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Reshaping the way we care | Rachel Mortimer | TEDxBrighton


so today we’ve SAT and listened and I’m

so today we’ve SAT and listened and I’m sure many of you have been inspired by

sure many of you have been inspired by

sure many of you have been inspired by the amazing talks that you’ve heard and

the amazing talks that you’ve heard and

the amazing talks that you’ve heard and the people that you’ve no doubt met

the people that you’ve no doubt met

the people that you’ve no doubt met you’ve had breaks to get up stretch your

you’ve had breaks to get up stretch your

you’ve had breaks to get up stretch your legs go outside get some fresh air have

legs go outside get some fresh air have

legs go outside get some fresh air have a cup of tea normal stuff but what if

a cup of tea normal stuff but what if

a cup of tea normal stuff but what if would invited you here today sat you

would invited you here today sat you

would invited you here today sat you down given you one two minute talk and

down given you one two minute talk and

down given you one two minute talk and then left you SAT there in silence until

then left you SAT there in silence until

then left you SAT there in silence until now how do you think you’d feel probably

now how do you think you’d feel probably

now how do you think you’d feel probably asking for a refund right well that has

asking for a refund right well that has

asking for a refund right well that has been a reality for many people living in

been a reality for many people living in

been a reality for many people living in with dementia in care today and it will

with dementia in care today and it will

with dementia in care today and it will be tomorrow and the day after because if

be tomorrow and the day after because if

be tomorrow and the day after because if you live with dementia in a care home

you live with dementia in a care home

you live with dementia in a care home you get on average two minutes of

you get on average two minutes of

you get on average two minutes of meaningful interaction every six hours

so living with dementia which is

so living with dementia which is essentially brain failure means that

essentially brain failure means that

essentially brain failure means that that normal everyday stuff that we’ve

that normal everyday stuff that we’ve

that normal everyday stuff that we’ve been doing today becomes really

been doing today becomes really

been doing today becomes really challenging so making a cup of tea you

challenging so making a cup of tea you

challenging so making a cup of tea you might forget to boil the kettle you

might forget to boil the kettle you

might forget to boil the kettle you might no longer recognize what a tea bag

might no longer recognize what a tea bag

might no longer recognize what a tea bag is some of the early symptoms of some

is some of the early symptoms of some

is some of the early symptoms of some dimensions is lack of initiation so you

dimensions is lack of initiation so you

dimensions is lack of initiation so you might need someone to prompt

might need someone to prompt

might need someone to prompt conversation with you to guide you

conversation with you to guide you

conversation with you to guide you through without judgment so that if your

through without judgment so that if your

through without judgment so that if your words tend to get jumbled you don’t feel

