Friendship: Strachan House Care Home

Today, all day, during #carehomeweek17 we are celebrating #friendship. Scottish Care's Integration & Improvement Lead Rene Rigby describes how Strachan House Care Home helps to foster inter-generational friendships by linking up with pupils from the local primary school. 

"The care home itself is located between Craigcrook Castle and Blackhall Primary School in Edinburgh. It provides care and support for some eighty two residents.

 

"Pupils from Blackhall School are regular visitors to the home and their choir performs for the residents, who love to hear the young people singing.

 

"The school pupils also join with residents to participate in a ‘bridging the generation gap’ initiative, where the children write stories and then spend time with residents discussing their writings.

 

"This week, to celebrate the friendship between the community and those living and working at the care home, the residents and children were joined by relatives and staff and enjoyed an outdoor fair ground musical concert thanks to Dignity Charity. The music unlocked and evoked many memories. The sun was shining, the gardens were alive with the chatter of voices old and young, there was an enjoyable interlude when we all had an ice cream cone.

 

"The beauty of collaboration in this inter-generational event is that we combine strength with wisdom."

Rene Rigby

Care Home Week 17: Guest blog from Margaret Mackie

Today's #carehomeweek17 theme is #friendship and Anderson's Care Home in Elgin benefits from enjoying numerous enduring friendships with organisations based in their community. Margaret Mackie's blog below provides more insight into the value of these relationships to residents at the care home. 

 

In Anderson's, we believe that people in residential care should be able to enjoy a quality of life equalling, even surpassing what can be available to older people in their own homes. Individuality is important and actively promoted. Each person brings his/her own personality and unique life experience. 

One of our residents who is well known in the community and especially to our local football club, continues to attend home matches so we invited the football players to join us for tea, fun and games. So lovely for our residents to meet the players, coaches and legends from Elgin City Football Club. We were also joined by VIP Childcare Moray with whom we have a wonderful intergenerational link. The youngsters visit us on a weekly basis and entertain us with singing, stories and cuddles. VIP Childcare have their own vegetable plot in our gardens and our residents love to watch them planting their vegetables and watching them grow. The horticultural students from Moray College UHI  visit each week and attend to our gardens.  This is something special for residents who were keen gardeners. They enjoy picking the fruit and vegetables at the end of summer. We have also welcomed their beauty therapy students who spend time pampering our residents who really enjoy the attention.

We were very fortunate to welcome “employee volunteering” Chivas volunteers to join us on a couple of occasions. The first visit, they painted our fences in the gardens with the residents providing the juice and sweeties during the day. Their second visit, the Chivas volunteers assisted carers to escort our residents to East end School, with whom we also enjoy fantastic intergenerational links to watch their nativity play.

We Love to celebrate special events in a big way, i.e. Easter, Halloween, Christmas, Queens birthday, Valentine’s Day, Robbie Burns Day etc. Our residents look forward to these special events and enjoy helping to make the decorations at the arts and crafts group each Friday.  Once a year, we host a “Wig Wednesday” fun day. This is in aid of Clic Sargent supporting children with cancer. Residents really loved making their own hats and wigs and we were delighted to raise £333 for the charity.

Each Christmas we receive a special invitation to attend a Christmas dinner at our RAF base in Lossiemouth.  Gordonstoun school also send out an invitation to us each Christmas to spend an afternoon with them and enjoy a lovely high tea and entertainment from the pupils. We are regularly attended by volunteers from the students and there has been a community link with the school for over 40 years.

One of the most revolutionary ways in which Anderson's communicates with our community is via our Facebook page which shows all the wonderful things our residents participate in and all the events which take place.  By engaging in the medium of social media we have opened up a whole new world of communication for both our residents and relatives alike as social media has helped to bridge the gap in generational participation.

This is particularly lovely for families who live a distance away, especially those living abroad, who are able to respond and leave their own comments.  Our Facebook page is very popular and we receive thousands of likes on some of our posts.

Ordinary Living at Abbeyfield Kirkcaldy Society

It is Care Home Week 17 and today we have been focusing on Ordinary Living. 

The residents and volunteers at Abbeyfield Kirkcaldy Society have provided us a snapshot of their everyday lives and activities at the care home, providing wonderful insight into the friendships and joy fostered with care home living. 

Mary McKay

"I’m very happy and very comfortable here at Abbeyfield. In fact I’d be happy to spend the rest of my life here. I like the things we do, they are great fun and good. The food is good, there’s always something nice to eat. The staff always go out of their way to help."

