On 31 October, the Government announced a national lockdown from 12pm on Wednesday 4 November until early December. This meant that we would be unable accept visitors, unless under exceptional circumstances such as end-of-life.

The new guidance to “Support Safe Care Home Visits” was published mid-afternoon on 5 November. We are pleased that this will allow some visiting to take place as that is something OSJCT feels is vital, providing that it can be done in a safe manner.

Before visiting can begin under the new national lockdown, one of the key requirements of the new guidance is that every resident must have an individual risk assessment in place. With approximately 3,500 residents this is a significant undertaking and is one that we have immediately started.

We have also commissioned work to install dedicated visitor rooms in every one of our 68 homes. These rooms will contain a substantial screen between the resident and the visitor.

Be assured we are working as hard as is possible to put the right arrangements in place for the safety and well-being of our residents, their loved ones and our colleagues. We will update again as soon as possible.

The Department of Public Health and Social Care can put further restrictions in place on a regional basis and we will continue to provide localised information on our Regional Update page.

Following on from the most recent announcement by the Government our homes will be closed to visitors, unless under exceptional circumstances such as end-of-life, from 12pm on Wednesday 4 November.

We anticipate that there will be a rise in demand for visits over the coming days and we will be putting extra support into place.  

Regional exceptions can be read on our Regional Update page.

Dear family member/loved one,

I would like to begin by thanking you for your support during 2020. This global pandemic has been the greatest challenge modern social care has faced and the kind words and actions of our residents’ families and friends have been of enormous help to colleagues across the Trust.

We know that winter provides an extra challenge when faced with a virus and, since summer ended, we have already seen that numbers of positive diagnoses of Covid-19 are rising across England. We must consider the potential for this trend to continue and, as usual, prepare in the most thorough manner that we can. We must also be vigilant of other viruses which see a spike in cases during winter months, and I would like to take this opportunity to remind you how important it is that all of our residents take up the winter flu vaccination. We work closely with GPs and local Pharmacists to organise for them to attend our homes and so we would encourage you to discuss this with your loved ones and encourage them to have the vaccination in order that we can keep everyone as safe as we can.

I would like to explain some of the actions we are taking to keep residents and colleagues as safe as possible for now and in the future and then outline current visiting protocols.

We have significantly limited movement between care homes of both our own colleagues and private contractors, as well as limiting colleagues working in other settings. We are confident that this has contributed significantly to minimising cases and reducing the risk of spread. This has, however, caused a number of challenges, such as with hairdressers where we have had to find alternative short and medium term solutions and this has been achieved in nearly all our homes and we continue to work on this to ensure that all residents have access to hairdressing facilities.

Current visiting protocols

The importance of visits in terms of resident and family member wellbeing is always utmost in our decision making on visiting protocols whilst following government and Public Health guidelines to keep our residents and employees safe. We have clear protocols in place which are developed in line with government guidance and in discussion with the Department of Health and Public Health England and it is essential that we follow these protocols consistently. Initially Care Homes were restricted to visiting from essential visitors only, but we were pleased that this was then extended to limited family visits over the past few months.

In recent weeks, the Government introduced a new Tier system, we are in a position to update visiting. The overall national picture follows, and regional exceptions can be read on our Regional Update page.

• High/Tier 2 and Very high/Tier 3    

If a care home is in a Tier 2 or Tier 3 location then it will not be open to visitors and potential visitors who live in a Tier 2 or Tier 3 location will also not be able to visit any care homes. There will be exceptional circumstances to these rules such as when a resident is receiving end of life care and we will conduct a thorough risk assessment to ensure we keep everyone as safe as possible. The link to government guidance is here.

• Medium/Tier 1    

Where homes are in Tier 1, they will still be accepting visits unless in outbreak status. However, potential visitors who live in a Tier 2 or Tier 3 location will also not be able to visit these homes. We will monitor this on a weekly basis.

The local Directors of Public Health have a responsibility to provide us weekly updates on whether it is safe for care homes to have visits. Public Health look at a variety of information to make a decision which includes the level of local cases and geographical mapping; test and trace information; R value; Cases in care homes; care home testing of staff and residents and infection, prevention and control and Personal Protective Equipment use in care homes. In the event they were to issue a local instruction to further restrict visits to our homes we would write to you as soon as we were made aware. 

