skillsets and knowledge of dementia.

    Status:
    Delivery

    2016 - Third Quarter Update

    Between autumn 2013 and September 2015, 788 people* attended a dementia awareness course called Dementia Awareness and Dementia Friendly Communities Workshops in Warwickshire.

    The course was targeted at those who are likely to come into contact with people with dementia or their carers, i.e. staff who work in GP surgeries, libraries, leisure centres and housing officers.

    2014 - Fourth Quarter Update

    In 2014 we developed Dementia Awareness training for public facing staff to enable people who work in front-line community services, health and social care organisations, to understand dementia better. Example ‘target groups’ for these workshops include staff who are likely to come into contact with people living with dementia or their carers as part of their day to day service provision, i.e. those working in general practices, pharmacies, libraries, leisure centres, environmental health and housing officers, etc. Sessions also contribute to enhancing the skills of frontline workers in Making Every Contact Count.

  • Avoid duplication of services and support

    By using a Partnership approach we will avoid duplication of services and support and have a more targeted and pragmatic approach to delivery. Although budgets and finances in these harsh economic times will be a challenge, our focus will be on delivery real outcomes for people with dementia and their carers and making a difference to their everyday lives.

    Status:
    Delivery

    2015 - First Quarter Update

    The national Better Care Fund is known locally as Warwickshire Cares – Better Together. It was announced by the Government in the June 2013 Spending Round, to support the transformation and integration of health and social care services to ensure local people receive better care. Warwickshire County Council has since been working collaboratively with the local Clinical Commissioning Groups to ensure the following:

    People are helped to remain healthy and independent;People are empowered to play an active role in managing their own care and the care they receive;People get the right service at the right time and in the right place – (this means services will envelop individuals close to their home).

    Warwickshire’s Better Care Fund is split into 5 key work streams that will be developed into a programme of work and the requirements of citizens living with dementia and their carers will form a focus within each of these 5 work streams.

  • Raise awareness and understanding of dementia

    We will achieve this action through:

    1. Challenging perceptions and stigma through different awareness and marketing campaigns that will see a large volume of public-facing activity. 

    2. Developing and identifying relevant resources and guidance that professionals and local communities can use to help increase levels of awareness and understanding about dementia and its symptoms.

    3. Continuous development and promotion of Coventry and Warwickshire’s Living Well with Dementia Portal www.livingwellwithdementia.org

    Status:
    Delivery

    2016 - Third Quarter Update

    1. Challenging perceptions and stigma through different awareness and marketing campaigns that will see a large volume of public-facing activity.

    Dementia Awareness Week 2016

    In May 2016, Warwickshire County Council delivered a one-day market place event to promote awareness of existing dementia services and initiatives for people with dementia and their carers. The day was a great success, and people travelled from all over Warwickshire to attend. Providers were able to network with each other, and providers and members of the public were able to participate in various taster sessions, including seated exercise classes, health checks and Dementia Friends Sessions. Those who attended were able to witness both the launch of the Dementia Strategy Refresh 2016-2019, and were able to get a sneak preview and share feedback on the updated Living Well with Dementia Portal, which is due to be launched in Autumn 2016.

    2. Developing and identifying relevant resources and guidance that professionals and local communities can use to help increase levels of awareness and understanding about dementia and its symptoms. 

    We have recently developed a 'Support for People with Dementia and their carers in Warwickshire' information booklet detailing services available locally. A copy can be requested from dementiapartnership@warwickshire.gov.uk 

    Warwickshire’s Living Well with Dementia Portal

    Originally launched in October 2013, Warwickshire’s Living Well with Dementia Portal is currently being updated, following feedback from people with dementia and their carers. The refreshed Portal will be easier to navigate, will contain more media and will contain a map of local dementia services. The refreshed Portal is due to be launched in autumn 2016.

    3. Promoting of the work we do on social media such as Twitter (@DementiaCandW) and blog (https://livingwellwithdementiacoventryandwarwickshire.wordpress.com/)Participation in national awareness raising initiatives such as Dementia Friends, Dementia Awareness Week and Alzheimer's Month.

    2015 - Fourth Quarter Update

    In early 2015, WCC launched a Dementia Friends Challenge for Warwickshire aimed at increasing the number of Dementia Friends locally and raising awareness of dementia across local communities, businesses and organisations.

    WCC also participated in 2015 Dementia Awareness Week where a number of singing 'flash mob' type sessions were held across Warwickshire, in public places such as Atherstone Market Square, Rugby Library, Nuneaton Town Centre and Church Green in Atherstone. 

    We have also produced a short video clip with a person living with dementia and his wife sharing their experiences, joys and sorrows of living with dementia. The clip is aimed at making people aware of the importance of dementia friendly communities and how people can become involved in this initiative. The clip can be accessed via Warwickshire’s Living Well with Dementia Portal www.livingwellwithdementia.org (Dementia Friendly Communities page). 

