2. Four Seasons Dementia
Care Framework
A set of values and actions we follow to support
Special Resident Experiences
3. Four Seasons Health Care
Our Vision
To improve the lives of our residents and the
communities we serve by consistently
delivering special resident experiences – and
to be the best place to work in the care sector
20,000
colleagues
16,000
residents
300 homes
4. It all comes down to………..
The individual Experience
5. Our Find & Fix Approach
Live feedback captured via iPads
Immediately available to the
home and support teams
Find and Fix approach
Helping colleagues to get it right
6. Gaining feedback
• Over 10,000 pieces of
feedback every month
• Response to resolve
down from 12 to 5 days
• Customer satisfaction
increasing
0
2000
4000
6000
8000
10000
12000
14000
16000
Jan '16 Feb '16 Mar '16 Apr '16 May '16 Jun '16 Jul '16 Aug '16 Sept '16
Questionnaire Volumes
96.2
96.4
96.6
96.8
97
97.2
97.4
97.6
Jan '16 Feb '16Mar '16Apr '16 May
'16
Jun '16 Jul '16 Aug '16 Sept
'16
Oct '16
Overall Score
7. Four Seasons Dementia Care Framework
Developed using current standards and best practice guidelines
8. What is covered by TRaCAd?
Feedback
Questions
Observation
Tool
Care
Documentation
Meaningful
Activities
Rights
Consent
Capacity
Bed Rails Lap Belts DoLs Medication Pain
Mobility Falls
Distress
Reaction
Personal Risk
Assessment
Nutritional
Needs
Choking Risk Weight Loss Continence
Use of
Sensor
Equipment
Cognition
End of Life Communication Delirium
Psychological
and Sleep
Hygiene
Skin/Tissue
Integrity
Pressure
Ulcers
Minor
Wounds
Recent
Admission
Sensory
9. Colleague Support & Learning
Dementia
Awareness
Communication
Activities &
Engagement
Distressed
Reaction
Experience &
Understanding
Skills
Leadership
Rights, Choices and the Law
10. Dementia Awareness and
the Dementia Experience
Simulates the sensory, cognitive and emotional elements of living
with dementia
14. Colleague Support & Learning
Dementia
Awareness
Communication
Activities &
Engagement
Distressed
Reaction
Experience &
Understanding
Skills
Leadership
Rights, Choices and the Law
15. Resident & Family
Perspective
Resident and Family Charters
• Starting point was to understand
what is important to a Resident
and their Family
• Co-produce a Charter and connect
this directly to the way we support
our teams to deliver care (TRaCAd)
• Linked to the Resident experience
statements (outcomes)
16. 1. Use what you learn about me to improve how you
support me
2. Call me by the name I know and prefer
3. Listen to my wishes, preferences and concerns and
support me to have my say
4. Understand how I want to be cared for and if you
have to make decisions for me, you strive to include
me in doing what is best for me
5. Help me to communicate with others
17. 1. Help me understand any changes in my relative’s
health and wellbeing and the care provided
2. Listen to my thoughts and acknowledge and act upon
any concerns or suggestions I may have
3. Say sorry and put it right if you don’t get it right
4. Engage with me so that you fully understand my
relative’s personality, background, hobbies, likes and
dislikes
5. Support me to keep my emotional connection
with my relative and spend quality time together