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dementia

Make Your Care Home More Dementia Friendly

It is such an important goal for all care homes and care facilities to ensure they enhance and, where possible, improve the quality of life for the residents with dementia. The Kingsfund assessment tool enables Care Homes to do this. It contains seven different sections looking at different aspects of the physical environment and a set of questions for each section. It encourages everyone to become involved in assessing how dementia friendly their care facility is.

Kingsfund Tool

Click here to download the Kingsfund Tool.

This tool was brought to my attention by an independent sector development officer. He talked of the merits of taking a good hard look at your Care Home from the perspective of the person with dementia and he recommended this tool.

It is a real beneficial and practical help to the manager and staff, because it helps to evidence improvements and developments in a Care Home or care service.

We changed many things as a result of using the assessment tool. Some  changes were very small, but overall these changes improved the level of how dementia friendly our Care Home was, and is today.

Each section prompted analysis and improvement. Simple things such as looking how inviting the entrance was, how obvious was the location of the doorbell, and how easy was it to use. This of course not only helps residents with dementia, but also those with diminished sight. The tool re-enforced the importance of group seating to encourage conversation and interaction between residents.

The names plates on bedroom doors were doubled in size to make them more obvious to the resident. We created new signage for the public areas of the Care Home, again making it far more noticeable than previously, but this also included a lot more additional signage to help direct residents around the Care Home.

The garden area was developed to add raised flower beds to give residents the opportunity to enjoy gardening without bending if they did not want to do that. Garden areas were also secured to give residents complete freedom to be outdoors whilst at the same time ensuring their security.

The residents, relatives, staff, management, and other healthcare professionals were involved in the assessment and the residents were consulted and involved in the decision making process. Everyone has learned from and enjoyed the whole experience.

The changes which can be made are in many cases, small and inexpensive, and relatively easy to make. Collectively they help the residents to maintain their independence and enhance their quality of life.

“Inadequate” dementia care home ordered to improve by CQC

A CARE home in Poole for dementia sufferers has been deemed “inadequate” after one nurse was left to look after 23 residents.

Delph House, based on Upper Golf Links Road in Broadstone, has been told it is “not safe”, “not effective”, “not responsive” and “not well led” in a Care Quality Commission report published on July 29.

Among the “serious shortfalls” identified by inspectors, who visited unannounced in May, were concerns over the staff’s “skills and ability to provide safe care”.

Inspectors, who identified 11 areas where the home failed to meet legal requirements, said despite there being a sufficient number of carers to meet basic personal needs there was only one nurse on duty for 23 people with nursing needs.

The Royal College of Nursing recommends that one nurse per six patients be present during daytime hours.

Inspectors raised concerns about a resident who had lost the top set of their teeth. They said no action had been taken to refer them to a dentist. The report said: “The lack of a top set of dentures had not been considered a contributing factor to this person’s lack of nutritional intake and subsequent weight loss.”

Another resident left “upset and agitated because of pain” was given sedatives instead of the painkillers they had been prescribed, the report said.

The inspectors said care plans included “contradictory information”, singling out an inaccurate assessment of a resident’s skin the night before their visit. The report said: “We saw the person’s skin was dry, their skin was very thin and they had a dressing on their left arm from a skin tear…. The care plan review stated the person’s skin was intact.”

The report said “people were being deprived of their liberty without lawful authority”, that residents’ “nutritional and hydration needs were not being met” and there were “shortfalls in operating an effective complaints system”.

Inspectors described how they were contacted by a concerned relative prior to their visit who went on to complain directly to the home. Despite the manager acknowledging this complaint had been lodged, no record of it had been made.

Inspectors found ripped and stained chairs used by the residents, medicines being stored in communal cupboards and found controlled drugs had gone missing.

The following day the report said the home was able to demonstrate this was an administrative error and that the drugs had not gone missing.

The CQC has served the home with a warning notice to comply with regulations by August 14.

At the time of the inspection the registered manager was listed as Janice Jenkins and the responsible individual as Jacqueline Lesley Haigh.

When the Daily Echo phoned the home for comment, we were told Janice Jenkins has left and that Delph House is now under new management.

Source The Daily Echo