I am Mauro, a registered nurse and Care Home Manager.
My approach is to build relationships with people as I understand this can be a very difficult situation.
I believe in individualised care that focuses on what each person needs to make them happy.
This means the residents, relatives and staff under my care feel heard and valued, which builds mutual trust and improves outcomes.
People have the wrong impression of what a nursing home is, because people think a nursing home is a place where people go to die. No. A nursing home is where you can go to live your best life possible – even if that is at the end stage of your life.
I do this because I want to see the whole picture. Being part of a big family, that’s the great thing about working as a nurse in a nursing home. We’re part of the journey of the resident from when they enter the front door until they’ve left. As nurses we can provide 24-hour care, often for people who have complex healthcare needs, to help them be as independent and as comfortable as possible.
The role of Home Manager is very complex. Because you are not only looking after the welfare and the wellbeing of the residents, you’re also looking after the staff as well. And you need to make sure that the home is prospering, because at the end of the day, it’s a business as well. You wear a lot of hats.
In the nursing home, there is a lot of potential for career development. From starting as a registered nurse, you could progress to a senior nurse, a team leader, a home manager, a regional manager, or a managing director one day. All of us started as a nurse on the floor in a nursing home.
Some of the residents have been here longer than me. I think the good thing with that is that I’ve been on a journey, not only with the resident, but with the family as well. We’ve grown together. I’ve seen them develop, I’ve seen them in their worst times, I’ve seen them in their happy times.
The most important thing in a nursing home, that binds all the staff, residents and relatives together, is trust. If we do not trust each other, we will collapse.
You need to do a comprehensive nursing assessment to make sure you can look after a person you receive or accept. I always tell my nurses, when you’re reading an assessment, you need to answer a question: Could you look after the resident? If not, why? Could you do something innovative that would help us look after the resident?
Peter had very complex behaviour when he came here. The nursing team knew he painted in the past, so one day we encouraged him to try again. Through art therapy, the majority of his behaviour changed. Things work if you just think about the person. Hardship will always be there, but after a lot of trial and error we found what he needed.
The family are very appreciative of what the team have done, because they haven’t seen him so happy for a very, very long time. When we see him happy, and his relatives happy, we feel it’s been a success.
In life, there should always be a balance of safety and risk. A nursing home is just the same, because a nursing home is like an extension of your home. I want the residents to feel they can do anything they want, with the appropriate nursing risk assessment in place. Would you stop an 85-year-old from walking? No, because that’s the enjoyment they have.
I want to continue being a nurse as long as I can. I want to encourage more men to go into this profession. A nurse is a nurse, no matter what gender you are.