simplebooklet thumbnail

Head Office Suite B1 1st Floor Gb Liners House Stuart Road Altrincham Cheshire WA14 5GJ Southern Office 88 Wood Street 10th Floor London EC2V 7RS Midlands Office 2nd Floor Quayside Tower 252 260 Broad Street Birmingham B1 2HF Scotland Office 10 Lochside Place Edinburgh EH12 9RG Ireland Office Pembroke House 28 32 Upper Pembroke Street Dublin D02 EK84 T 0800 103 2900 IMPROVEMENT NETWORK Learning Disabilities Case Study Portfolio 2017 Edition www myimprovementnetwork com
Head Office Suite B1 1st Floor Gb Liners House Stuart Road Altrincham Cheshire WA14 5GJ  Southern Office 88 Wood Street 10...
Head Office Suite B1 1st Floor Gb Liners House Stuart Road Altrincham Cheshire WA14 5GJ Southern Office 88 Wood Street 10th Floor London EC2V 7RS Midlands Office 2nd Floor Quayside Tower 252 260 Broad Street Birmingham B1 2HF Scotland Office 10 Lochside Place Edinburgh EH12 9RG Ireland Office Pembroke House 28 32 Upper Pembroke Street Dublin D02 EK84 T 0800 103 2900 IMPROVEMENT NETWORK Learning Disabilities Case Study Portfolio 2017 Edition www myimprovementnetwork com
Head Office Suite B1 1st Floor Gb Liners House Stuart Road Altrincham Cheshire WA14 5GJ  Southern Office 88 Wood Street 10...
2 About Us As disabled people we get looked at a lot and talked about a great deal but we don t get listened to very much This does not mean that we have nothing to say We have over 25 year s experience in digital technology and have been privileged to work with over 350 hospitals nationally We work with front line Clinicians involved in the delivery of improved patient care We regularly take account of feedback from them through the appropriate channels This feedback then forms the basis of updates in the ongoing development of our software
2  About Us  As disabled people, we get looked at a lot, and talked about a great deal, but we don   t get listened to ver...
2 About Us As disabled people we get looked at a lot and talked about a great deal but we don t get listened to very much This does not mean that we have nothing to say We have over 25 year s experience in digital technology and have been privileged to work with over 350 hospitals nationally We work with front line Clinicians involved in the delivery of improved patient care We regularly take account of feedback from them through the appropriate channels This feedback then forms the basis of updates in the ongoing development of our software
2  About Us  As disabled people, we get looked at a lot, and talked about a great deal, but we don   t get listened to ver...
4 3 Contents What is a Learning Disability A learning disability is a reduced intellectual ability and difficulty with everyday activities which affects someone for their whole life People with a learning disability tend to take longer to learn and may need support to develop new skills understand complicated information and interact with other people The level of support someone needs depends on the individual Our aim is to provide support to front line Clinicians and Carers involved in the delivery of high quality care Our technology is capable of providing stimulation through the plethora of activities available on the all in one system offering more choices to those individuals living with a Learning Disability IMPROVEMENT NETWORK Learning Disabilities Case Study Portfolio 2017 Edition Queen Elizabeth Hospital 5 Royal Free London 7 Warwickshire Care Services 9 Lincolnshire House 11 Warrington Community Living 15
4  3  Contents  What is a Learning Disability  A learning disability is a reduced intellectual ability and difficulty with...
4 3 Contents What is a Learning Disability A learning disability is a reduced intellectual ability and difficulty with everyday activities which affects someone for their whole life People with a learning disability tend to take longer to learn and may need support to develop new skills understand complicated information and interact with other people The level of support someone needs depends on the individual Our aim is to provide support to front line Clinicians and Carers involved in the delivery of high quality care Our technology is capable of providing stimulation through the plethora of activities available on the all in one system offering more choices to those individuals living with a Learning Disability IMPROVEMENT NETWORK Learning Disabilities Case Study Portfolio 2017 Edition Queen Elizabeth Hospital 5 Royal Free London 7 Warwickshire Care Services 9 Lincolnshire House 11 Warrington Community Living 15
4  3  Contents  What is a Learning Disability  A learning disability is a reduced intellectual ability and difficulty with...
