Being occupied: Supporting 'meaningful activity' in care homes for older people in England

Nick Smith*, Ann Marie Towers, Sinead Palmer, Jennifer Beecham, Elizabeth Welch

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

38 Citations (Scopus)

Abstract

The benefits of meaningful activity in later life are well documented. Studies show that being occupied contributes to both physical and mental health as well as quality of life. Research also suggests that activity may be beneficial to people residing in care homes, including people living with dementia. This paper presents findings from a study which used the Adult Social Care Outcomes Toolkit (ASCOT) to measure quality of life in six care homes located in the south-east of England. The study found, like previous ones, that care home residents' days were characterised by a lack of activity. Drawing on observations, interviews and focus groups with residents and staff from these homes, this paper attempts to understand why care home residents do not engage in meaningful activities. We reject the idea that these low levels of activity are a natural part of the ageing process or that they can be explained by notions of resident choice. Instead, the findings point to both insufficient funding and working practices within care homes as more substantive explanations. These explanations inform a discussion of how the low levels of engagement in meaningful activity could be addressed and residents' quality of life improved.

Original languageEnglish
Pages (from-to)2218-2240
Number of pages23
JournalAgeing and Society
Volume38
Issue number11
DOIs
Publication statusPublished - 1 Nov 2018

Keywords

  • activity
  • care homes
  • older people
  • quality of life

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