Cambridgeshire Training, Education and Development Older People (CAMTED-OP)

Cambridgeshire and Peterborough NHS Foundation Trust n Cambridgeshire Training, Education and Development Older People (CAMTED-OP) Dementia training for care homes 2017-18

Our approach CAMTED-OP aims to offer high-quality, interactive and enjoyable training that enables learners to make a real difference to the quality of care provided to people with dementia. We believe that dementia care training and practice development should encourage discussion, reflection and sharing of ideas. Our experience suggests that there are many budding person-centred carers waiting to be encouraged and developed, and who could go on to be instrumental in bringing about changes in care. Our training draws strongly on the principles of the person-centred dementia care approach and is designed using the best available evidence, practice guidance and our own clinical experience. The practice development work is hands-on and practically focussed. The team is instrumental in directing the focus of these sessions. The leadership training encourages and supports staff to go back into their care environment and take a proactive role in supporting their colleagues to bring about change in care practice. We enable teams and individuals to make the transition from training to practising high-quality dementia care. The CAMTED-OP team Our trainers are all qualified health and social care professionals with years of directly relevant knowledge and clinical experience. We regularly collaborate with multi-disciplinary colleagues in the design and delivery of training. What you can expect from us We are a highly professional training team that aims to provide a flexible and responsive service according to providers needs. The team is happy to discuss your training requirements either face to face or by telephone, and will subsequently offer training recommendations that are both relevant to you and in keeping with local and national guidance. This prospectus sets out a range of training opportunities available in house or through centralised locations. All participants will receive access to full session handouts and a certificate of attendance. What we expect from you We expect a commitment to regular attendance, support of the learning process and support for the application of learning into clinical practice. Learning agreements may be developed. An excellent session for those new to dementia care. By far the best dementia course I have attended in 16 years. 2

Contents Dementia training for care homes One-day Person-Centred Dementia Care training... Three-day Champions for Change in Dementia Care course... Practice developments... Behaviours that Challenge Communication End of Life Enriched Care Planning Improving the Environment for People with Dementia Mealtimes Meaningful Activity Self Audit... Dementia Care Mapping... 1.1 1.2 1.3 1.4 1.5 Brilliant course and trainer. I have gained so much knowledge and thoroughly enjoyed it 3

Section 1 Dementia training for care homes Our dementia training for care homes provides a flexible approach to training options, allowing homes to engage at a level that suits the needs of their staff. We initially offer a one-day Person-Centred Dementia Care training. For individual staff members wishing to then develop leadership skills in dementia care we offer an external three-day Champions for Change in Dementia Care course. This is delivered over three months and incorporates a small-scale project to be carried out within the home. We also offer a range of practice developments for groups of staff who are keen to bring about change in particular areas of dementia care. CAMTED-OP Dementia Training Model Access to training is via the one-day Person-Centred Dementia Care training or the five core sessions that CAMTED-OP offered previously One-day Person-Centred Dementia Care What is dementia? The brain Disabilities Introduction to person-centred approaches VIPS Introduction to communication Introduction to meaningful activity Three-day Champions for Change in Dementia Care Day one Understanding ill-being Leading and creating change Part 1 Day two Creating and sustaining well-being Day three Making a difference Leading and creating change Part 2 Individual Practice Development project Follow-up support Group or one-to-one Observations Group work Sharing experiences Signposting to practice development and enhanced training Practice developments Mealtimes Meaningful activity End of life Enhanced care planning Environments Behaviours that challenge Communication For a basic introduction to dementia, please consider becoming a Dementia Friend. This level of training can be accessed by members of the public and is provided by the Alzheimer s Society. www.dementiafriends.org.uk 4

