Search results for ‘Subject term:"learning disabilities"’ Sort:
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Care provider statement of intent to involve siblings
- Author:
- SIBS
- Publisher:
- Sibs
- Publication year:
- 2018
- Pagination:
- 1
- Place of publication:
- London
A one page provider statement which can be used by care providers to show their commitment to communicating with and actively involving siblings in the care of a brother or sister with learning disabilities and/or autism. The statement for care homes and supported living settings was produced by Sibs, a charity for brothers and sisters of disabled children and adults. (Edited publisher abstract)
Choice is key: where next for accommodation and support for people with learning disabilities?
- Author:
- DONOVAN Tristan
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- London
This report brings together a range of views on accommodation and support for people with learning disabilities or autism or both. The report argues that central to delivering change is ensuring there are more ‘settled accommodation’ options, namely accommodation in the community where individuals have security of tenure in the medium to long term, while acknowledging the important role played by residential care. Conversely, there are concerns that some residential care homes are rebranding as supported living but doing little more than deregistering from the CQC. The report calls for new, innovative approaches, including: the creation of a small fund to support families to buy a house for a person with learning disabilities; the creation of a multi-disciplinary community forensic service to help people whose behaviours and disabilities have led to them experiencing very extended stays in secure hospitals, move into community based accommodation; improving the design of accommodation to reduce social isolation; and changing culture and mind-set barriers that hinder efforts to re-engineer accommodation and support for people with learning disabilities or autism. (Edited publisher abstract)
Commissioning services for adults with learning disabilities or autism: the views and experiences of commissioners
- Authors:
- BEADLE-BROWN Julie, et al
- Publisher:
- Quality and Outcomes of Person-centred Care Policy Research Unit
- Publication year:
- 2018
- Pagination:
- 32
- Place of publication:
- London
Research to explore commissioning practice for services for people with learning disabilities and autism in England, focusing on the information used to help make decisions about services to commission and the challenges to commissioning effective services. The study explores the following questions: is quality or outcomes of services part of the commissioning process?; What sources of quality information are used in the commissioning process?; What are the barriers and facilitators of using quality information in commissioning?; and What are the main challenges to commissioning high quality services? The results are based on completed surveys from 45 local authorities and 25 clinical commissioning groups. The main findings explore three categories of service: residential care, supported living, and day services. The results found that quality was reported to be the most common selection criterion for providers. The top three factors considered by LA and CCGs commissioners to support their purchasing decisions were quality, safety, and suitability to the needs of the individual, with two thirds of respondents saying that cost was a very important consideration in their decisions. Most respondents reported using quality assessment frameworks and monitoring checklists of some type, with the frequency of quality assessment ranging from quarterly to yearly. Identified challenges to commissioning included restructuring, spending cuts, skills shortages, demographic changes. Suggested ways dealing with these challenges included more collaboration and partnership working, integrated/joint commissioning with pooled budgets, greater flexibility and innovation in procurement and contracting, and evidence-based commissioning. (Edited publisher abstract)
Strategic commissioning of accommodation services for adults with learning disabilities
- Author:
- AUDITOR GENERAL FOR WALES
- Publisher:
- Wales Audit Office
- Publication year:
- 2018
- Pagination:
- 62
- Place of publication:
- Cardiff
This review assesses whether local authorities in Wales have effective approaches to commissioning accommodation for adults with learning disabilities. It included audit fieldwork at five local authorities; analysis of performance and expenditure; and modelling future growth and costs. Based on the findings, the review found that local authorities are generally meeting the accommodation needs of adults with learning disabilities, but existing commissioning arrangements are unlikely to be fit for purpose in the future. It reports that local authorities are underestimating the complexity in meeting the long-term accommodation needs of people with learning disabilities and their carers and need to do more to integrate the services. It also found that commissioning strategies do not always result in cost effective services that meet people's needs. The report estimates that authorities will need to increase investment by £365 million in accommodation in the next twenty years to address a growth in the number of people with learning disabilities who will need housing and the increase in the number with moderate or severe needs. The report makes recommendations to local authorities, in six key areas, including: to continue to focus on prevention by providing effective support at home and a range of step up accommodation; to improve the approach to planning services for the future, and to do more to involve people with learning disabilities and their carers in care planning and agreeing pathways to further independence. (Edited publisher abstract)
Transforming care: the challenges and solutions
- Author:
- VOLUNTARY ORGANISATIONS DISABILITY GROUP
- Publisher:
- Voluntary Organisations Disability Group
- Publication year:
- 2018
- Pagination:
- 22
- Place of publication:
- London
Shares learning from a pilot project and outlines the challenges and solutions to moving people with learning disabilities, autism and/or mental health conditions out of long-stay inpatient care. It draws on the work of The London Demonstrator pilot, part of the VODG Provider Taskforce, which set out to develop support assessment and proposals for 27 people from London who had been in inpatient settings for longer than five years. Challenges identified involved commissioners, funders and care providers. They included: delays in hospital discharge plans and a lack of knowledge in local authorities about potential community support options; negative attitudes and aspirations towards people supported; a lack of understanding about costs, and lack of support to families. It outlines solutions that could help reduce discharge delays and support community-based housing and care options. These include: clearer communication between professionals; improved knowledge and information about the cost of high quality care earlier identification and sourcing of housing options; and a brokerage programme to support the discharge of people in hospital settings to live with the right support in their chosen community. (Edited publisher abstract)
Housing with care and support: a snapshot of the sector and its challenges and opportunities
- Author:
- SKILLS FOR CARE
- Publisher:
- Skills for Care
- Publication year:
- 2017
- Pagination:
- 36
- Place of publication:
- Leeds
