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PSSRU/CHE survey of private and voluntary residential care and nursing homes
- Authors:
- DARTON Robin, WRIGHT Ken
- Journal article citation:
- PSSRU Bulletin, 8, October 1991, pp.10-11.
- Publisher:
- Personal Social Services Research Unit
Reports on a surveys carried out among private and voluntary homes and local authority residential homes, comparing characteristics of residents, dependency levels, and the relation between resident characteristics and variations in fees charged.
Great expectations: feedback from relatives and residents
- Author:
- DARTON Robin
- Journal article citation:
- Nursing and Residential Care, 14(10), October 2012, pp.534-538.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
The media has distorted many people's perception of care services provided across the country. This article examines what residents and their families really think and how staff can better accommodate these views. Data were obtained from residents in 46 care homes in England. Overall, residents and relative expressed favourable views of the home, but a number of particular concerns were identified, including general housekeeping issues, the quality of meals provided, problems with staff being too rushed to give sufficient attention to residents or organise activities, and perceptions of abuse or mistreatment. The author concludes that management should ensure that sufficient staff are available to provide the care and support the residents required.
Improving housing with care choices for older people: the PSSRU evaluation of extra care housing
- Authors:
- DARTON Robin, et al
- Journal article citation:
- Housing Care and Support, 14(3), 2011, pp.77-82.
- Publisher:
- Emerald
This study evaluated 19 extra care schemes allocated funding from the Extra Care Housing Fund. Data was collected on the expectations and experiences of 1,182 new residents and demographic and care needs for 817 individuals who received a care assessment. Data was collected at 6, 18 and 30 months. Costs were estimated for individuals based on capital, care and support, and living expenses. Findings revealed that entrants to extra care were much less physically and cognitively impaired, on average, than entrants to care homes, although residents in several schemes had high levels of physical disability. Overall, residents appeared to have made a positive choice to live in a more supportive and social environment rather than responding to a crisis. Physical and cognitive outcomes for residents with similar characteristics to care home residents were better while costs equal. The authors concluded that extra care could provide a positive option for people planning ahead, but appeared less suitable for crisis moves.
The characteristics of residents in extra care housing and care homes in England
- Authors:
- DARTON Robin, et al
- Journal article citation:
- Health and Social Care in the Community, 20(1), January 2012, pp.87-96.
- Publisher:
- Wiley
Extra care housing has been viewed as a possible alternative, or even a replacement, for residential care. In 2003, the Department of Health announced capital funding to support the development of extra care housing, making funding conditional on participating in an evaluative study. This paper forms part of this evaluation. It presents findings on the characteristics of the residents, drawing on information collected on demographic characteristics and care needs for the residents at the time of moving into 19 schemes within 6 months of opening. The findings are compared to a 2005 survey of residents moving into care homes providing personal care. The findings show that overall the people who moved into extra care were younger and much less physically and cognitively impaired than those who moved into care homes, although a minority had similar levels of physical impairment. Overall, levels of severe cognitive impairment were much lower in all schemes than the overall figure for residents of care homes, even among schemes designed specifically to provide for residents with dementia. The results suggest that, although extra care housing may be operating as an alternative to care homes for some individuals, it is mainly providing for a population who may be making a planned move rather than reacting to a crisis.
Slicing up the pie: allocation of central government funding of care of older people
- Authors:
- DARTON Robin, et al
- Journal article citation:
- Social Policy and Administration, 44(5), October 2010, pp.529-553.
- Publisher:
- Wiley
This article discusses how resources are allocated to local authorities, and how they are important in providing an equitable system of delivery of social care. A variety of approaches have been used in the past, and the most recent uses a ‘needs-based’ formula. The Department of Health for England commissioned research in 2004 to inform the improvement and updating of the formula. The results of individual-level analyses were compared with the results obtained from analyses of ward-level data on service users. Both analyses were affected by problems of data availability, particularly the individual-level analysis, and the Department of Health and the Office of the Deputy Prime Minister decided that the formula calculations should be based on the results of the small area analysis. Despite the differences in approach, both methods produced very similar results. The article outlines the strengths and weaknesses of each approach. It highlights developments that could allow a normative approach to incorporate future policy objectives into formulae that, to date, have been based on historical data and service patterns.
PSSRU survey of residential and nursing home care
- Author:
- DARTON Robin
- Journal article citation:
- Mental Health Research Review, 5, May 1998, pp.26-30.
- Publisher:
- Personal Social Services Research Unit
Outlines how, from 1st April 1993, new arrangements were introduced for the assessment of applicants for public funding for residential and nursing home care. There is considerable interest in the effects of the changes introduced on the characteristics of individuals admitted to home. Describes a study of residential and nursing home care for elderly people which provides profiles of both new admissions to homes and existing residents. In addition, the surveys were designed to enable comparisons to be made with previous surveys of residential and nursing home care.
Incentives and deterrents to the supply of long-term care for the elderly in England: evidence and experience in two local authorities
- Authors:
- ALLAN Stephen, DARTON Robin
- Journal article citation:
- Social Policy and Society, 21(2), 2022, pp.304-315.
- Publisher:
- Cambridge University Press
This article reports on a study assessing the incentives and deterrents to long-term care (LTC) supply in two local markets in England. The supply of LTC in many countries is facing the issues of rising demand, (lack of) workforce and the interaction of the public and private sectors. Findings from qualitative interviews of local council and provider stakeholders exploring barriers and enablers faced by LTC providers in two local authorities (LAs) are presented and discussed. The interviews provided insight in three main areas: staffing, demand and stakeholder relationships. Staffing, in particular, is crucial and we found that there are many difficulties for providers in maintaining their workforce. Consistent with previous research, we also found that public spending levels on LTC puts pressure on providers striving to maintain a good quality service, including improved remuneration of staff. (Edited publisher abstract)
The cost implications of the changing population and characteristics of care homes
- Authors:
- DARTON Robin, NETTEN Ann, FORDER Julien
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(3), March 2003, pp.236-243.
- Publisher:
- Wiley
A survey of care homes for older people was conducted in 21 local authorities in England in 1996. A complete response was obtained for 618 homes (75%) and 11,900 residents. Findings were compared with surveys conducted in 1986 and 1988. Dependency was significantly related to prices, primarily due to the differential payments to nursing and residential homes. Home characteristics were also related to price, the proportion of single rooms having the largest impact. However, prices were most sensitive to local wage rates, particularly in residential homes. Compared with previous surveys levels of dependency had increased, particularly in voluntary residential homes and nursing homes. Independent homes were more likely to be purpose built, and a higher proportion of beds were in single rooms, although only 30% of private residential, dual registered and nursing homes achieved the proposed level of 80% of beds in single rooms. Staffing ratios appeared to have increased, but price rises were modest, particularly for nursing homes.
The effect of financial incentives and access to services on self-funded admissions to long-term care
- Authors:
- NETTEN Ann, DARTON Robin
- Journal article citation:
- Social Policy and Administration, 37(5), October 2003, pp.483-497.
- Publisher:
- Wiley
With the growth in the numbers and proportion of older people in the population the funding and incentive structures around long-term care are of international concern. A study of the circumstances of self-funded admissions to care homes allowed the comparison of self-funders with publicly funded admissions to care homes in the UK, the influences on self-funders in their decision to move into a care home and resources on which they were able to draw. These findings contribute to our understanding of the impact of current policy on self-funders and our thinking about the way that future policy and practice changes could improve the way we use society's resources in the provision of long-term care.