words tend to get jumbled you don’t feel

words tend to get jumbled you don’t feel like you failed their recurrently

like you failed their recurrently

like you failed their recurrently 800,000 people living with dementia in

800,000 people living with dementia in

800,000 people living with dementia in the UK and that figure is set to soar to

the UK and that figure is set to soar to

the UK and that figure is set to soar to over two million by 2050 one that means

over two million by 2050 one that means

over two million by 2050 one that means dementia will affect all of us whether

dementia will affect all of us whether

dementia will affect all of us whether it’s directly or indirectly so back at

it’s directly or indirectly so back at

it’s directly or indirectly so back at the end of 2012 I was sat at the kitchen

the end of 2012 I was sat at the kitchen

the end of 2012 I was sat at the kitchen table having a cup of tea with my nan

table having a cup of tea with my nan

table having a cup of tea with my nan she was 93 at the time very Sparky but

she was 93 at the time very Sparky but

she was 93 at the time very Sparky but had short-term memory failure so I said

had short-term memory failure so I said

had short-term memory failure so I said to her house the day centre going ham

to her house the day centre going ham

to her house the day centre going ham and for the sixth time that our she told

and for the sixth time that our she told

and for the sixth time that our she told me all about her new boyfriend Dave now

me all about her new boyfriend Dave now

me all about her new boyfriend Dave now to mere 83 years old she was very proud

to mere 83 years old she was very proud

to mere 83 years old she was very proud to tell me that Dave was her toyboy

to tell me that Dave was her toyboy

to tell me that Dave was her toyboy very happy she was they used to sit in

very happy she was they used to sit in

very happy she was they used to sit in hold hands but then she got a serious

hold hands but then she got a serious

hold hands but then she got a serious look on her face and she said it’s

look on her face and she said it’s

look on her face and she said it’s lovely to be with people my own age it’s

lovely to be with people my own age it’s

lovely to be with people my own age it’s just there’s not much to do well that

just there’s not much to do well that

just there’s not much to do well that got my brain wearing at the time I was a

got my brain wearing at the time I was a

got my brain wearing at the time I was a full-time artist and I was looking for

full-time artist and I was looking for

full-time artist and I was looking for excuse to get out the studio to be

excuse to get out the studio to be

excuse to get out the studio to be honest so I thought what if I go and

honest so I thought what if I go and

honest so I thought what if I go and teach painting and she thought I was

teach painting and she thought I was

teach painting and she thought I was pretty good at it so I find around a few

pretty good at it so I find around a few

pretty good at it so I find around a few care homes and found it astonishingly

care homes and found it astonishingly

care homes and found it astonishingly easy to get booked to do art workshops

easy to get booked to do art workshops

easy to get booked to do art workshops so I arrived at the doorstep got the

so I arrived at the doorstep got the

so I arrived at the doorstep got the first care home and there’s a sign next

first care home and there’s a sign next

first care home and there’s a sign next to the door and it said the name of the

to the door and it said the name of the

to the door and it said the name of the care home and then the letters e.m I and

care home and then the letters e.m I and

care home and then the letters e.m I and no idea what I meant but I press the

no idea what I meant but I press the

no idea what I meant but I press the buzzer and I got assured in by kara and

buzzer and I got assured in by kara and

buzzer and I got assured in by kara and I stood in the lobby and she hurried off

I stood in the lobby and she hurried off

I stood in the lobby and she hurried off and it was assault on my senses there

and it was assault on my senses there

and it was assault on my senses there was the stuffy heat that hit me the

was the stuffy heat that hit me the

was the stuffy heat that hit me the smell that overwhelm me and the cool

smell that overwhelm me and the cool

smell that overwhelm me and the cool bells ringing out and I waited and I

bells ringing out and I waited and I

bells ringing out and I waited and I waited nobody came back so I wandered on

waited nobody came back so I wandered on

waited nobody came back so I wandered on through to the lounge and that’s when I

through to the lounge and that’s when I

through to the lounge and that’s when I saw armchair after armchair of people

saw armchair after armchair of people

saw armchair after armchair of people sat in silence not doing anything the TV

sat in silence not doing anything the TV

sat in silence not doing anything the TV droning in the background a lady in

droning in the background a lady in

droning in the background a lady in uniform caught my eye and she said oh

uniform caught my eye and she said oh

uniform caught my eye and she said oh and could you just go and set up over

and could you just go and set up over

and could you just go and set up over there so if I wondered started unpacking

there so if I wondered started unpacking

there so if I wondered started unpacking my paints and then a lady wandered over

my paints and then a lady wandered over

my paints and then a lady wandered over and she said to me are you my mother and

and she said to me are you my mother and

and she said to me are you my mother and I looked and I thought oh she’s about 85

I looked and I thought oh she’s about 85

I looked and I thought oh she’s about 85 right so I thought well this is not a

right so I thought well this is not a

right so I thought well this is not a standard residential care home and it

standard residential care home and it

standard residential care home and it was later that night that i found out

was later that night that i found out

was later that night that i found out that emi stands for elderly and mentally

that emi stands for elderly and mentally

that emi stands for elderly and mentally infirm which frankly is as archaic as it

infirm which frankly is as archaic as it

infirm which frankly is as archaic as it sounds and it suggests that dementia has

