Extra dementia care If the time comes when remaining at home is no longer possible, you may need to consider the benefits of extracare housing or residential care. You can ask about this as part of your social care assessment. Questions to ask of any home registered to care for people with dementia should include: • who is the senior clinician attached to the home, whom you can approach for information and advice? • what training is given to staff? • does the home provide individual care according to each person’s needs and wishes (called ‘person-centred care planning’)? • is the home designed with the needs of its residents in mind, especially safety and accessibility? • is there plenty of natural light? • are there easily-understood signs to help people move around? • what does the home do to help prevent falls, and to help orientate people who may be confused by their surroundings? Further questions to ask can be found in the residential dementia care checklist adjacent. Deciding between homes can be difficult but the quality and quantity of staff training is especially important. The turnover of staff is also important, as people with dementia benefit from continuity of relationships. The National Dementia Strategy expects adult social care departments to ensure all staff in social care and health services have training in dementia care. In East Sussex, this is being achieved by online training, and training sessions run by East Sussex Personnel and Training. The training is open to the independent and voluntary sector as well as to staff in Adult Social Care. The use of medication to treat dementia can be a difficult choice. Currently there is no specific cure for dementia but, at certain stages of the condition, prescribed and regularly-reviewed drugs may be helpful. It’s important that any care given should meet that person’s needs, so they feel wanted, rested, safe, and still able to join in the activities they enjoy and have always enjoyed. Most people can live well with dementia – Adult Social Care and Health need to help them to do so. Contact East Sussex Adult Social Care Direct (Tel: 0345 60 80 191) or the Brighton & Hove Adult Social Care Access Point (Tel: 01273 295555) for information about services for people with dementia.
Residential dementia care checklist © 2014 Care Choices Ltd
Things to look for in care homes specialising in dementia. Please use in conjunction with the care homes checklist on page 29. RESIDENTS The best indication of a good home is that the residents appear happy and responsive. Are there rummage boxes around the home to stimulate residents? ACCESS If the person with dementia needs or is likely to need equipment or adaptations you may want to check: There is adequate signage and cues for different parts of the home such as dining room and bathroom. The home’s policy about locking external doors. BEDROOMS You may want to find out: If the person with dementia can have a single room. Whether residents are encouraged to bring in some of their own furniture and possessions to increase familiarity. ACTIVITIES Residents should be stimulated without feeling stressed. Are reminiscence activities available? Are residents able to compile memory boxes? Do staff compile life story books including photographs and mementoes? STAFF It is important to note whether staff seem friendly and caring towards residents and whether they treat residents with respect. Do they have any training and experience in dementia care? Will the person with dementia have a member of staff particularly responsible for their care? Is there a member of staff you can talk to about your own worries about the person with dementia? MANAGER/HEAD OF HOME A manager who is caring as well as efficient can make all the difference to a home. Does the manager have a knowledge of dementia and can they deal with difficulties that may arise in an understanding way? Is there a full assessment at home before a resident is admitted? What is the home’s policy about the prescribing of medication to manage behaviour and their approach to other ways of managing behaviour?
This Directory’s helpline 0800 389 2077 – information on choosing and paying for care
Published on Sep 2, 2013
The comprehensive guide to choosing and paying for care in East Sussex including Brighton & Hove. The Directory includes information on home...