Queen Elizabeth Hospital Birmingham 6 Mr Patel is a 53 year old gentleman who has residual brain injury following a removal of a brain tumour several years ago He was also left with epilepsy He is no longer able to communicate verbally and his wife speaks for him His wife has stated that he used to go to a Day Centre every day however of late Mr Patel has not been well enough to go and will probably not be able to go back once he is discharged from hospital We are obviously delighted that we have been able to introduce these additional means of occupation to Mr Patel and we look forward to continuing our work with him 5 Sue Atkins Clinical Nurse Specialist Dementia and Learning Disabilities Whilst in hospital Mr Patel has not been able to engage in any activities other than looking at the newspaper which his wife puts in front of him and turns the pages occasionally I introduced Mr Patel to the new Learning Disability Tool that we have been using in the hospital after his wife had explained that he used to like football I showed him the football goal scoring activity which was one of the features of the technology He immediately started to play It was a little difficult at first but he soon got the hang of it From there we were then able to look at the many other activities that the system has to offer He found the Whack a Mole game a little difficult as he couldn t hit them hard enough From here I went on to show him the painting feature The painting activity has different levels from the auto populating of the available colours on the canvas to permitting a little more skill by allowing finger strokes to emulate the paint brush A selection of screen shots that show some of the activities available on the LD Technology Mr Patel tried Level One which he found he could do quite easily and this brought a smile to his face I was able to show him his finished picture These can then be printed out and saved if wished This has made a significant difference to the scope of activity and stimulation now available to him
Queen Elizabeth Hospital Birmingham  6  Mr Patel is a 53 year old gentleman who has residual brain injury following a remo...
Queen Elizabeth Hospital Birmingham 6 Mr Patel is a 53 year old gentleman who has residual brain injury following a removal of a brain tumour several years ago He was also left with epilepsy He is no longer able to communicate verbally and his wife speaks for him His wife has stated that he used to go to a Day Centre every day however of late Mr Patel has not been well enough to go and will probably not be able to go back once he is discharged from hospital We are obviously delighted that we have been able to introduce these additional means of occupation to Mr Patel and we look forward to continuing our work with him 5 Sue Atkins Clinical Nurse Specialist Dementia and Learning Disabilities Whilst in hospital Mr Patel has not been able to engage in any activities other than looking at the newspaper which his wife puts in front of him and turns the pages occasionally I introduced Mr Patel to the new Learning Disability Tool that we have been using in the hospital after his wife had explained that he used to like football I showed him the football goal scoring activity which was one of the features of the technology He immediately started to play It was a little difficult at first but he soon got the hang of it From there we were then able to look at the many other activities that the system has to offer He found the Whack a Mole game a little difficult as he couldn t hit them hard enough From here I went on to show him the painting feature The painting activity has different levels from the auto populating of the available colours on the canvas to permitting a little more skill by allowing finger strokes to emulate the paint brush A selection of screen shots that show some of the activities available on the LD Technology Mr Patel tried Level One which he found he could do quite easily and this brought a smile to his face I was able to show him his finished picture These can then be printed out and saved if wished This has made a significant difference to the scope of activity and stimulation now available to him
Queen Elizabeth Hospital Birmingham  6  Mr Patel is a 53 year old gentleman who has residual brain injury following a remo...
7 Royal Free London 8 We currently have our units deployed on several wards for the elderly As well as patients with dementia where the system has demonstrated its tremendous merits we have also been able to utilise this in helping people with Learning Difficulties and mild dementia Helping the Elderly with Learning Difficulties One gentlemen had presented with very challenging behaviour and could be quite aggressive towards others on the wards It was important that we managed this situation but we didn t believe just offering cohort was a suitable solution With this in mind the Ward Sister suggested that the patient be occupied with the My Improvement Technology The gentleman spent over 4 hours on the unit particularly enjoying the music and videos It was positive in keeping him calm and reduced his agitation One particular point that surprised the nursing staff was that when he appeared to use the unit the following day he was able to switch this on for himself and just appeared to carry on where he left off and began to show others how to use the system
7  Royal Free London  8  We currently have our units deployed on several wards for the elderly. As well as patients with d...
