Quality statement 4: Leisure activities of interest and choice

Quality statement

People with dementia are enabled, with the involvement of their carers, to take part in leisure activities during their day based on individual interest and choice.

Rationale

It is important that people with dementia can take part in leisure activities during their day that are meaningful to them. People have different interests and preferences about how they wish to spend their time. People with dementia are no exception but increasingly need the support of others to participate. Understanding this and how to enable people with dementia to take part in leisure activities can help maintain and improve quality of life.

Quality measure

Structure:

a) Evidence of local arrangements to find out about the individual interests and preferences of people with dementia in order to ensure access to leisure activities of interest.

b) Evidence of local arrangements to ensure that people with dementia are enabled to take part in leisure activities during their day based on individual interest and choice.

c) Evidence that when choices of activities during their day are made under the Mental Capacity Act 2005 on behalf of people with dementia who lack capacity, they are made in line with the code of practice that accompanies the Act.

Outcome:

a) Feedback from people with dementia that they take part in leisure activities during their day based on individual interest and choice.

b) Feedback from the carers of people with dementia that the person they support takes part in leisure activities during their day based on individual interest and choice.

What the quality statement means for each audience

People with dementia can choose to take part in leisure activities, during their day, which match their interests.

Carers of people with dementia are involved in helping the person they support to choose and take part in leisure activities, during their day, which match the interests of the person with dementia.

Local authorities and others commissioning services work with providers to ensure the services they commission enable people with dementia, with the involvement of their carers, to take part in leisure activities during their day based on individual interest and choice.

Organisations providing care and support ensure people with dementia are enabled, with the involvement of their carers, to take part in leisure activities during their day based on individual interest and choice.

Social care staff enable people with dementia, with the involvement of their carers, to take part in leisure activities during their day based on individual interest and choice.

Source guidance

NICE clinical guideline 42 recommendation 1.5.1.1.

SCIE guide 15: Choice and control.

SCIE guide 47: Personalisation – a rough guide.

Data source

Structure: a), b) and c) Local data collection.

Outcome: a) and b) Local data collection.

Definitions

Enabled

This refers to actions taken by care providers to ensure that people with dementia can take part in leisure activities during their day. This includes, but is not limited to, finding out people's individual interests and preferences, providing daily activities and providing transport. When people with dementia lack capacity, decisions made on their behalf under the Mental Capacity Act 2005 should be made in line with the accompanying code of practice.

Carers

The Department of Health defines a carer as someone who provides unpaid support to family or friends who couldn't manage without this help, whether they're caring for a relative, partner or friend who is ill, frail, disabled or has mental health or substance misuse problems.

Leisure activities

Leisure activities such as shopping, reading and listening to music should reflect the interests of the person with dementia. Leisure activities are pleasurable activities, rather than activities of daily living such as personal care and attending to hygiene.

Equality and diversity considerations

NICE clinical guideline 42 recommendation 1.1.1.7 lists alternative and additional support that may be needed if language or acquired language impairment is a barrier to accessing or understanding support.

Social care staff should identify the specific needs of people with dementia and their carers arising from diversity, including gender, sexuality, ethnicity, age and religion. These needs should be recorded in care plans and addressed (NICE clinical guideline 42 recommendations 1.1.1.3 and 1.1.1.5).