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Adult care homes 2008-09
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2009
- Pagination:
- 15p.
- Place of publication:
- Cardiff
This report provides information about the Care and Social Services Inspectorate Wales (CSSIW) findings from looking at adult care homes in Wales. Care homes provide care together with accommodation for both younger and older adults. Homes varied in size and provision; they could care for people with learning or physical disability, mental health needs, sensory impairments and older people. Overall there was evidence of continued improvement in several core areas: the quality of care planning has improved; service users' wishes and feelings are taken into account and there is evidence of service users being involved in decision making regarding their care; service users' privacy and dignity is promoted in the home; the maintenance and cleanliness of premises has shown some improvement; recruitment practices including pre-employment checks on staff have improved; providers taking responsibility for reviewing the quality of care provided; the appropriate assessment and management of risk to service users. The following key areas still require attention: support and training for staff; staffing levels; supervision of staff; and appropriate management of medication must still be a priority for care homes. There was a decrease in both the number of adult protection issues referred to CSSIW and CSSIW's subsequent involvement in investigations. This may in part link to the developing understanding of the role of CSSIW in adult protection.
Third party payments for care home fees in Wales: report of a national review by CSSIW
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 29p.
- Place of publication:
- Cardiff
Some independent care homes charge fees which are higher than the maximum amount that Social Services can contribute. If the individual chooses to move into a home which charges a higher fee than the amount paid by Social Services, then the difference between the amounts is paid by a third party, usually a relative. This report reviews the application of these third party payments in Wales. Evidence was drawn from a survey completed by 237 care home providers who provide care for older people requiring both personal and nursing care. Further evidence was gained from an examination of local authority policies and from meetings with provider and local authority representative organisations. The findings indicate that around 40% of providers across Wales charge third party payments. There were regional variations in the number of homes in an area charging third party payments. Most providers see these payments as being necessary to support their businesses, with the majority of respondents highlighted a shortfall between the real costs of providing care and the cost paid by the local authority. In only 12% of cases did providers state that this charge was for increased services or facilities. The impact of these costs on third parties can be great.
Joint HIW / CSSIW fundamental review of the national service framework (NSF) for older people in Wales
- Authors:
- HEALTHCARE INSPECTORATE WALES, CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Healthcare Inspectorate Wales; Care and Social Services Inspectorate Wales
- Publication year:
- 2008
- Pagination:
- 18p.
- Place of publication:
- Cardiff
This document sets out the rationale for the planned review of the National Service Framework (NSF) for Older People in Wales, the process undertaken for scoping the review and the initial approach and timescales for delivery. The review will be delivered jointly by the Healthcare Inspectorate Wales (HIW) and the Care and Social Services Inspectorate for Wales (CSSIW).
Growing old my way: a review of the impact of the National Service Framework for Older People in Wales
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2012
- Pagination:
- 81p.
- Place of publication:
- Cardiff
Focusing on older people’s services seen through the ‘lens of someone with dementia’, the review concluded that the National Service Framework has had an impact in Wales. Together with related strategies and the role of the Older People’s Commissioner, it has raised the profile of services received by older people in Wales and highlighted the need for them to be treated as individuals and without discrimination. The review also highlighted that across Wales a number of innovative and valuable services and support mechanisms for older people have been put in place. For example: exercise and activity classes; lunch clubs; shop and drop internet services such as the food solutions project in Flintshire; and television adverts such as the FAST advert for stroke. However, the review also found that: greater focus is needed at a local level in health promotion, prevention and community services if we are to help and support people to live healthy and longer lives; older people with complex needs often end up in hospital when in reality for many it is the last place they should be; and when older people do get admitted to hospital they are frequently there for too long and as a result their independence and confidence is impacted upon. The report also refers to ongoing concerns around the fundamental aspects of care, dignity and respect that are essential for anyone accessing health and social care services.
National review of access and eligibility in adults' social care: overview report
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 19p.
