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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 languageEnglish
Pages (from-to)e5186-e5195
JournalHealth and Social Care in the Community
Issue number6
Early online date23 Jul 2022
Publication statusPublished - Nov 2022


  • care homes
  • nursing homes
  • person-centred care
  • qualitative research
  • residential facilities*
  • stroke


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