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Promoting positive mental wellbeing for older people
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publishers:
- Social Care Institute for Excellence, National Institute for Health and Care Excellence
- Publication year:
- 2020
- Pagination:
- 4
- Place of publication:
- London
A quick guide to help managers of care homes to identify older people’s individual needs and to improve their mental wellbeing by offering personalised support. The guide covers: valuing personal identity, providing a choice of meaningful activity, helping people to improve their health and mental wellbeing, and providing access to healthcare. The guide is based on NICE’s quality standard on mental wellbeing of older people in care homes. (Edited publisher abstract)
Personalisation: promoting independence in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 9 minutes 2 seconds
- Place of publication:
- London
Actors have been used in this short film. Emily is 94 and a resident of a care home, The context of the drama is the balancing of risks and freedoms for Emily. She wants to continue making tea for herself each morning, despite the risks of falls or scalds, and the staff team are anxious to ensure that arrangements are made which keep Emily safe. During the decision-making process, consideration is given to the risk of harm to Emily, balanced against her right to freedom of action. This film was previously available under the title 'Emily's safety'. (Edited publisher abstract)
Emily’s safety
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
Actors have been used in this short film. The film portrays Emily, who at 94 is a new resident of a care home, and the staff who care for her. The context of the drama is the balancing of risks and freedoms for Emily. She wants to continue making tea for herself each morning, despite the risks of falls or scalds, and the staff team are anxious to ensure that arrangements are made which keep Emily safe. Scene by scene, the film introduces some of the key principles of the Mental Capacity Act. During the decision-making process, consideration is given to the risk of harm to Emily, balanced against her right to freedom of action. Tensions are explored around whether or not Emily lacks capacity to make a decision. In the final scenes a best interests decision is made on Emily’s behalf. This film has now been reviewed and is available under the new title 'Personalisation: promoting independence in care homes'.
Magic moments in care homes
- Author:
- SWANSEA UNIVERSITY. College of Human and Health Sciences
- Publisher:
- Swansea University. College of Human and Health Sciences
- Publication year:
- 2016
- Pagination:
- 27
- Place of publication:
- Swansea
This booklet provides real life examples of how small things, such as letting residents help in the kitchen, can give individuals a sense of value and purpose, as well as providing reassurance that they matter and still have something to share. Care staff who share 'magic moments' with residents can respond more effectively to their emotional needs. These 'magic moments' can also help to address key challenges of positive images of old age, seeing the person, providing support based on meaningful relationships, focusing on people's strengths, treating people equally and listening to what older people say. The examples come from real people visiting and working in care homes in Wales. The booklet also includes exercises to help staff reflect on the 'magic moments' and explore the values, ideas and issues that they raise. (Edited publisher abstract)
What does personalization mean for care homes?
- Author:
- KELLY Des
- Journal article citation:
- Nursing and Residential Care, 13(6), June 2011, pp.299-301.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
This article explains the increasing government emphasis on person centred services and describes what it means for care homes. It also looks at how this approach can be implemented and describes tools that can help care homes provide the best outcomes for their residents.
Developing personal relationships in care homes: realising the contributions of staff, residents and family members
- Authors:
- WILSON Christine Brown, DAVIES Sue, NOLAN Mike
- Journal article citation:
- Ageing and Society, 29(7), October 2009, pp.1041-1063.
- Publisher:
- Cambridge University Press
Using a constructivist approach, the nature and types of relationships between residents, staff and family members were explored in three care homes in England using combined methods including participant observation, interviews and focus groups. The data collection and analysis occurred iteratively over 21 months and three types of relationships were identified: ‘pragmatic relationships’ that primarily focus on the instrumental aspects of care; ‘personal and responsive relationships’ that engage more fully with the particular needs of individual residents; and ‘reciprocal relationships’ that recognise the roles of residents, staff and family members in creating a sense of community within the home. This paper explores the contributions made by staff, residents and family members in the development of these relationships. The findings enhance our understanding of the role of inter-personal relationships in care home settings and of the factors that condition them. The implications for developing improved practice in care homes are also considered.
Working towards a 'new culture of activity provision in care homes - helping residents to 'live life'
- Authors:
- KNOCKER Sally, SILVER Sylvie
- Journal article citation:
- Journal of Care Services Management, 1(1), September 2006, pp.34-42.
- Publisher:
- Taylor and Francis
This article explores a positive way of looking at activity provision in care home settings, focusing on individual planning and a whole-day approach rather than traditional structured group activities and entertainment. Practical examples and direct quotes from residents interviewed in care homes are offered by the authors who both have extensive experience of delivering activities in innovative ways in care homes. It is concluded that while shifts in attitudes and approaches are needed, it can and should be an achievable goal for all older people in care settings to live life whatever their frailty or level of dementia.
The influence of organizational factors on the attitudes of residential care staff toward the sexuality of residents with dementia
- Authors:
- ROELOFS Tineke S. M., et al
- Journal article citation:
- BMC Geriatrics, 19(8), 2019, Online only
- Publisher:
- BioMed Central Ltd
Background: The attitudes of care staff toward the sexuality of residents with dementia they care for is assumed to influence the residents’ expression of their sexuality in the way they want. This paper examines the effect of organisational factors, person-cantered care, and the culture of the organisation on the attitudes of care staff toward the sexuality of residents with dementia in residential care facilities (RCF). Methods: Care staff in different functions at six RCF organisations (N = 187) participated. Using a survey, information were gathered on demographics and care-staff careers, attitudes toward resident sexuality, the culture of the organisation, person-cantered care, and knowledge of resident sexuality. Ordinary least square (OLS) hierarchical analyses were performed to analyse results. Results: Care staff attitudes were found to be positively affected by person-cantered care, and marginally positively affected by a supportive culture in the organisation, Moreover, knowledge of resident sexuality positively affected care staff ‘attitudes toward resident sexuality, and the presence of policy regarding resident sexuality affected them negatively. Conclusions: Despite different study limitations, these results give a first insight in a broad perspective on care staff attitudes toward resident sexuality. In addition to improving knowledge of the care staff, enhancing person-centred care and a supportive culture in the organisation will improve care-staff attitudes toward resident sexuality. (Edited publisher abstract)
Making a difference: building positive relationships between care staff and residents. A guide for care home managers
- Authors:
- ALIVE, BRISTOL CITY COUNCIL
- Publisher:
- Alive
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- Bristol
This booklet provides care managers with an introduction to relationship-centred care and includes ideas for putting this into practice in a care home. These include ideas for motivating staff to engage with residents, personalising the care home environment to reflect residents' lives and interests, positive risk taking and connecting with the wider community. It is designed to accompany the guide for care staff, which offers practical ideas for helping staff to get to know residents better. (Edited publisher abstract)
Models of change for care homes
- Author:
- LACY Pamela
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Drawing on the findings of a study carried out by Skills for Care, this paper aims to stimulate discussion about how care homes may support people with sight loss and suggest areas for further research and development. The study used a rapid evidence assessment (REA) and qualitative work with five care homes to identify models of change and their impact on the quality of care homes. The REA identified seven models which care homes could adopt to change culture and service delivery. Each model has links to the prevailing policy of person-centred care, along with choice, flexibility and quality improvements. The research also identified seven key characteristics in care homes that were important for supporting change, including the need for strong leadership and the participation from staff and residents. While the evidence of the impact of change, either positive or negative, was limited, some formal evaluations indicated positive outcomes for residents’ physical and mental health, as well as improvements in staff satisfaction. The paper ends with discussion points for care home owners and managers to encourage them to make appropriate changes. (Edited publisher abstract)