Application to join a Dementia Friendly Community

This application is for individuals, small businesses or organisations that are supporting the Hinckley and Bosworth Dementia Action Alliance to createa Dementia Friendly Borough.

What’s in it for you?

Once your application has been approved, you or your business/organisation will be listed on the Hinckley and Bosworth Dementia Action Alliancewebpage as a ‘Supporter’.

You will be presented with a‘Working to become Dementia Friendly’ logo and stickers to display in public areas and promote your status….a good marketing opportunity.

Economic benefit to business, tourism and health - a more inclusive, friendly environment is more attractive to both people living with dementia and the wider population.

You will be part of the wider Dementia Friendly Community across Hinckley and Bosworthgiving you access to networks, support and information.

You will be part of a Social Movement to bring about change.

By committing to work towards becoming Dementia Friendly you have:-

Attended a Dementia Friends Information Session and become a Dementia Friend

Encouraged your staff to become a Dementia Friend

Committed to doing(at least) 1 actionto support people affected by dementiato live well in their community

By committing to continue to becoming Dementia Friendly you:-

Will provide an annual update to the Hinckley and Bosworth Dementia Action Alliance and renewyour commitment to work to becoming dementia friendly by updating your annual action

Understand someone from the Hinckley and Bosworth DAA may do a visit to see how you are progressing and offer support if necessary

Examples of changes you can make to your business or organisation

Raise awareness amongst staff i.e. attend a Dementia Friends Session

Become a Dementia Champion and deliver Dementia Friends Sessions in your organisation or local community

Look at action plans on the DAA website for ideas Dementia Action Alliance

Improve customer service and dementia friendly ways of working by getting a copy ofA guide for customer-facing staff (Alzheimer’s Society)

Offer understanding and reassurance: someone with dementia who is finding it difficult to process information or is feeling disorientated may not be able to answer simple questions or take in what you are saying. They may not remember what they were doing or intending to do.

There may be a wide variety of noises in your workplace such as alarms, electronic equipment, music and other voices – be aware of how this might affect someone.

Remove dark coloured mats at the front door of your shop; this can look like a hole in the ground to someone with dementia.

Improve Access & Signage e.g. place an image photo of a toilet on cloakroom doors, get a coin recognition chart, provide appointment reminders, recognise that patterns or shiny surfaces can be confusing.

Keep Connected – Dementia Action Alliance has latest blogs and resources about dementia friendly communities.

Let other organisations know about the Hinckley and Bosworth DAA and how they can work towards being dementia friendly.

Your Contact Details

Only your name or the name of your business/organisation will appear on the H&B DAA website

Name of organisation (if applicable):
Contact name:
Address:
Phone:
Email:
Website (if applicable):
During 2018 we commit to carrying out at least one thing to become more dementia friendly
1.
2.
3.
I have read and understood the H&B DAA Terms of Reference Yes [ ]
Share your contact details with Dementia Action Alliance members Yes [ ] No [ ]
Signed ………………………………………………………………………………………..
Date …………………………………………………………………………………………

Please send any questions and/or return your completed form to:

Lindsay Orton, Wellbeing Development Manager, Hinckley Leisure Centre, St Mary’s Road, Hinckley

LE10 1FL

Hinckley and Bosworth Dementia Action Alliance Supporter Application 2018