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Assessing care home quality using routine regulatory information
- Authors:
- WORDEN Angela, CHALLIS David
- Journal article citation:
- Quality in Ageing, 7(3), September 2006, pp.33-44.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Quality is an essential criterion by which care homes for older people are judged. However, the measurement of quality is both challenging and potentially costly. This article examines the potential of using routinely generated data from inspection processes as quality indicators. Eight key areas are identified: leadership, activity, meals services, health, staffing, size of homes, environment and quality of life. It indicates that generation of such information is possible, providing material that may be used in research and also for more general guidance.
Case management for long-term conditions: implementation and processes
- Authors:
- REILLY Siobhan, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 30(1), January 2010, pp.125-155.
- Publisher:
- Cambridge University Press
This literature review focused on comprehensive case management by nurses for adults with long-term conditions living in the community. Twenty-nine studies were included; the majority were concerned with case management for frail older people, and others focused on people with multiple chronic diseases, high-cost patients, or those at high risk of hospital admissions. All the studies reported that case managers undertook the core tasks of assessment, care planning and the implementation of the care plan, but there was more variation in who carried out case finding, monitoring, review and case closure. Few studies provided adequate implementation information. Three issues were identified as key to the coherent and sustainable implementation of case management for people with long-term conditions: fidelity to the core elements of case management; size of caseload; and case-management practice. It is recommended that future evaluations of case-management interventions include a comprehensive process component or, at the very least, that interventions should be more fully described.
Care coordination for older people in the non-statutory sector: lessons from research
- Authors:
- CHALLIS David, et al
- Publisher:
- University of Manchester. Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 18
- Place of publication:
- Manchester
This research explores care coordination arrangements for older people in the non-statutory sector and looks at what is required to promote its capacity to meet increasing expectations resulting from the changed policy environment. Care coordination arrangements covered in the study were defined as the assessment of needs undertaken by a worker with specialist knowledge and the compiling, monitoring and review of a support plan by a care coordinator. The research also took into account the introduction of personal budgets for older people and self-directed support. Evidence was collected from a variety of sources, including: a scoping review of the literature, consultations with people who had experience of services, a survey of non-statutory organisations, and interviews with practitioners and mangers. The briefing summarises the findings in the following areas: messages from the literature review, standards to guide practice, service arrangements across England, priorities for developing quality services and implications for service development. To summarise lessons from the research, the findings were subjected to a SWOT analysis to identify risks of developing key services in the non-statutory sector and success factors. Strengths identified in the non-statutory sector identified were their independence and flexible approach to staffing. Areas of weakness related to their small scale and sometimes limited range of care coordination task undertaken. It also identified opportunities for non-statutory organisations to provide specialist services and to work in partnership with other local agencies. Threats for further development were associated with fixed term funding and uncertainty due to the commissioning process. The research was undertaken by the undertaken by Personal Social Services Research Unit and was conducted in partnership with staff in Age UK Trafford and LMCP Care Link. (Edited publisher abstract)
Commissioning social care for older people: influencing the quality of direct care
- Authors:
- CHESTER Helen, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 34(6), 2014, pp.930-950.
- Publisher:
- Cambridge University Press
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the delivery of quality care services. Using both primary and secondary data, this paper explores commissioning and contracting arrangements for domiciliary care and care home provision in England and their influence on the recruitment and retention of staff in these services. The implications of the findings are discussed in the context of two factors which influence continuity of care, a proxy for quality services for older people: training opportunities for staff and factors affecting the supply of labour from which direct carers are traditionally recruited. It is suggested that some of the drivers of quality in the provision of care may not be susceptible to the influence of commissioners and providers. Nevertheless, training may aid the recruitment and retention of care workers and provide one way in which they can promote a higher standard of care for older people. (Publisher abstract)
Performance indicators in social care for older people
- Authors:
- CHALLIS David, CLARKSON Paul, WARBURTON Raymond
- Publisher:
- Ashgate
- Publication year:
- 2006
- Pagination:
- 350p.
- Place of publication:
- Aldershot
With growing focus upon performance review and monitoring, the awareness and use of performance indicators throughout a number of public services has increased. For social care organisations it is increasingly a requirement that data be available to make performance review possible. Set within a national context, this book reviews the historical development and measurement issues of performance indicators within social care and the public sector for older people. The book provides an approach to effective local performance measurement in services for older people and organising framework within which organisations can arrange their performance appraisal for older people's services. It examines the development of performance review in social care of older people; examines the process of developing local performance measures and engaging staff in enquiry and quality management; and reviews the process of development of performance indicators and their utilisation at an agency level.