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Integrating extra care: partnership working in Staffordshire
- Author:
- EDWARDS Tim
- Publisher:
- DH Care Networks. Housing Learning and Improvement Network
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This case study looks at the establishment of the first purpose build Extra Care facility in the Borough of Newcastle-under Lyme. Mill Rise provides 60 high quality apartments set within extensive communal facilities and landscaped environment. It is the result of successful joint working by 8 partner organisations, including Staffordshire County Council, Aspire Housing, and Prima, and demonstrates that multi-agency collaboration can provide value for money and improved outcomes for customers. This paper considers the design of Mill Rise, which includes a primary care centre in addition to the extra care complex of 60 apartments. Also described are the extensive communication and involvement with the public though the life of the project, the person-centred approach to developing future services, and the key points learned from involvement in such a complex multidisciplinary project.
‘I feel so much safer’: unravelling community equipment outcomes
- Authors:
- SAINTY Mandy, LAMBKIN Christopher, MAILE Louise
- Journal article citation:
- British Journal of Occupational Therapy, 72(11), November 2009, pp.499-506.
- Publisher:
- Sage
This study looks at the impact of community equipment services on the health and wellbeing outcomes of choice and control, quality of life, and personal dignity. Questionnaires were sent out to 483 adults who had been prescribed community equipment by social or primary care services to meet mobility needs (97), domestic activity needs (99), bathing needs (150), toileting needs (93) and sensory needs (44). A response rate of 52% was achieved. Seventy-eight per cent of respondents reported that they were using all the equipment prescribed. Of those who were using the equipment, 91% reported feeling safer and over 80% said that it made a positive difference to their independence, quality of life or ability to do things when they wanted. Bathing equipment was either very successful or not used at all, and the authors suggest that there is scope to maximise the effective use of bathing equipment. The provision of equipment had less of an impact on reducing the need for assistance at home, particularly from paid carers.
Ageing cities: public health approaches to creating a mentally healthy London for older citizens
- Authors:
- MANTHORPE Jill, et al
- Journal article citation:
- Journal of Public Mental Health, 8(3), September 2009, pp.20-27.
- Publisher:
- Emerald
At a time of increasing interest in mental health in later life, the role of public health approaches is potentially heightened. This paper draws on interview data with older people living in London to consider the interplay between personal and public approaches to health and well-being. The interviews were under taken as part of the midpoint review of the UK government's 10-year strategy for older people (Healthcare Commission et al, 2006) and the social characteristics of London are considered.
A 'secret citizen' experience of contacting Essex County Council for information on care options and residential homes
- Author:
- CAPES Tricia
- Journal article citation:
- Research Policy and Planning, 27(1), 2009, pp.53-54.
- Publisher:
- Social Services Research Group
Briefly reports on the methodology used for a mystery shopper study commissioned by Essex County Council to see how people were treated when they requested information about care options by telephone and to see if the processes in place are adequate for service users to make an informed choice.
Why are some care homes better than others? An empirical study of the factors associated with quality of care for older people in residential homes in Surrey, England
- Authors:
- GAGE Heather, et al
- Journal article citation:
- Health and Social Care in the Community, 16(6), November 2009, pp.599-609.
- Publisher:
- Wiley
Data from inspection reports (2002–2003) of all 258 care homes for older people in one county of England (Surrey) was analysed to explore whether the quality of care could be explained by care home or resident characteristics. The number of inspected standards failed in each home was used as the main indicator of quality of care. Independent variables (for each home) were: size, type, specialist registration, on-site nursing, ownership, year registered, location, maximum fee, vacancies, resident dependency, whether the home took publicly funded residents, care staff qualifications and managerial quality. Quality of care was modelled using a Poisson count maximum likelihood method. It was found that quality of care (as defined by failures on national standards) was statistically associated with features of care homes and their residents. A higher probability of failing a standard was significantly associated with being a home that: was a for-profit small business; was registered before 2000, accommodated publicly funded residents; and was registered to provide nursing care. Fewer failures were associated with homes that were corporate for-profit; held a specialist registration; charged higher maximum fees. A secondary analysis revealed a stronger model: higher scores on managerial standards correlated with fewer failures on other standards.
