What do care home residents really want?

Thomas Hammer Jakobsen

Thomas Hammer Jakobsen: finding ways to improve quality of life in care homes

In this era of growing numbers of old people and little money, care home providers will always be aiming to supply their services more efficiently and cheaply.

For the people on the receiving end, on the other hand, all that matters is quality of life. But in this relationship, they are definitely the vulnerable party  – less organised, more diverse and facing far more difficulty in being heard.

I recently met Thomas Hammer Jakobsen of Copenhagen Living Lab, who is running a project in Denmark’s largest nursing home, Sølund, to identify how the experience of living in a care home could be improved. Copenhagen Living Lab’s ethnographic research, which involved joining residents for two months, uncovered a number of areas offering scope for change. Some of these were fundamental – residents wanted to be helped to hang on their ‘outside’ identity, for example, by strengthening their links to the past and being helped to conserve and celebrate their memories; they also wanted death treated as a normal part of life. And some wanted more specific things, such as an easy way for someone who is wheelchair-bound to close doors and windows.

Eight companies have now been brought in and are currently trying out solutions, some high-tech, some not (for example, counselling people before they come in to the home, to make the transition less abrupt and de-naturing). The first assessments of these will be made in a couple of months.

User-centred design based on ethnographic research has been highly fashionable among those trying to improve public services for some years now; but lately, some of the foremost thinkers in the field have warned against over-enthusiasm for all the collaborative innovation and co-creation (choose your buzzword). Simon Roberts, himself an anthropologist, points out in an excellent blog that user-centred design is not automatically a panacea. If you want a clever, nuanced explanation of the arguments you should read both his blog and another by Geoff Mulgan to which he links.

My rather slapdash journalistic sense of what they’re saying is that:

  • Designers can get too caught up in the research phase, so that identifying problems, rather than solving them, seems like the key task.
  • Doing the ethnography doesn’t guarantee that users will actually be involved in designing solutions.
  • ‘Users’ are actually individuals. They’re not homogeneous and improving quality of life is complex and not always susceptible to systems, let alone a piece of technology.
  • Designers like to start from the premise that radical reorganisation is the only solution, but that may not necessarily be the case.

I’m looking forward to seeing what solutions emerge from Sølund. Thomas Hammer Jakobsen is persuasive and passionate, and he and his collaborators have introduced some quite simple things to do with keeping people warm, for example, as well as more ambitious ideas such as a way of giving dementia patients freedom to move around and explore their environment while ensuring they don’t wander off.

The arguments about user-centred design are likely to rumble on. It’s understandable that people are getting a bit weary of hearing about co-creation every time any change in services is mooted, but its central insights remain persuasive: of course users should be the starting point. And the best new products and services tend to arise out of and necessitate a new way of thinking about relationships.

Agebomb to hold an event with Nesta in early October

Stop Press!Excellent news: the splendid Marc Freedman will be visiting London from San Francisco for two days in early October and has agreed to be the keynote speaker at an Agebomb event on the new old age, to be held in conjunction with Nesta on the morning of Tuesday October 5.

We will be looking at innovation to make the second half of life a success.

Marc spearheaded the creation of the Experience Corps, which gets older people working with schools and other youth organisations across the United States. He is an eloquent campaigner for Encore Careers – serious, socially useful work for people in the second half of life – and the founder of The Purpose Prize, which awards prizes of $100,000 and $50,000 to social innovators over the age of 55.

His new book, Shift, which will be published in January 2011, is about the transition of the boomer generation to a new stage of life.

Charlie Leadbeater, a leading thinker on social innovation, author of We-Think: The Power of Mass Creativity, and occasional guest blogger on Agebomb, is also a confirmed speaker. Other speakers will be unveiled soon.

Through its Age Unlimited programme, Nesta has done a good deal of work on the demands and ambitions of a different kind of older population, and this is will be an opportunity to think about what the second half of life will hold for a generation with entirely different, but very varied, expectations.

We will be asking: what is the point of retirement? Is there any real choice for people in how they spend the second half of their lives? If not, what would make a difference? Could Encore careers work in the UK? Can you change the second half of life without changing the first?

More news soon.