sharing the learning webinar series -...
TRANSCRIPT
Sharing the learning webinar series Delivering stimulating activity in care homes
Webinar chair Jackie Hayhoe, Portfolio Manager
Sharing the learning webinar series
House keeping points
- The length of the webinar is up to one hour
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- Ask for help using the Q&A box at the bottom of your screen at any time
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Carol Richards
Age UK Oldham
Programme Manager
Todays presenter...
Delivering stimulating activity in
care homes
Remember: you can submit your questions at any time
during the presentations using the Q&A box below
1. Outline of the project
2. Key issues around care homes
3. How the Home not Away project has delivered in Oldham
4. Key impacts
5. Evaluation
6. The future and way forward
Home Not Away project
Specifically designed to meet the needs of people who are living in care
homes. A high proportion who are suffering from various stages of dementia
and chronic physical illness.
It is widely recognised that with the increase in dementia up to 75% of care
home residents who are suffering from dementia are living in non specialist
care homes and this figure rises to between 90% - 100% in care homes
which cater for dementia as a speciality)1
1 DOH – Time for Action Nov 2009
Fit as a Fiddle
Why we needed this service
Evidence taken from the Alzheimer's Society: Home from Home Report 2007 showed the following findings:
• 54% of families reported that their relative did not have enough to do in the care
home – causing loss of interest and self worth.
• The typical person in a care home spent just two minutes interacting with staff or other residents over a six hour period of observation (this excludes time spent on care tasks).
• The availability of activities and opportunity for occupation is a major determinant of quality of life, affecting mortality, depression, physical function and behavioural symptoms, but these activities are seldom available.
• Staff enjoy providing opportunities for activity and occupations and would like to do more of this within their work, but do not feel they are allocated the time or receive the appropriate training.
Fit as a Fiddle
How Fit as a Fiddle funding has helped
with addressing these issues
• Providing Age UK Oldham with the resources to develop and deliver a service which is tailor made to address social interaction and the need for physical activity in care homes.
• Drawing on our experience and established links with other providers and statutory agencies to strengthen our position – be able to offer quality training to complement the service.
• Introducing how meaningful social inclusion / stimulation into care home residents’ daily lives is a priority for their well-being and in the longer term financially rewarding for care homes, Primary Care Trusts, GPs, social services departments.
• Able to get care staff thinking in a different way about care delivery.
• New directives and more choices available for people who now need care means that we now have the most vulnerable and sometimes challenging group of people living in care settings. We have to be creative, passionate and think outside the box and provide the right level of interaction with the right training.
Fit as a Fiddle
• By addressing the findings in the Alzheimer's’ Society Report: Home from Home report
• By working in-line with the recommendations of the Dementia Strategy: Objective 11 – Living Well in a Care Home.
• Helping care staff in Oldham to raise the standard of care for older people in
their charge – good physical activity and stimulation are key factors
influencing overall wellbeing.
How this can help develop good care
Fit as a Fiddle
How we work in care homes
• Helping care home staff to plan and carry out successful activities as well as
creating the right atmosphere for the sessions.
• Getting the most out of the sessions by engaging people in activities that
meet their particular needs, abilities and interests.
• Helping care home staff to be effective in planning, monitoring and evaluating
their work.
• Training materials, support and all resources are provided throughout the
programme.
• All our sessions are delivered over an 8 week period by fully trained Age UK
Oldham staff.
• Activities can be in-house or within the wider community
• Not all activities will revolve around group work
• Too often activities are seen as group outings, games etc
• But often it is the everyday tasks that people miss – like going for a paper, a
walk, visiting the local shops, helping to set the tables etc, one-to-one
attention. These can be the most effective form of activities for your residents
enhancing their self worth and feeling of inclusion in the real world.
Fit as a Fiddle
Just a few of the activities we have
done so far!
Aroma blocks – sensory games Sounds and Rhythms
Music therapy Poetry / creative story telling
Drama therapy Gardening/ potting plants
Event Days – Ascot complete with hats Garden centre visits
and champers. Painting / craft sessions
Memory box Collage work / water colours
Decoupage work Circle dancing
Things to taste – healthy eating made fun Computer course (basic IT skills)
Creative writing class Shopping trips
Trip out for morning coffee Afternoon tea with small group of friends
Sorting games Large games – suitable for cognitive impairment
Physical activity games Play the Didgeridoo – haven’t found the new Rolf Quiz / large Crosswords Harris yet!
Picture for you books Creative broach making
Library Visits Tea dances
The list goes on – we will try anything!
Fit as a Fiddle
What participants have said
Residents:
• Its hard work but I do enjoy it
• Hope you will be coming again next week
• That’s really cheered me up
• This is better than going to sleep
• Feel ready for my tea once you have been
• I have surprised myself
• And I think they all thought we were passed it
Care staff:
• So good to see the residents smiling and for a short time interested in what is going on.
• Never thought exercise would help so much – Annie has been so much calmer after the sessions.
• 10 out of 10 improves the atmosphere every time.
• The room comes to life – such a lot of smiles and lots of laughter.
• I eat my words!
• I can’t believe my eyes – I feel a bit emotional seeing my mum enjoying something here – it’s been a difficult time to get her settled. Thank you.
Fit as a Fiddle
It does work and makes a difference
• No one size fits all solutions to supporting people with dementia
and other disabilities. We have to be adaptable and treat
everyone as an individual.
• Focus on the person as an individual first, who they are and not
just their dementia or physical impairment.
• Concentrate on what a person can still do, not on what they
can’t do.
• Getting staff to complete a life story template for their residents
helps them to develop more creative ideas for activity and can
be added to their care plan for a person centred approach to
longer term good care.
• Many of the care home staff will already know a lot about the
people they are caring for, but sometimes this needs to be
written down to help other workers who may not know the
person quite so well understand about the person they are.
