Using conversation analysis to explore person-centred planning for older people in residential care

Lead Research Organisation: University of Bristol
Department Name: Sch for Policy Studies

Abstract

The project is designed to explore how older people living in residential and nursing care influence the care-planning process. The primary method of the study is conversation analysis. By recording naturally-occurring conversation between care professionals and residents in care home settings, I will investigate the interactive and communicative techniques used to make decisions and frame the risks and benefits of different aspects of a person's care and support.

I have chosen to focus on care-planning conversations because they form a crucial aspect of the delivery of personalised and person-centred care. Decisions made in this process can have significant consequences for care and support in the future. My hypothesis is that the care planning discussions and the interaction between older person and care professional, using naturally occurring data, will yield valuable, nuanced insights into the ways in which influence and collaboration are enacted. Older people are particularly relevant given they make up a substantial proportion of the care home population, given the risk of their marginalisation due to ageism, and concerns that some parts of the personalisation agenda may not be suited to them.

The project explores the application of theories of person-centred care in practice. This model of care is important because my literature review has identified that two of the most influential policies in adult social care today, the Care Act 2014 and Care Quality Commission regulations for providers, strongly encourage person-centred planning and working collaboratively with the person using services and their families.

The main aim of the study is to explore the influence of older people in care planning meetings in residential care, and the different methods of collaboration and joint decision-making used by older people, their relatives and care home professionals in care planning discussions. Recordings of the naturally-occurring conversations, and analysis of the transcripts, will be complemented by analysis of documents and interviews with a smaller sample of participants, to help provide valuable contextual information about the cohort of care home residents.

The main inclusion criteria are people aged 65 and over, living in residential and nursing care, in the South West and West Midlands, with mental capacity to make decisions.

Publications

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Lombard, D (2019) Chequered History of Reform: Social Care and the Failure to Fix an Unfair System in The Open Review: Journal of the South West Doctoral Training Partnership

Studentship Projects

Project Reference Relationship Related To Start End Student Name
ES/P000630/1 01/10/2017 30/09/2027
1926318 Studentship ES/P000630/1 01/10/2017 19/12/2020 Daniel Michael Lombard
 
Description Alumni Foundation
Amount £550 (GBP)
Organisation University of Bristol 
Sector Academic/University
Country United Kingdom
Start 05/2018 
End 05/2018
 
Description School for Policy Studies Academic Support Fund
Amount £500 (GBP)
Organisation University of Bristol 
Sector Academic/University
Country United Kingdom
Start 07/2019 
End 07/2019
 
Description Extended Project Qualification Mentoring Fair 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact Attended the EPQ mentoring fair, organised by the university's student outreach team. I acted as mentor for two students who were doing projects on social science topics (disability and society, and racism in the police force). I discussed the students' projects and advised on how they might be improved.
Year(s) Of Engagement Activity 2019
 
Description International Association of Dialogue Analysis Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Gave an oral presentation to delegates at the IADA on my PhD research project. I made valuable contacts here which could faciltate an overseas visit to an institution
Year(s) Of Engagement Activity 2019
URL https://www.iada-web.org/
 
Description Nordic Congress of Gerontology 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Using a travel grant from the Alumni fund, I attended this important gathering of gerontology experts in Oslo, Norway. I presented a poster based on my research proposal, Exploring Person Centred Care using Conversation Analysis, as part of a poster exhibition.
Year(s) Of Engagement Activity 2018
 
Description PGR Student seminar 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact Gave talk on the problems surrounding the funding of the adult social care system in the UK for a series of seminars for postgraduate students at the School for Policy Studies, University of Bristol
Year(s) Of Engagement Activity 2019