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The domiciliary care worker: practice guidance of domiciliary care workers registered with Social Care Wales
- Author:
- SOCIAL CARE WALES
- Publisher:
- Social Care Wales
- Publication year:
- 2018
- Pagination:
- 24
- Place of publication:
- Cardiff
- Edition:
- Version 1
This practice guidance builds on the Code of Professional Practice for Social Care to describe the standards expected of domiciliary care workers in Wales. Areas covered include: person centred care and support, good domiciliary care practice, safeguarding individuals, health and safety, learning and development, contributing to service improvement and good conduct. (Edited publisher abstract)
Learning manual handling without direct supervision or support: a case study of home care workers
- Authors:
- PALESY Debra, BILLETT Stephen
- Journal article citation:
- Social Work Education (The International Journal), 36(3), 2017, pp.273-288.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
How home care workers adapt their classroom training to their workplaces is central to their own safety and that of their care recipients. A case study approach was adopted for this inquiry into home care worker training in Australia, where new workers were directly observed and interviewed in their workplaces following classroom training. Findings from the study advance four contributions: (a) learning is person-dependent, (b) artefacts in the form of written materials afford a valuable form of learning support; (c) opportunities for these workers to meet, share and refresh their knowledge are important for further development of occupational capacities; and (d) more organisational support for such socially isolated workers’ learning is needed. (Publisher abstract)
Care at home: challenges, possibilities, and implications for the workforce in Wales
- Authors:
- OWEN Arwel Ellis, LLEWELLYN Mark
- Journal article citation:
- Journal of Care Services Management, 5(2), April 2011, pp.65-69.
- Publisher:
- Taylor and Francis
In autumn 2008 the Care Council for Wales commissioned an 18 month study to examine the care at home workforce and what is needed to make it fit for the increasing demands of providing care at home in the future. The study methodology included desktop research and a literature review, primary research with 296 service users and carers, frontline care workers, managers, and other stakeholders, workshops, and providing participants with an opportunity to comment on initial findings. It looked at what the care at home workforce in Wales currently looks like, the future vision for care at home and its workforce in Wales, and what needs to be done to move the current workforce towards the vision. This paper describes the background to the study, its findings and recommendations (published in May 2010 in the report Care at home: challenges, possibilities and implications for the workforce in Wales), progress following the study and next steps. The key recommendations included: recognise the value of the care at home workforce, enhance the role of the workforce, address the workforce implications of developing integrated services, support the workforce in delivering outcome and person focused services, and explore the consequences for the workforce of new service options around self-directed support.
Satisfaction with personal assistance services of people with disabilities in Korea
- Author:
- KIM Kyung Mee
- Journal article citation:
- Asia Pacific Journal of Social Work and Development, 20(2), December 2010, pp.49-62.
- Publisher:
- Taylor and Francis
Looking at community settings for physically, developmental, visual and brain or head injury associated disabled people in South Korea, this article details utilisation rates for personal assistance services helping with the activities of daily living including bathing, toilet attendance, housework and mobility. Service users’ levels of satisfaction according to data collected from 299 participants in 2007 are detailed. The parameters of service control, attendants’ quality and competence and the quality of the overall service were used as measures. Service control consisted of 5 items relating to possibility of having to change attendants; the direction of services to the attendants; the choice of services that users want; reception of services that users want to customise and the reception of service when the users want it. Attendants’ quality and competence included 8 items such as understanding of impairment; user’s intentions and directions; kind and respectful treatment; punctuality; good communication; relevance of training and wishing to recommend to others. The quality of service was gauged via its appropriateness, readiness, safety and likelihood of referral to others. Findings included high satisfaction when users were able to use all the hours assigned, hours assigned were sufficient to meet their needs, and users’ views were used in formulating care plans. Comparisons are made with literature from USA, Japan, and Germany.
Personal social services: home care users in England aged 65 and over, 2008-09 survey
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2009
- Pagination:
- 62p.
- Place of publication:
- Leeds
This survey is targeted at service users aged 65 and over receiving home care funded wholly or in part by Social Services. A survey of these service users was also conducted in 2002-03 and 2005-06. This survey aims to see how the opinions of these service users have changed since 2005-06 and to gain a better understanding of how different factors affect the overall satisfaction. Main findings included: 58 per cent of service users were extremely or very satisfied with the service that they received; 23 per cent of respondents of the White ethnic group were extremely satisfied with their home care compared to 17 per cent of the Asian ethnic group and 16 per cent of the Black ethnic group; 67 per cent of service users were always happy with the way their care worker treated them while 28 per cent said they were usually happy.
“Who’s Caring for Us?”: understanding and addressing the effects of emotional labor on home health aides’ well-being
- Authors:
- FRANZOSA Emily, TSUI Emma K, BARON Sherry
- Journal article citation:
- Gerontologist, 59(6), 2019, pp.1055-1064.
