Birmingham Dementia Services Scrutiny Inquiry 23 rd July 2014 Angela Bradford Shirley Hall Michael Spellman

Transcription

1 Birmingham Dementia Services Scrutiny Inquiry 23 rd July 2014 Angela Bradford Shirley Hall Michael Spellman

2 The Enriched Opportunities Programme The Enriched Opportunities Programme (EOP) was developed by The ExtraCare Charitable Trust to support residents experiencing dementia to live independent, healthy, and active lifestyles. + = The service began as a research project with the University of Bradford which involved: A 2 year cluster randomised controlled trial of a new approach to living with dementia and other mental health issues in ExtraCare Development of a specialist staff role the Locksmith who unpicks impairments and unlocks a persons potential.

3 EOP Research Outcomes Residents supported by a Locksmith were 50% less likely to move out of ExtraCare into a care home Spending less time in hospital as an in-patient More likely to have their mental health condition diagnosed Had improved access to Health services Residents also Rated their quality of life more positively Experienced decreased symptoms of depression Experienced greater feelings of social support and inclusion (As detailed in the 2009 Bradford dementia group report, available on the ExtraCare website)

4 The Enriched Model of Dementia Care The programme is based on Tom Kitwood s Enriched Model of Dementia Care. Developed from person centred psychotherapy it is a caring and effective way to establish a person s unique experience of their condition. D = NI + H + B + P + SP Neurological impairment Health Biography Personality Social Psychology Helps to understand and connect the dots in a maze of misunderstanding. Its holistic, and reduces the failure to listen which can lead to a person being labelled as challenging.

5 EOP in practice It s the difference between seeing Dementia A Person with or APerson with Dementia

6 The Gardener The Uncle The Brother The Student The Baker The Sports Person The Film Lover

7 EOP in practice The EOP achieves this through five major elements working together: Specialist Expertise The right Locksmith found through unique recruitment A senior role, influencing and teaching everyone to think person centred Skilled empathic communicators that create therapeutic relationships Individual Assessment and case work One to one quality time with residents, understanding their individual experience of dementia or other mental health condition Development of an Enriched Profile & Resident Story Use knowledge to improve the way we care and support

8 EOP in practice Activity and Occupation Understanding a person leads to activity that is meaningful Create opportunities to learn new skills and retain abilities Staff Training Specific Locksmith Training through the University of Worcester Locksmith CPD creating a Locksmith Curriculum All staff training mental health awareness and understanding of the EOP Management and Leadership Requires Scheme / Village Managers full participation Organisational support, EOP Services Coordinator Requires an enabling Policy, with commitment to quality and improvement

9 The Enriched Opportunities Programme today Over 900 residents in ExtraCare live with a mental health condition Over 390 experience dementia 66% have been supported by their Locksmith to receive a dementia diagnosis. The average hospital stay for a resident receiving Locksmith support is 11 days The Enriched Opportunities Programme is a big part of achieving our vision to create

10 Birmingham

11 Birmingham The EOP currently supports 157 residents in Birmingham 29% have a diagnosis of dementia 42% have a diagnosis of depression 29% receive Locksmith support for other EOP needs e.g. Risk of social isolation or other mental health condition.

12 Birmingham next steps Dementia friendly communities Intergenerational work - schools Memory assessment clinic Pannel Croft Working with other organisations Prevention (well-being), early identification the EOP model Helping to keep residents at home Partnership working

13 Outweigh the challenge The Dementia Challenge: 800,000 people with dementia in the UK 23 billion cost per year to the NHS Many people feel they are not living well with dementia Many people feel a loss of choice and control Hopeful and Positive: Better care & approaches Better lives Supporting health services More! Alzheimer's Society Dementia 2012 Report

14 Contributing factors to the experience of dementia Dementia Drugs & Alcohol Other MH conditions Depression Physical Health Each of these can affect the experience of dementia Learning disabilities

15 Unpicking issues and Unlocking potential Why? is normally the starting point The role of the Locksmith is to use their knowledge to unpick the mystery, and provide an answer. Understand a person s weaknesses but focus on their strengths to achieve living well with dementia

16 Living well with dementia for longer Development of Dementia Higher independence Reduced reliance on care Good quality of life EOP and external service intervention Risks to independence Increased care needs Risks to quality of life End of life