This document summarizes Four Seasons Health Care's dementia care framework. It operates 350 homes serving 18,000 residents, with 20,000 staff. The framework was developed using best practices and focuses on individual experiences. It utilizes technology like iPads to gather feedback from residents, families, staff and visitors and track outcomes. The framework includes a digital audit tool called TRaCAd that covers over 300 standards on care quality. Resident and family charters were co-produced to connect the framework to what is important to residents and their loved ones.
Person-centred care: slides for a presentation to health and care leaders in Manchester on 12 March 2014 on implementation of the "Better Care Fund" for more integrated care. How to keep the focus on people.
The presentation was part of a series of Learn and Share events run by NCVO's volunteering in care homes project.
The presentation was by NCVO and looks at the emergent findings from the project.
For more information on the project: http://www.ncvo.org.uk/practical-support/volunteering/volunteering-in-care-homes
Summary from the very first Capital C event held at Impact Hub Kings Cross on Saturday 29th November.
Capital C is a collaboration to improve cancer care for the people of London hosted by Macmillan Cancer Support and Swarm. The goal for the group is to put patient's voice at the heart of a long-term strategy to improve patient experience in London.
Person-centred care: slides for a presentation to health and care leaders in Manchester on 12 March 2014 on implementation of the "Better Care Fund" for more integrated care. How to keep the focus on people.
The presentation was part of a series of Learn and Share events run by NCVO's volunteering in care homes project.
The presentation was by NCVO and looks at the emergent findings from the project.
For more information on the project: http://www.ncvo.org.uk/practical-support/volunteering/volunteering-in-care-homes
Summary from the very first Capital C event held at Impact Hub Kings Cross on Saturday 29th November.
Capital C is a collaboration to improve cancer care for the people of London hosted by Macmillan Cancer Support and Swarm. The goal for the group is to put patient's voice at the heart of a long-term strategy to improve patient experience in London.
This workshop brought together, for the first time, the pioneers and the partner organisations of the Integrated Care and Support programme. It focused on building a learning community that will help develop, share and spread knowledge and solutions at scale and pace across the country.
More information: http://www.nhsiq.nhs.uk/news-events/events/integrated-care-and-support-pioneers-inaugural-workshop.aspx
More about the integrated care and support pioneers programme: http://www.nhsiq.nhs.uk/7862.aspx
"putting patients at the heart": the workforce implicationsJeremy Taylor
Slides I presented at the NHS Employers autumn workforce summit on 13 October 2015. They set out National Voices' perspective on what good person centred, community-focussed care looks like, and the implications for the healthcare workforce of making it real.
The Health and Social Care Standards - what's new for Scotland?Rami Okasha
A short presentation with some background information about Scotland's new Health and Social Care Standards. These 2017 standards are relevant across health, social care, social work, early learning and childcare, children's services and community justice social work. This presentation describes some of the changes from the previous 2002 standards and share some early thinking about how they will be implemented and rolled out. You can read more at www.newcarestandards.scot.
Jeremy Taylor presentation to FT governorsJeremy Taylor
Presentation to Foundation Trust governors in April 2015 explaining National Voices' take on person centred and community focussed care and inviting governors to reflect on their role in making it happen
Six principles for engaging people and communitiesJeremy Taylor
Slides presented at King's Fund on 1 November 2016. How to make real the vision in the Five Year Forward View of "a new relationship with patients and communities"? We know a lot about the "what" and the "who" of implementation. But the "how" is still a mess. What high impact actions would make a difference to driving this agenda? I offer some thoughts. These slides are not entirely self-explanatory without the accompanying talk. Please feel free to get in touch to explore further!
Portage provides substance abuse rehabilitation services to adolescents, adults, pregnant women and mothers with young children, the aboriginal community, mentally ill chemical abusers, and individuals referred by the justice system, from all regions of Canada. Portage helps residents identify the causes of their problems, focus on the competencies that will help them face these issues, and carry out the necessary strategies to overcome them.
www.portage.ca
#Caring4NHSPeople - virtual expert session 8 April 2020NHS Horizons
#Caring4NHSPeople - slides from the virtual expert session 8 April 2020 featuring Dr Sonya Wallbank; Professor Neil Greenberg; Professor Michael West; Dr Helen Bevan
Presentations from the Commitment for Carers meeting held in London on 5 December 2013
#NHSThinkCarer
organised by NHS Improving Quality and NHS England
The route to success in end of life care - achieving quality in care homes
16 June 2010 - National End of Life Care Programme
This guide follows the six steps of the pathway laid out in the national End of Life Care Strategy.
It includes questions staff and managers should ask about end of life care provided in their care home and the employees' role in that care.
The guide is linked to the End of Life Care Strategy Quality Markers.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
My presentation at the kick off event for the 29 vanguards who will be testing new models of care as part of the NHS Five Year Forward View. This highlights key issues for vanguards in making a reality of the commitment to a "new relationship with patients and communities", and explains the role of the People & Communities Board which I chair.
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Canadian Immigration Tracker March 2024 - Key SlidesAndrew Griffith
Highlights
Permanent Residents decrease along with percentage of TR2PR decline to 52 percent of all Permanent Residents.
March asylum claim data not issued as of May 27 (unusually late). Irregular arrivals remain very small.
Study permit applications experiencing sharp decrease as a result of announced caps over 50 percent compared to February.
Citizenship numbers remain stable.
Slide 3 has the overall numbers and change.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Up the Ratios Bylaws - a Comprehensive Process of Our Organizationuptheratios
Up the Ratios is a non-profit organization dedicated to bridging the gap in STEM education for underprivileged students by providing free, high-quality learning opportunities in robotics and other STEM fields. Our mission is to empower the next generation of innovators, thinkers, and problem-solvers by offering a range of educational programs that foster curiosity, creativity, and critical thinking.
