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Adult care homes 2008-09
- Author:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES
- Publisher:
- Care and Social Services Inspectorate Wales
- Publication year:
- 2009
- Pagination:
- 15p.
- Place of publication:
- Cardiff
This report provides information about the Care and Social Services Inspectorate Wales (CSSIW) findings from looking at adult care homes in Wales. Care homes provide care together with accommodation for both younger and older adults. Homes varied in size and provision; they could care for people with learning or physical disability, mental health needs, sensory impairments and older people. Overall there was evidence of continued improvement in several core areas: the quality of care planning has improved; service users' wishes and feelings are taken into account and there is evidence of service users being involved in decision making regarding their care; service users' privacy and dignity is promoted in the home; the maintenance and cleanliness of premises has shown some improvement; recruitment practices including pre-employment checks on staff have improved; providers taking responsibility for reviewing the quality of care provided; the appropriate assessment and management of risk to service users. The following key areas still require attention: support and training for staff; staffing levels; supervision of staff; and appropriate management of medication must still be a priority for care homes. There was a decrease in both the number of adult protection issues referred to CSSIW and CSSIW's subsequent involvement in investigations. This may in part link to the developing understanding of the role of CSSIW in adult protection.
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.
Stepping up to the plate
- Author:
- DUNNING Jeremy
- Journal article citation:
- Community Care, 29.9.11, 2011, pp.26-27.
- Publisher:
- Reed Business Information
A nutritional champion, employed as a senior care assistant, and a head chef, are raising the standard of cooking and nutrition in one Wimbledon care home. Residents of Queens Court Care Home are screened using the five-step Malnutrition Universal Screening Tool to identify adults who are malnourished, at risk of malnutrition or are obese. Menus are then provided to improve health outcomes as well as to give them the foods they enjoy. The improvement in the health of a resident with dementia after being admitted to Queens Court Care Home is described, highlighting the success of their approach.
Involuntary relocation from residential homes: quantitative analysis of mortality, research review and relevance to practice
- Authors:
- GASCOIGNE Mike, MASHHOUDY Houshang
- Journal article citation:
- Practice: Social Work in Action, 23(2), April 2011, pp.83-94.
- Publisher:
- Taylor and Francis
The extent to which deaths in residential care homes can be attributed to involuntary relocation of residents due to home closure is a somewhat controversial subject. In this article, the authors examine how quantitative evidence can add to social work practice alongside three other sources of evidence: a brief literature review on the subject of relocation; the contribution of qualitative research in this area; and critical reflection by the social work practitioner involved. They report on practitioner research comparing mortality rates of a small sample of older people from private residential homes who were relocated involuntarily with a sample of older people who have just moved to a private residential home. Overall, the findings suggested that there was no difference in the mortality of the two groups. The article ends with a literature review to consider other important aspects of relocation such as morbidity.
Living life: activity at the heart of care
- Authors:
- GOODMAN Alexander, (Director)
- Publisher:
- National Association of Providers of Activities for Older People
- Publication year:
- 2010
- Pagination:
- DVD
- Place of publication:
- London
This DVD contains three short films, entitled 'Why activity is important'; Living a meaningful life; and 'Starting the transformation' which provide an insight into providing good quality care in care homes for older people. The films draw on interviews with older people, staff, relatives and volunteers to show how life in a care home can include real relationships and a sense of community. The DVD, produced as part of the Activity Toolkit series, can be used as a training resource for those working in care homes.
Why homes must adapt to survive
- Author:
- PITT Vern
- Journal article citation:
- Community Care, 7.4.11, 2011, pp.22-24.
- Publisher:
- Reed Business Information
As care homes come to terms with fewer local authorities contracts and the promotion of independent living, this article highlights some of the challenges facing them. Wood Grange, a care home in Lincolnshire which also offers day services and respite care, is provided to show that care homes do have a future.
Social work in the development of institutional care for older people in Slovenia
- Author:
- MALI Jana
- Journal article citation:
- European Journal of Social Work, 13(4), December 2010, pp.545-559.
- Publisher:
- Taylor and Francis
Drawing on the author's doctoral thesis, this paper discusses the role and significance of social work in the development of institutional care for older people in Slovenia. The study involved development of a measurement instrument to identify differences between socially and medically oriented institutions. The paper describes a shift in the development of Slovenian homes for older people from medical to social orientation, influenced by social work, and notes that in socially oriented homes a different model of social work is applied than in the medically oriented homes, with the difference lying in social work methods as well as in the roles of the social worker in different areas of work with the residents, relatives and staff. It discusses the factors influencing the orientation of homes, arguing that the successful and changed practice of social work in particular with people with dementia could positively influence other fields of work, change how all residents in homes are treated, and contribute to the social orientation of homes for older people.
Social efficacy in the reintegration of the self: a groupwork model in schizophrenia care with older adults
- Author:
- CABNESS Jessica
- Journal article citation:
- Groupwork, 19(2), 2009, pp.63-78.
- Publisher:
- Whiting and Birch
Social workers dealing with schizophrenic adults in long-term care homes are often guided by the practitioner’s intuition of what is the right approach to alleviate resident related problems. This approach is guided by Freud, who discounted that people living with schizophrenia could benefit from psychoanalysis because they were incapable of attaining insight. However, departing from classical Freudian psychodynamic theory, Heinz Kohut formulated a theory of self-psychology to give a prominent place to the development of the self in an interactional field. Using the interactional field, Harry Stack Sullivan applied relational theory in his work with schizophrenics. This article, drawing on Kohut's theory and Sullivan's pioneering work, retrospectively analyses the interactional fields and processes observed in the author’s groupwork with older adults with schizophrenia residing in long-term care. Seven case studies are briefly presented. The author notes that data on psychosocial interventions for older adults with schizophrenia are severely lacking, and this article highlights the need for bridging this gap in the research.
Residential care transformed: revisiting 'The last refuge'
- Authors:
- JOHNSON Julia, ROLPH Sheena, SMITH Randall
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2010
- Pagination:
- 304p.
- Place of publication:
- Basingstoke
Drawing on data deposited at the University of Essex the authors revisit Peter Townsend's classic study of residential care in England and Wales, The Last Refuge (1962), and with input from a hundred older volunteer researchers, the authors traced what happened to the 173 homes that Townsend visited. They also revisited 20 of the surviving local authority, voluntary and private homes. The book straddles the boundary between history and sociology and reviews: the policy context and the history of research into residential care for older people over the last 50 years; provides new insights into the continuing history of residential care for older people about what kinds of homes have survived and why; makes comparisons between particular homes today and in the past demonstrating not only substantial changes but also strong continuities; reveals persisting inequalities in the standard of care home provision in the early 2000s in England and Wales and discusses the ethical and practical challenges involved in designing a revisiting study, reusing archived data and in engaging older people as 'volunteer' researchers.
Bettercaring
- Publisher:
- Pavilion Interactive
Bettercaring offers a searchable database of all registered care homes in the UK with more than four beds. The database contains information on more than 20,000 care homes, in all regions of the UK. It is possible to search by location, size, cost and special support services offered. The resource also provides a frequently-asked questions page, and a number of articles on topics related to residential care.