Helen Key

"Life at Abbeyfield is very good. I find the staff exceptionally good. There’s always something interesting to do and I’m glad I came here to live. My husband came to visit but took unwell and he was allowed to move in here until he eventually went into hospital. I felt that was so very special and I’m grateful that it could be done. I have also been supported to achieve a life long ambition which was to go to see “Take That”. I was taken to their concert in Glasgow. I’ve got the tee shirt!"

Bill

"The family didn’t want me staying by myself due to my mental and physical state. And so the decision was made for me to move to Abbeyfield.

"Two of my biggest problems were anxiety and depression. Since coming here I’m feeling so much better, more confident and relaxed. Being here is helping me get back to a more normal lifestyle. There’s great support here from everyone. I’m allowed to help out in the kitchen set tables etc, things I once was able to do at home. I’ve established contacts at the local church where I’m going to begin volunteering and have been out with the walking group “bums off seats”. Having people around me has helped enormously, I’m much happier within myself and feel things are heading in the right direction."

Jeannie

"I’ve volunteered here for over eight years. I began shortly after my mum, who was a resident at Abbeyfield, had passed away. I feel me being here helps gives the care staff more time with the residents. I love all aspects of the work that I do. I have training when needed or wanted and the care staff are always supportive and great to work with. They have made me part of the team."

David

"My recent holiday to Pitlochry was first class in fact I would say it’s the best holiday I have ever had. The hotel was lovely, the food was terrific. I went in a Jacuzzi for the first time in my life. There were only a few others in the pool and the whole thing was marvellous. I loved the outing to the House of Bruar for a shopping trip, it was great fun – nice soup! It was so good I had two bowls of it. The visit to the new dam centre was really interesting, lots to do and see and the views were great. I liked the Heather Gems factory and shop and found gifts for my daughters. We went to the Black Watch museum but they took ages with the meals so we didn’t have much time to look around. The only two downfalls were the singer at the hotel who hadn’t a clue and the bank holiday traffic on the way up. It was a great crowd I was with and we had a great time. I’m happy living here at Abbeyfield, you couldn’t find a better place. This is my third holiday since I came here, last year was to the Trossachs, and every one has been special. Life here is great, good company, good food, great outings."

Care Home Week 17: Guest blog from Jai Chohan

To complement our Ordinary Living theme today during Care Home Week 17, we are featuring a blog from Jai Chohan at Broxburn Care Home. Harry was a resident at the care home and this blog describes how the staff were able to meet Harry's needs during his time there. 

Harry first came to our attention last summer via social work. He was residing in a home in Edinburgh where they were struggling to manage his level of stress while maintaining his independence. As a result, Harry had become difficult to care for and refused all help.  He was also absconding from the home regularly and displaying distressed reactions towards staff and fellow service users. Harry had no awareness of his own wellbeing or safety and in his own words believed everyone was ‘out to get him’ he just wanted to go home to his flat in Edinburgh and to see his friends at his local pub.

Harry had a history of alcohol abuse and suffered from poor mental health as well as his dementia diagnosis. As a team at the home we reviewed his needs and visited him at the home in Edinburgh. From this we felt that if we planned his care prior to admission, included him in his care planning and let him set his own realistic goals we could meet Harry's needs and improve his quality of life.

When preparing for his admission we used the issues that arose in his current home to prepare a safe and comforting environment for him. We also made sure all staff members were aware of Harry, his needs and our plans to encourage self-help. All staff in all departments played a huge part in Harry's care and in the improvement of his mood, care and general quality of life.

To care for Harry we had to get to know Harry.  He was allocated a key worker and named nurse, however everyone helped to bring Harry out of his shell. We found out about his life, his jobs, what made him happy and eventually he opened up about what made him sad and we began to get to the route of his problems.

Kitchen staff worked hard to include him in his meal choices to promote a regular varied diet. We saw his weight increase and he began to come out of his room and socialise at meal times. Housekeepers included him in cleaning his room as he would often leave his room in a very poor state.  Over time he began to take pride in his room and environment. He became close with staff and as he saw it, we were now his friends. We assisted with all his care needs when he first arrived as he did not want to look after himself. After encouragement, prompting and TLC, Harry began to shave himself, then shower himself, he put clean clothes on himself and cleaned his teeth. Before Harry became unwell he was primarily self-caring.

Harry was a very happy, caring and empathetic man who had lost his way slightly. Harry's dementia, mental health and alcohol issues were being treated but Harry the person had been forgotten. Our main goal when caring for him was not only to ensure he was healthy and comfortable, but also to meet Harry's own goals and outcomes. He wanted a pint in the pub, a cigarette, a Mars bar and a glass of cola at night amongst other day-to-day basic items. With every positive step Harry made with us we would help him meet one of these goals. We discussed why there were limitations for him, helped him to understand and included him how we would work around these.