We review our protocols weekly to ensure that our residents are comfortable during visits whilst keeping them protected from the risk of coronavirus. We are currently working hard on our dedicated visitor rooms to ensure the best protection is in place for internal visits.

Visitor Charter

The vast majority of the visiting experiences have been welcomed and supportive to our residents, employees and family members however we have had a small minority of cases where our employees have not been treated with the respect they deserve especially at such a busy and challenging time. We would like to politely remind all visitors of the importance to treat our employees and others with respect when visiting our homes/sites. We all work for the same outcome: the safety and good health of our residents and your loved ones.

All residents, employees and visitors have the right to be treated with respect and to feel safe and we have therefore introduced a Visitor Charter which can be found at the bottom of this update.

Vivaldi Antibody Study

We are also pleased to have been selected to participate in the Vivaldi Antibody Study to help tackle the longer-term challenge of Covid-19. The study is sponsored by the Department of Health and Social Care and is being run by University College London. The study involves taking blood from participants on a schedule of visits - at the start, at 6 weeks, 3 months and for residents with a positive antibody test, two further blood tests at 6 months and 12 months. 

The research will determine what level of antibodies are maintained and it is vital we participate because there has been a disproportionate impact of Covid-19 on the elderly and some other groups yet the reasons why these population groups are at increased risk remains unclear. Asymptomatic and pre-symptomatic infection has been shown to contribute to transmission of infection and understanding this is vital when considering disease control measures, particularly in care homes.

All OSJCT home are taking part and all residents and paid employees are able to take part, although participation is voluntary.  Consent for participation will be obtained prior to the study starting.  

We would like to thank you again for your patience, understanding and support during these incredibly different times. Everything we do is carried out with the welfare of residents, their families, and colleagues as our main priority and working with you to help steer a course through these challenges is hugely appreciate by everyone at the OSJCT family.

Dan Hayes

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Visitor Charter

The vast majority of the visiting experiences have been welcomed and supportive to our residents, employees and family members however we have had a small minority of cases where our employees have not be treated with the respect they deserve especially at such a busy and challenging time. We would like to politely remind all visitors of the importance to treat our employees and others with respect when visiting our homes/sites. We all work for the same outcome: the safety and good health of our residents and your loved ones.

All residents, employees and visitors have the right to be treated with respect and to feel safe. 

The Trust advises all visitors (e.g. friends, family members and representatives) to refrain from unreasonable behaviour when communicating with employees, residents and other visitors. This includes any unreasonable behaviour demonstrated face to face, over the phone, in an email, in writing or online (including social media). Unacceptable behaviour also includes not adhering to our protocols in relation to infection control which include the wearing of personal protective equipment i.e. masks and social distancing.

We appreciate that visitors and relatives may sometimes act out of character when facing situations of stress, anxiety or distress, and that this may result in them raising their voice or losing their temper. However, such behaviour will be regarded as unacceptable if it persists or becomes abusive, violent, threatening or harassing.
As outlined in the Trust’s Contact with/Visits by family and friends Policy, employees and/or residents have the right to refuse visitors and as such, employees may ask people to leave or refuse entry if they feel contact will cause distress to the residents or pose a security risk.

Examples of unacceptable and unreasonable behaviour may include:

• Being abusive or using aggressive tone or language towards employees or other residents that goes beyond the level they should not reasonably expect to receive.
• Harassing employees or other residents such as holding personal grudges or repeatedly targeting their correspondence towards an employee or manager whom they hold some personal enmity.
• Recording meetings or face-to-face/telephone conversations without the prior knowledge and consent of the other parties involved in line with data protection guidance
• Making unfounded or defamatory comments/accusations against the Trust or specific employees.
• Abusive or verbal aggression toward employees, residents, families or other visitors.
• Making contact with the organisation, which is unreasonably lengthy, complicated, aggressive, threatening or abusive towards employees. 
• Making unnecessarily excessive demands on employees’ time and resources (e.g. excessive telephoning or numerous e-mails or writing lengthy complex letters every few days and expecting immediate responses).
• Continuing to complain about a historic or irreversible decision or event.
• Combinations of some or all of these.
• Refusing to comply with the Trust procedures and protocols

Trust Action
Should a visitor or relative demonstrate any unacceptable or unreasonable behaviour, the Trust will issue them with a written warning stating that if such actions continue, the Trust may decide to treat them as ‘unreasonable or unreasonably persistent’, as per the Trust Complaints, Comments-Suggestions and Accolades Policy, and provide an explanation as to why this is the case. In some cases, it might be appropriate to provide copies of this notification to others involved. It may also be appropriate to try to resolve such matters by drawing up a signed agreement with the individual concerned setting out a code of behaviour for the parties involved. 

