Quality of Care for Dementia Patients: A Study of Beechlands Care Home, London

This study aims to assess the quality of care for dementia patients in Beechlands Care Home, London. It examines the type of care provided, ways to maintain quality, and measures to improve care. Data collected through in-depth interviews with patients and their relatives.

Quality of care for dementia patients: A study of
Beechlands Care Home, London

Table of Contents
ABSTRACT.....................................................................................................................................1
CHAPTER 1: INTRODUCTION....................................................................................................2
1.1................................................................................................................................................3
1.2 Motivation for the study........................................................................................................3
1.3 Research aims and objectives................................................................................................4
1.3.1 Aim of the study.................................................................................................................4
1.3.2 Research objectives............................................................................................................4
1.3.3 Research questions.............................................................................................................4
CHAPTER 2: LITERATURE REVIEW.........................................................................................5
2.1 Introduction...........................................................................................................................5
2.2 The type of care given to dementia patient...........................................................................5
2.3 How quality of care can be maintained for dementia patients..............................................7
2.4 The measures that can be taken to improved quality of care................................................8
CHAPTER 3: METHODS OF DATA COLLECTION................................................................10
3.1 Introduction.........................................................................................................................10
3.2 Study location......................................................................................................................10
3.3 Research design...................................................................................................................10
3.5 Study participants and sample.............................................................................................11
3.7 Questions.............................................................................................................................11
3.8 Data analysis.......................................................................................................................12
CHAPTER 4: FINDINGS.............................................................................................................14
4.1 Socio-demographic characteristics of respondents.............................................................14
CHAPTER 5: DISCUSSION.........................................................................................................19
5.1 Introduction.........................................................................................................................19
5.3 Sustaining the quality of care provided to patients.............................................................19
5.4 Measures that could improve quality of care for dementia patients...................................19

5.5 Limitations of study............................................................................................................20
5.6 Conclusion...........................................................................................................................20
5.7 Recommendations...............................................................................................................20
5.8 Future research....................................................................................................................21
REFERENCES..............................................................................................................................22
APPENDICES...............................................................................................................................25

ABSTRACT
Dementia is any decrease in knowledge that is essentially adequate to interfere with
independent daily functioning of an individual. Quality of care needs to be given to patients
suffering from dementia including care given by the caseworkers, doctors and nurses. The aim of
this study was to assess the quality of care for dementia patients in the UK. Data were collected
using in-depth interviews with dementia patients and their relatives to generate information on
the quality of care received from care homes. The results includes that effective technique and
methods are required to be applied by care professionals along with adopting new and innovative
technology to deliver appropriate medical facilities for well-being of patients. However,
technical support is effective to help patient with dementia to overcome with their psychological
problem. It is essential for management of hospitals to provide training for professionals and
follow guidelines of quality maintenance in proper manner.

CHAPTER 1: INTRODUCTION
Dementia is a kind of mental disorder which include the degradation of behaviour,
thinking, memory and all the day to day ability and capacity to engage in everyday role and
activity (Lai and et. al., 2017). Though, it has been observed that the ability of retaining the
memory is mostly affected. The power of problem solving and fluency in language also gets
hampered (Cipriani and et. al., 2017). Alzheimer has been considered as the most frequent cause
of dementia and affects the active neuron of the brain, which actually aids in gaining and
retaining memory. It results when certain type of protein gets accumulated and in turn prevents
the active and healthy brain cells to work and interact with one another. The brain part especially
hippocampus, has been considered as the main centre for focussing and learning. The most
common and early signs and symptoms of dementia are disorientation in time and place,
misplacing things, problem in communication and language, difficulty in performing easiest task
and sudden change in mood and behaviour.
Depending on the type and part of brain cells affected; the stages and type of dementia may
vary. The damaged Dementia is any decrease in knowledge that is essentially adequate to
interfere with independent, daily functioning. This is caused by primary neurologic,
neuropsychiatric and some medical conditions. The region of the brain particularly hippocampus,
has been considered as the chief centre for concentration and learning. All the types of dementia
start with damaging one or some other brain cells thus, memory loss is the foremost indication
(Beer, 2017).
It has been shown that the number of people with dementia is increasing yearly (Mueller
and et. al., 2017). Such types of dementia can be progressive and their symptoms may vary from
normal to severe one depending upon the condition of the patients. Thereby, cognitive,
psychological, muscular, mood, emotional and behavioural state of mind and body is affected
which obstruct and hinder the completion of daily activities. Due to this, constant, effective and
planned care should be provided to the sufferer or assist them in performing the necessary and
essential day to day life activities. This study was therefore, undertaken to generate information
on the quality of care provided to dementia patients in Beechlands Care Home, London.

