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'Early days': knowledge and use of the Mental Capacity Act 2005 by care home managers and staff
- Authors:
- MANTHORPE Jill, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 10(3), August 2011, pp.283-298.
- Publisher:
- Sage
The Mental Capacity Act was fully implemented in England and Wales in October 2007. This article reports on findings from 32 exploratory interviews with care home managers and staff regarding their knowledge and use of the Act, in research carried out as part of a five-year study of the impact of the Act. The focus is on aspects relevant to care home practice and policy for residents with dementia. Using semi structured interviews, the research was conducted within one care home chain in southern England, run by a not-for-profit provider. Interviews took place with 17 senior staff and 15 care workers during 2008 in 5 care homes for people with dementia. The article discusses the findings, with examples from the interviews, using 3 main themes: level of awareness and training received, understanding of the ethos and provisions of the Act, and implementation of the Act in practice. The authors report that there was huge variation in participants' understanding of the Act and perceptions of its impact on their work, although, regardless of knowledge of the Act, the daily working ethos of staff appeared to be within its remit. Most of the managers had heard of the Act, but also reported a low level of confidence in their knowledge of it; only 4 of the 15 care workers had heard of the Act and none had received any specific training in it.
National performance indicator: increase the percentage of people aged 65 and over with high levels of care needs who are cared for at home
- Authors:
- MACINTYRE Gillian, STEWART Ailsa
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2011
- Pagination:
- 70p., bibliog.
- Place of publication:
- Glasgow
One of the Scottish government's 45 indicators of success in achieving national outcomes identified in the National Performance Framework relates to supporting older people with complex needs to remain at home. This review was undertaken to provide an overview of the best available evidence about what works in increasing the percentage of people aged 65 and over with high-level care needs who are cared for at home. The report explains the methodology used and describes the policy context in Scotland. It sets out the findings of the review of research evidence, covering issues, evidence and good practice relating to the practice issues identified: assessment and care management (including single shared assessments and integrated assessments), specialist services to maintain people at home, prevent admission to hospital or increase the speed of discharge (including homecare reablement, admission prevention and/or supported discharge models, and intermediate care), long term services to maintain people at home (including home care, and home care and day care for people with dementia), innovations (including telecare), and the implications of maintaining older people at home (including costs and carers).
National performance indicator: increase the percentage of people aged 65 and over with high levels of care needs who are cared for at home: summary
- Authors:
- MACINTYRE Gillian, STEWART Ailsa
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2011
- Pagination:
- 6p., bibliog.
- Place of publication:
- Glasgow
One of the Scottish government's 45 indicators of success in achieving national outcomes identified in the National Performance Framework relates to supporting older people with complex needs to remain at home. A review was undertaken to provide an overview of the best available evidence about what works in increasing the percentage of people aged 65 and over with high-level care needs who are cared for at home. This summary sets out the practice issues identified, covering: assessment and care management (including single shared assessment), specialist services to shift the balance of care (including homecare reablement, admission prevention and/or supported discharge models, delayed discharge and people with dementia, intermediate care, rapid response teams, and falls prevention and intermediate care), long term services to maintain people at home (including homecare, and homecare and daycare for people with dementia), innovations (including telecare), and the implications of maintaining older people at home (including costs, carers and workforce).