Dignity and Respect
in Health and Social Care Services for Older People Working Party
Minutes of the Meeting held on 5 January 2009
The Meeting commenced at 2.00pm and concluded at 4.00pm
Present:
Councillor Mrs Lewis – Chairman
Councillor Bulteel – Vice Chairman
Bournemouth Borough Council
Cllrs Mrs Rey and Russell
Borough of Poole
Councillors Mrs Lavender and Meachin
NHS Bournemouth and Poole:
Angela Schofield and Heather Craven
Older People’s Strategy Group Representatives
Patricia Casserley (Bournemouth Older People’s Strategy Group Representative)
In attendance
John Dermody:Head of Adult Social Services (Commissioning), Borough of Poole
Eileen Dunnachie:Service Director - Adult & Community Support, Bournemouth Borough Council
Sarah Elliott:Director of Quality and Patient Safety, NHS Bournemouth and Poole
Nick Rosewell:Strategic Housing and Extra Care Manager (Housing Landlord Services), Bournemouth Borough Council
Liz Baron:Principal Overview and Scrutiny Support Officer, Legal & Democratic Services, Borough of Poole
Members of the public present:0
1.APOLOGIES FOR ABSENCE
Apologies for absence were received from Ken Hockey (NHS Bournemouth and Poole) and Barry Bull and Louise Bate from Help and Care.
On behalf of the Committee, the Chairman welcomed Sarah Elliott to her first Dignity and Respect Working Party Meeting in her new capacity as Director of Quality and Patient Safety for NHS Bournemouth and Poole.
2.DECLARATIONS OF INTEREST
Cllr Bulteel declared a personal interest in various items on the Agenda as he was an employee of Leonard Cheshire Disability.
3.MINUTES
RESOLVED that the Minutes of the last Meeting held on 13 November 2008, having been previously circulated, be taken as read, confirmed as a true record and signed by the Chairman.
(i)Matters Arising
In response to a query raised at the previous Committee, Eileen Dunnachie circulated written information indicating that approximately 65% of the domiciliary care market in Bournemouth was contracted to Bournemouth Borough Council. By contrast, less than 50% of the domiciliary care market in Poole was contracted to the Borough of Poole.
4.SUPPORTED INDEPENDENT LIVING FOR THE ELDERLEY – HOUSING LANDLORD SERVICES
The Chairman welcomed Nick Rosewell, Strategic Housing and Extra Care Manager (Housing Landlord Services, Bournemouth Borough Council), who gave a presentation on the Local Authority’s arrangements for supported independent living for the elderly. The presentation is attached at Appendix 1 for information.
Key points drawn from the presentation are summarised as follows:
- Supported independent living properties were allocated via a bidding system, including an internet bidding site used by 80% of users;
- Information on Bournemouth Borough Council’s sheltered housing provision was available online or via a brochure;
- On-site support included (i) a warden call system and (ii) telecare enabled systems covering a variety of applications including remote door operation, falls pendant, medication adherence systems, smoke/fire/gas/flood sensors, bed / chair sensors and panic / bogus caller alarm systems;
- A handyperson service was available to assist residents with small household jobs;
- 250 requests for disabled adaptations had been received by the Local Authority from elderly residents;
- there was a strong commitment to partnership working between Housing Landlord Services, Adult and Community Services and NHS Bournemouth and Poole;
- Housing Landlord Services was committed to embracing diversity;
- Residents were empowered to comment on and shape the way services were delivered through participation in focus groups.
Members were shown a short video presentation on the development of the Vale Road Housing Scheme, a project which was delivered in partnership with NHS Bournemouth and Poole. The project had been given an award for innovative design in November 2008.
Questions:
In response to questions, the following issues were clarified:
- In response to concerns raised by Cllr Meachin about the use of, and grouping of ‘high backed chairs’ by residents (as seen in the video presentation) it was clarified that residents had been consulted upon their choice of furniture;
- Cllr Mrs Rey praised the scheme, commenting that the facility represented a preventative approach to care as residents were empowered and supported to remain independent and ‘live their lives in a dignified manner’ without having to access residential care;
- Members agreed that the provision of gym facilities for residents was an excellent innovation, encouraging health and independence;
- Supported living assistance was available to residents;
- Eligibility criteria for people wishing to access supported independent living had been agreed across a number of stakeholder agencies and all applications were considered by a multi-agency panel. Eligibility criteria did include an element of financial means testing;
- Members identified a ‘gap’ between supported independent living facilities available via the local authority and private care which could be prohibitively expensive. Support for service users of ‘middling financial means’ included physical adaptations to residences and the application of technologies to enable residents to remain in their own homes for longer;
- There was no equivalent scheme to Vale Road in Poole at present; instead, Poole was developing the concept of ‘extra care’ provided in service users own homes, including modifications to support the disabled to remain at home and floating support for older people;
- Telecare applications were being publicised widely throughout the Borough and were proving particularly popular amongst service users;
- A variety of support systems including in-house carers, support assistants and alarm systems were available to support residents in maintaining their dignity as well as their independence.
