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Promoting Quality of Life in Care Homes
(Photos)
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
(Photos)
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: [email protected]: @MyHomeLifeUKFacebook: @MyHomeLifeUKWebsite: www.myhomelife.org.uk