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Should dehydration in older people be a marker of lack of quality in long term care provision?
- Authors:
- HOOPER Lee, BUNN Diane K.
- Journal article citation:
- Quality in Ageing and Older Adults, 15(4), 2014, pp.232-236.
- Publisher:
- Emerald
This viewpoint considers whether dehydration in older people should be used as a marker of lack of quality in long-term care provision. It examines the assumed relationship between dehydration and the quality of care and then considers factors that can lead to dehydration in older people are then considered. The author concludes that even with the best care, older people, in the absence of a sense of thirst, and for fear of urinary accidents, difficulties getting to the toilet or choking, may choose to drink less than would be ideal for their health. While good care supports older people to minimise these problems, it also respects older people making their own decisions around when, what and how much to drink. It appears that dehydration may sometimes be a sign of good care, as well as arising from poor care. Residential care homes should not be stigmatised on the basis of their residents being dehydrated, but rather helped to explore whether they are achieving an appropriate balance between care and quality of life for their residents. (Edited publisher abstract)
John Kennedy's care home inquiry
- Author:
- KENNEDY John
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2014
- Pagination:
- 82
- Place of publication:
- York
The final report of a personal inquiry by John Kennedy, the Joseph Rowntree Housing Trust’s Director of Care Services, carried out between May 2013 and May 2014 to find out what makes a good care home. The inquiry builds on existing Joseph Rowntree research into a relationship-centred approach to care and newly commissioned research into some of the potential barriers to improving care homes. It also draws on the views of care workers, residents and their families and uses social media to connect with a wide range of people involved in, or with experience of, the care home sector. The report: seeks to achieve an open and evidence-informed debate around how to improve life in care homes for older people; encourages sensible, streamlined and co-produced approaches to paperwork in care homes; and suggests principles and makes recommendations for regulators, commissioners and providers so that care homes are good places for people to live and work in. The report ends with a set of principles and recommendations for those involved in the care sector (Edited publisher abstract)
Profile of the adult care home managers in Wales: a report from the Care Council for Wales Register of Social Care Workers, June 2014
- Author:
- CARE COUNCIL FOR WALES
- Publisher:
- Care Council for Wales
- Publication year:
- 2014
- Pagination:
- 19
- Place of publication:
- Cardiff
This is the third profile of adult care home managers based on the data available from the Register of Social Care Workers at June 2014. The report focuses on key characteristics, including age and sex, qualifications held, county of employment, type of employment, length of time in post, profile of managers joining and leaving the register as adult care home managers, and diversity. (Edited publisher abstract)
Changes in the older resident care home population between 2001 and 2011
- Author:
- GREAT BRITAIN. Office of National Statistics
- Publisher:
- Great Britain. Office for National Statistics
- Publication year:
- 2014
- Pagination:
- 10
- Place of publication:
- London
This analysis focuses on the changes in the over 65 resident care home population of England and Wales. This age group represents most of the care home population: 82.5 per cent in 2011. However, the care home resident population for those aged 65 and over has remained almost stable since 2001 with an increase of 0.3 per cent, despite growth of 11.0 per cent in the overall population at this age. Fewer women but more men aged 65 and over were living as residents of care homes in 2011 compared to 2001; the population of women fell by around 9,000 (-4.2 per cent) while the population of men increased by around 10,000 (15.2 per cent). The gender gap in the older resident care home population has, therefore, narrowed since 2001. In 2011 there were around 2.8 women for each man aged 65 and over compared to a ratio of 3.3 women for each man in 2001.The resident care home population is ageing: in 2011, people aged 85 and over represented 59.2 per cent of the older care home population compared to 56.5 per cent in 2001. (Edited publisher abstract)
Teaching communication: the CARDS programme
- Authors:
- WOOD Julia, ALUSHI Ledia, HAMMOND John
- Journal article citation:
- Journal of Dementia Care, 22(2), 2014, pp.31-33.
