The Marbrook Dementia Care Home
Caring for people
Caring with people living with dementia is exciting and challenging. The Marbrook ethos of dementia care is based on commitment to supporting the person living with dementia (and their family) to continue living in a way that is really meaningful to them.
Dementia is not restricted to older people. It is currently estimated that there are over 42,000 people living with Early Onset Dementia (onset before the age of 65 years) in the UK. For these younger individuals and their families, dementia can reveal some acute challenges.
What is dementia?
Dementia is a collective term to describe the damage caused to brain by specific diseases such as Alzheimer’s (the most commonly known form of Dementia). Symptoms range from difficulties with language, problem solving and memory loss. The different dementia diseases effect different parts of the brain, which in turn develops into different symptoms.
Typical Symptoms of Dementia
- Memory Problems – particularly our most recent memories.
- Language – difficulties in finding the right word and following a conversation.
- Executive Function – difficulties in problem solving or getting the correct order for tasks such as dressing.
- Orientation – not recognising day from night, time of day or where you are.
- Visual Perception – the problem judging three dimensional spaces and distances.
- Mood Changes – such as easily upset, frustrated, anxious or withdrawn.
- Delusions – complete belief in things that are not true.
- Hallucinations – experiencing things that are not there.
Sadly dementia currently has no cure. It is a progressive condition, with all the above symptoms becoming more pronounced over time. As we are all different, so will be the way we all experience dementia, making it very difficult to predict the intensity or pace of the impact of these symptoms as the condition progresses.
MDT – Multidisciplinary Team
One of the almost unique features of The Marbrook Centres specialist dementia service is the easy access to the collective skills from our in-house Neurological Therapy Team. This means our Physio Therapists, Occupational Therapists and Speech and Language Therapists are able to assess and monitor any physical changes as the condition progresses. We can check your ability to swallow food safely and make changes to your diet if necessary. We can maintain a good seating position and if required, change procedures so you can safely transfer from bed to chair and back again, even if this requires a hoist. All this can be done in a timely manner, avoiding some of the long waiting times associated with NHS community teams.
This is why the Marbrook team is different.
Marbrook dementia care workers are prepared to be themselves at work, to truly engage with the residents and to share their experiences. Social interaction is a key feature in good dementia care, making it truly person centred and understanding what this means requires real empathy.
To achieve this high expectation of care, staff at Marbrook are supported, trained and encouraged by a passionate team and managers, who lead by example.
The Marbrook dementia care home itself has been specially designed according to the Stirling University Dementia Design best practice guidelines. Our top-quality facilities include:
27 ensuite bedrooms designed specifically for dementia residents
3 dining loungers with their own domestic kitchens
Several activity lounges, including a domestic laundry area
Fantastic balcony ‘inside – outside room’, enabling a breath of fresh air, whatever the weather.
We encourage families and friends to be a key member of the team caring for their loved ones. We make sure that our residents and their families are empowered to make informed choices about their lives and the care they receive.
This video from the College of Occupational Therapists centres on one person’s experience of finding a care home for her mother. It outlines some important points to consider when choosing a care home.
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We provide the best quality care for degenerative brain conditions including:
Confusion and disorientation
Personality changes – becoming more demanding, suspicious or aggressive
Hallucinations and delusions (seeing things not there and believing things that are not true)
Although there is no current cure for Alzhiemer’s, new medication is coming to the market slowing down the development of the condition.
Marbrook is where feelings matter most. When someone has Dementia they may lose a sense of what is going on around them, which can lead to more confusion and fear. Taking time to get to know people and find ways of helping them feel safe and to enjoy their selves goes a long way to reducing anxiety. We want to see people in Marbrook enjoying themselves, both staff and residents. There will be lots to do, including spending time in the café, out and about in town or further afield. Relatives are a key part of the team and are not only welcome, but encouraged to take part in their loved one’s life in Marbrook.
Dementia with Lewy Bodies
Tremors, stiff limbs and slowed movement
Fainting and unsteadiness
People with this condition can change unpredictably from states or alertness to drowsiness or staring into space from one hour to another.
It is not currently clear why the Lewy Bodies protein inside brain cells builds up deposits or exactly how they damage the brain, but these deposits are also found in people living with Parkinson’s Disease. 100,000 people in the UK are estimated to live with Dementia with Lewy bodies.
Dementia with Lewy Bodies can be hard to live with, for the person with the disease and their family. Many people with DLB feel afraid when they experience hallucinations and have an unusual rhthym to their day. What we can do is support the individual by understanding how it feels for them and by taking the time to learn what interest they have and bring them alive again. This could be an interest in cars, baking, cinema, dancing or any number of other activities. Spending time to reassure and step inside their shoes means we can make a difference and support people to continue being ‘who they are’.
Early Onset Dementia
Around 40,000 people under 65 live with dementia in the UK.
Having Dementia at any age is challenging, but for younger people the issues can be greater. We provide a professional and engaging environment which really considers your personal needs and wishes while paying great attention to your feelings and supporting your family. The Marbrook Centre is situated close to the town with the amenities that offers. While there is a lot going on in Marbrook, we encourage residents to take part in the local community and to maintain existing or previous interests. Physical well being is really important, so having a gym on site provides further opportunities to maintain physical wellbeing. Psychologists, doctors, occupational therapists, physiotherapists, nurses, speech and language therapists, cooks, housekeepers and care workers add to the team to ensure you have the support necessary to lead your life in your way.
Frontotemporal Dementia (FDT)
Behavioural changes – an individual can be either disinhibited (impulsive) or apathetic (bored and listless). This can display itself in multiple complex ways from inappropriate social behaviour, lack of tact and empathy, increased interest in sex, to blunted emotions, neglect of personal hygiene, repetitive behaviour and lacking in energy and motivation.
Language problems – including making or understanding speech (often in conjunction with behavioural changes.
FTD can often run in families as there is a strong genetic component to the condition.
Understanding the impact of Frontotemporal Dementia on someone’s life and that of their family is the first step to providing the support needed to enable people to live their way while being safe and maintaining their dignity and choice. We understand that people with FTD may need help to communicate their needs and feelings. Our speech and language therapists will assess and guide us on any additional aids or techniques to help with communication. Our staff receive training to develop their understanding, not just how to be with someone, but why. Having things you want to do either in the centre or the community is important. We will find out what is meaningful to you to make sure your life continues in the way you choose for as long as possible.
Living with Korsakoff Syndrome brings a number of challenges. It is often the case that people with the condition have experienced a number of losses and difficulties with relationships as a result of their alcohol misuse. Having little or no recollection of their earlier life and living in a reality that differs from those around them often challenges family members. At Marbrook we understand these challenges and work to support families to establish, renew and maintain relationships. Engaging the individual in activities and providing the nutrition required to optimise their physical and mental well being will help the individual live their life in a safe and supportive way which is meaningful and sociable, supporting as much choice as possible.
Parkinson’s Disease is caused by a loss of brain cells in the Substantia Nigra part of the brain, leading to a loss of the chemical Dopamine in the brain. An exact cause for the loss of these brain cells is currently not known, but most experts believe it’s a mixture of genetic and environmental reasons.
The main symptoms of Parkinson’s are tremor, slowness of movement and rigidity, but the way these symptoms appear and their order, is different to every person.
Parkinson’s can impact on mobility, communication, activities and relationships. At Marbrook we can help you achieve your goals and live the life you want with the support you need. The Marbrook multi-disciplinary team is professional, compassionate and enthusiastic. We have a well-equipped gym, domestic style rehabilitation kitchens, coffee lounge, cinema and outside space all aimed to support your rehabilitation, doing things you want to and spending time with your family and friends.