Cambridgeshire and PeterboroughNHS Foundation Trust

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Cambridgeshire Training, Education andDevelopment – Older People (CAMTED-OP)

Dementia training for care homes2017-18

Our approach

CAMTED-OP aims to offer high-quality, interactive and enjoyable training that enables learners to make a real differenceto the quality of care provided to people with dementia.

We believe that dementia care training and practice development should encourage discussion, reflection and sharing ofideas. 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 theprinciples 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 ofthese sessions. The leadership training encourages and supports staff to go back into their care environment and take aproactive role in supporting their colleagues to bring about change in care practice. We enable teams and individuals tomake the transition from training to practising high-quality dementia care.

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.

The CAMTED-OP team

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 subsequentlyoffer training recommendations that are both relevant to you and in keeping with local and national guidance. Thisprospectus sets out a range of training opportunities available “in house” or through centralised locations. All participantswill receive access to full session handouts and a certificate of attendance.

What you can expect from us

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.

What we expect from you

2

An excellent session forthose new to dementia care.

By far the best dementia course I have attended

in 16 years.Client feedback

3

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 ChallengeCommunicationEnd of LifeEnriched Care PlanningImproving the Environment for People with DementiaMealtimesMeaningful Activity

Self Audit....................................................................................

Dementia Care Mapping.............................................................

1.1

1.2

1.3

1.4

1.5

Brilliant course andtrainer. I have gained

so much knowledge and thoroughly enjoyed it

Client feedback

Section 1

One-day Person-CentredDementia Care

Access to training is via the one-day Person-Centred Dementia Care training or the five core sessions that CAMTED-OP offered previously

Three-day Champions for Change in Dementia Care

Individual Practice Development project

Practice developments

Follow-up support

www.dementiafriends.org.uk

Our dementia training for care homes provides a flexible approach to training options, allowing homes to engage at alevel that suits the needs of their staff. We initially offer a one-day Person-Centred Dementia Care training. For individualstaff members wishing to then develop leadership skills in dementia care we offer an external three-day Champions forChange in Dementia Care course. This is delivered over three months and incorporates a small-scale project to be carriedout within the home. We also offer a range of practice developments for groups of staff who are keen to bring aboutchange in particular areas of dementia care.

Dementia training for care homes

CAMTED-OP Dementia Training Model

What is dementia?•The brain•Disabilities•Introduction to •person-centred approaches VIPSIntroduction to•communicationIntroduction to•meaningful activity

Signposting to practice developmentand enhanced training

Day one

Understandingill-beingLeading and creating changePart 1

Day two

Creating and sustaining well-being

Day three

Making a differenceLeading and creatingchangePart 2

Group or one-to-one•Observations•Group work•Sharing experiences•

Mealtimes•Meaningful activity•

End of life•Enhanced care•planningEnvironments•

Behaviours that •challengeCommunication•

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.

4

Our one-day Person-Centred Dementia Care training is delivered within your care home. The session lasts six hours andcan be arranged at your convenience, subject to availability. The training relies on you providing an appropriate roomwithin your care home. The maximum number of attendees will depend on the room size, but we require a minimum ofsix. 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 willsupport your staff team’s development in keeping with standards 3 and 7 of the common induction standards related tothe provision of high-quality dementia care (Skills for Care 2010). At the end of the day your staff team will have betterawareness of dementia and its impact on your residents. Participants should have sufficient knowledge and skills to workconfidently 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 contactCAMTED-OP to discuss.

ContentsThe 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 theperspectives of their residents who live with dementia.

The training will examine some of the common presentations of challenging behaviour, considering the physical damagecaused 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 activitiesthat are meaningful to them.

To bookPlease contact CAMTED-OP onT 01223 219666E camted-op1@cpft.nhs.uk

There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding.

Next stepsAttendees 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. Thismay include a self audit (section 1.4) or Dementia Care Mapping exercise (section 1.5).

1.1 One-day Person-Centred Dementia Care Training

I think every aspectof the day and training are

very helpful and will improveour care for residents, colleagues

and relativesClient feedback

5

The training session was very

useful and excitingClient feedback

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 developmentcourse. You may identify a single member of your staff team or a small group, depending on the size of your home. If youhave a larger number of staff we may be able to deliver this training in-house. Please discuss this option with theCAMTED-OP team.

The training will be held at an external venue for three full days over three months. The training sessions will be arrangedacross the Cambridgeshire and Peterborough localities. Staff members will be expected to undertake and feed back on asmall-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 sessionwithin your home (section 1.1) or have attended a similar level of training. We are offering this more advanced training forstaff members who have a particular interest in or aptitude for dementia care and who have been identified as potentialleaders. The members of staff will need to be able to undertake an independent piece of work and be allowed time tocarry out the project within the care home. Support from CAMTED-OP will be available if required.