    WCC have recently developed a 'Support for People with Dementia and their carers in Warwickshire' information booklet detailing services available locally. A copy can be requested from dementiapartnership@warwickshire.gov.uk 

    Continuous development and promotion of Coventry and Warwickshire’s Living Well with Dementia Portal: www.livingwellwithdementia.org  as a one-stop source of information about dementia and support available in Coventry and Warwickshire

    Promoting of the work we do on social media such as Twitter (@DementiaCandW) and blog (https://livingwellwithdementiacoventryandwarwickshire.wordpress.com/)

  • Improvement of post diagnosis support in Warwickshire

    The vision for Warwickshire’s Living Well with Dementia Strategy is that Warwickshire is a place where people can live well with dementia, including having access to a timely diagnosis of their condition and being offered appropriate post diagnosis support following this. 

    Status:
    Delivery

    2015 - Fourth Quarter Update

    We have been working closely with Coventry and Warwickshire Partnership Trust to further improve the post diagnosis support offe. This resulted in joint development of Post Diagnostic Packs which include infromation on support availble to people newly diagnosed with dementia. 

    2015 - First Quarter Update

    Warwickshire County Council have redesigned community support services for people with dementia following a public consultation held as part of Warwickshire’s Living Well with Dementia Strategy refresh in 2014 and the review of engagement outcomes. As a result, the Council commissioned a Dementia Navigators service, focused around provision of early intervention and preventative post diagnosis support. Dementia Navigators provide: A single point of access to information and advice following a diagnosis of dementia or to those going through the diagnosis journey, Signposting to support services available in a person’s locality e.g. dementia cafes or carers support groups, Practical and emotional support to people with dementia diagnosis and their carers, Signposting to or provision of training around dementia awareness and coping strategies for family carers.

    People can self refer to the service, or be referred by their GP, health or social care staff. The service is provided by Alzheimer's Society Warwickshire (01926 888 899).

  • Development of Dementia Friendly Communities

    All communities, organisations and businesses pledging to become dementia friendly in Coventry and Warwickshire are expected to work towards the following core principles:

    Enhanced awareness and understanding of dementia - for example, by offering basic awareness training to staff, sharing information about dementia via newsletters or referring to Coventry and Warwickshire Living Well with Dementia Portal website for more information on dementia and support services available locally. Aiming to provide a dementia friendly environmentDeveloping positive attitudes towards the delivery of services to those most vulnerable in our society

    To find out more about Warwickshire’s commitment to become a dementia friendly community, and to see the partners signed up to the Alliance, please visit the Dementia Friendly Communities section on Coventry and Warwickshire Living Well with Dementia Portal http://www.livingwellwithdementia.org/

    Status:
    Delivery

    2016 - Third Quarter Update

    50 organisations have signed up so far (as in August 2016) to Coventry and Warwickshire Dementia Action Alliance (DAA) – the formal partnership responsible for progressing the Dementia-friendly Communities agenda. The organisations signed up to the DAA pledge to:

    Raise awareness and understanding of dementia;Develop dementia friendly environments;Reduce stigma and develop positive attitudes towards the delivery of services to those most vulnerable in our society.

    Our plans for 2016-2019 are to:

    increase the number of Dementia Friends in Warwickshire to at least 30,000 by the end of 2019;engage the BME community about the issues affecting them with regards to understanding of dementia and any barriers to using of support services develop a suite of training resources and complete a number of Dementia Friendly Environmental Audits in public buildings and care environments 

    2015 - Second Quarter Update

    New action

  • Supporting citizens of Warwickshire to live well with dementia

    This action identifies how we can work together to improvelives of people living with dementia in Warwickhsire, and how we can engage to a greater extent to ensure that people regard Warwickshire as a place where they can live well with dementia.

    For example, we want our communities, organisations and businesses to be more understanding of dementia and so, through the work of the Coventry and Warwickshire Dementia Action Alliance, we will continue to work towards supporting more Dementia Friendly Communities and encouraging more individuals to become Dementia Friends.

    Status:
    Delivery

    2016 - Third Quarter Update

    To date:

    There are just over  10,000 Dementia Friends in WarwickshireThere have been over 14,000 loans (and renewals) of BOP books in Warwickshire

    Throughout Spring and Summer 2016, WCC officers have taken the opportunity to raise awareness of the various initiatives designed to support people to live well with dementia, when visiting local dementia cafés by providing them with goodie bags with details of all of the above services.

