Promoting a Positive Culture
‘We lead and manage a culture of care where older people, their relatives and staff can flourish.’
A positive culture in a care home is one where routines and structures revolve around the older person rather than simply fit with the needs of the organisation. A good atmosphere in the home is based upon positive relationships, mutual appreciation and some blurring of roles between staff, the people living in the care home and their relatives.
“You get everything done for you here, but I think it tends to make you lazy. I would love to be working. I would rather cook for myself but you are not allowed in the kitchen, and you are not allowed in the laundry either.”
“With the help of staff I have begun to do things that I didn’t think I could. I help the staff to set the tables and wash dishes, things like that. And I enjoy it. I am not too great now but I am keeping up as best I can.”
Creating positive culture requires:
- recognition of the complex and multidimensional nature of life and work in care homes;
- promotion of enablement and partnership;
- person-centred and relationship-centred care through biographical and developmental approaches;
- staff working as an effective team with mutual appreciation and some blurring of roles;
- relatives to be integrated within the effective team; and
- close links maintained with the local community.
Effective leadership, management and the availability of expert advice is paramount in the creation and maintainance of a positive culture.