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Book

Care betrayed: a discussion of the issues which give rise to abuse in homes

Author:
BRIGHT Les
Publisher:
Counsel and Care
Publication year:
1995
Pagination:
35p.,bibliog.
Place of publication:
London
Book

Older people in control: accounts of projects run by older people

Authors:
BRIGHT Les, HOLLANDS Jackie, SMITH Jef
Publisher:
Counsel and Care
Publication year:
1998
Pagination:
47p.
Place of publication:
London

Describes six schemes which older people led and participated in as volunteers and workers. These include: a newspaper run by Hackney pensioners, an advocacy scheme in Sefton, a computer network based in Bath, and the Sheffield Lunch Clubs Group.

Journal article

Reducing hospital admissions from care homes: considering the role of a local enhanced service from GPs

Authors:
BRIGGS Daniel, BRIGHT Les
Journal article citation:
Working with Older People, 15(1), March 2011, pp.4-12.
Publisher:
Emerald

Since the 1970s, the number of private and voluntary care homes for older people have risen dramatically, with the NHS now playing a minor role. However, in some areas where there is a concentration of care homes, GPs have expressed concern about their capacity to provide an effective service to residents without additional resources. Some primary care trusts (PCTs) have since responded by making funds available to enable an improved service to be established. This article looks at the impact of one local enhanced service on the work of GPs, care staff and residents in a London borough. Eight home care professionals and three GPs where interviewed to reflect on elements of the current practice, the efficiency of processes, and offer suggestions to improve the services provided. Three key themes emerged: working relationships and communications; service efficiency; and residents’ experiences. Overall, findings suggested that positive working relationships were integral to communication, which affected the level of service efficiency and quality.

Journal article

Having a voice, being heard

Author:
BRIGHT Les
Journal article citation:
Working with Older People, 10(4), December 2006, pp.24-26.
Publisher:
Emerald

Exeter Senior Voice, a user involvement project with nearly 300 active members, ran an election for the 12 places on its panel of representatives. The representatives attend a wide range of meetings with staff of statutory and voluntary bodies discussing service development and mapping out strategies designed to respond to older people's needs. The author reports on the high turnout for the election, and why these groups are so important to ensuring older people's voices are heard on local issues.

Book

Showing restraint: challenging the use of restraint in care homes

Authors:
CLARKE Alison, BRIGHT Les
Publisher:
Counsel and Care
Publication year:
2002
Pagination:
28p.,bibliog.
Place of publication:
London

Intended to complement the guide 'Residents taking risks: minimising the use of restraint; a guide for care homes', this report discusses the issues around the use of restraint in more detail, and with more references in support of the positions the authors adopt. It offers an overview of the concept of restraint, offers views on why it is used by care staff, being careful not to label them as abusers, maps out some principles that should underpin an approach to care of older people, describes the legal position in plain language, and identifies some of the sources of support and alternative comment that are available to staff seeking change.

Book

Harm's way: abuse experienced by residents in homes and steps to take to reduce it

Author:
BRIGHT Les
Publisher:
Counsel and Care
Publication year:
1997
Pagination:
42p.
Place of publication:
London

Report looking at abuse of older people in residential and nursing home care and highlighting the importance of organisational power and the culture that exists in determining whether a home is safe for its residents. Based on accounts by relatives, the report also presents ways of preventing and dealing with abuse and makes recommendations for guidelines.

Journal article

It can happen here

Author:
BRIGHT Les
Journal article citation:
Community Care, 28.11.96, 1996, pp.4-5.
Publisher:
Reed Business Information

Describes how most staff will immediately deny the existence of abuse in their residential home. But when asked to reflect, they will come up with a list of unacceptable practices which can be changed.

Book

"Wheelchair access? That's a lifestyle choice!": lessons from a pilot advocacy service in south west England

Author:
BRIGHT Les
Publisher:
Older Peoples Advocacy Alliance
Publication year:
2009
Pagination:
32p., bibliog.
Place of publication:
Stoke-on-Trent

The title of this report is based on a direct quote from an exchange between an advocate and a member of staff of a housing association when discussing the situation facing a disabled tenant, and the difficulties the tenant was experiencing with wheelchair access to their home. The exchange took place during the evaluation on which this report is based. It highlights the prejudice and misunderstanding experienced by some advocacy service users, and indicates the valuable role that independent advocates can play in helping people to get their voices heard and action taken. This report highlights lessons arising from the evaluation of a pilot advocacy service for people with physical and sensory disabilities, and older people experiencing general frailty, in South West England during 2008. Combining findings from the project evaluation with reflections from the advocacy scheme’s staff and case examples, the report provides an in-depth insight into the emergence of an innovative independent advocacy scheme and the issues and factors which influenced its success.

Book

Sex and relationships: a guide for care homes

Authors:
CLARKE Alison, BRIGHT Les, GREENWOOD Chris
Publisher:
Counsel and Care
Publication year:
2002
Pagination:
16p.
Place of publication:
London

This book is a practical guide for people working in care homes for older people. It sets out to provide help to staff facing daily dilemmas in the way they respond to residents' thoughts, feelings and actions relating to love, sex and intimacy.

Journal article

A struggle for independence

Author:
BRIGHT Les
Journal article citation:
Caring Times, May 1999, p.10.
Publisher:
Hawker

Independence is often not a priority in assessing older people's care needs. The author looks at how this can be achieved within a residential setting.

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