Promoting Quality of Life in Care Homes

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Lessons learnt from My Home Life working with and for care homes

Professor Julienne Meyer CBE

Promoting Quality of Life in Care Homes

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Mission

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

www.myhomelife.org.uk

Promoting Quality of Life in Care Homes

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Founder of My Home LifePhase One: Vision(2005-7: HtA)Phase 2: Dissemination(2007-9: BUPA)Phase 3: Implementation(2009-13: JRF, DH, LA, City Bridge etc)Phase 4: Sustainability(2013-19: Age UK, Henry Smith)

Promoting Quality of Life in Care Homes

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Began small, now social movementUK HostsMHL England; City, University of LondonMHL Scotland, University of the West of ScotlandMHL Cymru, Swansea UniversityMHL Northern Ireland, Ulster University

International HostsMHL Australia, SA Innovation Hub & Flinders UniversityMHL Germany, Josef and Luise Kraft Foundation University of Nuremberg/Erlangen

Promoting Quality of Life in Care Homes

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Reflecting back on 10 years of MHLNot doing different things, but doing things differently

• Developing best practice together

• Focusing on relationships• Being appreciative• Having Caring Conversations

Promoting Quality of Life in Care Homes

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Enhanced Health in Care Homes

Four principles:

• Person-centred change• Co-production• Quality• Leadership NHS England (2016)

Promoting Quality of Life in Care Homes

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The NIHR Optimal StudySpecific features:

• Agree shared aims between care homes and the NHS

• Importance of care homes and NHS working together

• A joined-up approach across the whole system

• An understanding of/ access to expertise in dementia across ALL NHS and care home staff

Goodman et al (2017)

Promoting Quality of Life in Care Homes

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Something missing

Promoting Quality of Life in Care Homes

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Developing best practice togetherPersonalisation• Maintaining identity• Sharing decision-making• Creating communityNavigation (Integration)• Managing transitions• Improving health and health care• Supporting good end-of-lifeTransformation• Keeping workforce fit for purpose• Promoting positive culture

NCHR&D (2007)

Promoting Quality of Life in Care Homes

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Focusing on relationshipsFeeling a sense of:• Security• Belonging• Continuity• Purpose• Achievement• Significance

Nolan et al (2006)

Promoting Quality of Life in Care Homes

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Being appreciativeStrengths based:

• Discover• Envision• Co-create• Embed

Reed (2007)

Promoting Quality of Life in Care Homes

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Having caring conversations• Celebrate• Be curious• Connect emotionally• Consider other

perspectives• Collaborate• Compromise• Be courageous

Dewar & Nolan (2013)

Promoting Quality of Life in Care Homes

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MHL Leadership Support programme• Positive benefit on

managers• Enhanced leadership

skills• Better communication &

relationships with staff• Positive benefits for

residents and relatives Dewar et al (2017)

UK:• 1,285 managers• 43,690 staff• 25,700 residents

Promoting Quality of Life in Care Homes

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Working with and for care homes

Copyright: Kipper Williams

Promoting Quality of Life in Care Homes

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References• NHS England (2016) New Care Models: The framework for enhanced health in care homes’ NHS Version

1, Sept 2016, Gateway publication reference: 05811

• Goodman, C et al (2017) Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings, NIHR SDO programme report (For more details, https://medium.com/policyherts-reports/towards-better-healthcare-in-care-homes-2cf383dd7e4d)

• Dewar B and Nolan M (2013) Caring about caring: Developing a model to implement compassionate relationship centred care in an older people care setting, International Journal of Nursing Studies, 50(9):1247-58

• NCHR&D Forum (2007) My Home Life: Quality of life in care homes – Literature review, London: Help the Aged.

• Reed, J (2007) Appreciative Inquiry. Research for Change, London: Sage.

• Nolan, M., Brown, J., Davies, S., Nolan, J. and J. Keady. (2006). The Senses Framework: Improving care for older people through a relationship-centred approach. University of Sheffield. ISBN 1-902411-44-7.

• Dewar B, Barrie K, Sharp C, Meyer J (2017) Implementation of a Complex Intervention to Support Leadership Development in Nursing Homes: A Multimethod Participatory Study Journal of Applied Gerontology First published date: April-28-2017 10.1177/0733464817705957

Promoting Quality of Life in Care Homes

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Keep in touch!My Home LifeSchool of Health SciencesCity, University of LondonNorthamptonquareEC1V 0HB, London, UK

Tel: 020 7040 5776Email: mhl@city.ac.ukTwitter: @MyHomeLifeUKFacebook: @MyHomeLifeUKWebsite: www.myhomelife.org.uk