Do Care Homes Need Music, and Does it Matter Who Provides it?

Yesterday, I performed in a care home – something which I do as a regular part of my work. I have found this an inspiring and deeply meaningful part of my portfolio of activities. To illustrate exactly why, I recorded one piece using my phone on my music stand. Consequently, the sound quality is awful, but that is beside the point as this blog has nothing to do with my guitar playing. Obviously, I ensured there were no residents visible in the film (just me I’m afraid) and I won’t identify the home in question.

The home is a place for residents with varying challenges during their mature years. Some are very capable physically- and mentally-speaking; others are suffering the cruel symptoms of conditions such as dementia. Some are very able, but perhaps have limited options as to where they can spend their later years, and are seeking comfort and quality.

What amazes me about music is its ability to touch deep places within the mind, heart and soul. The recording you’ll see and hear is a section of my arrangement of ‘The Wild Mountain Thyme’. If you listen carefully (best is through headphones), you’ll hear people singing along. It is beautiful. How can it be that someone may be unable to remember their own family, or where they are, yet when information is accompanied by melody, something deep and profound is tapped into? I’ve had to limit the extract to 1 minute in this social-media world of ours, but you’ll get the idea if you listen closely.

We all know the joy of singing a melody from yesteryear. There are countless studies which prove the beneficial health effects of music making, from babies to those approaching the end of their lives.

The staff in such places are incredible. The work can be immensely challenging yet also deeply rewarding. They have to find ways in which to occupy the residents while they also do the cooking, cleaning, bathing and all the rest of it. Consequently, they often require diversion for the residents.

Musicians can play a significant role in the therapeutic and entertainment process. Many people volunteer to go and perform for residents but we must be careful. I am treading on dangerous ground here, but we must ask ourselves difficult and honest questions. I know that some musicians of very limited ability and experience visit care homes. They often volunteer (as I sometimes do) and we can see this as a generous gesture. Having said this, would we accept it if this type of musician went to play at a concert or in a restaurant? I think not. Staff will often joke about the clichéd ‘doddery old bloke with the Hammond organ’ who pops in every Thursday. It’s a good joke but should we accept this? Are we able to put ourselves in the place of the mature listener? I’ve heard staff say that essentially, they allow such performers to come for the performer’s benefit, rather than that of the residents. Even worse is if musicians go to a care home as an outlet for ego. I told you this was dangerous ground. I’ve come to believe that the ego is the biggest pitfall musicians of all qualities will encounter. As soon as the art becomes about the individual, a can of worms is opened: anxiety, arrogance, self-delusion and a host of other disagreeable elements can slip into a performance, but this is a subject for another blog. I know of some musicians who wheel out the usual fare such as ‘We’ll Meet Again’ or quite childish songs in care homes. If someone is 80 years plus, they’ll probably be much more interested in something classical or The Beatles than war time songs. Time moves on (an 80-year-old would have been a baby at the beginning of the war) and we must avoid being condescending. Let me clarify, there are many fine musicians with hearts of gold, but it’s up to the musician to ask him/herself what their motivations are.

Maybe the world of music education should further consider its role. A tour of care homes may be a greater education to a gifted young musician than any concert set up in a glamorous concert hall – perhaps the latter is done for the benefit of the parents (and their ego?) and the school’s reputation.

As always, the issue tends to be budget. There are charities who fund visits to such homes so that musicians can earn a professional and accountable fee, and residents are assured quality and integrity. If governments can direct decades of countless billions towards pharmaceutical giants who, in my view, have a scary amount of control, for treatment, can they maybe find a budget to fund arts in places where they are really needed? Whatever the case, I witness over and over again the joy and well-being music can bring to those in later life, and the touch of precious quality which it offers to people in the darkest of places, who deserve so much more.

2 thoughts on “Do Care Homes Need Music, and Does it Matter Who Provides it?

  1. Hello Dan. Firstly I would like to say that I thoroughly enjoyed your clip, and yes, I could hear the singing in the background. How special. I retired in the spring of this year but prior to that I worked as an Activities Co ordinator in a care home for the elderly. I made music a massive part of my daily work, whether it was playing cds to residents, singing with them or having singers and musicians in. I think it’s terribly important to have reputable musicians/singers in by the way, and in this respect word of mouth plays a large part. I worked daily with dementia residents and found that music awoke parts of their brains that had lain dormant for some time. Nothing gave me more pleasure than being with people who didn’t really realise what was going on around them and watching them slowly awaken with music. A smile would appear; eyes would open or hands would start to tap. Talk about job satisfaction. Then on the other side of the spectre those residents who were mentally fine would open their lungs and sing along with all their might – hands clapping, arms waving, and even dancing for those who were mobile. All of it made my heart burst with joy. Music awakens the soul and jogs the memory, and so often after a session of singing I would sit down and listen to stories of memories that particular songs had awoken. I found that on large most residents loved The Beatles and songs of the fifties and sixties, but I always knew who loved what, so sometimes we went back to the thirties and forties and it always brought a tear to my eye when some of these older songs brought back memories of childhood, marriage, living at home etc, Gosh the amazing conversations I used to have with these wonderful people.
    Sorry! I’ve rambled! Your song and your words touched my heart and I just wanted to let you know that I am 100% with you on what you say!
    Thank you.
    Vivienne

    1. Hi Vivienne, thank you so much for your articulate and thoughtful reply. Your experiences sound extraordinary and very powerful. It was a joy to read about your work. Another thing that struck me this week is how much time residents make for people. I played in another care home 3 days after this film and a lady had brought photos of her musician-daughter who lives in France to show me. We’d chatted during a previous visit and had a link as I lived and worked in France for seven years. I loved the effort and thought. I also enjoy the fact that we can be silent. Real pauses in conversation without awkwardness. We’ve lost that in our manic, wittering world! Thank you again for your wonderful words. Please do keep in contact. Best wishes, Dan

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