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Care Homes

Dementia Diagnosis - Why is it important? A webinar by Dr Sara Humphrey

DiADeM – Diagnosis of Advanced Dementia Mandate 

This link takes you to a new protocol to support diagnosis of dementia for people living with advanced dementia in a care home setting, without the need for referral to specialist/memory services.

© Yorkshire and Humber Strategic Clinical Network and Code4HealthAll content is licensed under the Open Government Licence v3.0 except where otherwise stated 

Please note that for the majority of people, a referral to memory services is appropriate, in line with NICE guidelines.  Memory services will carry out a comprehensive assessment and diagnosis process, initiate treatment where required and provide ongoing support and referral/signposting to other services dependent on need.  This protocol is therefore only to be used for those patients living with advanced dementia within a care home setting for whom a trip to memory services is unlikely to be feasible and/or make a difference to ongoing management.


We would like to thank Dr Graeme Finlayson, Bradford District Care NHS FT and Dr Subha Thiyagesh, South West Yorkshire Partnership NHS FT for sharing their protocols on which this tool is based. 

Clinical dementia rating (CDR) and Gold Standars Framework prognostic indicator guidance

Click here to access an electronic copy of the staging of the clinical dementia rating resource.

Click here for the GSF prognostic indicators guidance for clinicians to support earlier recognition of patients nearing the end of life. 

What could really make a difference 

This leaflet, developed by Year of Care Partnerships, was designed to be used as part of the Year of Care review process. It helps people who are living with a long-term condition to think about how things are working for them at that point in time and what could really make a difference for them. It is intended to be completed with input from family and carers where appropriate. Please take your time to think through the questions and write down any thoughts and ideas you have. This leaflet has been included as an integral part of the QOF dementia annual review template to support patients and carers to actively contribute to the development of a care plan in conjunction with their clinician.

Using NICE Quality Standards to Improve Practice: A Resource for Managers of Care Homes for Older People

This resource explains how you can make use of NICE quality standards, and sets the improvement opportunities offered by the quality standards in the context of the Care Quality Commission's new framework for inspection.

The resource outlines how quality standards fit with other improvement initiatives, and suggests ways you can use NICE quality standards to improve practice, including preparing for inspection. It also identifies which quality standard statements are likely to be most relevant for each of CQC's 5 key questions. Download it here

Care Certificate

 

The Care Certificate is a set of standards that social care and health workers stick to in their daily working life. It is the new minimum standards that should be covered as part of induction training of new care workers. The Care Certificate was developed jointly by Skills for Care, Health Education England and Skills for Health.

It:

  • applies across social care and health

  • links to National Occupational Standards and units in qualifications

  • covers what is needed to be caring - giving workers a good basis from which they can develop their knowledge and skills.

    Who is it for?

  • Designed with non-regulated workers in mind, the Care Certificate gives everyone the confidence that workers have the same induction - learning the same skills, knowledge and behaviours to provide compassionate, safe and high quality care and support.

  • The Care Certificate is the start of the career journey and is only one element of the training and education that will make them ready to practice within their specific sector.

  • Although the Care Certificate is designed for new staff, it also offers opportunities for existing staff to refresh or improve their knowledge. 

 More information and training resources can be found at www.skillsforcare.org.uk/learning-development/care-certificate/care-settings

Care Home Project

The SCN is currently looking at the diagnosis and support for people with dementia living in care homes. Part of that project envisages all care home staff undertaking training in the Care Certificate.

Local Information Resources

Memory Services

In January 2015 Cheshire and Merseyside SCN published a report which surveyed the memory and post diagnostic support services available across the region. It was driven by the national ambition to achieve a dementia diagnosis rate of 67% by 31st March 2015. Identification of increased numbers of people with a possible diagnosis of dementia would inevitably increase in the demand on services and it was felt that a possible review of future referral pathways may be necessary. GPs are already undergoing some training to allow them to diagnose dementia, whilst it is not expected that NICE will be mandating a CT scan for all cases. It was concluded that managing the condition in the community would be better for patients and their carers, however this will increase the demand on community services, not least GP practices. A full copy of the report can be found here.

Dementia Pathway Documents

In collaboration with our Commissioners, Providers, 3rd Sector, Service Users and their carers,  Cheshire and Merseyside SCN have developed a series of documents aimed at meeting the needs of both service users and providers. The suite of documents includes: