2024 has been and gone. What a busy year it was!

We would like to share that we had our Certification Audit in November last year and this came back with no findings. This is a wonderful result for our team and home. I would like to thank the families who made time to take part in the audit process. We thank our team at Millvale for all their hard work and for consistently ensuring that residents are given the very best care, not just during audit time, but every single day.

We had a great turn out for our Christmas family gathering in December. It was a fine and sunny day and we enjoyed sitting outside for the party. Thank you to everyone who came and helped us make this a special time.

Over summer, we enjoyed the warmer weather as much as we could.  We held barbeques for all our small homes and enjoyed sizzling sausages with our residents on the deck. We have also refreshed the plants in our Vegepod and raised garden bed. This time we are trialing some different plants, mostly veggies and flowers, and not so many herbs, our cooks enjoy having a constant supply of fresh parsley from the garden though.

We have enjoyed having four calves grazing the front and back paddocks. Residents have taken their morning walks over to see them and enjoyed petting them. The calves have done a great job of cutting back the tall grass in the paddocks.

We have recently signed off new drivers to take our residents out in the van, after losing one of our drivers. We are looking forward to some more outings to Nikau Valley, the beach or the park!

Residents are often choosing to participate in everyday tasks alongside our team members. Sometimes they help with folding sheets and towels or doing the dishes. It is wonderful to work together while we perform these tasks.

We’ve had some changes in Millvale’s management team. Rhea has moved into a role at our supporting organisation, Dementia Care NZ. She will be the National Operational Support Leader for our organisation. It will be Rhea’s job to support Operations Managers at all the Dementia Care NZ homes around New Zealand. Rhea is currently supporting Hyacinth in her role of Acting Operations Manager and she will continue to be there for us going forward.

We were also sad to farewell Paula as our Clinical Manager. Paula has left to focus on her growing daughter and we wish her all the very best. We are excited to share that we will be welcoming our new Clinical Manager, Rowella Rolian – Cuares, in April. Rowella comes to us with 16 years’ experience in aged residential care and knows our community well. She is an experienced leader, and she builds strong relationships with residents and their families.

Finally, we also bid goodbye to our Registered Nurse, Helen. We are so grateful for the support Helen has given us over the years.

It is sad to say goodbye to people we’ve loved working with and sometimes change can feel hard too. Change is the only constant thing in our journey. Our team at Millvale Lindale is unwavering in our dedication to our residents as we make this transition. We are well supported by the Dementia Care NZ team and we are constantly working together and helping each other.

It was a busy start to the year with many things on the go around our rest homes.

While we haven’t had the best summer weather wise, our residents have still been enjoying the summer months with Christmas festivities, barbeques outside and van trips out to the beach among other destinations. It always makes everyone feel a bit brighter when we can open the doors and enjoy our outdoor areas a little more.

We have been getting underway with projects to improve our clinical care and building projects to improve the environment at our homes. You will read more about these projects through the newsletter.

I wish you and your whānau a great year ahead!

Andrew Sheard, Managing Director

Projects to help our residents feel comfortable and cared for

At all of our homes, we are always striving to improve the care and well-being of our residents. One of the ways we do this is through our clinical projects - important initiatives that help us provide the best possible care. These projects focus on a range of areas, from improving comfort and managing health conditions to enhancing the overall quality of life for our residents. Two areas we have been focusing on recently are tissue viability and pain management - both of which are important in helping our residents lead more comfortable and healthier lives.

Tissue Viability

Tissue viability simply refers to the health of the skin and underlying tissues. As we age, our skin becomes more fragile, making it more prone to wounds, ulcers, and pressure sores. These can be painful and difficult to heal. Our team is dedicated to preventing and managing these issues by using the latest treatments and strategies to keep the skin and tissues in the best condition possible. This helps to avoid complications and promotes quicker, healthier healing when issues arise.

Pain Management

Pain can be a common challenge for older adults especially in people with dementia, whether from chronic conditions, injuries, or daily discomfort. Managing pain effectively is a key part of our approach to care. We know how important it is for our residents to feel comfortable, so we’re working hard to provide personalised pain management plans. This includes everything from medication to physical therapy and alternative non-pharmacological treatments to ensure our residents are as pain-free as possible.

Ongoing Projects and Care Plans

Our clinical team is working together to create comprehensive care guides that focus on both tissue viability and pain management. We’ve been developing new strategies for:

• Early detection of tissue damage to prevent further complications.
• Pain management plans that are personalised to each patient’s needs, aiming for minimal discomfort during treatment.
• Education for staff on the evidenced based techniques in wound care and pain relief, ensuring that everyone involved in resident care is equipped with the best resources.
• Innovative dressings and treatments for wounds to promote faster healing.

