Wellbeing
home can also make the difference between them feeling lonely or feeling part of a family, and staff should remember that there may be nervousness or wariness about meeting new people, especially if the person is in pain or discomfort or experiencing feelings of loss.
The use of language
Think also about the language you use. Stop talking about admissions and start talking about moving home. Plan and facilitate workshops with staff to develop their empathy; remove their mobile phones from them during their break to help them understand the strength of attachment. Ask them to bring a suitcase full of items that they treasure to the care home and to talk about why the objects are important to them. Ask them how difficult it was to make their choices and to think about how residents may feel when they have to make those decisions when moving into the home. Compile guidelines for each staff member and ask them to contribute, adding the personal touches that they would like to see when a new person moves in. Even go as far as having practice runs, role play the resident
moving in and learn from the feelings that this provokes.
Every person moving into a care home has something special to contribute to the community. Only by looking for this and creating the right circumstances for that special something to surface will you find it. Moving house should be the start of an exciting new chapter with opportunities for new adventures and new friendships, yet too often it is not given the special status that it deserves. A good experience of moving home can be achieved with the right vision and values; it just needs more thought and ownership by all members of staff if this is going to become a reality.
References 1. Schillmeier M, Heinlein M. Moving homes: from house to nursing home and the (un-) canniness of being at home. Space and Culture 2009; 12 (2): 218-31.
2. Smebye KL, Kirkevold M. The influence of relationships on personhood in dementia care: a qualitative, hermeneutic study. BMC Nursing2013; 12 (1): 29.
3. Mitchell G, Agnelli J. Person-centred care for people with dementia: Kitwood reconsidered. Nursing Standard 2015; 30(7): 46-50.
Susan Goldsmith TCHE
Sue is the head of care quality and dementia for Arden Care Group. She is a registered mental health nurse and has worked within the care home environment for over 20 years. Sue is passionate about people and has a particular interest in improving standards of care for people living with dementia. Over the past decade Sue has been actively involved in supporting care homes to improve care standards and has been instrumental in the development of various models of care.
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