Report from the ministerial summit on dementia: organised by the Department of Health (England) and the Medical Research Council: November 2009
- Authors:
- BAMFORD Sally-Marie, (comp.)
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2009
- Pagination:
- 63p.
- Place of publication:
- London
This Report summarises the presentations, discussions and ideas which emerged from the Ministerial Dementia Research Summit held on 21st July 2009 at the Royal Society in London. The purpose of the Summit was to identify gaps in existing knowledge and to prioritise new areas for research in the dementia field, including improving the quality of care services and appraising specific interventions, and also more basic work on the causes of dementia or on the possibility of cure. In addition to helping to develop a more clearly prioritised research agenda, the Summit also aimed to focus on ways to support the current science base and sharpen its impact. This could include better coordination of research effort, actions to increase the competitiveness of research bids and/or enhance the translation of research into effective practice.
Understanding service context: development of a service pro forma to describe and measure elderly peoples' community and intermediate care services
- Author:
- NANCARROW Susan A.
- Journal article citation:
- Health and Social Care in the Community, 17(5), September 2009, pp.434-446.
- Publisher:
- Wiley
The purpose of this paper was to develop a pro forma which classifies the components of service delivery and organization which may impact on the outcomes of elderly peoples' community and intermediate care services. The resulting analytic template provides a basis for comparison between services and may help guide service commissioning and development. A qualitative approach was used in which key evaluations and reports were selected on the basis that they described elderly peoples' community and intermediate care services. These were analysed systematically using a qualitative (template) approach to draw out the key themes used to describe services. Themes were then structured hierarchically into an analytic template. Seventeen key documents were analysed. The initial coding framework classified 334 themes describing intermediate care services. These items were then clustered into 78 categories, which were reduced to 17 subcategories, then six overall groupings to describe the services, namely; (1) context; (2) reason for the service; (3) service-users; (4) access to the service; (5) service structure; and (6) the organization of care. The resulting analytic template has been developed into a 'service pro forma' which can be used as a basis to describe and compare a range of services. It is proposed that all service evaluations should describe, in detail, their context in a comparable way, so that other services can learn from and/or apply the findings from these studies.
'They've thought of everything'
- Author:
- ROSS Catherine
- Journal article citation:
- Journal of Dementia Care, 17(3), May 2009, pp.28-30.
- Publisher:
- Hawker
The Lodge, a new care home in Chorley Lancashire, for both people with dementia and older people has been awarded a gold rating for building design by Stirling's Dementia Services Development Centre. The author visits the home and reports on how the design has created a quality environment for both staff and residents.
The Ransackers project: educational adventures for older learners
- Author:
- KATHCHILD June
- Journal article citation:
- Working with Older People, 13(1), March 2009, pp.23-26.
- Publisher:
- Emerald
Research shows that people who are engaged in formal learning in later life are physically and mentally healthier and more able to deal with the stress of depression and bereavement. This article describes a project that has created a range of opportunities for older people to access higher education. Ransackers students spend a term in residence at one of four residential colleges in England, pursuing a project of interest and developing research skills. Students are supported by individual tutorship and the teaching of necessary study and information technology skills, in a peer group setting. After completion of the programme the majority of these older learners remain in education. Further funding is required to support the project.
Generation game
- Author:
- TAYLOR Amy
- Journal article citation:
- Community Care, 25.6.09, 2009, pp.16-17.
- Publisher:
- Reed Business Information
The strengths of intergenerational work are discussed. A project at the intergenerational arts organisation Magic Me where older people worked with students and children to create a play re-enacting parts of their lives is also highlighted.