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DementiaCompetencyFramework
www.southwestdementiapartnership.org.uk/workforcedevelopment/
DementiaCompetencyFramework
Acknowledgements
ThisframeworkwaswrittenbyDianeBardsley,SouthWestDementiaPartnership,supportedbySkillsforHealth.Itwasdevelopedinconsultation withtheSouthWestDementiaWorkforceNetworkandtheLearn4HealthDementiasubPathwayAdvisoryGroup.Wewishtothankallthosewhom haveprovidedadvice,guidanceandcontributions. Particularthanksto:
MaggiDouglasDunbar,TorbayCareTrust MaryDart,DevonCountyCouncil TinaKukstas,2GetherNHSFoundationTrust JackiePool,JackiePoolAssociates RosalitaMainwaring,SkillsforCare TonyDevan,DorsetHealthcareUniversityNHSFoundationTrust CaraElkin,SwindonPrimaryCareTrust AnitaHudson,AvonandWiltshireMentalHealthPartnershipNHSTrust PaulWhitby,AvonandWiltshireMentalHealthPartnershipNHSTrust JanFox,SkillsforHealth RobertStandfield,SkillsforHealth DavidSeward,CapitaConsulting
License
TheDementiaCompetencyFrameworkbySouthWestDementiaPartnershipislicensedunderaCreativeCommonsAttribution NonCommercial3.0UnportedLicense.Youmayuseandadaptthecontentoftheworkbookfornoncommercialpurposesprovidingyou attributeittotheauthorsandpublisher.
SouthWestDementiaPartnership
DementiaCompetencyFramework
ParliamentaryandHealthServiceOmbudsman(2011)Careandcompassion?ReportoftheHealthServiceOmbudsmanonteninvestigationsintoNHScareofolder DepartmentofHealth,SkillsforCare,SkillsforHealth(2011)CommonCorePrinciplesforsupportingpeoplewithdementia.London,DepartmentofHealth. 3
people.London,TheStationeryOffice.
2
SouthWestDementiaPartnership
DementiaCompetencyFramework
SouthWestDementiaPartnership
Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
Communicatewithindividualsaboutpromoting
1. PreventionPromotehealthand socialwellbeing
2. IdentificationKnowtheearlysigns
Identifyindividualswithoratriskofdevelopinglong termconditionsorrelatedillhealth(CHS42)
ofdementia
SouthWestDementiaPartnership
Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
Supportindividualstoaccessanduseinformation
Facilitatepersoncentredassessment,planning, implementationandreview(HSC3020) Assessanindividualshealthstatus(CHS39) Explaintheneedforaninvestigationofearlysignsof dementiainawaythatisappropriatetotheperson Referindividualstospecialistsourcesofassistancein meetingtheirhealthcareneeds(CHS99) Beabletoassesscognitionandfunctionspecificto dementia Considerthepersonwhenassessingfordementia, takingintoaccountusualinterests,behaviourand support. Developcarepathwaysforpatientmanagement (CHS173) Coordinate,manageandsupporttheprogressof individualsthroughcarepathways(GEN79) Provideadviceandinformationtoindividualsonhowto managetheirowncondition(GEN14) Observe,monitorandrecordtheconditionof individuals(HSC224)
Knowledgeofapprovedassessmenttools Establishadiagnosisofanindividualshealth condition(CHS40) Conductprediagnosticscreeningfor dementia Supportingindividualsandcarersthroughthe screening/diagnosticprocess Awarenessofimpactofdiagnosticerrors Provideclinicalinformationtoindividuals (CHS56) Understandtheneedsofyoungerpeoplewith dementiaandtheirfamilies Understandtheneedsofpeoplewithlearning disabilitiesanddementia Linkwithhardtoreachclientswithdementia egBME,youngerpeopleatrisk.
