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Not another care handbook: pearls of wisdom for care managers
- Editor:
- HAWKINS Richard
- Publisher:
- Hawker
- Publication year:
- 2013
- Pagination:
- 256
- Place of publication:
- London
'Not another care handbook' presents the thoughts in condensed form of 109 care home experts who have each written a chapter on key issues that affect the role of the manager in the care home. These experts start from the premise that the manager is central to the quality of care provided in a care home. They each focus on presenting the ten points they consider most important in their area of expertise. Topics covered include: learning from each other; key management topics; promoting your home successfully; legal problems; running a safe home; staff, the most valuable resource; valuing and working with residents, family and friends; activities; special challenges; and end of life care. The book is designed to inspire inexperienced staff, energise and inform current staff, and stimulate senior management. (Edited publisher abstract)
Reviewing residential care reviews for older people
- Author:
- SCOURFIELD Peter
- Journal article citation:
- Practice: Social Work in Action, 19(3), September 2007, pp.199-209.
- Publisher:
- Taylor and Francis
Since the introduction of care management in the early 1990s, older people in care homes are supposed to have their 'care packages' reviewed on at least an annual basis. The current system of reviewing needs to be understood in the context of an increasingly bureaucratised, deskilled and routinised system of statutory social care. By taking a very narrow consumerist approach to reviews, not only are both Review Officer and service user often alienated from the process, but the system can often add to rather than combat disempowerment. Care home residents are one of the most powerless groups in society with few opportunities to gain control over their living circumstances. The discussion raises the issue of whether residential care home reviews should always seek to involve independent advocates; as policy allows but seldom happens in practice. If this is the case, then this raises further issues of how to ensure such a service is available to all.
The care home flying squad
- Author:
- THOMPSELL Amanda
- Journal article citation:
- Journal of Dementia Care, 12(5), September 2004, pp.12-13.
- Publisher:
- Hawker
Describes the Care Homes Support Team, an initiative launched in April 2003 providing NHS medical and nursing support to 40 independent sector care homes in Lambeth, Southwark and Lewisham, enabling them to achieve high standards in the care of older people, including those with dementia.
Moral choices and responsibilities: the home-help service at the borderland of care management when older people consider relocation to a residential home
- Author:
- SODERBERG Maria
- Journal article citation:
- Ethics and Social Welfare, 14(4), 2020, pp.369-383.
- Publisher:
- Taylor and Francis
- Place of publication:
- Abingdon
The aim of this article is to reveal how care workers in the home-help services handle the process when older people’s relocation to a residential home is under consideration. Since the care workers are engaged daily in defining care receivers’ needs and yet have no formal influence on care decisions in Sweden, the focus is on how they solve this dilemma. In this inductive study, the theoretical framework is based on occupational alliances, relationship-based practice, and discretion. Thirty-three care workers in home-help services are included in open semi-structured interviews. Prominent features in the findings are that the care workers take their stand at the borderland of care management, when they know or try to find out what is right. The conclusions drawn are that care workers find ways to informally influence the decision-making process, quite contrary to the idea of approaches referred to as purchaser/provider models. The implications for social work policy and practice are that a distinction between assessment and intervention may not benefit the field of eldercare and should therefore be regarded as an area in need of thorough reconsideration. (Edited publisher abstract)
How the care managers handle the process when older people consider relocation to a residential home
- Authors:
- SODERBERG Maria, STAHL Agneta, EMILSSON Ulla Melin
- Journal article citation:
- British Journal of Social Work, 45(8), 2015, pp.2423-2440.
