The Care Standards Act 200 replaces the Registered Homes Act 1984. It provides for the registration authorities to be the newly created National Care Standards Commission for England, and the National Assembly for Wales. This comparative guide sets out the new requirements under the Care Standards Act Parts I and II alongside the previous requirements of the Registered Homes Act with a clear explanation of the changes. Note is made where there was no previous equivalent, or where previous requirements have been removed. Some requirements under both the previous and the new regime are set out in regulations but this guide focuses on the Acts.
The Care Standards Act 200 replaces the Registered Homes Act 1984. It provides for the registration authorities to be the newly created National Care Standards Commission for England, and the National Assembly for Wales. This comparative guide sets out the new requirements under the Care Standards Act Parts I and II alongside the previous requirements of the Registered Homes Act with a clear explanation of the changes. Note is made where there was no previous equivalent, or where previous requirements have been removed. Some requirements under both the previous and the new regime are set out in regulations but this guide focuses on the Acts.
Subject terms:
older people, residential care, registration, social welfare law;
The Care Standards Act 200 replaces the Registered Homes Act 1984. It provides for the registration authorities to be the newly created National Care Standards Commission for England, and the National Assembly for Wales. This comparative guide sets out the new requirements under the Care Standards Act Parts I and II alongside the previous requirements of the Registered Homes Act with a clear explanation of the changes. Note is made where there was no previous equivalent, or where previous requirements have been removed. Some requirements under both the previous and the new regime are set out in regulations but this guide focuses on the Acts. The sections of the Act are set out in the same order as the Care Standards Act Parts I and II. Précis of each section are provided in boxes.
The Care Standards Act 200 replaces the Registered Homes Act 1984. It provides for the registration authorities to be the newly created National Care Standards Commission for England, and the National Assembly for Wales. This comparative guide sets out the new requirements under the Care Standards Act Parts I and II alongside the previous requirements of the Registered Homes Act with a clear explanation of the changes. Note is made where there was no previous equivalent, or where previous requirements have been removed. Some requirements under both the previous and the new regime are set out in regulations but this guide focuses on the Acts. The sections of the Act are set out in the same order as the Care Standards Act Parts I and II. Précis of each section are provided in boxes.
Subject terms:
mental health problems, nursing homes, older people, residential care, registration, social welfare law;
GREAT BRITAIN. Department of Health. Social Services Inspectorate
Publisher:
Great Britain. Department of Health. Social Services Inspectorate
Publication year:
2001
Pagination:
69p.,diags.
Place of publication:
London
This inspection report focuses on services for older people in twenty-one local authorities. It focuses in particular on how social services are responding to the national agenda set out in the November 1998 White Paper 'Modernising social services'. It analyses what has improved for older people and their carers, and what factors promoted and inhibited improvement. The biggest message from the inspection was that the majority of social services departments had responded to the White Paper by creating or expanding independence by promoting services targeted at prevention and rehabilitation. This was appreciated by service users but was not yet large scale. The report contains many illustrations of good practice, including user focused residential care, assessment and care planning, culturally responsive services, public information and promoting independence.
This inspection report focuses on services for older people in twenty-one local authorities. It focuses in particular on how social services are responding to the national agenda set out in the November 1998 White Paper 'Modernising social services'. It analyses what has improved for older people and their carers, and what factors promoted and inhibited improvement. The biggest message from the inspection was that the majority of social services departments had responded to the White Paper by creating or expanding independence by promoting services targeted at prevention and rehabilitation. This was appreciated by service users but was not yet large scale. The report contains many illustrations of good practice, including user focused residential care, assessment and care planning, culturally responsive services, public information and promoting independence.
Subject terms:
inspection, local authorities, older people, social services, social care, social care provision;
Content types:
inspection report, standards, government publication
This pack contains three booklets: 'National service framework for older people', 'National service framework for older people: executive summary', and 'Medicines and older people'. The national service framework for older people is a ten year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people; and the promotion of heath and active life in older age. Sections on local delivery of services, ensuring progress, and national support to underpin local action follow. The booklet on medicines and older people focuses in more detail on implementing medicines related aspects of the framework.