1.1
Beechlands Care Home is located in London which is a private residential care service
home that is operated and managed by South End Care. The main purpose and goal of
Beechlands is to assist and provide a care centre to people’s loved ones suffering from any kind
of disorder. The care centre provides safe, happy and secure environment to patients so that they
feel homely and get better while receiving treatment in the care home (Bail and Grealish, 2016).
They operate and work according to the policies and standards of CQC to provide high quality
care and services. A team of general physicians, rehabilitation psychologist, geriatric
psychiatrist, physiotherapist, nurses and trained social workers and caregivers ensures that every
case is diagnosed and addressed to generate planned and appropriately made care plan, that is
accessible (Bolt and et. al., 2016). The dedicated team constantly monitor and come around to
check and get reviews on the current condition. The caregivers undergo prior training and special
care programs before they get posted or provided with regular and basic module so that they
perform each function professionally while giving patients full care.
The progressive and chronic syndrome may be caused by combination of various injuries
and diseases that basically affects the brain either primarily or secondarily. The affects of
dementia may vary from person to person depending upon the type of dementia and the stages.
During the early stage it has been observed that forgetfulness and becoming lost in often familiar
places are common (Digby and et. al., 2017). The middle stage symptoms become more
restricted which include, becoming lost at home, high trouble in interacting, experiencing
behavior change with frequent and continuous questions. The late stage marks with complete
inactivity as well as dependency of an individual over a helper because they face difficulty in
recognizing the relatives and family members at this stage and also become unaware of the place
and time.
1.2 Motivation for the study
It has been analysed from the past few years that the patients distressing from the
dementia are not provided with the proper care or attention which is required to make their life
less miserable and help them in attaining their memory (Noel, Kaluzynski and Templeton, 2017),
it has been observed that there is a lack of care in many care homes, service centres and even in

medical centres (Collet and et. al., 2018). The poor condition and state of sufferers is the
motivator for this study.
1.3 Research aims and objectives
1.3.1 Aim of the study
The aim of this study was to assess the quality of care needs of dementia patients resident
in Beechlands Care Home in London.
1.3.2 Research objectives
 To investigation the type of care provided to dementia patient.
 To evaluate how better quality care can be maintained.
 To recommend measures that can be taken to improved quality of care.
1.3.3 Research questions
 What type of care is provided to people suffering from dementia?
 How can a better quality of care can be maintained for dementia patients?
 What measures can be taken to improve quality of care provided for dementia patients?

