application of the specal appraoch in a home care environment e23
DESCRIPTION
Information about the SPECAL® approach used to promote individualised and consistent care and support for people living with dementia in their own home. Contributed by: The Good Care GroupTRANSCRIPT
Application of the SPECAL approach
in a home care environment
Zoë ElkinsHead of Care – The Good Care
Group
Our Company• Providers of award-winning, high quality home
care services since 2009• Registered in England and Scotland• Employs over 200 people• Founders/management team passionate about
service ethos in care market – make a difference• Extensive board and management team expertise• Over 30 years’ care sector experience• Ambition to be market leading, set the standards,
revitalise industry & professionalise care• Specialist in care of conditions – dementia,
Parkinson’s• Fully compliant service inspected by CQC
Our Vision
To be the leading provider of high quality care in the home that
enables older people to enjoy staying safely and happily in their
own homes and own community for as long as possible, whilst
enhancing their well-being and lifestyle
Our Clients• Older individuals and couples that want a high
quality service• Average age 82 – although serve those in their
50/60’s• Specialist care needs:
• 75% with dementia• 5% with Parkinson’s• 20% mobility/frailty/falls
• 25% are couples• 80% self funders/ 20% PCT funded• Client groups:
• Client receiving care• Daughters – arranging care• Sons – financial/legal aspects
Our Services• Live In Care
• High quality, 24 hour care at home• Flexible from 4-7 days per week• England and Scotland• £850-£1,250 per week – subject to assessment, rota, number
of days• Day Care
• London only• Minimum 7 hours a day, 3 days a week• £15-£20 per day, subject to assessment
• Respite• Give family carers a much-needed break – build on-going
relationship• Sample our quality service • Not a one off service - access our expertise and support
between bookings• £1,200 per week – initial 2 weeks as a minimum, thereafter 3
days• Discounted weekly fee for repeat bookings after total of 4
weeks• England and Scotland
What is Live In Care – how does it work?• Provision of a professional trained carer
who lives in your home • Directly employed or fully managed
service provider vs. introduction agency• Carefully matched carer with client
involvement in choice • Consistent team of two carers• Rota to suit the clients
needs/requirements• Client provides – full board/room• 2 hour daily breaks required - ensure
carers have sufficient rest time
Benefits of Live In Care• Live life the way you choose with
independence• One-to-one, dedicated care – not
achieved in a care home• Consistency and familiarity – critical
for those living with dementia• Maintain lifestyle and interests• Couples can stay together as loving
partners• Cost comparable solution to
residential care• Maintain assets/capital appreciation
Our Difference – Supporting Families & Carers• Support family with decisions – including
financing and funding• Comprehensive matching service –
introductions ahead of service• Fully managed service from Regional Care
Manager – small client portfolio• 24/7 helpline for carers providing out of hours
support• Supporting, coaching and mentoring in
placement to ensure service excellence• Access to internal condition based experts• Family education forums and webinar events
Our Difference – The Best Carers• Carers are employed – not an introduction
agency• Market leading employment packages –
attract talent and longevity of relationship with carer
• Shares in our business• Flexible working and rota patterns – ensure
carer rest time• Industry leading training• Professional development – treated as
professionals• Support in placement and 24/7 helpline• Committed to communication and
engagement• Ambition to be the employer of choice in UK
Our Difference – Training and Development• Carers trained to exceptionally high standard• Pioneering induction programme – 11 modules• 12 weeks e-learning in client placement• Specialist modules for conditions –
dementia/Parkinson’s• Lifestyle training – communication, cookery,
depression, nutrition• Professional Apprenticeship in Health & Social
Care• Advanced training as part of development
plan• Career development opportunities• Pay scales that reward performance
Our Difference – Reputation and Expertise• Shaping government policy on quality, accessibility
and choice in social and dementia care• Independent Advisory Board – experts from charity,
medical and social care• Work closely with leading doctors, PCTs, local
authorities and other professional partners• External expertise into training programme• Recognised as industry leaders in dementia home
care• Award winners – health and social care• Top 45 UK healthcare companies in industry poll• Collaborate with leading dementia and Parkinson’s
charities
Challenges for in home care with people living with dementia • Carer understanding of dementia
from the client’s perspective• Risk management outside of a formal
care settingA solution is required – a sustainable economic and easily transferrable model
Collaborative Working• The Contented Dementia Trust, which
incorporates the SPECAL® method, is a charitable organisation with the aim of promoting sustainable well-being for people with dementia
• The SPECAL® method is underpinned by a particular explanation of memory, ageing and dementia, known as the SPECAL® Photograph Album
© CONTENTED DEMENTIA TRUST
The SPECAL® Photograph Album –a metaphor
© CONTENTED DEMENTIA TRUST
feelings
facts
Normal photograph: facts-plus-feelings
© CONTENTED DEMENTIA TRUST
Normal photograph: facts-plus-feelings
Dementia photograph: a fact-free, feelings only ‘blank’
feelings
feelings
facts
© CONTENTED DEMENTIA TRUST
Normal memory pages Dementia pages
stage 1 (pre-diagnostic)
© CONTENTED DEMENTIA TRUST
Normal memory pages Dementia pages
stage 2
© CONTENTED DEMENTIA TRUST
Normal memory pages Dementia pages stage 3
© CONTENTED DEMENTIA TRUST
The person with dementia has not lost their reason, only their recent facts. They will, very reasonably, turn back to much older pages in their album, before dementia, to provide a context to what is currently happening in their life today. We need to listen and learn from them.
© CONTENTED DEMENTIA TRUST
SPECAL’s three Golden Rules• Don’t ask direct questions• Listen to the expert – the person with
dementia - the questions they ask us are highly significant
• Don’t contradict
© CONTENTED DEMENTIA TRUST
Collaborative Case Study
• Mike was 88 and living with Alzheimer’s disease when his wife Angie approached TGCG
• Would not leave wife for even a few seconds
• Paranoia, delusions – accusations of abuse
• Aggression and fearfulness• Refusal to accept help or medication
Personalised application of SPECAL’s three Golden Rules• Using old ‘photographs’ to provide
factual information missing on today’s ‘page’ – bridging the gap between present and past
• Rugby as a theme for promoting well-being
• Finding acceptable explanations and answers to Mike’s questions
Our Results • Mike held in a contented state using
continuously recycled acceptable experiences
• Wife able to leave house for hours or days at a time – improvement in her quality of life
• Carer able to give Mike medication and support him as required
• Elimination of antipsychotic medication
Questions?• [email protected]• www.thegoodcaregroup.com
More information on the SPECAL approach?
• www.contenteddementiatrust.org• ‘Contented Dementia’ by Oliver James