Resources for delivery
HOLIDAYS
ACs highlighted a lack of resources for delivery, including staff shortage and absence, technical problems and limited space for running sessions. As part of the discussions, it was recorded that there was a high staff turnover across care homes. ACs had no replacement care home staff to take up their duties when they were on holidays or isolated due to COVID-19 during the 12 weeks of the intervention. Also, ACs did not get any support from other care home staff. This was due to either the heavy workload on care home staff or a shortage of care home staff on duty. It was also reported by some care homes that poor internet connection and faulty display screens affected getting access to and viewing the digital intervention. Again, ACs expressed their struggles to set up lounges for sessions as the space is also shared with other residents not included in the study. In line with the sub-theme, 'facilitation resources' ACs put this across by saying:"The internet over here (care home) is not great because we live in the countryside. Our signal is poor, so we have problems with buffering, loading and refreshing the page".and:"We (care home) did have a technical hitch for about 3 weeks because we could not get the programme displayed on the TV's. Once the hitch was over, it was easy enough for the programme to go on our screens"and:"…but it could have to do with our (care home) setting because they (residents) were in a lounge with other residents that were not participating. It was purely the fact we were short staffed, and the carers were not always there to transfer them into another room to do it."and:"We (care home) found it difficult at times and just purely from separating the participants into another room due to staff shortages. We did come up with trouble of staffing."