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Promoting Quality of Life in Care Homes




My Home Life: Themes




 Professor Julienne Meyer
Promoting Quality of Life in Care Homes




1) Maintaining identity
         “It is important for people to
         realise that what may seem a
         small matter to the management
         of the organisation is of great
         importance to some people
         living in a place. Everyone has
         different standards and tastes,
         but knowing the individual and
         their ways is helpful”
Promoting Quality of Life in Care Homes
Promoting Quality of Life in Care Homes




           Maintaining identity

•How can we best
understand the person
beneath the dementia or
the individual inside
their frailty?
Promoting Quality of Life in Care Homes




       2) Sharing decision-making

“There is a lot of
experience among us
[residents] but the skills
we have developed in
our lives are completely
wasted … There are a
lot of things that
residents could share if
give an opportunity.”
Promoting Quality of Life in Care Homes
Promoting Quality of Life in Care Homes




        Sharing decision-making

•How can we prevent
the routines in a home
eroding a resident’s
sense of control and
purpose?
Promoting Quality of Life in Care Homes




        3) Creating communities
“When I was not well
one day, a lot of
residents came up to see
me as they missed me
and visited me. It has
helped. It is the other
residents and staff
together – everybody. I
have more friends
here.”
Promoting Quality of Life in Care Homes
Promoting Quality of Life in Care Homes




           Creating community

•How can we prevent
care homes from
becoming ‘islands of the
old’?
Promoting Quality of Life in Care Homes




            4) Managing transitions
“I have lived in this
residential home for two
years … I have now
rebuilt my life, thanks to
the proprietor and staff. I
now want to put the past
behind me and live in the
present and live as active
a life as possible.”
Promoting Quality of Life in Care Homes
Promoting Quality of Life in Care Homes




           Managing transitions
•How can we help
residents and relatives
cope with the upheaval
and loss associated with
moving into a home?
Promoting Quality of Life in Care Homes




    5) Improving health and healthcare
“It was useful to have
access to a
physiotherapist or
occupational therapist
when I needed it to help
me with my mobility to
enable me to be
independent and keep
my confidence"
Promoting Quality of Life in Care Homes




Improving health & healthcare
Promoting Quality of Life in Care Homes




    Improving health and healthcare

•Thinking creatively,
what can we do to
improve the health of
our residents so that
they can enjoy life
more?
Promoting Quality of Life in Care Homes




     6) Supporting good end-of-life
“Death is such a taboo
subject. It’s a big
problem because all of us
are so near to death. By
90 you can’t get much
nearer without knowing
that it is around the
corner, and we need to be
able to express that
sometimes if we want"
Promoting Quality of Life in Care Homes
Promoting Quality of Life in Care Homes




       Supporting good end of life

•What impact might
experiencing repeated
death have on staff,
residents and relatives?
Promoting Quality of Life in Care Homes




  7) Keeping workforce fit for purpose

“The more training
we’ve given the girls,
the better it’s been. The
better the care’s been …
the place is starting to
get a better reputation”
Promoting Quality of Life in Care Homes
Promoting Quality of Life in Care Homes




   Keeping workforce fit for purpose

•How do we know that
we have had sufficient
training to look after our
residents the best we
can?
Promoting Quality of Life in Care Homes




      8) Promoting a positive culture
“You get everything done
for you here, but I think it
tends to make you lazy. I
would love to be working.
I would rather cook for
myself but you are not
allowed in the kitchen,
and you are not allowed
in the laundry either”
Promoting Quality of Life in Care Homes
Promoting Quality of Life in Care Homes




       Promoting a positive culture
•How do we stop the
day-to-day tasks in the
home from getting in
the way of forming
positive relationships
with residents, relatives
and staff?

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Mhl themes

  • 1. Promoting Quality of Life in Care Homes My Home Life: Themes Professor Julienne Meyer
  • 2. Promoting Quality of Life in Care Homes 1) Maintaining identity “It is important for people to realise that what may seem a small matter to the management of the organisation is of great importance to some people living in a place. Everyone has different standards and tastes, but knowing the individual and their ways is helpful”
  • 3. Promoting Quality of Life in Care Homes
  • 4. Promoting Quality of Life in Care Homes Maintaining identity •How can we best understand the person beneath the dementia or the individual inside their frailty?
  • 5. Promoting Quality of Life in Care Homes 2) Sharing decision-making “There is a lot of experience among us [residents] but the skills we have developed in our lives are completely wasted … There are a lot of things that residents could share if give an opportunity.”
  • 6. Promoting Quality of Life in Care Homes
  • 7. Promoting Quality of Life in Care Homes Sharing decision-making •How can we prevent the routines in a home eroding a resident’s sense of control and purpose?
  • 8. Promoting Quality of Life in Care Homes 3) Creating communities “When I was not well one day, a lot of residents came up to see me as they missed me and visited me. It has helped. It is the other residents and staff together – everybody. I have more friends here.”
  • 9. Promoting Quality of Life in Care Homes
  • 10. Promoting Quality of Life in Care Homes Creating community •How can we prevent care homes from becoming ‘islands of the old’?
  • 11. Promoting Quality of Life in Care Homes 4) Managing transitions “I have lived in this residential home for two years … I have now rebuilt my life, thanks to the proprietor and staff. I now want to put the past behind me and live in the present and live as active a life as possible.”
  • 12. Promoting Quality of Life in Care Homes
  • 13. Promoting Quality of Life in Care Homes Managing transitions •How can we help residents and relatives cope with the upheaval and loss associated with moving into a home?
  • 14. Promoting Quality of Life in Care Homes 5) Improving health and healthcare “It was useful to have access to a physiotherapist or occupational therapist when I needed it to help me with my mobility to enable me to be independent and keep my confidence"
  • 15. Promoting Quality of Life in Care Homes Improving health & healthcare
  • 16. Promoting Quality of Life in Care Homes Improving health and healthcare •Thinking creatively, what can we do to improve the health of our residents so that they can enjoy life more?
  • 17. Promoting Quality of Life in Care Homes 6) Supporting good end-of-life “Death is such a taboo subject. It’s a big problem because all of us are so near to death. By 90 you can’t get much nearer without knowing that it is around the corner, and we need to be able to express that sometimes if we want"
  • 18. Promoting Quality of Life in Care Homes
  • 19. Promoting Quality of Life in Care Homes Supporting good end of life •What impact might experiencing repeated death have on staff, residents and relatives?
  • 20. Promoting Quality of Life in Care Homes 7) Keeping workforce fit for purpose “The more training we’ve given the girls, the better it’s been. The better the care’s been … the place is starting to get a better reputation”
  • 21. Promoting Quality of Life in Care Homes
  • 22. Promoting Quality of Life in Care Homes Keeping workforce fit for purpose •How do we know that we have had sufficient training to look after our residents the best we can?
  • 23. Promoting Quality of Life in Care Homes 8) Promoting a positive culture “You get everything done for you here, but I think it tends to make you lazy. I would love to be working. I would rather cook for myself but you are not allowed in the kitchen, and you are not allowed in the laundry either”
  • 24. Promoting Quality of Life in Care Homes
  • 25. Promoting Quality of Life in Care Homes Promoting a positive culture •How do we stop the day-to-day tasks in the home from getting in the way of forming positive relationships with residents, relatives and staff?