If the above steps do not lead to a change in the individual’s behaviour, the Care Quality Director will determine whether to identify the person as ‘unreasonable or unreasonably persistent’ and if so, what action to take. The Care Quality Director, with the agreement of the Chief Executive will implement such action and will notify the individual in writing of the reasons why they have been classified as unreasonable or unreasonably persistent and what action will be taken which could result in visits by the specific individual/s being temporarily stopped.

In extreme circumstances the Trust reserves the right to pass any unreasonable or unreasonably persistent individuals/complainants to the Trust’s solicitors or police, which may result in legal action against the individual.

For further information on the Trust’s unreasonable or unreasonably persistent’ status, please see refer to the Trust’s Complaints, Comments-Suggestion and Accolades Policy, which is available on request.

93-year-old Molly has been the face of our Trust We Care campaign in which she says she has been ‘blessed’ to be cared for so well. Molly tells us about her fascinating life that went before her move to the vibrant OSJCT community. “I can’t think of a place you’d be better cared for than here,” says Molly. “You can sit back and let everyone else do the worrying.

“They [the care team] are lovely. We are all very blessed to be cared for so well. They don’t just do a job; they come, and they care for you and always with a smile.”

About Molly

Molly, who has four children and six grandchildren, was born in Cheddar, Somerset before moving to Chepstow in Monmouthshire, at the age of six. She grew up there and joined Barclay’s bank at the age of 16 before marrying in 1949. In 1955 she accompanied her husband to Nairobi as the first of three memorable RAF postings. Molly has fond memories of her time as an RAF serviceman’s wife, also living in Kenya, Norway and Singapore.

Molly explains that Nairobi was the perfect temperature, and abundant in food whilst much of the world was affected by rationing. A scary moment came when the family, on a night fishing trip, came across a roaring hippo, but they escaped. Norway was memorable for severe winter conditions and the opportunity to learn to ski. Molly also loved Singapore, where they lived for three years. Although the first six months were very tough as Molly hated the heat and humidity, once she had acclimatised it became a firm favourite.

Living at an OSJCT care home

Each day starts with breakfast and residents can choose to have meals in their room or communally. Prior to the Covid-19 restrictions, Molly would usually have breakfast in the dining room and join others for a chat.

Individual pastimes include doing a crossword in the newspaper and knitting for premature babies in the local maternity unit. During the Covid-19 restrictions Molly and other residents have been safely enjoying entertainment by care team staff by staying in their room doorways, or occasional socially distanced activities in the lounge or hall. Popular games at the home are dominoes, Scrabble, dropping monkeys and singing.

Molly lives on a corridor with several other residents. One lady is 100 years old but mobile and active. A husband and wife have rooms on either side of the corridor and the husband has a mini organ which he plays for others to sing along to.

Molly also joins another resident for poetry reading; a volunteer joins them (now via Skype) to read a poem and spend some time analysing it. The session lasts for 90 minutes. Molly said: “It’s so interesting, it brings poems to life.”

Another fun activity is a 25-minute exercise session, led by Alex, the activities coordinator. He leads exercises for residents starting from their heads and moving through the whole body, down to their toes. Molly said: “He exercises every little bit of us. It’s quite tiring and he makes it fun. We all feel great when we’ve finished and then Alex brings us a drink.”  

Molly said: “They help us to find the time (and activities) to make life go easily and enjoyably.”

She added: “I miss sitting in the garden lounge, being among more people. There was always something going on. I look forward to going into the garden lounge again, and the garden, which is very lovely, well planted.”

Molly takes an interest in the bird feeder at her window and is regularly visited by two pigeons, a robin and a sparrow. She is also a great fan of Her Majesty the Queen. “I love the Queen. I think she is the most wonderful lady.”

Resident trips outside before Covid-19 lockdown

OSJCT care homesGoodson usually run a programme of trips and visits for residents to enjoy, currently interrupted by Covid-19 restrictions. Molly said: “They organise wonderful trips, I’m in a wheelchair and we go in groups of six for coffee and cake, or lunch after a visit somewhere. I’m looking forward to these again. Anywhere outside is lovely.”