1.1 One-day Person-Centred Dementia Care Training Our one-day Person-Centred Dementia Care training is delivered within your care home. The session lasts six hours and can be arranged at your convenience, subject to availability. The training relies on you providing an appropriate room within your care home. The maximum number of attendees will depend on the room size, but we require a minimum of six. Smaller homes may wish to collaborate with other homes to form a group of staff for training. Managers the one-day training will raise your staff team s awareness of dementia using a recognised model (VIPS). It will support your staff team s development in keeping with standards 3 and 7 of the common induction standards related to the provision of high-quality dementia care (Skills for Care 2010). At the end of the day your staff team will have better awareness of dementia and its impact on your residents. Participants should have sufficient knowledge and skills to work confidently with people living with dementia. This in-house method of training ensures that staff members who work together also learn together. Who might benefit? All care staff would benefit from this introductory session. No prior knowledge of dementia is required. The one-day training can be used as a refresher for staff who have completed the five core session training that CAMTED-OP ran previously. If staff need refresher sessions on the one-day training, then this could be arranged at request; please contact CAMTED-OP to discuss. Contents The training will raise awareness of the different types of dementia, their typical presentation and explore some of the disabilities caused by dementia. We will introduce a model of person-centred care and encourage staff to consider the perspectives of their residents who live with dementia. The training will examine some of the common presentations of challenging behaviour, considering the physical damage caused by dementia, and the impact of impaired communication and lack of activity. We will explore responses to common communication difficulties and consider the emotional significance of helping individuals to engage in activities that are meaningful to them. To book Please contact CAMTED-OP on T 01223 219666 E camted-op1@cpft.nhs.uk There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding. Next steps Attendees may wish to go on to attend the three-day Champions for Change in Dementia Care course (section 1.2) or engage in a practice development project (section 1.3) with the support of the multi-disciplinary CAMTED-OP team. This may include a self audit (section 1.4) or Dementia Care Mapping exercise (section 1.5). The training session was very useful and exciting I think every aspect of the day and training are very helpful and will improve our care for residents, colleagues and relatives 5

1.2 Three-day Champions for Change in Dementia Care course The aim of the three-day training is to drive quality changes in dementia care from within the care homes. We invite interested and enthusiastic members of staff to come out of the care homes to engage in this leadership development course. You may identify a single member of your staff team or a small group, depending on the size of your home. If you have a larger number of staff we may be able to deliver this training in-house. Please discuss this option with the CAMTED-OP team. The training will be held at an external venue for three full days over three months. The training sessions will be arranged across the Cambridgeshire and Peterborough localities. Staff members will be expected to undertake and feed back on a small-scale development project during this three month period. Who might benefit? Members of staff who attend this training will need to have already undertaken the one-day introductory training session within your home (section 1.1) or have attended a similar level of training. We are offering this more advanced training for staff members who have a particular interest in or aptitude for dementia care and who have been identified as potential leaders. The members of staff will need to be able to undertake an independent piece of work and be allowed time to carry out the project within the care home. Support from CAMTED-OP will be available if required. Contents The taught component of the course expands on the introductory session, focussing on the key areas of understanding ill-being and creating and sustaining well-being. The training will equip staff members with the skills to engage in practice development, which will enable them to take their learning forward and bring about quality changes within their own care home environments. To book Please contact CAMTED-OP on T 01223 219666 E camted-op1@cpft.nhs.uk There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding. Next steps Attendees may wish to go on to engage in a full practice development project within their home, with the support of the multi-disciplinary CAMTED-OP team (section 1.3). Further development may include a self audit (section 1.4) or Dementia Care Mapping exercise (section 1.5). Loved it! Today was fun and I learnt lots of things 6

