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

“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 was just a normal Wednesday afternoon at Thomson Court, where the residents had 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, Sheila Scott, who was the Unit Manager at the care home, 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 led to a regular programme of indoor and outdoor activities between the care home residents and the children.

The nursery staff 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.

Looking back over the 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 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 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 observed that the intergenerational activities have had a positive impact on both the residents and the nursery children. Sheila commented that the Wednesday sessions provided a good break for residents in the afternoon. The residents were able to 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 commented that the children ‘generally light the place up’, and that both the residents and the children loved it.

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

The nursery children forged close friendships with the residents, and one of the nursery pupils, Maisie, who is now at 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.’

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Learning about life

The regular visits 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 also started a memory garden at the nursery to commemorate residents who had passed away.

Sheila observed that most of the residents have dementia, which affects their ability to communicate, and that the children helped 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 was 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 was easy to understand why they did not want to leave.

Scottish Partnership for Palliative Care Annual Conference: Realistic Palliative Care

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The Scottish Partnership for Palliative Care Annual Conference took place on 22nd September, at the Royal College of Surgeons in Edinburgh. In attendance, a range of people from palliative & end-of-life care and the health and social care sector (including of course Living Well in Communities).

This is a summary (and recording thanks to University of Glasgow’s End of Life team) of what went on during the day.



This year’s theme of Realistic Palliative Care was inspired by the CMO’s annual report: Realistic Medicine. The six point approach below is just as applicable to palliative care and quality of death.

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Making the Case for Palliative Care in Times of Austerity
Professor Charles Normand, Professor of Health Policy and Management, University of Dublin

What do people want? Less hassle. It is bad enough to be dying.

  • Evaluation of palliative care is difficult and important, so better tools for assessing value and cost need to evolve. It’s impossible to have simple measures for complex activities with complex objectives.
  • Early interventions can reduce costs and improve care, particularly for those with complex needs.
  • Improving access when needed and reducing stress on informal carers are common themes stated in palliative care preferences.
  • Those requiring care often have different goals and priorities than their families and carers.

Continue reading “Scottish Partnership for Palliative Care Annual Conference: Realistic Palliative Care”

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”