CAPA: Small Steps – Big Changes!

By October 28, 2019 No Comments

In 2016, the Care Inspectorate was commissioned by the Scottish Government to lead the Care…about physical activity (CAPA) improvement programme. 

Jesmond Care Home engage really closely with the programme to help support residents wellbeing. They recently had the following case study published that highlight the benefits of physical activity.

Philip moved into Jesmond Care Home in Aberdeen with a history of falling and losing his balance. The team at the care home had been supporting Philip with his confidence in order to move around more independently and settle into his new home. Philip had one fall which resulted in him breaking his hip, this affected Philip in many ways and consequently he stopped leaving his room.

The care home recruited a new member of staff, Maria, to the team who had a background in physiotherapy.  During Maria’s induction it had been highlighted that Philip had not left his room in four months. The team had tried different approaches to try and support Philip to regain his confidence and take part in activities within the home, but Philip always declined advising he was fearful of falling again. Philip would also tell the team that he didn’t want to be a burden.

Maria introduced herself to Philip as one of the new carers and that she would be supporting him. Maria started to support Philip with his current routine and would sit with him daily to build a rapport and a good relationship. Maria learnt a lot about Philip’s background, his last fall and his fears through having meaningful conversations.

This took time but Philip started to engage and make small changes to his routine – Philip would tend to his own personal care prior to Maria arriving on shift. Maria explained to Philip what CAPA was about and she thought he would benefit and enjoy it. Maria chose Philip to take part in CAPA as she could see his ability to gain his independence again as well as enjoy what the home had to offer in relation to social inclusion.

Over the course of a few weeks Philip, with Maria’s support, would take part in the CAPA functional fitness activities and this allowed him to regain some strength, confidence and balance in standing unaided. Philip had not left his room in four months, but with Maria’s encouragement, Philip left his room for a short walk with the aid of his zimmer frame.

Philip’s confidence grew over time and during his conversations with Maria, he advised that he did not like large groups. Maria explained that if Philip did not want to take part in activities with large groups, this was his choice, but if he did want to participate, she would stay with him. Philip always needed to know where exits were, so if he did feel uncomfortable, he could leave straight away. Maria reassured Philip that if he did want to participate in any activities, she would stay close to exits with him.

Over the next few weeks Philip started to come out of his room and although he did not participate in large group activities, he would observe from the other side of the room. Maria then started to support him into the garden to spend some time outside. During these times outside, Maria would include other members of the team in conversations with Philip. As Philip trusted Maria, he was comfortable meeting and conversing with other members of staff.

The biggest change to date came a week later, where Philip attended the care home’s summer fete. The summer fete had been organised to take place in the garden with numerous family members, team members, residents and community residents attending a day of entertainment and refreshments. Prior to support from Maria and CAPA, Philip would not have taken part in the fete, however Philip attended and sat in the garden engaging with individuals for over two hours.

CAPA allowed Maria to have meaningful conversations and build a trusting relationship with Philip. As a result, Philip has regained strength, confidence and balance to a point where he is able to socialise, tend to his personal care, move around independently and feel less anxious in his abilities – so much so, that Philip now walks to the dining room independently for meals without prompting.

*Names and images have been altered to protect the confidentiality of residents.