Lessons learnt from My Home Life working with and for care homes Professor Julienne Meyer CBE
Mission Promoting quality of life for those living, dying, visiting and working in care homes for older people. www.myhomelife.org.uk
Founder of My Home Life Phase One: Vision (2005-7: HtA) Phase 2: Dissemination (2007-9: BUPA) Phase 3: Implementation (2009-13: JRF, DH, LA, City Bridge etc) Phase 4: Sustainability (2013-19: Age UK, Henry Smith)
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
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
Enhanced Health in Care Homes Four principles: Person-centred change Co-production Quality Leadership NHS England (2016)
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)
Something missing
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)
Focusing on relationships Feeling a sense of: Security Belonging Continuity Purpose Achievement Significance Nolan et al (2006)
Strengths based: Being appreciative Discover Envision Co-create Embed Reed (2007)
Having caring conversations Celebrate Be curious Connect emotionally Consider other perspectives Collaborate Compromise Be courageous Dewar & Nolan (2013)
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
Working with and for care homes Copyright: Kipper Williams
References NHS England (2016) New Care Models: The framework for enhanced health in care homes NHS Version 1, Sept 2016, Gateway publication reference: 05811 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, https://medium.com/policyherts-reports/towardsbetter-healthcare-in-care-homes-2cf383dd7e4d) 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):1247-58 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 1-902411-44-7. 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-28-2017 10.1177/0733464817705957
Keep in touch! My Home Life School of Health Sciences City, University of London Northamptonquare EC1V 0HB, London, UK Tel: 020 7040 5776 Email: mhl@city.ac.uk Twitter: @MyHomeLifeUK Facebook: @MyHomeLifeUK Website: www.myhomelife.org.uk