Shame On You Campaign... Fighting For The Elderly Mentally Infirm In Staffordshire
WHAT HAPPENED TO CHANGING LIVES –
The Homestead [May Place] EMI Resource Centre?
May 19th 2007
Recent Research in Scotland: OLDER PEOPLE AND COMMUNITY CARE IN SCOTLAND - A
REVIEW OF RECENT RESEARCH 2004.
Evaluation of day care services (Dementia Care Mapping)
6.11 An evaluation by Queen Margaret University College is a good example of the
new approach to dementia research because of the fullness and quality of the
published report. The approach to and methods used for data collection and
analysis are clearly explained in the report, covering issues of ethics, quality
assurance and participation. In this study a combination of methods was used to
evaluate two different day care settings: a day hospital and a day centre. The
study involved: a structured questionnaire for staff on organisation and
culture; focus groups and interviews with 21 staff; interviews and DCM with 10
service users with dementia; and interviews with 14 informal carers. The
research team attended the settings weekly over a 2.5 month period. DCM and
interviews with people with dementia was carried out by experts in dementia care
from the Royal College of Nursing. The consent of people with dementia to
participation in the evaluation was obtained using the Process Consent method
(Dewing, 2002)
6.12 The evaluation focused on the extent to which the stated philosophy of the
services is translated into practice and the therapeutic aims of dementia care
are pursued. In one of the settings there was a lack of fit found between what
staff perceived to be the well being of their clients and what was revealed
about the quality of care by the DCM analysis. Detailed evidence from DCM is
presented to show how when left unattended sociable individuals faired well in
the day care setting whereas less sociable people were withdrawn and disengaged.
A high level of group activity stimulated by staff produced higher levels of
enjoyment and well being amongst day care attendees but at some cost in terms of
one to one contact.
6.13 The main benefit of the day care service identified by informal carers was
respite. Although they identified the company, stimulation and affection as
valuable benefits for their relative, they were not aware of the potential for
therapeutic benefits and therefore had no expectations in this regard. The
report's authors conclude that respite for carers is not a sufficient
justification for long-term funding of day care. National standards and
professional education are needed to support high quality day care which both
enables the carer to feel supported and provides therapeutic experiences
enhancing the well-being of the person with dementia, and indirectly the carer.
May Place Day Care Centre
However the carers of May Place service users are fully aware that the service
provides therapeutic experience as well as the respite. Newcastle's EMI
Resource The Homestead will provide the high quality of day care that this
research is referring to ...read on
WHAT IS A RESOURCE CENTRE ?
A number of identified residential homes will be reprovided / developed into a
new service model of flexible, district based EMI resource centres such as
the Homestead [May Place] EMI Resource. The purpose of a
EMI resource centre is to support and enable people to remain independently in their
own home and community for much longer. The Homestead [May Place] EMI
resources centre will encourage
integration within the individuals own.
The Homestead [May Place] EMI resource centre will provide:
• Assessment/Intermediate Care
• Flexible and Active Respite/Short Stays
• Prevention and Health Support
Reablement is a programme of care that is initiated by a multi- agency team,
comprising
of; occupational therapist, physiotherapist, G.Ps, district nurses, and social
workers. The purpose of the assessment will assist the service user to improve
or regain their skills so they are able to return home. The service can last up
to six to eight weeks. The service user will return home with a full package of
care that is designed to support them and enable them to continue to live
independently.
Assessment/Intermediate Care
Service users will be discharged from hospital to the Homestead [May Place] EMI
resource centre to allow
them time to recover and be assessed before they return home. The assessment
will produce a
package of care that promotes independence and enable the service user to
continue
living at home. This will help reduce the need for service users to be admitted
to
residential care from hospital. The service user and carer will have a full
package of care
and support to fit their needs upon returning home.
Flexible and Active Respite/Short Stay
A number of beds in the Homestead [May Place] EMI resource centre will be allocated for a flexible and
active respite/short stay service. The purpose of this service is to offer service
users and their
carers a break and support so that they can continue to live at home
independently.
The service users and the carers needs will continually be assessed and
their package of care.
In addition to the above services a day support service will be either
integrated or linked to the Homestead [May Place] EMI resource centre . The day support will be a flexible
service that will support and enable service users to remain living
independently in their homes. The service will be provided over seven days a
week and for an extended day. The focus will be towards reablement and
assessment of individual needs with a programme of care that promotes inclusion
with the individual’s community facilities.
Prevention and Health Care Promotion
The Homestead [May Place] EMI resource centre will also provide a mixture of other services to enhance the
care
packages provided in and out of the Homestead [May Place] EMI resource centre . The intention is to offer a service that prevents
admission to hospital and or residential care.
As the new service develops within the district further areas will be identified
for
development.
Download -
Item 91
Extract Pages 43 -44 In-House Residential and Day Care Services for Older and
Disabled People Cabinet 19 July 2006
Download - Item No
7 On the Changing Lives Agenda : SOCIAL CARE SCRUTINY AND PERFORMANCE PANEL 10
OCTOBER 2006 in full
