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Not "them and us": simply us!: trainer's pack
- Authors:
- ARCHIBALD Carole, MURPHY Charlie
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 1995
- Pagination:
- 54p.
- Place of publication:
- Stirling
This Training Pack is in response to many requests for training material on activities for people with dementia. The training pack helps staff to look at the why, how and what of activities. The pack has many applications but it is primarily aimed at managers and co-ordinators who train staff in their place of work. The pack helps staff to develop and improve their practice with regard to activities.
Analysis and review of staff training regarding care for older people
- Author:
- ROBERTSON Catherine
- Publishers:
- IRISS, Centre for Research on Families and Relationships
- Publication year:
- 2013
- Pagination:
- 31
- Place of publication:
- Glasgow
This is one of a series of reports which forms part of the PROP (Practitioner Research Older People) Programme, a partnership between the Centre for Research on Families and Relationships (CRFR) at the University of Edinburgh and IRISS about health and social care for older people. The programme came about as part of the ‘Reshaping Care for Older People Services Agenda’. It was funded through ‘The Agenda for Change fund, and also received support from the Scottish Government’s Joint Improvement Team. This report was compiled with the intention of reviewing the reablement training programme provided by West Lothian Council. It also aims to contribute evidence-based research through practitioner research, the focus being on improving the care of older people and improving the use and usefulness of research to those providing care. The report considered staff views on reablement training in West Lothian, which comprised two days intensive training followed by two weeks on-the-job supervised training. The training was largely successful in achieving its goals of improving workforce knowledge of reablement, and changing the mind set of participants about working practices. The report notes areas where future training could be improved in respect of long term conditions, motivational techniques, managing challenging behaviour, and more training on aids and adaptations. (Original abstract)
An analysis of allied health professional training in care homes for older people in Glasgow
- Authors:
- CLELLAND Jeanette, SCOTT Danny, MCKENZIE Donna
- Journal article citation:
- Quality in Ageing, 6(3), November 2005, pp.24-36.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
The Allied Health Professional (AHP) Care Homes Training Team provides training to care staff throughout the greater Glasgow area. This study sought to elicit service user views and opinions about the team’s current provision to assist in informing prospective developments and enhancing future performance. Ten semi-structured interviews were undertaken with home management staff, which were thematically analysed. The response rate was 100%. 648 care staff had received training from the team in the ten care homes. However, only 36% of these staff remained employed by the homes at the time of the study. Therefore, only the remaining staff received postal semi-structured questionnaires. The response rate was 14% for these staff. A range of service user’s opinions and view were elicited. Topics covered included: induction training, career progression through training, training records, team training and support provision, changes implemented as a result of training. Barriers to implementing training, structure/times/content and delivery of training sessions, training gaps, information and training for managers and appropriate topics for training. Feedback was extremely positive but the study raised wider implications for older people’s care in care homes, which merit further research and debate.
The vision for a teaching/research-based care home
- Authors:
- HOCKLEY Jo, et al
- Publisher:
- University of Edinburgh
- Publication year:
- 2017
- Pagination:
- 36
- Place of publication:
- Edinburgh
This document sets out a vision for establishing a teaching/research-based care home in Lothian, Scotland. Teaching/research-based care homes were first developed in the USA in the 1960s as Teaching Nursing Homes (TNHs) in response to scandals about care, and the shortage of trained geriatric healthcare staff. They became established in the mid-1980s and there was evidence that such facilities not only provided opportunities for teaching, learning and research, but also helped to reduce unnecessary hospital admissions, improve staff competencies and bring increased enthusiasm about working in care homes. Since then, similar TNHs have been developed in Australia, Norway, The Netherlands and Canada. The report sets out the teaching/research-based home's five core objective areas. These are: provision of high-quality, compassionate, innovative care for frail older people requiring 24-hour care; knowledge and skills development; training of undergraduate/postgraduate students; multi-disciplinary research, practice development and quality improvement programmes; and community engagement. (Edited publisher abstract)
Assessing fitness to drive in dementia and other psychiatric conditions: a higher training learning opportunity at a driving assessment centre
- Author:
- SHERIDAN Matthew P.
- Journal article citation:
- Psychiatrist (The), 36(3), March 2012, pp.113-116.
- Publisher:
- Royal College of Psychiatrists
Doctors have a professional obligation to identify patients who are unsafe to drive, and in cases of dementia this decision is often complex. The Scottish Driving Assessment Service is one of 17 centres across the UK which carries out specialist driving assessments for people with medical conditions that may affect their on-road performance. In this article the author describes the work of the Scottish Driving Assessment Service in Edinburgh and the assessment process, and reflects on the experience of spending a day at the centre and shadowing 3 driving assessments for people with dementia. The assessment includes a full clinical history, sight check, examination of higher cognitive function, static assessment test and on-road test of safe driving ability. The article concludes that visiting a local driving assessment centre can be a valuable learning opportunity for psychiatrists in training, particularly those working with older adults, to improve their knowledge of driving assessment.
An induction pack for care home staff (transitions): for front-line staff of care homes
- Authors:
- CHAPMAN Alan, KILGOUR Jim, WILLLIAMSON Margaret
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 2005
- Pagination:
- 144p.
