What creates safety in elderly care homes - advice and tips on creating a secure environment for the residents

This article is translated with AI and written based on Swedish conditions. Hopefully, it can inspire interested parties from other countries.

Creating a sense of security in a nursing home is crucial for residents and their relatives to feel safe and well cared for. By working with predictability, clarity, continuity, a safe environment, respect for privacy, clear communication, empathy, person-centered care, and emotional support, one can create a safe and positive environment. Being aware of these factors and actively working to strengthen them is the key to a good care relationship and a high quality of life for residents and their relatives.

Creating safety in elderly care


Safety is a fundamental part of a good care relationship and is crucial for the residents to feel safe and well cared for. It is particularly important in an elderly care home to create an environment where the residents and their relatives feel safe.

Predictability and clarity


Predictability and clarity are the keys to creating safety. This means being clear about what the residents can expect in their daily life and during the care process. Being open and transparent with information about treatments, procedures, and decisions reduces uncertainty and gives the residents a sense of control and safety. Relatives feel safe when they know what to expect and when information is shared openly and clearly. Clear structures and routines, such as regular meal times and activities, also contribute to a sense of order and security.

Continuity and accessibility


Continuity and accessibility are important factors in creating safety. Providing continuous care with the same healthcare staff when possible gives the residents a sense of stability and safety. Relatives feel safe when they know that they can reach the staff when they need support or have questions. Being available for questions and support, for both the residents and their relatives, strengthens trust and creates a safe environment.

Safe environment and respect for privacy


A safe environment and respect for privacy are crucial for safety. Ensuring that the physical environment is safe, clean, and well-ordered gives the residents a sense of safety and well-being. Relatives feel safe when they know that their loved ones live in a safe and respectful environment. Respect for privacy, by respecting the residents' privacy and personal spaces, also contributes to a positive and safe atmosphere.

Clear communication and empathy


Clear communication and empathy are important in creating safety. Using clear and easily understandable language to avoid misunderstandings gives the residents a sense of being heard and understood. Relatives feel safe when they see that the staff communicates clearly and shows empathy. Showing understanding and compassion for the residents' feelings and situation strengthens the relationship and creates a safe environment.

Person-centered care and emotional support


Person-centered care and emotional support are crucial for safety. Adapting the care to the residents' individual needs and desires gives them a sense of their needs and feelings being taken seriously. Relatives feel safe when they see that their loved ones receive care that is tailored to their needs and that they receive emotional support. Offering emotional support and listening to the residents' worries and fears contributes to a safe and positive environment.

Reflection questions - Safety


Care staff
- How do you work to create predictability and clarity in your work?  
- How do you ensure that the residents receive continuous care and that you are available for questions and support?  

Manager, nurse, occupational therapist, and physiotherapist
- What is your view on the importance of a safe environment and respect for privacy for safety?  
- How do you work to ensure person-centered care and emotional support?  

Residents and relatives
- Do you feel that your relative lives in a safe and respectful environment?  
- How do you experience the communication and treatment from the staff at the home?  


Erland Olsson
Specialist nurse  
Sofrosyne - Better care every day

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