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RCHT Dementia Care Policy - the Royal Cornwall Hospitals Trust ...

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6. Standards and Practice<br />

6.1. Hospital Standards of <strong>Dementia</strong> <strong>Care</strong><br />

8. Appropriate<br />

training and<br />

workforce<br />

development<br />

1. Respect,<br />

dignity and<br />

appropriate care<br />

2. Agreed<br />

assessment,<br />

admission and<br />

discharge<br />

processes with a<br />

needs specific<br />

care plan<br />

5. Nutrition and<br />

hydration needs<br />

are well met<br />

7. Ensure quality<br />

of care at <strong>the</strong> end<br />

of life<br />

3. Access to a<br />

specialist older<br />

people’s s mental<br />

health liaison<br />

service<br />

4. A dementia<br />

friendly hospital<br />

environment;<br />

minimising<br />

moves<br />

6. Promote <strong>the</strong><br />

contribution of<br />

volunteers<br />

Established at <strong>the</strong> end of 2010 <strong>the</strong> Southwest Region launched eight standards for<br />

general hospital to meet to demonstrate delivery of <strong>the</strong> National <strong>Dementia</strong> Strategy<br />

and NICE guidance. These are:<br />

Respect, dignity and appropriate care<br />

Agreed assessment admission and discharge processes with a needs<br />

specific care plan<br />

Access to a specialist older peoples mental health liaison service<br />

A dementia friendly hospital environment minimising moves<br />

Nutrition and hydration needs are well met<br />

Promote <strong>the</strong> contribution of volunteers<br />

Ensure quality of care at <strong>the</strong> end of life<br />

And overarching all <strong>the</strong>se is: Appropriate training and workforce development<br />

6.2. The standards call for specific requirements to be set out in policy, <strong>the</strong>y are:<br />

6.2.1. Vulnerable people with dementia or delirium should not be moved<br />

between wards between <strong>the</strong> hours of 8pm and 8am unless required for<br />

specifically justified care or treatment, due to <strong>the</strong> detrimental; effect it can have<br />

upon <strong>the</strong> individual (moves at mealtimes and medication times should also be<br />

avoided where possible). Organisational performance is tracked using <strong>the</strong><br />

<strong>Dementia</strong> <strong>Care</strong> Key Performance Indicators (KPIs), DATIX incident reports are<br />

encouraged so rational behind such moves can be explored and reported.<br />

6.2.2. In line with <strong>the</strong> Standards it is good practice to identify through<br />

hospital systems patient with dementia. plans to have this information available<br />

on PAS and in <strong>the</strong>ir health records is progressing. Currently all patient with<br />

dementia or MCI should be ‘flagged’ on <strong>the</strong> interactive SWiftPlus boards with<br />

<strong>the</strong> ‘forget-me-knot’ symbol.<br />

6.2.3. <strong>Care</strong>r involvement is essential throughout <strong>the</strong> hospital journey of <strong>the</strong>ir<br />

person. Information and support needs to be appropriately offered and<br />

<strong>RCHT</strong> <strong>Dementia</strong> <strong>Policy</strong><br />

Page 5 of 21

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