Table 2.

Components of the intervention.

Components	Description	Prompts	Phase(s)
Appreciative conversations, AKA “Good Gossip”	Participants are invited to recount “a successful story or positive memorable moment of working with others to provide end-of-life care for a resident dying with dementia”. Common attributes, values, skills and abilities identified around providing good end-of-life care are highlighted and discussed	“What made the situation special? What was your contribution? How did you feel? How did others, either in the home or in the community help you?”	Discover, Dream
Development of future directed statements, AKA Common “Vision” for the home	Participants asked to imagine the care home 5 years on and their ideal for end-of-life care for people with dementia. Future-directed statements are also referred to as the participants’ common “Vision” for the care home. Participants encouraged to develop future-directed statements” into specific ideas for EOL innovations	What is different? What is going on in the home? Who is here? How have residents benefited?	Dream, Design
Resident Death Reviews (RDR)	An example of actual end-of-life practice within the home used to reflect on working practices and tease out the specifics of a potential innovation for end-of-life care. Review of events focused on the process of care, the alignment of strengths and the adjustment of practice (where necessary) that would help move towards the participants’ “Vision” for the care home.	All participants Prompted to discuss the resident death from the point of view of (i) the primary care doctor and/or District Nurse (ii) the care home staff and finally from (iii) the resident and family point of view.	Design