The SSSC welcomes a new Care Inspectorate report which highlights that dementia care is improving.
The report, My life, my care home, says although things are improving more work needs to be done. The report is the result of a year of dedicated inspection work on the care of people living with dementia in 145 care homes.
Inspectors found that in 73% of care homes staff roles and responsibilities were aligned with the Promoting Excellence framework and that generally care homes using the framework provided better quality care than those that didn’t. Of the care homes with grades of Good or above, 47% aligned staff roles to the framework compared with just 9% of care homes with grades of Adequate or lower.
They also found that care homes where staff received regular planned supervision were more likely to be a better performing service with better outcomes for people. Of the care homes inspected 60% provided this.
There was a Dementia Ambassador in 46% of the care homes. In 53% of care homes with grades of Good or above there was a Dementia Ambassador compared with 33% of care homes with grades of Adequate or lower.
Inspectors used the Standards of Care for Dementia in Scotland to carry out the work, which say: I have the right to carers who are well supported and educated about dementia (Standard 4.5).
The Promoting Excellence framework, which explains the essential knowledge and skills needed to support people with dementia, supports this Standard. The SSSC together with NHS Education for Scotland (NES) lead the implementation of Promoting Excellence and work closely with the Care Inspectorate to help improve standards of dementia care.
Welcoming the report Chief Executive of the SSSC Anna Fowlie said:
‘I’m very pleased to see the difference Promoting Excellence is making for people living with dementia and that many care homes are using the learning and development resources provided as part of the framework.
‘Promoting Excellence and our Dementia Ambassador network, which has around 800 members, are excellent examples of how good partnership work between the SSSC, NES and the Care Inspectorate are having a real impact on improving standards.’
Workforce development resources
Some of the areas of improvement in the report are for care homes to:
- make use of the SSSC and NES resources in dementia practice and supervision
- consider an SSSC Open Badge scheme so staff can reflect on how they’ve applied their Promoting Excellence learning in practice
- get support from SSSC and NES for key staff to become Dementia Ambassadors or Dementia Champions in their care home.
The SSSC and NES will continue to support dementia care improvement through a range of learning opportunities and training programmes building on progress already made, including:
- development of the role of Dementia Ambassadors in care homes
- development of an employer led Open Badge scheme
- continued development of care home staff knowledge and skills to promote the use of non-pharmacological interventions via the essential in psychological care for people with dementia in care homes training programmes
- supporting the care home workforce to develop their knowledge and skills in providing person-centred palliative and end of life care through training aligned to the Strategic Framework for Action on Palliative and End of Life Care
- continuing to build on the success of the Caring for Smiles programme enabling care home staff to be skilled in supporting people with dementia to maintain good oral health
- continued targeted and enhanced training in the pharmacological care of people with dementia and meeting the needs of people with dementia who have complex physical health needs
- an intensive 18-month specialist dementia improvement leads programme starting in September 2018.