‘Make Every Move Count’ in Care
12 November 2014
Glasgow Caledonian University
Edith Macintosh
[email protected]
Physical activity is it important for residents in care
homes? Well……
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Research evidence is incontrovertible in terms of benefits
Specific benefits BUT huge impact on general health and well being
Falls prevention – 3 times more likely to fall in a care home
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Risks around extended periods of sedentary behaviour
Care home residents spend 80–90 %
of their time seated or lying down.
Being active:
•  Increases engagement,
•  Improves confidence, resilience and control,
•  Reduces anxiety and depression as well as reducing symptoms of disease,
•  Improves function and helps maintain independence.
•  Age and live well – enjoy life!
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What is the Scottish picture?
•  Care homes for older people
899.
•  Total registered capacity 38,450 places (868 homes).
(31 December 2013)
Breakdown of services (868 homes)
Private 70%
Local Authority 15%
Voluntary/not for profit 13%
Health Board 2% (Highland)
Challenges or opportunities?
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Culture - do it to!
Lack of infrastructure
Leadership and mentorship
Staff – turnover and capacity
Access to resources and training
Permission to do things differently
Risk enablement
Inconsistencies within organisations/care homes
Information sharing - across care sectors, health and social care
Accessing local wider health and social care supports
Lack of involvement in local community planning
Lack of recognition that care homes are part of the community –
rights and citizenship
However ……there is an appetite for improvement
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New resource
pack for
care homes!
Launched
March 2014
Self Improvement
process
Based on 3 key principles, 3 areas for
improvement in each
(WHO health promoting settings)
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What’s in the resource pack?
The resource pack includes:
1. A booklet with:
• an introduction to the resource, an introduction to physical activity in care homes and how to
make improvements.
• the physical activity self assessment tool and guidance for its use
• a description of the three key principles to promote physical activity.
2. A DVD to support implementation of the resource pack.
3. Make Every Move Count – a pocket guide to active living.
4. A call to action poster.
5. Physical activity and self assessment tools.
An app is available to download which will provide education and awareness and support
the implementation of the resource from the app store. Search Care Inspectorate!
The resource pack has been distributed to all care homes for older people in Scotland.
What does success look like?
Care home residents will….
• Have a voice and make a choice
• Be at the heart of the process
• Have every opportunity to be active and
involved
• Be physically active every day – realistic and achievable
• Will move, move more often and move regularly and frequently
• Be socially connected and take part in the life of the community
because of this.
• Have purpose and meaning added to each day of life, making every
day special
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Care.. about
physical activity and
sedentary behaviour
From organisational
action to ….
personal action
Make Every Move Count •  Designed to make something
small but important happen on a
regular basis
•  Ideas to enable the resident to
have a voice and make a
choice
•  Built into every moment, every
day
•  Realistic and achievable
opportunities
•  The resident at the heart of the
process
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Make Every Move Count
Voices and choices •  5 key messages and the voice and choice of the resident •  Get to know me, what mo,vates me, suppor,ng me to move with purpose •  Support me –  to move safely with confidence –  To move more o=en and be more ac,ve every day –  To move regularly and frequently –  To move giving purpose and meaning to my day 6
Key message 1 •  Get to know me, what mo,vates me, suppor,ng me to move with purpose •  what I can do now, would like to be able to do and support me to do it –  my likes, dislikes, interests and what is important to me –  what will make a difference to my day and will moCvate me to be more ac,ve –  How to do it with me, not to or for me, giving me control and independence Key message 2
•  Support me to move safely with confidence and
regularly break up the time I spend in bed or
sitting in a chair
•  Support and encourage me to
–  be independent with my daily tasks like washing and
dressing
–  move from my bed to my chair, from my chair to stand up
–  move around and meet people
–  to be strong and steady, to feel safe and go at my own
pace
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Key message 3
•  Support me to move more often and be more
active every day and make it easy for me to
•  Take part in daily life such as meal times, outings and social
events
•  Be involved in daily life doing things like watering plants, setting
the table or sweeping up leaves
•  Make sure I can continue hobbies such as gardening, painting
and music
•  help others in different ways such as meal times, doing the
laundry or DIY tasks
•  Find ways that I can have a part to play in daily life to help me
stay connected
Key message 4
•  Support me to move regularly and frequently
Make it easy for me to be in touch with other
people and maintain social relationships
•  Find ways for me to be involved in the community
such as doing gardening, visiting parks, the seaside
and the library
•  Support me to
–  get out and about, go shopping or attend places of
worship
–  enjoy the outdoors and experience the changing
seasons
–  gradually be more active over every day and over every
week
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Key message 5 •  Support me to move giving purpose and meaning every day •  Find ways I can move and
succeed in the things I want to do
•  Support me to be involved in
activities that are important to
me giving purpose and meaning
to my life
•  Support me to find ways to involve
my friends, family and others in
my life
•  Support me to stay as well and
independent as I can
Key principles of change
…….Required to break
sedentary behaviour
•  Purpose and meaning
(motivation)
•  Safety and confidence
•  Prompt and support over
time
•  Create a habitual behaviour
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Thank you for listening!
You can access the resource at
http://www.careinspectorate.com/index.php?
option=com_content&view=article&id=8429&Itemid=100214
More information from
www.careinspectorate.com
www.bhfactive.org.uk
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