Promoting Quality of Life in Care Homes

My Home Life

Professor Belinda Dewar and North Lanarkshire My Home Life Associates

Promoting Quality of Life in Care Homes

My Home Life Programme UK

Promoting quality of life for those living, dying, visiting and working in care homes for older people.

Promoting Quality of Life in Care Homes

MHL VisionPersonalisation• Maintaining identity• Sharing decision-making• Creating community

Navigation4. Managing transitions5. Improving health & healthcare6. Supporting good end-of-life

Transformation7. Keeping workforce fit for

purpose8. Promoting a positive culture

Promoting Quality of Life in Care Homes

Relationship-centred careSecurity: to feel safeBelonging: to feel part of thingsContinuity: to experience links and

connectionsPurpose: to have a goal(s) to aspire

toAchievement: to make progress

towards these goalsSignificance: to feel that you matter

as a person

Positive relationships within the home and across the community of practice

Promoting Quality of Life in Care Homes

Change FundReshaping Care for Older People

Funded proposal:

• North Lanarkshire

• Glasgow x 2

• Edinburgh x2

• West Dunbartonshire,

• East Renfrewshire

• South Lanarkshire

• East Ayrshire

• Inverclyde

• South Ayrshire

Promoting Quality of Life in Care Homes

Aims of MHL Scotland•Provide learning experience for a small number of care home managers (Leadership and Support)

•Identify and reduce the barriers to QoL across the wider system (Community Development)

•Celebrate and share good practice across care homes

•To create a movement in Scotland which celebrates positive practice

Promoting Quality of Life in Care Homes

Community Development strand• Identify what care homes want to work on with local

authorities

• Identify what local authorities want to work on with care homes

• Run appreciative inquiry workshop to help resolve a shared issue of concern

• Leave care homes and local authorities working in better partnership

Promoting Quality of Life in Care Homes

What have we learned so far?

• The value of sharing our challenges and successes with peers

• We do not have all the answers!• We need to make time to ask others what

matters to them• We are just one expert among many

Promoting Quality of Life in Care Homes

What difference has this made

• ‘there is much less of an us and them – we are more of a team’

• ‘ I know how to help people to take a shared responsibility’

• ‘I am more open and transparent’

• ‘I care for relatives more and ask them about their lives and how they are’

• ‘I prioritise MHL and cancel things to come here – something I would not have done before’

• ‘We are coming up with much creative solutions to things by involving others in decisions about improvement’

Promoting Quality of Life in Care Homes

What people have implemented?• Changing structures of residents and relatives meetings

that are more inclusive

• Asking people on a regular basis what matters to them sharing this and acting on this

• Sharing what matters to the resident in transfer to hospital more systematically

• Implementing structures during supervision to explore how people feel about issues in the home and their development

Promoting Quality of Life in Care Homes

What have people implemented• Specific implementation groups e.g. environment

group made up of staff residents and relatives

• Actively giving and seeking feedback from the inspectorate about the process of inspection

• Giving each other feedback about language to make this more person centred

Promoting Quality of Life in Care Homes

What managers say….“We’ve all got the same kind of problems cropping up, it’s great to know you’re not alone and when we talk through the problems, the solutions become clearer.”

 

“It’s been really helpful for my personal development as well as beneficial to the home….it’s giving me the confidence to stand up for doing things right, it’s very motivating.”

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Promoting Quality of Life in Care Homes

Protected Mealtimes

Mealtimes

We operate a protected mealtimes policy in the care centre

Please refrain for coming in at these times

Please contact _______if you would like more information

Promoting Quality of Life in Care Homes

Mealtimes are precious times• Sitting down to eat good food in good company and in an unhurried

and peaceful environment can be the highlight of everyone's day.

• That's what we aspire to achieve for all of our residents. We cater to their individual tastes and provide meals that can be enjoyed with friends in the dining room or in the comfort of their own room.

•  

• We try to ensure there are no unnecessary interruptions from staff or visitors. If however you wish to visit at these times could you speak to the staff member in charge.

Promoting Quality of Life in Care Homes

It’s not about doing different things its about doing things differently by looking at what we do well,building on this, asking people what matters to them and not being defensive about their answers – butchoosing to see this as rich learning that can shapethe way things are done – this is My Home Life