The Gloucestershire meaningful activity and wellbeing network is a network for activity co-ordinators and activity providers to meet, share information and learn new skills.
The network’s Terms of Reference are available here.
An activities toolkit is available from the British Association of Occupational Therapists and College of Occupational Therapists.
Piloted in care homes across the UK, the Toolkit has been endorsed by the Care Inspectorate Scotland, English Community Care Association (ECCA), the National Association for Providers of Activities for Older People (NAPA), Skills for Care, Carers UK, Carers Trust, and the British Geriatrics Society.
Directory of Resources
This Directory of Resources is compiled by members of the Gloucestershire Activity Coordinator network and contains information as used by Activity co-ordinators in homes throughout Gloucestershire.
This Directory of resources is hosted by Gloucestershire Care Services through the Care Home Support Team but does not represent the opinions or recommendations of Gloucestershire Health and Care or its staff. It is currently being updated (as of June 2019).
Activity Provision: Legislation and Guidelines – Useful Links
Our team primarily focuses on dementia and person centred care in care homes. There are various training packages available to care homes, to support their practice. We also have documents to support good practice in care homes available for download below.
Frequently Asked Questions
How do I refer a resident to the mental health services?
There are two routes to our community mental health nurses.
- Firstly, you can refer your resident via the GP. This will be sent to the local team, who will visit and assess the needs of that resident. They may then formulate an action plan or a care plan for treatment.
- Secondly, our team are able to visit informally to provide support, suggestions and advice. If this is insufficient, then a formal referral would be advised. Access is via the team’s single point of access – see details on the contact us page.
What do I do if I think my resident has a memory problem?
In this case, please consider referring to the team to gain support, advice and suggestions. You can refer formally or informally. Please see the information above. You can also contact the Alzeimers Society for advice, support and guidance.
It is important to know that not all memory problems mean your resident has dementia.
What do I do if my resident's behaviour changes?
It is important to exclude physical causes of behaviour changes prior to involvement of the mental health team. These include:
- Urinary Tract Infections
- Chest Infection
In addition, a GP visit is important, as he or she can exclude any other causes. After these are excluded, it is possible to access the team for advice as above. It may be helpful to have the above information to hand when the team visits to discuss this. You can also download an ABC chart to track behaviour changes and triggers during the course of each day.
ABC Incident Analysis form
Use this to monitor the triggers for certain behaviours with residents.
My resident has no relatives, friend or advanced directive, and we don't know if they have the capacity to make a decision. What should I do?
You can contact the IMCA services who will let you know if it is appropriate for them to come out and help your resident to make a decision.
Alternatively, you can contact your community mental health team, via a formal referral who may visit and assess for capacity.
The IMCA referral form is available for download below.
If your resident wants to make decisions for the future, in the event that they do lose capacity, please see the information on Lasting Power of Attorney below.
What circumstances does the Deprivation of Liberty Safeguards apply?
The circumstances are varied and individual to each resident and situation. However consider:
- Are the restrictive practices necessary to prevent harm?
- Are the restrictions proportionate to the degree of harm to the person?
Check care plan and change restrictive practices for less restrictive options.
Check care plan and apply for DoL Authorisation to the Supervisory Body.
Restriction does not need an authorisation. For example, A resident who wants to go out but needs to be escorted is restricted but not deprived. A resident who is not allowed to go out under any circumstances is deprived.
How do I make a best interests decision for my resident?
Residents are able to make decisions, however unwise, if they have capacity to do so. If they lack the capacity and you are making a best interests decision on their behalf, you must consider the following points:
- Giving equal consideration and non-discrimination.
- Considering all relevant circumstances.
- Regaining capacity.
- Permitting and encouraging participation.
- Special considerations for life-sustaining treatment.
- The person’s wishes and feelings, beliefs and values.
- The views of other people.
What do I do if we really can't cope with our resident's behaviour?
Rarely, the intervention does not work and the resident’s behaviour is not managable within the care home.
In this case, your first port of call should be the mental health team, if known to them, or the G.P. if the mental health team is not involved with this resident. They will be able to advise further action.
What do I do if my resident is sexually disinhibited?
This behaviour can be linked to particular illness and, in those cases, is to be managed as part of those illnesses.
Otherwise, it would need to be managed on an individual basis. Advice can be sought from the Care Home Support Team, via the Single Point of Contact.
We offer support concerning tissue viability in care homes. These policies are available to download below:
- Wound Care Formulary
- Brief Formulary: Barrier Creams used in the Community
- The NHS Improvement guide, Pressure Ulcers: Revised Definition and Measurement
For guidance on the application of emollients, please see ‘Topical Preparations’ guidance on the medicines management section above.
Speech and Language Therapy
Please be aware that the Care Home Support Team does not have a dedicated Speech and Language Therapist.
A speech and language therapist can help people who are experiencing problems with:
- reading or writing
They do this by
- formal and informal assessment
- diagnosing the difficulty
- giving therapy- both specific to the identified problem and to increase functionality
- providing and training in the use of communication aids (if appropriate)
- using counselling skills
- educating and supporting family and carers regarding the difficulty and how to help
- giving training sessions
- working with other professionals
How do I access Speech and Language Therapy?
For swallowing issues, you need to ask your resident’s GP to make a formal referral to the service. This can only be done by a doctor.
For communication issues, anyone can refer to the service. You do this by contacting the Speech and Language Therapy Team
Where will I receive Speech and Language Therapy?
The speech and language therapist will initially visit you at your home. If the problem is with swallowing, we will need a referral from a doctor to see you. If the problem is with communication, the person, their family, friends or support workers can refer them. You may be invited for further therapy at out-patient clinics or you may be reviewed at home, depending on your needs.
If you are admitted to hospital the Speech and Language Therapist will see you in hospital and help to get you home as soon as possible.
Continence, UTIs and Hydration
Please contact Gloucestershire Hospitals Continence Service for any specific advice or ongoing training
The Public Health England publication, Urinary Tract Infections: A Leaflet for Older Adults and Carers.