Shared decisions
While it was intended that PIPs would be actively engaged with residents as part of the intervention, frequently residents did not have the mental capacity for this. However, even though a PIP stated that residents would possibly have little recall of their conversation, they still found it relationally valuable to meet with residents, ‘I could really get on well with the family, she wanted to know everything what I was going to do so that was more interesting because I could discuss things, a really good example of joint working with the family PIP_16.In summary, most participants readily identified ways in which the intervention had directly benefited individual residents. The key factor enabling PIPs to work in ways which benefited residents stemmed from the trust the CH team, resident and their family could place on the PIP as a readily accessible, clinically competent person who could react appropriately if adverse consequences arose to any medicine change.