Background Practical implementation and the benefits of using advanced care planning to improve the experiences of patients with dementia and their families in a large care home with nursing in England. Having opened a large 81 bedded care home with nursing in 2007, at the same time as gaining accreditation with the Gold Standards Framework in End of Life Care (GSF) the structure and discipline of recording patients’ end of life wishes has enabled staff to work with families to offer better end of life care and improve family experience of the last few days of life for their loved ones.

Aim Using a retrospective review of the feedback received from families of those patients we haves supported through to the end of life we sought to demonstrate the impact that a having an ACP in place makes on the patient and family experience of care

Methods Care Record Review.

Results Where an ACP was in place, either before admission or during the early stages of the care home journey the reported experience of the families for their loved ones last few days of life was better

Discussion When is it appropriate to approach people with dementia to discuss their ACP? And how do you involved families in this process?

Conclusion Where an individual with dementia had the opportunity to be involved in developing their ACP the reported family satisfaction with their relative’s last few days of life is reported as improved