"My husband has been in palliative care for 12 months and the care he receives is amazing we could not be more grateful. The staff are extremely kind, caring and considerate, patient and hard working. They deserve a pay rise!"
Life Story Work
I have been running life story sessions at Tenby House since April last year. This morning I spent a few minutes catching up with the team- two young members of care staff- to explore their observations about our work. One staff member has noticed how knowing the resident through their stories has really helped her support them through good and bad times.
We can have real conversations together. If someone is upset or agitated I can begin talking about a place we both know or a story they have told me. Working with one man has changed how I see him. Staff used to try and get him to take his hat off and he got upset about that. I understand why it is important for him to wear his hat. All his life he has worn a hat- when he was a paperboy, in the boy scouts, in the Navy and in the Glider Air Corps. Now I understand why his hat is important and I can let the other staff know.’
This particular man is very frail now and has to stay in bed in his room. The staff member says she knows his life story is of value to him. He said to her recently, ‘That is the book we did together.’
I asked the two staff members involved how they share the resident’s stories with the rest of the team. When we get spare time I get the books out and say; have a read. Quite a few are surprised, especially the new staff who see people as ‘bed-bound’, not realising they used to be active people. But now they can see people because of their stories. The other staffs are really interested in taking part and want to know what we are doing.
I asked them if they could generalise from their experiences of getting to know people through their stories. We have worked with about half the 29 residents. What about those whose stories we do not really know yet? The staff member said that she felt differently towards the residents even if she had not done a life story project with them.
I wondered if participating in the life story work had altered the way the staff felt about their jobs. Both agreed that they felt more satisfied with their work. I asked why that was and they said that their relationships with the residents had improved, ‘You start to feel a bond with them.’
One of the staff members involved told me that a couple of weeks ago she had found two of the female residents sitting side by side on the bed. They were reading through one of their life-story books and said they did not want to go to bed they wanted to have a ‘sleepover’ so they could carry on sharing stories. She said it was ‘really lovely.’
Another staff member also thought that one of the benefits was in getting families involved in the projects. Coming in to work on family histories gave relatives a real purpose and was a great catalyst for conversation. ‘Building relationships with families brings us all together.’
The care home management has made a significant commitment to the value of life story work and this has been recognised in their most recent CQC inspection report. Two members of staff are ‘off the floor’ every fortnight to allow for clear project time. At handover everyone is reminded to keep the quiet lounge free so that we can have a dedicated workspace. There is access to a laptop computer for writing up stories and doing searches for relevant information or pictures. I am available for advice and support as needed but also, and perhaps more importantly, modelling ethical and practical approaches to life story work as part of the team.
A few minutes chatting with both staff members involved reminded me of the many values of doing this work. Not only are the residents benefiting because they are known and understood in the context of their personal histories, but also through having a motivated and committed staff team. Staff retention is acknowledged as a major challenge in residential care. If life story work can increase job satisfaction, improve staff retention and develop respectful and genuine relationships between staff, residents and their families, there is a real potential for this simple approach to play a significant role in improving the culture of care for elderly frail people with dementia.
Noelle McCormack - Life Story Practitioner
This recent article from the BBC about the use of cuddly robots in care homes was filmed here, at Tenby House.
Read the full article and watch the video here http://www.bbc.co.uk/news/health-34271927