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Coming of age: first report of the Older People's Commissioner for Wales 2008

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2008
Pagination:
12p.
Place of publication:
Cardiff

The Commission launched Coming of Age, its first report to the First Minister for Wales, Rhodri Morgan on 1st October 2008, on the UN International Day for Older People. The Commissioner for Older People (Wales) Act 2006 requested the publication of a report at this stage, but as the Older People’s Commission for Wales has not been in existence for a full year, the report does not contain the typical financial and corporate statements you would expect to see in an Annual Report. The report instead contains information on why and how the Commissioner role was created, how older people have and will be involved in the work of the Commission, as well as what the Commission intends to achieve in the forthcoming year

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GP services in Wales: the perspective of older people. Older people's experiences of accessing and using GP services in Wales

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2017
Pagination:
114
Place of publication:
Cardiff

This report captures the voices and experiences of older people, setting out their perspective on accessing and using GP services in Wales. Findings are based on information shared by over 1,600 older people from across Wales and a wide range of stakeholders from the public and third sectors. The study finds that there are significant variations in older people’s experiences of GP services, with particular issues around the appointments booking process, the accessibility of GP surgeries and the surgery environment, the time available for appointments, communication and privacy. Specifically, the report indicates that: for too many older people, making an appointment is challenging, inflexible and unresponsive to individual needs and circumstances; the accessibility of many existing buildings continues to act as a barrier to access for some older people; for a number of older people, their GP service is not sufficiently aware of, or responsive to, their individual communication needs, particularly those living with a sensory loss or dementia or cognitive impairment; there is an understanding, whether perceived or explicit, that older people can only raise one issue within a ten-minute appointment – this could jeopardise their ability to have a say in decision making and reduce their confidence; some older people who wish to access GP services in the Welsh language are experiencing; and too many older people find it difficult to provide feedback, or raise a concern or complaint. (Edited publisher abstract)

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All Wales risk identification checklist (RIC) and quick start guidance for domestic abuse, stalking and 'honour'-based violence

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2015
Pagination:
8
Place of publication:
Cardiff

This checklist provides a consistent and simple tool for practitioners who work with adult victims of domestic abuse in order to help them identify those who are at high risk of harm and whose cases should be referred to a multi-agency risk assessment conference meeting in order to manage their risk. Domestic abuse can take many forms but it is usually perpetrated by men towards women in an intimate relationship such as boyfriend/girlfriend, husband/wife. This checklist can also be used for lesbian, gay, bisexual relationships and for situations of ‘honour’-based violence or family violence including abuse of the older person. Domestic abuse can include physical, emotional, mental, sexual or financial abuse as well as coercive control, stalking and harassment. The document includes notes to help understand the significance of the questions on the checklist. (Edited publisher abstract)

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Wellbeing indicators for older people

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2015
Pagination:
37
Place of publication:
Cardiff

Sets out the importance of accurately measuring the wellbeing of older people in Wales and identifies wellbeing goals which public authorities should aim to achieve. The paper defines what is meant by the concept of wellbeing, which includes both feeling good and functioning well; examines how the wellbeing of older people is currently measured in Wales, and identifies key issues impacting older people's wellbeing identified by the Commissioner for Older People in Wales. It then looks at the indicators that should be measured in the following key areas: housing; care; poverty; health; transport; learning; employment and technology; loneliness and social isolation; dementia. Specific information is also included on measuring the wellbeing of older people who are over the age of 85, the 'oldest old'. (Edited publisher abstract)

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My home, my care, my voice: older people's experiences of home care in Wales

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2012
Pagination:
11p.
Place of publication:
Cardiff

Despite the overall proportion of older people in Wales increasing, the numbers receiving home care services continues to fall. The number of older people in receipt of home care services in 2011 was 4% lower than the previous year, and represents a 16% fall since 2002. The findings in this report focus on the results of the Commission’s survey of over a thousand older people aged 60 or over in receipt of home care in four local authority areas. The majority of older people receiving home care in Wales were positive about their experiences. Far too many people indicate that they rarely or never have enough time with their care workers and this issue attracted more negative comments than any other. Overall, older people were satisfied with their home care arrangements; but almost one in ten indicate that standards have declined.

