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Antecedents
Staffs attitudes are
positive in relation to
ageing and older
people.
Values and beliefs of staff
are person-centred
and non-paternalistic.
Staff communicate
effectively with each
other,
with residents and with
visitors.
Resident assessment is
robust and involves
gathering life histories.
An atmosphere of
openness,
motivation and
flexibility.
Respect for dignity and
for fellow
human beings
evident between
staff and
between
staff and
residents.
RESIDENT AUTONOMY
Residents capacity
encouraged and
maintained.
Appendices
Attributes
Residents delegate
care needs based on the
right to selfdetermination
and the
rights of older people.
Residential unit has
culture and
atmosphere
of flexibility within an
ethos of maintaining
resident dignity.
Residents
involved in
decision
making.
Consequences
Residents express an enhanced quality of life,
increased satisfaction in daily routine and
participate
in social activity.
Staff retention.
Homely atmosphere.
Evidence of negotiated care plans which include a focus on the
resident’s social and recreational needs.
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Negotiated care plans
encouraged through open
and respectful
communication.
Family or significant
others included when
resident is cognitively
impaired.
Life histories of the resident - knowing the person.
Observation of effective communication between
staff, residents and visitors.
Empirical
Referents
An observable change
in the way staff work
e.g. a change from
routinised and
ritualistic practice to
a more personcentred,
flexible and
continuously
negotiated care
delivery.
Observation of
residents expressing
their wants, needs,
wishes and desires.
Evidence that staff
strive to meets these
needs. Evidence of
family
involvement.Recogn
ition of the residents
past and present life
which may shape
their wishes.
Care plans to reflect
this
A clear resident focus.
Observation of
encouragement to
maintain capacity and
participate socially in
daily life.
Observations, interviews,
documentary analysis,
assessments of quality of
life, staffs attitudes.