sounds and it suggests that dementia has

sounds and it suggests that dementia has really been left in the dark ages so

really been left in the dark ages so

really been left in the dark ages so that afternoon as well as being thrown

that afternoon as well as being thrown

that afternoon as well as being thrown in at the deep end with people with

in at the deep end with people with

in at the deep end with people with dementia I watched well-meaning carers

dementia I watched well-meaning carers

dementia I watched well-meaning carers plunking down cups of tea in front of

plunking down cups of tea in front of

plunking down cups of tea in front of people that weren’t even aware they’d

people that weren’t even aware they’d

people that weren’t even aware they’d been put there now this is not about

been put there now this is not about

been put there now this is not about bashing care homes and it’s certainly

bashing care homes and it’s certainly

bashing care homes and it’s certainly not about bashing care home carers

not about bashing care home carers

not about bashing care home carers indeed they are the true heroes in this

indeed they are the true heroes in this

indeed they are the true heroes in this story because they do some of the

story because they do some of the

story because they do some of the hardest jobs in society on the lowest

hardest jobs in society on the lowest

hardest jobs in society on the lowest pay but what I realized was they were

pay but what I realized was they were

pay but what I realized was they were struggling to communicate with the

struggling to communicate with the

struggling to communicate with the people they were looking after they

people they were looking after they

people they were looking after they didn’t understand their needs how much

didn’t understand their needs how much

didn’t understand their needs how much easier and more fulfilling their jobs

easier and more fulfilling their jobs

easier and more fulfilling their jobs would be if only they could talk to them

would be if only they could talk to them

would be if only they could talk to them no wonder then that the staff turnover

no wonder then that the staff turnover

no wonder then that the staff turnover rate in care was running about

rate in care was running about

rate in care was running about twenty-five percent and I later found

twenty-five percent and I later found

twenty-five percent and I later found out that those carriers it only ever had

out that those carriers it only ever had

out that those carriers it only ever had one hours dementia training so I went

one hours dementia training so I went

one hours dementia training so I went home that night and I googled and I

home that night and I googled and I

home that night and I googled and I googled and I googled I didn’t sleep for

googled and I googled I didn’t sleep for

googled and I googled I didn’t sleep for about three days I wanted to learn

about three days I wanted to learn

about three days I wanted to learn everything why was it like this was this

everything why was it like this was this

everything why was it like this was this it will be all working so hard all our

it will be all working so hard all our

it will be all working so hard all our lives to end up living somewhere like

lives to end up living somewhere like

lives to end up living somewhere like this it occurred to me I could put my

this it occurred to me I could put my

this it occurred to me I could put my dog in kennels and I’d cause a riot if

dog in kennels and I’d cause a riot if

dog in kennels and I’d cause a riot if it didn’t get walked at least once a day

it didn’t get walked at least once a day

it didn’t get walked at least once a day but you could put my nan in a care home

but you could put my nan in a care home

but you could put my nan in a care home and it’s entirely possible she would

and it’s entirely possible she would

and it’s entirely possible she would never step outside again this struck me

never step outside again this struck me

never step outside again this struck me as wrong so I knew I had to do something

as wrong so I knew I had to do something

as wrong so I knew I had to do something and that’s when I started the wheels in

and that’s when I started the wheels in

and that’s when I started the wheels in motion to create my social enterprise

motion to create my social enterprise

motion to create my social enterprise engaging create and we have one clear

engaging create and we have one clear

engaging create and we have one clear social mission to transform quality of

social mission to transform quality of

social mission to transform quality of life for people living with dementia and

life for people living with dementia and

life for people living with dementia and those that care for them so for many

those that care for them so for many

those that care for them so for many years I worked in media in London big

years I worked in media in London big

years I worked in media in London big media organizations TV organizations

media organizations TV organizations

media organizations TV organizations advertising and it was fun but I didn’t

advertising and it was fun but I didn’t

advertising and it was fun but I didn’t really feel like maybe it was the right

