Depriving care home residents of their liberty is fraught with problems for managers as legal guidance is vague on when it is appropriate. This highlights the problems of implementing the Deprivation of Liberty Safeguards (DOLS).
Depriving care home residents of their liberty is fraught with problems for managers as legal guidance is vague on when it is appropriate. This highlights the problems of implementing the Deprivation of Liberty Safeguards (DOLS).
Subject terms:
mental capacity, mental health law, residential care, residents, safeguarding adults, assessment, care homes, Deprivation of Liberty Safeguards;
CareChecker is an organisation launched recently to ensure that both abuse and neglect are removed from the care system, and that service users are heard. It recruits and trains 'care checkers' to go into hospitals and care homes to listen what users and their families say about them. It also provides training for care checkers which draws on guidance devised for the Care Council for Wales. This article describes why it was set up and its aims.
CareChecker is an organisation launched recently to ensure that both abuse and neglect are removed from the care system, and that service users are heard. It recruits and trains 'care checkers' to go into hospitals and care homes to listen what users and their families say about them. It also provides training for care checkers which draws on guidance devised for the Care Council for Wales. This article describes why it was set up and its aims.
Subject terms:
hospitals, quality assurance, residential care, service users, standards, user views, care homes;
The case of John, a man with dementia who also has physical and mobility problems, and whose wife is currently struggling to care for him at home is discussed. John's wife Shelia is also developing dementia. After weighing up the risks, John decides to move into a nursing home and his wife decides to continue to live at home with support from the hospice.
The case of John, a man with dementia who also has physical and mobility problems, and whose wife is currently struggling to care for him at home is discussed. John's wife Shelia is also developing dementia. After weighing up the risks, John decides to move into a nursing home and his wife decides to continue to live at home with support from the hospice.
Subject terms:
older people, partners, risk assessment, service users, carers, care homes, dementia;
Dimensions has taken steps to personalise the care it provides at Old Street, a six-bed residential home for adults with learning disabilities. A process developed by HSA called Planning Live was used to help residents find out what was important to each person and how they wanted to be supported using person-centred thinking tools. A support worker also explains how it has transformed one residents life.
Dimensions has taken steps to personalise the care it provides at Old Street, a six-bed residential home for adults with learning disabilities. A process developed by HSA called Planning Live was used to help residents find out what was important to each person and how they wanted to be supported using person-centred thinking tools. A support worker also explains how it has transformed one residents life.
Subject terms:
learning disabilities, personalisation, person-centred care, residential care, care homes, care planning;
Care home managers are finding their time increasingly taken up by multiple information requests as councils, primary care trusts and the Care Quality Commission each look to monitor standards. This duplication of effort was highlighted in a report by the English Community Care Association (ECCA). This article reports on commitment by the Care Quality Commission to reduce duplicate monitoring and an initiative in Essex, where councils have adopted a collaborative partnership approach to improving care quality in residential settings using the principles of the My Home Life initiative. A care home manager and a contract monitoring manager also give their views on the situation.
Care home managers are finding their time increasingly taken up by multiple information requests as councils, primary care trusts and the Care Quality Commission each look to monitor standards. This duplication of effort was highlighted in a report by the English Community Care Association (ECCA). This article reports on commitment by the Care Quality Commission to reduce duplicate monitoring and an initiative in Essex, where councils have adopted a collaborative partnership approach to improving care quality in residential settings using the principles of the My Home Life initiative. A care home manager and a contract monitoring manager also give their views on the situation.
Subject terms:
inspection, managers, local authorities, performance evaluation, primary care trusts, standards, care homes, contracts;
A nutritional champion, employed as a senior care assistant, and a head chef, are raising the standard of cooking and nutrition in one Wimbledon care home. Residents of Queens Court Care Home are screened using the five-step Malnutrition Universal Screening Tool to identify adults who are malnourished, at risk of malnutrition or are obese. Menus are then provided to improve health outcomes as well as to give them the foods they enjoy. The improvement in the health of a resident with dementia after being admitted to Queens Court Care Home is described, highlighting the success of their approach.
A nutritional champion, employed as a senior care assistant, and a head chef, are raising the standard of cooking and nutrition in one Wimbledon care home. Residents of Queens Court Care Home are screened using the five-step Malnutrition Universal Screening Tool to identify adults who are malnourished, at risk of malnutrition or are obese. Menus are then provided to improve health outcomes as well as to give them the foods they enjoy. The improvement in the health of a resident with dementia after being admitted to Queens Court Care Home is described, highlighting the success of their approach.
The seven types of incidents that must be reported to the Care Quality Commission are outlined. These are: abuse or allegations of abuse; serious injuries; applications to deprive a person of their liberty; events that prevent the registered person from carrying on an activity safely to an appropriate standard; deaths of service users; and unauthorised absences and incidents reported to or investigated by the police. Serious incidents at Winterbourne and more recently at Castlebeck were not reported to the Care Quality Commission as they should have been.
The seven types of incidents that must be reported to the Care Quality Commission are outlined. These are: abuse or allegations of abuse; serious injuries; applications to deprive a person of their liberty; events that prevent the registered person from carrying on an activity safely to an appropriate standard; deaths of service users; and unauthorised absences and incidents reported to or investigated by the police. Serious incidents at Winterbourne and more recently at Castlebeck were not reported to the Care Quality Commission as they should have been.
Subject terms:
procedures, quality assurance, regulation, standards, care homes;
The Dilnot commission's proposals are evaluated against their key reform objectives. The article looks specifically at the areas of: protection against high care costs; fairness; underfunding; enhancing and understanding of the care system; and integration with the NHS. The concluding section discusses the likelihood of the Dilnot proposals being implemented. The care costs of one women with dementia are put forward as an example of someone who would have benefitted from the reforms.
The Dilnot commission's proposals are evaluated against their key reform objectives. The article looks specifically at the areas of: protection against high care costs; fairness; underfunding; enhancing and understanding of the care system; and integration with the NHS. The concluding section discusses the likelihood of the Dilnot proposals being implemented. The care costs of one women with dementia are put forward as an example of someone who would have benefitted from the reforms.
Subject terms:
long term care, older people, access to services, ageing, assessment, care homes, costs, eligibility criteria, financing;
Voyage, a company providing home, day care, residential and nursing care and supported living for people with learning disabilities is highlighted as an example of good practice. Staff are given a 12-week induction and are also subject to a six month probation. At least 5% of the company's annual turnover is spent on training.
Voyage, a company providing home, day care, residential and nursing care and supported living for people with learning disabilities is highlighted as an example of good practice. Staff are given a 12-week induction and are also subject to a six month probation. At least 5% of the company's annual turnover is spent on training.
Subject terms:
learning disabilities, residential care, staff development, training, challenging behaviour, care homes, care workers;
Professionals offer advice on a case involving a young woman with learning disabilities who may be the subject of sexual exploitation by a worker at the care home where she lives.
Professionals offer advice on a case involving a young woman with learning disabilities who may be the subject of sexual exploitation by a worker at the care home where she lives.
Subject terms:
learning disabilities, sexual abuse, adult abuse, case studies, cerebral palsy, care homes, care workers;