Castletroy Residential Home
We provide personal and social care to adults. This will eventually include day care, we already provide respite and short stays and long term care to people with physical needs and dementia type illness. We provide person centred care and support for older people with a diverse range of needs. We provide short respite stay, emergency stay, through to full time residential care. We aim to provide sensitive and skilled care in a secure, warm and homely environment respecting our residents individuality, independence and dignity. To us our residents care, well being and comfort are of prime importance. The environment at Castletroy provides its residents with opportunity to enhance their quality of life and reach their full potential physically, socially and emotionally with a holistic approach. Each resident, from the very beginning of their stay at Castletroy is involved in structuring their care plan to their individual needs.
- 8 October 2018
- East of England
- Local Alliances:
- Luton 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?
Castletroy has been a registered provider of residential care for many years and is well known as such within the local community. Our specialist dementia care services commenced in late 2015 with the opening of a small specialist dementia care unit. This was in direct response of demand and requests for dementia care to be provided at Castletroy. This small Unit gave us the opportunity to adjust the environment, train specialist staff and experience supporting people living with dementia to do so well, to have a good quality of life and to feel safe. The great success of this initial service and ongoing increase in demand resulted in further developments and increased during 2016 with around half of the service now providing support and care for people with dementia.
We use a person centred system of assessment and care planning that seeks always to involve the individual in decision making. We take account of the principles of the Mental Capacity Act and are compliant with its requirements. We advocate for service user’s rights relating to decision making and train all our staff in MCA and DoLS ensuring that rights are protected. Conversations are recorded that provide details of the persons wishes and viewpoints. We actively promote personal choice and offer visual choices, signs and symbols, colour coordination, lighting and help from staff, family, friend and professionals to achieve this. When we have to make decisions, because a person has lost the mental capacity to do so (MCA assessment would be undertaken), we would make decisions in their best interests and using the best interest checklist.
Restrictions on individual’s rights would only be used when appropriate, proportionate and lawful. Some residents are being deprived of their liberty and are therefore subject to the Deprivation of Liberty Safeguards. Whilst this maybe the case, we continue to support people to make their own decisions whenever they can and continue to offer choice and opportunity to have an active and satisfying life.
Additionally, we take account of individual’s skills, life history, previous choices and lifestyle etc. We collate this information with the individual, their family, friends and advocates and involve individual’s named advocates in decision making, particularly when the relevant person has lost capacity to make decisions for themselves. Building trusting relationships and valuing people beyond living with dementia is a key to success. We take account of each person’s apparent anxieties and emotions and provide care and support that decreases negative feeling and replaces this with feelings of happiness and safety.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
The cost of providing best practice, person centred dementia care far exceeds the fee level paid by local authorities. Overall, fees have decreased over recent years and care providers are now recognized for going out of business at a high rate. Castletroy needs to provide the best care in the local market to stay competitive and to attract privately paying residents to mitigate the ‘losses’ relating to local authority contracts. We will do this by:
· Building our currently excellent reputation and extending this to our dementia services.
· Letting the local community know that we now provide dementia services and what we provide by: Publishing a brochure, including information on our website, inviting people in to attend Dementia Friend Information Sessions, letting Social Workers and commissioners know of our services.
· Minimizing local authority contracts whenever possible.
· Ensure increased fees levels are negotiated whenever a resident requires additional care.
· Lobby for realistic fees.
Become a Dementia Friends Organisation
· Hold regular Dementia Friend Information Sessions for staff, residents and their family and friends and the local community
· Hold support group sessions for residents who live with dementia and their family
· Take account of the needs of people with dementia when we make decisions, plan activities, developments and on a day to day basis
· Register as a Dementia Friend Organisation and continue to meet stated standards
- Being implemented
Support residents with dementia to live well at Castletroy
· Value each person and provide personalised care that enables the person living with dementia to experience well-being and safety
· Adjust the environment to provide safety, orientation and enjoyment
· Train our staff to understand what it means to live with dementia and to provide effective support to each person
· Promote the principles of the MCA and preserve the rights of people with dementia to make decisions, so long as they can do so.
- Being implemented
Continue to learn about dementia and implement best practice
· Take account of what is best practice as identified by CQC, SCIE, Alzheimer’s Society, Dementia Action Alliance etc. and by other leading experts and Castletroy service users and their family.
· Promote best practice in all we do and learn from experience e.g. identify what works well and what hinders good care.
· Provide ongoing training to our staff, monitor and audit that care is effective, safe and responsive.
- Being implemented
To be a Community Resource for people living with dementia and their families.
· Provide day care, short and respite stays and offer facilities for use by people living in the community with dementia e.g. use our assisted bathrooms, join in support sessions etc.
· Provide care that is adjustable to the individual’s personal needs with 1:1 support being available when needed.
· Build a reputation for providing excellent support to service users, their family and the local community through the facilities and support we offer.
· Invite people in and become known as a dementia care facility of excellence.
- Being implemented