Our Mission. To give older people an independent, safe and secure future in a network of inspirational communities

Size: px

Start display at page:

Download "Our Mission. To give older people an independent, safe and secure future in a network of inspirational communities"

Jeremy Austin
5 years ago
Views:

1 Our Vision

2 Our Mission To give older people an independent, safe and secure future in a network of inspirational communities

About Us Charity formed in 1988 14 retirement villages / 17 housing schemes Over

3 About Us Charity formed in retirement villages / 17 housing schemes Over 4,000 residents 5,000 older people in the community supported Over 60 charity shops

4 Key Factors Flexible care, assessed to meet your needs and delivered in your own home by qualified staff Dedicated 24-hour on-site team - available to support you in the event of an emergency Proactive health screening and well-being services providing help and advice to stay fit and well

5 Key Factors Stimulating activities, social and leisure interests, helping residents stay healthy, active and independent for longer Active encouragement of participation in community life through volunteering Highly-trained staff, fostering a can-do culture, supporting personal achievement and growth

6 Our Well-being Programme Prior to the introduction of the Well-being service a survey found that 75% of residents living independently had not visited their GP A pilot service was produced with the recruitment of Registered Nurses back in 1990 s Annual Well-being Assessments, health action plans, and health interest groups were implemented The pilot found 122 previous undetected and untreated conditions amongst a population of 135 Residents assumed the symptoms they were experiencing were just part of an ageing life

7 Funding? Past - Charitable income Supporting people Grants and awards Future - Local Authority CCG Grants and awards

8 What do we do? Baseline and annual assessments Drop-in clinics Monthly special interest talks Develop community champions - volunteers Signpost to services Connect people Training continence Keep our residents healthy and well and retaining independence

9 Some Key Facts Our award winning Well-being service is recognised as a national example of best practice Residents use drop in clinics on average twice a year some are frequent flyers Common issues detected through the Well-being Programme include high blood pressure, high cholesterol, osteoporosis risk, urinary tract infections and diabetes indicators

10 Key Facts There is a Wellbeing Advisor in every ExtraCare location some work across 2 or 3 sites The cost of the project is 500,000 per year Links with other ExtraCare services such as the gym, the Enriched Opportunities Programme and the care service Residents want more health services on site nurse practitioner GPs and other community services see the WB service as vital to their work too

11 Outcomes Drop in s

12 Outcomes Condition Diagnosed/Treated Showing Symptoms/At risk Hypertension 51% 6% Arthritis (Osteo) 38% 3% Coronary Heart Disease 21% 0% Diabetes 21% 36% Osteoporosis 21% 12% Cancer 14% 0% Depression 13% 3% Asthma 10% 0% Stroke 9% 0% Dementia 8% 1% Chronic Obstructive Pulmonary Disease 7% 1% (COPD) TIAs 5% 0% Arthritis (Rheumatoid) 5% 0%

13 Outcomes Out of 560 assessments last quarter, only 34 residents did not have any diagnosed conditions Confusion and memory loss was identified with 5% and 14% identified respectively Reduction in unplanned hospital admissions Improved appropriate access to other health services

14 Cost savings There were 5,604 drop in visits last quarter potential saving to the NHS of c 168k Savings to health services through reduced planned admissions Savings through appropriate use of health services

15 Future plans Expansion of WB role Nurse Practitioner WB HCAs alongside WBAs Student nurse placements Leg clubs Step down services Dying Well communities and charter Community Locksmiths expansion LGBT support

16 Case study

The Enriched Opportunities Programme The Enriched Opportunities Programme (EOP) was developed by The ExtraCare Charitable Trust to support residents experiencing dementia to live independent,

17 The Enriched Opportunities Programme The Enriched Opportunities Programme (EOP) was developed by The ExtraCare Charitable Trust to support residents experiencing dementia to live independent, healthy, and active lifestyles. + = The service began as a research project with the University of Bradford which involved: A 2 year cluster randomised controlled trial of a new approach to living with dementia and other mental health issues in ExtraCare Development of a specialist staff role the Locksmith who unpicks impairments and unlocks a persons potential.

18 EOP Research Outcomes Residents supported by a Locksmith were 50% less likely to move out of ExtraCare into a care home Spending less time in hospital as an in-patient More likely to have their mental health condition diagnosed Had improved access to Health services Residents also Rated their quality of life more positively Experienced decreased symptoms of depression Experienced greater feelings of social support and inclusion (As detailed in the 2009 Bradford dementia group report, available on the ExtraCare website)

19 The Enriched Model of Dementia D = NI + H + B + P + SP Neurological impairment Health Biography Personality Social Psychology Helps us connect the dots and unravel the mystery Don t correct me connect with me

20 EOP in Practice It s the difference between seeing Dementia A Person with or A Person with Dementia

21 5 Key Facets of the EOP Specialist Expertise Individual Assessment and case work Activity and Occupation Staff Training Management and Leadership

22 EOP in practice The starting point for a Locksmith He s aggressive and agitated He hides things, everyday He wont drink or eat properly, just cake and crisps He accuses people of stealing

23 EOP in practice He s aggressive and agitated Don t correct me connect with me Mr K had been through a big change, he s lived alone and lived independently. He now had at least 4 strangers visit each day, which often left him feeling vulnerable and as if he had lost control. This often left him feeling threatened or frustrated We focussed on educating everyone family and professionals about why Mr K may feel anxious when they visited. Everyone involved in Mr K s wellbeing needed to understand their part in contributing to Mr K feeling threatened and understand his perspective

grazing boxes around the house meant he could snack easily and

24 EOP in practice He wont drink or eat properly, just cake and crisps Mr K would eat what was easy, introducing some healthy grazing boxes around the house meant he could snack easily and more healthily Drinking prompts in key areas help increase fluid levels

25 EOP in practice He hides things, everyday Mr K only hid things that carers used on a daily basis tea bags, coffee jars, and cutlery. Mr K could not see what people were doing in his kitchen, or see items had been put back. People needed to explain what they were doing, and stand with Mr K so he could see and get involved Introducing some visual containers helped as Mr K could see where his belongings were whenever he liked What + Where = Why

26 The Enriched Opportunities Programme today Over 4,400 residents in ExtraCare live with a diagnosed dementia Over 1000 live with an EOP need 72% Diagnosis rate within ExtraCare schemes and Villages The Enriched Opportunities Programme is a big part of achieving our vision to create

Healthy Ageing in the 21 st Century Angela Bradford Commissioning & Healthy Lifestyle Director, The ExtraCare Charitable Trust

Healthy Ageing in the 21 st Century Angela Bradford Commissioning & Healthy Lifestyle Director, The ExtraCare Charitable Trust Wellbeing Service Prior to the introduction of the Wellbeing service a survey