6 Month interim review of service Qualitative Repeat observational audit & satisfaction surveys: The approach to patients by staff has improved with a.

6 Month interim review of service

Qualitative

Repeat observational audit & satisfaction surveys:

The approach to patients by staff has improved with a better understanding of communication needs and role modelling of the Dementia Buddies

The eating and drinking needs of the patients have improved with the Dementia Buddies providing assistance at lunchtime and encouraging the patients to drink throughout the morning

Maintenance of cognitive ability and reducing agitation and behavioural challenges, and freeing up the time of the ward staff, are helped by the activities provided by the buddies such as: Reading Discussing picture books Dancing Singing Board games Simply conversing and companionship

More effective signposting of patients and carers to support both outside of the hospital environment once the person with dementia is discharged is taking place

What the Buddies did during their visitActivity Number

Reminiscence 12

Talking/chatting 120

Walking 1

Reading 13

Eat/Drink 10

Music 6

Encouraged Nutrition 24

Other 8

Daily Records Evaluation

Alert Lively Hungry Neat & Tidy

Happy Chatty Thirsty Untidy

Sad Quiet Agitated Confused

Calm Withdrawn Frustrated Depressed

Content Bored Angry Tired

Daily Records- between Oct.2012 and March 2013. (N=155)

On Arrival On Leaving Difference in Totals

Total TotalWords circled 374 348 (26)Total score + 36 +197 +161Average score +0.1 +0.6 +0.5

What Patients have said:

“patient said kind of me to visit and hopes to see me again”

“Patient thanked me for my help”

“Pleased to see me and responded well, talked well, liked her hand held.”

Patient responses recorded by Buddies

Patient pleased to remember us. Enjoyed chatting. Is a quiet lady but enjoys a laugh. Was thirsty and enjoyed 2 cups of squash.

Patient enjoys holding hands and listening to stories. She likes hugs and cuddles and kisses and often asks for company. She won't chat back but she will tell you not to go away in the end.

Patient was tired eyes closed but happy for me to sit with

her holding her hands. Happy someone there for her.

Carers/Relatives Evaluation

As well as expected

Better than expected

Worse than expected

0

1

2

3

4

5

6

7

8

9

10

10

5

0

How was your relative/friend today?

Care

rs

Quotes from Carers/Relatives

“When I am not here my mother gets quite tearful and lonely so I think the scheme is a good idea.”

“Somebody came a few days ago and talked to mum about Gravesend of many years ago (not today). She really enjoyed this.”

“No matter how little, having company can be sensed and will be a comfort.”

“Excellent service and much needed”

Staff Evaluation N=9

Question Yes No

Ward atmosphere enhanced

6 0

Improved Understanding

7 0

Difference made to your role

5 1“ my job is administrative...”

Difference made to patients

5 1“ my job is administrative...”

Quotes from Ward Staff

“ Patients get more settled, less agitated and more lively and are more alert and can follow through the routines affectively.” Staff Nurse

“ They all help us as a health care assistant may help us. They keep them orientated.” HCA

“ They settle down when they are agitated. Eat/drink well because of dementia buddy” Staff Nurse

“ The ward has a very good understanding of dementia but the buddies have enhanced this.” Senior staff Nurse

Quantitative evaluation Too early to see impact as buddies not fully

established However: Overall LOS on Ebony reduced by 2 days Average LOS for patients with a diagnosis

of dementia reduced from 30.0 to 20.8 days (30% reduction)

Complaints baseline was minimal so not meaningful to measure

Dementia Buddy specific readmissions hard to audit

Falls

The Future

Final Pilot evaluation in June and share results and experience with other Trusts

Business Case for Trust to continue role:

53 hours (1.42 WTE band 5 co-ordinator posts) 0.5 WTE Admin support Band

2 £10,000 for training

Expand service hours to 6 hours per day, 7 days per week

Continue to roll scheme out to other wards/Depts within the hospital

Emergency Dept

Provide an ‘on request’ service for individual cases

Continue with partnership working between the hospital and ADSS

Integration Awards

Nursing Standard

Jeremy Hunt

Other initiatives at DVHProgress Education CQUIN trigger part of

EDN Dementia & MCA

pathways developed and agreed

Cognitive impairment Care plan implemented

Reduction in LOS Care Homes Project MSS & Dr Yu Extended Therapy

Service to cover weekends

Acute physician

Evergreen/Geriatrician of the Week

Elderly Care Specialist Nurse (Feb-12)

Dignity Champions Nursing Care

complaints reduced Productive Older

Peoples Project/Patient Experience Programmes

National Dementia Audit 2nd Round

Observational Audit Programme

PAT Dog

Future Plans

Dementia Challenge funding:

Dementia Specialist Practitioner

Environmental changes: Signage Pilot Colour Scheme in bays

(Ebony) Pictures relating to colours Bed spreads Curtains Toilet Seats

Charitable Funds:

Picture books/memory boxes

Reminiscence corridor

MP3

Sensory Garden

Laundry

Expansion of Dementia Buddy Scheme

Thank youAny Questions?