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Dignified care: one year on. The experiences of older people in hospital in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2012
- Pagination:
- 32p.
- Place of publication:
- Cardiff
A stay in hospital can often be stressful in itself, but to be treated with a lack of dignity and respect causes real distress. In March 2011 the Older People’s Commission for Wales published the findings of its Dignified Care? Review. The report contained 12 recommendations aimed at improving the delivery of hospital care and subsequent patient experience for older people across Wales. One year on, this report sets out the Commissioner’s assessment of the progress made and outline how further review will be undertaken. The report finds there has been an improvement in how seriously the NHS and Welsh Government are taking the issue of dignity in care, and that there is real action underway. Some Health Boards report more progress than others, with all reporting that work has begun across the 12 recommendations. However, it is not yet possible to judge the extent to which a tangible improvement in the hospital experience of patients is being delivered at a ward level. The findings demonstrate that there is still significant unacceptable practice taking place on hospital wards. Chief Executives of Health Boards must ensure that within the next 18 months they move to full compliance with the agreed action plans.
Making voices heard: older people's access to independent advocacy in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2018
- Pagination:
- 65
- Place of publication:
- Cardiff
This report examines the extent to which older people in Wales are able to access independent advocacy to enable them to participate in decisions about their health and social care. It is based on evidence gathered across Wales from older people and carers who have been supported by independent advocates, advocacy providers, those commissioning services and stakeholders working with and for older people. It identifies a number of significant barriers currently preventing older people from accessing independent advocacy. These include a lack of understanding by health and social care professionals of independent advocacy and people’s right to it; shortcomings in current legislation and the way it is applied; insufficient data in relation to the provision of statutory independent advocacy; and poor service planning to meet the needs of the population. The report makes recommendations to improve access to improve independent advocacy services. These include training for staff in Local Authorities and Health Boards on independent advocacy and its benefits; awareness raising to ensure that those most in need of independent advocacy are made aware of their rights; and for effective planning across Wales in relation to the provision of statutory and non-statutory independent advocacy. (Edited publisher abstract)
Information and guidance on domestic abuse: safeguarding older people in Wales
- Authors:
- WALES. Welsh Government, OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Welsh Government
- Publication year:
- 2017
- Pagination:
- 53
- Place of publication:
- Cardiff
Good practice guidance to help professionals recognise, respond and provide support to older people who are experiencing or who have experienced domestic abuse. It outlines the characteristics of domestic abuse experienced by older people, including coercive control; older people’s experience of domestic abuse, and their possible reluctance to disclose abuse; identifying and responding to abuse; referral options and using existing safeguarding processes; and helps professionals address the complexities of working with older people who need care and support as a result of domestic abuse, but who also require professionals to respond to their other care and support needs. The guide includes short case studies and a summary of key relevant legislation. (Edited publisher abstract)
The importance and impact of community services within Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2014
- Pagination:
- 45
- Place of publication:
- Cardiff
This report makes a strong business case for key local and community-based services and facilities, such as buses and community transport, public toilets, pavements, public seating, outdoor areas, libraries, leisure facilities, and community and day centres. The report argues that community services are essential to the health, wealth, and wellbeing of villages, towns, cities and communities and the overall health of the economy and as a result they should be regarded as community assets rather than costs. They are essential to enable older people to continue to make a contribution and to undertake activities that have economic benefit. Community services are fundamental to the prevention of frailty and maintenance of health and wellbeing of older people and they are integral to the delivery of key policy priorities and statutory services cost containment. The report calls on local authorities to engage and consult more effectively with older people when key decisions are made about community services and concludes that a real culture shift is required in terms of community service planning and delivery, moving towards a more sustainable, innovative, long-term, integrated approach to secure better outcomes with fewer resources. (Edited publisher abstract)
'Dignified care?': the experiences of older people in hospital in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2011
- Pagination:
- 115p.