3. AssessmentanddiagnosisEarlydiagnosisofdementiahelpspeoplereceive
(HSC26) Provideinformationandsupportforindividuals
information,supportandtreatmentattheearliestpossiblestage
SouthWestDementiaPartnership
Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
4. Communicatesensitivelytosupportmeaningfulinteractionrecognisingthat
dementiamayaffectapersonsabilitytocommunicateandothersmayneed
toadapt
SouthWestDementiaPartnership
Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
Assistthepractitionertoimplementhealthcare
Enableindividualswithlongtermconditionstomake informedchoicesconcerningtheirhealthandwellbeing (CMC3) Developpracticeswhichpromotechoice,wellbeingand protectionofallindividuals(HSC45) Supportindividualstorepresenttheirownneedsand wishesatdecisionmakingforums(HSC366) Collaborateintheassessmentoftheneedfor,andthe provisionof,environmentalandsocialsupportinthe community(GEN75) Enableolderpeopletocopewithchangestotheir healthandwellbeing(OP12) Understandmodelsofdisability(SSOP3.1) Obtainapatient/clienthistory(Understandthepersons lifehistory&upholdthepersonsidentity)(CHS168). Reviewandmonitorapatientsnutritionalwellbeing (CHS92) Managefluidlevelsandbalance(CHS165)
Knowledgeofmentalhealthissuesandrisks Knowledgeofdementiaandpsychotropic medicationandriskfactors Prescribemedicationforindividualswitha longtermcondition(CMA7) Authoriseassistivedevicestomeet individualsneeds(CHS140) Developactionplanswhichassist stakeholdersinimprovingenvironmentsand practicestopromotementalhealth(MH68) Assesshowenvironmentsandpracticescan bemaintainedandimprovedtopromote mentalhealth(MH66) Monitorandreviewchangesinenvironments andpracticestopromotementalhealth (MH70) Interactwithandsupportindividualsusing telecommunications(HSC3062)
5. LivingwellwithdementiaPromoteindependenceandencourageactivity
activities(GEN8) Understandandimplementapersoncentred approachtothecareandsupportofindividuals Provideinformationandadvicetosupport individualsinundertakingdesiredoccupational andnonoccupationalactivities(CME4) Developpracticeswhichpromotechoice, wellbeingandprotectionofallindividuals(HSC45) Supportindividualstoidentifyandpromotetheir ownhealthandsocialwellbeing(HSC3112) Supportindividualsintheirdailyliving(HSC27) Contributetosupportinggroupcareactivities(HSC 2023) Contributetosupportofpositiverisktakingin everydaylife(HSC2031)
SouthWestDementiaPartnership
Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
Managepainreliefforanindividual(CHS164) Establishandmaintainthetherapeuticrelationship (MH100) Provideinterventionstoindividualswithlongterm conditions(CHS62) Providesupportfortherapysessions(HSC2001) Assistindividualstoevaluateandcontactsupport networks(MH4) Contributetosupportingindividualsintheuseof assistivetechnology(SSOP2.4) Supportindividualsduringactivitiestoimprovetheir physicalhealthandwellbeing(MH29) Supportindividualswithneurologicalconditionsto optimisetheirindependence(LTCN23) Supportpeopleinrelationtopersonalandsocial interactionsandenvironmentalfactors(HMH46) Enableindividualstomaintainthesafetyandsecurityof theirlivingenvironment(MH31)
Implementtherapeuticgroupactivities(HSC 3008) Awarenessandprovisionofarangeof psychosocialinterventionsegreminiscence, realityorientation,cognitivestimulation, validationtherapy,lifestory,art psychotherapies Providesensorystimulation,physicalandplay basedactivitiesegexercise,dolltherapy Providecounsellingforpeoplewithdementia Knowledgeandunderstandingofrelationship centredcare Understandingofissuesaroundsexualityand intimacy Comprehensiveknowledgeand understandingarounddiversityandcultural issues
5. LivingwellwithdementiaPromoteindependenceandencourageactivity
SouthWestDementiaPartnership
Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
5. LivingwellwithdementiaPromoteindependenceandencourageactivity
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
6. Understandingandrespondingtounmetneedsandsignsofdistressresulting
fromconfusion.Respondbydiffusingapersonsanxietyandsupportingtheir
Assesstheneedforinterventionandpresent assessmentsofindividualsneedsandrelatedrisks (MH17) Understandthepersonsexperienceofunmetneeds, loss,identity,language,stressanddifferentformsof communication Supportindividualswithneurologicalconditionsto optimisetheircommunicationskills(LTNC22) Contributetothepreventionandmanagementof abusiveandaggressivebehaviour(AB3) Supportindividualstopreparefor,adapttoandmanage change(HSC382) Enablepeopletorecoverfromdistressingmentalhealth experiences(MH94) Managehostilityandriskswithnoncooperative individuals,familiesandcarers(FMH12) Respondtocrisissituations(MH21)
understandingoftheeventstheyexperience.
