Friendly, welcoming, excellent care levels, length of time staff remain loyal to the home and above all a clear and comforting atmosphere of great leadership. Bankview Day care is welcoming and homely, meeting a wide range of needs with well trained staff and individual care for each client. The day care centre has made a huge difference to my life. Best thing I ever done, my week was boring now I have days out and shopping trips and good company.
We can not thank you enough for all the care, support and attention the staff at Baytree Court have given Marc. The staff have always given their time and support to us on visits which has meant a great deal. Both mum and I were most impressed with Beechwood and we have decided that is where we would like Dad to come to. You have put both mine and mum's minds at rest knowing that Dad will be looked after.
I can't exaggerate the admiration I have for the management and staff of Craigielea. I've never experienced so much patience, coaxing, kindness and care. These people share their lives and emotions, laugh and cry and mourn for the people who entrust themselves to care. The staff talked about my best friend being an inspiration to them, despite his illness It made me change my approach with him, instead of being despondent and sad, I spoke with him the way we had always been with each other.
The staff saw him as a person. My uncle, who is a retired GP, recently visited Dad on a trip over from Canada and commented that Craigielea is one of the best places he has ever seen in his experience of elderly care units. Very homely, calm, relaxing and wonderful staff.
Keep up the fantastic work you do! In all my visits I have been most impressed with the Care and Attention shown by all your staff, who are professional and courteous at all times. We are always welcomed with a friendly smile which makes us feel very much part of the home and being involved.
Please accept my sincere congratulations for performance and efficiency of Grandholm Care Home. The home provides a very professional, caring and motivational environment with an abundance of patience and understanding.
The home is a credit to your team and one of the best in Aberdeen. Toggle navigation. Home Blog What makes a good care home? What makes a good care home? February 23, In Jenni Mack. Then, in the structured analysis, we conducted critical reading, which means that the text is broken down to meaningful units, and these units were compared to the observations.
An example is the resident sleeping through an activity i. By reading the interviews critically, one gains a deeper understanding and discovers similarities in the content across the interviews. An example is several residents talking positively about the primary nurse, and the observations confirming that the primary nurse is the one who most often talks to the resident during the observation.
The units are gathered in themes or characteristics of living in the NH. After reflecting upon the themes, the interviews were reread to determine whether the emerged units gave a new understanding of the material. The final themes were reflected upon in relation to the research question and the context of the study comprehensive understanding [ 18 ], and the credibility of the final interpretation was secured through grounding of the meaningful entities in the text through phrases from the respondents [ 27 , 28 ] and by comparing the phrases with observations made in the unit.
The analysis was done by the first author in cooperation with the co-authors. The study was approved by the Regional Committee for Medical and Health Research Ethics in Southeast Norway using the following procedure: Participants were informed in writing as well as verbally. Competency was evaluated by the nurse in charge in the nursing home, and when competent, the PWD was asked to give his or her informed consent. If not competent, the next of kin was asked to approve or reject participation [ 29 ].
Furthermore, the interview with the PWD was terminated if he or she physically indicated that he or she did not wish to continue, for instance, if the PWD appeared to be nervous or agitated, or walked away.
Pseudonyms have been used to preserve anonymity of the participants. In the SCU only persons with dementia reside. Most persons with dementia in SCU have some kind of challenging behavior.
In the RU people who no longer can live at home due to any kind of disease, including dementia with no serious behavioral problems reside. The men lived in the same NH but in separate units. Characteristics of the residents can be seen in Table 1.
One person died before the follow-up interview; one did not want to be interviewed the first time but consented the second time; one did not want to be interviewed the second time; and one person became severely ill and could not participate in the second interview, for a total of 20 interviews.
Quotes are marked 1 and 2 respectively, indicating the interview from which they are taken. In the 20 interviews, no differences were found with regard to the topics that the PWD talked about. However, the residents had, in general, become more resigned from the first to the second encounter. Many of the residents seemed to have a dissolved understanding of time, and they did not necessarily have an understanding of where they were or why they were in the nursing home.
None of the residents regarded the NH as a real home. They missed their old homes and wished they could be there. They talked about adjustment of expectations.
Most of the residents talked about their past lives and described a feeling of having lost those times. They emphasized the loss of family and home, and some also described the loss of self. The residents described that, after a long life of working and saving, everything was now gone.
Nelly 2. Several of the residents, particularly those with severe dementia, expressed feelings of loneliness. Most of the residents missed people in their families. The residents described people, belongings, and activities that made life in the NH better or worse.
During the observations, it was observed that the presence of the primary nurse made most of the residents smile. However, some of the residents described being scared of losing things. Belongings were used for reminiscence, but the memories of what used to be caused both happy and sad thoughts.
This violation of their private space was obviously something the residents did not like. Even though all three nursing homes had activity plans, the residents experienced most of the activities as boring. Anna 1 The observations confirmed the statements, as the residents slept through activities provided by the staff, typically quizzes or remembering proverbs. However, a few residents talked about music sessions they enjoyed, and this was also confirmed during the observations when the residents joined in singing.