CHAPTER 2: LITERATURE REVIEW
2.1 Introduction
In context of this chapter, a literature review will be carry out on the basis of objectives
established for this investigation. It includes to gather related information which are given by
views of different authors bases on their own studies and researches. However, it will primarily
focus on the types of care services delivered to those patients who were suffering from problem
pf dementia. It will also consist the effective ways of maintaining quality of facilities provide to
dementia patients. The information about efficient measures that can be taken by care
professionals in terms of improving care services related to patients with dementia is given
below.
2.2 The type of care given to dementia patient
The Beechlands organisation provides high quality services with safe, homely and caring
environment. This organisation basically provide services to aged people including those with
dementia. According to Brook (2019), they provide and fulfil the needs according to the patient's
perspective. There are many conditions that cause symptoms of dementia such as vitamin
deficiencies, short-term memory and thyroid problems. The people who are suffering from
dementia need quality care. The Beechlands organisation provide high quality services with
safe, homely and caring environment. This organisation basically provide their services to the
dementia old age people. It has been analysed that different types of care is based on the
differentiated symptoms and causes of patients suffering from dementia according to which
effective treatment can be provided. Meanwhile, it is very important to conduct proper diagnosis
of specific type of dementia along with its specific cause individually which leads to separate
behavioural symptoms (Herr, Zwakhalen and Swafford, 2017). It will facilitate to establish an
effective care plan with appropriate interventions in order to improve their psychological
condition. Specific and efficient clinical methods are required to be deliver for reducing the
behavioural symptoms of patients and enhance their quality of life as well as well being.
Basically, there are different types of dementia such as Alzheimer's disease, Huntington's
disease, vascular dementia, Lewy body dementia and many more. These all mental problems are
differentiated on the basis of their symptoms and causes according to which different treatments

are required to solve them. It is necessary for care professionals to generate the trust factor with
the dementia people and create a mutual understanding which helps to engage in social activities
for establishing social relationship. It will impact positively on the mental health condition and
facilitate to increase speed of recovery. The care providers need to be patience and show full
level of interest towards dementia people. Meanwhile, the people with dementia need extra care
as the increase in their disease cause them less able to take care of themselves (Nakanishi and et.
al., 2017). The caregivers need to prompt for dementia people. In addition to this, the care which
is to be given to the dementia people is must be sensitive and accordance to the person's ability.
With the lack of these, the person can feel unpleasant and threatening can be occur. The
providers are to secure the person feelings to reduce them from discomfit.
Care providers need to be patient with dementia people. So the care providers need to
improve the pain and treat by routine check-up as people with dementia need extra care as their
conditions could cause them less able to take care of themselves. Moreover, providers should
give proper diet and fluid, a proper and regular exercise to prevent them from having
constipation (Heßmann and et. al., 2016). The affects of dementia may vary from one individual
to another individual depending upon the stages and type of the dementia the person is suffering
from. The folks who are tormenting from dementia are required to present care very keenly and
effectively which help in making the condition of such patients stabilise.
According to Beth Logan. (2019), the dementia people have higher risk of falling so the
service providers of organisation provide high quality of services such as well-arranged quality
rooms. So that the risk of falling can be minimised. However, they also provide high quality
bathrooms and toilets to avoid the risk of infection. Moreover, the organisation also provides lot
of activities in their daily routine from which the dementia people can maintain and memorize
their daily needs. They also build such regular activities so that the old people can communicate
with each other. Additionally, these organisation ensure that their services should be free from
physical restraints as it can affect them both physically and emotionally. Furthermore, the
providers provide all types of needs including environmental, physical and emotional needs
(Dale and Helton, 2018).

