THE DIGNITY IN CARE and SAFEGUARDING CHALLENGE in CROYDON

Aims of Course To agree what we mean by “dignity” To identify the 10 dignity challenges from the DOH To identify the role of dignity champions To be clear about the role of dignity champions and safeguarding work To participate in the Dignity in Care Campaign in Croydon To identify other sources of support and advice on dignity in care – websites, SCIE guidance To raise awareness of the dignity work of the Croydon Care Support Team

“Compassion, kindness and respect are the very essence of dignified care. We must make sure that these principles are at the heart of everything we do.” Paul Burstow MP Minister of State for Care Services

Context To Dignity in Care National initiative from the Dept of Health Not part – as yet -of the formal arrangements of regulators and commissioners Need to get back to basics rather than get complex About changing minds and cultures Croydon context of huge number of providers Scope for imagination for dignity champions Providers must value and accept role of champions

What do understand by the term “Dignity in Care” What do you think “indignity” looks like, feels like and sounds like? What do you think “dignified” care looks like, feels like and sounds like? What can cause confusion?

The Dignity Challenges 1.) Have a zero tolerance of all forms of abuse 2.) Support people with the same respect you would want for yourself or a member of your family 3.) Treat each person as an individual by offering a personalised service 4.) Enable people to maintain the maximum possible level of independence, choice, and control 5.) Listen and support people to express their needs and wants

The Dignity Challenges 6.) Respect people’s right to privacy 7.) Ensure people feel able to complain without fear of retribution 8.) Engage with family members and carers as care partners 9.) Assist people to maintain confidence and a positive self esteem 10.) Act to alleviate people’s loneliness and isolation

Exercise What you already do to meet these challenges? What you need to do in order to meet the challenges? What you need others to do in order to meet the challenges?

Being a Dignity Champion A Dignity Champion is someone who believes passionately, that being treated with dignity is a basic human right. They believe that compassion must be at the heart of a truly person centred and efficient care service, and are committed to doing their bit to achieve this..

What are dignity champions willing to do? Dignity Champions are willing to: -Stand up and challenge disrespectful behaviour rather than just tolerate it; -Act as good role models by treating other people with respect, particularly those who are less able to stand up for themselves; -Speak up about Dignity to improve the way the services are organised and delivered; -Influence and inform colleagues – role of OPeN -Listen to and understand the views and experiences of citizens – quote from OPeN presentation

The Dignity in Care Campaign The Dignity in Care Campaign aims to put dignity and respect at the heart of care services. The campaign is about winning hearts and minds, changing the culture of care services. In Croydon it includes action to: -Raise awareness of dignity and care -Inspire local people to take action -Share good practice and give ideas towards positive innovation -Transform services by supporting people and organisations in providing dignified services -Reward those people who make a difference and go that extra mile.

Follow Up Work For Providers Within Croydon How do we share ideas about dignity in care? What are the challenges? What elements are important in the delivery of care? Is there a need for an overall strategy and if so who should lead on it? How can dignity champions influence current and future service? Role of local healthwatch and enter and view visits? Dignity and commissioning process CQC – DANI Inspections in Spring 2012 How do we celebrate success? Croydon Community Civic Awards? Identify need for a follow up day in the Autumn?

Content and Structure of Croydon’s February 1 st 2012 National Dignity in Care Event Presentations from key organisations already involved in dignity work Presentations from service users on dignity from their perspective Presentation from OPeN and role of Shadow Health Watch Workshop on how the work in enhancing dignity can be taken forward

CQC and Dignity Work CQC Essential Standards of Quality and Safety Recognise the diversity, values and human rights of service users Uphold service users privacy, dignity and independence Complaints process Safeguarding process

Croydon Dignity in Care Websites icdwww.croydon.gov.uk/healthsocial/helpforadults/digcare/nd icd Sections within Croydon Website 1 Dignity in Care – has links to registering 2 Dignity Champions 3 Dignity Challenge 4 National Dignity in Care Day

Social Care Institute for Excellence This comes up as SCIE Guide 15 dated June 2010 Dignity in Care Network – hosted by SCIE

Shadow Healthwatch Work Enter and View Visits Community researchers received training on both dignity and safeguarding issues Report back to local leaders

Care Support Team Provide training on dignity within care and nursing home settings Aim to influence culture of organisations Links between Dignity, Choice, Control, Respect and Compassion

Conclusion “ It might well be that the difference people make individually is a mere ripple on the surface of our care system, but each of those ripples added together create a wave, a social movement, and if this makes life better for some- then it has to be worthwhile.” Sir Michael Parkinson, Dignity Champion