ENRICHEnabling Research in Care Homes
Welcome to the ENRICH guest blog
Read the real-life experiences of people involved in care home research.
Anyone with a story or advice they'd like to share is encouraged to make contact using the contact us page.
Read about current news and developments for care homes research in the new posts section.
Fulford Nursing Home – What we discovered by committing to research in a care home setting
Elizabeth Hancock is the manager of Fulford Nursing Home, located in Fulford, York. Fulford first opened 22 years ago and is the last standing family-run home in York. Lizzie firmly believes that working with friends is essential and that it promotes best practices, as there’s always another set of eyes on things.
In this blog, I’d like to take you through some of the exciting benefits I’ve seen in getting Fulford involved in ongoing care home research.
Before the Grant: Early Involvement of Experts by Experience in Care Home Research
Petra trained in Rehabilitation Medicine and is an Assistant Professor in the Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine. Helen is a Clinical Associate Professor in same department, and is Associate Director of the NIHR- funded Quality, Safety and Outcomes of Health and Social Care Policy Research Unit.
In this blog, we draw on our experiences of developing research to explore coordination of care between care homes and the National Health Service (NHS). The system of healthcare in England can seem daunting and disjointed to many people, but particularly to people living in care homes, families and staff. We wanted to find out about a new role that had been created in the NHS during the pandemic, which was intended to boost standards and coordination of healthcare for people living in care homes. In the early stages of planning the research, we wanted to find out what people who live in care homes thought would be important to know, and to include questions which
researchers or professionals might not ask.
The Enhanced Health in Care Homes Framework study (The EHCH Study)
Dr Gary Hodge is a Registered Mental Health Nurse and Research Fellow at the University of Plymouth, School of Nursing and Midwifery.
In this blog, Gary introduces the ongoing EHCH Study, which continues to recruit care homes in a two regions of South West England.
People living in care homes should expect the same level of support as if they were living in their own home. This can only be achieved through collaborative working between statutory health and social care providers, the voluntary, community and social enterprise (VCSE) sector, and care home partners. The EHCH model includes seven care elements, which move away from traditional reactive models of care delivery towards proactive care is centred on the needs of individual residents, their families, and care home staff. Such care can only be achieved through a whole-system, collaborative approach.
Understanding hospital transfers from care homes by focussing on the decisions made by care home staff
Fawn Harrad-Hyde is a researcher currently working in two roles. At the University of Leicester, she is employed as a LOROS Research Associate in Palliative Care and Frailty. At the Clinical Research Network West Midlands, she leads the ENRICH team.
In this blog I describe a research project that aimed to understand hospital transfers from care homes by focusing on the work and decisions of care home staff.
Enabling person-centred pharmacist medication reviews for older care home residents.
My name is Rachel Lewis and I am a pharmacist. I am currently undertaking a PhD research study funded by ARC EM at the University of Leicester focussed on a person-centred approach to Pharmacist-led medication reviews for older care home residents.
Pharmacists are now reviewing the medication of older care home residents. National guidance states that medication reviews should be person-centred, but what does this mean when applied to care home reviews? In this blog I discuss the experience one pharmacist I interviewed shared around a medication review they conducted and what it might mean to undertake a person-centred review.
Engaging care home residents in research (ENGAGE project)
Brittany Nocivelli is a PhD student at Cardiff University, School of Medicine, working in the Division of Population Medicine and the Centre for Trials Research groups.
I previously graduated from Cardiff University with BSc and MSc degrees in Psychology. One of my research interests is in research inclusivity and my PhD project focuses on identifying the
barriers and facilitators to care home resident research participation, and the development of an intervention to support residents in decision-making and advance planning for research, which I will talk about in this blog.
How to ‘COMMIT’ to mouth care minutes? What helps support mouth care for older people living in care homes
Magda Jordão is a Research Fellow working with NICHE-Leeds (School of Healthcare, University of Leeds), with a particular interest in promoting successful ageing and improving care for older people. Julia Csikar is a Lecturer in Dental Public Health (School of Dentistry, University of Leeds), with a particular interest in oral health inequalities and their impact on disadvantaged people/communities.
Keeping our mouths healthy is important, this is particularly the case as we age. There is a challenge for older people living in care homes as they may need assistance with this aspect of personal care. There are many reasons why mouth care may not receive the time and attention that it should in this context. We know that there is a gap between what should be done and what happens in the real world. So, what helps support older people with mouth care in care homes? And what are the challenges? Is there something missing in the way we think about this issue? In this blog, we present the preliminary results of the COMMIT study (Caring Optimally: promoting effective Mouth MInuTes in care homes), where we are addressing these questions.
Measuring what really matters: the development of a core outcome set for interventions to prevent COVID-19 in care homes
Dr Victoria Shepherd is a Research Fellow (Nurse) at the Centre for Trials Research at Cardiff University
In this blog I discuss the ‘COS COVID PCARE’ study which aimed to reach agreement on the most important outcomes to measure when evaluating different interventions to prevent COVID-19 in care homes. This core outcome set (or ‘COS’) will enable researchers to compare which interventions are most effective at preventing COVID-19, and to ensure that future trials in this area focus on what matters most to care home residents and those who care for them.
Introducing the D-DRINC Study – how do people living with dementia drink in care homes?
Ellice Parkinson is a 2nd year PhD researcher at the University of East Anglia. Ellice’s mixed-methods PhD project aims to better understand drinking in older people. Before undertaking the PhD, Ellice worked in the NHS as a Research Fellow in Neuropsychiatry.
In this blog, I will discuss ‘The D-DRINC study’, which is part of my PhD project. Our systematic review found that older people living in care homes were more commonly dehydrated, than older people living in the community. Researchers have trialled interventions in care home settings, to encourage older people to drink more drinks. However, many care home residents are still dehydrated. The D-DRINC study is an ethnographic study which aims to explore how people living with dementia drink in care homes. The knowledge gained from the D-DRINC study will be used to inform comprehensive, evidence-based drinking interventions, within care home settings.
Care relationships between support staff and adults with a learning disability
Georgios has studied Psychology specialising in Health and Social Psychology. Georgios has worked as a support worker in social care and healthcare settings for about a decade, supporting and learning from people with learning disabilities, mental health difficulties, and other groups. Georgios started a full-time PhD in Applied Psychology in February 2021 after being awarded an NIHR School for Social Care Research doctoral scholarship.
In this blog, I discuss my ongoing study which is currently recruiting participants. The study is part of a PhD project exploring care relationships between support staff and adults and older adults with a learning disability (intellectual disability) in long-term social care residential settings in England. In this study, we are interested in hearing support staff’s thoughts on what makes their relationships with the people they support positive, how positive relationships are established and what impact they have on people’s lives, what factors can facilitate or hinder good care relationships, and other related topics.