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A NewA New

Approach toApproach to

DementiaDementia

CareCarein Hospitalsin Hospitals

Phil PordesPrivacy & Dignity Matron

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The way it was

o Good care wasinconsistent acrosswards and departments

o

No identified seniorclinician to lead onquality improvement

o Environment notconducive to those withcognitive impairment

oTraining and educationfor staff was limited

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The Dementia CarePathway Group

The creation of a pathway

Training and education Leadership

The environment

Patient and carerengagement

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KEY

Involve patients, carers, family and

friends in the care planningprocess from admission

ACHIEVEMENTS

Care Pathway / Guidelines

Electronic dementia care pathway in the form ofuser-friendly guidelines and prompts

Guidance taken from NICE, the NationalDementia Strategy, lessons learned throughcomplaints, and local and national best practice

Pathway covers:

Their first 24 hours in hospitalTheir in-patient stay

Discharge planning

Recommendations 3 & 7

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Training and Education

Respectcourse

Customer care training programme

Study days

Links to Cheshire East

Links to Cheshire Hospice Education

Learning and development

Job swap!

Recommendation 5

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Leadership

Clinical lead identified

Close relationship with liaison

psychiatry

Executive support

Financial investment

Recommendations 3 & 5

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Environment 1

Coloured doors I always look for the colour when I

come back from the toilet.Patient B with no cognitive impairment

Signage Patient A with dementia reported not

being able to find the toilet before thesignage was installed, resulting infrequent incontinence which has nowresolved as she is able to find her ownway to the toilet and return to her

bedside Nurse A reported that less time is spent

directing visitors within the ward

Recommendation 6

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Environment 2

Communication friendly menus

Memory aids

Activity Lounge Increased privacy,dignity and autonomy reported by

patientsand visitors/families

Recommendation 6

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Patient and CarerEngagement

Complaints feedback / meetings

Patient carer representation

Outside links

Recommendation 7

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OTHER ACHIEVEMENTSOTHER ACHIEVEMENTS

NutritionNutrition

Nutritional guidelines

Protected mealtimes Red Plate scheme

Volunteer feeders

Relative involvement

Recommendations 8 & 9

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Staff Awareness

OPERA magazine

Privacy and Dignity roadshows

Audit (Essence of Care, DignityChallenge)

Dementia tea party

Privacy and Dignity policy

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What next?

To meet future challenges

Be innovative

Build upon what we have achieved sofar

Share best practice

East Cheshire

signage to be used by NWSHA atconference in Bolton in December

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Thank you

for listening.

Questions?