Promoting Excellence in All Care Homes (PEACH)

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Promoting Excellence in All Care Homes
(PEACH)

• Dr Martin ONeill
• Cardiff University

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Investigators

• Dr Win Tadd Senior Research Fellow Cardiff
  University School of Social Sciences
• Dr Martin ONeill Research Associate
• oneillm2_at_cf.ac.uk
• Bangor Team
• Dementia Service Development Centre

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Research Sample Eight Care Homes

• All based in England.
• From small family based home to large chains.
• Rural, Semi Rural and Urban locations

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PEACH Project Data Collection Methodology I

• Focus Groups Home Managers/owners Training
  managers. Care Home Associations. (ECCA, )
  Residents and Relatives
• Postal Questionnaires Managers/ Care Home Workers

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PEACH Project Methodology II

• In situ attitudinal questionnaires with 96 care
  home workers.
• Observational study in all eight care homes
  consisting of between 60- 90 hours of observation
  covering all times of the day and all days of the
  week.

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Dignity

• All human beings are born free and equal in
  dignity and rights. They are endowed with reason
  and conscience and should act towards one another
  in a spirit of brotherhood.
• (UNIVERSAL DECLARATION OF HUMAN RIGHTSAdopted by
  UN General Assembly Resolution 217A (III) of 10
  December 1948. Article 1)

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Dignity

• Human dignity is inviolable. It must be respected
  and protected.
• (European Charter of Human Rights, Chapter 1,
  Dignity, Article 1, Human Dignity (2003))

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What does it mean?
What is dignity?
Self Respect
Dignity of Merit
Dignity of Moral Status
Dignity of Identity
Human Dignity
Respect for Persons
A Model of Dignity (Tadd et al 2005)
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Dignity of Identity

• One experiences indignity if one's adult
  competencies are compromised
• Physical control
• Language use
• Social competence
• A loss of physical control or a disfigurement are
  not inherently humiliating Stephen Hawkins.
• Such physical phenomena are interpreted within a
  culture.

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Dignity of Identity

• A persons sense of self often depends on the
  stories he or she can tell about themselves,
  their communities or people like themselves.
• Ageism can have a destructive impact on these
  stories.
• This sense of dignity (or indignity) was widely
  referred to by older people.

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Why dignity matters
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The Wheel Chair Incident

• Care Assistant Stan where are you going again
  without your frame?
• Stan (Jokingly with mock innocence) What, I
  dont know nothing me.
• Care Assistant Come on get in this wheel chair
  and Ill give you a ride back to your chair in
  the lounge.
• Stan pretends to get in the chair the wrong way
  round (head first).
• Care Assistant What are you doing you dopey old
  git, you cant sit in it like that. Come on if
  you sit in it properly Ill give you a ride round
  the unit.
• Stan sits in the chair properly and they both go
  for a running tour of the lounge and corridors.
  The foot rests are not down and she is pushing
  the wheel chair quite quickly and I am concerned
  that an accident might happen but both the Care
  Assistant and Stan are really enjoying
  themselves. When they get back to the lounge the
  Care Assistant flops in the chair feigning
  exhaustion and says I wish my own grand dad was
  as much fun as you.

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Thank you

• Any questions?