7 Royal Free London 8 We currently have our units deployed on several wards for the elderly As well as patients with dementia where the system has demonstrated its tremendous merits we have also been able to utilise this in helping people with Learning Difficulties and mild dementia Helping the Elderly with Learning Difficulties One gentlemen had presented with very challenging behaviour and could be quite aggressive towards others on the wards It was important that we managed this situation but we didn t believe just offering cohort was a suitable solution With this in mind the Ward Sister suggested that the patient be occupied with the My Improvement Technology The gentleman spent over 4 hours on the unit particularly enjoying the music and videos It was positive in keeping him calm and reduced his agitation One particular point that surprised the nursing staff was that when he appeared to use the unit the following day he was able to switch this on for himself and just appeared to carry on where he left off and began to show others how to use the system
7  Royal Free London  8  We currently have our units deployed on several wards for the elderly. As well as patients with d...
Warwickshire Care Services We have 2 homes for younger adults offering long and short term residential care rehabilitation and respite care Many of our residents have physical disabilities or long term conditions sometimes accompanied by visual or hearing impairment acquired brain injury and cognitive or learning disabilities I wish you had been here on Tuesday and you could have seen the impact the Technology has had on our Service Users and Staff They had the songs on and the staff were working with two Service Users with communication difficulties The staff were really enthusiastic and were dancing as well as singing along The laughter from the Service Users said it all the session had to be extended because no one wanted it to end Our strong links with the local community encourage people to get involved in activities helping them achieve their full potential and the benefits of living in a community Having their own pages for Life story and Favorites has been very successful one gentleman stated he liked being able to put his pages together without anyone else seeing his work Every Service User is able to participate with the Technology with varying degrees of support and therefore regardless of ability everyone is included Thank you for your ongoing support and D is talking about the American Wrestling 10 Whilst a service may be referred to as cost effective in common usage the term that typically embraces this is economy efficiency and effectiveness If a service is concluded to be cost effective this generally indicates that the good quality outcomes are required have been delivered at an acceptable cost and have been capable of producing the outcomes required Service Users within the Field Studies detailed above clearly demonstrated engagement and were stimulated in such a way that they showed progressive improvement over a short period of time which represented a measurable outcome with the respective Service Users Stimulation of this type may have the effect of reducing the level of resource care required in supporting a Service User Whilst at the same time offering them choice and allowing them to build their own personal profiles through the content on the system offering a personcentered approach to the delivery of their care Group Activities on the system could contribute towards a reduction in expenditure which may be incurred as a result of providing additional external activities 9 WARWICKSHIRE CARE SERVICES
Warwickshire Care Services  We have 2 homes for younger adults, offering long and short term residential care, rehabilitat...
Warwickshire Care Services We have 2 homes for younger adults offering long and short term residential care rehabilitation and respite care Many of our residents have physical disabilities or long term conditions sometimes accompanied by visual or hearing impairment acquired brain injury and cognitive or learning disabilities I wish you had been here on Tuesday and you could have seen the impact the Technology has had on our Service Users and Staff They had the songs on and the staff were working with two Service Users with communication difficulties The staff were really enthusiastic and were dancing as well as singing along The laughter from the Service Users said it all the session had to be extended because no one wanted it to end Our strong links with the local community encourage people to get involved in activities helping them achieve their full potential and the benefits of living in a community Having their own pages for Life story and Favorites has been very successful one gentleman stated he liked being able to put his pages together without anyone else seeing his work Every Service User is able to participate with the Technology with varying degrees of support and therefore regardless of ability everyone is included Thank you for your ongoing support and D is talking about the American Wrestling 10 Whilst a service may be referred to as cost effective in common usage the term that typically embraces this is economy efficiency and effectiveness If a service is concluded to be cost effective this generally indicates that the good quality outcomes are required have been delivered at an acceptable cost and have been capable of producing the outcomes required Service Users within the Field Studies detailed above clearly demonstrated engagement and were stimulated in such a way that they showed progressive improvement over a short period of time which represented a measurable outcome with the respective Service Users Stimulation of this type may have the effect of reducing the level of resource care required in supporting a Service User Whilst at the same time offering them choice and allowing them to build their own personal profiles through the content on the system offering a personcentered approach to the delivery of their care Group Activities on the system could contribute towards a reduction in expenditure which may be incurred as a result of providing additional external activities 9 WARWICKSHIRE CARE SERVICES
Warwickshire Care Services  We have 2 homes for younger adults, offering long and short term residential care, rehabilitat...
