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Dementia Care – the Six Senses

Anyone who has a relative with dementia knows how difficult and challenging it can sometimes be. Whilst, of course, this can also be the case for care home staff, our team at The Chiswick Nursing Centre are specifically trained in how best to meet the needs of people who are Living with Dementia.

To provide truly effective and Person Centred care, we recognise the importance of building strong partnerships between the resident who is Living with Dementia, their extended family and our staff. The following six ‘senses’ have been identified as integral to that partnership, although each stakeholder in the relationship may experience these senses differently, and at different times.

Security

Each party should feel safe and secure to receive or deliver competent and intuitive (knowing what is right) care.

Continuity

We should each recognise our own and another person’s life story and use the past to make sense of the present. This can be employed to help plan the future, working within a consistent team (partnership) and adopting a mutually agreed approach to care which is Person Centred.

Belonging

Each member of the partnership – resident, family members and care home staff, of all disciplines, including volunteers – should have opportunities to form meaningful relationships and to feel part of the Nursing Centre and the wider community.

Purpose

Everyone should have the chance to engage in meaningful, age appropriate, activity with built-in personal goals to aim for. At the Chiswick Nursing Centre we utilise the ‘Pool Activity Assessment’ tool to explore these issues and make everyone’s care and socialisation arrangements as appropriate to them as is personally possible.

Fulfilment

To be able to achieve one’s purposeful goals and to feel satisfied with one’s efforts.

Significance

We all need to know and feel that we count – that what we do matters and we are valued as a person of worth.

The Chiswick Nursing centre deploys a range of individuals and skill sets – including Occupational Therapists, Activity Coordinators, Care and Nursing staff and other external professionals to ensure that our overall approach to care and nursing delivery is Person Centred in its approach.

Video calling – keeping in touch with family and friends

In these difficult times when face-to-face meetings are not always possible, technology is proving the next best thing. We all know the benefits of keeping in touch with loved ones, especially if you can see their faces and hear their voices. With video calling, you can do just that.

Here, at Chiswick Nursing Centre, we have a range of devices that are readily available for residents to use both for leisure purposes and to video call. As long as friends and family also have an appropriate device to receive calls, we’re good to go with WhatsApp, Zoom, Skype or Facetime (with a little help from knowledgeable staff where required).

Our residents really appreciate seeing and hearing their loved ones. You only need to see how their faces light up as they see a familiar face. It also provides reassurance for those at the other end to see that their relatives are safe, secure, and well cared for.

There is an additional benefit – the technology enables our staff to communicate with   our residents’ family members. This is particularly important for some of our residents who are living with dementia, who may not always be able to fully communicate themselves. It allows our staff to ensure they have all the information they need to provide the best possible care and for relatives to be kept up to date and reassured about their relative’s wellbeing.

We are also exploring ways in which the devices can be used to aid remote diagnosis of illness by our GP partners. This will assist in helping to reduce GP visits to The Nursing Centre – and reduce the risk of virus transmission.

Chiswick gets a fruity boost from The Fruitful Office

The Staff at The Chiswick Nursing Centre have been kept nutritionally ‘powered’ to fight the COVID 19 virus with the kind help and support of The Fruitful Office Ltd.

The weekly donations of fruit boxes for our staff have been a real morale booster and staff now look forward to their weekly treat and energy boost.

Centre Director – Steve Winter said:

“The concept of fruit box delivery to all offices and services where staff need an extra nutritional boost to keep them going is a great idea. Our staff have enjoyed the kind donations from The Fruitful Office Ltd and we are extremely grateful for their kindness during a time that has been and continues to be difficult for our staff teams here at The Chiswick.”

If you are interested in finding out more about The Fruitful Office Ltd – you can visit their website at https://www.fruitfuloffice.co.uk/

Care staff duo set for nursing Foundation Degree

We are delighted to announce that two members of our care team have been selected for a Nursing Associate Apprenticeship programme, funded by The Nursing Centre.

Apprenticeship schemes are designed to enable candidates to study towards a recognized professional qualification whilst gaining practical experience in the workplace. This means that we are able to ‘grow our own’ in house nurses from those Care Assistants who have shown remarkable performance in their own area of work. Many people would have liked the opportunity to study for a nursing degree – but are not always able to take those opportunities before they start their working life. This scheme gives them that chance. The two delegates – will continue to work alongside the CNC team as well as study flexibly with The West London University on the two-year programme. If successful, it will lead to a Level 5 Nursing Associate foundation degree (FDSc).

“This is a real move up the career ladder for them,” says Centre Director, Steve Winter. “They will be learning on the job, so they can immediately put their new skills and knowledge into action plus they will also be earning a salary during that time.”