centredapproaches
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
6. Understandingandrespondingtounmetneedsandsignsofdistress
Minimisetheriskstoanindividualandstaffduring clinicalinterventionsandviolentandaggressive episodes(FMH5) Reflectonandevaluateyourownvalues,priorities, interestsandeffectiveness(GEN12) Identifytriggerswhichcausebehavioursthatchallenge theworker Beabletorespondtobehavioursthroughperson centredapproaches Administermedicationtoindividuals(usingaperson centredapproach)(CHS3) Enableindividualstotaketheirmedicationasprescribed (AH12) Assistintheadministrationofmedication(CHS2) Supportuseofmedicationinsocialcaresettings(HSC 3047)
andsupportingtheirunderstandingoftheeventstheyexperience.
SouthWestDementiaPartnership
resultingfromconfusion.Respondbydiffusingapersonsanxiety
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
Enablecarerstoaccessandassesssupport
Assesstheneedsofcarersandfamiliesofindividuals (MH6) Enablecarerstosupportindividuals(GEN20) Supportfamiliesintheirownhome(HSC319) Plan,implement,monitorandreviewtherapeutic interventionswithindividualswhohavealongterm conditionandtheircarers(CMA4) Manageapatientcaseloadwhichachievesthebest possibleoutcomesfortheindividual(CMl1) Buildapartnershipbetweentheteam,patientsand carers(CMC5)
7. Familymembersandothercarersarevalued,respectedandsupportedand
arehelpedtogainaccesstodementiacareadvice
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
Awarenessofotheragenciesprovidingsupport
Reviewandevaluatecaremanagementplanswith individualsdiagnosedwithlongtermconditions(CHS85)
Coordinatetheprogressofindividuals throughcarepathways(GEN79) Liaisebetweenprimary,secondaryand communityteams(andacuteteams)GEN44) Enableworkersandagenciestowork collaboratively(MH79) Supportandchallengeteamsandagencieson specificaspectsoftheirpractice(MH92) Enablepeopletoimproveothershealthand wellbeing(PHP42)
8. Workaspartofamultiagencyteamto
supportthepersonwithdementia
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
9. Understandingthecontextofcareandsupportforpeoplewithdementia
Contributetopromotingaculturethatvaluesand respectsthediversityofindividuals(HSC3116) Understandkeylegislation(MentalCapacityAct, Deprivationofliberty)andagreedwaysofworking thatensurethefulfilmentofrightsandchoicesof individualswithdementiawhileminimisingriskof harm Contributetotheprotectionofindividualsfrom harmandabuse(HSC335) Understandsafeguarding
Createanenvironmenttoprotectolderpeoplefrom abuse(OP10) Developpracticeswhichpromotechoice,wellbeingand protectionofallindividuals(HSC45) UnderstandthepurposeandprinciplesofIndependent advocacy(ADV301) UnderstandanduseofMentalCapacityActandprovide independentAdvocacy(ADV305) Supporttheprotectionofindividuals,keypeopleand others(HSC430) Supportindividualstomanagetheirfinancialaffairs (HSC345) Supportindividualswhereabusehasbeendisclosed (HSC431) Contributetotheidentificationoftheriskofdangerto individualsandothers(HSC240)
andtheirfamiliesandcarers
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
10. Endoflifecareneededforthosewith
dementiaandfortheirfamiliesandcarers
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
Synthesisenewknowledgeintothedevelopment ofyourownpractice(GEN13)
Dementiaworkerprofessionalandpersonal developmentandselfcare
11. Dementiaworkerpersonal
developmentandselfcare
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
responsibilitytoensuremembersoftheirteamaretrainedandwellsupported
12. Managers,thoseinpracticedevelopmentrolesandsupervisorsneedtotake
tomeettheneedsofpeoplewithdementia.
