A new blog from our CEO for World Elder Abuse Day

Open our eyes and ears… Jean to all intents and purposes was a confident, articulate and outgoing individual. She put a good face to the world with a close group of friends whom she had known for years and who all still kept in touch with each other even if less frequently. Jean was in her late 80s and lived a quiet suburban life with her son and daughter-in-law. As her health declined over the years and particularly following a stroke she needed more and more support to manage the ordinariness of living. But she got there and often with a humour beyond her conviction and a positivity which was the object of much admiring comment. She went out as much as she could, attending a local lunch club for older people and was also consistent in her attendance at her local church. That was the Jean that the outside world saw. The real Jean was a woman whose life had been turned upside down since her son lost his job and came to stay with his mother, bringing along with him his wife who Jean had never really seen eye to eye with. After a brief honeymoon where everyone danced on the eggshells of shared living, being polite and sensitive to accommodating the rhythms and routines of others, things began to get first moody and then heated and angry. It started with small verbal barbs and putdowns and soon escalated into loud arguments and verbal challenges; open and subtle domination on the part of her son and snide, belittling asides from her daughter-in-law. Jean began to retreat into her own world, using silence as a weapon to create absence in her own home. She watched her words so much that she stopped conversing and just watched the television when she was at home. The domination reached a new level when her son, on the pretext that he thought Jean was developing dementia, persuaded her to allow him to be her Power of Attorney, and then took charge of her pension card. Jean was given pocket money whilst her son’s taste in fine wine developed literally at her expense. Jean is the victim of abuse and harm. She is hidden, in part by her own sense of shame and embarrassment, in part by the inability of people around her to think the unthinkable and to see the signs of abuse. Today (Sat 16thJune)  is the United Nations World Elder Abuse Awareness Day – a day when we reflect on the harm which countless millions of older people experience across the world. Scotland has some fantastic legislation which protects and supports the victims of harm and abuse. But of course, legislation is not what ultimately safeguards individuals who for whatever reason might be vulnerable. What protects is a community which recognises the small signs that things might not be right. It is relatively easy to recognise the victims of physical harm, albeit that bruises and marks are often hidden. It is much harder to recognise the countless older women and men who are the victims of sexual abuse, psychological and financial harm or are the objects of hatred. But sadly they live in every community of Scotland. They live in homes with threadbare carpets and lace curtains, they live in streets of Georgian townhouses and Victorian tenements , behind quaint scenic village doors and in newly built housing estates. Abuse knows every village and town, every social standing and occupational group, every ethnic heritage and every sexual identity. Today look around you. Listen for the dropped remark and quiet word. Hear the fear in a trembling voice or a shed tear. Spot the furtive anxiety and desire to be invisible and small. Don’t dismiss your intuitive concerns but take a moment to think about whether you need to ask, to speak, to do. Jean and countless like her depend on our eyes, our voices and our actions. Thankfully in Jean’s case her home care worker spotted the signs and now Jean is free. Dr Donald Macaskill @DrDMacaskill  

Celebrating John’s Campaign as part of Carers Week

Caregivers across Edinburgh came together on Wednesday 12 June to celebrate Johns Campaign and highlight the work undertaken over the last year.

John’s Campaign was founded in November 2014 by writers Nicci Gerrard and Julia Jones and endorsed by the NHS in 2016. It was established in memory of Nicci’s father John Gerrard who had Alzheimer’s. After being hospitalised with leg ulcers, caregiver access was restricted which left John and his carers distressed and he sadly passed away while in hospital.

John’s Campaign recognises the important role of those family members who care for people who are living with dementia. Behind its simple statement of purpose lies the belief that carers should not just be allowed but should be welcomed, and that a collaboration between the person living with dementia and all connected with them is crucial to their health and their well-being.

Currently within Edinburgh Health and Social Care Partnership, 65 care homes (statutory, independent and voluntary) pan Edinburgh promote and support Johns Campaign.

The pledge made by all Edinburgh care homes states:

‘Care homes in Edinburgh welcome and support carers of people living with dementia, or other life limiting conditions. We understand that as a carer your knowledge and expertise can make a huge difference to how people become comfortable and contented within our care homes. If you wish we would encourage you to be involved in aspects of planning and delivering effective person centred care for the person as you know them best’.