We understood what he missed from his life and tried to incorporate it into his new life. He looked at Broxburn Care Home as his home and staff as his family and friends. We endeavoured to meet his everyday relationship and home comforts that he clearly craved.

Harry sadly became unwell and passed away, however while he was at Broxburn we strived to give him a good quality of life and believed that we did. He had his good days and bad days as we all do but during his year here he went for pints with staff and his son, regularly walked with staff to the shops, had a visit to Edinburgh and attended church. He became self-aware, happy and valued that he had met a lot of his own goals and we all still miss his happy face and silly jokes.

Care Home Week 17: Guest blog from Fiona Collie (Carers Scotland)

Carers, families and care homes

Moving into a care home can be a big decision that brings about many changes to people’s daily lives. Some of these changes will be welcomed by people and their families because they bring more safety and security, as well as the friendship and companionship that may be found from being around peers.

Carers often say that they have conflicting feelings about making a decision with or for a person that they have to move into residential care.  Carers have told us that they experience a mixture of sadness and guilt, whilst also feeling some relief that the person they are looking after will be given a level of practical care and assistance that is now too difficult to maintain at home.

 “I know the feeling of having a huge weight lifted off your shoulders.  It’s what I felt when I made the decision that my brother had to be in a care home, and simply could not live independently any longer.  I also know the guilt that comes with that decision.”

Anon: Carers UK Carers Forum user.

For some carers, the person moving into a care home will be their spouse or partner.  In the case of older people, very often, they will have been married and living together for 50 or even 60 years. For both, the idea of living apart may be unimaginable and heart-breaking.

 “After 42 years of marriage, I miss her beyond belief.  For even when she was ill, she was a presence in the home.”[1]

It’s important that staff in care homes recognise these difficult feelings and the fact that, for many carers, caring simply continues but in a different way.  Many carers say they visit every day, help at mealtimes and in activities and take their loved one out on trips.  Involving carers and families can be crucial to the wellbeing of the person living there.

It’s important to encourage and support family life.

Care homes do and should actively work to involve carers and families and they should be encouraged to be a key part of their loved ones lives. Carers can help in bringing in personal items to decorate the person’s room, with advice on the person’s likes and dislikes, and information about what the person does as part of their normal routine.

Families, especially couples, should have time and space for private, undisturbed time together.  Where possible they should also be encouraged to take the person out to visit local places such as cafés and shops and local events… or to help them maintain interests, hobbies or clubs.

Care homes can set up a carers and families group (if there isn’t one already), where all the carers who feel like it could get together to support each other and perhaps work together for the home – fundraising or organising outings are often popular. Also they can share their concerns, and come to staff together with any issues.[2]

Useful resources for carers, families and people working in care homes:

  • Video: Living in a care home: a positive outcome for a person with dementia

http://www.scie.org.uk/dementia/supporting-people-with-dementia/living-care-home-positive-outcome.asp

  •  The Relatives and Residents Association has a range of resources for families, carers and workers. http://www.relres.org/

 

NOTES:

 

[1] Read more: http://www.dailymail.co.uk/femail/article-2537556/I-wife-care-home-I-bear-guilt.html#ixzz4jVqVitHk
[2] Taken from (amended) http://www.scie.org.uk/dementia/carers-of-people-with-dementia/supporting-carers/hospital-and-care-homes.asp

Care Home Week 17: Guest blog from Sue Northrop

Ordinary life is extraordinarily precious when someone we love is in a care home. It’s the little things that make life sweet for people in care homes, families and friends.

When Mum went into a lovely care home, we were both exhausted. I had stopped being a daughter and become a carer; ever on duty, an unpaid care-worker. The move was a relief. Mum is well cared for and happy and I was involved from the start in discussing her care and our family chose things for her room. It was wonderful to watch Mum make friends and build relationships with staff, she began to feel at home.

I’d got my Mum back, plus over the years I’ve acquired a host of other residents as honorary relatives. I was no longer Mum’s carer, I was her daughter and Mum was smiling and happy. When you love someone with dementia, that sense of getting the person back is very special.

My current caring role is less physical and more emotional and social. I do the family phone calls; birthday cards, photos and videos; I keep alive and share old and new family stories and songs. We’ve created a new way of being a family and new memories.

The care home staff have been critical. At the heart is an open and honest relationship. I can share (almost) any concerns and they will tell me almost immediately if Mum falls or gets ill. I can visit any time.

