my home life
DESCRIPTION
Professor Julienne Meyer Tom Owen. My Home Life. MHL Mission. Promoting quality of life for those living, dying, visiting and working in care homes for older people. MHL Support. Age UK, City University, & Dementia UK. Relatives & Residents Association National Care Forum (Co-Founder) - PowerPoint PPT PresentationTRANSCRIPT
Promoting Quality of Life in Care Homes
My Home Life
Professor Julienne Meyer
Tom Owen
Promoting Quality of Life in Care Homes
MHL Mission
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 SupportAge UK, City University, & Dementia UK
Relatives & Residents Association
National Care Forum (Co-Founder)
English Community Care Association
National Care Association
Registered Nursing Home Association
Care Forum Wales
Scottish Care
Independent Health & Care Providers
National Care Home R&D Forum
Promoting Quality of Life in Care Homes
Phases of My Home LifePhase One: Vision• (2005-7 – HtA)
Phase 2: Dissemination• (2007-9 – BUPA)
Phase 3: Implementation• (2009-12 – JRF, DH, LA,
• City Bridge etc)
Phase 4: Sustainability• Research & Development
• Enterprise Activities (LS&CD)
• Social action
Promoting Quality of Life in Care Homes
MHL Social Movement
•Evidence-based•Relationship-centred•Appreciative•Making a difference
Promoting Quality of Life in Care Homes
“Islands of the old”
The Government will support the work being led by My Home Life and national care provider organisations to work with their members to connect care homes to their local community.
Promoting Quality of Life in Care Homes
Recommendation 10
Care home providers should invest in support and regular training for their managers. As commissioners of care, local authorities have an important role to play in facilitating this.
Promoting Quality of Life in Care Homes
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
What older people really want ...See who I am!
(Maintaining identity)
Involve me!
(Sharing decision-making)
Connect with me!
(Creating community)
Bridges et al (2010)
http://www.city.ac.uk/bpop/
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
Nolan et al (2006)
Positive relationships between residents, relatives and staff and between care homes and their local community and wider health and social care system
Promoting Quality of Life in Care Homes
Activities
•Synthesising evidence
•Developing resources
•Creating networks
•Empowering leaders
•Supporting change
•Maintain momentum
Promoting Quality of Life in Care Homes
Leadership Support & Community Development•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)
•Create a supportive network for care homes in London to celebrate & share best practice, linked to MHL UK
Promoting Quality of Life in Care Homes
Big Care Home Conversation
“What makes life good in care homes now, what could make them better – and how might we get there?”
Promoting Quality of Life in Care Homes
Quality of Life IndicatorsDomains
1 Quality of care
2 Quality of life
3 Leadership
4 Economic Performance
5 Context
All QoL indicators for MHL were acceptedthrough the Delphi, except:
“% of staff who feel positive about changingpractice” (Promoting positive culture)
All QoL indicators for SF were acceptedexcept (staff):
security, continuity, belonging, purpose and significance
Promoting Quality of Life in Care Homes
Managing risk & Minimising restraint• Perceived overlap between ‘restraint’ and ‘abuse’
• Previous poor practice in the use of restraint
• Manual restraint
• Other forms of manual restraint
• (Arrangement of furniture; Lap belts, wrist and vest restraints; Bedrails; Deprivation of walking aids or means to summon assistance; Locked doors; Over-medication)
• Staff instructions, or institutional rules or practices
• Other forms of restraint mentioned in the study (Alcohol, cigarettes, sex, Environmental restraints)
• Negotiating and managing positive risk taking
• Risk assessment tools and restraint policies
• Training and practice development
Promoting Quality of Life in Care Homes
Quest for Quality
An inquiry into the quality of healthcare support for older people in care homes: A call for leadership, partnership and improvement
BGS (2011)
Promoting Quality of Life in Care Homes
Methods Review• Research in care homes is
complex
• Research partners: residents, relatives and staff as
• Impact the of cognitive and physical frailty, staffing pressures and the unique environments of care homes
• Well-being of participants and associated stakeholders in research design.
Promoting Quality of Life in Care Homes
My Home Life: Promoting quality of life in care homes
• Increasing role in supporting complex health and social needs
• UK policy - voice, choice and control
• How to make this happen?
Promoting Quality of Life in Care Homes
Wales“The Committee commends the work of the My Home Life project which we believe makes a valuable contribution to improving quality of life in residential care.”
p61
Promoting Quality of Life in Care Homes
Scotland•Care Commission•Nurse Consultant for Care Homes•Connect in Care•Improving Care for Older People Shared Space•SOFI/ROLFI tool•LSCD programme
Promoting Quality of Life in Care Homes
MHL Northern Ireland
• Big Care Home Conversation
• Raised £50K• Partners
– Univ of Ulster– Age NI– IHCP
Promoting Quality of Life in Care Homes
The future...•Vital part of care spectrum
•Demand increasing (40,000 beds needed in next ten years)
•Greater specialism
•Reducing pressure on NHS
•A sector that is emerging as having the potential to deliver quality for our frailest citizens in community and in care homes
Promoting Quality of Life in Care Homes
My Home Life Spirit
•Building upon energy, enthusiasm and best practice out there
•Collaborating, sharing, realising a vision for change
Promoting Quality of Life in Care Homes
Contact DetailsProfessor Julienne Meyer& Tom Owen
My Home LifeCity University LondonAdult Years DivisionSchool of Health SciencesNorthampton SquareEC1V 0HB, London, UKTel: +44 (0)20 7040 5776Email: [email protected] mhl
www.myhomelife.org.ukwww.city.ac.uk/dignityincarewww.city.ac.uk/bpop