# Exploring the experiences of the Windrush Generation, living in UK care homes: protocol for a qualitative study using the Silences Framework

## TL;DR

This study explores the experiences of Windrush Generation individuals in UK care homes, focusing on how race and marginalization affect their care and end-of-life experiences.

## Contribution

The study introduces a culturally informed qualitative approach using the Silences Framework to explore under-represented narratives of Black African Caribbean care home residents.

## Key findings

- Semistructured interviews will explore how race, identity, and marginalization shape care experiences in UK care homes.
- A Patient and Public Involvement group ensures cultural relevance in study design and dissemination.
- Ethical and safeguarding procedures are in place to address sensitive topics like racism and end-of-life care.

## Abstract

The Windrush Generation describes a group of individuals who migrated, primarily from the Caribbean to the UK between 1948 and 1971, many of whom are now entering older age. Now entering later life, many face ongoing health inequalities shaped by systemic racism and cultural marginalisation. Despite a growing number of ethnic minority residents in UK care homes, little is known about the lived experiences of Black African Caribbean people in these settings, particularly at the end of life.

This qualitative study explores the experiences of Black African Caribbean care home residents and their families, focusing on how race, identity and marginalisation shape care. Guided by the Silences Framework, semistructured interviews will be conducted with up to 16 participants across diverse care home settings. Data will be analysed thematically, with attention to under-represented narratives. A Patient and Public Involvement group of African Caribbean community members has codeveloped the study and will support analysis and dissemination to ensure cultural relevance.

Ethical approval has been secured (REC: 24/WM/0151; protocol number: RG_21087; IRAS project ID: 302629), and the study will follow rigorous consent and capacity procedures, including caregiver affirmation and UBACC assessment where needed. Given the sensitive, potentially distressing focus on racism, marginalisation and end-of-life experiences, the research will be conducted by an experienced clinician-researcher using a reflexive, ethically grounded approach that safeguards both participants and researcher. Interviews will be held in private, accessible settings with appropriate advocacy, safeguarding concerns will follow care home and national protocols, and all data will be securely stored, anonymised and managed under General Data Protection Regulation and university governance, with the University of Birmingham as sponsor and data controller.