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Evaluation of Yorkshire and the Humber end of life care development programme for care homes: interim report
- Author:
- SKILLS FOR CARE
- Publisher:
- Skills for Care
- Publication year:
- 2013
- Pagination:
- 22
- Place of publication:
- Leeds
In 2011, Yorkshire and Humber Strategic Health Authority (Y&H SHA) commissioned Skills for Care to develop and deliver a training programme focused on care home managers and ‘champions’ across the region. The aim of the programme is to establish sustainable end of life care education and training that enables the delivery of high quality care by: Increasing the number of individuals who have advance care plans in place; Increasing the number of individuals who die in their place of preference; Increasing the number of individuals who are allocated a key worker as they approach the end of their lives; and increasing the number individuals who are entered onto an EoL care pathway. The Programmes's progress to July 2013 is reported in respect of: governance; the managers and champions development programme; summary of effectiveness of managers’ and champions’ training; managers and champions networks; a resource guide; work with the Care Quality Commission and commissioners; and extending e-learnng. The project highlights that funding a development programme, networks, time spent with commissioners and CQC inspectors can help in improving end of life care and support to people, and assist in reducing the pressures on accident and emergency departments. This work was researched and compiled by Glenis Freeman of GJFreeman Ltd and Mareike Murray of Skills for Care. (Edited publisher abstract)
Promoting nutrition in care homes for older people
- Author:
- CARE COMMISSION
- Publisher:
- Scottish Commission for the Regulation of Care
- Publication year:
- 2009
- Pagination:
- 43p.
- Place of publication:
- Dundee
This report evaluates a programme aimed at improving nutrition in Scotland’s care homes for older people. Programme partners were the Scottish Government, the Care Commission and the Care Homes for Older People Dietitians Network. They, with expert help, designed and delivered the programme and evaluated its impact. The programme partners recruited 112 people who worked in care homes across Scotland, including chefs, care workers and managers. They were asked to become nutrition champions and take part in a six-month programme that would help them learn more about nutrition for older people, give them expert and practical advice from dietitians, develop individual projects to improve some aspects of nutrition in the care home that each worked in, give them the skills they need to make changes in their own care homes, learn from each other and share their experiences in meetings, and online. Everyone involved in the programme gave their feedback, at every stage. This included projects that the nutrition champions put in place in their care homes.
Evaluating a project to improve care of older people in Scotland
- Authors:
- McDONACH Eileen, KYDD Angela
- Journal article citation:
- Nursing Times, 21.9.04, 2004, pp.34-36.
- Publisher:
- Nursing Times
The second of two articles describing an innovative pilot study in Scotland attempting to promote evidence-based practice in the nursing care of older people in a variety of residential care settings. Documents findings from a qualitative process evaluation of the experiences of 8 nurse clinicians who participated in the pilot. The evaluation provided valuable insights into how future schemes might be enhanced.
What is the evidence for the activities of Namaste Care? A rapid assessment review
- Authors:
- BRAY Jennifer, BROOKER Dawn J., GARABEDIAN Claire
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 20(1), 2021, pp.247-272.
- Publisher:
- Sage
Objectives: To assess the quality of research evidence for the different activity components for the psycho-social Namaste Care intervention for care home residents with advanced dementia. DesignNamaste Care is a multi-component intervention delivered on a daily basis to people living with advanced dementia or people at end of life with dementia. A significant part of its operationalisation within care homes is the delivery of a number of activities delivered by trained in-house Namaste Care workers to a group of residents with similar high dependency needs. The Namaste Care workers focus on touch, music, nature, sensory experience, aromas and interactions with objects delivered in a way to enhance feelings of enjoyment and wellbeing. This review evaluated the evidence for using these activities with people living with advanced dementia. A systematic search of peer-reviewed research articles was conducted between November 2016 and September 2018 using search terms of activities used in Namaste Care. The quality of each accepted article was rated using the Rapid Evidence Assessment scale. Results: The initial literature search returned 1341 results: 127 articles including 42 reviews were included. The majority of activity interventions yielded between 10 and 20 peer-reviewed papers. The use of smells and aromas, interacting with animals and dolls, the use of various forms of music (e.g. background music, singing, personalised music), nature, lighting, various forms of touch/massage and sensory interventions (including Snoezelen) all appear to have proven efficacy with people living with advanced dementia. Conclusions: There is generally a limited number of research papers and reviews in this area, but overall there is a good evidence base for including these activities within Namaste Care for people living with advanced dementia. (Edited publisher abstract)
EVOLVE: a tool for evaluating the design of older people's housing
- Authors:
- LEWIS Alan, et al
- Journal article citation:
- Housing Care and Support, 13(3), October 2010, pp.36-41.
- Publisher:
- Emerald
EVOLVE (Evaluation of Older People’s Living Environment) is a tool that offers ways of evaluating the design of housing schemes or individual dwellings to assess their suitability as accommodation for older people. This short paper describes the development of the tool, its use and its evaluation. EVOLVE assess how well a building contributes to the physical support and personal well-being of older people, in terms of such needs as dignity, comfort and social support. Essentially a set of checklists developed from research into extra care housing, it can be used for a variety of building types, including sheltered housing and individual private houses. It is intended for use by architects, housing providers, commissioners, researchers and individual tenants or home owners. It can also serve as a briefing document or aid at the design stage and provide a rational basis for the selection of proposals in a competitive procurement process.