 

One care home highlights a small but significant change in line with Johns Campaign:

‘We have had some excellent interactions with family members. One entire family moved in for the week leading up to a Residents death – we gave them a lounge ( which was conveniently next to their mothers room) and they stayed here with us using staff showers, being fed by the kitchen and spending very special time together.  Another gentleman comes to see his wife and have his meals with her. Another visitor comes every Wednesday to have breakfast with his friend. Our door is never closed and visitors know they can come and see their loved one/ friends whenever they would like to.’

 

Scottish Care, as the representative body for independent sector social care services, supports and encourages the adoption of the Johns Campaign.

This carers’ week we want people to know that we will support and encourage them if they would like to be involved in providing care. The role and experience of families, friends, and carers have supporting and comforting people through any illness, but critically dementia, is absolutely invaluable.

Home Care Conference Resources

Scottish Care’s 13th Annual Care at Home & Housing Support Conference, Exhibition and Awards took place on Friday 17th May 2019 at the Marriott Hotel in Glasgow.

Over 200 day delegates attended the conference including care providers, local authority, NHS, Scottish Government and regulatory colleagues.  We also welcomed 30 sector suppliers and partners who created a vibrant exhibition space at the conference.

The title of this year’s conference was ‘Redressing the balance: the potential of home care” and was kindly sponsored by Quality Compliance systems.

The conference aimed to address the issues impacting on Scottish Care members and the wider care sector. Delegates heard challenging, inspiring and thought-provoking contributions relating to the following crucial topics:

  • How do we shift the balance from time and task to a human rights-based approach to commissioning?
  • How do we push towards fairer funding for providers and the workforce?
  • How do we gain recognition for the important role of home care within an integrated context?
  • How do we embrace technology without compromising on compassion?
  • What learning can we revisit to really achieve positive change?

We are extremely grateful to all conference contributors and are delighted to be able to share slides from our esteemed speakers and insight session leaders.

If you would like any more information about the event or future Scottish Care Conferences, please email [email protected]

 

Keynote speakers:

Professor Peter Gore - ADL Smartcare & Newcastle Institute for Ageing

Dr Donald Macaskill - Scottish Care CEO

Insight sessions:

Resources launched at conference:

About Rights Made Real in Care Homes

About the project

Rights Made Real in Care Homes is an exciting new project, funded by the Life Changes Trust and delivered in partnership with Scottish Care and the University of the West of Scotland.

The overall aim is to improve the quality of life of those living in a care home and to help support staff to not only recognise but embed human rights into their everyday practice.

The project funds creative and innovative projects and ways of working that will benefit people living with dementia and show others how to make rights real in care homes.  All partners in this project are committed to ensuring that older people, including those living with dementia, have a right to maintain strong connections with family and friends, with their communities and with the things that matter to them regardless of where they live.  We believe that people of all ages, circumstances and conditions have a life to live, the right to thrive and hopes and dreams to achieve.

Partner organisations

Life Changes Trust is an independent Scottish charity, established in April 2013 with a £50 million endowment from the Big Lottery Fund. Their vision is to see a Scotland where all people affected by dementia and young people with care experience see a positive and permanent shift in their quality of life, well-being, empowerment and inclusion. They have therefore funded this rights focused project “Rights Made Real in Care Homes” with a sum of £135,000.

Scottish Care is a membership organisation that represents over 400 independent sector health & social care providers across Scotland. They are the voice for Scottish care providers and service users and their vision is to shape the environment where care services can not only operate but thrive. Their role in this project is to share the learning coming out of the projects with their membership and wider networks with a view to celebrating the great work that the workforce is involved in and the difference it is making to the lives of those living in a care home.

The University of the West of Scotland believe in their students’ future and have a proud record in delivering work-ready graduates and developing effective partnerships with business, industry and the public and voluntary sectors.  Through their innovative learning partnership they invest in people’s potential to shape their future. Built on uniting students, professionals, industry and our communities, this partnership stretches from the West of Scotland around the world. They believe in the transformative power of active learning and engagement. They treat students as individuals, partners and potential leaders in their fields and professions, providing them with the globally relevant knowledge, skills and confidence to think critically and to challenge received wisdom.  Life Changes Trust awarded funding to the University of the West of Scotland for the role of learning partner to support the seven projects who have been allocated funding as part of the Rights Made Real project.  The learning partner role aims to provide support with data generation and analysis, provide opportunities for ongoing reflection and learning, and harness and share the learning between projects through the development of a learning community.

