Fun for all ages: intergenerational work with Thomson Court Care Home and Apple Tree Nursery on Bute

by Laura Dobie, Knowledge and Information Skills Specialist

“Let’s see what I can do to get it.”

Sadie, a resident at Thomson Court Care Home in Bute, is playing hoopla, and is determined to score. Sitting on either side of her are some children from the local nursery, cheering her on: “Go Sadie!”

This is just a normal Wednesday afternoon at Thomson Court, where the residents have regular visits from the children at nearby Apple Tree Nursery.

Inspired by the example of a care home in Canada that had co-located a staff nursery to increase resident contact with children, Unit Manager Sheila Scott wondered if there was the potential to do something similar at Thomson Court. Sheila had noticed that many residents in the home were not seeing their great-grandchildren on the mainland, and Appletree Nursery, where her daughter Stephanie works, is very proactive in working with the community.

Getting the ball rolling

The children first visited the care home in summer 2015, when they helped to paint the fence and planted sunflower and lettuce seeds. ‘Cameron’s Auntie Nan and her friend Sadie made sure that we painted it all,’ reads one of the quotations from the day. The initiative was such a success that it has led to a regular programme of indoor and outdoor activities between the care home residents and the children.

The nursery staff have compiled a floor plan with photographs and feedback from all their sessions, which map activities to health and wellbeing outcomes to demonstrate their beneficial impact. The care home also keeps its own activity records, although they are increasingly using the nursery’s Facebook page to share photographs from the sessions with families.

Looking back over the past couple of years, it is inspiring to see the breadth and variety of activities that have taken place in the care home: ‘dooking’ for apples at Halloween, music and movement sessions, baking and biscuit decorating, puppets and nursery rhymes, and a raspberry tea, to name but a few. At Christmas the children made gifts for the residents and table mats for their Christmas dinner, and Santa came to visit them all. The children have also made cards for the residents for Valentine’s Day and Mother’s Day, and there are plans for the residents to attend a concert at the nursery this Christmas.

Fundraising efforts

The nursery has also helped to raise money to pay for resources that support the residents’ wellbeing. They held a bake sale, which raised enough money to pay for a therapy doll for a resident who has dementia, and the children helped to choose the doll that was purchased. They also raised funds for a material cat and a pram, which are calming for residents.

Benefits for young and old alike

The nursery and care home staff have observed that the intergenerational activities are having a positive impact on both the residents and the nursery children. Sheila comments that the regular Wednesday sessions provide a good break for residents in the afternoon. The residents choose whether or not to attend, and one resident who initially was not interested in joining in the activities because he has a lot of family of his own living locally started to come along when he saw how much fun everyone was having! The daughter of one of the residents has commented that the children ‘generally light the place up’, and that both the residents and the children love it.

Lesley-Anne Lee, the nursery manager, observes that ‘our weekly visit to our Thomson friends has given children new experiences and emotions’ and they appreciate that the residents are teaching the children ‘maybe without them realising’. She also comments that ‘the bond between the vast age differences is a joy to see.’

The nursery children have forged close friendships with the residents, and one of the nursery pupils, Maisie, who has now moved up to primary school, formed a particularly close bond with Barbara, and enjoyed painting her fingernails. ‘Barbara is my friend, she’s my best girl,’ she said, and her father observed that ‘Maisie loves Thomson Court.’

P1020695

Learning about life

The regular visits have made the children more aware of disabilities, and helped them to learn about the whole of life, including its end. The children visited one of the residents’ rooms to look at old photographs and learn about what her life was like when she was younger, and they have also started a memory garden at the nursery to commemorate residents who have passed away.

Sheila comments that most of the residents have dementia, which affects their ability to communicate, and that the children help to bring them out of their shell. One resident, who previously did not talk very much, became very animated when the children visited.

After an hour packed with games, and a break for cake and juice, it is time for the children to head back to the nursery school. ‘I want to stay at Thomson Court because it’s so much fun,’ pipes up one of the children. Thanks to the hard work and commitment of the staff at both the nursery and the care home, it is easy to understand why they do not want to leave.

To find out more about the intergenerational work at Thomson Court, contact Sheila Scott, Unit Manager: Sheila.scott@argyll-bute.gov.uk

Advertisements

Discussions from our intermediate care and reablement event

IC&R

Our intermediate care and reablement event took place at 200 St Vincent Street on 21st March 2017 and shared findings from our intermediate care scoping work, and learning from services across Scotland. The event was supported by the Scottish Government, Social Work Scotland and the Health and Social Care Benchmarking Network.

