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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 />

108 ...aspire to the best Gibraltar

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