Project support staff

Verity Monaghan - Human Rights Project Worker (Scottish Care)

Verity Monaghan is the human rights project worker working under Scottish Care. Her role centres around helping people with their capacity to understand human rights and how this is delivered in practice. This takes the shape of encouraging care home staff and residents to use human rights language in their everyday language. This includes helping to shift the culture to one of empowerment and participation for all in relation to human rights, facilitating small human rights workshops to further understanding, sign posting to relevant resources and building confidence of staff in taking a human rights based approach to care.

Tamsin MacBride - Learning Partner (University of West of Scotland)

Tamsin MacBride is a lecturer from the University of the West of Scotland and, alongside Professor Belinda Dewar (Principal Investigator), has been funded by Life Changes Trust to be the Learning Partner for the Rights Made Real In Care Home project.  This role involves offering advice and support in relation to different participatory methods that help to capture project outcomes; supporting project leads with evaluation; facilitating connection between projects to help to create a community of learning, where there is ongoing inquiry and reflection and in partnership with Scottish Care working with the project sites to articulate the how of bringing human rights to life in care homes.

How the project will help make rights real in care homes

Life Changes Trust has invested £135,000 into seven individual or groups of care homes across Scotland that have set up different projects that aim to enhance the lives of those living with dementia. There are a diverse range of projects which differ from a sensory garden in Tiree which will give the residents a safe and nurturing place to relax and access nature, to creating an auditing tool that helps residents to participate in the decisions around their care from beginning to end.

Different approaches and tools are being used to bring human rights to life and help those working in the care homes:

  • To become confident in looking at practice and conflicts from a human rights perspective and able to link the health and social care standards to their everyday practice.
  • To make the language of human rights user-friendly for all that work and live in care homes rather than a scary concept that is only used by specialists.

Workshops are one route so that staff members can develop and reflect on their practice but working alongside people is also vital as it allows staff to reflect in action and build confidence of identifying human rights.

Care homes involved in the project

Fairfield Care

Fairfield Care are a group of three care homes located on the East Coast in Fife and in West Dunbartonshire. There are over 30 staff and residents included in this project from August 2018 – July 2019. The ultimate objective is to develop the staff existing knowledge, behaviors and feelings towards human rights and what the new standards expect to achieve. For the person receiving care to be fully enabled to exercise choice and control over their lives the staff providing this care must also understand and be able to have the autonomy and confidence to support this person. Fairfield are using different approaches which consist of workshops on human rights, using the My Home Life tools namely caring conversations and the LIFE approach to explore conversations with residents and their relatives.

Fairfield are well on their way to becoming confident in the language of human rights and are developing a tool based on the health and social care standards that staff can use to map out the human rights they are covering in conversations and Life Sessions they are taking part in. This can then be developed and used in reviews and in anticipatory care planning. They are holding an event at a Future Forming event in August 2019 to share and celebrate that learning with other organisations and stakeholders.

 

North East Angus Care Home Group

North East Angus Care Home Group is a group of five care homes in the Angus area. Working together with colleagues from the NHS, Dementia Liaison team and care managers this long term project is running from December 2018 to December 2020 and aims to create an innovative toolkit of participation that is built upon the individual regardless of their cognitive impairment. The end result will be a mobile app that allows this learning to be easily shared with other care homes.

This is an area of work that has not been interrogated in the same ways as some other aspects of care home life for people living with dementia and Angus East Care Home Group is leading the way in making this a reality for those living in their care homes. An auditing tool has been created and is currently being used to identify all areas in which a person receiving care should be involved and making this as transparent and accessible as possible. Participation looks different for each individual, from small decisions to be included in larger processes. Therefore, the project is not focusing on solely changing formal processes but looking at how to shift the culture within their care homes. A piece of work that will firstly require current levels of participation within the home of each resident will be mapped. This will be done via observation - resident meetings, care practice, document review, care plans, reviews, service plans, discussions - with participating residents, relatives and staff members.

Evaluation of this mapping will then inform a series of culture changing and introduction to human rights workshops will be carried out with staff and care managers. They then hope to introduce new ideas and processes that allow individuals to participate fully in their care. My Home Life tools and input from the Scottish Health Council will be vital at this stage to map out the progress of the interventions with the final hope that a mobile app will be developed to share the valuable learning that has been achieved.

