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A rapid response and treatment service for care homes: a case study
- Author:
- WALDON Mandy
- Journal article citation:
- British Journal of Community Nursing, 26(1), 2021,
- Publisher:
- MA Healthcare
- Place of publication:
- London
Rapid response services provide opportunities for older people living with frailty to remain in their own homes during an episode of deteriorating health. The government has announced additional funding to increase capacity and responsiveness for these services through the Ageing Well programme as part of the NHS Long Term Plan. Older people living with frailty are particularly at risk of the adverse effects of a hospital admission and evidence is emerging of the benefits of enhanced healthcare support to allow them to remain in their own home. The Hospital at Home model offers short-term, targeted interventions at acute hospital level care that can provide a truly person-centred experience within the home. This article describes a Rapid Response and Treatment service for older people living in care homes in Berkshire West and shares Sid's story to demonstrate how such a service is delivered. The COVID-19 pandemic has presented additional challenges and opportunities that highlight the ongoing need for the development of services that will support older people to prioritise what matters to them most. (Edited publisher abstract)
Behind the headlines: 'stuck in the middle' - self-funders in care homes
- Author:
- LOWE Stephen
- Publisher:
- Age UK
- Publication year:
- 2016
- Pagination:
- 8
- Place of publication:
- London
This short report looks at the experience of a growing numbers of older people who need to move into a care home and are having to pay their own way. It explains what this means in practice for older people and their families. It contains a sample, with names anonymised, from the 150+ calls Age UK’s information and advice line received in the year to April 2016, about extra charges and other contract terms relating to care homes the callers or their relatives and friends live in and pay for themselves. The case studies outlined in this report are organised around some broad themes: payments in advance; unexpected or arbitrary fee increases; paying for ‘extras’; relatives being asked to guarantee care home fees; relatives asked to agree not to approach the local authority when older people become eligible for local authority funding; giving notice; and hospital stays. The report uncovers the problems people face navigating a complex market and the difficult position they can find themselves in when terms change suddenly or in ways that they don’t think are fair. It also reveals the extent to which ‘self-funders’ are ultimately paying the price for a care system under severe pressure: on average they pay between £603 and £827 a week depending on the area, compared to councils paying between £421 and £624 a week. Furthermore, self-funders are still largely unprotected when it comes to being able to remain in their care home as they have no security of tenure and do not enjoy the protection of the Human Rights Act. The report calls on the Government to recognise the extent of the crisis in the care and support of older people and work with others to address it. The capacity of self-funders to go on cross-subsidising State funded care is not unlimited, nor is it fair to them or their families to expect them to do so at ever higher rates. (Edited publisher abstract)
TEC stories: a resource for care home providers and commissioners
- Authors:
- CARE ENGLAND, TSA, THINK LOCAL ACT PERSONAL
- Publishers:
- Care England, TSA, Think Local Act Personal
- Publication year:
- 2019
- Pagination:
- 16
- Place of publication:
- London
A resource for care home providers and commissioners which shows how technology enabled care can improve the quality of life of older care homes residents. It provides six stories told from the individual’s perspective, to demonstrate that even the simplest tech solutions can help improve wellbeing. They include examples of technology to engage and entertain residents, such as 'Magic Table'; ways of helping residents to connect with their families; and 'Music Mirrors' which helps people relive happy times through a compilation of music. (Edited publisher abstract)
NHS demand management from care homes: a £1bn opportunity for NHS England
- Author:
- TUNSTALL
- Publisher:
- Tunstall
- Publication year:
- 2018
- Pagination:
- 8
- Place of publication:
- London
This report looks at the potential of clinically-led telecare and telehealth to improve the health of care home residents and also result in potential cost savings. It reports on a nurse led initiative which used technology-enabled models of care to improve the health of care home residents in Calderdale, Yorkshire. A key focus was to reduce admissions to hospital from care homes. The initiative involved 1300 care home residents over five years, and with the help of technology-enabled care has reduced emergency admissions by 33 per cent. The report estimates that if clinically-led, technology-enabled models in care homes were scaled up across NHS England, it would save approximately £1b per annum and avoid over 226,000 emergency admissions and saving 2.5 million bed days. Registration with the publisher is required to download the report. (Edited publisher abstract)
What works in delivering effective enhanced primary care support in care homes?