2.3 How quality of care can be maintained for dementia patients
If the person with dementia achieve appropriate environment, they can live gratifying
lives for many years after diagnosis. Stevenson (2019) states that they are blessed and less liable
to anger or displaying worrying action.
Quality of care for Dementia patients can be maintained in several ways such as-
Help the person with dementia feel safe and comfortable-
Beechlands Care Home can help patients to adapt in homes and adjust their daily routines
so that they are safe. They can help reduce the frustration people with dementia do express due to
their condition. The Beechlands Care Home"in London is a comfortable and suitable care home
for older citizens with dementia in order to become well-being. They provide effective treatment,
medicines along with peaceful environment to them which improve quality of care facilities as
well as patient outcomes.
As per the views of Steiner (2019), the company uses suited mode to talk to dementia
patients so that they understand them.
Provide a relaxed environment and emotional support
Beechlands Care Home do provide instrumental music, traditional songs, lighting
incenses, and erecting small alters for worship.
On the basis of opinion provided by Penhale (2018), dementia person who are
affectionate of pets may respond well to pet medical care. It is also called animal aided therapy.
Some experts say that this can support them because the unconditional love a pet gives can be
very accomplishing and comfortable with dementia patient.
Add meaningful activities
An Individual with dementia has led helpful, active lives before the dementia. The
reduction of their abilities could make them feel worthless and useless. In Beechlands Care
Home, they select activities to be performed by dementia patients based on the state of the
disease, for example-
spreading clothes to dry, or picking them up and folding them, removing stones from
pulses or rice, shelling peanuts, making colourful art, helping in the garden, rolling out dough for
sweets, helping children with their craft projects, walking a pet, re-arranging photos in albums
etc. There are some things included that in context of The Beechlands Care Home are

instrumental music, traditional songs, instrumental music, lightning incenses, a small alter for
worship. These activities are favourable to improve mental condition of patients.
Spend time relaxing with them and talking to them
The care workers frequently blank out to spend time with loved ones who are suffering
from dementia. There are several ways that can be effective in terms of improving condition of
such patients having problem of dementia like the family can spend time together. Meanwhile,
some of other similar measures are mentioned here. Initially, it includes listening to old music
and talking about favourite songs (Häusler and et. al., 2016). However, it consists of watching
old movies together and sharing anecdotes from the past. Moreover, it is also beneficial to look
again to family albums or re-arranging photos in them.
2.4 The measures that can be taken to improved quality of care
As the symptoms and signs of the disease are so severe and complex, constant support
and attention have to be provided. Though, many care homes are there that provide care
measures should be designed in such a manner that they can improve the quality of care more
accurately and sensitively (Sarabia-Cobo and et. al., 2016).
The crucial measures which has to be taken by family members
The family members and the people around the patient should be well aware about their
condition and what medicines they should provide to them at the time of any mental episode. As
per the views of Arons et.al., (2016) the more the family members learn about the state and
condition of patient more stress and frustration is reduced. During the early stage, the loved ones
should provide support in such a way that the patient can become more self-dependent. The
quality of care can be maintained by comforting the patient, adding meaningful and fun activities
in their routine, interacting with them on daily basis. Such measures and support quality can be
improved and the quality can be enhanced by understanding the role of family members in
patients life and by updating the skills and knowledge of the care providers so that they can
handle any situation professionally and give care to such folks immensely.
Upgraded function of caregivers
The caregivers of Beechlands Care Home in London should update their skills by engaging
in different workshops and programs to make their practice more authenticate and reliable. They
should read books on how to understand the mind-set of dementia patient to comfort them during

their distress time. They should also get enrolled into online training resources and data to
understand the new way of handling the patients and to get an idea about how the disease is
progressing which in turn could assist in improving way care is provided to patients. The
caregivers should adapt different relaxation techniques for overcoming the behavioural changes
and mood swings of dementia patients (Mueller and et. al., 2017). The techniques like interacting
face to face with each other and making them perform meditation and yoga in fresh air helps in
combating stress and making them breath smoothly which could boost their mood.
Moreover, it has been observed that use of close-ended question when interacting with
patients can easily be answered by straight no or yes. Though, according to Andersson et. al.,
(2017) such measures help patient to give appropriate and correct answer. Open ended question
comes with many answer options which make the individual confuse and they get irritated,
perhaps that could be the reason for growing stress and frustration among them (McKenzie and
Brown, 2017). The service providers of Beechlands Care should find different ways to say the
same things more kindly and clearer way so that they get a lucid picture of what is being said.
Repetition is important as patient keeps forgetting the things which were said and taught,
therefore, frequent repetition is required in most creative and innovative way tot help in retaining
the memory (Goren et. al., 2016). Indulging patients in senior centres and engaging them in adult
day care programs may enhance their sensory experiences and help them in becoming more
social and stimulated, such measure makes them active and rejuvenated for a long period of time.

