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

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

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

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

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

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

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

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*

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

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

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

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