Outcomes for isolated individuals

I've just been reading about the outcomes for isolated individuals from our Outstanding Activities programmes, and have been enjoying them so much I thought I'd share some of the highlights.

“The box involved people who wouldn't normally want to do things.”

Simon is very private, he has been in and out of institutions all his life and "doesn't like socialising". Jan, the activity coordinator, shared pictures from the creative activity box 1 and then offered the scripts and sound effects from box 2. "He read the script very well. And loved the sound effects, he got so excited." Jan discovered he used to work on a farm, milk cows and drive a tractor. She spent 45 min with him, which is unheard of. Ever since he greets her every day with a "hello!" in the morning. The other day he shook her by the hand and initiated a conversation.

June is often agitated, anxious and unable to settle. Outstanding Activities participant Anna got the Marvellous Motoring Map box on the table, the objects out in front of June and her engaged in open questions and conversation led by the objects June's attention grew and she became more and more engaged and calm.

Rose is quite a private person who "doesn't entertain activity in any way" but the Marvellous Motoring Map opened up discoveries about annual visits to Essex with her husband. This has led to many more conversations.  

Icons Photo Shoot used with over 40 residents in lounges and bedrooms. Staff involved and included residents that don't usually get involved in activities. Brian Jones never gets involved and very rarely says anything; but he wore and posed in a bowler hat from the film icons box. He went on to share stories of his MBE and medals that staff knew of but he never speaks about. Outstanding Activities participant Sharon reflects: "A few days later after I went to visit him and he spoke to me! He remembered wearing the bowler hat. At the end of our chat, he said "Thank you my dear" I've never heard him say anything like that before.”

All this achieved with our Outstanding Activities programme that only costs form £200 per month; shortlisted for innovation in Dementia Training at this years National Care Awards. 

As ever we'd love to be working with more services. So do get in contact if you'd like to know more about how we might work with your services. 

Dementia enhances creativity, so provide services that are just as creative.

I love this buzzfeed (4 words I hadn't expected to say together).

http://www.buzzfeed.com/lukelewis/inspiring-tales-coping-with-dementia#.rixBzLRpnD

Particularly John's story:

'John Williams was diagnosed with Alzheimer’s Disease in January 2014, at the age of 70. Having dabbled in painting since his 50s, he was surprised to notice his natural technique changing. By the autumn his finely detailed brushstrokes had begun to give way to more abstract portraits; an “altered” style he found he really liked.'

“Alzheimer’s has changed my style of painting; it hasn’t changed my passion for art,”

For me this is one of the gifts and challenges of Dementia, the opportunity to look at the world in new ways. And it is the same challenge as for all of us wether we are living with Dementia or not, to stay true to ourselves and to also allow ourselves to grow. The reduced inhibition that Dementia can cause, often makes people more creative. Our challenge is to provide services that are as creative as they are!

Thanks to Des Kelly at NCF for sending this link my way www.nationalcareforum.org.uk/news.asp?sector_ID=14

For more info about Ladder to the Moon's creative leadership visit www.laddertothemoon.co.uk

CQC Links and our surge towards Outstanding Services

I had a surprise phone call last week. For the first time that I can remember a home owner called me up out of the blue. It’s usually me going out to them - talking, presenting, calling and care show’s. But this time I was called, and the reason the for the call was that the home just down the street had their CQC report published.

The home in question - Rush Court, operated by one of our Clients Elizabeth Finn, were Outstanding in two area’s and a hairs breath from Outstanding overall. The reason he called Ladder to the Moon was that there were three big paragraphs on the work that they had been doing with us.

the registered manager told us of the positive effects on staff engagement [Ladder to the Moon] had. 

This was how CQC described us 

The purpose of the scheme is to motivate and inspire staff to provide individualised care that was kind and compassionate. The scheme is recognised as a good practice scheme that involves people, staff and the wider community in developing personalised care. 

So what did we do? Our approach is to work on multiple levels with a service (and often Head Office). We work with senior teams on leading for creativity and innovation in line with CQC Outstanding. We focus on developing projects owned by the team in the service to motivate and inspire a creative culture of care.

