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Original languageEnglish
Pages (from-to)1-31
Number of pages31
JournalAgeing and Society
Early online date29 Dec 2016
Publication statusE-pub ahead of print - 29 Dec 2016


The distinct needs of lesbian, gay, bisexual and trans (LGBT) residents in care
homes accommodating older people have been neglected in scholarship. On the
basis of a survey of 187 individuals, including service managers and direct care
staff, we propose three related arguments. First, whilst employees’ attitudes generally indicate a positive disposition towards LGBT residents, this appears unmatched by the ability to recognise such individuals and knowledge of the issues and policies affecting LGBT people. Statements such as, ‘We don’t have any [LGBT residents] at the moment’ and ‘I/we treat them all the same’ were common refrains in responses to open-ended questions. They suggest the working of heteronormativity which could deny sexual and identity difference. Second, failure to recognise the distinct health and social care needs of LGBT residents means that they could be subject to a uniform service, which presumes a heterosexual past and cisgender status (compliance with ascribed gender), which risks compounding inequality and invisibility. Third, LGBT residents could be obliged to depend largely on the goodwill, knowledge and reflexivity of individual staff (including people of faith) to meet care and personal needs, though such qualities were necessary but not sufficient conditions for inclusion and no substitute for collective practices (involving
commitment to learn about LGBT issues) that become integral to care homes’ everyday functioning. A collective approach is key to advancing inclusion, implementation of legal rights to self-expression and securing equality through differentiated provision.


This document is the Accepted Manuscript version of the following article: Paul Simpson, Kathrynn Almack, and Pierre Walthery, ‘ “We treat them all the same”: the attitudes, knowledge and practices of staff concerning old/er lesbian, gay, bisexual and trans residents in care homes’, Ageing and Society, first published online 29 December 2016, available online at DOI: Copyright: © Cambridge University Press 2016. Content in the UH Research Archive is made available for personal research, educational, and non-commercial purposes only. Unless otherwise stated, all content is protected by copyright, and in the absence of an open license, permissions for further re-use should be sought from the publisher, the author, or other copyright holder.

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