Molly joined trips to see the lights at Longleat which she described as ‘wonderland’; a ride on the canal and visits to chalk white horses on hillsides nearby.

Care at OSJCT

Care at OSJCT homes is individual to each resident. When Molly first arrived, a carer taking note of Molly’s daughter’s concerns, arranged for Molly to have a hearing test. Molly now wears a hearing aid. Each morning someone checks that Molly is wearing it.

This sort of care and consideration makes a big difference to Molly. She said: “When I first came in, she (a carer) took such great care of me. I can hear much better now.”

Molly has advice for anyone considering a care home. She said:

“If you have the need, from age, infirmity or lack of family support, any problems at all; do not be afraid to come in. The relief, shaking your shoulders and not having to worry; you know you will be cared for. It’s done cheerfully.”

Find out more about our Trust We Care campaign and information about moving to an OSJCT Care Home at https://www.osjct.co.uk/trust-we-care

Challenging times are ongoing for everybody but particularly those who live in care homes and work in the sector. I would like to continue to express my heartfelt thank you for the incredible commitment shown by colleagues, and the resilience and faith shown by residents and their families.

We maintain the highest level of vigilance and follow all Government guidance and so are continually updating processes and protocols to ensure that our residents’, employees’ and visitors’ safety remain at the heart of every decision taken.

After being selected to take part in a Government testing pilot programme, employees have been tested weekly throughout July regardless of whether they show symptoms, and residents will all have one test. This enables us to identify potential cases of COVID-19 much sooner and between July 6 and 29, we carried out 11,585 tests, which have returned a 99.45% negative rate in employees and 99.77% negative rate in residents. The Government announced that all care homes would receive ongoing testing from 1 August and therefore we are expecting to move seamlessly from our pilot to this new process.

Encouraging socialising in the homes has been a key development and residents can now take part in activities with fellow residents in small groups and socially distanced at a distance of two metres. The only exception to this is new residents who are required to isolate for 14 days in line with Government guidance.

We have been accommodating two people from the same household or social bubble to visit their loved ones in our homes, but the latest Government guidance now restricts that to one constant visitor. We appreciate how disappointing this will be to families, but it is important that we follow all the latest guidance from the Government.

Visits are held by appointment only in homes that are not experiencing an outbreak, which the Government defines as two individuals whether resident or employee who are a confirmed or suspected case. Visits will happen in an outside space or from a ground floor room window. In line with Government guidance, we will allow a resident unable to access the outdoors to have a visit in their room under strict protocols. We will continue to prioritise visits from up to two individuals from the same household to residents who may be in end of life care. To arrange a controlled visit please contact the Home Manager.

We are also complying fully with the NHS Test and Trace service, which requires all visitors’ details to be recorded. The information gathered will only be accessible to our Information Governance team and will be automatically deleted after 21 days. The information will only be shared with NHS Test & Trace, and only if they request the details of visitors to the office for that period following a positive diagnosis of an employee or other visitor.

We know that the return of hairdressers to homes is something that residents have wanted, and we have put robust procedures in place to enable this, while maintaining high levels of safety for residents and employees of our homes. A risk assessment will be carried out for each appointment and appointments will not be possible for residents of a home that has experienced an outbreak within the last 28 days. Residents who are isolating or have had a positive test within 14 days will also be unable to have an appointment.

The salon must be thoroughly cleaned before and after every appointment and all shared items such as magazines will be removed. The hairdresser must have had a negative COVID-19 test result before restarting appointments and this will be done by the home on a weekly basis as will a temperature check on every day the hairdresser attends the home.

Each home will also provide full PPE for the hairdresser and visitors.

Please continue to be reassured that we are all working tirelessly to ensure that your loved ones are staying safe, happy and well.  I encourage you to look at our social media pages or our OSJCT Moments page on our website to see the continued wonderful experiences our residents are having while being cared for by our frontline heroes.

Here are ten ways we are supporting our residents and colleagues during Covid-19. Our homes are open to admissions, visit https://t.co/AdZ6KVP2fF for more details. #trustwecare #adaptingtoCovid pic.twitter.com/m9Y0va9R5x

— OSJCT (@OSJCT) July 27, 2020

Dan Hayes

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If you wish to view further information for visitors, please click on this link to take you to our visitor information news page.