Little things help us retain and create a new sense of ordinary family life. I buy Mum’s clothes and arrange regular family chats and share photos. I visit at coffee time - my family does nothing without a cup of tea. When the family comes down, the manager gives us a big room and enough tea and biscuits to refresh an army. These are precious family times, when we are just ordinary people.

Caring is for life, it doesn’t start when we call ourselves a carer or end when someone we love goes into a care home or dies. Going into a care home can make it really hard to maintain a sense of connection to family and ordinary life. What makes it work? Care home staff involve me, we have an honest relationship, we talk. I trust them and Mum feels at home and is clearly happy because the staff show her they care.

The home enables us to keep doing the simple family things we have always done and show our love and mutual support in many small ways. At the biannual review we focus on our common cause - Mum’s health and happiness.

If everyone in a care home is to have a positive experience, we need a culture and practice which value relationships equally with physical care. We need to understand that relationships can be damaged by how care is delivered and transitions managed. Our relationships are precious and last beyond our lifetimes, we need to care for them.

Care Home Week 17: Blog from Paul O’Reilly (Workforce Development Consultant)

Since beginning my role as Workforce Development Consultant with Scottish Care in March this year I have been so impressed by the dedication and passion exhibited by the many people I have met from organisations across the country.

In particular, the enthusiasm for delivering the highest standards of care by our front line colleagues has been humbling and energising.

Scottish Care’s Workforce Groups have been very well attended by representatives of every level within services. From Directors and Managers of services, the commitment to improving the experience for every one involved (both those receiving care and their families, to their own employees) has been evident and so encouraging. The positive attitude to innovation and the extra lengths services are prepared to go to in order to ensure people receive care and support that truly addresses their needs is something that we need to be more vocal about.

We have a sector full of ideas, energy and courage. Having the bravery to attempt new things when gaps in provision are apparent and there is little or no resource to fill them shows just how caring the Independent Sector is.

There will be other blogs this week which capture this, not least the one by Alison McPherson. Alison is Home Manager at Hillview Care Home and has prepared a blog that I would insist everyone should read. I will say no more than that as I could not do it justice!

While the commitment to care of senior staff has been so refreshing, as I said at the beginning of this piece, I have been most impressed by the front line workers that I have met and heard speak at groups and events.

We live and work in a time where the number of people requiring care is increasing daily. With this comes the heightened responsibilities of providing more and more critical levels of care to individuals who are living in their own homes longer. As a result, an increasing number of individuals are moving into care homes at a point where needs are far more complex than in previous times.

Despite the amount of differing pressures that our workforce are faced with each hour of every day, the dedication to improve the lives of everyone they work with has been imprinted on our Workforce Groups like words through a stick of rock.

From workers acting as Dementia Ambassadors attending our Promoting Excellence Group and speaking with such conviction and passion about what they do, would like to do, and what needs to happen to enable it – to care at home and care home colleagues speaking with such care and compassion about the palliative and end of life care they provide so frequently and want to improve on, it is evident that our workforce have the knowledge and drive to care for us all long into old age and beyond.

At a time when care services are more embattled by challenges than ever, the voices of the workforce tell me that we are in good, caring, hands.

Care Home Week 17: Guest blog from Gail Melville at Balhousie Lisden Care

Personalisation, Participation and Activities

My name is Gail Melville, I am the activities co-ordinator at the Balhousie Lisden Care Home in Kirriemuir. It is a genuine pleasure to spend time with residents, assisting and entertaining them in their home. As such, I take my role here seriously, and know firsthand how important participation and activities are in a care setting to enhance a person’s well being.

What my job entails:
My job includes lots of planning, budgeting and time management. I make sure residents’ birthdays, special occasions and seasonal occasions are celebrated, with parties, concerts or events to honour them such as Burns Suppers, Halloween, Easter and Christmas Parties, Open Day Summer Fete etc. A lot of this involves effective relationship building and communication with local community groups and organisations, as social engagement and inclusion for our residents is a high priority. Sourcing and planning outings for residents to various places is also part of my role. This can be from a one-to-one visit into town to do some shopping, right up to taking residents to our local ‘Music Cafe’ for song and community singing, joining the ‘Friday Fling’ dancing and socialising group organised by Alzheimer Scotland or taking residents to visit local landmarks and organisations such as The Guide Dogs for the Blind Association and Kirriemuir Connections etc. I also plan activities and groups involving the community such as a monthly Reminiscence Group in association with Angus Alive and Kirriemuir Library, as well as intergenerational projects involving nurseries, schools and community groups such as DD8 Music and Kirriemuir Connections, and arrange and attend meetings to make these happen.