This pack contains three booklets: 'National service framework for older people', 'National service framework for older people: executive summary', and 'Medicines and older people'. The national service framework for older people is a ten year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people; and the promotion of heath and active life in older age. Sections on local delivery of services, ensuring progress, and national support to underpin local action follow. The booklet on medicines and older people focuses in more detail on implementing medicines related aspects of the framework.
Extended abstract:
GREAT BRITAIN. Department of Health. National service framework for older people: booklet 3: the framework. Great Britain. Department of Health, 2001.
Summary
Older people are the main users of health and social care services but sometimes services have not adequately addressed need. This National Service Framework is the first ever comprehensive strategy to ensure fair, high quality, integrated health and social care services for older people. It is a 10 year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. This text describes the background and lays out the standards developed by the National Service Framework for Older People.
Context
Since the early 1930s the number of people aged over 65 has more than doubled and today a fifth of the population is over 60. Between 1995 and 2025 the number of people aged over 80 is set to increase by almost a half and the number of people over 90 will double. The NHS spent around 40% of its budget - £10 billion - on people over the age of 65 in 1998/99. In the same year social service spent nearly 50% of their budget on the over 65s, some £5.2 billion. Older people tend to have a much greater need for health and social services than the young, so the bulk of health and social care resources are directed at their needs. For example, almost two thirds of general and acute hospital beds are used by people over 65. The National Service Framework for Older People (NSFOP) is the key vehicle for ensuring that the needs of older people are at the heart of the reform programme for health and social services.
Method
The NSFOP is the result of extensive consultation with older people and their carers and the leading professionals involved in the care of older people. However this text does not describe the consultation process and its implementation.
Contents
This book is divided into five chapters and concludes with four annexes. Chapter one provides an introduction to the NSFOP and sets the scene by providing contextual information. It also discusses the development of this NSF, its scope and its delivery. Chapter two outlines in detail the standards that the NSFOP has developed. Eight standards are outlined and each is discussed in terms of its aims, rationale, key interventions, actions and milestones. The eight standards are: Rooting out age discrimination; Person-centre care; Intermediate care; General hospital care; Stroke; Falls; Mental health in older people; and, The promotion of health and active life in older age. Chapter three discusses the local delivery of these standards and the achievement of the standards. Chapter four describes how the performance management systems will help deliver the targets in the NHS plan and ensure the NSF standards are met. Chapter five sets out the underpinning programmes essential to the delivery of the NSF. These are: finance; workforce development; research and development; clinical and practice decision support services; and, information systems. Annex one provides a glossary for terms used in the text. Annex two is Acknowledgements and provides the names of the members of the various task groups involved in the development of the NSFOP. Annex three provides a summary of milestones and annex four contains references.
Conclusion
"It is true though that services sometimes fail to meet older peoples' needs - sometimes by discriminating against them, by failing to treat them with dignity and respect, by allowing organisational structures to become a barrier to proper assessment of need and access to care, and because best evidence-based practice is not in place across important clinical areas.
This National Service Framework sets out a programme of action and reform to address these problems and deliver higher quality services to older people. There will be more consultants, nurses and therapists working for older people and better access to high-tech surgery and community equipment. New national standards will be put in place to modernise the NHS and social services and promote new ways of working."
