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Rotherham Hospice

The purpose of The Rotherham Hospice is to care for our patients and to support their families, carers and friends. We aim to give the most appropriate and efficient treatment and care to our patients through a holistic approach, to assist in the relief of their physical and emotional suffering and to help them lead a purposeful and fulfilling life in their home or in the Hospice. We offer a well-co-ordinated, multi-professional and ‘seamless’ service, which integrates the Hospice specialist palliative care services with primary, secondary and tertiary health care services, other voluntary and independent agencies, social services and, in the case of children and young people, education services. Our approach is non-judgemental and non-discriminatory. We consider it equally important to give support to those who care for our patients, whether they are professional carers, members of the patient’s family or friends. The Rotherham Hospice provides this support throughout all our service areas: Inpatient Unit Hospice @ Home Clinical Nurse Specialist Team Traditional Day Hospice Day Therapies and Treatment Services Carer Support Services Health and Wellbeing Services Therapy Services Counselling and Psychology Services Bereavement Support Services Sunbeams Children’s Bereavement Support

Updated:
28 September 2015
Location:
Yorkshire and Humber
Local Alliances:
Rotherham Dementia Action Alliance, Yorkshire & Humber 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?

There is often a failure to identify dementia as a terminal/palliative illness by health and social care professionals. This has implications for the type of care which is provided for people with dementia.  Most people with dementia have, historically, not had access to specialist palliative care.   If dementia is more routinely identified as a terminal diagnosis, health and social care professionals will be able to provide more appropriate support and care to people with dementia.  The Rotherham Hospice has a Clinical Nurse Specialist focussing on Namaste care in Nursing Homes and delivering training/awareness sessions to the staff.  

Rotherham Hospice having visible signs both in our central base but also in our shops that we are a dementia friendly organisation.

 he Rotherham Hospice should form partnership working with Rotherham Doncaster and South Humber (RDaSH) Memory Service regarding Advance Care Planning discussions with patients and their families at the point of diagnosis.   This will be facilitated by specified Rotherham Hospice Professionals attending the EOLC Dementia and Mental Health Group meetings with our partner agencies.  Also liaise and jointly work to provide our patients with equipment such as dementia dolls and other compassionate, therapeutic resources.

 Form action plans, as below, to ensure dementia care is intrinsic within our organisation.

Corporately agree to make dementia a priority for our organisation in 2015/16 and beyond.  Motivate staff to influence their ability to provide or support others to provide high quality dementia care. 

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

Time will be required to embed dementia awareness into our practice and systems.  We need to ensure that we are planning, implementing and delivering dementia appropriate care where required.  In order to do this documents will need to be amended and this communicated appropriately to the staff  who complete these. 

 Staff awareness and education will be required to ensure all paid and voluntary staff can influence the experiences for people with a dementia within our Hospice Services and local community.

 Challenging others such as GP’s and other professionals to uphold equality for dementia patients in terms of access to Palliative Care Services. 

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2. Actions

  • Improve our understanding of Dementia

    Description: Judge each staff group and assess training requirements – access training though RMBC Bronze to Platinum dementia training.

    Ensure that Dementia Awareness training is a mandatory requirement of all staff training requirements at a suitable level appropriate for the role of each employee.

    Staff groups to include – paid and voluntary staff, particularly shop and café staff and receptionist.

    Ensure all Hospice areas are dementia friendly and endeavour to have a number of Dementia Friends champions on the staff team. 

    Ensure that the concepts of the AZ Society Customer facing guidance booklet are known and guidance taken.

    Use the guidance given in AZ Society Customer facing guidance booklet – Copy provided.  

    Build this knowledge into staff induction and training

    When available use Power point provided

     

    Status:
    Planning
  • Maintain affective use of the NHS patient led assessment tools for Dementia

    Description:  Use the tools to assess the physical environment of the hospice, wards and communal areas and food and drink - react to findings

    Look at

    Signage

    Toilet seats

    Colour contrasts

    Flooring in showers

    Providing blinds over mirror for use if needed

    Make adjustments where possible and have Dementia Friendly environments as an area to

    consider whenever any alterations or adjustments are made ( short term and long term planning) 

    We will aim to have some areas /bedrooms/ shower rooms that are decorated and equipped with the concepts of dementia friendly in mind and that these are areas that are used when a patient with dementia is in the Hospice 

    Provision of a quiet area/privacy n the Hospice 

     

    If anyone appears confused or upset provide them with privacy and a quiet area

    Reflection room development for quiet time

    Status:
    Being implemented
  • Embrace the concept of the NAMASTE care programme

    Description – Learn for the programme make good use of training being accessed through RMBC and cascade new methods to staff teams.

    Introduce to our staff and services

    Use success case studies to inspire these principles to be used by other organisations 

    NAMASTE care is based on the power of the loving touch.  To look at developing a NAMASTE room in the future.

    Status:
    Planning
  • Sign Posting families to appropriate support services and information

    Ensure that the Hospice knows about as many support services for relatives and actively sign posts to them.

    Provide information on reception and in all service areas

    Ensure staff are aware of appropriate information available that may assist with issues that be causing concern or distress.

    Collaborate with other agencies such as Age UK, VAR, Social Prescribing to ensure patients and their families receive the support they need.

    Status:
    Implementation
  • This is me

    Ensure that staff know and acknowledge the importance of knowing a person’s history to engage with them as much as possible and to avoid unnecessary distress 

    All patients to have the pen picture ‘this is me’ paperwork completed on admission/first assessment - this to be kept in the red file in the patients’ room

    Status:
    Planning
  • Reminiscence

    Making use of items and pictures to help a person feel comfortable and engage with them

    Strengthen our Inpatient and day service volunteers to allow more time to be spent with patients discussing their interests and what is important to know about them

    Develop reminiscence corridor areas (Rotherham through the ages/people through the ages)

    Status:
    Planning
  • Communication

    Develop pictorial menus and assistance in deciding/choosing what food/drinks to have

    Have pictorial support for other conversations

    Status:
    Planning
  • Promotion of RDAA

    Promote the concept of DAA to others including the Hospice shops

    Ensuring staff such as the delivery drives are dementia aware   

    Shops and throughout the Hospice – education and dementia friendly signage – badges for all staff.

    Status:
    Planning