Activity coordinator supporting dignity in care homes during a one-to-one music session
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Christine Crowle · Founder, Dominique Carrington Advisory · Activity Coordinator Resources

What Gladys Knight Teaches Every Activity Coordinator About Dignity and Consent

Protecting dignity in care homes sometimes means asking harder questions than “was it a nice activity?” If an 82-year-old woman forgets a line of a song, gets tired mid-performance, or needs help off the stage, should we automatically decide she should stop doing the thing she’s loved her whole life? That question isn’t really about a stage at all โ€” it’s about every resident in every care home who’s ever been told, gently or not, that age means it’s time to stop.

Don’t look at the age first. Look at the person first.

Why Gladys Knight’s Story Is Worth Thinking About

Gladys Knight is 82, and she has been performing for more than 75 years. Singing hasn’t just been a job for her โ€” it’s been part of her identity for practically her entire life. Recently, her son publicly raised concerns about her wellbeing while touring, and reporting has since described disagreement between her family, her husband, and people around her tour about whether she should still be performing. Gladys Knight herself disputed the more serious claims, saying her health and performances had been misrepresented. She has now said she’ll ease into fewer performances as she moves into the next stage of her life โ€” not that she’s stopping, and not that music is no longer part of who she is.

Notice what she didn’t say. She didn’t say she’s stopping simply because of her age. She didn’t say music is no longer part of her identity. That distinction matters enormously โ€” and it’s exactly the distinction activity coordinators are asked to make, quietly, every single day.

When Forgetting Isn’t a Reason to Stop

Picture a resident who’s played the piano for sixty years. Now she has dementia. Some days she plays a whole piece beautifully. Other days she gets halfway through and loses the thread. Do you take the piano away? Of course not. Picture another resident who danced her whole life, now unsteady on her feet. Does dancing disappear from her life? No โ€” it means asking how she can keep doing it safely. Maybe she dances sitting down. Maybe someone holds her hand and supports her. Maybe it’s five minutes instead of an hour, or half the song instead of the whole thing.

Aging doesn’t erase the person who existed before. Forgetting a verse isn’t automatically a reason to take something away โ€” and that’s a principle worth holding onto every time a resident has an off day.

Protecting People Without Taking Away Their Identity

Two things can be true at once. We protect people from harm โ€” that matters, and safeguarding concerns should never be dismissed simply because someone is doing an activity they love. But we also protect their autonomy, their identity, and their right to make choices. That balance is really what dignity in care homes comes down to: person-centred care means reflecting a resident’s needs and preferences, and dignity includes supporting their independence, not removing the thing that’s always made them them.

If someone was a gardener, find a way they can still garden. If someone sang, let them sing โ€” even if it’s a short burst rather than a full song, even if they forget the second verse and everyone else quietly joins in for them. A smile through half a verse is still a good outcome. That’s what you’re actually looking for.

The Bigger Conversation: Care Homes and Social Media

Gladys Knight’s story also raises a question worth sitting with if your home posts on TikTok or Facebook: who is the content really for? Filming a resident enjoying themselves isn’t automatically wrong โ€” for someone who’s sung their whole life, being filmed singing again could be a genuinely wonderful moment. But ask yourself honestly: is this celebrating that person’s life, or has the activity started being designed for how well it performs online?

There’s a simple test. Would you still run this activity if no one was filming it? If the answer is yes, wonderful โ€” the activity exists because the resident enjoys it. If the honest answer is “probably not, but this will look great on Facebook,” that’s worth stopping and reconsidering. Residents are not your content. They’re people.

Consent Is More Than a Tick in a Box

Consent for filming or sharing a resident’s activity has to go further than a family member saying it’s fine. If someone has capacity to make that decision themselves, their wishes matter directly โ€” it isn’t enough that a daughter said it’s okay. CQC guidance is clear that where consent is being relied on, it needs to be freely given, specifically informed, and something the person can withdraw. Capacity should be considered for that specific decision, not simply assumed to be absent because of someone’s diagnosis.

Before posting a resident online, it’s worth asking: does this person actually want to participate? Would they be comfortable knowing strangers might see it? Does it preserve their dignity? Are you watching for tiredness, distress, or a change of mind? And the big one โ€” would you still run this activity if no one was filming it?

Following Their Cues, Not Squeezing Out a Performance

When Gladys Knight gets tired on stage, they stop, and she goes to rest. That’s the model worth borrowing. A resident who’s sung for decades but tires more easily doesn’t need “no more singing” as the answer โ€” it can be a shorter version, somewhere to sit, someone beside them, stopping the moment they get tired, and watching for the signs: are they wandering, losing focus, looking strange? Good activity provision was never about squeezing a performance out of somebody. It’s about letting them stay connected to the person they’ve always been, even if that’s for two minutes rather than two hours.

What Dignity in Care Homes Actually Looks Like

There’s a real risk of activity coordinators becoming so anxious about safeguarding that residents end up sitting in chairs doing nothing, mistaking caution for dignity. That’s not what dignity means. CQC’s fundamental standards recognise person-centred care, dignity, consent, safety, and safeguarding as things that exist together, not in isolation from each other. There’s risk in life โ€” the job is managing that risk reasonably while still enabling people to live as independently as they can.

This is the exact philosophy behind the Still Me™ platform โ€” helping activity coordinators capture meaningful, person-centred engagement with the evidence and consent processes built in, rather than treating dignity and documentation as competing priorities.

Look at the Person First

Somebody can be 82, 92, or 102 and still be entirely themselves. The next time you’re planning an activity โ€” especially one you’re thinking about posting online โ€” ask yourself honestly: is this about the resident, or is this about the content? Good engagement was never about getting the best video. It’s about knowing who that person is, what still matters to them, and how you can help them safely keep doing it โ€” because that’s what genuine dignity in care homes looks like in practice, not just on paper.

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