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Milestones Trust (formerly known as Aspect and Milestones Trust)

the trust provides support to people with learning disabilities and mental health needs, including dementia. we offer nursing and residential care in around 50 homes in the bristol area, as well as supported living, short breaks, day care and home care. services are tailored to meet individual needs and to support people to achieve their own goals.

Updated:
1 November 2013
Location:
South West

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? 

A & M provide a range of support services for people with dementia and their carers, across the Bristol and South Gloucestershire area and are in the process of expanding services to the Gloucestershire area, including: 

  • MODS - Milestones out reach dementia service, providing a respite care service for carers of people with dementia in their own homes, service can be from one hour up to a night break, or several hours of care per day. The person with dementia can go out with a support worker and take up previous activities that used to interest them. This service also provides domiciliary care to people with dementia helping with personal care.
  • We provide day care at Humphry Repton House (HRH) in Bristol, this provides support to carers enabling them to take a break whilst the person with dementia is looked after at the day care centre, people can attend one day or 5 days a week.
  • We manage a 45 bedded nursing home for people with dementia, called Humphry Repton House and this service supports people who are often unable to be supported elsewhere.   People often access the MODS and day care service, then the respite service at HRH before coming to live with us at the nursing home.
  • We also provide 12 beds for people with dementia in Somerset Lodge Pill Ham Green North Somerset
  • We are in the process of building a new nursing home for people with dementia and learning disabilities in the Bristol area, this is a purpose built home.

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

The Trust provides very good care to people with dementia, but as the person progresses into dementia, they may need further support. To gain funding to help with this is difficult.  Ensuring staff are up to date with training and new ideas is also costly, though we have been able to access some free funding for support worker level.

2. Actions

  • Enhance current end of life care

    Enhance current end of life care

    Status:

    Update – First Quarter

    Not in quarter report update

    Update - Second Quarter

    Not in quarter report update

    Update – Third Quarter

    Not in quarter report update

  • Expand our work to work with the different types of dementia

    Expand our work to work with the different types of dementia

    Status:

    Update – First Quarter

    Not in quarter report update

     

    Update – Second Quarter

    Not in quarter report update

     

    Update – Third Quarter

    Not in quarter report update

  • Ensure People are Advised of Support Services

    Work with the dementia advisors to ensure people are advised of support services and what help may be needed in the long term

    Status:

    Update – First Quarter

    Not in quarter report update

     

    Update – Second Quarter

    Not in quarter report update

     

    Update – Third Quarter

    Not in quarter report update

  • Expand the services we provided into new geographical areas

    Expand the services we provided into new geographical areas

    Status:

    Update – First Quarter

    Not in quarter report update

     

    Update – Second Quarter

    Not in quarter report update

     

    Update – Third Quarter

    Not in quarter report update

  • Develop New Services

    Develop new services to support people with learning disability and dementia

    Status:

    Update – First Quarter

    Not in quarter report update

     

    Update – Second Quarter

    Not in quarter report update

     

    Update – Third Quarter

    Not in quarter report update

  • Dementia Strategy.

    Help implement the Dementia Strategy.

    Status:

    Update – First Quarter

    Not in quarter report update

     

    Update – Second Quarter

    Not in quarter report update

     

    Update – Third Quarter

    Not in quarter report update

  • Develop a Dementia Friendly Environment

    • The team at CUH have been inspired by the work of the King’s Fund and the National Programme for Dementia Care to embark on redefining physical environment requirements to support patients with dementia
    • The King’s Fund EHE Assessment Tool for Dementia has been utilised to establish baseline information pertaining to areas of the site where the majority of our elderly patients are seen
    • The next stage is to expand this work across other areas of the site & to develop the strategic action plan for improvements
    Status:
    Initial Scoping

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    New member