Aging and Mental Health, 15(1), January 2011, pp.23-33.
Publisher:
Taylor and Francis
This paper outlines the development of a set of standards for memory services designed to form the basis of a quality improvement initiative. The standards development process involved five main elements: literature review; key stakeholder workshop; consultation; consensus meeting; and final endorsements. Thirteen memory services in the northwest of England participated in the pilot programme, during which the draft set of quality standards were applied through the processes of self-review and peer review. The finalised version of the Memory Services National Accreditation Programme (MSNAP) consisted of 148 quality standards categorised into: management; resources available to support assessment and diagnosis; assessment and diagnosis; and on-going care management and follow-up. The pilot stage highlighted standards representing common areas where improvements had been made, such as ascertaining whether the patient wished to know their diagnosis, and areas where more attention was still required, for example surveying referrers, patients and carers about their experiences of the service. The authors concluded that that by implementing MSNAP it will be possible to improve the quality of UK memory services.
This paper outlines the development of a set of standards for memory services designed to form the basis of a quality improvement initiative. The standards development process involved five main elements: literature review; key stakeholder workshop; consultation; consensus meeting; and final endorsements. Thirteen memory services in the northwest of England participated in the pilot programme, during which the draft set of quality standards were applied through the processes of self-review and peer review. The finalised version of the Memory Services National Accreditation Programme (MSNAP) consisted of 148 quality standards categorised into: management; resources available to support assessment and diagnosis; assessment and diagnosis; and on-going care management and follow-up. The pilot stage highlighted standards representing common areas where improvements had been made, such as ascertaining whether the patient wished to know their diagnosis, and areas where more attention was still required, for example surveying referrers, patients and carers about their experiences of the service. The authors concluded that that by implementing MSNAP it will be possible to improve the quality of UK memory services.
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Quality Standards Programme
Publisher:
National Institute for Health and Clinical Excellence
Publication year:
2010
Pagination:
18p.
Place of publication:
London
This Quality Standard provides advice relating to the care provided by health and social care staff in direct contact with people with dementia in hospital, community, home-based, group care, residential or specialist care settings. It is based on the NICE-SCIE clinical guideline 42 ‘Dementia: supporting people with dementia and their carers in health and social care’ (2006). From this guideline
This Quality Standard provides advice relating to the care provided by health and social care staff in direct contact with people with dementia in hospital, community, home-based, group care, residential or specialist care settings. It is based on the NICE-SCIE clinical guideline 42 ‘Dementia: supporting people with dementia and their carers in health and social care’ (2006). From this guideline the Topic Expert Group developed 10 quality statements. This document provides these 10 quality statements together with quality measures, descriptions of what the quality statement means for different audiences (service providers, health and social care professionals, commissioners, and patients) and the data source for each.
CARE COMMISSION, MENTAL WELFARE COMMISSION FOR SCOTLAND
Publisher:
Scottish Commission for the Regulation of Care
Publication year:
2009
Pagination:
74p.
Place of publication:
Dundee
This report details what the Care Commission and the Mental Welfare Commission for Scotland found during joint visits to care homes caring for people with dementia. Care homes should make sure they give people with dementia the good quality care they need to live as independently as they can and lead as meaningful a life as possible. The report details what was found on visits to 30 care homes...
This report details what the Care Commission and the Mental Welfare Commission for Scotland found during joint visits to care homes caring for people with dementia. Care homes should make sure they give people with dementia the good quality care they need to live as independently as they can and lead as meaningful a life as possible. The report details what was found on visits to 30 care homes and to individual people with dementia who lived in them. It also outlines what the authors think should happen next, with recommendations for care home providers and managers and health and social care staff to improve dementia care in care homes for older people. The report finds that some care homes had fallen seriously short of best practice and people with dementia were not always getting the best possible care to meet their needs. Ten key message are aimed at: care that respects the individual, activities and being part of the community, environment in which people live, managing money, health assessment, managing medication, managing challenging behaviour and the use of medication, legal matters and safeguards, consent to treatment, and staff knowledge and training.
