GSLP-Liberals-Manifesto-2019
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extend the ability of dementia patients<br />
to remain in their own homes, so they<br />
can have meaningful social contact<br />
with their relatives. Our aim continues<br />
to be that a patient diagnosed with<br />
dementia engages with the Centre as<br />
quickly as possible while their minds<br />
are still in reasonably good shape.<br />
Great attention to detail was taken<br />
in all aspects of planning, and special<br />
consideration was taken throughout,<br />
to ensure that not only the facility<br />
but also all furniture and equipment,<br />
from design, to colour schemes are<br />
dementia friendly.<br />
HILLSIDES RESIDENTIAL HOME<br />
An entirely new residential facility for<br />
persons with Alzheimer’s and dementia<br />
was opened on 24th April 2017. The<br />
magnificent Hillsides is located at the<br />
site of the old Royal Naval Hospital and<br />
close to the Bella Vista Dementia Day<br />
Centre. The new residential facility<br />
provides care and accommodation for<br />
52 patients diagnosed with dementia<br />
and in need of full time, highdependency,<br />
specialist care. Following<br />
advice from UK specialists in the field<br />
of dementia care, the Hillsides design<br />
focused on maximizing the comfort<br />
and wellbeing of patients. Features<br />
such as en-suite bathrooms and<br />
increased floor area in bedrooms and<br />
communal areas were incorporated<br />
into the designs, together with all<br />
necessary equipment to give residents<br />
the highest possible standards of care.<br />
The construction phase presented<br />
many challenges because the original<br />
project, by the GSD, envisaged 92<br />
beds. We took the decision to reduce<br />
the number of beds to create a fitfor-purpose<br />
facility with better and<br />
more spacious living conditions. It<br />
was crucial that we got things exactly<br />
right, after inheriting plans, which<br />
were described by medical experts as<br />
‘displaying a shocking philosophy of<br />
“quantity” rather than “quality”’.<br />
As many of our community will have<br />
now seen for themselves, Hillsides<br />
boasts fully equipped kitchen areas,<br />
snoezelen rooms, plus hairdressing<br />
and chiropody services. There is also<br />
a pleasant garden area with different<br />
types of flowers and plants for sensory<br />
stimulation. All rooms are colour coded<br />
for dementia while furniture has been<br />
specifically designed as recommended<br />
by our UK dementia consultants. The<br />
soft flooring throughout the building,<br />
similar to that in toddler parks, and<br />
signage is also dementia friendly.<br />
There are also 8 beds available to<br />
provide respite for family carers.<br />
VULNERABLE ADULTS<br />
This Government is unswervingly<br />
committed to continue improving the<br />
services for vulnerable adults within<br />
our cherished elderly community.<br />
We took the view that designs must<br />
always have the best interests of the<br />
residents at heart and insisted on the<br />
new, fantastic design we see today.<br />
Our community can rest assured<br />
that care for vulnerable elements<br />
in our community will continue to<br />
be a top political priority for us. We<br />
will continue to invest financial and<br />
material resources to ensure that our<br />
elderly can have dignified care and the<br />
best possible quality of life.<br />
DEMENTIA STRATEGY<br />
Along with the Bella Vista Day Centre,<br />
Hillsides was a key feature of the<br />
<strong>GSLP</strong>/Liberal Government’s Dementia<br />
Strategy, which was launched in 2016.<br />
Only in September of this year, the<br />
Government launched the updated<br />
and revised National Dementia<br />
Strategy, outlining key strategic<br />
objectives. Some of these objectives<br />
have already been met, such as the<br />
opening of the new facilities, additional<br />
bed capacity, training on dementia,<br />
transferring dementia patents from an<br />
acute hospital to a dementia friendly<br />
environment, dementia awareness,<br />
and introducing dementia training to<br />
non-healthcare groups.<br />
TRAINING<br />
The Government continues to be<br />
totally committed to training all<br />
levels of the Elderly Care Services. In<br />
collaboration with GHA professionals,<br />
staff have received continuous inhouse<br />
training in various areas of<br />
nursing for elderly care. Accredited<br />
modules have been delivered through<br />
the School of Health Studies for Elderly<br />
Care nursing staff. Staff from different<br />
areas of the Service have, for the first<br />
time, also been able to participate in a<br />
“Potential Leaders and Management”<br />
courses. Major training has been<br />
carried out in Dementia “Train the<br />
Trainer” courses. This training has<br />
been enhanced with a particular<br />
focus on dementia, in addition to the<br />
introduction of accredited courses in<br />
Recreational Activities. Palliative Care<br />
and End of Life courses have also been<br />
introduced.<br />
ELDERLY CARE MEDICAL SERVICES<br />
We provided funding so that 3 GPs<br />
were recruited to work exclusively<br />
within the Elderly Care Services to<br />
provide daily medical specialist care<br />
to residents of Gibraltar’s care homes.<br />
We also decided to provide funding<br />
for a Speech and Language Therapist,<br />
an Occupational Therapist, and a<br />
Consultant Geriatrician. An Elderly<br />
Residential Services Medical Team<br />
has, therefore, been formed. These<br />
services allow residents to receive<br />
an enhanced continuity of care by<br />
familiar clinicians and aim at reducing<br />
emergency House Calls by GPs from<br />
the Primary Care Centre. Whilst at<br />
the Bella Vista Day Centre, service<br />
users are visited daily by a GP from<br />
the Medical Team, staff from the Joint<br />
Memory Clinic, psychiatrists, and<br />
associated health care professionals.<br />
These interventions mean that<br />
whereas previously a person living<br />
with dementia may have had to be<br />
admitted to hospital in a crisis, their<br />
situation can be effectively managed in<br />
their own homes with the support of<br />
a network of healthcare professionals<br />
and their own families.<br />
ACTIVITIES AND OUTINGS<br />
We very quickly realised that there<br />
was a serious need for more activity<br />
co-ordinators, the number of which<br />
we significantly increased. We have<br />
ensured that the Elderly Care Services<br />
has allocated a member of the activities<br />
team specifically to the second floor<br />
of Mount Alvernia, where there are,<br />
principally, residents with dementia.<br />
This member of staff permanently<br />
organises activities tailored to the<br />
cognitive capacities of the residents.<br />
Outing activities are varied and there<br />
is an internal health and safety policy<br />
in place, the objectives of which are<br />
to safeguard the residents and staff<br />
when undergoing outings. The policy<br />
sets out the roles and responsibilities<br />
of staff members to ensure that<br />
residents going on an outing are<br />
well prepared, that the loading and<br />
unloading of vehicles is carried out<br />
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