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The Garth Nursing and Residential Home

1. We wish to achieve a care service that always promotes a way of life for service users which permits them, to enjoy, to the greatest possible extent, their rights as individual human beings. We aim to provide nursing, personal care and support in ways that have positive outcomes for service users and promote their active participation. 2. We will respect a service users’ right to privacy and will always act in accordance with the fact that care and support workers support individualisation 3. We will focus on service users’ dignity by recognising the intrinsic value of people as individuals and the specific nature of each person’s particular needs. We will respect service users’ individual characteristics, addressing them and introducing them to others in their preferred style, responding to specific cultural demands and requirements. We will aim to maintain relationships which are warm and trusting to the relationship of worker to service user, enabling choice and focus on outcomes 4. We are wholeheartedly committed to providing total quality services by continuous improvement and assurance in the level of care we offer. We have achieved the Gold Standards Framework Award for End of Life Care and continue to work and uphold this accreditation. Our staff are trained to communicate effectively, in providing person centred care, and support. Our staff will value the importance of equality, diversity and inclusion whilst embracing how the duty of care contributes to safe practice 5. We aim to provide for each service user a package of care that contributes to his or her overall personal, health and wellbeing. We will work in partnership with other services and professionals to help to maximise each service user’s independence and to promote and encourage the service user’s participation in the community. 6. We ensure that a potential service user’s needs and preferences are thoroughly assessed. We aim to provide care that meets the assessed needs of each service user, that are reassessed as frequently as necessary, and that the care and support provided has the flexibility to respond to changing needs or requirements. 7. To ensure that we are fit for our purpose we will commit to self-assessment and quality assurance by examining our operations to ensure that we are successfully achieving our stated aims and purposes. We welcome feedback from our service users, their relatives /friends/advocates and professionals. 8. We will provide support to the individual throughout their dementia journey. We will see the person experiencing dementia first and foremost as an individual and secondly as someone experiencing a diagnosis of dementia We will be working within the NICE guidelines 2011 and will ensure that the care is ‘person centred’ focusing on the needs and preferences of the individual which is an essential element in the provision of high quality dementia care .We will build a care plan looking at strengths rather than weaknesses, encompassing the life history and storybook about the person. Such care, values people and is inclusive of the family and friends whom we will also support. We recognise, support and endeavour to understand the world from the perspective and experiences of the uniqueness of the individual, demonstrating this through actions and support. We ensure that all staff have specialist dementia care training so that they gain appropriate knowledge, skills and attitudes.

Updated:
17 June 2019
Location:
West Midlands
Sectors:
Care
Local Alliances:
Herefordshire 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 have over recent months commenced a dementia working group here, which meets monthly and we are joined by the dementia CNS who supports our meetings; we have bench marked where we are and the ultimate aim is to improve quality of life for those residents who live with dementia; This includes reviewing our environment to ensure it is dementia friendly - signage/colours utilised etc. We are also trying to shift the culture of care from that of doing to to one of being with.

We have  also had a dementia friends session delivered here with another scheduled for this month - this was well attended and well received by staff, residents and families; A  selection of staff will enroll to become become dementia champion's extending their knowledge /the message outside into the wider community of Kington;

We will use our website to promote awareness of dementia and signposting where to go locally for more information and support;

We will actively promote dementia awareness, i.e. we have tweaked the this is me dementia document and called it hello this is me, all residents/families complete this and is a fundamental part of individualised care planning with residents/staff; We will support and promote dementia awareness week.

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

Changing the culture society and also within care to those clients living with dementia;

Improving everyone's knowledge and skills and ensuring residents strengths who live with dementia is the focus as opposed to skill's lost etc. (negativity)

2. Actions

  • Dementia working group within the Garth Nursing Home

    Continue to meet monthly with dementia CNS supporting us;

    Having completed the bench marking (where we are now) in May and June it will be interesting to evaluate where we are at after 12 months - May 19;

    Continue to look at ways we can improve the quality of life for those residents and their families who live with dementia;

    Review - activities/environment/care planning/support/dining experience and support - whole team approach;

    Continue to work on supporting the change of culture form doing too; too being with - a significant change.

    Status:

    2018 - Fourth Quarter Update

    New member

  • Work to improve dementia awareness

    Actively promote dementia awareness, i.e. we have tweaked the 'this is me' dementia document and called it 'hello this is me', all residents/families complete this and is a fundamental part of individualised care planning with residents/staff; this is shared with the whole team so we can really try to understand the individual and what is important to them.

    We will support and promote dementia awareness week;

    We will use our website to promote awareness of dementia and signposting where to go locally for more information and support.

    Status:
    Implementation

    2019 - Second Quarter Update

    Dementia nurse continues to support these groups, we continue to meet monthly and reflect on the last month what has gone well but also what could have gone better and how we can improve/develop practice/interactions etc.
  • Dementia Friends/Champions

    We have had one Dementia Friends session delivered here with another scheduled for this month - this was well attended and well received by staff, residents and families;

    A  selection of staff will enroll to become Dementia Friends Champion's extending their knowledge /the message outside into the wider community of Kington.

    Status:
    Being implemented

    2018 - Fourth Quarter Update

    New member

    We now have more staff and residents families who have attended a dementia friends session, all really enjoyed the session and gained much learning.
  • Support change of culture from doing to to being with

    Support staff to learn to be with residents as oppossed to doing to;Encourge and allocate dedicated activities time for the care team to supoprt them to devlop their skills and increase job satisfaction;Improve resident expereinece increasing persual of hobbies/interests and imoprove quality of life

    Status:
    Implementation

    2019 - Second Quarter Update

    This action continues and works well with other initiatives such as heart of care where we have devloped core values of 

    'Us'

    Openess/Inclusion/I am/belonging and United

    Each of these is being discussed/explored within the team inclusinf residents/staff and familiy members.