One of the key places we work is with activity staff to involve and engage colleagues, relatives, friends family and the wider community in a way that makes a meaningful difference to quality of life. Often this involves using events in a slightly different way:

Staff spoke passionately about [Ladder to the Moon] and showed us photographs of monthly themed evenings where people and staff enjoyed time together. All staff were invited to the evenings, this included housekeeping, catering, maintenance and office staff. One member of staff told us, "I come in on my day off for them. Last night we had a cheese and wine party". We heard a person chatting to a care worker about the evening and both had obviously enjoyed the shared experience

We have a strong emphasis on working with the most isolated individuals in a service and transforming their experience.

A small example from the team last week was Mary a resident in a nursing home who normally was ‘brought’ to the breakfast room at the start of the day to eat, and then fell asleep in her chair in the dinning room until it was time to for lunch, at which point she was woken up and fed. Supported by out Outstanding Activities programme, Karen, the activity coordinator used a creative activity box, and the savouring skills she developed during training to engage Mary in a photo shoot. Much to everyones surprise Mary was alert and enjoying herself.

This is important, not only for the improvement in Mary’s quality of life, but also because of the message that it send to everyone who see’s Mary smiling, and everyone who’s then talking about that moment, about what is possible with the right engagement.

As the manager at Rush Court is quoted in the CQC report our programme is about

”Making sure everything we do is about the people who live here"

You can read the full report here CQC report from Rush court

I’m looking forward to more phone calls from operators who want their services to be Outstanding.

Ladder to the Moon finalists at the National Dementia Care Awards

I just got a great phone call from the guys at the National Dementia Care Awards to let me know that we're finalists in the Dementia Training Innovation category.

Chris Yakult Innovation award.JPG

Our Outstanding Activities programme has been shortlisted for the innovative training model, and more importantly the outcomes it causes for people living with Dementia. The outcomes show residents being able to contribute newly to their community or simply by enjoying themselves doing something unexpected, particularly with those at risk of social isolation

“ We did the Rural Radio Play with Rose (who rarely joins in anything involving speaking and listening) and I asked her to take a part….she read the part really well (although she says she can’t see well enough to read) and really got into the character. We all saw a different side of her louder and more confident.’

This was from an Activity Coordinator on our London Cohort. And as a result it's made a big difference to her relationship with other residents.

“Rose has enjoyed more attention from other residents since that day” 

There was also great joy and engagement from someone who hardly speaks

“the other good news from that day was we included ‘R’ who can scarcely speak due to having had a big stroke. No-one had mentioned pigs as essential to our farmyard noises and he suddenly contributed some brilliant pig noises which caused much laughter for everyone, including him.”

The programme has really boosted activity coordinators confidence, and changed the way people think about activities.

 “These boxes are going to absolutely change the way people look at activities. It’s absolutely brilliant.”

We're chuffed to bits to be nominated, and looking forward to the judging on the 19th October.

For more information on Outstanding Activities visit: www.laddertothemoon.co.uk/Programs/Outstanding/Activities/

For more information on The National Dementia Care awards visit:http://www.careinfo.org/dementia-awards/

Creativity and innovation for business success

Creativity and innovation for business success

Ladder to the Moon's Director writes for Caring Times

To achieve a CQC rating of ‘outstanding’, it’s not necessarily enough to know that you have an activity coordinator who is running a range of activities and entertainments. But how can managers and staff teams stay focused on delivering innovative activity in a context of conflicting priorities? 

In the latest edition of Caring Times, Chris answers this question by examining the link between innovative activity provision, quality of life, and business success. 

View the article as PDF.

Click here for details of our programme that supports creative and innovative activity provision. 

Ladder to the Moon in Journal of Dementia Care

Chris Gage's article discusses the future of care

The July/August 2014 issue of Journal of Dementia care included a full-length feature on Ladder to the Moon’s vision for a vibrant future in care settings.

The article reviews current trends in activities provision, with a focus on participative arts. The article then considers challenges to change, and the role of creative leadership in overcoming these.


It’s an inspiring read with lots of examples from our own work and across the sector- do take a look and share. You download it directly by clicking here