Chatsworth residential home
We are a residential home who assist 26 residents with Dementia all at various different levels as well as having different types of Dementia combined with many other ailments. Our home aims to be a home and not an institution, we like people to enjoy our relaxed atmosphere and feel welcome, this enables people to feel more confident and empowered to ask for help, advice and assistance. We strive to provide a high quality of care based around our current residents needs and wants. we are a diverse company who continuously look into new ways of improving our service and try to keep up to date with new technology that can help to improve our residents quality of life. We listen to our residents wants and needs and base their individual care plans around this as well as involving their friends and relatives where possible.
- 17 February 2017
- South West
- Local Alliances:
- Plymouth 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?
We believe that our role here at Chatsworth is to enable people with Dementia to live their lives as they wish, to live up to their expectations, wants and needs.
We are there to support and adapt to their ever changing care needs and to promote privacy, dignity and choice.
Listening is a big part of our role, not just to the resident but also to their friends and families as their input helps us work together to promote good positive, more confident attitude, enabling someone to not be afraid to ask for something or to have an opinion.
We encourage, source and arrange good training which promotes our staff to work safely and effectively as well as improving their own self worth, we like them to feel valued, as when they are positive this reflects on the residents.
We listen to new ideas whether that be via staff, residents or media and look into what would benefit the residents at that time.
We believe the word NO has no use in our home. There is always a way, it sometimes helps to look at it from a different angle.
Our residents come first.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
1* The challenges to delivering the outcomes vary---it could simply be a case of building trust from new residents and families and showing then that their opinion counts and will be respected---this just takes a bit of time to do as people have a perception about care homes which is very negative.
2* Another challenge is costs i.e funding does not match the expectations on homes to deliver top quality care. Training is essential but eats up a good amount of the budget.
3* Also getting people to realise that Dementia is not taboo subject and not to frown upon what someone is doing or saying or to be embarrassed by it, which a lot of friends and families and the general public are.
4* TIME--- as residents have more problems when they come into a care home now a days .
1* we would build trust by getting to know the residents and their families asap and getting them involved in what they want to do. 2* We are constantly budgeting and looking for cheaper alternatives without compromising on quality. 3*We try to help by
Action title, action description.
1* we would get to know the resident and their families, asking them questions about what assistance they would like, what they normally do, if they like to go out. We would encourage families and friends to continue to visit regularly like they did when they were at home and we would make it inviting to them i.e offer trays of drinks and biscuits. We would also make sure that any questions get answered as there is nothing more frustrating than asking something about a loved one and being told they do not know the answer by the carer. It is important to let residents and families know that we appreciate any input into their care plan and changing needs.
2* resourcing training providers without compromising the quality of training but trying to remain within a respectable budget. Some training is free but not very much. If we did online training then that would be much cheaper but is not reliable enough and staff cannot ask questions, they absorb more if there is someone in front of them that they can converse with.
3* We frequently get families and friends saying their mum said this or said that and they tried to tell them that is not so but their mum became agitated, or they get frustrated when their mum/dad repeat themselves. We explain to families that what they are saying is real to them and to go along with it. We explain about distraction techniques when people become distressed. We try to get across that people with dementia do become repetitive but to them it is the first time they have asked and so should be answered like it is the first time they have heard it. We encourage people to relax and not to get embarrassed by anything they say or do because if that person knew what they were doing they would be mortified---but most importantly we let them know and see for themselves that they are not alone and we are there to help. When they see other residents doing things or saying things they don’t feel so bad. Of course this all takes time.
4* it is really hard to say that we cannot accept someone that we have assessed, but we have to be realistic. If we spread ourselves too thin then people and standards are going to be neglected. When we assess people we take into account what other residents we have at that time and how we could manage someone with more health/mobility needs. Sometimes it is fine and other times we might have 2 or 3 people at EOL which would mean the staff would be too overstretched. It is not just about filling a bed it is about considering everybody in the home whether working, living or visiting. It is important that we get all relevant information from the service that we are assessing the resident from i.e hospital or other care home, in order to make an accurate assessment to ensur ethat we able to meet their needs.