International Journal of Geriatric Psychiatry, 23(4), April 2008, pp.376-386.
Publisher:
Wiley
Based on research staff observations during several studies in nursing homes and the findings of other studies, the authors propose a nomenclature of components of care for the elderly in nursing homes. The paper seeks to operationalize those aspects of the nursing home practice style that can be improved. This operationalization examines two main components (staff and institutional components) of practice style of care in nursing homes. Four domains characterize staff conduct (knowledge, practice style proficiency, flexibility and individualization of care and communication) and three domains define institutional conduct (staff support, resources and flexibility/rigidity of policies). The paper addresses critical aspects of staff conduct, and by extension, key features that require training, monitoring, and systemic change. Examples for each domain of practice style are provided. After systematically reviewing the observations and findings it was concluded that enhancing practice styles in the nursing home requires knowledge, communication, flexibility, understanding, and genuine concern on the part of nursing home staff and administrators at all levels.
Based on research staff observations during several studies in nursing homes and the findings of other studies, the authors propose a nomenclature of components of care for the elderly in nursing homes. The paper seeks to operationalize those aspects of the nursing home practice style that can be improved. This operationalization examines two main components (staff and institutional components) of practice style of care in nursing homes. Four domains characterize staff conduct (knowledge, practice style proficiency, flexibility and individualization of care and communication) and three domains define institutional conduct (staff support, resources and flexibility/rigidity of policies). The paper addresses critical aspects of staff conduct, and by extension, key features that require training, monitoring, and systemic change. Examples for each domain of practice style are provided. After systematically reviewing the observations and findings it was concluded that enhancing practice styles in the nursing home requires knowledge, communication, flexibility, understanding, and genuine concern on the part of nursing home staff and administrators at all levels.
Subject terms:
nursing homes, quality assurance, care workers, dementia;
The Department of Health is developing a national strategy for dementia services. This consultation draws on evidence from a wide range of reports and stakeholders, a series of listening events involving over 3,000 people and the recommendations of an External Reference Group. It invites everyone to give their views on the ideas set out in the document, as well as contribute new ideas
The Department of Health is developing a national strategy for dementia services. This consultation draws on evidence from a wide range of reports and stakeholders, a series of listening events involving over 3,000 people and the recommendations of an External Reference Group. It invites everyone to give their views on the ideas set out in the document, as well as contribute new ideas to the debate.
Subject terms:
quality assurance, social care provision, dementia, health care;
This review looked at the care received by people living with dementia in care homes in Wales, and how they are supported in this important stage of their lives. It is based on inspection visits to 164 care homes and conversations with people living with dementia and their families about the care they received; and interviews with commissioners and providers of care home services. Main findings...
(Edited publisher abstract)
This review looked at the care received by people living with dementia in care homes in Wales, and how they are supported in this important stage of their lives. It is based on inspection visits to 164 care homes and conversations with people living with dementia and their families about the care they received; and interviews with commissioners and providers of care home services. Main findings include: people living with dementia are cared for by staff who are warm, respectful, and provide care in line with personal plans; in a small proportion of homes, care is rushed; staff received dementia training but this did not always result in person-centred care; people’s well-being and care could be more effective with improvements to the environment in which they live; in general, families were very positive about the care, staffing and management in the care homes; people living with dementia had access to healthcare but frequently did not receive a timely diagnosis of their dementia; multi-disciplinary working could be improved, particularly hospital discharge practice; people’s medication had been reviewed in consultation with a GP or pharmacist in about 90% of care homes and there is monitoring of the effect of medication; providers said one in four people living with dementia are prescribed antipsychotic medication; people living with dementia were supported to access specialist mental health support; more effective admission and discharge from hospital would support care homes; a number of care homes embrace technology, developing links with communities and undertaking a range of creative activities that improved the well-being of people living with dementia; providers said that the key challenges facing care homes for people living with dementia are the retention of staff, the complexity of dementia and the impact on the home of people needing one-to-one care. Finance was a challenge consistently identified by providers.
