1.1 Legislation and regulation impacting on dementia care services
Guidance for 1.1 Learners critically evaluate the impact of legislation and regulation relating to dementia care on their service management, to include consideration of the Mental Capacity Act in relation to: • Day to day decisions
1.2 Importance of integrated care for an individual living with dementia
Guidance for 1.2 Learners review the principles and practices of `integrated health and care services` within their locality , including an analysis of the roles of different care services who provide care and support e.g. Community Mental Health teams Occupational therapy teams SALT teams NHS provision - GPs, community nursing Others - volunteers, friends families
1.3 Impacts of raising awareness
Guidance for 1.3 Learners review current national and local initiatives in place to raise awareness of dementia an provide and analysis of their impact, for example: Dementia 2020 challenge Dementia Friends Butterfly approach
1.4 Approaches for practice in dementia care
Guidance for 1.4 Learners examine the key features and impact on dementia services in respect of the approaches: Person centred care Relationship centred care Emotion centred care
1.5 Policies and practices consistent with current thinking and guidance
Guidance for 1.5 Learners investigate policies and practices relevant to their own dementia service, review and make recommendations which could inform their future operational dementia care strategy as leaders and managers.
Learning outcome 2: Support others to develop an understanding of the impact of dementia on individuals and their families
2.1 Support to others to understand dementia
Guidance for 2.1 Learners evidence how they support others in their understanding of dementia in relation to: Diagnosis Types of dementia Signs and symptoms Treatment Care and support Challenges faced with providing care and support Risks
2.2 Support to others to understand the impact of dementia on those living with the condition
Guidance for 2.2 Learners provide support to others to develop an understanding of the impact of dementia on an individual in relation to: Communication Independence Decision making Psychological / emotional wellbeing Confidence / self esteem Identity Social interaction(s) Physical health Behaviours Diminishing responsibility (Others - e.g. colleagues, partners, families, friends, carers)
2.3 Provide learning and development opportunities to staff to enhance their knowledge, understanding and skills in dementia care
Learning outcome 3: Lead practice that promotes the wellbeing of individuals living with dementia
3.1 Manage services that demonstrate effective approaches to dementia care
Guidance for 3.1 Learners critically evaluate their dementia care service approaches as identified
3.2 Lead practice which supports staff to identify factors that could affect the wellbeing of an individual that may not be attributed to dementia
Guidance for 3.2 Working in partnership, learners support others to identify practice strategies and help eliminate where possible, other factors that could affect the wellbeing of an individual that may not be attributed to dementia for example: Infections Constipation Hunger Change Stress
3.3 Lead on anti-discriminatory practice
Guidance for 3.3 Learners demonstrate how they lead practice to raise awareness with colleagues to ensure they promote and practise anti discriminatory practice in respect of those living with dementia for example: Internally with their service Externally with others With those who may demonstrate prejudices e.g. `them and us` Working with fears, challenging behaviours, assumptions and presumptions
3.4 Manage ongoing assessment of needs of individuals living with dementia
Guidance for 3.4 Leaners critically evaluate how they will lead and manage the ongoing assessment of needs and wellbeing of individuals living with dementia within their service area.
Assessment Transition Care planning Partnership working Environment – e.g. visual aids Life histories Interaction / occupation Best interest Existing / degenerative conditions
Learning outcome 4: Manage health, safety and risk processes in dementia care
4.1 Plan, manage and review service environment which maintains the safety of individuals living with dementia
Guidance for 4.1 Learners plan, manage and review service provision environments: Safety Security measures Risk assessments Visual aids Use of outside professionals Use of volunteers Visitors
4.2 Develop and implement policy, procedure and systems that maintain the health, safety and welfare of individuals living with dementia
Guidance for 4.2 Learners demonstrate how they will lead teams to promote wellbeing of those in receipt of care and make referrals to outside agencies and services when required: Promoting positive risk taking to maintain independence Identifying concerns affecting wellbeing Achieving individuals identified goals and outcomes
4.3 Lead teams to promote wellbeing and make referrals to outside agencies and services
Guidance for 4.3 Learners consider the positive and negative impact health and safety measures may have on individuals living with dementia as part of the service living and/or support environment(s).
4.4 Implement processes required by DoLS
Guidance for 4.4 Leaners to demonstrate their understanding of ‘deprivation of liberty’ in line with current legislation and guidance which applies to their service area and how others are made aware of: What is a deprivation of liberty and where does it apply – care homes, hospitals The system for people in ‘supported living arrangements’ – those who live and receive care and support in the community The meaning of continuous supervision and control, not free to leave, lack of capacity to consent What is DoLS - related safeguards/protection, assessment, review and appeals How the above applies itself to their service area.
Learning outcome 5: Manage challenges and behaviours in dementia settings
5.1 Analyse impacts of change
Guidance for 5.1 Learners analyse impacts of change/changes on: an individual living with dementia an individual living with dementia with complex needs carer/family member the service.
5.2 Evaluate the impacts of behaviour that challenges others
Guidance for 5.2 Learners evaluate causes, triggers and impacts of behaviour that places challenges on the provision of services and support on: an individual living with dementia carer/family member staff other service users the physical environment.
5.4 Lead practice which supports staff to understand, respond and manage behaviour that may challenge
Guidance for 5.4 Learners lead teams that can understand and implement strategies and approaches when managing behaviour that may challenge and be challenging to/for others: Recognising, monitoring, reporting and supporting an individual expressing challenging behaviour(s) When restraint or restriction is acceptable and reasonable in line with the provision of the Mental Capacity Act and DoLS De-escalation Positive behaviour support SPECAL approach Validation Butterfly approach Best Interests Least restrictive practice Dignity, respect and inclusion.
5.5 Support staff morale and well-being when working in dementia care services
Guidance for 5.5 Learners evaluate the following within their service area: The training and development in dementia care and support provided for all colleagues and others Their management of moral and welling amongst colleagues to include supervision and mentoring How to improve the above where improvements are identified/recognised by themselves and others How as leaders and managers they are maintaining currency in their CPD in respect of dementia care services, support and sector knowledge. Learners should be encouraged to consider innovative approaches when maintaining morale and wellbeing with colleagues.
5.3 Safeguarding people living with dementia
Guidance for 5.3 Leaners evaluate the current legislative frameworks that underpins safeguarding of people living with dementia.
Learning outcome 6: Develop leadership and management practice in dementia care services
Tell me how you…
6.1 Develop strategies to monitor and review changes to dementia care services
Guidance for 6.1 Learners undertake a critical reflection, using a recognised model/approach, and propose recommendations for future changes to service implementation.