- Place of publication:
- Cardiff
This is the first review report of the Older People's Commissioner for Wales and focuses on hospital inpatient care. For the review, a Panel of Inquiry was appointed to collect evidence of older people’s experiences in hospital in relation to dignity and respect, and to identify good practice. Members of the public, hospital staff and a variety of organisations provided written and oral evidence for the Review. Evidence was also gathered during hospital visits. The voices of older people, their relatives, carers, fellow patients, advocates and staff are present throughout the Review. The report first outlines the background to the Review. The Commissioner's twelve recommendations which are, based on the findings of the Panel of Inquiry, are then put forward. A summary of the evidence is given before each detailed recommendation. The Inquiry Panel's findings are then discussed in the following areas; ward environment, interpersonal are, communications, language preferences, assistance with eating and drinking, dementia care, discharge planning, and cross-cutting themes. The report ends by outlining how it expects its recommendations to be carried out.
'Dignified care?': the experiences of older people in hospital in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2011
- Pagination:
- 18p.
- Place of publication:
- Cardiff
The executive summary of a review into older people’s experiences in hospital in relation to dignity and respect. For the review the Panel of Enquiry collected evidence from older patients, former patients, and evidence from family members, carers, and organisations. Evidence was also gathered during hospital visits. This summary presents the Commissioners twelve recommendations which were developed from the findings of the Panel of Inquiry. A summary of the relevant evidence precedes each detailed recommendation. The summary concludes with guidance on the way forward and instructions on how the recommendations should be carried out.
A place to call home: impact and analysis. Assessing progress to improve the quality of life and care of older people living in care homes in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2018
- Pagination:
- 82
- Place of publication:
- Cardiff
This follow-up report assesses whether public bodies have delivered upon the commitments they made following the Commissioner’s Care Home Review in 2014, which showed that too many older people living in care homes in Wales have an unacceptable quality of life and outlined the changes required to deliver improvements in care. The report identifies new legislation and guidance that have the potential to deliver change within care homes and improve the quality of life for older people across the themes: day-to day life, health and wellbeing, people and leadership, and commissioning, regulation and inspection. It then looks at 15 of the areas of concern identified by the Care Home Review, including: falls prevention, reablement and rehabilitation, befriending, engagement and quality of life, the use of anti-psychotic medication, dementia training, inspection processes and workforce planning. Under each area it outlines the current progress of Welsh Government, CSSIW, Health Boards and Local Authorities in making improvements and provides examples of good practice. The report found that a small number of Health Boards and Local Authorities had demonstrated progress, but that significant action is still required in order for older people to have the quality of life they have a right to expect. (Edited publisher abstract)
Equality and human rights impact assessments: guidance for local authorities
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2016
- Pagination:
- 39
- Place of publication:
- Cardiff
This guidance is designed to ensure that robust equality and human rights impact assessments (EHRIAs) are undertaken when changes to community services are proposed, essential to ensure that there is not a disproportionate impact upon older people and that alternative approaches are considered. Non-statutory community services such as day centres, public toilets, libraries and transport are as important to older people’s health, independence and wellbeing as statutory health and social care services but are at risk due to reductions in public spending. Part 1 examines the importance of current equality impact assessments and promotes the need to use EHRIAs when changes to community services are being considered. Part 2 examines the crucial role of scrutiny around changes to community services and is targeted towards elected members and officers in local government. The aim is to improve the quality of scrutiny and ensure that the impact of closing down or reducing the provision of a community service on older people is thoroughly and rigorously analysed and considered. (Edited publisher abstract)
Best practice guidance for engagement and consultation with older people on changes to community services in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- Cardiff
This guidance is intended for local authorities when proposing changes to community services, to ensure full and meaningful engagement with older people when key decisions are being made regarding services and facilities that are important to them. These include local buses, public toilets, libraries, day and community centres, and lifelong learning. Local authorities must have regard to this guidance when discharging their functions and the Older People’s Commissioner will use it as a standard by which to assess the extent to which they are safeguarding and promoting the interests of older people in Wales. This document outlines the legal context, sets out the duties of local authorities to pursue practical engagement with older people and describes a framework of requirements for a more formal, focused engagement through consultation. Guidance on the role of equality impact assessment in engagement and consultation is also included. (Edited publisher abstract)