Our Vision

Our Mission

To give older people an independent,

safe and secure future in a network of

inspirational communities

About Us

• Charity formed in 1988

• 14 retirement villages / 17 housing schemes

• Over 4,000 residents

• 5,000 older people in the community supported

• Over 60 charity shops

Key Factors

• Flexible care, assessed to meet your needs and

delivered in your own home by qualified staff

• Dedicated 24-hour on-site team - available to

support you in the event of an emergency

• Proactive health screening and well-being

services providing help and advice to stay fit

and well

Key Factors

• Stimulating activities, social and leisure

interests, helping residents stay healthy, active

and independent for longer

• Active encouragement of participation in

community life through volunteering

• Highly-trained staff, fostering a can-do culture,

supporting personal achievement and growth

Our Well-being Programme

• Prior to the introduction of the Well-being service a

survey found that 75% of residents living independently

had not visited their GP

• A pilot service was produced with the recruitment of

Registered Nurses back in 1990’s

• Annual Well-being Assessments, health action plans,

and health interest groups were implemented

• The pilot found 122 previous undetected and untreated

conditions amongst a population of 135

• Residents assumed the symptoms they were

experiencing were just part of an ageing life

Funding?

Past -

• Charitable income

• Supporting people

• Grants and awards

Future -

• Local Authority

• CCG

• Grants and awards

What do we do?

• Baseline and annual assessments

• Drop-in clinics

• Monthly special interest talks

• Develop community champions - volunteers

• Signpost to services

• Connect people

• Training – continence

• Keep our residents healthy and well and retaining

independence

Some Key Facts

• Our award winning Well-being service is

recognised as a national example of best

practice

• Residents use drop in clinics on average twice a

year – some are frequent flyers

• Common issues detected through the Well-being

Programme include high blood pressure, high

cholesterol, osteoporosis risk, urinary tract

infections and diabetes indicators

Key Facts

• There is a Wellbeing Advisor in every ExtraCare

location – some work across 2 or 3 sites

• The cost of the project is £500,000 per year

• Links with other ExtraCare services such as the

gym, the Enriched Opportunities Programme

and the care service

• Residents want more health services on site –

nurse practitioner

• GPs and other community services see the WB

service as vital to their work too

Outcomes – Drop in’s

Outcomes

Condition Diagnosed/Treated Showing Symptoms/At risk

Hypertension 51% 6%

Arthritis (Osteo) 38% 3%

Coronary Heart Disease 21% 0%

Diabetes 21% 36%

Osteoporosis 21% 12%

Cancer 14% 0%

Depression 13% 3%

Asthma 10% 0%

Stroke 9% 0%

Dementia 8% 1%

Chronic Obstructive Pulmonary Disease (COPD)

7% 1%

TIAs 5% 0%

Arthritis (Rheumatoid) 5% 0%

Outcomes

• Out of 560 assessments last quarter, only 34

residents did not have any diagnosed conditions

• Confusion and memory loss was identified with

5% and 14% identified respectively

• Reduction in unplanned hospital admissions

• Improved appropriate access to other health

services

Cost savings

• There were 5,604 drop in visits last quarter –

potential saving to the NHS of c£168k

• Savings to health services through reduced

planned admissions

• Savings through appropriate use of health

services

Future plans

• Expansion of WB role – Nurse Practitioner

• WB HCAs alongside WBAs

• Student nurse placements

• Leg clubs

• Step down services

• ‘Dying Well’ communities and charter

• Community Locksmiths expansion

• LGBT support

Case study

The Enriched Opportunities

Programme®

The Enriched Opportunities Programme® (EOP) was developed

by The ExtraCare Charitable Trust to support residents

experiencing dementia to live independent, healthy, and active

lifestyles.

The service began as a research project with the University of Bradford which

involved:

• A 2 year cluster randomised controlled trial of a new approach to

living with dementia and other mental health issues in ExtraCare

• Development of a specialist staff role the “Locksmith” who unpicks

impairments and unlocks a persons potential.

+ =

EOP Research Outcomes

Residents supported by a Locksmith were…

• 50% less likely to move out of ExtraCare into a care home

• Spending less time in hospital as an in-patient

• More likely to have their mental health condition diagnosed

• Had improved access to Health services

Residents also…

• Rated their quality of life more positively

• Experienced decreased symptoms of depression

• Experienced greater feelings of social support and inclusion

(As detailed in the 2009 Bradford dementia group report, available on the ExtraCare website)

The Enriched Model of

Dementia

D = NI + H + B + P + SP • Neurological impairment

• Health

• Biography

• Personality

• Social Psychology

Helps us ‘connect the dots’ and ‘unravel the mystery’

“Don’t correct me connect with me”

EOP in Practice

It’s the difference between seeing

A Person with Dementia

or

A Person with Dementia

5 Key Facets of the EOP

• Specialist Expertise

• Individual Assessment and case work

• Activity and Occupation

• Staff Training

• Management and Leadership

EOP in practice

“He’s aggressive and agitated”

“He wont drink or eat properly, just cake and crisps”

“He hides things, everyday” “He accuses people

of stealing”

The starting point for a Locksmith…

EOP in practice

“He’s aggressive and agitated”

Mr K had been through a big change, he’s lived alone and lived independently. He now had at least 4 ‘strangers’ visit each day, which often left him feeling vulnerable and as if he had lost control. This often left him feeling threatened or frustrated We focussed on educating everyone – family and professionals about why Mr K may feel anxious when they visited. Everyone involved in Mr K’s wellbeing needed to understand their part in

contributing to Mr K feeling threatened… and understand his perspective

“Don’t correct me

connect with me”

EOP in practice

“He wont drink or eat properly, just cake and crisps”

Mr K would eat what was easy, introducing some healthy ‘grazing boxes’ around the house meant he

could snack easily and more healthily Drinking prompts in key

areas help increase fluid levels

EOP in practice

“He hides things, everyday”

What + Where = Why

Mr K only hid things that carers used on a daily basis – tea bags, coffee jars, and cutlery.

Mr K could not see what people were doing in his kitchen, or see items had been put back.

People needed to explain what they were doing, and stand with Mr K so he could see and get involved

Introducing some visual containers helped as Mr K could see where his belongings were whenever he liked

The Enriched Opportunities

Programme® today…

• Over 4,400 residents in ExtraCare live with a diagnosed

dementia

• Over 1000 live with an EOP need

• 72% Diagnosis rate within ExtraCare schemes and Villages

The Enriched Opportunities Programme® is a big part of

achieving our vision to create