Dementia: Quality of Care 2016 27th April 2016

Supporting residents living with dementia in ExtraCare

Michael Spellman, Dementia Lead

Dementia in ExtraCare

Earlsdon Park Village, Coventry

• 262 apartments, potentially over 300 residents

• Around 30% residents will experience mental health issues notably

dementia and depression

Developing the Enriched

Opportunities Programme®

437 residents with diagnosed Dementia

587 other mental health support needs

• 2007 to 2009 completed a randomised controlled trial of a new approach to living

with dementia and other mental health issues in ExtraCare

• Development of a specialist staff role the “EOP Locksmith” who unpicks issues

around the person’s experience of their condition

EOP Research Outcomes

Residents supported by a Locksmith were…

• 50% less likely to move into a care home

• 42% less time spent in hospital as an in-patient

• More likely to have their mental health condition diagnosed

Residents also…

• Rated their quality of life more positively

• Experienced decreased symptoms of depression

• Experienced greater feelings of social support and inclusion

(As detailed in the 2009 Bradford dementia group report, available on the ExtraCare website)

The Enriched Model of

Dementia

D = NI + H + B + P + SP

Neurological Impairment

Health Biography

Personality Social Psychology

Why does…? How can I…?

Developing an Enriched

Profile

Information for reader about brain and behaviour

Identifying the person’s strengths and weaknesses

How you can assist the person to make the most of their strengths

Developing an Enriched

Profile

Developing an Enriched

Profile

Quick visual representation of who is in the person’s life• Friends• Family• Professionals

What impact do these social connections and attachments have on the person

5 key facets of the EOP

• Specialist Expertise

• Individual Assessment and case work

• Activity and Occupation

• Staff Training

• Management and Leadership

Community based support

October 2014 – Community based Locksmith pilot began

September 2015 – Locksmith had supported 36 individuals following hospital discharge. 69% remained living in their own home

March 2016 – service expanded to include a second Locksmith

Thank you for listening

Michael Spellman – Dementia Lead, ExtraCare

michael.spellman@extracare.org.uk

@EOPLead

www.extracare.org.uk