Have you considered looking at Intensive Interaction?
You could get some help or support in this area from your Community Learning Disability Team.
There are also courses that you can go on to learn about intensive interaction, which are really useful, particularly for our ‘client’s’ with profound and multiple disabilities.
Including people with everyday daily activities is also beneficial and can help people feel valued and included.
Even if it is just holding a duster, participating in household chores, it will all help with a total approach to communication also.
I find that in some care homes, people tend to work ‘around’ people when it comes to household chores and this can lead to people feeling a little bored, and devalued. That is unless they have a serious strong objection to chores!
Sensory boxes are also a good idea. These do not require much money and can be very person centred, for example, having items that have a favourite smell of perfume on them, crinkly paper etc, can be used to stimulate the senses.
I would also suggest that a sensory integration assessment is sought for people with PMLD as this can be helpful in looking are areas of possible deficit or hyper-sensitivity. Therefore particular activities can be identified and used to support the individual.