CHAPTER 3: METHODS OF DATA COLLECTION
3.1 Introduction
This chapter consist the description of data collection methods along with other techniques
which are helpful to conduct the study in more effective as well as efficient manner. It includes
the appropriate information in regards to the specific location of study about the selected
research topic. However, it will discuss about different research designs and which is most
favourable to carry out investigation related to dementia. In addition to this, it will also includes
description about collected sample and information related to respondents selected for the study.
The proper data analysis method and ethical considerations that are used in this investigation are
mentioned here.
3.2 Study location
The location of the study is Beechlands care home. It is an eighteen-bed residential unit
and they provide services to the individuals who are going through serious mental health
condition. The home care is run by Southend care. The respective organisation also offer
employment to the clients with any learning or physical disabilities (Ibrahim and et. al., 2016).
Hence, the data was collected within the premises by using methods of data collection. The
research is based on the care and services which should be provided to the patients who are
suffering from the dementia. The focus of the research was to investigate the quality of care
provided for dementia patients.
3.3 Research design
Research design can be referred to a framework of techniques and methods used by a researcher
in order to combine different aspects of research in a logical way so that the specific problem can
be handled effectively (Kedia and et. al., 2017). This study adopted a cross-sectional qualitative
design to collect information from clinically diagnosed dementia patients. Qualitative research
design can be defined as a method of research used by researchers and scientists for studying
human behaviour, themes, opinions and motivation (Olsen and et. al., 2016). This was judged to
be a more suitable method to collect in-depth information about quality of care provided to
dementia patients in Beechlands care home. The qualitative methods is applied in this study as it
is a non-statistical method and process of inquiry. It develops a deep understanding of issues or

settings in a natural setting (Pinkert and et.al., 2018). It is basically dependent on experience of
the analysers and the questions which is used to examine the sample. It is done in open ended
and a conversational communication sue to which it is suitable for this investigation in order to
gain appropriate findings. Moreover, this specific study uses qualitative research method for
examining the quality of care in the Beechland care home for the patients suffering from
dementia.
3.5 Study participants and sample
Five participants were purposively selected in this study. The researcher considered this
number adequate to generate the needed information on quality of care for dementia patients. In
qualitative research an in-depth information generated from a small number of participants has
potential for rich data than interviewing many participants. In context of this investigation, the
random sampling will use because it is a kind of sampling method where each and every
individual of population get equal chance of being selected. It is sometimes considered as
method of chances as the selection of individuals are totally dependent on chances or probability.
In this particular study, random sampling method has been used (Prince and et. al., 2016). the
participants are select randomly to conduct survey based on interview to gather their opinions to
achieve desired results of research.
3.7 Questions
The questions which was asked to the respondents in order to examine equality care of
services being provided patients was related to their experiences in respective care home. The
questions were also related to the type of services which they are getting. Some of the questions
asked in the interview include the following.
 How satisfied were the patients regarding the services provided in Beechlands care
home?
 How well was the process of resolving issues for patients.
 How interactive was the customer service representative?
 What new technology were used in machines for delivering services to the patients
suffering from dementia?

