1. Enriching Lives with ExtraCare
Housing LIN:
EXTRA CARE Housing & Dementia Conference
18th February 2014
Enriching Lives with ExtraCare
Shirley Hall, Wellbeing & Community Manager Michael Spellman, EOP Services Coordinator

2. The Enriched Opportunities Programme®
The Enriched Opportunities Programme® (EOP) was developed by The ExtraCare Charitable Trust to support residents experiencing dementia to live independent, healthy, and active lifestyles.
The service began as a research project with the University of Bradford which involved:
A 2 year cluster 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 “Locksmith” who unpicks impairments and unlocks a persons potential. = +
with dementia

3. EOP Research Outcomes Residents supported by a Locksmith were…
50% less likely to move out of ExtraCare into a care home
Spending less time in hospital as an in-patient
More likely to have their mental health condition diagnosed
Had improved access to Health services
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)

4. The Enriched Model of Dementia Care
The programme is based on Tom Kitwood’s Enriched Model of Dementia Care. Developed from person centred psychotherapy it is a caring and effective way to establish a person’s unique experience of their condition.
D = NI + H + B + P + SP
Neurological impairment
Health
Biography
Personality
Social Psychology
Helps to understand and ‘connect the dots’ in a maze of misunderstanding.
Its holistic, and reduces the ‘failure to listen’ which can lead to a person being labelled as ‘challenging’.

5. EOP in practice
It’s the difference between seeing
A Person with Dementia or

6. May, a PERSON with dementia
EOP Locksmith intervention
‘Enriched Profile’
Preferences experiences passions
Wellbeing Nurse support

7. EOP in practice
The EOP achieves this through five major elements working together:
Specialist Expertise
The right Locksmith – found through unique recruitment
A senior role, influencing and teaching everyone to think ‘person centred’
Skilled empathic communicators that create therapeutic relationships
Individual Assessment and case work
One to one ‘quality time’ with residents, understanding their individual experience of dementia or other mental health condition
Development of an ‘Enriched Profile’ & ‘Resident Story’
Use knowledge to improve the way we care and support

8. EOP in practice Activity and Occupation Staff Training
Understanding a person leads to activity that is meaningful
Create opportunities to learn new skills and retain abilities
Staff Training
Specific Locksmith Training through the University of Worcester
Locksmith CPD – creating a Locksmith Curriculum
All staff training – mental health awareness and understanding of the EOP
Management and Leadership
Requires Scheme / Village Managers full participation
Organisational support, EOP Services Coordinator
Requires an enabling Policy, with commitment to quality and improvement

9. The Enriched Opportunities Programme® today…
Over 900 residents in ExtraCare live with a mental health condition
Over 390 experience dementia
66% have been supported by their Locksmith to receive a dementia diagnosis.
The average hospital stay for a resident receiving Locksmith support is 11 days
The Enriched Opportunities Programme® is a big part of achieving our vision to create