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Making care homes part of the community? An evaluation of the Gloucestershire Partnerships for Older People Project
- Authors:
- EVANS Simon, MEANS Robin, POWELL Jane
- Journal article citation:
- Quality in Ageing and Older Adults, 14(1), 2013, pp.66-74.
- Publisher:
- Emerald
The 'Care Homes, part of our community' initiative in Gloucestershire was one of 29 Partnerships for Older People Projects (POPPs) funded by the Department of Health between 2006 and 2009 with an emphasis on prevention and improved outcomes for older people. This paper provides an overview of the policy context and the project, which aimed to improve the integration of care homes with health and social care services and the wider community. It describes the local evaluation of the project, which adopted a mixed methods approach combining quantitative performance data with semi-structured stakeholder interviews and emergency bed use costings. It presents the findings in 3 specific areas: integrating care homes with the health community, improving links with the local public community, and the economic evaluation of its contribution to reducing overnight stays in hospital. It reports that the evaluation results suggest that the project made significant steps towards integrating care homes with the health and social care community, that training and support was provided to a large number of care homes and new integrated working practices were developed, and that cost savings were demonstrated through reduced hospital bed use.
Balanced retirement communities?: a case study of Westbury Fields
- Authors:
- EVANS Simon, MEANS Robin
- Publisher:
- St. Monica Trust
- Publication year:
- 2007
- Pagination:
- 58p., bibliog.
- Place of publication:
- Bristol
Retirement communities first appeared in the UK in the 1950s as groups of privately owned residences for retired older people in relatively good health who were able to live independently. More recently the nature of retirement communities has broadened and they now include extra-care housing schemes, continuing care retirement communities, and purpose-built retirement villages. Westbury Fields, built in Bristol by the St Monica Trust in 2003, is one of the first to combine social rented housing, apartments owned through a variety of lease purchase arrangements and a care home with short term care and dementia care provision within a privately funded retirement village complex. The aim of this community for more than 200 residents is to encourage a lively, balanced community ranging from active, independent residents to those requiring a high degree of support.
From poor law to community care: the development of welfare services for elderly people 1939 - 1971
- Authors:
- MEANS Robin, SMITH Randall
- Publisher:
- Policy Press
- Publication year:
- 1998
- Pagination:
- 378p.,bibliog.
- Place of publication:
- Bristol
Looks at the development of services for older people from 1939 to 1971. Contains chapters on: evacuation and older people in the Second World War; the emergence of 'reforms' in residential and domiciliary welfare services; the 1948 National Assistance Act and the provision of welfare services for older people; issues in residential care; the changing role of the state, family and voluntary organisations in helping older people avoid institutional care; the restructuring of welfare services for older people; and community care and older people.
Housing in later life: the housing finance implications of an ageing society
- Authors:
- MACKINTOSH Sheila, MEANS Robin, LEATHER Philip
- Publisher:
- University of Bristol. School of Advanced Urban Studies
- Publication year:
- 1990
- Pagination:
- 170p.,tables,bibliog.
- Place of publication:
- Bristol
Examines the implications of the increase in the older population for housing policies and housing provision.
From community care to market care: the development of welfare services for older people
- Authors:
- MEANS Robin, MORBEY Hazel, SMITH Randall
- Publisher:
- Policy Press
- Publication year:
- 2002
- Pagination:
- 210p., bibliogs.
- Place of publication:
- Bristol
Focuses on the interpretation and development of national policy at local authority level. The authors outline the development of welfare services for older people from 1971 to 1993, and explore whether service developments in this period were as inadequate as claimed by proponents of radical change. Drawing on debates during this time, the text illuminates contemporary issues such as rationing care, the health and social care divide, the changing role of residential care and the growing emphasis on provider competition. The continuities and changes in the pre and post 1990 NHS and Community Care Act systems of community care are also examined. Contents include: community care and the modernisation of welfare; targeting, rationing and charging for home care services; the changing role of local authority residential care; the shifting boundaries between health and social care; towards a mixed economy of social care for older people?; towards quasi-markets in community care; developing community care for the future: lessons and issues from the past.
Financial management and elderly people with dementia in the U.K.: as much a question of confusion as abuse?
- Authors:
- LANGAN Joan, MEANS Robin
- Journal article citation:
- Ageing and Society, 16(3), May 1996, pp.287-314.
- Publisher:
- Cambridge University Press
Looks at a range of issues relating to financial management and elderly people with dementia. Discusses the law relating to personal finances for those who lack capacity, stressing the laws complexity and the gaps in present coverage. The article goes on to outline findings from research carried out within a social services authority in the north of England.
Personal finances, elderly people with dementia and the new community care
- Authors:
- LANGAN Joan, MEANS Robin
- Publisher:
- Anchor Housing Association
- Publication year:
- 1995
- Pagination:
- 55p.,bibliog.
- Place of publication:
- Oxford
Profiles the law relating to the handling of other people's money and goes on to identify how local authorities assess older people with dementia for fees and charges for residential care, nursing home care and domiciliary services. Also considers how welfare professionals deal with issues of day to day money handling when in the homes of older people with dementia. Concludes by looking at variations in local authority policy and practice in terms of both their willingness to formally take over responsibility for a client's financial affairs when there is no one else to do so, and their approach to confronting financial abuse through elder abuse strategies.