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.
| Original language | English |
|---|---|
| Pages (from-to) | e5186-e5195 |
| Number of pages | 10 |
| Journal | Health and Social Care in the Community |
| Volume | 30 |
| Issue number | 6 |
| Early online date | 23 Jul 2022 |
| DOIs | |
| Publication status | Published - 1 Nov 2022 |
Bibliographical note
Copyright © 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Data Access Statement
The data that support the findings of this study are not shared due to the consent agreement with participants.Funding
Dunhill Medical Trust, Grant/Award Number: R537/0217; Medical Research Council, Grant/Award Number: MR/N015185/
Keywords
- care homes
- nursing homes
- person-centred care
- qualitative research
- residential facilities
- stroke