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Understanding care homes: a research and development perspective
- Editors:
- FROGGATT Katherine, DAVIES Sue, MEYER Julienne, (eds.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2009
- Pagination:
- 272p.
- Place of publication:
- London
Understanding Care Homes draws together a range of research and development initiatives that emphasise the importance of partnership working, and of enabling older people and their families to maintain the highest quality of life. The book is divided into three sections, each investigating how research and development can be undertaken to provide better care for the individual resident and their family, to enhance care at the organisational level and to develop the care home's relationships within the wider community. By addressing the concerns of residents and their families as well as those of carers and home managers, this book identifies how the generation of new knowledge through research can bring about real changes in care provision.
My Home Life: a new vision for care home practice
- Authors:
- OWEN Tom, MEYER Julienne
- Journal article citation:
- Journal of Dementia Care, 15(5), September 2007, pp.28-30.
- Publisher:
- Hawker
The My Home Life programme aims to improve the quality of life for everyone involved in care homes - residents, staff and visitors. This article outlines the vision of My Home Life and discusses the eight best practice themes identified: managing transitions; maintaining identity; creating community; sharing decision-making; improving health and healthcare; supporting good end-of-life care; keeping workforce fit for purpose; and promoting positive culture.
Care homes
- Authors:
- LUFF Rebekah, FERREIRA Zara, MEYER Julienne
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2011
- Pagination:
- 40p., bibliog.
- Place of publication:
- London
The main aim of this evidence-based guide, which draws on illustrative examples from a range of studies, is to help those new to the field of research in care homes to learn from the experience of others. It focuses on care homes for older people and on 3 broad methodologies as applied in care home research: qualitative, quantitative, and participative research. It covers the context and culture of UK care homes, preparing to do research and development in care homes, research funding, ethics in care home research, gaining access and working with care home management and staff, special considerations for different methods, good practice, reflections on analysis, and disseminating findings. It includes recommendations for research on adult social care practice.
Minimising the use of 'restraint in care homes: challenges, dilemmas and positive approaches
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, OWEN Tom, MEYER Julienne
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 51p.
- Place of publication:
- London
This report details research, part of the nationwide ‘My Home life’ (aiming to improve quality of life in care homes, appendix 3), into the use of physical restraint UK care homes. The study’s intent was to, for each ‘restraint’ method observed, highlight good practice in overcoming challenges, describe dilemmas for staff, residents and relatives, and make positive recommendations for future use. The intent of strategies suggested by these authors was to avoid or minimise physical restraint use, such as replacing manual restraint of movement, from chairs and around the home, to keeping residents getting up, by arranging furniture to create obstacle. Lap belts, wrist/vest restraints, and bed rails are explored, as is the deprivation of walking aids, means to summon assistance and the use of locked doors. Over-medication, staff instructions, institutional rules and practices are also visited. Other forms of restraint encountered are discussed under headings of ‘alcohol, cigarettes sex’ and ‘environmental restraints’. The authors discuss balancing risks with rights, risk assessment tools, restraint policies, training and practice development. Two further appendices, a guide to discussion of restraint between relatives, residents and care home staff, and evidence-based practical statements to be used during relationship-based are presented.
Moving from a victim blaming to an appreciative inquiry: exploring quality of life in care homes
- Authors:
- MEYER Julienne, et al
- Journal article citation:
- Quality in Ageing, 7(4), December 2006, pp.27-36.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This article highlights the need for researchers to work across disciplinary boundaries in order to capture the complexity that care practitioners have to engage with everyday in care home settings. Drawing on findings from a literature review on the complexity of loss in continuing care institutions for older people, the case is made for less victim blaming and more appreciative approaches to research. The way this thinking informed the development of a further literature review on quality of life in care homes is discussed. Findings from this second study are shared by illustrating key messages with quotes from older residents, relatives and staff living, visiting and working in care homes. These best practice messages focus on: transition into a care home; working to help residents maintain their identity; creating community within care homes; shared decision-making; health and health services; end-of-life care; keeping the workforce fit for purpose, and promoting positive culture. The importance of collaborative working in both research and practice is discussed.
My home life: promoting quality of life in care homes: summary
- Authors:
- OWEN Tom, MEYER Julienne
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- York
Older people have identified the importance of having control over how they lead their lives and the care that they receive. This is also echoed in government policy across all four nations of the UK. However, there remains a lack of real understanding of what this looks like in care homes and how to make it happen. This report summarises lessons from best practice in care homes, particularly regarding the promotion of “voice, choice and control” for older people and concerning the development of leadership in the care home sector. Key messages from over 100 examples of good practice submitted by care homes were explored with the sector. This study indicates that positive relationships in care homes enable staff to listen to older people, appreciate individual needs and promote greater voice, choice and control. Relationship-centred care was often central to examples of best practice. Care home managers were pivotal in promoting relationships between older people, staff and relatives. Care home providers and statutory agencies need to consider how their attitudes, practices and policies influence practice on the ground. Inappropriate policy can create undue pressure and unnecessary paperwork; ultimately reducing the capacity of care homes to respond to the needs of older people, it is alleged. Also, negative stereotypes of care homes can impact adversely on the confidence of staff and managers.
My home life: promoting quality of life in care homes: report
- Authors:
- OWEN Tom, MEYER Julienne
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2012
- Pagination:
- 81p.
- Place of publication:
- York
Older people have identified the importance of having control over how they lead their lives and the care that they receive. This is also echoed in government policy across all four nations of the UK. However, there remains a lack of real understanding of what this looks like in care homes and how to make it happen. This report summarises lessons from best practice in care homes, particularly regarding the promotion of “voice, choice and control” for older people and concerning the development of leadership in the care home sector. Key messages from over 100 examples of good practice submitted by care homes were explored with the sector. This study indicates that positive relationships in care homes enable staff to listen to older people, appreciate individual needs and promote greater voice, choice and control. Relationship-centred care was often central to examples of best practice. Care home managers were pivotal in promoting relationships between older people, staff and relatives. Care home providers and statutory agencies need to consider how their attitudes, practices and policies influence practice on the ground. Inappropriate policy can create undue pressure and unnecessary paperwork; ultimately reducing the capacity of care homes to respond to the needs of older people, it is alleged. Also, negative stereotypes of care homes can impact adversely on the confidence of staff and managers.