WHAT GOOD DEMENTIA CARE LOOKS LIKE - The B&M Rose Model of Dementia Care - B&M Care
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WHAT GOOD DEMENTIA CARE LOOKS LIKE The B&M Rose Model of Dementia Care
Foreword
Reaching the decision to find a care home for a person
living with a dementia is difficult and choosing the right
home can be an overwhelming experience.
How do we identify a care home with the right expertise
in caring for people who live with dementia? How will we
recognise what constitutes good, meaningful dementia
care? These are both natural questions.
This booklet is a guide to help you to better understand
what to look for in dementia care. It highlights how B&M
Care homes consistently deliver high standards under
The Rose Model of Dementia Care. In addition we offer details on what you
should look for when selecting a care home and the practical things that you
could do to support someone living with a dementia.
We hope you find this information helpful.
Kind regards,
William J Hughes
Chairman
B&M Care
About B&M Care B&M Investments Ltd was established in 1972 by Chairman Mr William J Hughes who acquired his very first home in St Albans in 1975. With over 40 years’ experience of caring for older people and people who live with a dementia, we have a real understanding of people’s needs. B&M Care are committed to our policy of quality. For us, this means delivering exceptional care, meaningful engagement and great service in a high standard, purposeful environment. For you this means value for money and peace of mind that every person’s needs are being met in the best possible way. We are passionate and committed to supporting dementia friendly communities and see it as our responsibility to share our knowledge with the wider community around each of our care home locations. We provide a series of ‘Living Well with Dementia Seminars’, ‘Virtual Dementia Tours®’, ‘Memory Cafes’, ‘Care Fees Advice Seminars’ and support groups, as well as taking our mobile dementia information service ‘Katie’s Cottage’ to community events.
The B&M Rose Model of Dementia Care
At B&M Care, we offer homes diseased brain, and that we should kitchen and maintenance – are
of excellence, and with this focus on the persons remaining reinforced, which is fundamental to
comes the company’s philosophy physical abilities, cognitive abilities a person’s sense of wellbeing.
that all people should live in an and emotions - not on their losses Furthermore, we support the
environment that adopts the person (Kitwood, 1997). With this in mind, people in our care by looking at a
centred approach – but what does B&M Care’s Rose Model adopts and person’s behaviour as a form of
this all mean? embraces Kitwood’s idea that by communication or unmet need.
embracing a person’s life history, We tailor and deliver individualised
For us, to be ‘person centred’ drawing on their life experiences care and engagement, offering an
means that our care homes and organising activities and holistic lifestyle in all of our homes.
embrace the B&M Rose Model of engagement around this can
Dementia Care. increase their wellbeing and sense ‘The Rose Model is
of contentment.
about embedding best
Our environments are homely, practice and living
and adapted to meet the needs
of our people. You will find an
well with a dementia’
array of ‘things to do’, appropriate
memorabilia, way-finding, and
sensory objects. All bedroom doors
have familiar photos and signage
to aid orientation and other similar
items fill the corridors. Our homes
This means we take a cohesive offer a home-from-home, a place of
approach and embrace social comfort, tranquillity and life.
history, peoples backgrounds and
individual personalities. The person At B&M, we solely employ the
centred concept was developed Rose Model of Dementia Care, and
by the late Tom Kitwood who with this we find that relationships
fostered the idea that we should between people and all staff –
see the whole person - not the including administrative, domestic,How we deliver the B&M Rose Model of Dementia Care
‘embedding best practice’
Our aim is to make every moment Individuality: for themselves by finding creative
count for a person living with a •
Working with families to ways to maintain and promote
dementia. We operate within a understand a person’s life history to independence.
framework that is in line with the get to know who they really are. •
Enabling people to continue to do
person-centered approach advocated •
Creating a holistic care plan that the things they want to do, so they
in National Institute for Health and focusses on a person’s preferences. can live a good life.
Clinical Excellence (NICE) and Social •
Focussing on the individual rather •
Understanding that choice is a way of
Care Institute for Excellence (SCIE) than on their dementia or abilities. promoting freedom and maintaining
guidance, as well as the National •
Taking into account each a sense of control and self-worth.
Dementia Strategy, which states individual’s unique qualities, •
Undertaking regular review
that this represents best practice in interests, social background, meetings.
the care of residents living with feelings and emotional needs. •
Offering information, support
a dementia. •
Valuing people for who they groups and sharing knowledge
really are, what they stand for e.g. Memory Cafes, Virtual
The B&M Rose Model of Dementia and responding to their individual Dementia Tours.