- Publisher:
- Hawker
The innovative Communication And Respect for people with Dementia: student learning (CARDS) programme, run by Kingston University and St George's University of London, teaches pre-qualifying health and social care students undergraduate students about communication with people with dementia. It then gives them the opportunity to put their learning into practice in care homes. This article outlines the key components of the evidence-based programme, which includes use of the Open Dementia Programme from the Social Care Institute for Excellence, an interactive communication workshop and placements in care homes to help develop students skills in communicating with people living with dementia. Early evaluation findings following the completion of student questionnaires (physiotherapy students and learning disability nursing students) found an improvement in students knowledge and confidence in communication with people with dementia. A participating student, care home manager and a person with dementia also contribute to the article by reflecting on their involvement with the programme. (Original abstract)
A toolkit for encouraging activities in care homes
- Author:
- BISHOP Karin
- Journal article citation:
- Nursing Times, 110(29), 2014, pp.22-23.
- Publisher:
- Nursing Times
Activity is vital for the physical and psychological wellbeing of care home residents. However, it can be viewed as an additional burden for busy staff. This article discusses the importance of engaging care home residents in meaningful activity and explains how the 'Living well through activity in care homes toolkit' can encourage staff and nurses to incorporate activity into residents daily lives. The article looks at working with colleagues to monitor progress, how making small changes to the environment can help and provides a list of tips to help motivate staff. (Edited publisher abstract)
Checklist for health and social care staff developing and updating a care home medicines policy: implementing the NICE guideline on managing medicines in care homes
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Pagination:
- 21
- Place of publication:
- Manchester
This checklist supports the NICE guideline on medicines in care homes by providing information about the processes that should be covered by a care home medicines policy. Sections include: sharing information about residents' medicines when they transfer between care settings, record keeping, safeguarding, reviewing medicines, storage and disposal, helping residents to take medicines themselves, and care home staff administering medicines to residents. Each section of the checklist provides a statement of what the section covers, and a list of things to consider, with a link to the relevant NICE guideline recommendation, where applicable. Primarily for care home provides, the checklist will also be useful for commissioners who need to check that care homes have the correct policies in place. (Original abstract)
Focus on Enforcement (FoE) review of adult care homes: Care Quality Commission and Department of Health response
- Authors:
- GREAT BRITAIN. Department of Health, CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2014
- Pagination:
- 13
- Place of publication:
- London
Outlines the Care Quality Commission and the Department of Health response to the Focus on Enforcement (FoE) review of adult care homes, which was carried out the Department of Business Innovation and Skills in 2013. The review examined the impact and experiences of regulatory enforcement and raised concerns around Care Quality Commissions ability to assess effectively and report on the quality of care people receive. This response explains how the Care Quality Commission will address these concerns through its three year strategy launched in April 2013 and sets out proposed actions to specific findings of the review. Key changes include greater transparency and expertise in its regulatory model and the introduction of ratings system for all adult care homes. Other areas covered are: duplication of activities; lack of coordination; limitations of the current assessment framework; varied capability among inspectors; investigating complaints; a lack of public confidence in the regulatory regime; and the role of accreditation. Timetables for delivery and the expected benefits to providers are included. (Original abstract)
Briefing for providers on the Deprivation of Liberty Safeguards
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2014
- Pagination:
- 5
- Place of publication:
- London
An advice note from the Care Quality Commission on deciding whether arrangements made for the care and/or treatment of an individual who might lack capacity to consent to those arrangements amount to a deprivation of liberty. The note follows the ruling in the cases of P v Cheshire and Chester Council & Q v Surrey County Council. (Edited publisher abstract)
Volunteering and depressive symptoms among residents in a continuing care retirement community
- Authors:
- KLINEDINST N. Jennifer, RESNICK Barbara
- Journal article citation:
- Journal of Gerontological Social Work, 57(1), 2014, pp.52-71.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This descriptive study examined the relationship between volunteer activities, depressive symptoms, and feelings of usefulness among older adults using path analysis. Survey data was collected via interview from residents of a continuing care retirement community. Neither feelings of usefulness nor volunteering were directly associated with depressive symptoms. Volunteering was directly associated with feelings of usefulness and indirectly associated with depressive symptoms through total physical activity. Age, fear of falling, pain, physical activity, and physical resilience explained 31% of the variance in depressive symptoms. Engaging in volunteer work may be beneficial for increasing feelings of usefulness and indirectly improving depressive symptoms among older adults. (Publisher abstract)