- Place of publication:
- Stirling
Effective induction of staff is recognised as a vital component of providing safe care and of establishing a competent workforce. Education and training provision could be used as appropriate to provide learning support. There are also learning programmes, intended as an early or pre-employment introduction to social care that should contribute to induction but have a different role - acting as part of the bridge between school and employment. The induction standards are set out to provide a description of the minimum understanding required for social care work in care homes. The frontline workplace manager is responsible for adding areas of work particular to the worker’s role and for deciding the level of understanding required for that role. Standards are set out minimum understanding they readily link to the NVQ level 2 that is the minimum qualification used within the sector.
Talking mats: a model of communication training
- Authors:
- MURPHY Joan, ALEXANDER Jean, McLINTON Ann
- Journal article citation:
- Journal of Dementia Care, 24(5), 2016, pp.22-25.
- Publisher:
- Hawker
Talking Mats is an interactive communication resource which was devised by NHS speech and language therapists in a series of research projects at Stirling University. The authors explain how it works and why it is a valuable tool. They use an example of training they were commissioned to do in a long stay hospital in Glasgow, where patients were mainly older people with dementia who often found it difficult to communicate their needs and wishes. (Edited publisher abstract)
Managing falls and fractures in care homes for older people: good practice resource
- Authors:
- CARE INSPECTORATE, NHS SCOTLAND
- Publishers:
- Care Inspectorate, NHS Scotland
- Publication year:
- 2016
- Pagination:
- 96
- Place of publication:
- Dundee
- Edition:
- Rev. ed.
Good practice resource to help staff working with older people in care homes to assess how well falls prevention and management and the prevention of fractures is being addressed in their service. It aims to help staff to recognise quality care already in practice; identify and prioritise areas for improvement; and test and implement new ways of working to benefit both staff and residents. Sections include: an introduction to the topic of falls and fractures in care homes; guidance for improving the quality of care; prevention of falls and fractures; identifying and managing key risk factors for falls fractures; and working together with the wider health and social care team and other care homes; and education and written guidance for staff. The guide is accompanied by a range of tools, including a self-assessment form, which can be used to improve aspects of the management and prevention of falls and the prevention of fractures. Sections of the resource pack can also be used during staff induction and training to raise awareness and increase knowledge of falls prevention. Originally published in 2011, this revised edition incorporates learning from the Scottish Government’s ‘Up and About in Care Homes’ project, and includes a new section Guidance for improving the quality of care to help support care homes to make improvement to how they manage falls. (Edited publisher abstract)
"FITS into practice": developing dementia specialist care homes: summary report
- Authors:
- BROOKER Dawn, et al
- Publisher:
- University of Worcester
- Publication year:
- 2014
- Pagination:
- 27
- Place of publication:
- Worcester
This report summarises the findings of an evaluation of the FITS into Practice programme. The original Focussed Intervention Training and Support (FITS) intervention, evaluated by a cluster randomised control trial, used an in-house ‘FITS therapist’ to train and support care home staff and reduce the inappropriate prescription and use of anti-psychotic medications, by providing a person-centred framework for understanding and caring for people with behavioural symptoms. Results showed that, compared with usual care, the FITS programme reduced the prescribing of antipsychotics for people with dementia by over 40 per cent. The FITS into Practice programme aimed to explore how this type of intervention could be scaled up across a large number of care homes. 106 care homes were offered a free of charge intensive nine-month education and supervision programme, delivered by two university-based educators. The programme focused on reviewing anti-psychotic prescriptions for residents; psychosocial alternatives to managing behavioural and psychological symptoms in dementia; modelling person-centred care; training and support of staff teams to achieve person-centred care. The evaluation found that there was a 30.5 per cent reduction in antipsychotic prescriptions for residents from baseline to the end of the intervention while residents’ achievement of personal goals and behavioural and psychological symptom goals showed a statistically significant improvement. In addition, there was a statistically significant improvement in attitudes and knowledge about dementia from participating staff and very positive changes in care practice in care homes whose staff completed the programme. The report discusses barriers and facilitators of implementation and includes key recommendations. (Edited publisher abstract)
Abusive interactions: research in locked wards for people with dementia
- Author:
- KELLY Fiona
- Journal article citation:
- Social Policy and Society, 9(2), April 2010, pp.267-277.
- Publisher:
- Cambridge University Press
This paper, presenting data from field notes and video footage, reports on a study of 14 consenting older people with dementia, from three locked psycho-geriatric wards of a hospital allowing ethnographic exploration into the everyday social worlds and behaviour of the study group. The author attempted to: identify abusive practice through observation of staff interactions with their patients; explain abusive practice in relation to staffs’ conceptualisation of the selfhood of their patients; explore the transactional and institutional drivers for abusive practice and their impact on those perpetrating and experiencing it; and explore the nature of resistance, defeat and resilience within a conceptualised selfhood. Results indicated abusive practice in the wards and showed that participants in receipt of such practice responded with self-defence and resistance, but were eventually defeated. In a development of Sabat’s (2001) Selfs 1–3 framework, the author identifies how abusive practice arose due to staffs’ inability to recognise different aspects of the patients’ self. Recommendations for practice include integrating a developed Selfs 1–3 framework into staff training and evaluating its impact on practice.