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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.
Quality of life in older age: messages from the Growing Older Programme
- Editors:
- OWEN Tom, BELL Louise
- Publisher:
- Help the Aged
- Publication year:
- 2004
- Pagination:
- 19p.
- Place of publication:
- London
The purpose is to understand the aspects of quality of life which are seen as most important by older people. This is so that care interventions can be targeted at the areas of their lives that older people themselves value most. The qualitative component has involved in-depth interviews with older people. These were aimed at finding out the key components that older people believe comprise 'quality of life' and how these are played out in their lives.
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.
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.
Better partnership between care homes and the NHS: findings from the My Home Life programme
- Authors:
- OWEN Tom, et al
- Journal article citation:
- Journal of Care Services Management, 3(1), December 2008, pp.96-106.
- Publisher:
- Taylor and Francis
Partnership between healthcare and social services agencies has been a major theme of government policy for the last ten years and the potential for care homes to contribute significantly to health and social care planning and provision is growing. Yet, despite this, partnership working and access to basic levels of NHS support for care home residents can often be very limited. My Home Life (http://www.myhomelife.org.uk), a UK programme led by Help the Aged, National Care Forum and City University, aims to improve the quality of life for those living, dying, visiting and working in care homes for older people. The programme has identified the need for improved access to health and health care as crucial in optimising the quality of life of older people in care homes. This paper explores the current difficulties that face care homes in accessing healthcare services and examines the potential for better partnership working between care homes and the NHS as a means of delivering better access to healthcare for residents. The paper draws on the learning from a joint event hosted by the Care Services Improvement Partnership and My Home Life programme in collaboration with the Care Homes Learning Network (South West), which brought together a range of stakeholders from the NHS, social services, academic institutions and the care homes sector to discuss how best to improve partnership working.