Value focussed care...
Leon Smith, Chief Executive – Nightingale, outlines the positive impact providing values focussed care can have to a person living with dementia. He also explains what a difference having shared values and an inclusive culture can make to delivering excellent dementia care.
Creating a positive value focussed care environment is easy rhetoric but much more difficult to put into practice. The process starts at the beginning of the employee journey; value based recruitment is as important as skills and knowledge in the recruitment process. Introducing people who do not have the same values can change the environment and create uncertainty for the person living with dementia.
What was the difference we made
By creating a positive inclusive culture with shared values Nightingale have created an environment were people live happy and fulfilled lives. Staff have higher satisfaction and fulfilment levels.
What we did
to create a positive culture and maintain the positive culture at Nightingale we focused on value based recruitment and comprehensive induction. We have developed a clear set of values that all staff need to understand and sign up to and ensure that they are put into practice through their behaviours on a day to day basis."
Leon explains that he knew they had got the recruitment process right and the value focussed care was being strengthened. A specific example of this is the care and support an older man with dementia receives:
Mr John likes to take the lead and be in charge which links back to his previous working life. This is especially apparent when staff are having meetings, or going about their duties. However when Mr John talks to staff his words are jumbled, but it is clear he is giving polite but strict orders.
The staff could easily still complete their job requirements of caring for him if they led him out of the room during their meetings, or helped him dress in the usual manner. Instead staff understand from Mr John’s tone he is clearly assigning them duties. Staff are happy to say “yes sir” or “ok sir”. It is clear that Mr John is very satisfied with himself, as though his ‘job is done’ and ‘his’ staff have obeyed him. But to enhance well-being, the staff - through subtle role play - fulfil the resident’s psychological needs of identity and occupation. This maintains his quality of life, a preservation of personhood - far beyond simple ‘quality of care.