Does a dementia workshop, delivered to residential care home staff, improve the wellbeing of residents with dementia?

Inclusion criteria: Residential care homes: 1. Residential care homes in Norfolk and Suffolk 2. Have residents with dementia. Resident inclusion criteria: 1. Have dementia 2. Demonstrate capacity to consent to participate in the study or have a consultee who can inform a decision to include them in the study Staff inclusion criteria: 1. Employed at residential care home and work on a full or part time basis and are employed in any role 2. Have a minimum of weekly face‐to‐face contact;Inclusion criteria: Residential care homes: 1. Residential care homes in Norfolk and Suffolk 2. Have residents with dementia. Resident inclusion criteria: 1. Have dementia 2. Demonstrate capacity to consent to participate in the study or have a consultee who can inform a decision to include them in the study Staff inclusion criteria: 1. Employed at residential care home and work on a full or part time basis and are employed in any role 2. Have a minimum of weekly face‐to‐face contact Exclusion criteria: Residential care home exclusion criteria: 1. Do not provide residential care for people with dementia 2. Only provide palliative care Resident exclusion criteria: Receiving palliative care. Staff exclusion criteria: 1. Agency or bank staff 2. Work in a senior management position;Exclusion criteria: Residential care home exclusion criteria: 1. Do not provide residential care for people with dementia 2. Only provide palliative care Resident exclusion criteria: Receiving palliative care. Staff exclusion criteria: 1. Agency or bank staff 2. Work in a senior management position Dementia Mental and Behavioural Disorders Dementia;Dementia Mental and Behavioural Disorders Dementia Each care home will be randomly allocated to their staff to one of two groups. Randomisation of care homes is done using block randomisation. Group 1: Participants in this group receive the dementia workshop called PERSONABLE. It is intended as a reflective workshop to help participants to explore the concepts of personhood and citizenship in relation to dementia care. The PERSONABLE dementia workshop takes the form of a one hour workshop with groups of participating staff members and facilitated by a registered mental health nurse. The reflective workshop to help staff explore the concepts of personhood and citizenship in relation to dementia care. The workshop will consist of five elements: 1. From waking to work (15 minutes). The purpose of this exercise is to help staff explore the everyday choices they make between waking up and arriving at work, and how these might be replicated for the person with dementia living in residential care. 2. Understanding the person with dementia (15 minutes). An adapted version of the Kitwood personhood model, which in a structured way asks participants to consider what makes them a person. 3. Exercise two will then be repeated but this time the participants will be asked to think of a resident with dementia, and using the same adapted Kitwood model to consider the components that make them a person. 4. From the outside to the inside (15 minutes). A reflective exercise to help participants consider the community outside of the care home on their last day off, and how this might be replicated within the care home. 5. The pledge (10 minutes). Participants will be asked to consider all the concepts they have explored in the previous four exercises and to pledge to change one thing about their work within the next thirty days. Group 2: Participants in this group receive training as usual will involve no additional training other than the training routinely provided within the care home. For care homes allocated to the PERSONABLE;Each care home will be randomly allocated to their staff to one of two groups. Randomisation of care homes is done using block randomisation. Group 1: Participants in this group receive the dementia workshop called PERSONABLE. It is intended as a reflective workshop to help participants to explore the concepts of personhood and citizenship in relation to dementia care. The PERSONABLE dementia workshop takes the form of a one hour workshop with groups of participating staff members and facilitated by a registered mental health nurse. The reflective workshop to help staff explore the concepts of personhood and citizenship in relation to dementia care. The workshop will consist of five elements: 1. From waking to work (15 minutes). The purpose of this exercise is to help staff explore the everyday choices they make between waking up and arriving at work, and how these might be replicated for the person with dementia living in residential care. 2. Understanding the person with dementia (15 minutes). An adapted version of the Kitwood personhood model, which in a structured way asks participants to consider what makes them a person. 3. Exercise two will then be repeated but this time the participants will be asked to think of a resident with dementia, and using the same adapted Kitwood model to consider the components that make them a person. 4. From the outside to the inside (15 minutes). A reflective exercise to help participants consider the community outside of the care home on their last day off, and how this might be replicated within the care home. 5. The pledge (10 minutes). Participants will be asked to consider all the concepts they have explored in the previous four exercises and to pledge to change one thing about their work within the next thirty days. Group 2: Participants in this group receive training as usual will involve no additio al training other than the training routinely provided within the care home. For care homes allocated to the PERSONABLE Care home resident well‐being is measured as change in the mean Dementia Care Mapping Well/Ill being value (WIB), calculated as a mean score from up to six care home residents observed at baseline prior to randomisation and at ten weeks after randomisation;Care home resident well‐being is measured as change in the mean Dementia Care Mapping Well/Ill being value (WIB), calculated as a mean score from up to six care home residents observed at baseline prior to randomisation and at ten weeks after randomisation 1. Care home staff understanding of personhood is measured as change in Personhood in Dementia Questionnaire Score of care home staff between baseline recorded prior to randomisation and follow‐up ten weeks after randomisation. 2. Care home staff competence of dealing with residents with dementia is measured as change in visual analogue scale observed at baseline recorded prior to randomisation and follow‐up ten weeks after randomisation. 3. Resident recruitment (feasibility outcome) calculated as the total number of residents who participate in the dementia care mapping at baseline 4. Care home staff recruitment (feasibility outcome) calculated as the total number of care home staff members who complete baseline measures 5. Resident attrition (feasibility outcome) calculated as the total number of residents who participate in the dementia care mapping at follow‐up 6. Care home staff attrition (feasibility outcome) calculated as the total number of care home staff members who complete follow‐up outcomes;1. Care home staff understanding of personhood is measured as change in Personhood in Dementia Questionnaire Score of care home staff between baseline recorded prior to randomisation and follow‐up ten weeks after randomisation. 2. Care home staff competence of dealing with residents with dementia is measured as change in visual analogue scale observed at baseline recorded prior to randomisation and follow‐up ten weeks after randomisation. 3. Resident recruitment (feasibility outcome) calculated as the total number of residents who participate in the dementia care mapping at baseline 4. Care home staff recruitment (feasibility outcome) calculated as the total number of care home staff members who complete baseline measures 5. Resident attrition (feasibility outcome) calculated as the total number of residents who participate in the dementia care mapping at follow‐up 6. Care home staff attrition (feasibility outcome) calculated as the total number of care home staff members who complete follow‐up outcomes