The provision of person‐centred care for care home residents with stroke: An ethnographic study. (23rd July 2022)

• Record Type: Journal Article
• Authors: Stevens, Eleanor; Clarke, Stephanie G.; Harrington, Jean; Manthorpe, Jill; Martin, Finbarr C.; Sackley, Catherine; McKevitt, Christopher; Marshall, Iain J.; Wyatt, David; Wolfe, Charles
• Is Part Of: Health & social care in the community. Volume 30:Number 6(2022)
• Page Start: e5186
• Page End: e5195
• Publication Date: 2022-07-23
• Subjects: care homes -- nursing homes -- person‐centred care -- qualitative research -- residential facilities* -- stroke; Public welfare -- Periodicals; Community health services -- Periodicals; Human services -- Periodicals; 362.1
• DOI: 10.1111/hsc.13936
• Languages: English
• ISSNs: 0966-0410

Abstract

Abstract: Care home residents with stroke have higher levels of disability and poorer access to health services than those living in their own homes. We undertook observations and semi‐structured interviews ( n = 28 participants) with managers, staff, residents who had experienced a stroke and their relatives in four homes in London, England, in 2018/2019. Thematic analysis revealed that residents' needs regarding valued activity and stroke‐specific care and rehabilitation were not always being met. This resulted from an interplay of factors: staff's lack of recognition of stroke and its effects; gaps in skills; time pressures; and the prioritisation of residents' safety. To improve residential care provision and residents' quality of life, care commissioners, regulators and providers may need to re‐examine how care homes balance safety and limits on staff time against residents' valued activity, alongside improving access to specialist healthcare treatment and support.