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The prioritisation of choice in eldercare: the case of Ireland
- Author:
- LOLICH Luciana
- Journal article citation:
- International Journal of Care and Caring, 3(4), 2019, pp.517-530.
- Publisher:
- Policy Press
In recent decades, there has been a prioritisation of choice in eldercare in many Western countries. In many policy documents, choice is framed as giving older adults the choice to be cared for at home. The article draws on secondary sources to trace the impact of a logic of choice in eldercare in Ireland. It situates the analysis within the re-conceptualisation of care as a commodity and the home-care worker as the most ‘efficient’ option. The article examines the limitations of choice and questions whether choice should be the most important aspect of care in old age. (Publisher abstract)
Time spent in bed at night by care-home residents: choice or compromise?
- Authors:
- LUFF Rebekah, et al
- Journal article citation:
- Ageing and Society, 31(7), October 2011, pp.1229-1250.
- Publisher:
- Cambridge University Press
This study investigated the amount of time that care-home residents spend in bed at night. Data were collected over 14 days from 125 residents in ten care homes in South East England, and focussed on how residents' bedtimes and getting-up times were managed. Findings revealed that residents averaged almost 11 hours in bed at night, significantly more time than was spent sleeping. There was greater variance in the amount of time residents who needed assistance spent in bed than there was for independent residents. An examination of six care homes, each with 8 pm to 8 am night shifts, showed that bedtimes and getting-up times for dependent residents were influenced by the staff's shift patterns. Interviews with 38 residents revealed a lack of resident choice about bedtimes and many compromises by the residents to fit in with the care-home shift and staffing patterns. The authors concluded that the current system of 12-hour night shifts, during which staff ratios were lower than in the daytime, promoted too much bed-rest, particularly for residents who were least independent.
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.
Putting care right: your guide to choosing a care home
- Author:
- ALZHEIMER'S SOCIETY
- Publisher:
- Alzheimer's Society
- Publication year:
- 2008
- Pagination:
- 23p.
- Place of publication:
- London
This guide features the essential issues to consider when deciding on a care home for a person with dementia. It lists questions families can put to care home staff and includes blank pages for notes on the places they visit. This guide raises the crucial questions everyone should ask about care homes. It will also help people to understand how to recognise quality care and help them to start demanding the high standards of care that people with dementia deserve. The charity’s survey found a third of people over 55 have experience of looking for care homes, but nationwide more than more than four out of ten people admit they would not know what to look for in a good care home. Skilled staff appear to be more important than a nicely decorated room when it comes to deciding on the quality of residential care. A choice of activities and access to outside space was also rated as important by more than 94 per cent of people.
Quality in social care: achieving excellence in care homes for older people
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 14 minutes 18 seconds
- Place of publication:
- London
Focusing on activities in a residential home for older people, some of them with dementia, this film explores how excellence can be achieved in residential settings. A panel of service users and social care academics analyses the support offered in the home, and assesses where and how it constitutes excellence. The panel discusses how standards of care across the sector can be raised so that all older people can experience the level of care demonstrated in this home. This film previously available under the title 'Defining Excellence: excellence in residential settings', revised in 2014. (Edited publisher abstract)
Quality in social care: what is excellence
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 19 minutes 27 seconds
- Place of publication:
- London
In this film service users and academics explore SCIE's Social Care TV films for examples to illustrate the notion of excellence in social care. Excellence is about giving people choice and control over their lives, ensuring they have good relationships with those around them – family and friends, and staff – and supporting people to spend their time purposefully and enjoyably. The panel look at examples of social care in different settings and with different people, to see how excellence can be achieved. This film was previously available under the title 'Defining excellence: excellence in domiciliary care , revised in 2014.