ContentsThe 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 practicedevelopment, which will enable them to take their learning forward and bring about quality changes within their owncare home environments.

To bookPlease contact CAMTED-OP onT 01223 219666E camted-op1@cpft.nhs.uk

There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding.

Next stepsAttendees may wish to go on to engage in a full practice development project within their home, with the support of themulti-disciplinary CAMTED-OP team (section 1.3). Further development may include a self audit (section 1.4) or DementiaCare Mapping exercise (section 1.5).

1.2 Three-day Champions for Change in Dementia Care course

6

Loved it! Today was fun and I learnt

lots of things Client feedback

7

Thank you verymuch. This training hasbeen extremely useful

and enjoyableClient feedback

8

Our practice development sessions involve a member of the CAMTED-OP team working more closely with a nominatedgroup of staff. Sessions are bespoke and can be held within a care home or across a number of homes, depending on thetype of input required. Some may involve the undertaking of a project to implement change within the care home. Thepractice development sessions all assume a basic understanding of dementia and its associated disabilities.

Behaviours that ChallengeBehaviours that challenge, such as agitation or verbal and physical aggression, are common in dementia and often causegreat 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 connectionbetween behaviours that challenge and unmet needs.

CommunicationCommunication 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 developstrategies 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 relatesto 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 appropriatetools and strategies to support individuals within the care home will be explored.

Enriched Care PlanningEnriched 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 documentclear and specific person-centred interventions.

Improving the Environment for People with DementiaThis 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.

MealtimesThis 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 interventionwill support homes to place mealtimes central to the day and use them as a way of maximising resident involvement andchoice. This practice development operates most successfully when members of staff from the catering service are part ofthe group.

Meaningful Activity People with dementia may lack the opportunity to engage in meaningful activity. This can lead to poor outcomes for theindividual and may contribute to behaviours that challenge. This practice development aims to support staff in engagingresidents 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 withthe opportunity to develop an understanding of the benefits of multi-sensory and reminiscence work with people with dementia.

To bookPlease contact CAMTED-OP onT 01223 219666E camted-op1@cpft.nhs.uk

There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding.

1.3 Practice Developments

Very interactiveand engaging. Really

enjoyed the activities andthey taught me a lot

Client feedback

9

A self-audit tool may help managers to think about the care provided for residents who have dementia. The aim is not tofocus 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 byDawn Brooker and outlined in her book Person-Centred Dementia Care: Making Services Better (2007). This is the samemodel 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 abilityI – an individualised approach, recognising uniquenessP – understanding the world from the perspective of the person with dementiaS – 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 annualcontract 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 forthe training being delivered to the staff team. It provides an ideal opportunity for staff members who have undertaken theChampions for Change in Dementia Care course to expand their leadership role, working alongside their peers and carehome management.

To discuss how self audit could be beneficial within your environment please contact CAMTED-OP on:T 01223 219666E camted-op1@cpft.nhs.uk

There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding.

1.4 Self Audit

I enjoyed how I feltafter training, going

to unit and understandingthings better Client feedback

Simple but effectiveexercises that reallyprompted reflection.

Client feedback

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 socialworld that surrounds the person can have a positive or negative effect on well-being. DCM can help us to understand thisworld 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 planour care more.

DCM can be used in a number of ways:

Assessment1Development of care by repeated cycles of mapping2Identification of training needs and staff development3Quality assurance4Research5

DCM is an observational tool that is only used in ‘public’ areas of care environments. It usually involves one or two trainedmappers sitting in areas such as a lounge or dining area and observing what happens to people with dementia over thecourse of a typical day. At the end of a period of observation the results are analysed and fed back to the care team sothat care can be developed.

To discuss how Dementia Care Mapping could be beneficial within your environment please contact CAMTED-OP on:T 01223 219666E camted-op1@cpft.nhs.uk

There is no charge to care homes in the Cambridgeshire and Peterborough areas due to localised funding.

1.5 Dementia Care Mapping

10

Our trainer held thegroup's attention brilliantly,very easy to listen to and I

found the method of training very, very good Client feedback

The whole session wasinformative and helped consolidate my learning.

Client feedback

11

This has been one ofthe most interesting

courses I have attendedClient feedback

HQ Elizabeth House, Fulbourn HospitalCambridge CB21 5EFT 01223 219400F 01480 398501

www.cpft.nhs.uk

Cambridgeshire and Peterborough NHS Foundation Trust