ACTIVITY LEADERSACTIVITY LEADERSEmpowering activity workers to fill

you home with ...XXX

Chris Gage

CEO & Creative Director for Ladder to the Moon since 2005

10 years as a professional theatre director working in social and public settings

4 years specialising in interactive theatre with people living with dementia

Grandmother lived in care with dementia

Ladder to the Moon

Charity established in 2001

Working with older people in care for 7 years

Specialise in dementia care

Improving quality of life by Improving quality of care.

Investment by DH Innovation

ClientsBUPA

Barchester

Camden Training & Development Service

Norfolk County Council

Brighton PCT

Heritage Care

Central & Cecil

CONTEXT

Current ContextLocal Authority Cuts

CQC

Standards

Excellence

Personalisation

Person Centred Care

Dignity Agenda

Care Quality Commission

Skills for Care & QCF Dementia Units

NSA: Social Care

National Dementia Strategy

LA Cuts

10-15%

Pressure to justify costs

Particular challenge for independent homes

Homes will close in this economic cycle

Need to differentiate on quality to survive

CQCStandards

Outcome 4: Maintains their welfare and promotes their wellbeing by taking account of all their needs, including:

physicalmentalsocialpersonal relationshipsemotionaldaytime activity

CQCNew Excellence Ratings

Likely to look at

Activity programmes for residents and evidence that they are taking place

Turnover of staff

Spot inspections and independent feedback from residents and their families.

Business Case for Activities

Differentiation

Reputation

Work of Mouth - vibrant home

Staff Engagement and Retention

Improved Leadership across the home

Evidence for Commissioners and Regulators

Home from Home54% of carers reported that their relative did not have enough to do in a care home;

the typical person in a care home spent just two minutes interacting with staff or other residents over a six-hour period of observation (excluding time spent on care tasks);

the availability of activities and opportunities for occupation is a major determinant of quality of life affecting mortality, depression, physical function and behavioural symptoms, but that these activities are seldom available.

staff enjoy providing opportunities of activity and occupation and would like to be able to do more of this within their work

maintaining good relationships between relatives and the home, and supporting the ongoing relationship between relatives and the person with dementia, have important benefits for both parties, including carers’ degree of stress, residents’ quality of life and engagement in activity.

A study by CSCI of care homes has shown the quality of staff communication with people with dementia has a major impact on their quality of life. Leadership, ethos of the care home, staff training and support and development are the crucial factors in supporting good practice.48

National Dementia StrategyObjective 11: Living well with dementia in care homes. Improved quality of care for people with dementia in care homes through the development of explicit leadership for dementia care within care homes, defining the care pathway there, the commissioning of specialist in-reach services from community mental health teams, and through inspection regimes.

NDS - Care homes that provide excellent care for people with dementia generally pay close attention to:

Leadership and staff management

Staff training and development

Person-centred care planning.

Purposeful activities that relate to individual preferences rather than general entertainment

Actively involve relatives and friends in the care of residents

Paul BurstowCare Services minister

"Compassion, common sense, treating people with dignity and respect are not simply about spending more. They are about the way you do things. We want to look at what's being done [in nursing homes] to add life to the years you're having rather than just adding years to the life you're leading.”

Activities Leaders ProgrammeLadder to the Moon for Hertfordshire Care Providers Association

Programme Aims

Build an activities based personalised culture in care homes in Hertfordshire.

For programme participants to see themselves and behave as Activity Leaders

Participants deliver with colleges a programme of events on the theme of Getting to Know You

To develop HCPA Key Activity Leaders facilitating peer groups.

Jude SweetingTrainer, Coach & Development Consultant

Coach - Jude Sweeting19 years in Dementia Care

12 years as Dementia Development Officer for City of Westminster

General Nursing Background

Qualified Life Coach

Dementia Trainer (Dementia UK)

Programme Outline

8 Month Programme

1 Day for Managers and Activity Leads

4 Days for Activity Leads

6 Coaching Phone Calls

Ongoing Peer support

6 ‘Getting to Know You’ Themed Events

Getting to Know YouThemed Events:

This is your life

Desert Island Disks

Holiday Cruise Liner

Jobs & Home

Getting Ready & Going Out

Birthday - A year in the life

Application Criteria

3 page application form

Manager must commit to supporting Activities Lead

Manager attending one day of the programme

Involvement of Family and Friends

Ability to host training days

Facilitate peer groups at the end of the programme

PROJECT

DATE CLIENTDATE NAME

Thank Youchris@laddertothemoon.co.uk