Carehome.co.uk is the leading UK care home review website, and its awards highlight the most recommended care home groups in the UK as based on reviews received from residents, their family and friends.

Trust Chief Executive Dan Hayes said: “To maintain our position in the Top 20 of the Large Care Home Group category is an incredible achievement and a real testament to the hard work, dedication and commitment of care home teams across the Trust.

“I would personally like to thank my care home colleagues for going the extra mile for our residents every day. They should know the work they do is hugely valued, and never more so than at the moment.”

Dear family, friends and loved ones

Here at The Orders of St John Care Trust our priority is the safety and wellbeing of residents, colleagues and visitors in our services. 
As the guidance around Coronavirus (COVID-19) develops each day and the number of confirmed cases increases we cannot deny the risk this virus poses for those in our care.

Following Monday’s advice by the government on the vulnerability of the over 70s we have made the difficult but responsible decision to restrict access to our homes to all but the most essential visitors required to either protect the health of our residents, or to ensure that buildings remain safe and essential supplies are delivered. We will continue to welcome new residents and employees following our strict protocols. For now, this means that we are respectfully asking relatives and loved ones not to visit as well as chiropodists, hairdressers etc. Where circumstances mean that a visit is essential, such as deteriorating health, then we will plan for a visit, and requests should be made to the Home Manager in these circumstances.  

We are incredibly sad to put in place this measure. We know how important contact is for our residents, and we ask you to support our managers and teams as we all work for the same outcome; the safety and good health of our residents and your loved ones.

We are working on a raft of things to make life as normal and enjoyable as possible over the coming weeks with our dedicated activities co-ordinators and carers supported by our marketing and IT teams including remote contact, social media and virtual events. In the meantime, we appreciate your support greatly and we wish you good health in the coming weeks.

We understand that this may be concerning news for relatives of residents who may be very unwell at this time. We will contact you on a 1:1 basis to ensure that we can support you with the need to arrange planned visits with your loved one at this distressing time.

Who will still be accessing our homes?

Health professionals including Local Authority social workers, government bodies that support the work of Public Health and key suppliers will continue to be welcomed into our homes to support our residents. We will continue to welcome new residents and employees following our strict protocols.

Some of our homes are having property works undertaken including that which relates to health and safety matters and we want to ensure that we don’t stop anything that would make the living environment worse over a long period and we will be reviewing this on a case by case basis minimising wherever possible. Our contractors have reassured us that they are following all relevant guidance.

Volunteers under the age of 70 who confirm they are not symptomatic will be welcomed into our homes to help us deliver the care and support our residents need at this time.

If you have any questions, please do not hesitate to contact your home or from Friday 20th March our enquiry line
0800 988 8133 will be manned 7 days per week between 8.30am – 6pm Mon to Fri and 8.30am – 5pm at weekends
whereby we will endeavour to answer your questions.

Sam Stockwell, of Boultham Park House, was announced as the winner of the Care Trainer Award, and handyperson Andrew Saunders, of Gregory House, won the Behind the Scenes category.

In total, 15 employees from three Trust care homes in Lincolnshire were shortlisted as finalists for these awards, which aim to recognise care workers, teams and organisations that go above and beyond for their service users.

Caroline Dunagan, Trust Assistant Operations Director for Lincolnshire, said: “It was fantastic to have so many Trust employees shortlisted for these awards and I was thrilled to bits to see Sam and Andrew win their categories.

“Huge congratulations to both Sam and Andrew and to all our shortlisted finalists. I am delighted that their dedication, commitment and hard work has been recognised in this way.”

When the excitement and festivities of Christmas are over, the January blues can creep in. To help combat these feelings, which can be particularly prevalent in older people, the Trust is once again running its Beat the January Blues campaign.

As part of this initiative a whole host of meaningful and engaging activities are being held throughout the month to help encourage social interaction and companionship amongst residents, employees and the local community.

