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Day centres for older people: a systematically conducted scoping review of literature about their benefits, purposes and how they are perceived
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Journal article citation:
- Ageing and Society, 40(1), 2020, pp.73-104.
- Publisher:
- Cambridge University Press
With a policy shift towards personalisation of adult social care in England, much attention has focused on individualised support for older people with care needs. This article reports the findings of a scoping review of United Kingdom (UK) and non-UK literature, published in English from 2005 to 2017, about day centres for older people without dementia and highlights the gaps in evidence. This review, undertaken to inform new empirical research, covered the perceptions, benefits and purposes of day centres. Searches, undertaken in October/November 2014 and updated in August 2017, of electronic databases, libraries, websites, research repositories and journals, identified 77 relevant papers, mostly non-UK. Day centres were found to play a variety of roles for individuals and in care systems. The largest body of evidence concerned social and preventive outcomes. Centre attendance and participation in interventions within them impacted positively on older people's mental health, social contacts, physical function and quality of life. Evidence about outcomes is mainly non-UK. Day centres for older people without dementia are under-researched generally, particularly in the UK. In addition to not being studied as whole services, there are considerable evidence gaps about how day centres are perceived, their outcomes, what they offer, to whom and their wider stakeholders, including family carers, volunteers, staff and professionals who are funding, recommending or referring older people to them. (Publisher abstract)
What do we know about care home managers? Findings of a scoping review
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, MORIARTY Jo
- Journal article citation:
- Health and Social Care in the Community, 25(2), 2017, pp.366-377.
- Publisher:
- Wiley
This article reports selected findings from a scoping review of the literature about care home managers in England. The review was undertaken between December 2013 and April 2014, with searches conducted in December 2013, and completed in July 2014. Its aim was to identify the characteristics of care home managers, descriptions of their leadership and managerial roles, their experience, skills and support, and the managers' perceptions of their work and status and to identify knowledge gaps. The databases searched included Web of Knowledge, EBSCO, ASSIA, Embase, AgeInfo, NHS Evidence, Social Care Online and the publication platforms IngentaConnect, Wiley Online and JSTOR together with specialist sites and national information providers. Sixteen relevant studies directly about care home managers, reported in 24 articles, were identified. A further body of literature pertinent to the questions was located (n = 84), including sector reports, professional press, expert opinion, enquiries and reviews, and other material, which also informed the review. A consultation exercise with stakeholders informed the findings of the review. The review found that, despite frequent allusions to their impact on organisational culture, few studies have focused on care home managers, and, such as there are, mainly relate to managers of care homes for older people. This is despite managers' major responsibilities for the care of many frail and disabled people. (Edited publisher abstract)
Making my day. Volunteering or working at a day centre for older people: findings of exploratory research in English day centres
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Journal article citation:
- Journal of Long-Term Care, June 2021, pp.177-191. Online only
- Publisher:
- King's College London
- Place of publication:
- London
Context: Day centres have long traditions in social care in the United Kingdom and internationally. In England, they are provided by a mix of organisations, they are not regulated, and there is no national representative body. Research mainly focuses on centre attenders and carers. Frontline staff and volunteer perspectives are rarely reported. Objective: To highlight the role of day centre work and volunteering for individuals and inform recruitment and workforce development. Methods: Qualitative interview data gathered from seven volunteers and ten staff at four English day centres for older people were thematically analysed. Data are drawn from three-year case study research investigating the role, outcomes, and commissioning of day centres. Findings: Paid or volunteer work in day centres has the potential to make unique contributions to people’s lives. Older volunteers and staff particularly value centres’ group environment and the continuity involved which contribute to person-centred relationships and role satisfaction. These experiences and satisfaction help explain why day centre staff retention is above average in social care. Limitations: Although in diverse settings, this research was small-scale. Only high-quality centres may have participated. Methods may have unintentionally excluded volunteers with learning disabilities. Implications: Within a context of problematic recruitment and retention and policy aspirations for community engagement and building on local assets, findings are relevant to workforce development and local recruitment strategies. Further research might explore what creates the working and volunteering culture within a centre and links between culture and outcomes, with a view to developing a model of day centre culture. (Edited publisher abstract)
Day centres for older people - attender characteristics, access routes and outcomes of regular attendance: findings of exploratory mixed methods case study research
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Journal article citation:
- BMC Geriatrics, 20(158), 2020, Online only
- Publisher:
- BioMed Central Ltd
Background: Social prescribing is encouraged to promote well-being, reduce isolation and loneliness. Traditional, generalist day centres for older people could be suggested by social prescribing, but little is known about their clientele or their outcomes. As part of a larger study of the role, outcomes and commissioning of generalist English day centres for older people, the characteristics of attenders at 4 day centres, their reasons for attendance and outcomes were explored. Methods: This mixed-methods study used qualitative interviews and standardised tools within an embedded multiple-case study design. Semi-structured interviews with older day centre attenders (n = 23, 62% of eligible attenders) of 4 day centres in south-east England, recruited purposively to reflect organisational differences, were analysed. Results: Participants reported non-elective withdrawal from socialisation following health or mobility decline, or losses. Apart from living arrangements and marital status, attenders’ profiles differed between centres. Access had been mostly facilitated by others. Day centre attendance enhanced quality of life for this group of socially isolated people with mobility restrictions and at risk of declining independence and wellbeing. The positive impact on attenders’ social participation and involvement and on meaningful occupation was significant (p-value < 0.001, 99% CI), with an average ASCOT gain score of 0.18. Ten outcome themes were identified. Conclusion: Outcomes of day centre attendance are those targeted by social care and health policy. Centres were communities that ‘enabled’ and offset loss or isolation, thus supporting ageing in place through wellbeing and contributed something unique to their attenders’ lives. By monitoring attenders’ health and wellbeing and providing practical support, information and facilitating access to other services, centres offered added value. Attendance needs to be set in the context of other social engagement and care provision which may not overlap or duplicate centre support. Professionals may wish to explore the benefits of social prescriptions to day centres but should map local centres’ provision, engage with their organisers, and seek information on attenders, who may differ from those in this study. (Edited publisher abstract)
Evidence to inform the commissioning of day centres for older people
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Publisher:
- King's College London. Institute of Gerontology
- Publication year:
- 2017
- Pagination:
- 2
- Place of publication:
- London
This briefing summarises the findings of research into the role and purpose of generalist day centres for older people. The results show that day centres result in benefits for older people attending centres, their family carers and centre volunteers. These include enriching the lives of socially isolated people who were unable to go out without support and improvements in the quality of life for family carers. In addition, day centres can provide access to information and support, monitoring of health and wellbeing and signposting to health and care services. The study also identified the potential for their development and optimisation to improve older people’s health and wellbeing, support carers and maximise the impact of health and social care services. The briefing highlights the implications of the findings for commissioners, which include the need to look beyond the obvious costs when commissioning or reviewing day centre provision. (Edited publisher abstract)