Sue McLeanDirector of Care Services and Outcomes

Community Integrated Care

Today we will…

• Introduce EachStep

• Talk through the benefits of

specialist integrated care

• Describe the environment

Community Integrated Care…

• One of UK’s largest Social and Health Care

charity providers

• Support thousands of people with learning

disabilities, mental health concerns, autism

and age related needs

• 25 year experience

Introducing EachStep

Based on simple concepts, where:

• People with dementia need stability in their lives

• They and their loved ones all need support

• They should be cared for by well-trained staff in

facilities that really meet their needs

• That the support and care should be about the local

community and strong family and carer partnerships

Community Integrated Care…

Has brought these concepts together and created a truly innovative service model…

EachStep…

Supports people with dementia through any challenge they may face – from initial diagnosis and as the condition progresses

We started with the person, not the building.

Delivering…

• Home Care• Day Care• Respite Care• Residential and Nursing Care

So EachStep supports people from early diagnosis, through to end of life…

Benefits of service integration:

• Easy transition through care services

• Support flexed according to their needs

• As needs change – we can respond – less strain and

pressure on family members

• Our staff can offer guidance and support to family

members as they negotiate their way through often

complex systems

Our aim:

To make the difficult steps in accessing care

more straightforward….

But does it work?

An Expert Understanding

Practical research and knowledge informed the development of EachStepFrom the environment, the training through to every detail that puts the person and their family at the centre of the care

An Environment Fit to Care

Our Service Design…

• Homely – not institutional

– Offers independence, safety and comfort

– Avoids bland, clinical design of traditional care homes

• Supports residents in homely 12 person households – rather than

large ‘wings’

• Includes specialist lighting, furnishings and assistive technologies

• There is a destination wherever you walk - Garden, Corridors,

Living areas

• Includes a range of facilities for recreation including library,

accessible Gym, cinema and Costa Coffee

Our Households…

• Include a domestic kitchen; laundry facilities - ability to carry out everyday activities

• Communal lounges – no chairs hugging walls• Tactile fabrics providing sensory stimulation

• Large windows, accessible balconies - giving residents

freedom and expansive views of EachStep’s gardens

• Using traditional ornaments and memorabilia; photos of

local history to stimulate spontaneous reminiscence

• Pictures and photographs theme corridors and rooms,

aiding orientation

Not just a specialist environment – But specialist carers too…

Staff Team

• Support workers – called Care & Activity Workers

• Specialist roles

– Dementia Occupational Therapist

– Lead Dementia Trainer/Nurse

– Dementia Specialist Nurse

– Day Care and Outreach Co-ordinator

Recruitment and Training Process

Innovative process

– Skills and emotional intelligence

– Many new to the sector – recruited because of exceptional life

experience and personal skills

• They all : (including managers, care & activity workers and

cleaners)

– On-going specialist training, including our very own in-house

BTEC Diploma in Dementia

– Are expected to provide meaningful activities

– Challenge themselves; why am I doing this?

Leading to…A staff team who really know and understand the people they support

Case Study - Christine Cundall

Case Study - Christine Cundall

Joined with very little experience• Lack of experience was outweighed by her ambition to make a

difference • Mother had dementia – and since she passed away Christine

wanted to make a difference• Empathy has led to her being an incredibly gifted support worker• She works in the Nursing household she is:

– Warm, caring, naturally tactile and brings calm when people become distressed

• She is intuitive and learns the life history of everyone she supports– E.g. person who was an Executive when she becomes stressed

she enables the person to be back in the office– Involves people in day-to-day activities

… and our staff provide meaningful activities

Case Study – Chelsea Mills

• Night time Care and Activities Worker– Not in the traditional sense (not a night-

watchman)• Offers opportunities to restless residents

to take part in a range of activities– Baking– Art– Badminton

• Almost always relaxes people• Also gets to know the life history of people

Conclusions• Integration of services works and has had great

impact• Focus on meaningful activity • Develop skills of staff to create a culture of

reflective practice• Simple things can make any service more

dementia-friendly• Plan any new services around the person, not the

building.

Visit our stand for more information.

Thank You

www.c-i-c.co.uk www.each-step.co.uk