Lessons learnt from My Home Life working with and for care homes
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1 Lessons learnt from My Home Life working with and for care homes Professor Julienne Meyer CBE
2 Mission Promoting quality of life for those living, dying, visiting and working in care homes for older people.
3 Founder of My Home Life Phase One: Vision (2005-7: HtA) Phase 2: Dissemination (2007-9: BUPA) Phase 3: Implementation ( : JRF, DH, LA, City Bridge etc) Phase 4: Sustainability ( : Age UK, Henry Smith)
4 Began small, now social movement UK Hosts MHL England; City, University of London MHL Scotland, University of the West of Scotland MHL Cymru, Swansea University MHL Northern Ireland, Ulster University International Hosts MHL Australia, SA Innovation Hub & Flinders University MHL Germany, Josef and Luise Kraft Foundation University of Nuremberg/Erlangen
5 Reflecting back on 10 years of MHL Not doing different things, but doing things differently Developing best practice together Focusing on relationships Being appreciative Having Caring Conversations
6 Enhanced Health in Care Homes Four principles: Person-centred change Co-production Quality Leadership NHS England (2016)
7 Specific features: The NIHR Optimal Study 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)
8 Something missing
9 Developing best practice together Personalisation Maintaining identity Sharing decision-making Creating community Navigation (Integration) Managing transitions Improving health and health care Supporting good end-of-life Transformation Keeping workforce fit for purpose Promoting positive culture NCHR&D (2007)
10 Focusing on relationships Feeling a sense of: Security Belonging Continuity Purpose Achievement Significance Nolan et al (2006)
11 Strengths based: Being appreciative Discover Envision Co-create Embed Reed (2007)
12 Having caring conversations Celebrate Be curious Connect emotionally Consider other perspectives Collaborate Compromise Be courageous Dewar & Nolan (2013)
13 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
14 Working with and for care homes Copyright: Kipper Williams
15 References NHS England (2016) New Care Models: The framework for enhanced health in care homes NHS Version 1, Sept 2016, Gateway publication reference: 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, 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): 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 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 /
16 Keep in touch! My Home Life School of Health Sciences City, University of London Northamptonquare EC1V 0HB, London, UK Tel: Website:
My Home Life: improving relationship-centred care
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