Isla Bisset from the Scottish Government presented data on delayed discharges from January 2017, and Deanna Campbell gave an overview of the intermediate care minimum dataset, which records different interventions, their impact, and whether an anticipatory care plan was in place. Outcomes included avoided hospital admissions and early supported discharge. Continue reading “Discussions from our intermediate care and reablement event”

How care homes in Argyll and Bute are working to reduce falls

By Laura Dobie, Knowledge and Information Skills Specialist, Healthcare Improvement Scotland

On 5th December I went along to the Argyll and Bute Care Homes Quality Improvement for Falls Prevention event. It was a really interesting day, and it was great to hear about the work that care home staff are doing to reduce falls and improve quality of life for their residents.

PDSAs and data

Dr Christine McArthur, Project Lead, introduced the day and Sheila Morris, Occupational Therapy Care Home Lead, gave an overview of Plan Do Study Act cycles and the role of data in improvement. She emphasised the importance of carrying out small tests of change and having a clear plan.

The project participants then had the opportunity to discuss a case study of a 72-year-old lady who had had a number of falls, considering risk factors such as polypharmacy and multiple complex conditions, and reviewing the data in the falls diary to identify whether there was a pattern to her falls.

The care home staff observed that people are increasingly coming in to care homes with more mobility problems and multiple conditions and co-morbidities. Sheila commented that everyone in the care home sector is at risk of falling and should have a multifactorial falls assessmentContinue reading “How care homes in Argyll and Bute are working to reduce falls”

Working with care homes to reduce falls: Argyll and Bute Health and Social Care Partnership

Dunoon

By Laura Dobie, Knowledge and Information Skills Specialist, Healthcare Improvement Scotland

Argyll and Bute Health and Social Care partnership has been holding a series of quality improvement workshops for care home staff, in collaboration with Scottish Care. I went along to one of their workshops with care home staff in Dunoon on 10th May to find out more about the work that the partnership is doing with care homes.

Background

All 20 care homes in Argyll and Bute are signed up to a quality improvement project to reduce falls. Funded by the Integrated Care Fund, and supported by health professionals in each locality, the project aims to support care home staff to address falls risks in their care home. A particular emphasis is on improving physical activity for health and wellbeing.

The quality improvement workshops

Dr Christine McArthur, NHS Highland Coordinator Prevention and Management of Falls, Jane Howe, Quality Improvement Manager, and Kirsty Brown, Assistant Practitioner (Physiotherapy), facilitated the workshops. The team worked collaboratively with Scottish Care to develop events which met the needs of care home staff. The care homes requested a series of smaller local workshops, rather than one big event, as some staff do not drive and it was easier them to attend local events.

The team held workshops in Bute, Oban, Campbeltown, Dunoon and Helensburgh. Having dedicated events for care home staff and small group sizes ensured that all participants were able to contribute to discussions and ask the team for advice. Continue reading “Working with care homes to reduce falls: Argyll and Bute Health and Social Care Partnership”

Living Well With Frailty: Conference Outputs

The Living well with Frailty event, held at Heriot-Watt University in Edinburgh on the 27th of October brought together colleagues from across the health and social care sector to undertake a deep dive into the issues surrounding frailty.

The day comprised morning and afternoon plenaries, as well as eight breakout sessions ranging from ‘A focus on Dementia – personal outcomes in practice?’ to ‘Care Homes: My care, Your care, Our care – Designing a Care Home for the future’. For a full list of the sessions please download a copy of the agenda from the day. A comprehensive overview of each of the sessions is available below.

Breakout sessions
Timely identification and co-ordination of care for older people living with frailty
Presenters: Penny Bond and Karen Goudie

During this workshop, Karen and Penny from Healthcare Improvement Scotland led a discussion with attendees on what it means to be an older person with frailty going through our hospital system. Brief patient stories were shared to highlight opportunities and challenges as a starting point for discussion. Attendees then shared experience of testing and implementing different approaches to identifying and coordinating frailty care within acute care settings. The timely identification and co-ordination of care for older people living with frailty presentation can be viewed via the following link and you can watch a video of Mrs Andrews’ story on YouTube below.

Continue reading “Living Well With Frailty: Conference Outputs”