Supporting Care Homes and Carers to improve the quality of care for older and vulnerable people across Wales.
Care Home Cymru is one of the programmes that sit within Improvement Cymru, and are experts in developing, embedding and delivering system wide improvements across health and social care for the NHS in Wales. We work closely with Public Health Wales and our partners to support them to continually improve what they do and how they do it to help create a healthier Wales for all.
I was raised in care of the state. I am neither proud of it or ashamed of it. I would like to live in a world where future care leavers don’t suffer long silences & superficial victim or bootstraps narratives……
The overall aim of this grounded theory study was to explore the context of a nursing home as ‘home’ from the perspective of residents and staff. Sixteen focus group interviews were used to collect qualitative data from nursing home residents (N = 48) and staff (N = 44). Five distinct categories captured the views and experiences of participating residents and staff. These were: (a) Starting off on the right foot, ‘First impressions can be the lasting ones; (b) Making new and maintaining existing connections, ‘There is great unity between staff and residents’; (c) The nursing home as home, ‘It’s a bit like home from home for me’; (d) Intuitive knowing, ‘I don’t even have to speak, she just knows’; and (e) Feeling at home in a regulated environment, ‘It takes the home away from nursing home’. Together these five categories formed the basis of the core category ‘Knowing me, knowing you’, which captures the experiences of participants who repeatedly highlighted the importance of relationships and feelings of mutuality and respect between and among staff and residents as central to feeling at home in a nursing home. The reciprocity and mutuality associated with the core category, ‘Knowing me, knowing you’, was at times challenged by staff shortages, time constraints, and conflicting priorities associated with the co-existence of a regulated and homely environment.
Dementia is a major challenge for all of us and has escalated in importance on the public policy agenda. With the right support and early diagnosis people living with dementia can have a good quality of life. We know housing is a major part of the solution to living independently for longer, however, the evidence base on housing issues is limited.
Who are we?
The HDRC was founded in 2008 to address the evidence gap and is now the largest UK network of organisations and individuals specifically committed to research into accommodation and care for people with dementia.
The HDRC currently has around 70 members, about half of which are providers and commissioners of accommodation and care for older people. The rest are other interested parties including university researchers, architects, assistive technology providers, health and social care providers, independent consultants and representatives from third sector organisations….
Learn all about the Consortium by reading the blogHERE
Professor Christine Bigby, co-author of ‘Group Homes for People with Intellectual Disabilities’ (2009), introduces the Feeling at Home webinar on research and policy relating to the concept of ‘homeliness’ as a feature of group homes for people with learning disabilities.
A really good and significant blog from Lucy Series that warrants setting aside the time to read and digest…. (the opinion of the Residential Forum)
“Home is not the same as being ‘homely’ or ‘homelike’ – it is not about murals or pictures or wallpaper or knick-knacks, tablecloths and doilies. It is not even about surrounding someone by their own possessions (“personalising” their bedroom). More fundamentally, home is also about our relationships with our material environment, about practices of making home.”
This research project will make recommendations about how social workers can best support older people and carers, including how they work with other agencies. We will identify how the government and employers can best invest in, support and recognise social work knowledge and skills.
The Residential Forum suggest that some of the aspects of effective social work that may be of benefit to older people whose home is residential care or assisted living settings include:
assessment, care planning and review
carers and family support
application of safeguarding thresholds
best interests assessments
working with advocates
residential social work
It is too often the case that registered managers of care homes feel that they only time they see social workers is when something has gone wrong…
Aims to ensure that a child in care has a positive support network around them to help them during their time in care and in adulthood.
Family Rights Group supports local authorities to implement Lifelong Links with children in care. Training Lifelong Links coordinators, publishing tools and resources and providing consultancy support.
Lifelong Links had a significant positive impact on young people, with 74% living in their foster care or children’s home a year later, compared with 41% of young people who did not receive Lifelong Links. Lifelong Links also improved a young person’s sense of identity and increased the number of family and friends connections. The report is available to read in full here.
You can download an app and virtually explore The Home – a fictional residential care home provider. Meet the residents and staff, play games, watch short films and even cross the portal to explore what a Japanese care home is like.
In June 2019, the Care Quality Commission (CQC) published their smiling matters report which reviewed the state of oral health care in care homes across England. This called for mandatory staff training care in oral care and a greater awareness of the importance of good oral care and what this means from employers, carers, people accessing care and their families.
“In our day to day engagement, through our operations, we see many examples of good practice initiatives including Multi Agency Discharge Events (MADE), Discharge to Assess (D2A), Home First and hospital – or community-based hospital – multidisciplinary discharge teams. Many are working in successful partnerships with the voluntary and community sector.
Across the UK, we see how these initiatives are making a real difference to the home from hospital experience.”
However…. read the report and understand the issues around hospital discharge including for care homes in the community.