- Publisher:
- Oxford University Press
Background and Objectives: Interventions to strengthen the home care workforce focus on workers’ economic and physical well-being, without acknowledging the caring labour affecting emotional well-being. This study examined workers’ perceptions of the emotional effects of caring work, coping mechanisms, and desired support. Research Design and Methods: This study conducted 4 worker focus groups (n = 27). Moderators cross-checked codes and themes, and aides provided input through report-backs. Results: Building close, trusting relationships with clients was central to aides’ emotional well-being. Well-being was also influenced by relationships with client families and agency supervisors, work–life balance, and the level to which aides felt their work was valued. Aides were largely alone in managing job stressors and desired more communication, connection, and support from supervisors and peers. Discussion and Implications: Recognising and supporting the emotional demands of caring work is crucial to strengthening the workforce. Policy makers and agencies must realign reimbursement systems, job descriptions, and care plans to include measures of emotional labour, improve communication between workers and supervisors, and provide training, mental health benefits, and peer support. (Edited publisher abstract)
"The poor carer": ambivalent social construction of the home care worker in elder care services
- Authors:
- TIMONEN Virpi, LOLICH Luciana
- Journal article citation:
- Journal of Gerontological Social Work, 62(7), 2019, pp.728-748.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article examines the social construction of the home care worker from the perspective of various professionals in the elder care sector in Ireland. The research, using the Grounded Theory method, involved focus groups with 31 participants comprising health and social work professionals as well as care agency managers and policy planners. The social construction of the elder care worker is characterised by ambivalence. The authors connect the concept of ambivalence at the micro level of human relationships to structural factors that are driving the ambivalence. Ambivalence towards home care workers is shaped by structural factors including the precariousness of care work, the commodification of time, and the stipulated personalisation of services. The irreconcilable contrasts between portrayals of care workers as both ‘good’ and ‘bad’ are indicative of deep contradictions in the expectations that contemporary care systems direct at paid caregivers. Ambivalence arises from the commodified and dispensable status of care workers, and fundamental transformations in their training, working conditions and pay are required to move away from this ambivalence and towards care workers’ equal status with professionals in the care sector. (Edited publisher abstract)
Care at home visit: you are our eyes and ears
- Author:
- CARE INSPECTORATE
- Publisher:
- Care Inspectorate
- Publication year:
- 2019
- Pagination:
- 2
- Place of publication:
- Dundee
This pocket guide, developed in collaboration with Sue Ryder, aims to support carers working in care at home services. It provides a new way of documenting the condition of clients at each home visit, to pick up on any deterioration and alert senior staff so they can enable faster access to assessment and treatment. The tool covers six areas: engagement, personal care, eating and drinking, going to the toilet, documentation and exit checks on leaving. (Edited publisher abstract)
Zero‐hour contracts and stress in UK domiciliary care workers
- Authors:
- RAVALIER Jermaine, et al
- Journal article citation:
- Health and Social Care in the Community, 27(2), 2019, pp.348-355.
- Publisher:
- Wiley
The UK domiciliary care workers play a vital role in maintaining and improving the lives of service users who have a variety of needs. Around 60% of these employees work under zero‐hours contracts but, while it is known that conditions such as temporary and shift working can influence employee health and performance, zero‐hours have not been widely investigated. This project sought to first investigate the stress associated with working as a domiciliary care worker, as well as comparing the experiences of employees contracted to zero‐hours with those contracted to at least 16 hr per week. Twenty‐nine semistructured interviews (15 zero‐hour, 14 contracted hours) were conducted in the West Midlands of the United Kingdom and analysed using thematic analysis. Across all participants, four predominant stressors were found. First, the level of pay for a job with high levels of responsibility was poor. Second, participants described struggling to maintain an adequate work–life balance due to the varied timings of visits, as well as rude and aggressive behaviour from both service users and their families. Lastly, a lack of peer support and poor care from peers was discussed. However, every respondent described the positive relationships that they develop with service users being a distinct stress reliever. Zero‐hours respondents discussed two further stressors. Power refers to the relationship between employee and management, with respondents describing the balance of power being with the management. Uncertainty reflected respondents not having set hours of work or pay, and thus not being able to plan their personal lives and sometimes not being able to pay bills. Findings suggest that domiciliary care workers are exposed to a range of stressors, with zero‐hours adding to these. Further research should look into methods to improve both the job role for workers, and redress the power relationships for those with zero‐hours contracts. (Edited publisher abstract)
Workplace abuse and harassment: the vulnerability of informal and migrant domestic workers in Portugal
- Authors:
- FIGUEIREDO Maria da Conceicao, et al
- Journal article citation:
- Social Policy and Society, 17(1), 2018, pp.65-85.
- Publisher:
- Cambridge University Press
Policy makers and researchers are alarmed by the pervasive substandard working conditions and mistreatment in domestic work worldwide. Using an original dataset from a sample of domestic workers in Portugal (n = 684), this study explores types of abuse and harassment and tries to unveil the potential factors affecting the likelihood of having been a victim. Empirical evidence pointed to three segments of domestic workers: victims of labour abuses related to contract and wages, victims of multiple abuses including mistreatment and also psychological and sexual harassment, and a segment with no occurrence of abuse. Informal workers are more often victims of labour abuses, while migrants, especially Brazilian women, are more likely to report all types of abuse and harassment. On the other hand, carers of the elderly often suffered multiple abuses. The results suggest that despite the prevalence of labour abuses in Portugal, the most severe abuses are uncommon. (Edited publisher abstract)