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Improving Care in Care Homes. Application of the Newcastle Model in Dementia Care Ann Scott Practice Development Facilitator Homefirst Community Trust. Current standard of care is poor.
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Improving Care in Care Homes Application of the Newcastle Model in Dementia Care Ann Scott Practice Development Facilitator Homefirst Community Trust
Current standard of care is poor • 17 homes surveyed in the North of England all rated as requiring much or radical improvement (Ballard et al, 2001) Why? challenging behaviour beyond scope of care staff
Impact of Challenging Behaviour Admission to the dementia assessment unit Move to another facility ‘problem’ is moved on - staff miss opportunity to learn High mortality rate within first year of move (Aneshenel, 2000)
Practice Development CPN’s shared vision to develop efficient service ‘new ways of working’ (DHSSPS, 2006) ‘The Newcastle Team’ The Martha McMenamen Memorial Scholarship
‘The Newcastle Model’ Mental Status Pre-Morbid Personality Life Story Environment Cognitive Status Medication Physical Health Thoughts Need Behaviour Appearance
Cost Benefit Analysis Cost of G grade CPN for 5 months Cost of hospital stay (4 patients x average length of stay x daily bed cost)* Cost of hospital stay x 1 patient over a one year period *Does not include cost of retaining bed in care home or transportation costs Number of admissions prevented = 4 patients.