Lincolnshire House 12 Case Study 1 Lincolnshire House is a Residential and Day Care Centre for individuals with Cerebral Palsy and similar disabilities All of our residents have Cerebral Palsy in one form or another while our day attenders conditions range from Cerebral Palsy to Stroke Damage Road Accident Injury and other conditions which affect both physical and mental ability We therefore have to provide activities and equipment to suit a wide range of capability levels and the My Improvement System fits the bill admirably We have a number of computers which can be used for writing or getting onto the internet but for individuals with no or limited literacy skills this option offers very restricted usage without one on one support from a member of staff The My Improvement Technology on the other hand can be operated by anyone with basic hand eye co ordination Individuals can learn to easily navigate their way around the various activities available from the games music and painting content as well as accessing the Reminiscence program The ability to be able to create a Favorites File for an individual also means they are able to access particular sections that appeal to them store them as favorites and they then have their own portfolio of content They discard what they don t want to see but this does not remove the content from the unit and makes it available for others as part of their search My Improvement Network has proved extremely beneficial not only to the individuals that have been mentioned but also to all the other Service Users who are keen to explore the system 11 A is a gentleman resident who reached seventy one years of age in August 2013 During the summer of 2013 A underwent a period of extreme mental confusion which led to him not being able to recognise people or his surroundings At one stage he would sit in his wheelchair all day constantly repeating the same word over and over again in varying degrees of volume I decided to try him on the My Improvement System and when it was free one day I brought him over to the Centre and took him through the various activities it offered I found the Reminiscence application was particularly useful in concentrating his mind and bringing him back to reality as was the music application A is particularly fond of Big Band Music and playing different tunes I was able to ask him if he recognised the music He gave me the title It was a great trigger to stimulate conversation and he went on to talk about the various bands and his favorite tunes It concentrated his mind again even if only for short periods and had him smiling laughing and indulging in lucid conversations The Reminiscence application afforded a similar opportunity to bring him back to reality for short periods We used the media content already loaded to engage his memory and interests Bringing up photos video clips and music clips was again an easy way to get A into conversation I was able to ask leading questions which drew him into conversation Did he remember the old TV shows could he date the pictures from their content using fashions or vehicle types etc or could he recognise famous places I am pleased to say that A has now made a good recovery but we are extremely grateful for the My Life system which helped us to find a doorway to the private world into which he had retreated and supplied A an oasis of lucidity in a desert of confusion
Lincolnshire House  12  Case Study 1 Lincolnshire House is a Residential and Day Care Centre for individuals with Cerebral...
