1. A New Approach to Dementia Care in Hospitals
Phil Pordes
Privacy & Dignity Matron

2. The way it was …
Good care was inconsistent across wards and departments
No identified senior clinician to lead on quality improvement
Environment not conducive to those with cognitive impairment
Training and education for staff was limited

3. The Dementia Care Pathway Group
The creation of a pathway
Training and education
Leadership
The environment
Patient and carer engagement

4. ACHIEVEMENTS Care Pathway / Guidelines
Recommendations 3 & 7
Electronic dementia care pathway in the form of user-friendly guidelines and prompts
Guidance taken from NICE, the National Dementia Strategy, lessons learned through complaints, and local and national best practice
Pathway covers:
Their first 24 hours in hospital
Their in-patient stay
Discharge planning
KEY
Involve patients, carers, family and friends in the care planning process from admission

5. Training and Education
Recommendation 5
“Respect” course
Customer care training programme
Study days
Links to Cheshire East
Links to Cheshire Hospice Education
Learning and development
Job swap!

6. Leadership Clinical lead identified
Recommendations 3 & 5
Clinical lead identified
Close relationship with liaison psychiatry
Executive support
Financial investment

7. Environment 1 Coloured doors Signage
Recommendation 6
Coloured doors
“I always look for the colour when I come back from the toilet.” Patient B with no cognitive impairment
Signage
Patient A – with dementia – reported not being able to find the toilet before the signage was installed, resulting in frequent incontinence which has now resolved as she is able to find her own way to the toilet and return to her bedside
Nurse A reported that less time is spent directing visitors within the ward

8. Environment 2 Communication friendly menus Memory aids Activity Lounge
Recommendation 6
Communication friendly menus
Memory aids
Activity Lounge
Increased privacy,dignity and autonomy reported by patients and visitors/families

10. Patient and Carer Engagement
Recommendation 7
Complaints feedback / meetings
Patient carer representation
Outside links

11. OTHER ACHIEVEMENTS Nutrition
Recommendations 8 & 9
Nutritional guidelines
Protected mealtimes
‘Red Plate’ scheme
Volunteer feeders
Relative involvement

12. Staff Awareness OPERA magazine Privacy and Dignity roadshows
Audit (Essence of Care, Dignity Challenge)
Dementia tea party
Privacy and Dignity policy

13. What next? To meet future challenges Be innovative
Build upon what we have achieved so far
Share best practice
East Cheshire
signage to be used by NWSHA at conference in Bolton in December

14. Thank you …
… for listening. Questions?