really feel like maybe it was the right

really feel like maybe it was the right career for me my suspicions were

career for me my suspicions were

career for me my suspicions were confirmed one night when I got an email

confirmed one night when I got an email

confirmed one night when I got an email from my boss at the time and she said

from my boss at the time and she said

from my boss at the time and she said rather panic Rachel I need you to spend

rather panic Rachel I need you to spend

rather panic Rachel I need you to spend 10,000 pounds by the end of the week

10,000 pounds by the end of the week

10,000 pounds by the end of the week otherwise I’m worried we’re not going to

otherwise I’m worried we’re not going to

otherwise I’m worried we’re not going to get that bit of budget back right what

get that bit of budget back right what

get that bit of budget back right what exactly do you want me to spend 10,000

exactly do you want me to spend 10,000

exactly do you want me to spend 10,000 pounds on oh well just champagne that

pounds on oh well just champagne that

pounds on oh well just champagne that will do it will store it okay um that’s

will do it will store it okay um that’s

will do it will store it okay um that’s when it hit me I felt sick suddenly all

when it hit me I felt sick suddenly all

when it hit me I felt sick suddenly all those charity ads you see on TV flashed

those charity ads you see on TV flashed

those charity ads you see on TV flashed before my eyes how many people’s lives

before my eyes how many people’s lives

before my eyes how many people’s lives we could change if we actually

we could change if we actually

we could change if we actually and that money wisely I knew it was time

and that money wisely I knew it was time

and that money wisely I knew it was time for a career change and 28 years old I

for a career change and 28 years old I

for a career change and 28 years old I had a rather premature midlife crisis so

had a rather premature midlife crisis so

had a rather premature midlife crisis so I did what everybody does in a crisis I

I did what everybody does in a crisis I

I did what everybody does in a crisis I went backpacking and along the way

went backpacking and along the way

went backpacking and along the way rediscovered a bit about myself so I

rediscovered a bit about myself so I

rediscovered a bit about myself so I retrained as a Montessori teacher I

retrained as a Montessori teacher I

retrained as a Montessori teacher I rediscovered my passion for painting and

rediscovered my passion for painting and

rediscovered my passion for painting and I took up a psychology degree all of

I took up a psychology degree all of

I took up a psychology degree all of which was really interesting but every

which was really interesting but every

which was really interesting but every time I did something I felt yes not what

time I did something I felt yes not what

time I did something I felt yes not what I want to do in my life but that moment

I want to do in my life but that moment

I want to do in my life but that moment in the care home that’s what I need my

in the care home that’s what I need my

in the care home that’s what I need my purpose I will say though all those

purpose I will say though all those

purpose I will say though all those wrong turns were really helpful all of

wrong turns were really helpful all of

wrong turns were really helpful all of those things i did have come together to

those things i did have come together to

those things i did have come together to fuel what I do today so take the

fuel what I do today so take the

fuel what I do today so take the Montessori training we learn how we

Montessori training we learn how we

Montessori training we learn how we should focus on what people can do not

should focus on what people can do not

should focus on what people can do not on what they can’t do we learn about how

on what they can’t do we learn about how

on what they can’t do we learn about how the environment can help or hinder

the environment can help or hinder

the environment can help or hinder people when they’re doing daily tasks in

people when they’re doing daily tasks in

people when they’re doing daily tasks in advertising we would never launch a

advertising we would never launch a

advertising we would never launch a product or service until we’ve done a

product or service until we’ve done a

product or service until we’ve done a focus group get the opinions of the

focus group get the opinions of the

focus group get the opinions of the people that are going to be using it and

people that are going to be using it and

people that are going to be using it and yet here i was going back time after

yet here i was going back time after

yet here i was going back time after time to places that seemed to work

time to places that seemed to work

time to places that seemed to work against the very people they’re meant to

against the very people they’re meant to

against the very people they’re meant to be helping let alone asking the opinions

be helping let alone asking the opinions

be helping let alone asking the opinions of those living and working there as how

of those living and working there as how

of those living and working there as how they want it to be but i did go back day