There were no further questions. Nick Rosewell was thanked for his interesting and informative presentation.
5.THE PEOPLE’S AWARD FOR DIGNITY AND CARE
The Head of Adult Social Care Commissioning (Borough of Poole) presented a report on The People’s Award for Dignity and Care, an award which recognised the importance of treating people with dignity and respect when providing health and social care services. (Report appended to the Minutes at Appendix 2). The award was being provided for the first time in 2009 as part of the NHS Health and Social Care Awards and applications were welcomed from members of the public who would be required to complete a joint application in partnership with a health or social care team.
The closing date for applications was 6 March 2009 and Members were asked to (i) consider how to publicise the award throughout Bournemouth and Poole; and (ii) consider whether or not it would be appropriate to instigate a separate annual Bournemouth and Poole People’s Award for Dignity In Care which would recognise the importance in the conurbation of treating people with dignity and respect.
Following discussions the following recommendations were AGREED:
AGREED that
(i)Older People’s Champions for Bournemouth Borough Council (Cllr Pat Lewis), Borough of Poole (Cllr Mrs Lavender) and NHS Bournemouth and Poole (Heather Craven) meet to open discussions on options for an annual Bournemouth and Poole People’s Award for Dignity in Care; and
(ii)that the Clerk to the Working Party emails all Elected Members requesting them to support and publicise the national award; and
(iii)that John Dermody, Sarah Elliott and Eileen Dunnachie liaise with Communications Team Leads for the Borough of Poole, NHS Bournemouth and Poole and Bournemouth Borough Council respectively in order to plan promotion and publicity for the National Awards Campaign across the conurbation.
6.COMMITTEE WORK PLAN
The Principal Overview and Scrutiny Support Officer reported that a ‘long list’ of action points and formal recommendations from the Working Party to service providers was being developed and that this would be forwarded for the Chairman’s attention as soon as practicable. It was expected that that recommendations would be further shaped and developed by the Working Party before being formally put to the Local Authorities of Poole and Bournemouth and NHS Bournemouth and Poole.
Main issues and ACTIONS arising from discussions on the Committee WORK PLAN are summarised as follows:
- Borough of Poole Democratic Services Officers to help coordinate site visits / facilitate invitations;
- The majority of visits to have been completed by June 2009;
- agreed that Non-Executive Members of the PCT should visit social care commissioned services in order to prevent any conflict of interests;
- Angela Schofield and Heather Craven to visit supported / sheltered housing schemes and residential homes provided by the Borough of Poole and Bournemouth Borough Council
- Cllr Charles Meachin / Cllr Joyce Lavender to visit Hospital Outpatient departments (Poole Hospital and / or Royal Bournemouth Hospital);
- Patricia Casserley (Bournemouth Older Peoples Steering Group Representative) to visits Hospital Accident and Emergency Departments (Poole Hospital and / or Royal Bournemouth Hospital);
- Cllrs Anne Rey and Allister Russell – to visit Sunrise Private Residential Care Home (provider of specialist dementia care);
- Cllr Pat Lewis to visit Hospitals (Acute Trusts) and Residential Care Homes (unannounced visits);
- Officers to investigate possibility of members of the public being visited in their own homes – possible approach via domiciliary care agencies?
- Strategic Health Authority Dignity in Care Audit Tool (Appendix 3) to form the basis of questioning for visits to NHS premises. John Dermody (Borough of Poole) and Eileen Dunnachie (Bournemouth Borough Council) to develop consistent themes / sample questions to inform social care visits.
- Sarah Elliott (NHS Bournemouth and Poole), John Dermody (Borough of Poole) and Eileen Dunnachie (Bournemouth Borough Council) to consider jointly commissioning an external consultancy to undertake a systematic survey of service users and to compile feedback for presentation to the Dignity and Respect Working Party. Survey to include feedback from minority groups.