Planning activities to meet the different needs of residents can be quite challenging at times, however, working alongside residents, their friends and families to find out their likes, dislikes, past and present hobbies and interests, and by communicating with them and compiling participation care plans, all help me in getting to know everyone’s individual needs and desires and planning accordingly.

My job role includes facilitating and carrying out activities for residents, ensuring they are enjoying what they are participating in and adapting activities to meet individual needs. I regularly communicate with residents and staff to inform them of the activities going on, when and where, and I make up and distribute a weekly activity guide, along with posters and information for our display boards around the home.

I also help to guide and mentor volunteers we have working within the home, such as senior pupils from Websters High School who assist with group activities.

Activities I carry out on a regular basis include:
General Knowledge Quiz, Movement to Music and Seated Exercises, Arts & Crafts, Bingo and other group games, Hand Therapy and Manicure, Skittles and Golf, Music Therapy, Gardening Group, Cooking & Baking, Pet Therapy, Cinema Afternoon, Accessing Outdoors, Weaving & Wool Crafts, One to One Time etc.

Another important aspect of my job is logging the activities I do every day in my Residents Activities Records folder. This folder contains a participation and engagement file for each resident, where I record their engagement and participation i.e. activities they have attended, how they engaged, any positive or negative outcomes, and improvements or suggestions etc. This folder contains no medical information and I regularly encourage staff, friends and relatives to read or add any information that is of benefit to resident’s participation.

Why I enjoy my job and do what I do:
There are many reasons I enjoy my job, but the main one for me is the reward of making someone happy. I know firsthand how important participation and activities are in enhancing a person’s well being. In my experience, it is often the littlest things in life that bring the highest of rewards, and if I can play some part in contributing to making our residents day a happy and fulfilling one, contributing to their self esteem, confidence and spiritual wellbeing, then I know I have succeeded in my role.

Dementia Ambassador:
My background prior to working with Balhousie Care Group is in Mentoring and Team Management and also facilitating non medical Mental Health Care i.e. alternative therapies e.g. Art Therapy, Music Therapy, Design, Meditation, Diet, Physical and Mental Exercise, Yoga, Pilates etc.

Over the past 3 months I have taken on the additional role as Dementia Ambassador within Lisden Balhousie. I feel that the additional knowledge I am learning ties in very well with Personalisation, Participation and Activities in the Care Home setting.

A large number of our residents have dementia, varying from early onset right up to advanced stages. Taking a personalised approach regarding everyone we care for is vitally important in delivering the highest standard of care and in understanding each of our residents needs are met.

As much as the facilitation of activities is important, in my experience, it is vitally important to provide our residents with the right environment to suit their needs. This can be something as simple as making sure that furniture is arranged in the correct way; that contrasting cushions are placed on chairs; areas of access are open and visible; noise levels are appropriate etc. I am always mindful also of the changing needs of those I care for. As their dementia may progress, so too may their needs change, therefore it is necessary to update my care plans accordingly, and to always be mindful that a success one day may be unsuccessful another day, so adaptation, an open mind, understanding, patience and resourcefulness are key to everything I do.

My Daily Moto:
• “Treat others with the care, compassion and understanding as you wish to be treated yourself”
• “See the person, not the illness”

Care Home Week 17: guest blog from Anne-Marie McKeich on North Merchiston films

North Merchiston Films

North Merchiston Care Home was privileged to be asked to be the host for Duncan’s project. A BAFTA Award winning film maker in their midst – wow!!!

The staff were excited that some of the residents would be able to tell their stories, and showcase care homes in a positive light, as the press surrounding care homes is often very negative.

There were a few reservations from the staff: would there be any residents able and willing to tell their stories on camera?  Would this upset the day-to-day running of the home? After all, it is the residents’ home.

There was no need to worry though.  Residents were more than willing to become involved and share their stories with Duncan and as you can see from the films, thoroughly enjoyed the experience.  The benefits far exceeded our expectations; we found out more about our residents and their past lives and it was a reminder to all care staff that the residents they care for are like them, with hopes, dreams and plans….

Duncan was a gentleman; he was sensitive to the needs of the residents and the day to day workings within the care home.  He was able to bring out the best in the residents as you can see in the films.

At the initial screening for the residents, their families and the staff, I don’t think there was a dry eye in the house by the end.

The films have been shown at Four Seasons Health Care conferences, Awards ceremonies and the Scottish Care Conference.  They have been uploaded to the home’s website and Four Seasons Healthcare Facebook site and used to highlight to staff that their residents were and are people with histories, and to learn about that will enhance how they care for them.

I would definitely be willing to participate again in a project like this and would encourage other care homes to do so also.

 

Anne-Marie McKeich

Regional Manager, Four Seasons Health Care

 

#carehomeweek17