At the end of the day, our goal is simple: we want every resident to feel comfortable, cared for, and valued. By improving tissue health and managing pain, we are helping our residents live more fulfilling lives. We are committed to making their time here as comfortable and joyful as possible.

Urmee Dean, National Clinical and Quality Lead

Enhancing our food service

We are doing some work to enhance our approach to mealtimes with our residents. Mealtimes are such an important part of every day life from appreciating the smell of fresh food wafting through our home as it is cooked, to offering an opportunity to socialise, and of course enjoying a favourite meal.

As part of the food project that we have been working on, we have surveyed residents and family members who visit at mealtimes to see what their experiences are. As you would expect, feedback has been varied.

One of our goals is to make mealtimes a more sociable experience. We are working to come up with some ideas on how we can improve the atmosphere at the dining tables.

We are also looking at extending the time that breakfast will be available to allow residents to wake in their own time and eat at their leisure. Everyone has a different circadian rhythm, so we want to make sure our meals fit with early birds and night owls alike!

If you have any thoughts about our meal service, please get in touch with the Operations Manager at your home.

Chris Booth, Quality and Systems Manager

Televisions in our homes

At most of our homes for people with dementia, we do not have a TV in the communal lounge. There are good reasons for this. Some people with dementia experience problems with a TV in the communal lounge.

Some struggle to differentiate between what is real and what is not. This can sometimes trigger distress or behaviour of concern if programmes depicting violence or destruction are shown.

People with dementia often cannot cope with a number of stimuli at one time. For this reason, we encourage focused social interaction and participation in familiar homely activities. It is important for people with dementia to have times of quiet. Like many of us, they need peaceful times of reflection each day. Every person is so different. Past experience has shown us that in a home for people with dementia invariably there is someone who wants the TV on all the time and repetitively turns the TV on each time he or she passes it.

We have regular movie afternoons for our residents, arranged by our diversional therapists. Families are also welcome to install a TV in their loved one’s bedroom if they feel they would enjoy having access to a television set.

Pillars – Supporting positive futures for whānau of people serving a sentence

Pillars Ka Pou Whakahou is a charity that actively supports the tamariki and whānau of people in prison or those serving a community-based sentence.

Every year we donate to Pillars and ask the businesses we work with if they are able to contribute.

These contributions make such a difference to the families of people in prison. Children of people in prison are 10 times more likely to go to prison without intervention. The Pillars programme helps to reverse this trend.

Pillars social workers provide advocacy, education, resources, and support. Some examples include housing, work and income and linking whānau into other supports such as counselling and rehabilitative programmes.

Once a family has received social work support, Mentoring Coordinators match the tamariki with a trusted adult from a community of volunteers. These volunteers are trained and supported by Mentoring Coordinators and are well prepared to provide the tamariki with experiences and opportunities outside of their horizons. 

Pillars is also looking for mentors in Auckland and Christchurch. This is a hugely rewarding way to contribute to a young persons life and give back to the community.

If you would like further information on the Pillars programme, please visit their website.

Jim Haines, Director DCNZ

The importance of feeling part of a bigger team

With all of our staff located in different parts of the country, we are always trying to make them feel part of a larger team. To this end we arrange training days for specific staff either virtually or in person. 

In March all of our Clinical Managers came to Christchurch to meet for our development days. This was an opportunity to get to know each other a little better, to share experiences and update their knowledge and skills in specific clinical areas. We had sessions from invited external speakers, and also the Clinical Managers themselves. This group are the leaders in each of our facilities and the knowledge and experiences they both bring and take away from these development days are extremely valuable. 

Another group of staff that we bring together, albeit virtually, are the Diversional Therapists and activities staff from each facility. Every month we hold a meeting for these staff, which is a time to share what activities have occurred at each facility and discuss their plans for the coming month. It is a great forum for sharing ideas, particularly activities that have worked well. Throughout the year we have special occasions; resident birthdays, Christmas, Easter, Anzac Day, Waitangi Day for example. At our meetings, we are able to share and plan for these occasions. 

Simon Hamley, National Mental Health Nurse/ Training Coordinator

Magic moments from our homes

One morning after breakfast, a resident appeared visibly upset and tearful as she was looking for her mum. I gently reoriented her and asked her to tell me about her family. We looked at the map on the wall in her bedroom, this seemed to bring her comfort. As we sat together, she confided in me that she still feels like a little girl and that she feels grateful to have someone with whom to share stories about her past.