ACTIVITY LEADERS Empowering activity workers to fill you home with...XXX

Chris Gage CEO & Creative Director for Ladder to the Moon since years as a professional theatre director working in social and public settings 4 years specialising in interactive theatre with people living with dementia Grandmother lived in care with dementia

Ladder to the Moon Charity established in 2001 Working with older people in care for 7 years Specialise in dementia care Improving quality of life by Improving quality of care. Investment by DH Innovation

Clients BUPA Barchester Camden Training & Development Service Norfolk County Council Brighton PCT Heritage Care Central & Cecil

CONTEXT

Current Context Local Authority Cuts CQC Standards Excellence Personalisation Person Centred Care Dignity Agenda Care Quality Commission Skills for Care & QCF Dementia Units NSA: Social Care National Dementia Strategy

LA Cuts 10-15% Pressure to justify costs Particular challenge for independent homes Homes will close in this economic cycle Need to differentiate on quality to survive

CQC Standards Outcome 4: Maintains their welfare and promotes their wellbeing by taking account of all their needs, including: physical mental social personal relationships emotional daytime activity

CQC New Excellence Ratings Likely to look at Activity programmes for residents and evidence that they are taking place Turnover of staff Spot inspections and independent feedback from residents and their families.

Business Case for Activities Differentiation Reputation Work of Mouth - vibrant home Staff Engagement and Retention Improved Leadership across the home Evidence for Commissioners and Regulators

Home from Home 54% of carers reported that their relative did not have enough to do in a care home; the typical person in a care home spent just two minutes interacting with staff or other residents over a six- hour period of observation (excluding time spent on care tasks); the availability of activities and opportunities for occupation is a major determinant of quality of life affecting mortality, depression, physical function and behavioural symptoms, but that these activities are seldom available. staff enjoy providing opportunities of activity and occupation and would like to be able to do more of this within their work maintaining good relationships between relatives and the home, and supporting the ongoing relationship between relatives and the person with dementia, have important benefits for both parties, including carers’ degree of stress, residents’ quality of life and engagement in activity. A study by CSCI of care homes has shown the quality of staff communication with people with dementia has a major impact on their quality of life. Leadership, ethos of the care home, staff training and support and development are the crucial factors in supporting good practice.48

National Dementia Strategy Objective 11: Living well with dementia in care homes. Improved quality of care for people with dementia in care homes through the development of explicit leadership for dementia care within care homes, defining the care pathway there, the commissioning of specialist in-reach services from community mental health teams, and through inspection regimes.

NDS - Care homes that provide excellent care for people with dementia generally pay close attention to: Leadership and staff management Staff training and development Person-centred care planning. Purposeful activities that relate to individual preferences rather than general entertainment Actively involve relatives and friends in the care of residents

Paul Burstow Care Services minister "Compassion, common sense, treating people with dignity and respect are not simply about spending more. They are about the way you do things. We want to look at what's being done [in nursing homes] to add life to the years you're having rather than just adding years to the life you're leading.”

Activities Leaders Programme Ladder to the Moon for Hertfordshire Care Providers Association

Programme Aims Build an activities based personalised culture in care homes in Hertfordshire. For programme participants to see themselves and behave as Activity Leaders Participants deliver with colleges a programme of events on the theme of Getting to Know You To develop HCPA Key Activity Leaders facilitating peer groups.

Jude Sweeting Trainer, Coach & Development Consultant

Coach - Jude Sweeting 19 years in Dementia Care 12 years as Dementia Development Officer for City of Westminster General Nursing Background Qualified Life Coach Dementia Trainer (Dementia UK)

Programme Outline 8 Month Programme 1 Day for Managers and Activity Leads 4 Days for Activity Leads 6 Coaching Phone Calls Ongoing Peer support 6 ‘Getting to Know You’ Themed Events

Getting to Know You Themed Events: This is your life Desert Island Disks Holiday Cruise Liner Jobs & Home Getting Ready & Going Out Birthday - A year in the life

Application Criteria 3 page application form Manager must commit to supporting Activities Lead Manager attending one day of the programme Involvement of Family and Friends Ability to host training days Facilitate peer groups at the end of the programme

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