they want it to be but i did go back day

they want it to be but i did go back day centres care homes i was there to teach

centres care homes i was there to teach

centres care homes i was there to teach painting but in reality very little

painting but in reality very little

painting but in reality very little painting happened people wanted to talk

painting happened people wanted to talk

painting happened people wanted to talk sometimes I understood often I didn’t

sometimes I understood often I didn’t

sometimes I understood often I didn’t but here was someone sitting willing to

but here was someone sitting willing to

but here was someone sitting willing to be part of their reality trying to

be part of their reality trying to

be part of their reality trying to connect but what could I use to engage

connect but what could I use to engage

connect but what could I use to engage everybody so I tried lots of different

everybody so I tried lots of different

everybody so I tried lots of different things and I failed at lots of different

things and I failed at lots of different

things and I failed at lots of different things but after hundreds of hours of

things but after hundreds of hours of

things but after hundreds of hours of asking observing listening I finally had

asking observing listening I finally had

asking observing listening I finally had a program they could spark conversation

a program they could spark conversation

a program they could spark conversation with even those that had communication

with even those that had communication

with even those that had communication problems it wasn’t painting but it was

problems it wasn’t painting but it was

problems it wasn’t painting but it was using historic paintings to spark

using historic paintings to spark

using historic paintings to spark conversations

conversations

conversations so by combining artworks and a clear

so by combining artworks and a clear

so by combining artworks and a clear structure of questions I found I was

structure of questions I found I was

structure of questions I found I was able to guide people through a

able to guide people through a

able to guide people through a conversation so it’s a bit like having a

conversation so it’s a bit like having a

conversation so it’s a bit like having a map so the great thing about art is that

map so the great thing about art is that

map so the great thing about art is that there’s no right and wrong we all have a

there’s no right and wrong we all have a

there’s no right and wrong we all have a different response to artworks dementia

different response to artworks dementia

different response to artworks dementia or no dementia by looking at a painting

or no dementia by looking at a painting

or no dementia by looking at a painting in front of us we could focus on the

in front of us we could focus on the

in front of us we could focus on the response not on something a lot of

response not on something a lot of

response not on something a lot of people with dementia struggle with

people with dementia struggle with

people with dementia struggle with memory sure people often told stories

memory sure people often told stories

memory sure people often told stories but if they didn’t want to tell stories

but if they didn’t want to tell stories

but if they didn’t want to tell stories or they couldn’t remember there was no

or they couldn’t remember there was no

or they couldn’t remember there was no pressure they could just tell the story

pressure they could just tell the story

pressure they could just tell the story in unpicked the story in the painting it

in unpicked the story in the painting it

in unpicked the story in the painting it was perfect people’s anxiety levels drop

was perfect people’s anxiety levels drop

was perfect people’s anxiety levels drop and conversation started to flow I mean

and conversation started to flow I mean

and conversation started to flow I mean if it had a broken leg I wouldn’t have

if it had a broken leg I wouldn’t have

if it had a broken leg I wouldn’t have asked them to hop on it would I so it

asked them to hop on it would I so it

asked them to hop on it would I so it seemed perfect to me that here we were

seemed perfect to me that here we were

seemed perfect to me that here we were in the moment it was like a master class

in the moment it was like a master class

in the moment it was like a master class in mindfulness so it’s like a journey of

in mindfulness so it’s like a journey of

in mindfulness so it’s like a journey of discovery take George for example i went

discovery take George for example i went

discovery take George for example i went to a care home one afternoon and I saw

to a care home one afternoon and I saw

to a care home one afternoon and I saw George and he was in the reception and

George and he was in the reception and

George and he was in the reception and he was trying every single door trying

he was trying every single door trying

he was trying every single door trying to get out he was really distressed so I

to get out he was really distressed so I

to get out he was really distressed so I invited him to come and sit down with me