 What kind of support was provided by the respective organisation to the patients of
dementia.
 Does the organisation have any specialists or experts for dementia patients or usual
service providers were dealing with patients.
3.8 Data analysis
It is use by researchers for reducing data into a story and to predict the data to derive the
main findings. In short, it is the division of whole collected data into smaller fragments which
makes sense. However, the thematic analysis will be used in this investigation in order to discuss
about the findings and results of he study (Tretteteig, Vatne and Rokstad, 2016). It is an effective
method in terms of analysing the qualitative information which is generally suitable for
implementing to texts and interview transcripts. This methods has a systematic manner of
carrying out data analysis by considering several steps of entire procedure including
familiarisation, coding, generating themes, reviewing themes, defining & naming themes and
writing up. Moreover, thematic analysis is much effective for this investigation in terns of
finding opinions, views, knowledge and experiences of people from a set of qualitative
information like social media profiles, survey responses and interview transcripts (Eritz and et.
al., 2016). It is implemented by considering essential aspects such as organisation of data,
summarization and categorization of data for contributing in data analysis process. This
procedure of thematic analysis will use by making appropriate themes considering information of
literature review and findings to discuss about themes in order to conclude the accurate results of
the investigation.
3.9 Ethical consideration
Approval for this study was granted by Mont Rose College Research Committee.
Participants also gave consent before interviews were carried out. The principles of research
ethics in the conduct of research with human subjects were strictly observed. The ethical
considering are applied by maintaining confidentiality and privacy protection of the research
participants must be assured prior to the beginning of the data collection method (Sarabia and et.
al., 2016). Any kind of communication which are include in the research must be done with
honesty that is ensured in this study. Respondents are informed before selecting them for

participating with on the basis of informed authorization. All the desired legislations are
followed while carrying out out the investigation.

CHAPTER 4: FINDINGS
4.1 Socio-demographic characteristics of respondents
Out of 5 participants interviewed in this study, 3 were males while the other two were
females and between the ages of 25 to 40 years. They were certified carer assistants and have
worked for a long period at the specified care home. However, these respondents have position
of carer assistants working for a long period at the specified care home.
1. How satisfied were the patients regarding the services provided in Beechlands care
home?
Participants Age Gender Views
Respondent 1 30 Years Male Patient were strongly satisfied from
the services.
Respondent 2 25 Years Female Some patients face difficulty in
adjusting to the environment at first.
Respondent 3 28 Years Female Patients did not properly satisfied
with the behaviour of some workers.
Respondent 4 36 Years Male Few patients strongly disagreed.
Respondent 5 38 Years Male Many patients were neutral about the
provided quality of services.
Interpretation: Considering the above information, it has been analysed that respondent 1
is male having an age of 20 years provides positive views about effectiveness of facilities.
Respondents 2 is female with age of 25 years who has negative opinion about care services for
facing issue to adjust in atmosphere of hospital. Meanwhile, respondent 3 is also female who was
not happy with behaviour of care workers which impacts negatively on condition of patients.
Respondent 4 is not agree with satisfaction about services whereas respondent 5 is neutral about
effectiveness of medical facilities.
2. How well was the process of resolving issues of patients?

Participants Age Gender Views
Respondent 1 30 Years Male Patients were unsatisfied from the solution of
their issues.
Respondent 2 25 Years Female Some patients issues were resolved
immediately.
Respondent 3 28 Years Female Many issues are still not resolved.
Respondent 4 36 Years Male New patients faced difficulty in finding nice
room for staying in the care home.
Respondent 5 38 Years Male Proper solution of the problems have not
achieved.
Interpretation: From the given data, it has been evaluated that participant 1 is male and
has an age of 30 years is not satisfied with process of solving mental health issues. Second
individual is female with 25 years of age are satisfied as some of problems ate solved quickly by
care workers. However, respondent 3 is female with 28 years of age has opinion that number of
problem are there which were remained unsolved. Meanwhile, fourth person is male has negative
views about staying facility of patients in hospital as it is not comfortable. Additionally,
respondents 5 said that solutions provided to patients are not appropriate.
3. How interactive was the customer service representative?
Participants Age Gender Views
Respondent 1 30 Years Male Some patients found the representative very
helpful.
Respondent 2 25 Years Female The customer service were quick for some
people.
Respondent 3 28 Years Female The facility assist some individuals to
complete their paper work.
Respondent 4 36 Years Male Many family members of patient found the

