*Client Data: Effective home support services for people living with dementia require an organisational database that identifies and tracks clients living with dementia.*

Currently, the Enliven home support client database is able to identify the number of home support clients presenting with a diagnoses of dementia; it cannot however, detail dementiadiagnosed clients across age and ethnicity groupings. The database is also not updated of changes in a client's dementia condition over time. Senior managers and service coordinators, along with DHB funders, need to be able to track client details to ensure that clients are receiving appropriate services. Being able to access and track client data, enables senior managers to monitor changes in client population demographics, and therefore to be able to employ staff and develop services to match the client population.

Staff Data: Effective home support services for people living with dementia require an organisational database that identifies and tracks the number of dementia-affected clients each support worker is engaged with, and the level of dementia-care training each support worker has undertaken.

Currently, the Enliven home support database is not able to accurately identify the number of home support clients living with dementia each support worker has on their caseload and the range of services these clients are receiving. Senior managers and service coordinators, along with DHB funders, need to be able to track support worker case-load details to ensure that clients are receiving appropriate service provision from well trained staff. It was noted that Enliven intended to upgrade its current databases as funds became available.

Factor 9: Organisational communication.

Dementia Care: Effective home support services for people living with dementia ensure that home support staff and service coordinators receive training in dementia care and participate

Enliven staff at all levels of the organisation strongly supported an expansion of staff training opportunities in dementia care; with many recommending the employment of a dementia care specialist to work directly with senior staff and service coordinators, and to overview support worker training and case-review meetings. A majority of key stakeholders remarked on the growing importance of dementia trained, and well supervised/supported, home support personnel. A majority of respondents, across all respondent groupings, discussed the importance of consistent staffing personnel for people living with dementia and the difficulties it can cause when clients are faced with changing staff personnel. While many home support staff had worked for Enliven for many years, Enliven managers acknowledged that the service experienced a turnover of home support staff and that this situation created ongoing difficulties in

Managers and key stakeholders identified a range of factors that impact upon home support staff retention rates including a modest pay rate, split and reduced working hours, unreliable income (due to clients being absent), and transport issues. Managers also acknowledged that home support work can be a difficult and that not everyone is suited to assisting clients with

The Enliven service covers a range of diverse ethnic communities across the greater Auckland, Waikato and Bay of Plenty regions. As a consequence, Enliven actively endeavours to maintain an ethnically diverse home support staff group, and service coordinators attempt to meet

*Client Data: Effective home support services for people living with dementia require an organisational* 

Currently, the Enliven home support client database is able to identify the number of home support clients presenting with a diagnoses of dementia; it cannot however, detail dementiadiagnosed clients across age and ethnicity groupings. The database is also not updated of changes in a client's dementia condition over time. Senior managers and service coordinators, along with DHB funders, need to be able to track client details to ensure that clients are receiving appropriate services. Being able to access and track client data, enables senior managers to monitor changes in client population demographics, and therefore to be able to employ staff

Staff Data: Effective home support services for people living with dementia require an organisational database that identifies and tracks the number of dementia-affected clients each support worker is engaged with, and the level of dementia-care training each support worker has

Currently, the Enliven home support database is not able to accurately identify the number of home support clients living with dementia each support worker has on their caseload and the range of services these clients are receiving. Senior managers and service coordinators, along

personal hygiene tasks, cleaning, and dealing with challenging client behaviours.

in regular case-review meetings to discuss client management issues.

maintaining staff training levels/requirements.

clients' various language and cultural needs.

*database that identifies and tracks clients living with dementia.*

and develop services to match the client population.

Factor 8: Organisational database.

undertaken.

160 Cognitive Disorders

*Effective home support for people living with dementia requires the service provider to maintain good communication processes with clients and their caregivers/families.*

Many caregivers commented on the importance of being able to communicate effectively with home support staff and service coordinators when various care issues arose. Key stakeholders also remarked on the significance of clients and caregivers being able to approach service providers, and the importance of having well developed mechanisms to collect client and caregiver feedback.

Factor 10: Organisational Evaluation.
