1. DEMENTIA ENABLEMENT PROJECT 20 th May 2016 Care & Repair Judith Leslie (Angus) Maureen Cameron (Lochaber) Care and Repair and the Life Changes Trust working together to improve, adapt and personalise the home environment for people living with Dementia.

2. DEMENTIA ENABLEMENT PROJECT Introduction & Background Life Changes Trust www.lifechangestrust.org.uk £50 million endowment – Big Lottery Fund Care experienced young people People affected by dementia and their unpaid carers

3. DEMENTIA ENABLEMENT PROJECT Why is it needed? The majority of older people live in their own homes and this is set to increase with people living longer and a focus on caring for people in the community Whilst there has been significant research on new build design for people living with dementia there is not a vast amount of information about adapting existing stock People living with dementia can stay independent for longer at home given the correct support for themselves and their carer. People living with dementia are more likely to have falls or accidents in the home and therefore it is especially important to ensure that the home is safe and free from potential hazards at an early stage.

4. DEMENTIA ENABLEMENT PROJECT Why Care & Repair? Care & Repair services have been assisting people to remain living independently within their own homes for over 30 years They have existing relationships working with adaptations and telecare and facilitating hospital discharge Preventative work / home safety are a priority to Care and Repair Teams work across multi-disciplinary and departmental boundaries with Housing, Health & Social Care, Police, Fire and Rescue and voluntary organisations Staff skills combine building, housing and social care expertise Localities Aberdeen – urban Lochaber – very rural Angus – mix of rural and urban

5. DEMENTIA ENABLEMENT PROJECT What is it? 3 areas in Scotland working with people who are living at home with dementia to improve their daily living by providing improvements, adaptations or alterations to their home. Dementia trained, dedicated and skilled staff to discuss and agree works with the individual (and carer) which will enhance their life in their home and then carry them out. An early safety check to advise about any immediate changes and then an open opportunity to come back for additional works when needed at the individuals pace. Close working with existing services such as Dementia Link workers, Telecare, Social Work and Health and Carers organisations to promote a joined up approach.

6. DEMENTIA ENABLEMENT PROJECT Type of works / equipment anticipated Thumb turn lock Coloured rails Daylight bulbs

7. DEMENTIA ENABLEMENT PROJECT Type of works / equipment anticipated

8. DEMENTIA ENABLEMENT PROJECT Type of stickers

9. DEMENTIA ENABLEMENT PROJECT Outcomes People living with dementia and/or their carer(s) can contribute to designing a service which is provided in a timely, respectful and mutually agreed manner and suit the recipients needs, which helps retain independence, safety, security and activity in the home and the community. Existing services will be informed and new services developed for design, adaptations and equipment to suit people living with dementia that can then be adopted by others and incorporated into future dementia provision for individuals and which can influence needs assessments in the future. The service evaluation may show links between works needed and the type of dementia or the stage at which enablement is offered.

10. DEMENTIA ENABLEMENT PROJECT Case study Mr B. Diagnosed with Vascular dementia in September 2015. Hasn’t been out of the house since October. At the first visit the gentleman was very uncommunicative and sat mostly with his head down. Grant went through the enablement check and raised a few areas for improvement such as additional grab rails, brighter lights and we also discussed referral to Carers Centre to give extra support for the wife and to assess for additional benefits (they were not receiving any). We offered coloured rails, suggested alterations to the kitchen and spoke about their busy decoration. They wanted the back garden tidied, a light at front door and for the council to fit new windows.

11. DEMENTIA ENABLEMENT PROJECT Case study We contacted the council and they are going to fit windows for them this year and the outside light soon. They cannot do the garden however there is a volunteer gardening service that Grant is liaising with who can help. Grant visited a week later to go through these developments with the couple. The council has already fitted the new security light for them. He said that the gentleman was completely different from before sitting with his head up and more animated. Next we will fit the daylight bulbs, thumb turn door locks and additional rails and perhaps in the future we can guide them towards decluttering in the future.

12. DEMENTIA ENABLEMENT PROJECT Case study

13. DEMENTIA ENABLEMENT PROJECT Thank you Questions?