 

 

 

Andersons

Andersons Care Home in Elgin is a striking care home in the heart of their community. The building itself is steeped in history and those that work and live there are no different. This project has been running since August 2018 with the aim to finish in July 2019. The overall aim of this project is to develop person-centred interventions that explore the role of music in supporting a rights-based approach for people affected by dementia to: tell their story; support their personhood and identity and connect them with their community. This will hopefully take the shape of a toolkit that can be shared with other care homes and used to enhance the lives of those they support, from reminiscence to anticipatory care planning. The aim is to redefine a care home as a “community based home” rather than being attached to the current stereotypes there are to living in a care home. This aim has taken the researchers involved from Glasgow School of Innovation and those working in Andersons to the local community to involve the public and explore what people think of care homes.

There is work being done in both solo and group music sessions with those of all levels of cognitive impairment. The activity coordinator and the staff have invested time and devotion into making a difference in the lives of those they support. Themed events are planned throughout the year, with this year it being a “cruise around the world” where residents can experience familiar music as well as new music and sounds. This has linked in with other activities such as road trips around the community to help those living in the care home connect with memories. Music is being used to help create memories leading up to the end of residents lives and helping fulfill decisions even in their last moments.

Bankhall Court

Bankhall Court in Glasgow is a small care home in the heart of Govanhill in Glasgow run by The Mungo Foundation. On the outside it blends in well with the surrounding tenement flats, it is not the conventional image of a care home! However, internally the staff team and management are doing all they can to stand out and make the quality of those living within Bankhall Court as varied and exciting as possible. The project is running from September 2018 – August 2020 and will give Bankhall the resources to be able to access activities tailored to the individual person. With one member of staff to five residents this makes outings difficult. The hope is to have the residents participating in their local community doing things they enjoy and leading fulfilling lives lessening the feelings of social isolation or depression that can happen when living with Dementia. Throughout the project each Dementia Care Worker would be encouraged to spend more time with individuals, tailoring communication methods to help people to understand the choices available to them. Building staff confidence with regards to risk assessing activities and accessing the community.

Facilitating regular outings which involve family, friends and volunteers and evaluate how these are helping our residents to meet the outcomes in their person-centred care and support plans. Building staff confidence in carrying out outcome based reviews tailored to the health and social care standards. This has already had an impact on how staff are interacting with the person they support. By moving away from a formal process approach and replacing it with n individualistic approach, staff are able to have meaningful interactions and conversations and find out how to best support the person.

 

Jenny's Well Care Home

Jenny's Well care home is a newly built care home that opened in 2017 by the Royal Blind and supports older adults with sight impairment and other complex needs including dementia. Royal Blind used the opening of Jenny's Well to rethink the way that they support people moving from task centered routines to person centered empowered lives.

They are using the Senses Framework in their approaches which incorporates many aspects of human rights into it.

  • a sense of security (to feel safe)
  • a sense of continuity (to experience links and connections)
  • a sense of belonging (to feel part of things)
  • a sense of purpose (to have a goal(s) to aspire to)
  • a sense of fulfilment (to make progress towards these goals)
  • a sense of significance (to feel that you matter as a person)

This project will run from August 2018- July 2020 with the aim of enhancing and creating a range of activities that those with sight loss and dementia have chosen and enjoy. Two meaningful activity assistants have been coordinating this work, identifying and analysing the activities before and after to gain a sense of what people want and enjoy.

Jenny's Well already provides internal activities such as reminiscence, musical events, celebrations of key dates such as Valentine’s Day and Burn’s Day, news reading groups and exercise and dance groups. However, they are keen to look at external agencies that can come into provide activities for the residents based on what they enjoy within the home such as providing entertainment, using new technology that can improve accessibility for those with a visual impairment and bringing dogs or other animals into the home. Through this project, Royal Blind will gather further evidence of the best support for people with dementia in care homes to ensure they can continue to be active, be stimulated emotionally and intellectually and continue to have a good quality of life. Using this evidence as well as the knowledge and expertise the charity has already developed in supporting older people with dementia and sight loss, they will develop resources so this expertise can be shared with other care homes supporting people with sight loss and dementia. This will include the design, production, and distribution of information resources including a guide for homes supporting people with dementia who have sight loss.