The Nursing Associate role sits between that of health/care worker and registered nurse. It is a position that is expected to be in increasing demand as healthcare needs, and the profession itself, change in the foreseeable future. Nursing Associates work as a key part of a multi-disciplinary workforce in the healthcare sector.

The Foundation degree can also be used as a stepping stone to becoming a state registered nurse should candidates decide to further their studies.

Steve says: “Both our delegates have worked with us for several years – shown commitment and dedication to our residents and a desire to increase their skill sets and achieve qualified status in the Care Sector. I am pleased that we are able to offer them this chance to progress in their careers via the apprenticeship scheme which is a key aspect of our employee development initiative. They have already demonstrated the capabilities and commitment to develop towards a nursing role and they are determined to seize this possibility to fulfil their potential.”

Coronavirus (COVID 19) – our guidance to service users and families – update

Information for relatives and Next of Kin / Friends:

I am pleased to advise and confirm that following an enforced period of closure to new admissions and to visitors to the Nursing Centre; we will recommence visits from Wednesday September 2nd 2020 onwards.

Visits to those of our Residents who are able to mobilise to the Garden area (assisted or alone) will commence on Mondays to Fridays (incl) from Wednesday 2nd September.

Visits will need to be pre booked in advance and this can be achieved by telephoning our reception team on:   0208 222 7800  between 8am and 8pm Monday-Friday.

Visiting sessions are between the hours of 11.00am and 12.30pm  or 2pm – 4pm on Mondays to Fridays (incl) – We regret that we are not yet able to support weekend visits

Some reminders please:

  • In line with guidance issued by LB Hammersmith and Fulham Public Health Dept – Each Resident is permitted to have up to 1 x visitor at any one time.
  • Visitors are not able to enter the building / nursing centre. As such, we regret that there are no facilities for Toilet use or for refreshments to be provided.
  • Ideally – visitors should be the ‘same’ visitors as consistently as possible. Having 1 or 2 consistent visitors further reduces the risk of spread of infection.
  • Children under 12 years of age are NOT permitted to visit the Nursing Centre at this time.
  • Please do not attend without having booked a visit – as we will be required to turn you away.

Visits at this time are garden based – under cover of rain but may be cancelled at short notice if the weather is too poor to enable visits to proceed.

Please refer to the Visitor Policy which is reproduced in full, below.

Finally – I would like to thank all of you who assisted in achieving this position, by writing to our Local MP. We are currently working on a protocol that will enable visits to continue as and when the autumn weather arrives, and for those residents whose health is such that they cannot leave their bedrooms.

Steve Winter

Centre Director

The Chiswick Nursing Centre

CORONAVIRUS (COVID -19) TEMPORARY VISITING POLICY 

Visiting Times are Monday – Friday 11.00am – 12.30pm and 2.00pm – 4 pm.  

  • Visitor Protocol based on PHE advice Published 22/6/20  
  • Only 1 visitor is allowed per visit.
  • In order to facilitate as many visits for residents as possible, we may have to restrict visits to once a week. 
  • Visits must take place outside and at a social distance of 2 metres using the furniture provided and as already set in place.
  • Visits are subject to suitable weather conditions.
  • Visitors must have been asymptomatic for COVID-19 for the past 7 days (no fever, cough, shortness of breath, loss of taste or smell) and will be required to complete an F2063, Visitors Confirmation on Being “Safe to Visit” Disclaimer Form
  • Visitors are prohibited if they are a contact of a COVID-19 case (during their 14 day isolation).   
  • Visitors will be required to wear a face mask which will be provided. 
  • Visitors should not bring food and drink into the Centre and any gifts should be left with a member of staff.  
  • Visitors requesting to visit those in the shielding category will be subject to an individual risk assessment.  
  • Visitors will be required to have their temperature checked on entry to the Centre, if a reading of 37.9ºC is recorded visiting will not be permitted.    

Visits will be by appointment only to ensure that sufficient social distance measures can be maintained and a letter with instructions of how to keep safe and how to keep our staff and residents safe will be issued beforehand.  

The inside facilities will not be accessible, we are sorry that we cannot provide refreshments or the use of toilet facilities. 

The exceptional visiting rights to enable one family member or representative to attend in the case of a resident nearing the end of their life remains in place. In such cases permission will be granted following agreement with the Centre Director. 

Coronavirus (COVID 19) - our guidance to service users and families. We are using this link to keep all service users and families as up to date as possible on this fast developing and rapidly changing situation.Please click here for our latest guidance.
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