2. not a passive event, get up an move around
Aims of the learning event
IMPROVEMENT
Using Plan, Do,
Study, Act
NETWORKING
and
SHARING
FUN
MOVEMENT
not a passive event, get up an move around
RISK BENEFIT
being less risk
adverse

3.
What a fantastic lady, now I am not giving any guarantees that through CAPA we will get you to 104 but we should be able to encourage more movement.

4. Physical activity and the health and social care sector in Scotland

5. Physical activity includes:
Dance
Everyday tasks
Gardening
Moving while sitting
Walking

6. Wellbeing and feeling good!
Physical
Disease prevention and management
Maintenance of independence and mobility
Improvement appetite
Improved quantity and quality of sleep
Positive Words
Energy
Vitality
Capacity
Reserve
Wellbeing and feeling good!

7. Psychological Wellbeing and feeling good
Mood, stress, anxiety and depression
Physical activity burns up adrenaline (stress/frustration) and produces endorphins (happy)
Positive associations and actions
Improving self esteem and self efficacy
Contributing to life
Staying in touch with others

8. What is good for the heart is good for the brain!
Cognitive
Enhancement of brain growth
Activation of attention (alertness) and memory
Increase/improve neuronal connections
Increased blood flow (oxygen and glucose to the brain)
Music has a key role to play
What is good for the heart is good for the brain!

9. ‘Physical activity is any body movement that works your muscles and requires more energy than resting’

10. Life curve
Piece of research from Newcastle University – There are 15 steps on this road of decline.

11. Moving regularly and frequently
Moving More Often
Moving regularly and frequently
Starting from where you are
Meeting the physical activity guidelines

12. CAPA Resource 2014:
“To support those who work in the care sector to make physical activity part of every resident’s daily life.” Evaluation showed clearly that tailored support would be effective.
CAPA Project 2017:
Extended reach from care homes to day services, care at home and sheltered housing.

13. Values:
You and the people you care for are the experts. You are already successful, already doing this, we are here to assist with improvement, where you identify it’s needed. Mutual learning process – constructive, positive and supportive. We will all be respectful, trusting and compassionate. It’s all about learning and improving – and not being afraid to suggest something or say we don’t know or understand.

14. Whole setting approach
Successful, effective and sustainable improvements .. are based upon a “whole setting” or “whole systems” approach
(CAPA Resource 2014)
“Health is created and lived by people within the settings of their everyday life: where they learn, work, play and love”
(Ottawa Charter 1986)

15. Whole setting approach

16. Make Every Move Count
Designed to make something small but important happen on a regular basis
Ideas to enable the person to have a voice and make a choice
Increase opportunities that are:
built into every moment, every day
realistic and achievable
placing each individual at the heart of the process

17. 5 Key Messages The voice and choice of the person
Get to know me, what motivates me, supporting me to move with purpose
Support me
to move safely with confidence
to move more often and be more active every day
to move regularly and frequently
to move giving purpose and meaning to my day

18. Our vision Older people in Scotland will….
Have a voice and make a choice and be at the heart of the process
Be socially connected and take part in the life of their community
Have every opportunity to be active and involved – every day
Have purpose and meaning added to their lives, making every day special.

19. Improvement approach
Getting even better at what we do

20. As a nation, we are all interested in improvement ………… what we do ………
As a nation, we are all interested in improvement ………… what we do ………. how we do it ………… and how we can get better
It’s not rocket science!

21. Improvement is best judged from the viewpoint of those affected!

22. What made you laugh?
Who matters most?
What’s your dream?
What’s your story?
What matters most?
What are you afraid of?

23. Putting the theory into practice – it works!
Number of falls resulting in injury in care homes who took a proactive approach to improvement
Collaborative started here

24. What evidence will we look for?

26. How do we measure change?
Evaluation: an evaluation identifies any changes which have occurred
It assesses the level of change of a programme

27. How do you measure change?

28. Baseline data Information collected at the start of a project.
Gives us:
numbers to show where we’re at now
stories, opinions, thoughts and feelings to show where we’re at now

29. UK Active Resident Questionnaire
Before you try out your improvement work/change
Where possible ask the resident to complete the Resident Questionnaire (with support if requred)
Baseline, 6 weeks, 20 weeks

30. UK Active - Physical measures
Grip strength using handgrip
Balance using Berg Balance scale
Lower limb strength using sit
to stand test
4. Flexibility using sit and reach test

31. More Data Collection! Opinions, thoughts, feelings
Measured using diaries, stories, questionnaires where you give your opinion
Diaries will be key to tracking progress of improvement

32. Life cycle of data CAPA team distributes data collection resources
Data collected is sent to UK Active for
All data collected remains strictly confidential and anonymous
UK Active is responsible for evaluating the CAPA project

33. What is a risk?
Did you take any risks getting here today?

34. Definition of risk
The possibility that an event will occur with harmful outcomes for a person or others with whom they come in contact.

37. Positive risk taking
Positive risk taking is NOT negligent ignorance of the potential risks…It should be a carefully thought-out strategy for managing a specific set of circumstances.
(Morgan, 2004)

38. Good Quality of Care
Good Quality of Life

40. Further reading
Mental Welfare Commission (2013) Rights, Risks and Limits to Freedom
DoH (2010) Nothing Ventured, Nothing Gained: Risk guidance for people with dementia
Paths for All (2009) Physical Activity and Older People
Mental Welfare Commission (2007) Safe to Wander

41. Action planning
and
consolidating
improvement
plans

42. Fill out your ‘Plan’ sectionsDo
Study
Act
Fill out your ‘Plan’ sections

43. Useful questions
What difference will this make to the person experiencing care?
What might hold you back? How will you get past this challenge?
(swap over)

44. National Conference
September
2018

45. Next Steps Action section Support from advisors Tailored support –
, team meetings, one to one
Plan-Do-Study-Act cycle
Keep evidence – photos, videos, stories
Remain in contact