invited him to come and sit down with me

invited him to come and sit down with me to explore some art with the group and

to explore some art with the group and

to explore some art with the group and he looks a bit hesitant but then came

he looks a bit hesitant but then came

he looks a bit hesitant but then came over and I put this painting up on the

over and I put this painting up on the

over and I put this painting up on the screen and immediately George SAT up and

screen and immediately George SAT up and

screen and immediately George SAT up and he said oh well I’ll tell you what you

he said oh well I’ll tell you what you

he said oh well I’ll tell you what you got there that cloud of smoke that’s

got there that cloud of smoke that’s

got there that cloud of smoke that’s where the steam trains just gone into

where the steam trains just gone into

where the steam trains just gone into the station he was right in one so he

the station he was right in one so he

the station he was right in one so he then went on to tell us about his life

then went on to tell us about his life

then went on to tell us about his life as a steam train driver in Devon the

as a steam train driver in Devon the

as a steam train driver in Devon the carers around had their mouths wide open

carers around had their mouths wide open

carers around had their mouths wide open they didn’t know this about George they

they didn’t know this about George they

they didn’t know this about George they hadn’t known anything about his life and

hadn’t known anything about his life and

hadn’t known anything about his life and not only that now his anxiety had

not only that now his anxiety had

not only that now his anxiety had dropped and he was being part of a group

dropped and he was being part of a group

dropped and he was being part of a group having social interaction then it was

having social interaction then it was

having social interaction then it was Margaret and the Margaret had no words

Margaret and the Margaret had no words

Margaret and the Margaret had no words she’s come and sit and look at the art

she’s come and sit and look at the art

she’s come and sit and look at the art and smile and nod but she never said

and smile and nod but she never said

and smile and nod but she never said anything

anything

anything until I showed her this piece it was

until I showed her this piece it was

until I showed her this piece it was right at the end of a long session and I

right at the end of a long session and I

right at the end of a long session and I said to her Margaret when you look at

said to her Margaret when you look at

said to her Margaret when you look at this painting how does it make you feel

this painting how does it make you feel

this painting how does it make you feel and she looked me straight in the eyes

and she looked me straight in the eyes

and she looked me straight in the eyes SAT up and said when I look at that

SAT up and said when I look at that

SAT up and said when I look at that piece the mood and the color move right

piece the mood and the color move right

piece the mood and the color move right through me so since we launched ignite

through me so since we launched ignite

through me so since we launched ignite at the end of last year they’ve been

at the end of last year they’ve been

at the end of last year they’ve been over 150 sessions done that’s a thousand

over 150 sessions done that’s a thousand

over 150 sessions done that’s a thousand interactions really with people with

interactions really with people with

interactions really with people with dementia which is great but you heard

dementia which is great but you heard

dementia which is great but you heard the numbers it’s not enough so I’m

the numbers it’s not enough so I’m

the numbers it’s not enough so I’m determined to start spreading this so

determined to start spreading this so

determined to start spreading this so that we can have more joyful connections

that we can have more joyful connections

that we can have more joyful connections memory or no memory and as I said the

memory or no memory and as I said the

memory or no memory and as I said the true here is the story of the carers so

true here is the story of the carers so

true here is the story of the carers so we’re going to train these people to be

we’re going to train these people to be

we’re going to train these people to be able to Phyllis facilitate sessions

able to Phyllis facilitate sessions

able to Phyllis facilitate sessions themselves because it’s really important

themselves because it’s really important

themselves because it’s really important that they can create conversations

that they can create conversations

that they can create conversations throughout the day last month we move my

throughout the day last month we move my

throughout the day last month we move my name into a care home so I’m more

name into a care home so I’m more

name into a care home so I’m more determined than ever to help reshape the

determined than ever to help reshape the

determined than ever to help reshape the way that we deliver care I don’t want

way that we deliver care I don’t want

way that we deliver care I don’t want her to become another invisible person

her to become another invisible person

her to become another invisible person sat in an armchair dementia is

sat in an armchair dementia is

sat in an armchair dementia is challenging it can feel like it’s

challenging it can feel like it’s

challenging it can feel like it’s stripping people of their identities but

stripping people of their identities but

stripping people of their identities but what if we could turn that around even

what if we could turn that around even

what if we could turn that around even for a few moments I think we need to get

for a few moments I think we need to get

for a few moments I think we need to get away from this them and us because you

away from this them and us because you

away from this them and us because you know what they are us in years to come

know what they are us in years to come

know what they are us in years to come thank you

”

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