(Edited publisher abstract)
Subject terms:
care homes, older people, dementia, inspection, quality assurance;
This viewpoint reviews how extra care housing operators can approach quality management to keep residents and tenants at the heart of their service within a complex regulatory environment. It is the third of three viewpoints developed from a doctoral research study on the possibilities and practicalities of people with dementia living in extra care housing. The research was informed by a survey
(Edited publisher abstract)
This viewpoint reviews how extra care housing operators can approach quality management to keep residents and tenants at the heart of their service within a complex regulatory environment. It is the third of three viewpoints developed from a doctoral research study on the possibilities and practicalities of people with dementia living in extra care housing. The research was informed by a survey of extra care housing provision and involved two extra care schemes as detailed case studies.
(Edited publisher abstract)
Subject terms:
dementia, extra care housing, performance management, quality assurance, care providers;
Nursing and Residential Care, 14(12), December 2012, pp.655-657.
Publisher:
MA Healthcare Ltd.
Place of publication:
London
...the highest possible dementia care standards nationwide. Undertaken by senior members of the OSJCT, the accreditation process, which all homes are required to benchmark against, is a new proactive approach for monitoring internal practice. The tool measures performance across a number of areas included personalised care and support, management of medication, prevention and control of infection, and staff
The Order of St John Care Trust (OSJCT), a large not-for-profit care home provider, has developed an internal audit tool to help regulate staff and ensure the provision of high-quality care to its residents. The purpose of this article is to describe how this tool works alongside regular Care Quality Commission (CQC) inspections, and how it has been implemented across the Trust to ensure the highest possible dementia care standards nationwide. Undertaken by senior members of the OSJCT, the accreditation process, which all homes are required to benchmark against, is a new proactive approach for monitoring internal practice. The tool measures performance across a number of areas included personalised care and support, management of medication, prevention and control of infection, and staff training. There is also a specific section relating to dementia care. It takes an average of 2 days to fully audit each care home and each care home must be evaluated a minimum of 4 times a year. The tool has been a highly successful addition to legislative CQC inspections, guiding the introduction of new dementia therapy techniques, as well as further directing innovations to improve residents’ quality of life.
Subject terms:
instruments, person-centred care, quality assurance, care homes, dementia;
ROYAL COLLEGE OF PSYCHIATRISTS' CENTRE FOR QUALITY IMPROVEMENT
Publisher:
Royal College of Psychiatrists' Centre for Quality Improvement
Publication year:
2010
Pagination:
8p.
Place of publication:
London
Key findings from a preliminary analysis of aggregated hospital-level data collected as part of the core audit of the National Audit of Dementia are summarised in this report. 150 provider organisations in England and Wales that were eligible to participate took part in the audit, and 210 hospitals submitted data. The results were based on data collected from a hospital organisational checklist...
Key findings from a preliminary analysis of aggregated hospital-level data collected as part of the core audit of the National Audit of Dementia are summarised in this report. 150 provider organisations in England and Wales that were eligible to participate took part in the audit, and 210 hospitals submitted data. The results were based on data collected from a hospital organisational checklist (to audit service structures, policies, care processes and key staff that impact on service planning and provision for people with dementia), and a retrospective casenote audit of the records of 40 patients with a diagnosis or current history of dementia (this compared actual practice with standards that relate to admission, assessment, care planning/delivery, and discharge).
Journal of Dementia Care, 17(4), July 2009, pp.31-33.
Publisher:
Hawker
PEARL is an accreditation scheme intended to promote positive practice across Four Seasons Health Care dementia care homes in the UK. This article describes how the scheme was piloted in 13 homes, the outcomes from the pilot an plans for the future. The key themes of PEARL are also listed.
PEARL is an accreditation scheme intended to promote positive practice across Four Seasons Health Care dementia care homes in the UK. This article describes how the scheme was piloted in 13 homes, the outcomes from the pilot an plans for the future. The key themes of PEARL are also listed.
Subject terms:
person-centred care, quality assurance, quality of life, care homes, dementia;