Lincolnshire House 12 Case Study 1 Lincolnshire House is a Residential and Day Care Centre for individuals with Cerebral Palsy and similar disabilities All of our residents have Cerebral Palsy in one form or another while our day attenders conditions range from Cerebral Palsy to Stroke Damage Road Accident Injury and other conditions which affect both physical and mental ability We therefore have to provide activities and equipment to suit a wide range of capability levels and the My Improvement System fits the bill admirably We have a number of computers which can be used for writing or getting onto the internet but for individuals with no or limited literacy skills this option offers very restricted usage without one on one support from a member of staff The My Improvement Technology on the other hand can be operated by anyone with basic hand eye co ordination Individuals can learn to easily navigate their way around the various activities available from the games music and painting content as well as accessing the Reminiscence program The ability to be able to create a Favorites File for an individual also means they are able to access particular sections that appeal to them store them as favorites and they then have their own portfolio of content They discard what they don t want to see but this does not remove the content from the unit and makes it available for others as part of their search My Improvement Network has proved extremely beneficial not only to the individuals that have been mentioned but also to all the other Service Users who are keen to explore the system 11 A is a gentleman resident who reached seventy one years of age in August 2013 During the summer of 2013 A underwent a period of extreme mental confusion which led to him not being able to recognise people or his surroundings At one stage he would sit in his wheelchair all day constantly repeating the same word over and over again in varying degrees of volume I decided to try him on the My Improvement System and when it was free one day I brought him over to the Centre and took him through the various activities it offered I found the Reminiscence application was particularly useful in concentrating his mind and bringing him back to reality as was the music application A is particularly fond of Big Band Music and playing different tunes I was able to ask him if he recognised the music He gave me the title It was a great trigger to stimulate conversation and he went on to talk about the various bands and his favorite tunes It concentrated his mind again even if only for short periods and had him smiling laughing and indulging in lucid conversations The Reminiscence application afforded a similar opportunity to bring him back to reality for short periods We used the media content already loaded to engage his memory and interests Bringing up photos video clips and music clips was again an easy way to get A into conversation I was able to ask leading questions which drew him into conversation Did he remember the old TV shows could he date the pictures from their content using fashions or vehicle types etc or could he recognise famous places I am pleased to say that A has now made a good recovery but we are extremely grateful for the My Life system which helped us to find a doorway to the private world into which he had retreated and supplied A an oasis of lucidity in a desert of confusion
Lincolnshire House  12  Case Study 1 Lincolnshire House is a Residential and Day Care Centre for individuals with Cerebral...
13 Lincolnshire House Continued 14 Case Study 2 Case Study 3 B started coming to us about six years ago from another Day Care Centre which was being closed down He is a road accident victim from 1988 when he was knocked off his bicycle and suffered brain trauma which left him a coma for several months He is wheelchair bound with severe memory problems He requires the permanent use of a wheel chair and has severe memory problems K is a resident of long standing He comes over to activities every day but only occasionally takes part in the activities themselves However he has been introduced to the My Improvement System and now regularly wants to get on there and play the different games He has particular favorites which he will sit and play either on his own or with other residents K is capable of touching the screen himself and will also sit and touch the chosen numbers for other less able users Not only does the system give him pleasure but has also developed his socialising skill so a great tool in removing social isolation He has always enjoyed going on our computers but only in terms of playing Solitaire At home he uses his own computer purely for playing games We introduced him to the My Improvement System and again he found some of the games very appealing as a Football supporter the Free Kick game was particularly popular He also found The Shooting Gallery enjoyable I then showed B the My Story application and having obtained some old photos from his family he is now in the process of creating his own book We scanned the photos for him put them on the system and he is actually typing in the descriptions on the pages himself The pictures act as a good prompt for his memory and although he may initially say he can t remember something information we have received from his parents can be used to trigger his memory and he is able to discuss individuals situations and activities relating to the photos It has not only helped him to remember things but has given us the opportunity to find out more about his past Summary To sum up the My Improvement System has proved extremely beneficial not only to the individuals mentioned through the Case Studies detailed here but also to all the other Service Users who are keen to get onto the system This has led to us ordering another unit to enable these other individuals to equally enjoy the same benefits much more frequently
13  Lincolnshire House - Continued  14  Case Study 2  Case Study 3  B started coming to us about six years ago from anothe...
