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Improving domiciliary care for people with dementia: The providers’ perspective

Improving domiciliary care for people with dementia: The providers’ perspective . UKHCA report Written and presented by Jennifer Roberts . Introduction . The aim of the project has been to identify: The challenges home care providers face

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Improving domiciliary care for people with dementia: The providers’ perspective

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  1. Improving domiciliary care for people with dementia: The providers’ perspective UKHCA report Written and presented by Jennifer Roberts

  2. Introduction The aim of the project has been to identify: • The challenges home care providers face • What is working well from the home care providers’ perspective and across all sectors of care • Initiatives, best practice and models that can set the benchmark for future care and support • How we can move things forward to improve and develop future dementia services

  3. The project • Aims • To show how providers are meeting the challenge of supporting people with dementia and their carers, and how they can deliver person-centred care and support in the future • Methodology • Providers participated by • Completing online surveys • Attending focus groups in Bristol and Exeter • Telephone interviews

  4. Challenges: Commissioning practices • Diagnosis • Assessments and reviews • Live-in care • Delivering quality dementia care services • Dementia awareness • Time and task focused commissioning • Personal Budgets • Framework agreements

  5. Challenges:Home care providers • Organisational arrangements and costs • Workforce recruitment and retention • Training • Links with other professionals and services • General concerns • Perception of home care • Perception of dementia

  6. Innovation, initiatives and best practice models • Innovative work around creating consistency and continuity in care • Improved computer rostering systems • Management of out of hours services • Developing in-house expertise (i.e. dementia mentors/champions) • Workforce development (i.e. train the trainer/dementia care mapping) • Integrating care services • Forming local community networks and links • Developing information sharing documents

  7. Moving forward Achieving an outcome-focused approach Opportunities for home care • Growth in the private market • Marketing • Building on existing services • Promoting the benefits of using a regulated home care provider over personal assistants • Developing and providing different services

  8. Key messages for commissioners • Dementia care pathway • Person-centred service delivery • Funding • Contracting clauses • Costs

  9. Key messages for providers • Personalisation • Service delivery • Workforce development • Links and multi-agency working

  10. Conclusion • It is crucial that commissioners and providers continue to build on and develop good working relationships • To achieve this, both partners must have: • Trust – the belief that each of them is • doing what they say they are doing and • honouring the commitments they make to • each other • Joint commitment to success • A shared focus on results • Good and open communication • An agreement to share risk

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