Care home providers should work with people and families to ensure that the support they provide can help people live fulfilling lives. On a one-to-one basis this means putting people and families at the centre of the care and support planning. It means supporting people who have few or no contact with friends or family to build a sense of community. More broadly, it means providers should find ways of enabling people and families to help make sure care homes are working in a way which matches the priorities of the people who live there.
Dr Ossie Stuart - Equalities Consultant
Simon Stockton - Strategic Consultant in Health and Social Care
Vicky Clarke - Contracts Manager, Surrey Continuing Healthcare
Carol Taylor - Manager, Garth House care home
Lynda Beadnall - Physiotherapist, Athol House Care Home
Dilly and Brian - Bury St Edmunds
Dr Ossie Stuart: The first thing to bear in mind is that the people liv-ing there this is their home. They just work there – these people actually live there and therefore it should be whatever they should be doing should be listening very carefully to those individuals about how that home should be organized and how the support services provided for them should be delivered.
Simon Stockton: Co-production is a bit of a Marmite term. Not everyone likes it but there's something really fundamentally important about what we mean by co-production which is simply giving people who live in a home a way of making sure that their priorities are fed into the way that the home works and the way that supports and services are orientated around what matters to that particular group of people. And there are lots of different ways of doing that some of the simple ones are about having residents' groups and meeting regularly but there are also lots of tools and techniques that can be used and people can draw on to find what are the real priorities that are going to make a biggest difference to people's quality of life.
Linda Beadnall: They might say they enjoy using the motor-med here they might think well we could do with another one because they're queuing up for a motor-med so that could be in a sense co-production because they might like think 'can we aise some money for another one?' 'how can you know we raise awareness that is what we want to do?' because they all en-joy that.
Vicky Clarke: Quite a lot of homes have in their reception area a sort of "You said, We did" lists that they change regularly to demonstrate that they've listened to what their residents have asked for.
Carole Taylor: For us at Garth co-production means involving the resident and the families in care planning for instance so we have care plan reviews and we chat to the relative and the resident when we're reviewing the care plan.
When we're devising the care plan my chef will go out and talk to residents about menus when he's revising menus he has meetings with residents he may well go and talk to some of them individually and say "I'm thinking about changing the menu what would you like to see on it?" or "What have you liked about the food that we've provided?" We also have relatives' meetings and residents meetings.
Dilly and Brian: We've got a carers' meeting you know once a month and it doesn't matter what you want to express you know really you got the freedom and they see your point of view and things happen, you know really. But they're not mind readers they need the feedback you know and you mustn't be afraid. To me at first I always thought if I say something I don't want them to think I'm criticizing them you know but it's not because I want - what I know and what I feel to be for the benefit of everybody not just for Brian, you know it's for everybody.
Co-Production: Points to Consider
- Help people have a collective voice to share their priorities and have a dialogue about them.
- Create safe spaces for people to share ideas for improvement.
- Negotiate what’s practical and possible to change, and communicate changes that are made.
Use the care home action plan – it’s free!
A MySCIE account is required to gain access to your care home action plan and answer the question on Co-production.
Designed for managers and owners of care homes for older people, use this care home action plan to:
- Build a shared understanding of what personalisation (or person-centred care) means in a care home setting
- Identify and plan practical improvements that will make your home more personalised
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