representative irresponsible.
Respondent 5 38 Years Male There were some victims that were
frustrated and irritated from the behaviour
of the customer service.
Interpretation: The above information has been analysed about opinion of respondent 1
that representatives are very helpful for patients. The second participant is female has a thought
that immediate facility is provided but only to few of individuals in hospitals. Respondent 3 is 28
years old provides opinion of facility provide which only assist to fulfil formalities of paperwork,
not more than that. The fourth individuals has age of 36 years irresponsible behaviour of
representatives are observed by family members as they complaints about it. Meanwhile, 38
years old respondent 5 said that frustration and irritation observed among some of patients
regarding behaviour of customer service providers.
4. What new technology were used in machines for delivering services to the patients
suffering from dementia?
Participants Age Gender Views
Respondent 1 30 Years Male New advancement in diagnoses techniques
made the treatment easier
Respondent 2 25 Years Female Further improvement in tracking devices and
GPS location helped in tracking the dementia
patients.
Respondent 3 28 Years Female Setting cameras in care home rooms help to
keep an eye on the activities.
Respondent 4 36 Years Male More advancement in setting up the files of
every patient digitally aids in delivering fine
services timely.
Respondent 5 38 Years Male Lack of emergence of new medicines and
machines made their condition unstable after

some extent.
Interpretation: Considering the given data, it has been evaluated that first participant has
an opinion for using advanced diagnosing technology as it is helpful to make treatment effective
as well as easy. It includes views of respondent 2 providing views to utilise tracking devices for
locating patients having severe condition of dementia. However, respondent 3 provides
effectiveness of setting cameras in care homes whereas fourth participant said that reports of
patient should be records along with maintaining digitally. Moreover, the respondent 5 provides
views about unstable condition of patients due to lack of emergence medicines and technical
machines.
5. What kind of support was provided by the respective organisation to the patients of
dementia?
Participants Age Gender Views
Respondent 1 30 Years Male Technical aids were provided by
organisation.
Respondent 2 25 Years Female Physical support were provided to make the
patient less dependent.
Respondent 3 28 Years Female Technical aids were not enough to support
the victims.
Respondent 4 36 Years Male The mental assistance was given to make
the sufferers peaceful.
Respondent 5 38 Years Male No adequate support system were there to
influence the condition of such individual
positively.
Interpretation: From the above information, it has been identified that respondent 1 is
male with age of 30 years provides his views regarding delivering technical aids to support
patients for gaining better results. Basically, participant 2 said that physical support should be

provided to make dementia patients independent in their daily living. Meanwhile, respondent 3
has quite negative views as technical aids are not enough to support people whereas participant 4
believe that mental assistance is favourable to make patients feel calm and peaceful.
Furthermore, respondent 5 has negative views about availability of any kind of support system
for wellness of people.
6. Does the organisation have any specialists or experts for dementia patients or usual
service providers were dealing with patients?
Participants Age Gender Views
Respondent 1 30 Years Male Yes
Respondent 2 25 Years Female Yes
Respondent 3 28 Years Female No, usual providers dealt with them.
Respondent 4 36 Years Male Yes
Respondent 5 38 Years Male No such specialist were provided to patients.
Interpretation: Considering the above information, it has been analysed that respondent 1
with age of 30 years agree with the statement of having specialists and experts to treatment
dementia patients properly. It includes the views of female respondent 2 having an age of 25
years also provides positive opinion about availability of special experts to treat mental disorder
like dementia. Meanwhile, third participant is also female with age of 28 years provide her
believe that common care professionals were there to deal with dementia patients. Moreover,
respondent 4 is male with age of 36 years agree with statement that proper specialists are
available for providing accurate facilities for well-being of people. Additionally, participant 5 is
male with 38 years old age provide opinion that no specialists are provided to patients for
facilitating appropriate care to them.