Peter wanted to attend church services when they were offered. No other participants mentioned activities provided by the NH that they wanted to attend. Betty 2 Anna and Vera talked about activities they wanted to do that would make life better, like going outdoors or going to the shopping mall.
A few talked about being independent and that being able to dress, wash up, and tidy their room were important in order to feel content. An observed example of annoying conduct was for instance the staff moving wheel chairs without first telling the person sitting in the chair.
Peter 2. Bob 1 It was easy to see and understand that Bob preferred the primary nurse. During the first day of observation, she was the only one who approached him and talked to him. It is just like something has torn However, the residents described having to behave in certain ways and having to accept how things were done.
Lisa 2. Some residents described staff that did not meet or treat them in a way they approved. Peter 1. Other residents were not an important topic to the PWD. This study aimed to describe life in NHs for persons with dementia using the words of the residents and to investigate the factors that make life better or worse from their perspective. Four themes emerged. However, all of the informants explained that their contentment was based on their acceptance of certain facts of reality.
First, that they had to live there because they were not able to care for themselves any longer in their own home, acknowledging the positive sides to living in the NH. Second, that this was a place that required an adjustment in their expectations and compliance to routines, and that it did not provide the comfort of a home.
None regarded the NH as a home and approximately half of the informants regarded their NH placement as a temporary solution [ 3 , 6 ]. One way of interpreting this is that persons with dementia, similarly to persons without dementia [ 15 ], have the insight that the situation of living in a NH is necessary although not preferred, and they are able to adjust their expectations to what they see as realistic.
They missed their family members. Several other studies have found that visits from family members are important for QOL of PWD in NHs, even when the resident does not seem to know the visitor or forgets about the visit shortly after [ 3 , 4 , 6 ]. A few of the informants described not recognizing themselves. This has been described in several studies [ 5 , 6 , 9 ] and is a frightening feeling that could potentially lead to an increased level of depression and feelings of isolation. Creating a personal space by having their own belongings and talking about their past lives were important for the residents.
It seemed that belongings and photographs helped them to remember happier times in their lives and thus aided them in accepting and coping with their situations. In the present study, the residents enjoyed some of the activities provided in the NH, but mostly they found the activities to be boring and the days monotonous [ 10 , 11 ]. Earlier studies have identified organizational issues as the main reason for this [ 7 , 11 , 33 ], including insufficient staff competence and poor attitudes, and the prioritization of physical needs over psychosocial needs.
The results of the present study could indicate the same situation, as the residents often fell asleep during the activities, and they sat alone for large parts of the day, but this is unclear. It is of clinical importance to relieve loneliness to provide activities tailored to the interests of each resident would be beneficial for PWD, as also found in other studies [ 3 , 11 , 14 ].
It is surprising that the PWD so clearly differentiated between the members of staff and recognized the primary nurse as important, in spite of the fact that the primary nurse did not always act in a respectful manner toward the PWD.
As you begin to look at dementia care facilities—what we call memory care communities —in your area, take note of a few details that can help you choose one that will become a part of your extended family for the duration of your journey.
In order to begin your search for the best dementia care facility for your loved one, start with the environment and design.
Make sure that the community feels homelike, steering away from clinical features like white linoleum floors or harsh fluorescent lighting. Instead, look for features like comfortable seating and touches like vintage photographs in frames or a piano in the corner.
The nursing station should blend in with the community, and there should be plenty of space for group and individual interaction. Beyond the cozy feeling, keep your eyes peeled for safety features that will eliminate dangers that can come with a dementia diagnosis.
In order to prevent wandering out of the community unattended, look for code-protected doors or a pendant system that alerts staff when residents are near doors without supervision. Ask what type of call-light system is in place and what precautions are taken if the resident cannot remember to use the system if help is needed. Knowing when the time is right to consider a care home Making the decision to look for a care home can be a difficult one. Capacity to make decisions There might come a point when a person with dementia no longer has capacity to make decisions for themselves about their care.
Social and financial assessment The person with dementia may be eligible for some financial assistance with their care needs. Choosing the right care home for your family Choosing the right care home can be challenging. Use your senses: how does it smell?
Is it warm enough? Is it noisy? Do the residents and the staff look happy? Are there opportunities for the person to continue with their hobbies and interests? Is there access to books, board games, a radio, a television, puzzles etc.?
Does the quality of the food seem good? Is there secure access to outside space and fresh air? Is there regular access to healthcare and wellbeing support, including doctors, dentists, podiatrists and hairdressers?
What are the visiting times? Are they flexible? How involved can families be? What resident and visitor groups are there? What are the laundry facilities like? Are there links to the local community, for instance, can residents get their papers delivered?
Go to church? Go to the Post Office? The impact of moving into a care home Moving into a care home can be a significant change for the person with dementia and for the people around them. This will help staff deliver the best care possible.
Everything is important: how they take their tea; what their favourite radio station is; what football team they support etc.
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