The toy blocks building trust, love and understanding

There’s a beautiful kind of hospitality, and this is it.

Belle Tindall

Belle is the staff writer at Seen & Unseen.

A baby plays with wooden toys on a carpert.

Photo by Troy T on Unsplash.

The leftovers were being gathered up, chairs being put back in their place, and happy looking people were dispersing. The last child there, his mum helping to wrap things up in the kitchen, was clinging onto a toy that I, in my imagination, like to think he makes a B-line for every time he spots it. It was an ordinary scene, but there was something undeniably extraordinary underpinning it.

Although it’s hard to articulate with words (which is admittedly not ideal when the objective of the visit was to write about it), it was immediately clear to me, I had walked right into the aftermath of something truly special. I sat down with Joey and Sarah, two of the Growbaby team, to figure out what it was.

Growbaby is an international children’s supply charity, providing clothing, equipment and everyday essentials for children up to five years old. Launched in 2003 and rooted in a local Vineyard church in Kingston Upon Thames, there are now multiple Growbaby hubs, one of which just happens to be at the end of my road in Cardiff. What started as a cupboard crammed with donated supplies is now a source of wholistic support for over one hundred families.

As requests flow into Growbaby HQ, packages are lovingly compiled and then freely given. These packages are put together on a case-by-case basis and can include anything from nappies to pushchairs, clothes to cots, formula to toys. Such support doesn’t tend to be offered from a distance, on the contrary, every Friday morning families (mothers and little ones, primarily) are welcomed to ‘stay and play’, and to subsequently receive the kind of support that can’t be handed over via a package. The aftermath of one of these events was the context for my short but ever so sweet visit.

The ways in which Joey and Sarah find themselves serving these families is constantly bursting the banks of their expectations.

The depth of relationship that has naturally built through their time together, with every Friday morning acting as a building block of trust, has meant that the ways in which Joey and Sarah find themselves serving these families is constantly bursting the banks of their expectations. The team have assisted in getting families set up with child credits and social services support, frequently acted as translators, ferried families to A&E, thrown baby showers, booked GP appointments, been birth partners, and even sought out affordable kitchen flooring on Facebook Marketplace.

Working for the well-being of these families has also involved appealing to the Red Cross to try and re-unite a Sudanese mother with her twelve-year-old son who has been unable to get out of the war-torn country. With families from Syria, Sudan, Iran, Iraq and Somalia (to name but a few), many of whom have found themselves in Cardiff as refugees, Growbaby is far more than a resource centre, it is a beautifully diverse community, the most understanding of support networks, a means of building a home away from home.

When Russia launched its invasion of Ukraine last year, the Growbaby team’s minds immediately went to the Russian women within their community, those who had brought their families to the UK in search of political asylum. These women had built a home for themselves and their children here, and yet, the news of the Russian offensive was likely to make them feel as vulnerable as the day they arrived. So, the team gave each of these women a card; a small but mighty gesture that let these women know that they were seen, safe, understood and loved in the place that they now called home.

The team here are also hosting these families’ trauma and their fears, they’re holding space for their joys and their victories.

I was struck by the fact that whole lives have been enhanced in this room; friendships have been forged, babies have been celebrated, all kinds of needs have been provided for, and women who came to Growbaby for help are now the volunteers who offer it. And these stories are a mere scratching of a powerful surface, the beaming smiles on both Joey and Sarah’s faces tell a thousand more. The impact that these women have had could never be adequately squeezed into an article (again, not ideal when an article is the objective).

Stepping foot into the room that Friday morning was stepping foot into the most tangible sense hospitality one could imagine. Of course, there are the obvious, and utterly essential ways, that these families are being hosted – through resources, supplies and practical support. But the team here are also hosting these families’ trauma and their fears, they’re holding space for their joys and their victories. Each person that walks through the door of Cardiff’s Growbaby are finding a community who will welcome and host the whole of them, who will weep with them when they’re weeping, and celebrate with them when they’re celebrating.

It’s a beautiful thing.

We could be forgiven for thinking that this kind of no-strings-attached hospitality is a myth. If it ever did exist, it’s bygone, and therefore dwells only in the realms of nostalgia. So, counter-cultural is it, that we’d be suspicious if ever we were to stumble upon rumours of it.

Well, no suspicion necessary here. It truly does exist; you can take my word for it. And I can’t imagine people more in need of it than parents, the guardians and nurturers of little lives.

If you are in need of the kind of support that Growbaby can offer, you can see if there’s a Grow Baby near you by using its directory .

Article

Care

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.