CHAPTER 5: DISCUSSION
5.1 Introduction
This chapter is all about discussion of importance and relevant of the results of the
carried out study about specific topic. It includes the focus on evaluation and explanation in
regards to findings of the research along with its relevance from literature review as well as
research questions. It will includes the sections providing interpretation and implications about
results of the study. It will also involves the specific and relevant limitations as well as
recommendations for the future about select topic. The part of conclusion is often overlap with
the discussion due to which these both sections are include in single chapter, hence conclusion is
given below.
5.2 Type of care provided to dementia patient
The given organisation has been observed to provide broad quality care and services
facility with harmless, comfortable and affectionate environment. Basically, it has been analysed
that effective facilities should be render to the old age people who are suffering from dementia
(Mahieu, Anckaert and Gastmans, 2017). At first, the care assistants can furnish the demands and
needs of dementia patients that may lead to some positive behavioural symptoms. It has been
analysed that different types of dementia exist so that professionals are required to identify the
specific problem of every patient to provide proper treatment to them for their wellness.
5.3 Sustaining the quality of care provided to patients
The quality of care which is provided to the dementia patients should be focussed and
should involve innovative measures, this thing can help the old age and dementia people to
regain their activity of performing their day to day function without much help (Goren and et. al.,
2016). Moreover, it has been analysed that the care assistants and providers need to amend the
pain and treat them with professional and skilled assistance as they need extra and delicate care.
It has been founded that effective guidelines should be followed which are favourable to increase
effectiveness of clinical procedures along with patient outcomes respectively.
5.4 Measures that could improve quality of care for dementia patients
The type of quality can be improved by various measures and ways so as to improve the
condition and state of dementia victims (Jutkowitz and et. al., 2016). By the crucial measures

which has to be taken by family members to fully support and understand the mind set and to
upgraded function of caregivers through online training programs and books.
5.5 Limitations of study
This study has some limitations. The number of homes used for this study was only one
and therefore, the information generated is limited to that particular home. There is need to
compare the information on quality of care provided to dementia patients from at least two or
more homes to generate stronger evidence on nature of quality of care provided. There was also
a lack of funding to increase the number of interviews carried out in this study. Perhaps, a greater
number of interviews could have given a broader view of nature of quality of care provided from
a reasonable number of participants rather than just a few of them.
5.6 Conclusion
Considering the above study, it has been concluded that it is required or care
professionals towards care services related to dementia for improving them. It is very important
for management of healthcare organisations to adopt different advanced technological support
for increasing the efficiency of treatment procedures which helps to enhance patient outcomes.
However, it has been summarised that government should provide strict regulations for staff
members to follow legislations and guidelines of maintain better quality of medical facilities
delivered to individuals suffering from dementia. Moreover, it is essential for improving quality
of medical procedures along with sustaining the same properly.
5.7 Recommendations
On the basis of the above findings, this study recommends the following:
1. There is need to provide adequate equipment to enhance quality of care provided to
dementia patients. The provision of good quality care may not be feasible where modern
equipment for the treatment of dementia is absent.
2. It has been recommended that training sessions should be organised for staff member
working with dementia patients to increase their skills and knowledge level which
facilitate to improve the quality of care facilities.

3. It is suggested that guidelines provided by Care Quality Commission (CQC) to improve
quality of care services must be followed by staff members while delivering care to
dementia patients.
5.8 Future research
Future research should continue to appraise the quality of care provided to dementia
patients to ensure that they receive adequate care capable of giving them some sort of
independence. It also consist to study about effective technical aid and other technical support
which is effective for welfare of dementia patients.

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APPENDICES
Interviews questions
 How satisfied were the patients regarding the services provided in Beechland care home.
 How well was the process of resolving issues of patients.
 How interactive was the customer service representative.
 What new technology were used in machines for delivering services to the patients
suffering from dementia.
 What kind of support was provided by the respective organisation to the patients of
dementia.
 Does the organisation have any specialists or experts for dementia patients or usual
service providers were dealing with patients.