At Up the Ratios, we believe that every student, regardless of their socio-economic background, should have access to the tools and knowledge needed to succeed in today's technology-driven world. To achieve this, we host a variety of free classes, workshops, summer camps, and live lectures tailored to students from underserved communities. Our programs are designed to be engaging and hands-on, allowing students to explore the exciting world of robotics and STEM through practical, real-world applications.
Our free classes cover fundamental concepts in robotics, coding, and engineering, providing students with a strong foundation in these critical areas. Through our interactive workshops, students can dive deeper into specific topics, working on projects that challenge them to apply what they've learned and think creatively. Our summer camps offer an immersive experience where students can collaborate on larger projects, develop their teamwork skills, and gain confidence in their abilities.
In addition to our local programs, Up the Ratios is committed to making a global impact. We take donations of new and gently used robotics parts, which we then distribute to students and educational institutions in other countries. These donations help ensure that young learners worldwide have the resources they need to explore and excel in STEM fields. By supporting education in this way, we aim to nurture a global community of future leaders and innovators.
Our live lectures feature guest speakers from various STEM disciplines, including engineers, scientists, and industry professionals who share their knowledge and experiences with our students. These lectures provide valuable insights into potential career paths and inspire students to pursue their passions in STEM.
Up the Ratios relies on the generosity of donors and volunteers to continue our work. Contributions of time, expertise, and financial support are crucial to sustaining our programs and expanding our reach. Whether you're an individual passionate about education, a professional in the STEM field, or a company looking to give back to the community, there are many ways to get involved and make a difference.
We are proud of the positive impact we've had on the lives of countless students, many of whom have gone on to pursue higher education and careers in STEM. By providing these young minds with the tools and opportunities they need to succeed, we are not only changing their futures but also contributing to the advancement of technology and innovation on a broader scale.
2. Context Four Seasons Health Care
Round Numbers
Homes 350
Residents 18,000
Staff 20,000
% State funded 85%
Average Weekly Fee £590
Dementia units 290
Services
Residential care Learning Disability
Nursing Care Mental Health
Dementia Care Younger person
Palliative Care
Respite Care
Intermediate Care
3. The Four Seasons Dementia Care Framework
has been developed using current standards
and best practice guidelines
5. Using technology to
facilitate dementia care
• Quality of Life
• Live in 350 Homes
• Listening and responding to individual Residents and Families
• Supporting Staff to get it right
• Operational grip, quality assurance and governance
• Reporting
• experience and outcomes for individuals and the service
• quality improvement, contributing to the evidence base
6. Quality of Life - QoL
• Residents
• Friends and families
• Visiting professionals
• Colleagues
Provide their feedback, comments
and suggestions quickly and easily,
via a static or mobile iPad
Feedback is also gathered from
colleagues as we know happy and
supported teams are vital to positive
resident experiences
The system records these comments
and makes them available
immediately to the home and
support teams
First Key Tool: Live Feedback
10. Quality of Life - QoL
Resident TRaCA (Thematic Resident and Care Audit)
• Based on the experience of that individual
resident
• Starts with talking to the resident and asking for
their input into the care they are receiving
• Completed by various members of the team on
iPads
Our ‘system’ TRaCAs
These cover key aspects of our service:
– Daily and weekly medication TRaCAs
– Housekeeping, Health and Safety, weight
loss, daily walk round etc.
– TRaCA for Regional Managers
Second Key Tool: Digital TRaCAs to enable a Find and Fix approach
12. TRaCAd –
what is it?
• Evidenced based
• Specific to England, Scotland or Northern Ireland requirements
• Covers over 300 standards
• Focused on individual experience of care
• Find and Fix
• Based on personal accountability and action
• Supporting Colleagues to get it right
• Includes risk assessments and process
to review medication (incl antipsychotics)
• Reporting function
13. What is covered by
TRaCAd?
Feedback
Questions
Observatio
n Tool
Care
Documentati
on
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
Psychologic
al and Sleep
Hygiene
Skin/Tissue
Integrity
Pressure
Ulcers
Minor
Wounds
Recent
Admission
Sensory
14. Resident and Family
Perspective
• 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 Staff to
deliver care (TRaCAd)
• Linkage to the Resident experience
statements (outcomes)
15. Co-production with Residents
and their Family
• Feedback from Residents/Family via Quality of
Life iPads
• Focus Groups
• Conclusions
Over 450 comments collected on all aspects
of the Charters
95% liked the idea of having a resident and
family charter – 100% from visiting
professionals
90% agree with headings
• Providing the Right Care
• Making it work
• Keeping me Informed
• Respecting My Rights
• End of Life Care
16. Resident Charter
“The People who look
after me have taken
the time to find out
who I really am”
Providing the right care for me
I can trust you to:
• Continuously monitor my health and
wellbeing and deliver the right care for me
• Understand how I want to be cared for and if
you have to make decisions for me, you do
your best to include me and support me in
doing what is best for me
• Help me to remain as active as possible for as
long as possible
• Care for me with team members who have
the right skills to care for me and understand
me as a person
• Support me to continue the hobbies and
social activities I enjoy
• Support me to keep my links with my friends
and community networks
17. Four Seasons will seek to
understand and recognise
the range of emotion that
may be experienced when
a relative is living with
dementia.
This Charter demonstrates
the support I can expect to
receive as a family
member, how you will
value our input, alongside
providing special
experiences for my
relative.
Keeping me informed
You commit to:
• Inform me of changes to my
relative’s health and wellbeing,
following their consent
• Enable me to have the opportunity
to regularly provide feedback
• Say sorry and put it right if you don’t
get it right
Family Charter
18. Four Seasons Dementia
Care Framework
A set of values and actions we follow to support
Special Resident Experiences