Tigh A Rudha

Tigh a’ Rudha is the only care home on the beautiful Isle of Tiree. Ironically, the island boasts beautiful scenery and wildlife however the residents do not have access to a safe garden to experience all they have grown up with. This project takes the shape of creating a sensory garden from the car park area at the back of the care home. With initial setbacks through building permissions, they are now well under way to making this project a reality for those living in Tigh a’ Rudha.

Residents and their families have already given their input into the design of the garden and, once the garden is created, it is anticipated that residents will be involved in deciding how they want to use it and how they would like it to develop.

Tigh a' Rudha hope that the garden will contribute to a number of positive outcomes for residents, including a hope that they will have the freedom to choose to go outside and not to be discriminated against because of their age or cognitive impairment. They will be able to experience a high quality environment, outdoors as well as indoors and reap the benefits of having increased opportunities for sensory experience, both stimulating and calming with both raised flower beds, and herbs. The hope is that residents will have new sensory impressions from spending time in the garden and will become reacquainted with once familiar ones now lost to them. It will give opportunities for relatives to come and spend time with their loved ones in their home and maintain or re-establish the connections with the outdoors that come from living in a rural community. The project is currently at the stage where building work has commenced, the human rights project worker and other colleagues from My Home Life are planning to visit in the Summer months and carry out an introduction to human rights workshop which will link staff with the health and social care standards and why it is so important for people to be able to access the outdoors in their home in a safe and relaxing environment.

One relative commented that….

Mum loves to get her hands in the earth.  Gardening helps her keep in touch with part of herself, keep in touch with life.  For example, with cut flowers she checks they have enough water.  The garden will be somewhere to be but also something to look at.  My mum comes alive…it is deeply ingrained in her, she lives and breathes with what is happening in the garden, it perks her up.  I think it will be fantastic [the garden] I feel hopeful.  When Mum goes outside, she takes a big long sniff, she is desperate to get out.”

 

 

Laurels Lodge

Laurels Lodge Care Home in Aberdeen is owned and managed by Four Seasons Health Care. They have been working on their project since November 2018 and are due to finish up in November 2019. The overall aim is to create an enhanced process of anticipatory care planning workshops on human rights and anticipatory care planning from colleagues from Scottish Care and also lecturers in Nursing at Robert Gordon University. The aim is to build staff confidence around navigating end of life discussions which means working closely with families (who might have power of attorney or guardianship) to ensure that the persons previous preferences are not lost in discussions and decision making around anticipatory care with professionals. From a ‘rights’ perspective this is challenging and requires excellent adapted communication with people who live with dementia and those who support them.

The workshops have been running since March time and have so far have been very successful, with staff commenting on how much more confident they feel in themselves. It has enabled staff to be more autonomous and build trusting relationships with relatives and the residents as they both learn about each other.

My Home Life tools have been successful in identifying and celebrating what staff already do and how to build on this. They are now mirroring this approach in their outcome-based reviews. There has been a shift from a formal process in the shape of a tix box exercise to ensuring they keep the person at the centre of the process, working with them to help them live life on their terms, whatever that may be.

Whether it is arranging reviews at a time and place that suits the relative and resident or making sure that their views are taken into consideration for such times where they may not be able to express them any longer. The project has been very successful so far and the hope is the legacy of this work will continue to positively influence and empower staff and management to continue their journey of co-creating, learning and enablement of making rights real for those living within Laurel’s Lodge.

 

 

 

Hopes for the project

Herbert Protocol launched in Edinburgh

Launch of the Herbert Protocol in Edinburgh

The Herbert Protocol is an information gathering tool to assist the police to find a person living with dementia who has been reported missing as quickly as possible.

The Herbert Protocol was launched in Edinburgh on 4 June and we are encouraging people to find out more about the Herbert Protocol and pass the information on to anyone that it may be helpful for.

Edinburgh Health and Social Care Partnership, Police Scotland, Scottish Care and Alzheimer Scotland have been working in partnership to increase awareness and promote use of the Herbert Protocol in Edinburgh.

The Herbert Protocol is a nationally recognised scheme supported and endorsed by Police Scotland.  The initiative was first developed by Norfolk Police. It is named after George Herbert, a war veteran of the Normandy landings, who lived with dementia. George Herbert died whilst ‘missing’, trying to find his childhood home.

 

Who is it for?

The Protocol can be used for anyone who has a dementia diagnosis and may be at risk of going missing. People living with dementia often have loss of short term memory but can easily recall memories from decades earlier. Sometimes those who are reported missing are attempting to make their way to a place of previous significance to them.