13 Lincolnshire House Continued 14 Case Study 2 Case Study 3 B started coming to us about six years ago from another Day Care Centre which was being closed down He is a road accident victim from 1988 when he was knocked off his bicycle and suffered brain trauma which left him a coma for several months He is wheelchair bound with severe memory problems He requires the permanent use of a wheel chair and has severe memory problems K is a resident of long standing He comes over to activities every day but only occasionally takes part in the activities themselves However he has been introduced to the My Improvement System and now regularly wants to get on there and play the different games He has particular favorites which he will sit and play either on his own or with other residents K is capable of touching the screen himself and will also sit and touch the chosen numbers for other less able users Not only does the system give him pleasure but has also developed his socialising skill so a great tool in removing social isolation He has always enjoyed going on our computers but only in terms of playing Solitaire At home he uses his own computer purely for playing games We introduced him to the My Improvement System and again he found some of the games very appealing as a Football supporter the Free Kick game was particularly popular He also found The Shooting Gallery enjoyable I then showed B the My Story application and having obtained some old photos from his family he is now in the process of creating his own book We scanned the photos for him put them on the system and he is actually typing in the descriptions on the pages himself The pictures act as a good prompt for his memory and although he may initially say he can t remember something information we have received from his parents can be used to trigger his memory and he is able to discuss individuals situations and activities relating to the photos It has not only helped him to remember things but has given us the opportunity to find out more about his past Summary To sum up the My Improvement System has proved extremely beneficial not only to the individuals mentioned through the Case Studies detailed here but also to all the other Service Users who are keen to get onto the system This has led to us ordering another unit to enable these other individuals to equally enjoy the same benefits much more frequently
13  Lincolnshire House - Continued  14  Case Study 2  Case Study 3  B started coming to us about six years ago from anothe...
Warrington Community Living 16 When working with adults with learning difficulties assessment is established and their activities are therefore commensurate with their abilities Working with Assistive Technology was fantastic in that whilst using this we were amazed to discover that we were learning so much more about the individual and we established that it was not appropriate to apply those predetermined boundaries in its use as it proved to be limitless The introduction of Assistive Technology at Site 1 based in Warrington resulted in a gentleman in his 40 s following supervision having the opportunity to work alone with the Painting Activity He independently was able to tap the screen to paint the canvas and was reported to have significantly improved in his hand eye co ordination He knew how to select the paintbrush colours from the bottom of the screen and was engaged and identified when the canvas was not completed in places and returned to the paintbrush to fill the missed areas He also enjoyed music and displayed active movement demonstrating rhythm and movement to the music which he clearly enjoyed He also identified with music that he didn t particularly like He quickly understood the volume control and was able to adjust this as he wished quite independently It was reported by the Manager that in the short time of using the system his abilities had significantly improved and therefore represented a measurable outcome for this Service User It was reported by the Manager that 65 70 of their Service Users would see no barrier in using the system and that they as a consequence would have an audience of the remaining 30 which were much more likely to use the system as confidence and support grew Over a period covering 10 days Service Users activity on the system grew by 98 in the most popular activity This illustrated a positive measurable outcome that demonstrated the software was not prohibitive and confidence grew in their ability to use 15
Warrington Community Living  16  When working with adults with learning difficulties, assessment is established and their ...
Warrington Community Living 16 When working with adults with learning difficulties assessment is established and their activities are therefore commensurate with their abilities Working with Assistive Technology was fantastic in that whilst using this we were amazed to discover that we were learning so much more about the individual and we established that it was not appropriate to apply those predetermined boundaries in its use as it proved to be limitless The introduction of Assistive Technology at Site 1 based in Warrington resulted in a gentleman in his 40 s following supervision having the opportunity to work alone with the Painting Activity He independently was able to tap the screen to paint the canvas and was reported to have significantly improved in his hand eye co ordination He knew how to select the paintbrush colours from the bottom of the screen and was engaged and identified when the canvas was not completed in places and returned to the paintbrush to fill the missed areas He also enjoyed music and displayed active movement demonstrating rhythm and movement to the music which he clearly enjoyed He also identified with music that he didn t particularly like He quickly understood the volume control and was able to adjust this as he wished quite independently It was reported by the Manager that in the short time of using the system his abilities had significantly improved and therefore represented a measurable outcome for this Service User It was reported by the Manager that 65 70 of their Service Users would see no barrier in using the system and that they as a consequence would have an audience of the remaining 30 which were much more likely to use the system as confidence and support grew Over a period covering 10 days Service Users activity on the system grew by 98 in the most popular activity This illustrated a positive measurable outcome that demonstrated the software was not prohibitive and confidence grew in their ability to use 15
Warrington Community Living  16  When working with adults with learning difficulties, assessment is established and their ...
17 Notes
17  Notes
17 Notes
17  Notes