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 visit Activity Reminiscence Talking/chatting Walking Reading Eat/Drink Music Encouraged Nutrition Other Number 12 120 1 13 10 6 24 8 Daily Records Evaluation Alert Lively Hungry Neat & Tidy Happy Chatty Thirsty Untidy Sad Quiet Agitated Confused Calm Withdrawn Frustrated Depressed Content Bored Tired Angry Daily Records- between Oct.2012 and March 2013. (N=155) On Arrival Words circled Total score Average score Total 374 + 36 +0.1 On Leaving Difference in Totals Total 348 +197 +0.6 (26) +161 +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 How was your relative/friend today? 10 9 Carers 8 7 6 5 10 4 5 3 2 0 1 0 As well as expected Better than expected Worse than expected 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 Continue to roll scheme out to other wards/Depts within the hospital Emergency Dept 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 Provide an ‘on request’ service for individual cases Continue with partnership working between the hospital and ADSS Integration Awards Nursing Standard Jeremy Hunt Expand service hours to 6 hours per day, 7 days per week Other initiatives at DVH Evergreen/Geriatrician of the Progress 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 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 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 you Any Questions?