Using five in-depth case studies of housing with care and support providers, this paper explores the strategic and operational issues they face, the influence these have on their workforce and what they saw as the future challenges ahead. The five case studies focused on extra care housing for older people and supported living for people with learning disabilities. The services were set up using different delivery models, some splitting the landlord function from the housing support function and some separating the housing from the care function, with some keeping all three together. Issues discussed include: the structure of the service and its effect on learning and development, workforce planning; recruitment and retention; progression and career development; and partnership, integration and changing expectations of commissioners and their influence on the workforce. Common themes identified across the sites included: challenges in recruitment and retention; lone working as a factor in poor staff retention; and an increasing number of people with high levels of need living in extra care housing, placing the model at risk. Common gaps in learning included mental health, substance dependence, anti-social behaviour, challenging behaviour and preventing loneliness. (Edited publisher abstract)
Independent research and cost analysis of the use of Just Checking and the Just Right approach to identify appropriate levels of care for adults with learning disabilities
- Authors:
- UNIVERSITY OF BIRMINGHAM, KPMG
- Publishers:
- University of Birmingham, KPMG
- Publication year:
- 2017
- Pagination:
- 10
- Place of publication:
- Birmingham
Summarises the findings of research on the use of Just Checking activity monitoring equipment to help determine the most appropriate level of care for people with learning disabilities living in residential or supported living accommodation. The research involved nine local authorities working with 33 care providers in England. The Just Checking technology was installed in a sample of accommodations units, most of which were supported living accommodation. The data were used by care staff, with advice about person-centred planning, to discuss whether the current package of support is appropriate, or whether care could be reduced or adjusted to better meet the needs of the service user. The results found that care providers were able to use the technology to achieve improved outcomes for individuals, improved person-centred support and achievement of goals, as well as greater independence and autonomy for individuals. KPMG’s financial analysis of the findings, found that care providers identified no change in the level of care for 38 per cent of tenants, a potential over-provision of care for 34 per cent and a potential under-provision of care of 28 per cent of tenants. The analysis estimates that, even taking into account under-provision, Just Checking would pay for itself within 9 weeks. The report concludes that the Just Checking activity monitoring approach is viable, acceptable and useful to service providers and commissioners of care for adults with learning disabilities. It highlights factors that support the successful implementation of Just Right/Just Checking. (Edited publisher abstract)
Smart home technologies for health and social care support
- Authors:
- MARTIN S., et al
- Publisher:
- John Wiley and Sons
- Publication year:
- 2008
- Pagination:
- 13
BACKGROUND: The integration of smart home technology to support health and social care is acquiring an increasing global significance. Provision is framed within the context of a rapidly changing population profile, which is impacting on the number of people requiring health and social care, workforce availability and the funding of healthcare systems. OBJECTIVES: To explore the effectiveness of smart home technologies as an intervention for people with physical disability, cognitive impairment or learning disability, who are living at home, and to consider the impact on the individual's health status and on the financial resources of health care. SEARCH STRATEGY: The following databases were searched for primary studies: (a) the Cochrane Effective Practice and Organisation of Care (EPOC) Group Register, (b) the Cochrane Central Register of Controlled Trials (CENTRAL), (The Cochrane Library, issue 1, 2007), and (c) bibliographic databases, including MEDLINE (1966 to March 2007), EMBASE (1980 to March 2007) and CINAHL (1982 to March 2007). The Database of Abstracts of Reviews of Effectiveness (DARE) was also searched. A strategy developed by the EPOC Trials Search Co-ordinator was used to search the electronic databases. SELECTION CRITERIA: Study types included: randomised controlled trials (RCTs), quasi-experimental studies, controlled before and after studies (CBAs) and interrupted time series analyses (ITS). Participants included adults over the age of 18, living in their home in a community setting. Participants with a physical disability, dementia or a learning disability were included. The included interventions were social alarms, electronic assistive devices, telecare social alert platforms, environmental control systems, automated home environments and 'ubiquitous homes'. Outcome measures included any objective measure that records an impact on a participant's quality of life, healthcare professional workload, economic outcomes, costs to healthcare provider or costs to participant. The included measures were service satisfaction, device satisfaction and healthcare professional attitudes or satisfaction. DATA COLLECTION AND ANALYSIS: One review author completed the search strategy with the support of a life and health sciences librarian. Two review authors independently screened titles and abstracts of results. MAIN RESULTS: No studies were identified which met the inclusion criteria. AUTHORS' CONCLUSIONS: This review highlights the current lack of empirical evidence to support or refute the use of smart home technologies within health and social care, which is significant for practitioners and healthcare consumers. (Edited publisher abstract)
Registering the right support: CQC's policy on registration and variations to registration for providers supporting people with a learning disability and/or autism
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 28
- Place of publication:
- Newcastle upon Tyne
This policy statement provides guidance for registration managers and inspectors assessing providers of services for people with learning disability and/or autism. It aims to ensure the Care Quality Commission (CQC) have a consistent approach to registration of services for people with a learning disability and/or autism and also informs providers, people who use services and their families and carers of the Care Quality Commission (CQC) approach to registration. It applies to three key areas of registration: specialist hospital provision, such as an assessment and treatment unit for people with a learning disability and/or autism; opening a new care home or location; and new applications for registration and applications to change a location’s service type, for example from hospital services to care home or supported living services. Case studies are included to provide examples of applications that are likely to be approved, and application that are unlikely to be granted. Providers of services are more likely to have their application for registration granted if they can demonstrate how their model of support is: is in line with Building the Right Support and the accompanying service model, built on evidence-based care; and is in line with national policy. (Edited publisher abstract)