Care consists of six key elements preferences. •
Operating an open and transparent
which ensure that the people in our •
Ensuring that a person’s preferred service that acts on feedback from
care live well. activities are integrated into their residents, families and external
care plan. agencies.
Empowering: Engagement:
•
Acting in the person’s best interests •Working in partnership with
and working in line with the values families and friends to gather a
and ethos of the Mental Capacity life history.
Act (2005). •Understanding that the past
•
Providing people with the shapes who we are and that people
opportunity to make decisions living with a dementia may find it
about their care. difficult to communicate important
•
Giving a person help and support elements of their lives e.g. social
to make choices. background, hobbies, interests and
•
Encouraging people to do things what is important to them.• Learning
about a person’s past will • Understanding
a person’s illness. • Delivering
the B&M Rose Model of
provide clues to the behaviours we • Being
caring, kind hearted, Dementia Care Studies Programme
see now and enables us to provide considerate, empathetic and tactile to leadership teams.
care and engagement that is truly with people. •Providing platforms to share
tailored to an individual. innovation and encourage
•Supporting people to live in the here Wellbeing: mentoring and peer support.
and now by embracing their reality. •Taking into account people’s •Self-auditing mechanisms that
•Providing an open house for people biographical, biological, support B&M Care’s compliance
to maintain relationships and psychological and social regime, in line with the Key Lines of
engage with friends and visitors. backgrounds under the B&M Rose Enquiry set out by The Care Quality
•Involving the wider community with Model Dementia Care. Commission (CQC).
events and encouraging people to •Engaging people in meaningful •A values based recruitment
maintain contact with local groups. occupation in an environment that strategy.
resonates with them. •Delivering bespoke training in the
Flourishing: •Providing people with comfortable, B&M Rose Model of Dementia Care
•Empowering people to retain as inclusive and enabling alongside the mandatory training.
much control over their lives as environments. •Training all staff in the innovative
possible. •Presenting a home-from-home, ‘Virtual Dementia Tour’ from
•Generating a feeling of connection family atmosphere. Second Wind Dreams©.
and belonging for the people in our •Surrounding people with •Providing regular supervision,
care. recognisable items to create a performance reviews and personal
•Maintaining a person’s interests sense of security and familiarity. development opportunities.
which gives them an identity. •Providing appropriately adapted,
•Not readily advocating the use of easy access environments with Our staff recognise and are committed
anti-psychotic medication. orientation cues that support to the continuous development of
•Bestowing a sense of hope and people to live independently. standards of dementia care and
something to look forward to. support the values outlined by the
In addition we support our home B&M Rose Model of Dementia Care
Compassion: managers and their teams to to enhance the lives of the people that
•Treating people with dignity and embed best practice in person live at our homes.
respect. centred dementia care by:
•Impressing a sense of self-worth •Inspiring and developing managers
and contentment on people. to promote a person centred culture.
•Supporting a person to maintain •Guiding managers to create a
relationships and encourage new strong leadership team to deliver
ones to be formed and to flourish. this culture.Checklist for selecting a home that delivers
quality person centred care
The following points are
considered to be indicators of
quality care. We offer them to you
in the form of a checklist to use
when considering our homes or
indeed any other home.
First impressions:
• Are the outside areas cared for
and well presented?
• Is the atmosphere homely,
family orientated and
welcoming?
• Is there a sense of people
and staff living and working communal settings and relaxing • Are there private or quiet places
alongside one another, like colours in bedrooms? for families to visit?
a family? • Are there objects and items
• Is the home clean, does it have in corridors and on walls to People:
homely décor and furnishings? help orientate people and • Are people engaged and
• Are there visual clues that the provide occupation and involved in activities in the
home is knowledgeable about conversation points? home?
dementia e.g. a statement, • Does it give you the feeling of • Do people talk to you as you
professional journals, being at home? walk around?
publications? • Is there a TV or radio left on when • Do people seem occupied
no one is watching or listening? and busy?
Main environment: • Are chairs arranged in groups • Talk to other people on your
•Is the main environment to encourage social interaction visit – are they happy?
suitable for people with rather than placed in a circle • Do people appear happy,
dementia? Including contrasting round the outside of the room? content and comfortable?
wall colours, neutral carpets • Is the garden accessible, user
(no patterns), bright colours in friendly and safe?• Can a person snack at any time
if they wish?
• re staff trained to sensitively
A
assist people to eat if necessary?
Engagement and activities:
• Are people occupied in doing
things they enjoy?
• Are there photos around the
home of people engaging in
activities?
• What opportunities are there for
a person to pursue their chosen
activities and interests?