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Scrutinising changes to community services: guidance for local authorities

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2016
Pagination:
25
Place of publication:
Cardiff

This guidance is designed to ensure that robust Equality and Human Rights Impact Assessments (EHRIAs) are undertaken when changes to community services are proposed, essential to ensure that there is not a disproportionate impact upon older people and that alternative approaches are considered. Non-statutory community services such as day centres, public toilets, libraries and transport are as important to older people’s health, independence and wellbeing as statutory health and social care services but are at risk due to reductions in public spending. Part 1 examines the importance of current Equality Impact Assessments and promotes the need to use Equality and Human Rights Impact Assessments (EHRIAs) when changes to community services are being considered. Part 2 examines the crucial role of scrutiny around changes to community services and is targeted towards elected members and officers in local government. The aim is to improve the quality of scrutiny and ensure that the impact of closing down or reducing the provision of a community service on older people is thoroughly and rigorously analysed and considered. (Edited publisher abstract)

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A place to call home? A review into the quality of life and care of older people living in care homes in Wales

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2014
Pagination:
156
Place of publication:
Cardiff

A review into the quality of life and care of older people living in care homes in Wales, investigating four key areas: day-to-day life; health and wellbeing; people and leadership; and commissioning, regulation and inspection. The review looked at a number of factors that can impact upon the quality of life of older people living in care homes, such as social participation, the care home environment, access to healthcare services, diet, staff capacity and training. The report draws on the evidence from unannounced visits to 100 care homes across Wales to observe the day-to-day realities of life in a care home and to hear directly from older people about their quality of life and care, and their experiences of living in residential and nursing care. In addition to this, over 2,000 questionnaire responses were collected from care home residents and their families and extensive written and oral evidence was taken from a wide range of public bodies, care providers and experts in care delivery. The report highlights the following findings: 1. Too many older people living in care homes quickly become institutionalised. 2. Too often, care homes are seen as places of irreversible decline and too many older people are unable to access specialist services and support that would help them to have the best quality of life. 3. The emotional frailty and emotional needs of older people living in care homes are not fully understood or recognised by the system and emotional neglect is not recognised as a form of abuse. 4. Some of the most basic health care needs of older people living in care homes are not properly recognised or responded to. 5. The vital importance of the role and contribution of the care home workforce is not sufficiently recognised. 6. Commissioning, inspection and regulation systems are inconsistent, lack integration, openness and transparency, and do not formally recognise the importance of quality of life. 7. A current lack of forward planning means that the needs of older people in care homes will not be met in the future. The report concludes with a set of detailed requirements for action. (Edited publisher abstract)

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Dignified care: one year on. The experiences of older people in hospital in Wales

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2012
Pagination:
32p.
Place of publication:
Cardiff

A stay in hospital can often be stressful in itself, but to be treated with a lack of dignity and respect causes real distress. In March 2011 the Older People’s Commission for Wales published the findings of its Dignified Care? Review. The report contained 12 recommendations aimed at improving the delivery of hospital care and subsequent patient experience for older people across Wales. One year on, this report sets out the Commissioner’s assessment of the progress made and outline how further review will be undertaken. The report finds there has been an improvement in how seriously the NHS and Welsh Government are taking the issue of dignity in care, and that there is real action underway. Some Health Boards report more progress than others, with all reporting that work has begun across the 12 recommendations. However, it is not yet possible to judge the extent to which a tangible improvement in the hospital experience of patients is being delivered at a ward level. The findings demonstrate that there is still significant unacceptable practice taking place on hospital wards. Chief Executives of Health Boards must ensure that within the next 18 months they move to full compliance with the agreed action plans.

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Information and guidance on domestic abuse: safeguarding older people in Wales

Authors:
WALES. Welsh Government, OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Welsh Government
Publication year:
2017
Pagination:
53
Place of publication:
Cardiff

Good practice guidance to help professionals recognise, respond and provide support to older people who are experiencing or who have experienced domestic abuse. It outlines the characteristics of domestic abuse experienced by older people, including coercive control; older people’s experience of domestic abuse, and their possible reluctance to disclose abuse; identifying and responding to abuse; referral options and using existing safeguarding processes; and helps professionals address the complexities of working with older people who need care and support as a result of domestic abuse, but who also require professionals to respond to their other care and support needs. The guide includes short case studies and a summary of key relevant legislation. (Edited publisher abstract)

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The importance and impact of community services within Wales

Author:
OLDER PEOPLE'S COMMISSIONER FOR WALES
Publisher:
Older People's Commissioner for Wales
Publication year:
2014
Pagination:
45
Place of publication:
Cardiff

This report makes a strong business case for key local and community-based services and facilities, such as buses and community transport, public toilets, pavements, public seating, outdoor areas, libraries, leisure facilities, and community and day centres. The report argues that community services are essential to the health, wealth, and wellbeing of villages, towns, cities and communities and the overall health of the economy and as a result they should be regarded as community assets rather than costs. They are essential to enable older people to continue to make a contribution and to undertake activities that have economic benefit. Community services are fundamental to the prevention of frailty and maintenance of health and wellbeing of older people and they are integral to the delivery of key policy priorities and statutory services cost containment. The report calls on local authorities to engage and consult more effectively with older people when key decisions are made about community services and concludes that a real culture shift is required in terms of community service planning and delivery, moving towards a more sustainable, innovative, long-term, integrated approach to secure better outcomes with fewer resources. (Edited publisher abstract)

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