- Concerns relating to Adult Protection issues or complaints about a service received by Members during the course of the visits to be raised immediately with John Dermody (Borough of Poole visits) (tel: 01202 261132) or Eileen Dunnachie (Bournemouth Borough Council visits) (tel: 01202 458707)
- the next two formal Meetings of the Dignity and Respect in Health and Social Care Services for Older People Working Party to take place as follows:
(i)Thursday 4 June 2009 – 2.00pm to 4.00pm
Venue:NHS Bournemouth and Poole, Canford House, Discovery
Court Business Centre, 551-553 Wallisdown Road, Poole
(ii)Thursday 9 July 2009 – 2.00pm to 4.00pm
Venue:Borough of Poole, Committee Suite
- Andrew Creamer, Project Manager for Self-Directed Support (SDS), Bournemouth Borough Council to be invited to attend either the June or July meeting of the Dignity and Respect in Health and Social Care Services for Older People Working Party in order to give evidence on ‘person-centred care’.
CHAIRMAN
- 1 -
Dignity and Respect in Health and Social Care Services for Older People Working Party.
5th January 2009
Report from John Dermody Head of Adult Social Services Commissioning (Borough of Poole) – The People’s Award for Dignity and Care.
1.Background
1.1The NHS Health and Social Care Awards have an established 8 year history and provides an opportunity to highlight and celebrate innovation and excellence in frontline Health and Social Care. The Health and Social Care awards are run in partnership between the NHS Institute for Innovation for Improvement and the Department of Health.
1.2There are 14 different categories for the 2009 awards which will recognise the diverse ways in which excellent care can be achieved. One of the categories is a People’s Award for Dignity in Care.
2.Peoples Award for Dignity in Care
2.1This award will recognise the importance of treating people with dignity and respect when providing Health and Social Care Services.
2.2The Health and Social Care Awards are open to any team from across the Health and Social Care system in England. This includes the NHS, Social Services, Local Government, charities, the voluntary sector, patient and carer organisations, care homes and other independent care providers.
2.3In 2009, the public are invited to apply for the People’s Award for Dignity in Care. They must however complete a joint application for this award in partnership with team working in Health and/or Social Care.
2.4Assessors will be looking for evidence of;
Focus On The Person
- They listen to people, involving them in decisions and plans about their care.
- They provide simple, clear and accessible information about services.
- They support people to be independent, make decisions and be in control.
A Better Service
- They are always improving so they can offer more to people they care for.
- They are proactive and innovative in their approach to delivering services with dignity.
- They have vision and integrity. They inspire and deliver on their promises.
- They strive to deliver a service that is personal.
Dignity and Respect
- They support people to express their needs and wants.
- They collect and act upon regular feedback ensuring peoples needs are being met.
- They provide care that recognises the importance of respecting people’s dignity, beliefs, cultural and feelings.
- They communicate with sensitivity, patience and empathy.
2.5The closing date for applications is the 6th March 2009.
2.6The Health and Social Care Awards run at both regional and national level. This gives the greatest opportunity for applications to showcase their work and gain recognition for their achievements.
2.7Bournemouth and Poole are located in The South West Strategic Health Authority Region. All submitted applications will be carefully reviewed and considered against set criteria. Regional judging will be undertaken by regional teams of assessors who are experts in the field of quality, improvement and innovation. All of the regional awards ceremonies will be held locally in May 2009.
2.8Winning applications from each national category in all 10 regions would be automatically considered for the national awards.
3.Recommendations
3.1Working party members consider how to publicise in Bournemouth and Poole the South West Region People’s Award for Dignity in Care.
3.2Working party members consider whether or not it would be appropriate to instigate an annual Bournemouth and Poole People’s Award for Dignity in Care, which would recognise the importance in the conurbation of treating people with dignity and respect.