Here’s a taster of some of the Beat the January Blues events coming up:

• Residents from Trust homes across Oxfordshire will be getting together on Wednesday 29th January at an accessible disco hosted at Isis House in Oxford featuring guest DJs Trev and Rich from Jack FM’s breakfast show.
• Goodson Lodge in Trowbridge is hosting a fashion show, in partnership with Sainsbury’s, on Thursday 23rd January at 7pm to help residents enjoy some new year retail therapy. The home is also holding a talk about the healing power of honey on Saturday 18th January at 2pm and a whisky and cheese tasting evening on Friday 24th January.
• Athelstan House in Malmesbury is holding therapy sessions every afternoon from 2-4pm from Monday 27th to Friday 31st January featuring meditation, manicures and a performance by a Blues singer.
• Pamper days, quizzes, singing events and a pet therapy session all feature as part of the Beat the Blues campaign at Chestnut Court at Quedgeley.
• Avonbourne Care Centre near Salisbury is running weekly Wow Wednesdays with a live entertainer performing at its music and movement sessions and is also holding flower arranging lessons.
• St Wilfrids Priory Care Home in Arundel has arranged tea tasting sessions in which residents can sample and choose teas from around the world to select their favourites for their afternoon tea. Residents have also been encouraged to use the new home vehicle to get out and about and have started a list of places they would like to visit.
• Larkrise Care Centre in Banbury is holding a week of events from Monday 27th to Friday 31st January designed to lift the mood and stimulate the senses. Providing beneficial sensory therapy to those living with dementia, activities will include perfume mixing, chocolate tasting and a visit from some squirrel monkeys.
• Lake House, also in Banbury, and Grace Care Centre in Thornbury, will both be granting new year’s wishes to some of their residents as part of their Beat the Blues programme.
• The Coombs in Coleford is trialling a new interactive magic table and welcoming new furry friends at its first pet therapy session as well as hosting armchair aerobics sessions, quizzes and singing events.
• Grevill House in Cheltenham is organising an outing to Cheltenham racecourse as well as running weekly yoga sessions and music and movement classes including its first intergenerational music session with Caterpillar Music.
• Spencer Court in Woodstock is running a week of movement and fitness classes as part of its New Year New You initiative.

Many of these activities are open to members of the local community. To find out what’s on at your local home coming up please contact them – you can find out phone numbers for all our homes here.

Trust employees, relatives of residents, stakeholders and pupils from a local secondary school all took part in the tour which aims to give an experience of what living with dementia might be like. The tour uses specialist equipment and creates a simulated environment to help explain some of the physical and sensory changes that someone with dementia may experience and how the environment can help or hinder life with dementia.

This is then followed by a debrief training session which covers the symptoms of dementia, stereotypes around the condition and looks at how to approach, communicate and engage with people with dementia to ensure they are treated with dignity and respect.

Glenn Knight, Managing Director of Training 2 Care, which operates the tour, said it offered people a unique insight into what it was like to live with dementia.

He added: “The virtual dementia tour is the only medically and scientifically proven method of giving a person with a healthy brain an experience of what living with dementia might be like. By understanding that we can then make simple changes to the way in which we interact and care for people with dementia to significantly improve their lives.”

The tour bus visited Paternoster House in Cirencester where 36 employees from carers to cooks received the two-hour tour and debrief session.

Trust Chief Executive Dan Hayes also took part in the session at Paternoster. He commented: “Seeing things from the perspective of a person with dementia was profound and unsettling. Once your senses are affected the most friendly or helpful gestures towards you can feel threatening. Even over a few minutes, you can feel yourself retreating into a space where you feel alone and anxious. The great positive of the experience was that it reinforces the need to continue to develop our skills and understanding in relation to dementia care.

“We must continue our ethos of caring for every person individually and learning from each individual, to ensure people maintain independence and we provide help in the right way.”

Hannah Forsyth, Home Manager at Paternoster House, said the virtual dementia tour was a powerful form of training that would help members of her team across the home to learn how they could better support and care for residents with dementia.

She said: “We can theorise about dementia and do other types of training but with this you get to actually experience what it’s like, or as close as possible, and that’s incredibly powerful. It really makes you think and reflect as a practitioner about how we can better and more compassionately communicate and engage with the people we’re caring for to really improve their lives.”

A group of eight year ten pupils who are studying a BTech in Health and Social Care at Henley Bank High School attended a session tailored for their age at the Trust’s Millbrook Lodge in Brockworth. Sessions were also run at Grace Care Centre in Thornbury for care home employees, volunteers and family members, together with colleagues from Gloucestershire County Council and two dementia researchers from the University of Bristol.