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Gearing up: housing associations' responses to tenants with dementia from black and minority ethnic groups
- Authors:
- LIPMAN Valerie, MANTHORPE Jill
- Publisher:
- Age UK
- Publication year:
- 2015
- Pagination:
- 20
- Place of publication:
- London
Explores how social housing providers meet the needs of people with dementia who are from black and minority ethnic backgrounds. The study took an audit approach and investigated current practice and policy by interviewing respondents from 11 housing associations (HAs) providing sheltered housing and extra–care support that are already serving tenants or lease holders with dementia from different ethnic backgrounds and received information from 15 more. The overriding finding is that while all the HAs are developing their understanding of dementia, and have policies in place relating to equalities and diversity, none have yet fully integrated the three strands of housing, dementia care and cultural or ethnicity related needs and preferences, nor the impacts of racism and disadvantage. The study found similarities in both policy and practice between the different HAs in relation to tenants with dementia and offers of housing to older people from varied backgrounds. Differences appeared to be in the degree of integrating understandings and knowledge of dementia and of cultural or ethnic diversity. However, some HAs were apprehensive about how to manage dementia if their focus had previously been on addressing needs related to ethnic or cultural identities or discrimination or disadvantages. All but one of the HAs had or were developing dementia strategies, and were training their staff to understand and recognise dementia. (Edited publisher abstract)
Preventing abuse through pre-employment checks: an international review
- Authors:
- MANTHORPE Jill, LIPMAN Valerie
- Journal article citation:
- Journal of Adult Protection, 17(6), 2015, pp.341-350.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to summarise the findings of a desk-based international review investigating the checking of staff and volunteers working with adults who are vulnerable or at risk (or similarly defined) receiving social care in their own homes, or in day centres or residential care. Design/methodology/approach: In England, as part of the government’s attempts to prevent harm to vulnerable people, employers must check if their staff or volunteers are barred from working with vulnerable adults in the health and care sectors or if they have a relevant criminal record. This review sought to explore practices elsewhere, with a view to informing policy and practice debates. The review was undertaken in winter 2014-2015. It mainly involved a search of internet-based material and databases. This was further informed by communications with experts and practitioners from different countries. Findings: The review found a variety of practices, ranging from no checks to substantial checks involving fingerprinting. Reasons for checks identified in different national contexts extend from efforts to stop fraudulent use of government subsidies to minimising the risk of harm to vulnerable adults, and more positively to enhance user and public trust in care providers. A small number of countries place particular emphasis on the rights of individuals to privacy and rehabilitation and this moral imperative overrides other policy goals. This review highlighted a lack of clarity in publicly available documents about the potentially multiple policy goals of different schemes and suggests that there may be advantages to clarifying the options available from other countries. Research limitations/implications: This review was confined to English language material and to material located through internet searching. Some material may not have been updated on internet sites. Originality/value: The details of the processes have not previously been collated to the best of the authors’ knowledge. (Publisher abstract)
Care professionals' understanding of the new criminal offences created by the Mental Capacity Act 2005
- Authors:
- MANTHORPE Jill, SAMSI Kritika
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(4), 2015, pp.384-392.
- Publisher:
- Wiley
Objectives: Implemented in 2007, the Mental Capacity Act (MCA) 2005 codified decision-making for adults unable to make decisions for themselves in England and Wales. Among other changes, two new offences of wilful neglect and ill-treatment were created under Section 44. This study explored how the MCA was being implemented in community-based dementia care, focusing on frontline practice. Method: Using qualitative longitudinal methodology, the authors interviewed 279 practitioners, in the London and South-East area of England, two or three times over 3 years. A framework analysis to identify and delineate recurrent themes was applied. Results: Views of the new offences were positive overall, but understanding ranged from partial to non-existent among some participants. Conclusions: Clinicians may be increasingly called upon to provide advice on whether an alleged victim or perpetrator lacks decision-making capacity in cases of suspected elder abuse. They need to be aware of the new criminal offences to ensure that people with dementia, among others, are not abused and that abusers are brought to account. (Edited publisher abstract)
Adult safeguarding policy and law: a thematic chronology relevant to care homes and hospitals
- Authors:
- MANTHORPE Jill, STEVENS Martin
- Journal article citation:
- Social Policy and Society, 14(2), 2015, pp.203-216.
- Publisher:
- Cambridge University Press
Elder abuse is a 'social problem', as illustrated by the production of policy documents and legislation that define and revise the scope and nature of the problem. This article synthesises and discusses the policy documents and legal changes that have taken place in England since 2000, when the first policy guidance to address adult safeguarding as a whole was produced. The focus of this article is on particular locations, namely care home and hospital settings, and the applicable policy and legislation. The policy documents and legal changes identified are analysed using Blumer's five phases of policy implementation and Matland's ambiguity-conflict matrix to explore their implications for policy implementation and coherence. The analysis suggests that responses to elder abuse have created different kinds of ambiguity and conflict, requiring both top-down and bottom-up policy interventions. (Publisher abstract)