Appendix 3
South West Strategic Health Authority
Dignity in Care Audit Tool
Date of audit:
DOMAIN / INVESTIGATION / OBSERVATIONS / SOURCE / RATINGPatient Environment / 1a / The patient environment is well maintained, clean and safe / Review all patients areas, including bathrooms, ward bays
Refer to ‘A Matron’s Charter’ DOH 2004
1b / Equipment is stored away from public areas / Store equipment cupboards are used not day rooms/quiet rooms, patient areas
1c / Cleaning routines are well publicised / Check in ward policies, patient information books staff information
Departments, public corridors
1d / Patient feedback is sought and acted upon regarding ward cleanliness / Patient surveys and complaints
Local ward/department reports
1e / There is single sex accommodation in all areas / Ward areas/bays, day rooms
1f / There are separate male and female toilet and washing facilities / Check for designated Male/Female patient bathroom/wash areas, toilets
Appendix 3
South West Strategic Health Authority
Dignity in Care Audit Tool
DOMAIN / INVESTIGATION / OBSERVATIONS / SOURCE / RATING1g / Systems are in place to prevent disturbing or interrupting patients when the presence of others is required e.g. ‘knock before entering’ signs available for closed doors/ curtains / Signs and leaflets are used and available for use
Privacy signs are available on doors to quite areas, consulting and treatment rooms
1h / Locks are in place in areas where privacy is required, for example bathroom and toilet doors, that can be overridden in emergencies / Review of patient areas
1i / What is the most recent PEAT score for the trust? / Most recent PEAT report
South West Strategic Health Authority
Dignity in Care Audit Tool
DOMAIN / INVESTIGATION / OBSERVATIONS / SOURCE / RATINGPrivacy, Dignity and Modesty / 2a / Privacy is effectively maintained using appropriate curtains, screens, rooms / Check curtains appropriate length, screens are available
2b / Modesty is achieved for patients moving between different care environments / Map/follow a patient journey with the organisation
2c / Appropriate clothing is available for patients who cannot wear their own clothes / Check trust policies/procedures
linen cupboards
2d / Patients are able to have a private telephone conversation / Situation of ward phones/mobile phones/phone booths
2e / Private areas are available for patients/visitors / Quiet rooms can be identified and accessible
South West Strategic Health Authority
Dignity in Care Audit Tool
DOMAIN / INVESTIGATION / OBSERVATIONS / SOURCE / RATINGCommunication with Patients / 3a / There are policies/ procedures in place to maintain patient confidentiality during multi-disciplinary handovers, telephone calls, admission/ discharge procedures, consultant and other ward rounds / Ward/Trust policies/ procedures
3b / There is access to translation/ interpretation / Ward patient information and trust policies
3c / Precautions are taken to prevent information being shared inappropriately. e.g. telephone conversation are not overheard, computer screens being viewed / Check Trust policy, observe patient areas
Local ward/unit policies
3d / Trust staff are easily identified by patients / Check trust/ward/department uniform policy, staff wearing uniform and name badges
Staff induction programmes
South West Strategic Health Authority
Dignity in Care Audit Tool
DOMAIN / INVESTIGATION / OBSERVATIONS / SOURCE / RATINGPromoting Individual Needs / 4a / Policies are in use regarding the promotion of individual needs; beliefs; values; religious need; cultural; sexual / Patient care plans
Trust policies
4b / Policies and procedures are in place to prevent disturbing or interrupting patients / Ward/department polices
Ask ward/unit managers and staff
4c / The name the patient wishes to be called is agreed with the patient / Care plans; patient handover times
4d / Individual patients needs are assessed, recorded and communicated sensitively and appropriately / Staff training and induction programmes are provided for all staff in the organisation
Patient care plans
4e / Disability discrimination audits are undertaken and reviewed, action plans are completed as agreed / Check recent organisation wide and any departmental DDA audits and action plans
4f / Systems are in place to ensure patients’ individual dietary requirements are met / Policies
Patient Care Plans
Menu Cards
4g / Policies are in place to ensure those needing assistance in eating are properly supported / Policies
Patient Care Plans
Observation of mealtimes
South West Strategic Health Authority
Dignity in Care Audit Tool
THEME / INVESTIGATION / OBSERVATIONS / SOURCE / SCOREStaff Training / 5a / Induction programmes for staff contain how to address patients individual needs on privacy and dignity and communicate sensitively / In house induction programmes, content and timetable
5b / There are ongoing awareness sessions for all staff on specific issues such as ethnic; age discrimination; disability issues; cultural; promoting dignity issues. / Staff training is provided for ALL staff in the organisation; check with support staff, managers, administrative staff
5c / Matrons and ward leaders participate in training associated with privacy, dignity and promoting individual needs awareness and cascade skills and awareness in their teams / Check local induction and ongoing awareness sessions
Ward/unit induction packs, philosophy statements
Appendix 3