Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 10 of 16
Quality of life for adults with learning disabilites in private residential care: monitoring aspects of life experiences over time
- Author:
- SKEA Derek
- Journal article citation:
- Mental Health and Learning Disabilities Research and Practice, 5(2), October 2008, pp.253-265.
- Publisher:
- South West Yorkshire Mental Health NHS Trust and University of Huddersfield
The quality of life (QoL) of a sample of 56 adults with learning disabilities was studied longitudinally over 18 months while they lived in community-based private residential homes. Six homes participated in the study. The Life Experiences Checklist (L.E.C) which considers a person’s home environment, leisure, freedom, relationships and opportunities, was used as a measure of QoL. The L.E.C was administered to participants on three occasions at approximately six-monthly intervals. Simple feedback reports giving overall results for the L.E.C (and other measures) were produced for each home at the end of each of these three phases. The L.E.C. results showed that overall participants’ QoL changed significantly over the course of the study, with assessed QoL peaking at phase two after homes had received the first feedback report, and decreasing to near phase one levels by the end of the study. People living in one of the homes, however, sustained the observed improvement in QoL over time. Comparisons were drawn between the L.E.C results for the sample and the general population living in the same area. The sample experienced a lower QoL than the general population regarding Relationships, Opportunities and Freedom L.E.C. sub-scales and had a comparable QoL regarding the Home sub-scale, and higher scores with respect to the Leisure sub-scale. Results are discussed in terms of subjective and objective QoL measurement as an indicator of quality of service provision and in particular the effects of feedback and monitoring per se. It is apparent that in the absence of intervention no sustained improvements in QoL are seen in this sample.
In tune with requirements?
- Authors:
- HARRISON L., HOYES L.
- Journal article citation:
- Health Service Journal, 9.4.87, 1987, pp.422-423.
- Publisher:
- Emap Healthcare
Describes a study of private homes for the mentally handicapped.
The lessons of Longcare
- Author:
- HOLMAN Andrew
- Journal article citation:
- Community Living, 12(3), January 1999, pp.12-13.
- Publisher:
- Hexagon Publishing
Reports on the findings of the Longcare Inquiry, which exposed many flaws in the system and raises the question of how we can prevent such institutional abuse in the future.
Is private care better care?
- Author:
- TONKIN Boyd
- Journal article citation:
- Community Care, 2.4.87, 1987, pp.23-25.
- Publisher:
- Reed Business Information
Investigates American Medical International, a private concern developing mental handicap and mental health services in the U.K.
No specialists needed?
- Author:
- RICHARDSON Malcolm
- Journal article citation:
- Nursing Times, 23.3.94, 1994, p.67.
- Publisher:
- Nursing Times
Raises concern that privately run homes for people with learning disabilities living in the community sometimes neglect nursing interventions and skills.
Promoting an ordinary life: a checklist for assessing residential care for people with learning difficulties
- Author:
- HOYES Lesley
- Publisher:
- University of Bristol. School for Advanced Urban Studies
- Publication year:
- 1990
- Pagination:
- 53p., tables, bibliog.
- Place of publication:
- Bristol
Focuses on the relationship between the public sector and the independent sector. Contains guidelines for Registration Authorities and Care Managers, and four assessment checklists: suitability of property, fitness of proprietor/manager, care management, and internal features of property.
The Winterbourne View Hospital scandal “vanishing pact”
- Author:
- McKITTERICK Bill
- Journal article citation:
- International Journal of Public Leadership, 12(1), 2016, pp.2-13.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the discourse of the leadership of professional and public policy responses to the scandals of the care and treatment at the private Winterbourne View and NHS Calderstones Hospitals which demonstrates the lost learning from earlier attempts to provide humane care for the enduring numbers of people contained in similar settings. Design/methodology/approach: An analysis of the use of general management and managerialism through commissioning, rather than a focus on pro-active self-leadership within professional practice or through collaborative, collegiate or distributed leadership has arguably been responsible for the lack of progress. Findings: The emphasis on direction and action by government ministers, quangos, and managers across the NHS and local government has ignored and stifled the potential for initiative and self-leadership by professionals. This is notable for social work, aggravated by the absence of an engaged professional body for social workers. Originality/value: This case study addresses the limitations of leadership approaches which focus on policy direction, general management, managerialist and commissioning approaches to the reform and delivery, contrasted with the potential of professionals self-leadership by practitioners. (Publisher abstract)
Out-of-area provision for adults with intellectual disabilities and challenging behaviour in England: policy perspectives and clinical reality
- Authors:
- BARRON D. Andrea, HASSIOTIS A., PASCHOS D.
- Journal article citation:
- Journal of Intellectual Disability Research, 55(9), September 2011, pp.832-843.
- Publisher:
- Wiley
About 33% of adults with intellectual disabilities in England and Wales are placed in residential or nursing care outside their borough of origin. These placements claim a large proportion of service budget expenditure and put a strain on users and their families. It is therefore important to consider whether they offer best-quality care. The authors discuss the literature relating to such placements and use a scoping postal survey across 54 service providers in five London boroughs to examine issues relating to provider characteristics and good practice. The responses showed that individuals with an intellectual disability and challenging behaviour were more likely to be placed out-of-area in services of variable quality a minority of which may underperform. The private sector dominated in the provision of out of area placements and was also the most likely to underperform in meeting standards of care, particularly in areas such as staff training and condition specific training. The authors conclude that, while the majority of out-of-area providers appear to provide a good standard of care, there are many factors that continue to hinder the local treatment of individuals with challenging behaviour. They suggest that it is important to identify poorly performing providers as well as exploring ways in which service users, out-of-area, can be supported effectively.
Quality of Life Outcomes for People with Intellectual Disabilities Living in Staffed Community housing services: a stratified random sample of statutory, voluntary and private agency provision
- Authors:
- PERRY Jonathan, FELCE David
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 16(1), March 2003, pp.11-28.
- Publisher:
- Wiley
This study compared sectors in terms of the processes operating within residential services, and objectively and subjectively assessed quality of life (QOL) resident outcomes. It was found that provider agencies did not differ in terms of the characteristics of the residents they served, the structure of settings, the processes underlying service operation or resident outcomes. However, across agencies there was considerable variation in residents' life conditions when they were measured objectively. Better outcome tended to be significantly correlated with the ability of residents. This was not the case with results on subjective measures (which were also higher than those on objective measures).
Characteristics of staffed community housing services for people with learning disabilities: a stratified random sample of statutory, voluntary and private agency provision
- Authors:
- PERRY Jonathan, et al
- Journal article citation:
- Health and Social Care in the Community, 8(5), September 2000, pp.307-315.
- Publisher:
- Wiley
Within the staffed housing model relatively little is known about the characteristics of different types of provider agency. Reports on a study which collected data on size, homeliness, organisational structure, working methods, staffing levels and resident characteristics on a sample of providers in South West England and Wales. Results found significant differences between providers on the variables of working methods and staffing levels. Resident ability correlated with staffing levels and organisational culture, but not with staff working methods. Discusses the results and their implications in the context of other research.