- Publisher:
- Oxford University Press
The aim of this article is to reveal how care managers handle the process when older people consider relocation to a residential home in a Swedish context. The article is based on vignette-based interviews with seven care managers. The main findings in the article are that the care managers assist older people in their decisions by turning ageing in place and relocation, respectively, into seemingly natural choices. In both approaches, they use warrants related partly to ‘the best for older people’, partly to ‘the common good of economizing’. The conclusions drawn are that the care managers, by applying risk management and extensive alliance strategies, are not really able to question their own work situation and that they perform their work in a context of different parties restraining themselves. The implications for social work policy and practice are that the approach referring to older people's self-determination while actually dealing in risk assessment must be thoroughly reconsidered. Other practical implications are that the idea of the purchaser/provider model must be clarified, beyond the assessment of resources. (Publisher abstract)
People with dementia and sight loss: a scoping study of models of care
- Authors:
- BARLETT Ruth, MCKEEFRY Declan
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2009
- Pagination:
- 7p.
- Place of publication:
- London
The main aim of this scoping study was to assess the extent to which existing models of best practice in dementia care were sensitive to sight loss issues. The most widely used model of practice in UK dementia care is the enriched model developed in the early 1990s, however there is no model of practice for working with people who have both dementia and sight problems. This study included a literature review, interviews with 7 practitioners and an audit of working practices in 4 care homes for older people. It concluded that the enriched model of dementia care does not take sufficient account of the physical environment to make it sensitive to particular issues facing people with dementia and sight loss. Recommendations included development and piloting of a sensory model of care practice in a dementia care setting, establishing a network of practice, developing guidance and a programme of research.
Managing the care home closure process: care manager's experiences and views
- Authors:
- WILLIAMS Jacquette, NETTEN Ann, WARE Patricia
- Journal article citation:
- British Journal of Social Work, 37(5), July 2007, pp.909-924.
- Publisher:
- Oxford University Press
This paper reports case study research that set out to identify what care managers do during independent care home closures. Little research has focused on the way in which care homes for older people are closed in England, or what those involved think about the process. This paper reports the activities and views of care managers directly involved in helping older people relocate from care homes that were closed by their owners. During such closures, residents and their families have no choice but to move, usually to a deadline, and with little control over the process. Care managers have a responsibility to help arrange alternative care for those current residents who are publicly funded, and to offer information and support to those funding their own care (the ‘self-funded’). Closure related activities could involve considerable staff time. Care management arrangements, including the organization of teams and provision of needs assessments, varied across authorities. The care managers described drawing on emotional counselling and inter-personal skills, as well as practitioner knowledge and experience, particularly when offering support and advice about finding appropriate new homes. Tensions between aims, constraints on their actions and views of good practice are identified.
Who cares plans: a guide to care planning in homes for older people
- Authors:
- COLEMAN Valerie, REGAN Dominic, SMITH Jef
- Publisher:
- Counsel and Care
- Publication year:
- 1999
- Pagination:
- 84p.,bibliog.
- Place of publication:
- London
Practical text on care planning for older people in residential care. The focus is on how an individual resident's life can be a positive and enriching experience.
Care planning in residential care for older people in Scotland: a research study
- Author:
- MALLINSON Ian
- Publisher:
- Avebury
- Publication year:
- 1996
- Pagination:
- 175p.,bibliog.
- Place of publication:
- Aldershot
Study examining individual care planning in long term residential care for older people in Scotland. Explores issues arising out of an initial survey of the literature. Goes on to look at the topic in 2 stages. Stage 1 consists of an audit of residential care establishments throughout Scotland, exploring the context of care planning and structures for care planning. Stage 2 considers the actions within these structures and focuses on practices carried out within 3 individual case study establishments. Examines problems inherent in these structures and makes recommendations.
Community and residential care in Devon: a follow up to the "Choice with Care" study of 100 care management referrals; report to Devon Social Services
- Authors:
- LANKSHEAR Gloria, GIARCHI G.G
- Publisher:
- University of Plymouth. Faculty of Human Sciences. Community Research Centre
- Publication year:
- 1994
- Pagination:
- 84p.,tables.
- Place of publication:
- Plymouth
Research study following up 100 care management referrals (50 resulting in nursing or residential home referrals, 50 resulting in people choosing to remain in their own homes) 6 months after the original assessments.