Fit as a Fiddle
Progress of the project
• 37 care homes worked in so far – target 28
• 900 people taken part in total – target 672
• 186 care home staff trained – target 56
• 2515 total outcomes – target 1923
• Training care home staff has enable this figure to continue to rise and offer
long term sustainability of this service.
• And the most important statistic of all to me – the thousands of smiles we
have seen since August 2008 and the brilliant feedback that we receive from
the residents and staff we have worked with.
• This has enable us to pursue our goal of improving the overall care culture
for people with dementia and living in care settings.
Fit as a Fiddle
Here are just a few!
Fit as a Fiddle
Bill joined the project to take part in physical exercise
sessions. Following a stroke he had moved into care and
had become very depressed.
When invited to join the group he was initially reluctant.
Saying ‘this was the beginning of the end for him – the
stroke had been the last straw’. However, he would sit
and watch the other participants and soon he decided
‘would give it shot, others were having fun and lets face it
they are no Olympic champions are they.’
So Bill began to take part – his confidence soared and his
mood was visibly lifted. He even set himself goals. And
as you see by his face Bill achieved his goal – to be able
to catch both bean bags and use his left hand again.
Very soon he was setting himself other goals, playing
floor basket ball and using the exercise bands to gain
strength. In Bill’s words ‘I feel back in the swing of things
now’.
Case study: This is Bill
Fit as a Fiddle
What we are especially proud of
Working at a strategic level we have been part of a working group who together have
developed and introduced ten quality standards led by Oldham Procurement Team
(OMBC). These standards were introduced as a pilot in 2010 with the option for care
homes to take part. Measuring quality of care delivery with a financial incentive for care
homes reaching the required level.
The standards are know as the Oldham Care Home Quality Standards and run
alongside the Care Quality Commission statutory regulations. We have been
pleased that this project has had an opportunity to influence the quality of future care
delivery in Oldham and to be part of the working group which have developed the above
standards providing a lasting legacy for Fit as a Fiddle improving care and enhancing
the lives of older people in care homes.
Five of the ten standards are to be core standards – Social Inclusion / Activity will be
one of the core standards. Standard 4. As from April 2012 the standards are mandatory
for all care home providers who contract with the local authority. That means that all 46
care homes in Oldham have to take part.
Fit as a Fiddle
Other ways of calculating success
of the project
• By carrying out in-house evaluations following sessions
• Measuring numbers of participants who continue to attend sessions
• By carrying out an exercise to find the economic value of the project
Fit as a Fiddle
Key Findings: economic value of the project
• Using a simplified version of the Social Return on Investment
• It is a process organisations can use to measure their outcomes and impact in
financial terms
• It allows third sector agencies to confidently and effectively calculate their social
and environmental value in a structured format
There are three different types of value attributed to outcomes:
• Direct savings or increases in income – for example, the cost of medication or the income generated
from provision of in-house activity.
• Indirect savings – for example, the cost to the NHDS of treating a hip fracture.
• And estimated values where there is no actual market for outcome, for example, if the outcome is
increased confidence, a financial proxy is used to represent the value society places on this.
Fit as a Fiddle
Outcome Indicators – what changes
participants experienced
Fit as a Fiddle
To the future
• Keeping up to date with National Dementia Strategy and developments helps
us to design our service in line with requirements
• We sit on the Oldham Social Care Training Partnership and the Dementia and
Dignity Steering Group. We are currently involved in the design of an
accredited training programme for staff who work in care settings – again this
compliments the work of our service.
• Aim to create dementia champions in each care setting to continue and
underpin our work.
• Links with Oldham Social Services Training Partnership provide annual activity
in care conference.
• Continuing our work with our local authority procurement team further
development of quality standards and premiums for care settings.
• Continuing to deliver taster sessions.
• Continue to market the service – already working with 12 care homes on
contractual basis.
Fit as a Fiddle
Foundations which we built on
• Working with our Statutory Annual Care Home Review Team who carry out
annual reviews for all care homes who contract with our local authority
provides the opportunity for referrals and contractual work for Home Not
Away.
• Our strategic approach has been successful for Home Not Away. We had
sound foundations on which to build as we already had established
reputation with other Age UK Oldham Projects and services as partners with
our local authority. For example, Choosing the Right Care, Life story Work.
Both very successful services and established over a number of years.
• We were trusted partners within the care settings and managers within Age
UK Oldham had established good constructive relationships with care
providers.
Fit as a Fiddle
And finally….
• fit as a fiddle funding has given the opportunity for Age UK Oldham to begin
working towards changing the culture in our care settings in Oldham by
providing initiatives and training for care staff.
• Established valued partnerships and excellent training opportunities so that
staff working in care are better prepared for the challenge and more able to
adapt to the changing needs of older people and we are excited about the
future.
Fit as a Fiddle
Contacts:
Carol Richards – Project Manager
Tel: 0161 633 0213
Michael Rattigan – Social / Physical Activity Coordinator
Brenda Robinson – Sessional Worker
Question and answer session
• In this final session we will answer any questions we have collated
throughout the webinar.
• We will try and answer all of your questions but if we are not able to do so
we will answer them after the webinar if we can, or point you in the right
direction.
• The webinar is being recorded and will be available to view online after the
event. We will email this link around to you.
Closing the webinar
Please visit the Age UK professionals web page to find all our resources that are available
http://www.ageuk.org.uk/professional-resources-home/services-and-practice/fit-as-a-fiddle/
• Engaging older disabled people in physical activity
• Engaging faith and BME communities in activities for wellbeing
• ‘How To’ guides
• Final evaluation reports
• Daily Moves DVD
• Equalities and Human Rights guide
• Recipe books
• Cooking for one
• Cooking on a budget