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Enhanced dementia practice for social workers

Working with carers

A picture of a gentleman and his adult son in their garden.

The role of carers in supporting people with dementia is of crucial importance. Carers often enable a person with dementia to live well at home throughout their dementia journey. The support of carers can be critical in avoiding or delaying admission to hospital or to other care settings. Above all, carers are the husbands, wives, sons, daughters, brothers, sisters, parents, partners and friends of people with dementia. They share a life of memories together and their ongoing involvement helps the person with dementia to retain their sense of identity and belonging. Carers often describe a sense of loss, feelings of sadness and distress. They can experience confusion, exhaustion, depression and guilt. Your recognition of the struggle carers can have is essential. Your knowledge of how to support carers or signpost them to sources of support is empowering and cannot be underestimated. Testimonies from people with dementia and carers in this section will help you to understand this.

Carers Scotland (2011) estimates that carers save the Scottish Government £10 billion every year on care costs, the cost of a second NHS. Their quality of life should be maintained. Carer Support Plans play an important part in our work, less as tools or assessment events and more to facilitate outcomes-focused conversations with carers.

One of the six National Standards of Care for Dementia in Scotland states:

'I have the right to have carers who are well supported and educated about dementia'.

When this right is respected carers, will feel valued, informed and better supported in their role. They will also know where to get help if needed.

Who is a carer?

Caring Together: the Carers Strategy for Scotland 2010-2015 identified key roles for The Scottish Social Services Council (SSSC) and NHS Education for Scotland (NES) in promoting a carer-focused workforce learning agenda. SSSC and NES have developed a set of core principles for working with carers. Titled Equal Partners in Care (EPiC), one of the first requirements was to define what we mean by carers in order to distinguish them from some members of the social services workforce who may also have that title. The definition says:

'A carer is someone who provides unpaid support to a family member or friend. They may care for an older person, someone who is disabled, has a long-term illness, mental health problems or is affected by alcohol or drug misuse. Carers can be any age, from children to older people, and from every community and culture. Some carers may be disabled or have care needs themselves. They may be parents, spouses, grandparents, daughters, brothers, same sex partners, friends or neighbours'.

EPiC and levels of carer knowledge and experience

The 3 EPiC levels are similar to the levels of the Promoting Excellence Framework.

Level 1: carer aware

All members of the workforce will:

  • understand that anyone can be a carer
  • provide relevant information at the right time
  • signpost to support and assessment

Level 2: caring together

The relevant workforce will:

  • understand and use a person-centred, outcomes-focused approach
  • sensitively manage conflict in the caring relationship
  • be aware of equality and diversity issues

Level 3: planning with carers as equal partners

The relevant workforce will:

  • involve carers in planning services
  • support staff to reflect on their practice and work in a person-centred way
  • contribute to change in culture

The core principles, based on six key outcomes for carers, are:

Core Principles for working with carers and young carers presented as a graphic. 1 - Careres are supported and empowered to manage their caring role. 2 - Carers are enabled to have a life outside of caring. 3 - Carers are fully engaged in the planning and shaping of services. 4 - Carers are free from disadvantage or discrimination related to their caring role. 5 - Carers are recognised and valued as equal partners in care. 6 - Carers are identified.

http://www.knowledge.scot.nhs.uk/equalpartnersincare

http://www.ssks.org.uk/equalpartnersincare

Learning outcomes

When you have worked through this section of the resource you will be able to:

  • understand the possible causes of family distress linked to the emotional impact of the symptoms of dementia
  • understand the role of families and carers who support people with dementia and demonstrate commitment to their right to assessment and support to promote their own health and wellbeing
  • use Carer Support Plans to facilitate outcomes focused conversations with carers.

We'd like to hear from you about how you used this resource.

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This was printed from a website hosted by the Workforce Development and Planning Department at the Scottish Social Services Council.

Scottish Social Services Council
Compass House
11 Riverside Drive
Dundee
DD1 4NY

Telephone: 0345 60 30 891
Email: sssclearningtech@sssc.uk.com

www.sssc.uk.com

If you would like to request this document in another format or language, please contact the SSSC on 0345 60 30 891.

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