2015-16 Care Coach Programme

EVALUATION

“Thank you for this amazing opportunity I was given. I told my manager today, no disrespect to anyone else, but of all the training I have ever received (from catering college aged 16 to present day - 22years in total) this is by far the best most amazing course I've EVER attended! Thank you!” Introduction In 2013, the Norfolk and Suffolk Dementia Alliance (NSDA) launched its pioneering Dementia Care Coach programme. This hugely successful initiative was augmented in 2014 to expand the competency base of the 270 coaches to include the health conditions covered in the NHS Harm Free Care programme. As part of its workforce transformation portfolio concerned with projects relating to Frail Elderly, The Norfolk & Suffolk Workforce Partnership commissioned NSDA to deliver a revised Care Coaching programme for 2015/16 which included competencies covering dementia, end of life care and Harm Free Care to care professionals working in social care with the aim of reducing the number of avoidable admissions from care settings. The Care Coach programme took 220 hand picked staff, from social care providers from across the length and breadth of the Norfolk & Suffolk and educated them to be experts in the 12 key competencies of Harm Free Dementia Care. Learning was delivered through a series unique experiential learning days delivered by a combination of leading UEA academics and front line clinicians, giving the students the skills, knowledge and confidence to perform as coaches, mentors and role models thus improving the competence of colleagues in their workplace. Coaches also use these new found talents to better inform, guide and support relatives and care givers as well as the wider community outside of their immediate workspace through their role as one of the Prime Minister’s “Dementia Friend Champions”. Supported by a bespoke tablet-based digital application called The Coaching Centre, which provides access to a library of coaching tools and resources in addition to recording information pertinent to each coaching activity, the Dementia Care Coaches are delivering coaching to an unprecedented 5,000 people every month and have delivered over 23,000 in-practice care coaching interventions in their first 7 months. Collectively, our network of almost 500 Care Coaches have delivered almost 65,000 coaching interventions. They will continue to coach in-practice and NSDA will continue to support them.

“It has been a great course and has opened my eyes to things I never realised, or had even thought about, previously. The content and teaching style was enjoyable but also informative. It has gone far too quickly.”

NSDA Care Coach – Evaluation To provide a comprehensive evaluation of the effectiveness of the Care Coach programme, Norfolk & Suffolk Dementia Alliance have adopted the principles of the Kirkpatrick Training Evaluation process. The Four Kirkpatrick Levels of Training Evaluation Donald Kirkpatrick, Professor Emeritus at the University of Wisconsin and past president of the American Society for Training and Development (ASTD), first published his FourLevel Training Evaluation Model in 1959, in the US Training and Development Journal. The model was subsequently updated in 1975, and again in 1994. The four levels of the Kirkpatrick evaluation model are: 1 Reaction. 2 Learning. 3 Behavior. 4 Results.

The data underpinning this evaluation has been gathered using quantitative and qualitative, multi source feedback from coaches and their managers collected during the course via NSDA’s Coaching Centre mobile application and at the end of the course using Survey Monkey. Many coaches also chose to send unsolicited emails containing personal comments on how the course has impacted on their professional, and in some cases, personal lives. Some of these comments have been included in this evaluation document. Results The results of the various surveys paint a very positive picture and indicate that the Care Coach programme overwhelmingly achieved its aims and objectives at all four levels of the Kirkpatrick evaluation model. The results show that the inclusion of front line clinicians as part of the learning day delivery team, under the guise of UEA Associate Lecturer, has been a step in the right direction with a significant improvements in coach feedback scores. The Mangers’ submissions support those of their coaches with almost universal recognition that the programme contributed to: –  –  –  – 

Increased Competence Changing Behaviours Quality Improvement Reduced Admissions

COACH  FEEDBACK   The following pages represent the feedback received directly from Coaches.

Level One – Reaction Every Dementia Care Coach was asked to provide feedback on their reaction to the learning day via a bespoke application on The Coaching Centre. Coaches were asked to rate each half-day session against the following five criteria: • Relevance • Content • Experiential Learning • Understanding • Presenter These results were then combined and translated into a quantitative score indicating the percentage of students that rated the session as being good. Students were also invited to leave qualitative comments.

“Thank you for the amazing support I received whilst on the course - I believe it is changing lives in small but huge ways every day.”  

“I have really grown in my self development since doing the course both professionally and personally and you can take credit for that!”

Coaching  Ac@vi@es  &  Recipients  (Sep-­‐Mar)  

Coaching  Delivered  by  Competence  and  Level     Levels  of  competence  coached  

Advanced   Intermediate   Basic  

“Thank you for such a great experience, I think I speak for all of us when I say it's been brilliant to be able to be a part of it”

“I have, until starting the Coaching Course doubted my abilities, but now I walk with my head held high totally believing that all of us who dedicate our working lives to Caring for others make such an impact that it is beyond measure.

“I have learnt so much and to go further than that it has changed me and my outlook. It has given me the confidence to continue my work within the Care Sector at a time when I was doubting my abilities. It has given me the vision to look to the future and to believe that I can make a difference.”

“Thanks again for a fabulous course thoroughly enjoyed every minute and feedback from my team at work is they all want to do it now!!!”    

“This really has been an empowering experience, the difference in my team over the last few months has been phenomenal, the programme has given myself and all the team the knowledge, skills, confidence and attitude to really make a difference.”

MANAGER  FEEDBACK   The following pages represent the feedback received from Coaches’ managers.

“I put together my own workshop which I have delivered to all 50+ staff using lots of the exercises I learnt on the course along with other resources and always ending in a dementia friends session. The home is now thriving and has a waiting list, it feels wonderful.” The Future Although there is no immediate funding available to run another Care Coaching course in the near future, the results from these surveys reinforce the rationale for including the Care Coaching as a workforce development strand in any future admission avoidance project. NSDA are currently in the process of securing funding for a long term integrated project to reduce the number of avoidable escalations in care – including admission to hospital – and are working with stakeholders to ensure coherence with developing Sustainable Transformation Plans in the areas of Prevention and Staying at Home.