    2015 - Second Quarter Update

    In partnership with Public Health Warwickshire, WCC developed 'Health and Wellbeing: Living Well With Dementia' page on Coventry and Warwickshire Living Well with Dementia Portal, aimed at helping people to maintain physical and emotional well-being after a diagnosis of dementia: http://www.livingwellwithdementia.org/dementiadiagnosishealthandwellbeing/

    Information on the page includes advice on adjusting to a diagnosis of dementia, coping with stress and anxiety, keeping socially active and accessing support.

    We have also implemented a number of self-care support opportunities:

    Books on Prescription in Warwickshire 

    http://www.warwickshire.gov.uk/booksonprescription

    Pictures to Share 

    http://picturestoshare.co.uk/

    Exercise Referral Scheme - Swimming for people with dementia 

    There is a range of peer support groups across Warwickshire which support people with dementia and their carers, including:

    Dementia Cafes Carers Support Groups

    These are a peer-led carer support groups meet on a monthly basis. Groups are available throughout Warwickshire and offer information, advice and support, as well as talks from a range of speakers held in an informal setting. Dementia Day Opportunities service. The aim of the service is to help maintain the skills, health & wellbeing and social inclusion of people with dementia whilst providing them with an opportunity to participate in a variety of meaningful activities (for example, reminiscence therapy, music and movement or arts and crafts) and offering a break from their caring role for their families.

  • Provision of quality support within care homes & accommodation with support

    The quality of the workforce is paramount in ensuring delivery of good dementia care across all areas of the dementia pathway.

    WCC Commissioner, Learning and Development team, and Public Health Warwickshire have undertaken significant development work over the last years to help ensure that the health and social care workforce, and people working in front line community services, are skilled and competent in supporting people with dementia. 

    Status:
    Delivery

    2016 - Third Quarter Update

    Extra Care Housing

    During November 2015 and March 2016 consultations took place with the provider market, customers and carers to scope and develop a model of Extra Care Housing for people with dementia in Warwickshire. The consultation helped to narrow down the possible options for delivering Extra Care Housing for people with dementia, and a pilot project trialling one of these delivery models is due  to commence in 2016.

    Residential and Nursing Care

    An outcome and quality focused service specification for the procurement of residential and nursing services has been designed; WCC has worked closely with CCG’s to create this specification, which was implemented in summer 2016. Dementia requirements in the new service specification include:

    The creation of dementia friendly environments in care homes;Provision of dementia person centred care;Standards for:CommunicationEnd of lifeSupporting the health needs of people with dementia

    This complements an enhanced Quality Assurance approach that is designed to protect the safety of residents, while recognising the importance of dignity, respect and empathy in care.

    2015 - Fourth Quarter Update

    Warwickshire aim to transform how Residential and Nursing Care and Domiciliary Care is delivered in the future. We are currently working with partners (health, operations, customers) to develop service specifications that providers will have to meet if they wish to provide a care home or home care service on behalf of Warwickshire County Council People Group. The specifications are outcome focused and put the customer at the centre of all of the support and care that they receive. We hope that by setting out our expectations on 'what good should look like' and having clear tolerances, which in turn responds to unacceptable standards of quality in care delivery, will in turn assist quality standards to improve within these services. This work will include care homes looking after people with dementia.

    Warwickshire are also looking at developing a specific model of Extra Care Housing for people with dementia and will be refining our plans on this following extensive consultation with people with dementia, their carers and other partners, which will be held in the next few weeks. 

    2015 - Second Quarter Update

    The Council has been working in partnership with all local districts and boroughs housing leads to improve housing provision for citizens living with dementia. 

    Warwickshire’s Living Well with Dementia Strategy 2015-18 will link closely to the newly developed Accommodation with Support Strategy that will further define the market mix for a range of services, including those specialist residential and nursing services that will support people living with dementia. 

    2014 - Third Quarter Update

    The physical environment can work well – or make some big problems – for people living with dementia, whether it’s in a person’s own home or a care home. In April 2014 Department of Health funded initiative to improve the environment of care for people with dementia within four care homes in Warwickshire. Projects completed with help of this funding will include creating sensory gardens, tea rooms and conservatories to enhance quality of life for care homes residents.

    2013 - First Quarter Update

    In the autumn and winter 2012 we put on 25 half-day Care Fit for VIPS briefing sessions around Coventry and Warwickshire for care homes staff to encourage the local homes to discover how easy and exciting it can be to move towards person-centred care. Care Fit for VIPS is a free, online development toolkit for managers of care homes built on the VIPS Framework developed by Professor Dawn Brooker at the University of Worcester’s Association for Dementia Studies; it gives care homes the tools to develop person centred care for people with dementia. 

    This training was then followed up by a range of 'Dementia Leadership And Specialist Training' modules aimed at care home managers who want to develop their dementia specific leadership skills, and staff who work directly with people with dementia and have responsibility for the development and delivery of their care plans on a day-to-day basis. The training was well received and over 90 staff completed these modules.