Co-producing a Roadmap to Meaningful Connection

Cohorts 23, 25 & 26

Meaningful connections are created when daily interactions and activities are suited to a person’s preferences and needs, and engagement with residents living in care settings is positive. ‘Enhancing Meaningful Connection’ addresses a vital public health issue, recognising that meaningful relationships and interactions are not only essential to wellbeing, but also a fundamental human right.

Aim of project Image

Aim of project

The quality improvement project aimed to explore what are the existing opportunities, enablers, and the outcomes of meaningful connections in care settings and co-produce a practical and meaningful resource designed to enhance meaningful connection for everyone who lives in, works at, or visits care home settings.

Who was involved

Residents, relatives, staff and Public health Agency

My home Life tools used

My Home Life Integrated QI methodology model, Frameworks, Image cards, Emotional touchpoints and Magic wand.

Quality Improvement Project

Develop a Roadmap for Enhancing Meaningful Connection, a co-created, visually engaging tool grounded in the real experiences of those living and working in care homes. Designed to guide care teams in intentionally embedding connection into daily practice.

The Roadmap would guide care teams and individuals to intentionally embed meaningful connection into daily practice by recognising:

  • What are the opportunities that create meaningful connection (e.g. personal care, celebrating resident individuality, reminiscence, music and arts, conversation, etc).
  • Why this matters to the person (e.g. feeling a sense of belonging, significance or achievement, or knowing someone is fully present and engaged while in their company, etc).
  • Understand the impact that meaningful connection can have on the person and the culture of the care home setting (reduced loneliness, improved relationships between relatives', staff and residents, enhanced engagement in social activities, etc).
  • Where can evidence of impact be collected (e.g. compliments and feedback, governance data, external reports, etc).

Outcomes

The result was a Roadmap for ‘Enhancing Meaningful Connection,’ a co-created, visually engaging tool grounded in the real experiences of those living and working in care. (Download a copy of the Roadmap):

  • The Ticket: ‘Being Present’ Entry to the Roadmap begins with a commitment to presence. Being truly present with residents forms the foundation of meaningful connection.
  • The Train: Life in the Care Home The train represents daily life in a care home. It carries residents, relatives, staff, and integrates the wider community, symbolising the interconnected environment of care.
  • The River: Emotional Connection Flowing beneath and across the Roadmap, the River signifies the importance of emotional connection. It highlights the value of forming authentic bonds, sharing feelings, showing empathy, and embracing mutual understanding.
  • First Stop: Knowing the Resident This stop underscores the importance of getting to know each resident as a unique individual. Understanding their life story, preferences, and identity is the foundation of person-centred care.
  • Second Stop: Opportunities for Connection Represented by a meadow of flowers, this stop symbolises the diverse opportunities available to connect. These may include music, creative arts, nature-based activities, or intergenerational programmes. Equally valuable are the more intimate, everyday moments, such as a therapeutic touch or a shared moment during personal care.
  • Third Stop: Why It Matters This stop explores why meaningful connection is vital. It builds trust, helps individuals feel safe, respected, and valued, and contributes to creating a care environment that truly feels like home.
  • The Centre: Conversation At the heart of the Roadmap is the word ‘conversation’. Through warm greetings, active listening, thoughtful questions, and shared experiences, conversations become the primary bridge to building deep, meaningful relationships.
  • Arrival: The Outcomes as the train arrives at the station, we reflect on the outcomes of enhancing meaningful connection: emotionally safe environments, strong and supportive partnerships, and improved quality of life and wellbeing for residents, staff, and visitors alike.
  • The Rainbow: Recording Impact The rainbow symbolises the importance of measuring progress. How do we know we're making a difference? Evidence is found in feedback and compliments from residents, families, and staff; in external evaluations such as RQIA and Healthcare Trust reports; and in governance data, including trends in resident falls, nutrition, medication use, staff sickness, and appraisal outcomes.

Outcomes

Care home leaders recognised that meaningful connection extends far beyond scheduled activities, and lives in the everyday moments of presence and conversation. This Roadmap supports a cultural shift toward more inclusive, person-centred care that celebrates individuality, promotes dignity, and fosters a shared responsibility for meaningful connection at every level of care.

Next Steps

Participants attending The My Home Life (NI) Leadership Support and Quality Improvement Programme in February 2026 will implement the Roadmap in care settings to increase the evidence-base of the practicalities of its implementation.

Published research

Muldrew, D., Bradley, R. and Conway, K., 2026. Digital Technologies That Support Meaningful Connections in Care Homes: Scoping Review. Journal of Medical Internet Research, 28, p.e88181. https://doi.org/10.2196/88181

Download a copy of the Meaningful Connections Roadmap

A Care Home Managers experience of using the Meaningful Connection Roadmap

Listen to Whitney (Care Home Manager) explain how she put the Meaningful Connections Roadmap into action to help support a resident through a difficult period, resulting in significant positive impact on the resident, their family and staff.

Watch the video
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