 

What is it and how does it work?

The Herbert Protocol is an information gathering tool that encourages carers and families to record vital information on a form. This can be handed to police in the event of someone going missing.

It helps police to quickly access important information, avoiding unnecessary delays in gathering information at a time of crisis. The form records vital information such as where the person grew up, favourite places, former or current hobbies, GP contact details, medication, daily routine, a picture of the person with consent to share this on social media should it be required.

Once complete, the form can be retained by carers, or placed within the home or care setting in a safe but prominent position, so the information is easily available to police when required.

 

The Herbert Protocol form can be found on the Police Scotland Edinburgh webpage along with other information

Please pass on information on the Herbert Protocol to anyone it may be of use to. This can include colleagues, friends and family affected by dementia in Edinburgh. The completed form can be stored electronically as well as in paper form, but it is important that the family and friends of the person with dementia are the ones who keep the form.

 

If you require a large quantity of printed forms or wish to arrange for someone to come a speak to staff about this initiative, please contact Rachel Howe on [email protected] to arrange.  You can also send her any questions you may have.

 

SSSC continuous learning consultation

The Scottish Social Services Council (SSSC) has launched a consultation about proposed changes to the way SSSC registered workers record and submit their post registration training and learning (PRTL).

The consultation is open until 21 July 2019 and is particularly looking for responses from SSSC registered workers and supervisors/managers.

To find out more about the consultation, click this link: http://ssscnews.uk.com/2019/05/27/prtlconsultation/

New Care Inspectorate surveys for care homes

The Care Inspectorate have developed new care surveys for care homes for older people that link to the new quality framework for inspecting care homes for older people.

These new care surveys have a stronger emphasis on hearing about people’s experiences and outcomes.

These new surveys replace the old care standards questionnaires. They have fewer questions and include packs of sentiment and response cards to support people to express their views more easily and simply, if they need to.

The Care Inspectorate have also produced guidance on how services can support people to give their views using the new surveys and card packs. If you have already received the older style care standards questionnaire, please continue to use them.

You will receive the new surveys and card packs in much the same way you used to receive care standards questionnaires.

Click here to find out more, see the new materials and get guidance on how you can use them.

Dementia Inclusive Choirs Network: have your say on what’s needed

Luminate has been awarded funding by the Life Changes Trust and the Baring Foundation to set up a dementia inclusive choirs network for the whole of Scotland.  Supported by partners Age Scotland, Scottish Care and Making Music, the nation-wide network aims to ensure that people living with dementia and their carers have the opportunity to sing in a choir in their local area.

We need your help to make sure that our plans for the new dementia inclusive choirs network meet the needs of choirs across Scotland, and the needs and wishes of people living with dementia and their carers.

We would therefore be most grateful if you could complete this short survey: https://www.surveymonkey.com/r/choirsnetwork

There is the option to provide a paper copy of the survey if this is preferred.  You can request this by phoning the Luminate office on 0131 668 8066.

The closing date for the survey is Monday 17th June at midday.

To find out more about the Dementia Inclusive Choirs Network, visit: https://www.luminatescotland.org/dementia-inclusive-choirs-network

 

The Truacanta Project: Helping each other with death, dying, loss and care

Are you interested in taking community action to improve people’s experiences of death, dying, loss and care?

Are you or do you want to get involved in practical work to build compassion in your own community?

The Truacanta Project is seeking expressions of interest now!

Find out more information and express your interest: www.goodlifedeathgrief.org.uk/content/thetruacantaproject

View the Project flyer

 

The Trucuanta Project is an exciting new initiative that will work with communities to develop projects around improving people’s experiences of deteriorating health, death, dying and bereavement. After an initial application process, up to four communities from across Scotland will receive dedicated community development advice and support for two years.

Expressions of interest are now being accepted until 15/06/19

A shortlisted number of interested communities will then be supported to put together a more detailed application to be part of the project

 

Further information:

The Truacanta Project, Scottish Partnership for Palliative Care, CBC House, 24 Canning Street, Edinburgh EH3 8EG

Tel: 0131 272 2735

www.goodlifedeathgrief.org.uk/content/thetruacantaproject

Facebook: LifeDeathGrief

Twitter:@LifeDeathGrief

Instagram: @lifedeathgrief