Achieving: real outcomes in dementia care homes
The 36 outcomes MOM tool: Measuring Outcomes Matters
This MOM tool is a rough guide to measuring a care homes progress in achieving quality of
service and quality of life outcomes. These tools will require further team discussion to
ascertain if all team members have the same opinion. The tools can also be used to create
discussion amongst team members on each others understanding of the outcomes.
Please rate each of the 36 outcomes below using either the management rating tools or the
everyday practice tool.
MOM management rating scale (M)
0 = Outcome not commenced/no action plan
1 = Outcome signed up to but not actioned
2 = Outcome at operational planning stage
3 = Outcome being developed by learning/ training
4 = Outcome measurement methods established
5 = Outcome at point of early introduction
6 = Outcome first review / learning actioned
7 = Outcome low level evidence: major work required
8 = Outcome medium level evidence: further work required
9 = Outcome high level evidence: sustainability plan needed
10 = Outcome fully evidenced: sustainability plan actioned
MOM everyday practice rating scale (P)
0 = no evidence
1 = poor
2 = fair
3 = good
4 = excellent
“If I came to your care home today would I see evidence of these outcomes being in place?”
Name of Home ..................................................................................................................
Name of person/team completing the MOM tool ............................................................
Name of rating scale being used (choice of two) .............................................................
Date of completion ............................................................................................................
©Achieving real outcomes in dementia care homes
David M Sheard 2012
Measuring outcomes matters (MOM)
Section A - Quality of service outcomes
M
0-10
P
0-4
Section B - Quality of life outcomes
PIECE 1
Beginning with self: achieving through passion
PIECE 7
Outcome 1
High levels of self awareness
Outcome 19
Focusing on interactions:
achieving quality of life
Quality of life guaranteed
Outcome 2
Passion spread across team
Outcome 20
Well being increased
Outcome 3
Shared vision in evidence
Outcome 21
PIECE 2
Finding the right people : achieving an
‘attitudes first’ team
PIECE 8
Life history valued and
reinforced
Removing control: achieving a
new culture
Outcome 4
Attitudes valued most in recruitment
Outcome 22
Us and them features removed
Outcome 5
Emotional labour supported
Outcome 23
Controlling care reduced
Outcome 6
PIECE 3
Appraisals measure being person centred
Motivating stars: achieving the personal
development of staff
Outcome 24
PIECE 9
Positive interactions increased
Matching group living:
achieving people fitting
together
Outcome 7
Personal reflection prioritised
Outcome 25
People grouped with common
needs
Outcome 8
Training includes emotional development
Outcome 26
Peoples functional capacity
assessed
Outcome 9
Training turned into action
Outcome 27
PIECE 4
Developing relationship centred support:
achieving joint learning with families
PIECE 10
Specialisms within dementia
care created
Filling up the environment:
achieving a place that makes
sense
Outcome 10
Families clear on model of care
Outcome 28
Disability and ‘home-like’
needs met
Outcome 11
‘Learning together sessions’ regularly held
Outcome 29
Engaging rooms set up
Outcome 12
Families/friends are significant partners in
The home
Freeing up the home: achieving positive
energy
Outcome 30
Life skill areas in use
PIECE 11
Centring on meals: achieving
an engaged experience
Outcome 13
Task orientation substantially removed
Outcome 31
Adapted quality dining
Outcome 14
The day and staff feel relaxed
Outcome 32
Meal process makes sense
Outcome 15
PIECE 6
Mutual regard very evident
Synchronising policies: achieving through
feelings
Outcome 33
PIECE 12
Engaged, positive meals
Nurturing butterflies: achieving
meaningful occupation
Outcome 16
Rights upheld to taking measured risk
Outcome 34
Occupation staff’s core
purpose
Outcome 17
Care plans focused on strengths
Outcome 35
‘Activity’ repertoire in staff has
increased
Outcome 18
Feelings assessed before ‘behaviours’
Outcome 36
Butterflies seen in action
PIECE 5
©Achieving real outcomes in dementia care homes
David M Sheard 2012
M
0-10
P
0-4