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Building on our experience in care homes

Written by Natasha Krichefski, CLS Participation Projects Manager

City of London Sinfonia (CLS) has a long-standing reputation for delivering concerts in care homes, in partnership with Jewish Care, across a range of homes in North London. Building on a new relationship with the Jewish Care ‘Creative Arts’ and Betty and Asher Loftus Centre ‘Living Well’ teams, we recently worked closely together to develop an exciting new pilot for our work.

As Resident at the Betty and Asher Loftus Centre, we worked in the three care homes on the campus over a period of four days. We aimed to look at ways of developing the current format to allow a more flexible responsive approach to residents and make improvements to the residents’ sense of wellbeing, whether we met them in lounges, their rooms, corridors, or in a more formal concert setting, whilst keeping the highest quality of music at the core.

Responding to the needs of care home residents

We wanted to respond strategically to the partner’s desire for us to provide activity for the more isolated, “hard to reach” residents who either chose not to or are unable to attend our concerts and who rarely engaged in any activities in the homes. Becoming Resident on the campus enabled us to build relationships with staff and residents in a way that wasn’t previously possible with a single fleeting concert performance. We were also able to fit with Jewish Care’s commitment to the Principles of Person Centred Care, as well as reflect the principles of Participatory Arts promoted by Jewish Care’s Creative Arts team.

“Working in partnership with CLS and Caroline Welsh was a pleasure. We welcome the opportunity to work with artists and arts providers that are able to respond the needs of our residents, by working together with us to develop bespoke projects. The focus on a participatory approach showed great benefits for both our most isolated residents and the CLS musicians.”

Caroline D’Souza (Arts Development Manager, Jewish Care)

Following dementia training from Jewish Care and a music improvisation session led by animateur Caroline Welsh, the project started in earnest: we opened up the rehearsal sessions so that curious passers-by could pop in; ambient music accompanied the lunch hour in the lounges; and for the first time we visited residents in their rooms for a series of interactive moments, playing to and talking with those people who don’t currently have as much engagement with other residents or staff.

Pairs of musicians were partnered with a member of the Living Well team who could brief musicians on the needs of residents, accompany each visit and provide feedback. Drawing on their specialist skills, expertise and relationships with residents, we were able to target isolated residents and create moments of connection and engagement that wouldn’t otherwise have been possible.

We continued to deliver daily concerts, one in each home, but with an added sense of familiarity as the musicians had built relationships with several of the residents and staff and could refer to the audience by name.

Measuring the impact of our visits

Evaluation formed an important part of the collaborative process, with both organisations reflecting extensively on the best approach to measuring the impact of the project on the participants, the care home environment and our musicians. The Living Well team provided baseline synopses on each of the residents and gave written follow-up summaries after each of the visits.

The project not only allowed us to work with a larger number of residents on this occasion, but we were also able to make a major change to the range of activity offered through the partnership and achieve a much deeper sense of engagement. Over the course of the four days, the Living Well team saw great change in mood and a new openness to interaction and connection from some of the residents.

For example, a team member described one of the residents before the activity as someone who didn’t like socialising, but on the final day of the project, the team member explained: “I felt she didn’t want the interaction to stop today, whereas in general she shows a preference to short interactions unless she really knows the person well and trusts them.”

Another resident was initially described as having “low mood and withdrawn”, but after the first day of visits, the musicians and resident were “smiling and laughing together at the end of the session and he asked when they were coming again”.

Having worked more closely with the Creative Arts and Living Well teams and having started to develop a new practice in this context, we are very much looking forward to working together again and using our learning to inform future projects.

Many thanks to Dunhill Medical Trust and Rayne Trust for generously supporting this project.


Find out more about our participation work in care homes on YouTube.

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