Personalisation in care homes for older people: final report
- Authors:
- ETTELT Stefanie, et al
- Publisher:
- London School of Hygiene and Tropical Medicine, Policy Innovation and Evaluation Research Unit
- Publication year:
- 2020
- Pagination:
- 117
- Place of publication:
- London
This report presents the findings of research into the barriers to achieving more personalised care in care homes for older people and measures being taken in some care homes to improve personalisation. The report sets out a brief overview of the concept of ‘personalisation’, and its close relatives, ‘choice and control’ and ‘person-centred care’; a discussion of the development of policy and practice guidance surrounding personalisation in England; findings from a review of studies of approaches, effects and contexts of personalisation in care homes; findings from the analysis of interviews with care home managers; and the results of an analysis of examples of, and barriers to, personalisation reported in CQC inspection reports. The report also draws out implications for policy, practice and research. These include acknowledging that the provision of an attentive, individualised service requires adequate staffing, staff training and management support; government and local authorities increasing their level of awareness of the differences in care provision, which are reflective of different approaches to personalisation, within care home markets; and fostering commitment to personalised care and quality of leadership of care home managers, and the skills and motivation of their care staff. (Edited publisher abstract)
Helping people choose adult social care in England: consumer survey findings
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 10
- Place of publication:
- Newcastle upon Tyne
Reports on the results of a survey to explore people’s experiences when choosing a care home for either themselves or for a loved one. The survey sought views from over 1,000 adults who had been responsible for making a decision about a care home in England in the last three years. Survey questions covered how stressful they found the decision, what influenced their decision most, whether they were aware of the care home's Care Quality Commission (CQC) rating, and the most important factor when choosing a care home. Of those surveyed, 70 per cent stated that visiting the care home influenced them most when choosing a home, with 65 per cent having read the CQC report for the care home before making their decision. (Edited publisher abstract)
Explaining low uptake of direct payments in residential care: findings from the evaluation of the Direct Payments in Residential Care Trailblazers
- Authors:
- ETTELT Stefanie, et al
- Publication year:
- 2017
- Pagination:
- 23
- Place of publication:
- London
In 2012, the Government invited local councils in England to participate in a pilot programme to test direct payments in residential care. While the programme was set up to allow for comprehensive summative evaluation, the uptake of direct payments in residential care was substantially lower than anticipated, with only 40 people in receipt of one at the end of the programme. Drawing on qualitative data collected for the evaluation, this paper aims to understand better the barriers to implementing direct payments in residential care. Evidence from the use of direct payments in domiciliary care identified gatekeeping by council frontline staff as a major barrier for service users to access direct payments. The findings suggest that, whilst selectivity of both service users and providers was an integral part of the programme design, gatekeeping does not fully explain the poor take-up. Other factors played a part, such as lack of clarity about the benefits of direct payments for care home residents, the limited range and scope of choice of services for residents, and concerns from care providers about the financial impact of direct payments on their financial sustainability. (Edited publisher abstract)
Nottingham City care homes: consultation report
- Author:
- AGE UK NOTTINGHAM & NOTTINGHAMSHIRE
- Publisher:
- Age UK Nottingham & Nottinghamshire
- Publication year:
- 2015
- Pagination:
- 56
- Place of publication:
- Nottingham
Presents the findings of a consultation and engagement of older people, their families and those working within Nottingham City care homes, to gain an understanding of how they view the services they currently receive, how they can be improved, and what services they would like to receive in the future. Overall, the most frequently used services tended to be rated as good by the majority of respondents, with the exception of physiotherapy which had a higher proportion of responses rated as poor. There was a general desire for greater choice in terms of the way individuals lived their lives in the care home setting. Residents wanted to feel at home in their care home and to be supported to live their lives as independently as possible. Three quarters of relatives felt that there were not enough activities within city care homes and wanted to see more activities and stimulation e.g. a variety of daily activities and/or entertainment in the home, trips out to places of interest and music therapy, such as singing. A need for better partnership working was a recurring theme for care home staff, who also highlighted the need for visiting teams to respect the knowledge and experience of the care home staff. The main themes to emerge from future users’ responses were a positive, caring environment; appropriate activities for residents; high quality care staff; and treating residents as individuals. (Edited publisher abstract)