Transforming the Quality of Dementia Care The National Dementia Strategy and Implementation Plan - PowerPoint PPT Presentation

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Transforming the Quality of Dementia Care The National Dementia Strategy and Implementation Plan

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Jenny Owen. Co-chair, National Dementia Strategy Working Group ... To develop a national dementia strategy and implementation plan by autumn 2008 ... – PowerPoint PPT presentation

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Title: Transforming the Quality of Dementia Care The National Dementia Strategy and Implementation Plan


1
Transforming the Quality of Dementia Care The
National Dementia Strategy and Implementation Plan
  • Jenny Owen
  • Co-chair, National Dementia Strategy Working
    Group
  • Executive Director, Adults Health and Community
    Wellbeing, Essex County Council

2
Policy Commitment
  • To develop a national dementia strategy and
    implementation plan by autumn 2008 with the
    following themes
  • Improving awareness
  • Early diagnosis and intervention
  • Improving the quality of care for people with
    dementia from diagnosis
  • General hospital care
  • Care homes
  • Intermediate care
  • Care in peoples own homes

3
Who is the Strategy for?
  • People with dementia
  • Carers
  • Commissioners
  • Providers
  • Local authority corporate functions
  • Acute health trusts
  • Regulation and inspection bodies
  • Workforce and skills training bodies

4
Theme 3 - High quality care and support (1)
  • Improved quality of care in general hospitals
  • Improved home care for people with dementia
  • Improved short breaks for people with dementia
    and their family carers
  • A joint commissioning strategy

5
Theme 3 - High quality care and support (2)
  • 5. Intermediate care for people with dementia
  • 6. Improved dementia care in care homes
  • 7. Improved registration and inspection of care
    homes

6
Quality Issues in Care Homes
  • 244,000 people with dementia living in care homes
  • ? of all people in care homes have dementia
  • CSCI report confirms excellent care is not
    universal
  • Alzheimers Society Home from Home report
    found
  • - 54 carers said relatives did not have enough
    to do
  • - Lack of activities and occupation (2 minutes
    interaction over 6 hours)
  • - Failure to treat people with courtesy and
    respect
  • - Not enough involvement of friends and families
    in
  • care homes
  • - Not enough support from specialist services

7
What Works (care homes)
  • Staff team with right skills and motivation
  • Trained staff with management support
  • Good older peoples mental health liaison
    services
  • System for sharing good practice
  • Good person centred care plans, focusing on
    abilities and preferences for care
  • Positive communication and higher levels of
    engagement leads to people feeling happy and
    relaxed
  • Effective leadership and senior staff as role
    models
  • Ethos and culture of the home.

8
Implementing Dementia Strategy
9
National Implementation Plan
  • National Implementation Team producing core
    support and materials, running workshops and
    conferences. Aimed at commissioners, care
    managers and residential care staff.
  • Regional support teams diagnostic advice and
    improvement support in 6 localities per region
    per year. Also regional learning sets and
    buddying.
  • Demonstrator sites on dementia advisors and peer
    support. Expressions of interest now.

10
Specific to Residential Care Homes
  • Working with NCF, ECCA, etc to secure leadership
    support
  • Examples of good practice on dhcarenetworks /
    dementia web pages
  • Working with Skills for Care to develop
    competencies on dementia and a common approach to
    core and basic training for staff.
  • Developing lets respect toolkit for use in
    residential care
  • Regional networks of home managers to share
    knowledge and skills
  • Working with CQC to develop themed inspections.

11
Eastern Region Implementation Support
  • Essex and Luton Early adopter sites.
    Benchmarking and mapping current dementia
    services (gap analysis)
  • Supporting family carers through training and
    awareness
  • Expanding use of individual budgets for people
    with dementia (more choice and control)
  • Project with Tunstall on use of Telecare to
    support people with dementia
  • Commissioning a training strategy
  • Support SCIE projects in independent sector
    residential care.
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