- Author:
- CORDIS BRIGHT
- Publisher:
- Cordis Bright
- Publication year:
- 2018
- Pagination:
- 12
- Place of publication:
- London
Based on a review of the evidence, this briefing outlines the key elements to effective practice in delivering enhanced primary care and support in care homes to improve the quality of life and healthcare for residents. The briefing identifies some of the reasons for implementing enhanced primary care in care homes and the potential to improve outcomes. These include improved resident and care quality outcomes; beneficial impact on secondary care and community services; improved integration and partnership working; and cost benefits. It also outlines key supportive features and the barriers and limitations to delivering enhanced primary care in care homes. Three short case studies highlight three different models: a nurse-led model, a GP-led model, and a multi-disciplinary team model. (Edited publisher abstract)
Imagine Arts: how the arts can transform care homes
- Author:
- BROOME Emma
- Journal article citation:
- Journal of Dementia Care, 26(4), 2018, pp.16-18.
- Publisher:
- Hawker
Imagine Arts was a three year programme funded by Arts Council England and the Baring Foundation involving a collaboration between the national home care provider Abbeyfield, Nottingham council, local arts organisations and Nottingham University. The aim was to enrich the lives of older people in care homes. Residents in 17 care homes took part in the programme, many of whom had dementia. This article discusses the outcomes of an independent evaluation that looked at the impact of Arts on care homes. Findings suggest that the delivery of high quality arts activities in care homes is feasible. Overall, residents had positive reflections and socialisation seemed to improve as the series of arts sessions progressed. The article also discusses the culture shift that is needed to embed the arts fully in residential care. The article also comments on the project legacy and provides some recommendations for care homes looking to introduce arts programmes. (Original abstract)
Supporting military veterans in residential care: a practice guide
- Author:
- DEMOS
- Publisher:
- DEMOS
- Publication year:
- 2018
- Pagination:
- 16
- Place of publication:
- London
This guide aims to help care home managers and their staff understand more about how to support military veterans of all ages living in residential care, or on a respite stay. It highlights the importance of taking into account residents military service and backgrounds, and addressing their specific needs and preferences in a more personalised way. The guide includes examples of good practice to show the types of support and activities undertaken by care homes that specialise in supporting veterans. It also includes a list of useful military charities and associations who can provide advice and information. (Edited publisher abstract)
A choir in every care home: case studies of singing in care homes. Working paper 8A
- Author:
- DEANE Kathryn
- Publisher:
- Baring Foundation
- Publication year:
- 2016
- Pagination:
- 71
- Place of publication:
- London
Sets out 27 case studies to show singing and music can be effective for older people in care homes. The case studies were submitted during 2016 as part of the 'A Choir in Every Care Home' initiative to explore how music and singing can feature regularly in care homes across the country. The project aimed to find the greatest range of singing models, rather than the ones most used. Each brief case study provides information on the initiative, who benefits, advantages and disadvantages, training, costs, hints and tips, and support materials. (Edited publisher abstract)
Quick guide: technology in care homes
- Authors:
- NHS ENGLAND, et al
- Publisher:
- NHS England
- Publication year:
- 2015
- Pagination:
- 4
- Place of publication:
- London
This quick guide highlights a number of case studies from around the country where technology is being used successfully to enhance the delivery of care to support independent living (telecare), to enhance the health and wellbeing information exchange between patients and professionals (telehealth) and to enhance the information exchange between professionals (telemedicine). It also includes information about secure email and collaboration. Drawing on the case studies, the guide sets out a series of top tips for developing and implementing successful technological initiatives. (Edited publisher abstract)
Setting sail with extra care: the Trinity House Hub, Wallasey
- Authors:
- HOWARTH Mick, McCALLUM Eleanor
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 14
- Place of publication:
- London
This case study gives an overview of the latest development within the Mariners’ Park Estate, an eighteen unit purpose-built extra care housing scheme on the Wirral, describing how this phase of development contributes to the overall vision for the park for retired merchant mariners. The design is fundamentally flexible to be used for general needs extra care housing. Mariners’ Park, however, is different from most other extra care schemes as residents are all from the same background and have shared experiences and a sense of camaraderie, helping to create a strong and supportive community. (Edited publisher abstract)