369 references
Subject terms:
local authorities, older people, social services, standards, central government, falls, health authorities, health care;
A quality home care service for a person with dementia will foster independence and will therefore assist in helping the person live at home for longer. This is not only good for the individual, it may also prove a more cost-effective form of care. Since 1991 changes have been occurring nationally in the types of services that are delivered to older people living in their own homes. In England, home care services are the largest services provided for older people by social services departments. Around 8 per cent of people over the age of 65 receive such a service from local authorities. Dementia is one of the major health and social care challenges of the century. Home care is therefore becoming more common for people with dementia. Home care services cannot afford to ignore the particular demands that dementia makes on all long term care systems. The implications of dementia on a person and those who care for them can be devastating. Dementia may affect the person's memory, communication skills and ability to complete personal tasks. People with dementia are often very aware of the effects of their illness, particularly in the early stages, and coming to terms with living with dementia can be very difficult. In developing quality dementia home care standards, talking to care workers, care managers, dementia specialists and purchasers, several key factors for quality emerged: continuity; supporting the person with dementia and their carers; time; monitoring and review; and training and support for care workers.
A quality home care service for a person with dementia will foster independence and will therefore assist in helping the person live at home for longer. This is not only good for the individual, it may also prove a more cost-effective form of care. Since 1991 changes have been occurring nationally in the types of services that are delivered to older people living in their own homes. In England, home care services are the largest services provided for older people by social services departments. Around 8 per cent of people over the age of 65 receive such a service from local authorities. Dementia is one of the major health and social care challenges of the century. Home care is therefore becoming more common for people with dementia. Home care services cannot afford to ignore the particular demands that dementia makes on all long term care systems. The implications of dementia on a person and those who care for them can be devastating. Dementia may affect the person's memory, communication skills and ability to complete personal tasks. People with dementia are often very aware of the effects of their illness, particularly in the early stages, and coming to terms with living with dementia can be very difficult. In developing quality dementia home care standards, talking to care workers, care managers, dementia specialists and purchasers, several key factors for quality emerged: continuity; supporting the person with dementia and their carers; time; monitoring and review; and training and support for care workers.
Subject terms:
home care, local authorities, older people, social care provision, standards, training, Alzheimers disease, carers, communication skills, dementia;
These standards are about achieving good quality care for people with dementia living in care homes and are the result of a one year development partnership between the Alzheimer's Society and the Royal College of Nursing. The topics in the standards were selected because they were found to be areas of most importance to people with dementia living in a care home and their families and friends. While containing a great deal of practical information, the standards are also designed to try to get care staff to think about all aspects of life and care in a care home from the person with dementia's point of view. The standards attempt to draw together key developments in person centred care over the past years and capture how they might translate into high quality care. They are aimed at anyone involved in the provision of dementia care in a residential setting and are arranged under the following headings: person centred dementia care; staff; care processes; life in the home; relationships; and environment.
These standards are about achieving good quality care for people with dementia living in care homes and are the result of a one year development partnership between the Alzheimer's Society and the Royal College of Nursing. The topics in the standards were selected because they were found to be areas of most importance to people with dementia living in a care home and their families and friends. While containing a great deal of practical information, the standards are also designed to try to get care staff to think about all aspects of life and care in a care home from the person with dementia's point of view. The standards attempt to draw together key developments in person centred care over the past years and capture how they might translate into high quality care. They are aimed at anyone involved in the provision of dementia care in a residential setting and are arranged under the following headings: person centred dementia care; staff; care processes; life in the home; relationships; and environment.
Subject terms:
managers, nurses, nursing homes, older people, quality assurance, service users, staff, standards, Alzheimers disease, care homes, dementia;
This document contains a statement of national minimum standards published by the Secretary of State for Health under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of the Act) which provide accommodation, together with nursing or personal care, for older people. Contains standards on: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing; and management and administration.
This document contains a statement of national minimum standards published by the Secretary of State for Health under section 23(1) of the Care Standards Act 2000. The statement is applicable to care homes (as defined by section 3 of the Act) which provide accommodation, together with nursing or personal care, for older people. Contains standards on: choice of home; health and personal care; daily life and social activities; complaints and protection; environment; staffing; and management and administration.
Subject terms:
leisure, management, nursing homes, older people, quality of life, residential care, staff, staff management, standards, care homes, complaints, health care;