Thank you very much. This training has been extremely useful and enjoyable 7

1.3 Practice Developments Our practice development sessions involve a member of the CAMTED-OP team working more closely with a nominated group of staff. Sessions are bespoke and can be held within a care home or across a number of homes, depending on the type of input required. Some may involve the undertaking of a project to implement change within the care home. The practice development sessions all assume a basic understanding of dementia and its associated disabilities. Behaviours that Challenge Behaviours that challenge, such as agitation or verbal and physical aggression, are common in dementia and often cause great distress for both residents and staff. The aim of this intervention will be to help staff increase their ability to understand and develop strategies to manage challenging behaviour. There will be particular emphasis on the connection between behaviours that challenge and unmet needs. Communication Communication difficulties such as reduced understanding and impaired verbal output are commonly experienced by people with dementia. The aim of this intervention is to help staff increase their awareness of such difficulties and develop strategies to support communication within the home. End of Life The aim of this practice development is for staff members to confidently discuss how the progression of dementia relates to the identification of individuals approaching end of life. Advanced care planning is a key element of support and participants will be able to consider the issues surrounding this process for people with dementia. The use of appropriate tools and strategies to support individuals within the care home will be explored. Enriched Care Planning Enriched care planning emphasises the importance of an individualised and inclusive approach to dementia care. This practice development will help equip staff with skills needed to identify the needs of an individual and how to document clear and specific person-centred interventions. Improving the Environment for People with Dementia This practice development is based on the King s Fund Enhancing the Healing Environment (EHE) Environmental Assessment Tool and helps you identify how to improve the environment for people with dementia. Mealtimes This practice development will help you look at the mealtime environment within your care home. We aim for staff members to identify particular mealtime adaptations that can be made for residents who have dementia. This intervention will support homes to place mealtimes central to the day and use them as a way of maximising resident involvement and choice. This practice development operates most successfully when members of staff from the catering service are part of the group. Meaningful Activity People with dementia may lack the opportunity to engage in meaningful activity. This can lead to poor outcomes for the individual and may contribute to behaviours that challenge. This practice development aims to support staff in engaging residents who do not respond well to existing activities and tasks provided within the care home. It will enhance carers existing skills in providing a safe and stimulating environment for people with dementia. It will also provide care staff with the opportunity to develop an understanding of the benefits of multi-sensory and reminiscence work with people with dementia. To book Please contact CAMTED-OP on T 01223 219666 E camted-op1@cpft.nhs.uk There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding. Very interactive and engaging. Really enjoyed the activities and they taught me a lot 8

1.4 Self Audit A self-audit tool may help managers to think about the care provided for residents who have dementia. The aim is not to focus on weaknesses but identify areas of strength and targets for practice development. There are a number of self-assessment tools that can be used, the majority of them use the VIPS framework developed by Dawn Brooker and outlined in her book Person-Centred Dementia Care: Making Services Better (2007). This is the same model underpinning all of CAMTED-OP s dementia training. The VIPS definition of person-centred care encompasses four major elements: V a value base that asserts the absolute value of all human lives regardless of age and cognitive ability I an individualised approach, recognising uniqueness P understanding the world from the perspective of the person with dementia S providing a social environment that supports psychological needs Assessment tools are designed to be completed by care home managers and may be used to provide evidence for annual contract compliance requirements or external quality assurance assessment. The CAMTED-OP team is offering support to homes who wish to carry out self audit and use it to identify areas for training and development. It can be linked directly to our practice development workshops and helps provide a context for the training being delivered to the staff team. It provides an ideal opportunity for staff members who have undertaken the Champions for Change in Dementia Care course to expand their leadership role, working alongside their peers and care home management. To discuss how self audit could be beneficial within your environment please contact CAMTED-OP on: T 01223 219666 E camted-op1@cpft.nhs.uk There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding. Simple but effective exercises that really prompted reflection. I enjoyed how I felt after training, going to unit and understanding things better 9

1.5 Dementia Care Mapping Some CAMTED-OP team members are trained and skilled in the use of Dementia Care Mapping (DCM). DCM is an observational tool that looks at the care of people with dementia from the viewpoint of the person with dementia. These results can assist with the development of person-centred care and is built on the belief that the social world that surrounds the person can have a positive or negative effect on well-being. DCM can help us to understand this world more clearly and assist us to develop care that is person-centred. Well-being in dementia is viewed as a complex interaction of a person s neurological state, their physical health, their personality, social world and background. DCM helps us to understand and learn more about these and helps us to plan our care more. DCM can be used in a number of ways: 1 2 3 4 5 Assessment Development of care by repeated cycles of mapping Identification of training needs and staff development Quality assurance Research DCM is an observational tool that is only used in public areas of care environments. It usually involves one or two trained mappers sitting in areas such as a lounge or dining area and observing what happens to people with dementia over the course of a typical day. At the end of a period of observation the results are analysed and fed back to the care team so that care can be developed. To discuss how Dementia Care Mapping could be beneficial within your environment please contact CAMTED-OP on: T 01223 219666 E camted-op1@cpft.nhs.uk There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding. The whole session was informative and helped consolidate my learning. Our trainer held the group's attention brilliantly, very easy to listen to and I found the method of training very, very good 10

This has been one of the most interesting courses I have attended 11

Cambridgeshire and Peterborough NHS Foundation Trust HQ Elizabeth House, Fulbourn Hospital Cambridge CB21 5EF T 01223 219400 F 01480 398501 www.cpft.nhs.uk