2. Plan of session Rationale and background of the Six Steps Programme
Overview of the programme
Application process
Discussion and questions

3. Because we want to provide the best care we can...
Why are we here?
Because we want to provide the best care we can...

5. End of Life Care Strategy 2008
4.39
“Good PCT’s working with local authorities will wish to commission services from care homes which:
Residents approaching the end of life are on an end of life care register
Each resident is offered a care plan, which clearly identifies their needs and preferences for care
Staff receive the training and support they need to provide end of life care
There is a appropriate access to GP, District nursing and specialist palliative care advice”
DOH, 2008, End of Life Care Strategy p95

6. CQC CQC questions to consider…
Do staff have knowledge & skills to identify EoLC needs. A relevant care assessment is in place
Systems in place to access relevant members of PHCT
Needs assessment reviewing, pain, tissue viability, nutritional needs etc
Are residents and loved ones included in the decision making process.
Are residents given the opportunity to discuss PPC
Is there a policy & training for staff with clear records if a DNAR is recorded
Do the staff use a pain chart
Do documents used support end of life planning e.g. LCP
The least possible disruption to the individual and their family and those close to them

8. Overview of the Six Steps to Success Programme
Induction workshop
Six Steps to Success workshops
Flexible supporting/continuing education depending on needs of organisation, eg, communication skills, Advance Care Planning and End of Life Care
Conclusion workshop
Continuation of support forum

9. Expectations of an End of Life Representative(s)
Regularly meet with other End of Life Care Representatives
Develop other learners in end of life care
Build resource files within the organisation
Produce a portfolio to evidence the implementation of the programme that could be shared with regulatory bodies(CQC), commissioners, social services
To be a link with the local End of Life Care Facilitator
Initiate change management within the organisation

10. Induction Workshop – the ‘Big’ picture
Attendance from representative and manager
Portfolio of evidence
Completion of knowledge, skills and confidence audit
Pre programme audit on end of life care activity
National, regional and local driving forces
Introduction to the Six Steps to Success programme
Audit cycle/change management
Roles and responsibilities of organisation representative
Commence a ‘unique’ end of life care policy

11. Six Steps Step 1 Discussions as the end of life approaches
Step 2 Assessment, care planning and review
Step 3 Co-ordination of care
Step 4 Delivery of high quality care in domiciliary care
Step 5 Care in the last days of life
Step 6 Care after death
*All underpinned by strong multi-professional working*
*Programme to be flexible to meet individual organisation’s needs*

12. Conclusion Workshop Review of the programme
Individual feedback on progress
Portfolio review
Issues and challenges
Post programme audit
Completion of End of Life Care Policy

13. Celebration
On Completion of the six step programme the End of Life Care Representative(s) will become the Domiciliary Care Organisation’s End of Life Care ‘Champion(s)’
The Representative(s) will receive a certificate of attendance
The Domiciliary Care Organisation will receive a dated certificate on completion of portfolio

14. Sustainability Forum continues regularly External speakers
Staff agendas
Continuing access to education and support

15. What next...?
Application process. Completed application forms to be submitted by ....
Participation agreement to be signed
Registration and commencement of programme