- Place of publication:
- Cardiff
In order to manage their resources, local authorities have to apply eligibility criteria in order to identify the people whose needs they will meet and those they will not. The aim of this review was to investigate the issues that impact on access to social services, including the application of eligibility criteria. The review primarily focuses on services for older people. The research involved a survey completed by all 22 local authorities. This was followed by fieldwork in 8 local authorities involving small group, semi-structured discussions with a number of identified officers. The report discusses: the thresholds for accessing social services; whether officers understand and monitor how eligibility criteria are applied; where eligibility criteria fit with the broader issues on access to services; and whether the application of eligibility criteria is fair and consistent. The findings showed that most local authorities (15 out of 22) set their eligibility criteria at critical and substantial. The barrier to getting support is at the stage of first contact where decisions are made regarding who gets through to assessment. The overall picture is of tightening resources, with increasing demand, people presenting with increasingly complex or severe levels of need, and changes to eligibility criteria due to financial pressures.
A preliminary analysis of dementia in Wales
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2010
- Pagination:
- 26p.
- Place of publication:
- Cardiff
This report provides a preliminary analysis relating to the current knowledge about and provision for people with dementia in Wales. The research involved fact finding from people with dementia, their carers, some expert professionals, and from desk top research. Three meetings were held; 1 attended by carers only and 2 attended by both carers and people with dementia. The sessions were structured around the idea of a dementia journey and people’s experience of this, what had worked well and what was difficult, as well as what needed improving. The report begins by discussing the issues raised at the meetings. It then moves on to the other information obtained during the preliminary analysis, looking at: the pattern of provision of social service and social care; and national and local studies and research. A significant finding is that there are wide variations in what is available across Wales and that this variability doesn’t seem to be related to need. The findings are considered in relation to the future commissioning of services. This analysis should be used to inform the second stage of the National Service Framework’s (NSF) review of older people.
Older people with dementia: handbook for CSSIW inspectors on implementing regulations and national minimum standards in care homes
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2009
- Pagination:
- 50p., bibliog.
- Place of publication:
- Cardiff
This handbook provides advice to inspectors on implementing regulations and national minimum standards in relation to care homes for people with dementia. The document gives increasing emphasis to the identification of good practice in relation to service users’ well-being and makes reference to the model of Person Centred Care.
Protection of vulnerable adults: monitoring report 2006-2007
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2007
- Pagination:
- 19p.
- Place of publication:
- Cardiff
The report identifies the continuing increase in the number of adult protection referrals and the workload associated with this. It is likely that this reflects in significant part the increased awareness of staff working with vulnerable adults (and their concerned families). Another key finding of the report is that the largest number of referrals across Wales over a number of years are consistently for older people, followed by those for people with learning disabilities.
Residential care review by Older People's Commissioner for Wales: Care and Social Services Inspectorate Wales response to request for submission to the Review Panel
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2014
- Pagination:
- 23
- Place of publication:
- Cardiff
This response is set in the context of a fundamental change in the Care and Social Services Inspectorate Wales’ approach to regulation and inspection under the Modernisation Programme. The response explains: how the CSSIW uses the voices of older people living in residential care, and the views of their families and friends within the CSSIW regulation and inspection regime; how it responds to complaints and concerns; what policies and frameworks the CSSIW uses to safeguard, protect and promote the quality of life of older people living in residential care, and how it measures their effectiveness towards achieving positive outcomes; how it defines a care home that demonstrates consistently outstanding standards of care, a home at risk of becoming a high risk care home, and a high-risk care home; how many care homes in Wales would fall into each category and why; and how the CSSIW would define the concept of ‘quality of life’ for older people living in residential care. (Edited publisher abstract)
Mental Capacity Act 2005 deprivation of liberty safeguards: monitoring report on the first year of operation 1 April 2009 to 31 March 2010
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2011
- Pagination:
- 30p.
- Place of publication:
- Cardiff
The Mental Capacity Act Deprivation of Liberty Safeguards provide a legal framework that protects people living in care homes who are vulnerable because of mental disorder and problems with their mental capacity. Under the Safeguards, people can only be deprived of their liberty when there is no other way to safely care for them and an assessment has been made of their best interests. The Safeguards were implemented on 1 April 2009, and this report is the first annual monitoring report from Care and Social Services Inspectorate Wales (CSSIW). It identifies the way the Safeguards have been implemented in social care settings and considers the main issues this has raised. The findings show that the number of requests for authorisations has been lower than anticipated. The variations in usage and level of usage suggest that a better understanding of the Safeguards is needed. The report concludes that a great deal has been achieved in the first year, and some clarity has developed around the benefits the safeguards can bring to individuals. However, to protect individual’s human rights adequately the Safeguards must be well known, well understood and embedded into social care practice.