At Care UK our aim is to help older people to live happier, healthier and more fulfilling lives. We have been providing high quality care for older people for 30 years. Today our 100-plus residential care homes enable more than 7,000 people to continue living active and independent lives in warm, safe and comfortable surroundings. Personalised care is at the heart of what we do. Many of our homes deliver a comprehensive range of care under one roof, including nursing, respite and dementia care. We appreciate that no two residents are the same, so our compassionate and experienced nurses and carers ensure that each person receives care that’s tailored to their unique needs, personality and wishes.
- 12 March 2018
- Care, Health
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?
To meet our aim of helping older people to live happier and healthier lives, we have implemented a strategy across our Residential Care Services called Fulfilling Lives
Fulfilling lives is all about quality of life. By seeing the world through the eyes of residents, service users and customers we can understand what’s important for them. Knowing that, we can enable them to have meaningful, empowering, enjoyable experiences every day.
As part of our Fulfilling lives approach to care, over the next three years we will successfully implement and maintain a dementia strategy at every level of Care UK that supports our colleagues to improve the lives of people living with dementia, with the aim of improving the quality of life of individuals living with dementia through enhanced quality of care and lived experiences.
The foundations of our strategy are:
- A person centred approach to caring for those living with a dementia, where colleagues are encouraged and supported to implement creative approaches to care to meet the needs of residents.
- Proactive engagement with those living with a dementia, their relatives, friends and the wider community including professionals to enable individualised care and support.
- All colleagues successfully complete training in supporting people who are living with dementia.
- Providing our residents with enabling and dementia friendly environments.
- Implementing Dining with Dignity: a framework of operating standards to provide our resident with a dignified and smooth running mealtime experience.
- Implementing Meaningful Lifestyles approach to include both the activities programme which is delivered by our lifestyle teams and the wider concept of activity based care which is the responsibility of all of our colleagues.
Care UK has invested in a number of partnerships to support the implementation of the Fulfilling lives approach and in particular the Living Well with Dementia strategy.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
Whilst training has been recognised nationally as a key driver in achieving improved standards of care and delivery of care that is outcome focused, there are also known challenges in delivering and fully implemented training. We have chosen to address these challenges through a number of routes, for example: investing in training at varying levels in a variety of formats; providing focused training opportunities designed to meet our strategy aims and working with an external training partners.
Engagement of residents and others, who use our services, is integral to understanding their needs, wishes and expectations. Challenges arise when caring for those who are in the advanced stages of dementia, when communication may be severely impaired or non-existent and identifying what is wanted even on a basic level becomes very difficult.
Supporting colleagues in all homes to implement creative approaches to care, including positive risk taking, that may challenge the care team, families and friends and external bodies.
Implement the Living Well with Dementia Strategy across all Residential Care Services
The Living Well with Dementia Strategy was launched in November 2016 as part of the Care UK Fulfilling Lives vision. Phase One - Personalisation & Wellbeing - is well under way. Fulfilling Lives has four pillars; Living Well with Dementia; Health & Wellbeing; Dining with Dignity and Meaningful Lifestyles, together these pillars are a powerful concept and Care UKs opportunity to make a difference and to improve lived experiences.
2017 - Third Quarter Update
We are now embarking on phase two of the Living Well with Dementia Strategy which involves supporting our homes to develop their social and physical environments to suit the needs of their resident groups. We are using information gathered through life story work and conversation to tailor points of interest and engagement to known hobbies and interests as well as encouraging participation in community events.
All colleagues successfully complete training in supporting people who are living with dementia.
Care UK is implementing a range of training and support to ensure that our colleagues have the information and skills needed to support people living with dementia to lead fulfilling lives. All of our colleagues are encouraged to complete training to become a Dementia Friend. Beyond this, we are working in partnership with the Association for Dementia Studies (university of Worcester) to implement a four tier training programme; Stand by Me ELearning resource; fundamentals in dementia care; Dementia Champion training & Leadership in Dementia Care
2017 - Third Quarter Update
Over 82 of our Management team have now successfully completed the Leadership in Dementia Care training provided by the University of Worcesters' Asssociation for Dementia Studies (ADS). We are now undertaking the Dementia Champion training, with 14 people having completed and another 70 people having either fully completed or completed the first two days by the end of September 2017.
ADS has developed a bespoke training package to be delivered in our care homes. This consists of three face to face sessions, focussing on different practice elements, to be delivered by the Dementia Champion and includes videos incorporating the views and experiences of people and families living with dementia.
We have also updated our Elearning module.
We now include the Dementia Friends training and the requirement to become a registered Dementia Friend as part of our induction programme.
Understand the use of antipsychotic and other sedative medication across our homes.
In partnership with Boots we are monitoring the number of prescriptions issued for antipsychotic and other sedative medication within our residential homes. The information gathered is used to identify where support is required and to better understand the issues relevant to the person prescribed the medication and the home. Work will also be undertaken with homes that have a low prescription rate to ensure that areas of good practice are understood and shared across RCS.
2017 - Third Quarter Update
From October 2016, we have compiled three quarterly reports (Oct 16 to Dec 16; Jan 17 to Mar 17 and April 17 to July 17). On each occassion the reports have been shared with the RCS Exec Board; Divisional Teams; Regional Teams and individual homes, with the aim of understanding the use of antipsychotic and other sedative medication. We have been able to identify and act on a number of trends, areas of good practice, incidents of polypharmacy and areas requiring support.