Practice learning opportunities in care homes
- Author:
- SCOTTISH CARE
- Publisher:
- Scottish Care
- Publication year:
- 2009
- Pagination:
- 95p.
- Place of publication:
- Ayr
Funded by the Scottish Social Services Council (SSSC), Scottish Care in partnership with the Scottish Social Services Learning Network South East, arranged that nine private sector care homes in Edinburgh, Lothians and the Scottish Borders areas would offer a practice learning opportunity (placement) to a social work student. Scottish Care worked through the Private Care Sector Workforce Initiative for its part of this pilot project. This project was perceived in part as a means to engage in some of the issues regarding the place of social work in care homes and to open a dialogue between care homes, social work educators, local authority social work services, the SSSC and the Scottish Government. A key aspect of this project was to develop capacity in the care home sector and to consider issues of sustainability in the provision of practice learning opportunities in care homes. The care homes in the pilot mostly provide care to older people but some units are specialist dementia units and one caters for people with brain injuries. All the students were from the University of Edinburgh and most were on the BSc programme. All the placements were first placements for the students and lasted 68 days, from early March to early June 2009. The project was considered a success on various levels by all those who took part. The care homes, the practice teachers and the university are all willing to engage in similar work again. This report considers the outputs and outcomes of the project in relation to the project objectives which were to: provide practice learning opportunities in care homes for up to ten social work students on a degree programme between August 2008 and March 2009, provide link supervisors in the care homes to support the students on placement, provide practice teaching support to each social work student on placement, provide link supervisor training to the link supervisors which will articulate into the PLQ at SCQF Level 9, prospectively provide PLQ Level 9 for those who wish it from the group of link supervisors, provide placements which offer a learning experience blended between the care home and a local social or health service provider, develop a detailed mapping profile between the learning activities in the placement setting and the Standards in Social Work Education, develop a usable and sustainable model of practice learning in care homes through creating capacity to offer learning opportunities, and promote greater availability of practice learning opportunities for social work students in Scotland.
A residential care centre (RCC) for persons with Alzheimer Disease (AD) family satisfaction with formal care
- Authors:
- JANZEN Wonita, WARREN Sharon
- Journal article citation:
- Journal of Social Work in Long-Term Care, 3(3/4), 2005, pp.37-43.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Many community-residing persons with Alzheimer Disease are eventually moved to a long-term care facility. One type of long-term care facility is the residential care centre, which is based on a social model of care. This study examined family satisfaction with care in a residential care centre located in Canada. Overall, family members of residential care residents were highly satisfied with the care provided at the facility and experienced few hassles in their interactions with the formal care providers. These measures remained fairly stable over the first eighteen months post-admission of the ill relative. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Is enhanced sheltered housing an effective replacement for residential care for older people
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2000
- Pagination:
- 4p.
- Place of publication:
- York
Two forms of provision for older people combine housing with care: residential care and sheltered housing. Christine Oldman, of the Centre for Housing Policy at the University of York, conducted an overview of the relatively new forms of enhanced sheltered housing and examined claims that they could reduce reliance on or even replace residential care.
The reliability and validity of nursing home standards
- Authors:
- BRAITHWAITE John, et al
- Publisher:
- Australian Government Publishing Service/Australia. Department of Health, Housin
- Publication year:
- 1992
- Pagination:
- 71p.,bibliog.
- Place of publication:
- Canberra, ACT
Evaluates the reliability and validity of ratings of nursing home compliance with 31 Australian government standards.
Enhanced lateral flow testing strategies in care homes are associated with poor adherence and were insufficient to prevent COVID-19 outbreaks: results from a mixed methods implementation study
- Authors:
- TULLOCH John, et al
- Journal article citation:
- Age and Ageing, 50(6), 2021, pp.1868-1875.
- Publisher:
- Oxford University Press
Introduction: Care homes have been severely affected by the SARS-CoV-2 pandemic. Rapid antigen testing could identify most SARS-CoV-2 infected staff and visitors before they enter homes. This study explored implementation of staff and visitor testing protocols using lateral flow devices (LFDs). Methods: An evaluation of a SARS-CoV-2 LFD-based testing protocol in 11 care homes in Liverpool, UK, including staff and visitor testing, plus a qualitative exploratory study in nine of these homes. The proportion of pilot homes with outbreaks, and outbreak size, were compared to non-pilot homes in Liverpool. Adherence to testing protocols was evaluated. Fifteen staff were interviewed, and transcript data were thematically coded using an iterative analysis to identify and categorize factors influencing testing implementation. Results: In total, 1,638 LFD rapid tests were performed on 407 staff. Protocol adherence was poor with 8.6% of staff achieving >75% protocol adherence, and 25.3% achieving ≥50%. Six care homes had outbreaks during the study. Compared to non-pilot care homes, there was no evidence of significant difference in the proportion of homes with outbreaks, or the size of outbreaks. Qualitative data showed difficulty implementing testing strategies due to excessive work burden. Factors influencing adherence related to test integration and procedural factors, socio-economic factors, cognitive overload and the emotional value of testing. Conclusion: Implementation of staff and visitor care home LFD testing protocols was poorly adhered to and consequently did not reduce the number or scale of COVID-19 outbreaks. More focus is needed on the contextual and behavioural factors that influence protocol adherence. (Edited publisher abstract)