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Article History

Received: 18 August 2016

Accepted: 25 January 2018

First Online: 5 February 2018

Ethics approval and consent to participate

: Plymouth University Research Ethics Committee gave ethical approval for this study on 21st February 2014 (Reference PU13/14–216), on condition that informants and care homes be pseudonymised in reports and publications about this study. We obtained informed consent from all participating care home managers and staff members; and from residents, whose willingness to participate was confirmed directly for those with mild to moderate dementia, or for those with severe dementia from a family member or other available proxy with designated authority to provide consent.

: This consent is not applicable to this study.

: The authors declare that they have no competing interests.

: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.