Understandandimplementevaluationof services Supporttheimplementation,monitoring, evaluationandimprovementofawareness raisingaroundmentalhealthissues(MH88) Involvementofpeoplewithdementiaand families/carersindesign,deliveryand evaluationofservices Knowledgeofandapplicationofdifferent observationalmethodologies. Developmentofleadershipwithindementia care
SouthWestDementiaPartnership
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Principle
Step1Essential
Acrossallsectionsofworkforceandsociety.Aspartofamandatory inductionprogrammeforallhealthandsocialcarestaff
Step2Enhanced
TobuildonStep1.Forthoseworkingwithpeoplewithdementiawithin healthandsocialcaresettings
Step3Specialist
BuildingonStep1&2.Forpeopleworkingintensivelywith peoplelivingwithdementia
13. Serviceimprovementisembedded
throughoutallpractice
SouthWestDementiaPartnership
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QCFLevels2and3
Level2Awards DementiaawarenessDEM201 Thepersoncentredapproachtothecareandsupportofindividualswithdementia DEM202 Understandthefactorsthatcaninfluencecommunicationandinteractionwith individualswhohavedementiaDEM205 Understandequality,diversityandinclusionindementiacareDEM207 Understandtheadministrationofmedicationtoindividualswithdementiausingapersoncentredapproach DEM305 UnderstandtheroleofcommunicationandinteractionswithindividualswhohavedementiaDEM308 Level3Awards UnderstandtheprocessandexperienceofDementiaDEM301 UnderstandthediversityofindividualswithdementiaandtheimportanceofinclusionDEM310
Level2Certificates DementiaawarenessDEM201 Understandandimplementapersoncentredapproachtothecareandsupportof individualswithdementiaDEM204 Equality,diversityandinclusionindementiacarepracticeDEM209 Understandandenableinteractionandcommunicationwithindividualswith dementiaDEM210 Approachestoenablerightsandchoicesforindividualswithdementiawhilst minimisingrisksDEM211 UnderstandandenableinteractionandcommunicationwithindividualswhohavedementiaDEM312 Equality,diversityandinclusionindementiacarepracticeDEM313 Level3Certificates UnderstandingtheprocessandexperienceofDementiaDEM301 EnablerightsandchoicesofindividualswithdementiawhilstminimisingrisksDEM304
SouthWestDementiaPartnership
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Level2CertificateOptionalUnits PurposeandPrinciplesofIndependentAdvocacyADV301 IndependentMentalCapacityAdvocacyADV305 UnderstandmentalwellbeingandmentalhealthpromotionCMH301 Understandandmeetthenutritionalrequirementsofindividualswithdementia DEM302 Understandtheadministrationofmedicationtoindividualswithdementiausinga personcentredapproachDEM305 ProvidesupportfortherapysessionsHSC2001 ContributetothecareofadeceasedpersonHSC2022 ContributetosupportinggroupcareactivitiesHSC2023 ContributetosupportofpositiverisktakingineverydaylifeHSC2031 Facilitatepersoncentredassessment,planning,implementationandreviewHSC 3020 SupportuseofmedicationinsocialcaresettingsHSC3047 IntroductoryawarenessofmodelsofdisabilitySSOP2.1 SupportindividualsattheendoflifeHSC3048 ContributetosupportingindividualsintheuseofassistivetechnologySSOP2.4 SupportindividualswhoarebereavedHSC3035 SupportuseofmedicationinsocialcaresettingsHSC3047 SupportindividualsattheendoflifeHSC3048 InteractwithandsupportindividualsusingtelecommunicationsHSC3062 Understandtheadministrationofmedicationtoindividualswithdementiausingapersoncentredapproach DEM305 ContributetothecareofadeceasedpersonHSC2022 ContributetosupportofpositiverisktakingineverydaylifeHSC2031 ProvidesupporttocontinuerecommendedtherapiesHSC3002 ImplementtherapeuticgroupactivitiesHSC3008 Facilitatepersoncentredassessment,planning,implementationandreviewHSC3020 Level3CertificateOptionalUnits PurposeandPrinciplesofIndependentAdvocacyADV301 IndependentMentalCapacityAdvocacyADV305 UnderstandmentalwellbeingandmentalhealthpromotionCMH301 UnderstandandmeetthenutritionalrequirementsofindividualswithdementiaDEM302
SouthWestDementiaPartnership
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Level2CertificateOptionalUnits SupportpersoncentredthinkingandplanningLD202 Level3CertificateOptionalUnits SupportpositiverisktakingforindividualsHSC3066 SupportpersoncentredthinkingandplanningLD302 UnderstandModelsofDisabilitySSOP3.1 SupportindividualsintheuseofassistivetechnologySSOP3.4
SouthWestDementiaPartnership
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