Provision of inclusive and anti-discriminatory services to older lesbian, gay, bisexual-identifying (LGB) people in residential care environments in Wales

Swansea University. Centre for Innovative Ageing
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This research paper examines the current level of inclusive care being provided by care environments to older lesbian, gay, bisexual-identifying (LGB) people in Wales. The research aimed to identify and examine: the level of support for sexual identities and relationships of older LGB residents provided by care and nursing staff in care environments, agency management and policy at provider and national levels; the attitudes and perceptions of care and nursing staff towards older people’s sexual practices and older LGB residents and their sexual needs and relationships; and the hopes, expectations and concerns of LGB adults about residential care services. The research comprised a mixed methods approach, including content analysis of Care and Social Services Inspectorate Wales (CSSIW) Inspection reports; survey of care and nursing staff and managers; semi-structured interviews with LGB adults; and focus groups with stakeholders. The findings indicate a widespread lack of recognition of the care needs of older LGB people in care environments in Wales, from CSSIW reports to survey and focus group data. While most respondents indicate affirmative and permissive attitudes towards the sexual lives of older people and LGB people more generally, the survey findings indicate large gaps in their knowledge of changes in sexual functioning in older years and important aspects of LGB history. The paper calls for policy makers to articulate more concrete actions on how services can be supported and resourced to ensure care and nursing staff are actively including older LGB people in their practice. (Edited publisher abstract)

Subject terms:
LGBT people, older people, residential care, care homes, anti-discriminatory practice, attitudes, needs, discrimination;
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