The North Ayrshire Partnership Working Programme (Supporting People with Dementia) started in June 2015 and ran for just over 12 months in which time 500 referrals were received that were carried forward to HFSVs for those identified. In March/April 2019 the Area plans to extend this previously successful initiative to all three Local Authorities within Ayrshire.
In the original scheme, joint training was carried out to ensure people with dementia were safe from fire and other risks in their homes, targeting preventative interventions at those most vulnerable and at risk to fire. Scottish Fire and Rescue Service (SFRS) worked in partnership with North Ayrshire Council (Health and Social Care, Older People Housing Management), North Ayrshire Dementia Support Service, Anam Cara Respite Services and NHS Ayrshire and Arran.
SFRS will continue to focus considerable efforts on reducing fire risk and preventing avoidable harm within households and much of this work has been undertaken alongside a range of partners. It has been recognised that further improvements to public safety could be made by working more closely with health and social care partners, particularly through improving co-ordination and joint working protocols.
SFRS and East, North & South Ayrshire Dementia Services have therefore placed more focus on identifying people suffering from dementia and other ailments with the aim of reducing fire risk and ensuring that older people are safer in their homes. The following statistics support the need for focussing on this group:
The aims and objectives of the initiative are to:
The initiative is linked to the Community Safety Engagement Framework where personnel will:
Referrals will be received from partners such as Local Authority service providers and Ayrshire Dementia Support Services. SFRS personnel and Community Action Teams (CAT) will supply and fit smoke and heat detectors while carrying out a home fire safety visit.
Health and Social Care colleagues within Dementia Services will provide training to fire service personnel free of charge, dementia service staff will in turn receive training from SFRS on keeping people safe in their homes.
Referrals from partner agencies, operational crews and the Community Action Team will be collated by the CAT; they will audit the number of referrals for future review and evaluation and control the allocation of HFSVs to operational crews so as to specifically target those most at need on a risk based assessment. The initiative will look to effectively manage a large volume of referrals without overwhelming crews with an unachievable number of visits on their individual station pending lists. These visits are likely always to be rated in the high risk category for delivery.
The partnership carries out 3 month reviews of the initiative to look at its effectiveness, the numbers of referrals received and any other feedback. Reciprocal training takes place with all partners, which is monitored through feedback received to ensure that it continues to be effective.
A drop down option stating “Dementia Services Referral” is utilised on CSET by SFRS. CSET is an interactive ICT based toolkit designed to support the administration and performance management of community safety activities – mostly around Home Fire Safety Visits, activities and initiatives in areas, and gathers mostly quantitative information. There has been an increase in the number of people identified and cared for through additional partner referrals; for example an operational crew referring to Dementia Services following an incident attendance or a standard HFSV.
The next step for this partnership is to arrange a plan for joint training which will commence in March/April 2019, involving all three Local Authorities in Ayrshire. The undertaking of joint visits will assist with this process by allowing all agencies to work together to understand each other’s priorities.
A communication network will be established where information added can be accessed by all agencies; this will eliminate duplication whilst developing an understanding of relevant contacts for individual’s needs. This process will adhere to and support Information Sharing Protocols (ISPs) and GDPR requirements.
Housing and social care staff will prioritise homeowners most at need and put visitation arrangements in place. Initial visits will be attended by Community Safety Action Teams (CAT) who in turn will assist in the education of operational staff for future visits.
This planned training will give crews and other SFRS personnel an understanding of dementia and how it affects daily lives together with knowledge of the local community services and support and how to quickly access that information.
Group Manager, SFRS