• Does the home provide tailored
activities that are suitable and
engaging for a person with
dementia?
Staff: • Are you able to bring your own
• Do the staff talk to you as you items of furniture and personal • Are there opportunities for
walk around? belongings into the home? people to help staff with small
tasks if they wish?
• Are the staff well presented? • Do staff respect privacy by
• Do staff speak to people in a knocking and waiting at • Are activities available each day?
way the person likes? Does it bedroom doors? • Are people encouraged to take
exercise?
feel right? • Are there individual room
• Are staff responding to indicators to assist people in • Are there outings and is the
a persons feelings and finding their own room? home involved in the wider
behaviours? community?
• Do you hear staff going with the Meals: • How does the home support
cultural and social differences?
individual’s reality? •Are there juices and snacks
• Do you get the impression available around the home?
that people’s past lives and •Is there a choice of menu and
memories matter to the staff? how often is it reviewed?
• Are special diets catered for?
Bedrooms: • Can you see the current menu?
• Are there photos of familiar • Can people eat in their rooms and
places and people? at different times if they prefer?Person Centred Care: Families: • Are they knowledgeable about
• What is the homes person • Are visitors welcome anytime? person centred care and if
centred or ‘Rose Model’ of • Are visitors encouraged to take it’s a B&M Home, about
dementia care philosophy? people out or join them for The Rose Model?
• Do you get a feeling that the a meal? • Is the manager knowledgeable
people are flourishing there? • Are families and friends about care fees management,
• Can you see people engaged in supported to become involved social services support?
meaningful occupation or activity? in the life of the home – e.g. a • Do you feel you would be able
• How are people being relatives group? to talk to the manager and staff
empowered to retain control? • Are family and friends about how you feel?
• Do you see people treated as supported to understand the
individuals? journey of dementia?
• Are staff being compassionate • What does the home do to
with people? support families of those
who live with a dementia?
Safety & Security: Workshops, seminars, focus
• What security measures are in groups etc.
place to keep people safe?
• What measure are taken Manager:
to promote freedom and • Is the manager friendly with
independence? staff, people and families?
• •
How might a person call if they Are they open with answering
need help? your questions?Useful things you can do to support a person
living with dementia
• Join a group or network.
• Utilise your local B&M Care
home for respite care, support
and advice or attend a Memory
Café, Virtual Dementia Tour
or Living Well with Dementia
Seminar.
• Take time out for yourself!
• Environments should not have
busy wallpaper, patterned or
speckled carpets or mirrors.
Black door mats can be
perceived as holes.
• Use visual cues on cupboard
doors and bathroom doors.
• Always smile – leave your
troubles at the door.
• Help
them keep control, TV and radio at same time,
keep their skills and abilities – slamming doors. • Be conscious of your body
language – standing over
even if it’s not the right way, let • Doll and animal-assisted
someone can be frightening,
them continue. therapy to reduce stress.
so approach a person from the
• Consider what activities they like • Massage and hand massage.
front and at eye level.
to do and what they prefer and • Go with their reality and climb
create meaningful occupation. into their world.
Loved ones can live well with
• If you have home care support • Don’t raise your voice.
a dementia if they are engaged
then get them to adapt the care • Don’t confront and don’t correct.
in meaningful occupation in
plan as needed, e.g. times that • Talk, validate and support.
an environment that resonates
suit the person’s routine. • Keep sentences short and clear.
with them.
• Keep a calm environment, • Keep choices limited and give
use therapeutic music and precise instructions and
dance more. permission.
• Reduce sensory overload, e.g. • Keep calm and relaxed.Useful resources
www.alzheimers.org.uk
www.dementiauk.org
www.ageuk.org.uk
@bandmcare
@bandmcare
@bmcarehomes
bandmcare
References:
Kitwood, T (1997) The Person Comes First ‘embedding
best practice in
‘Virtual Dementia Tour®’ Second Wind Dreams
Mental Capacity Act (2005)
National Dementia Strategy (2009)
National Institute for Health and Clinical Excellence (NICE)
Social Care Institute for Excellence (SCIE)
NICE–SCIE Guideline on supporting people with dementia and
dementia care’
their carers in health and social care (National Clinical Practice
Guideline Number 42)
The DoH Health Building Note 08-02 Dementia-Friendly Health
and Social Care Environments Principles
Copyright © 2020 B&M Care
Authors: Angela Hunt
Old Town Court, 70 Queensway, Hemel Hempstead, Hertfordshire HP2 5HD
T: 0333 234 1975 | E: info@bmcare.co.uk | W: www.bmcare.co.ukYou can also read
