Search results for ‘Subject term:"older people"’ Sort:
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Focusing on personal outcomes in care homes
- Authors:
- BARRY K., et al
- Publisher:
- My Home Life
- Publication year:
- 2016
- Pagination:
- 2
- Place of publication:
- Hamilton
This briefing describes steps taken by the My Home Life project to explore the opportunities and challenges of implementing a focus on personal outcomes in care homes. It summarises key elements of a personal outcomes approach, highlights some unique features of outcomes focused practice in the care home sector, and considers the ways in which My Home Life principles might support this. (Edited publisher abstract)
Evaluation of the Older Carers Project delivered by Every-One (formally known as Lincolnshire Carers and Young Carers Partnership, LCYCP)
- Authors:
- DEVILLE Jane, DAVIES Helen, KANE Ros
- Publisher:
- University of Lincoln
- Publication year:
- 2016
- Pagination:
- 48
- Place of publication:
- Lincoln
An evaluation of project providing support for carers over the age of 55 with grown up children with learning disabilities to help them produce contingency and future care plans. The project aimed to ensure older carers were known to Lincolnshire County Councils and also that when the carers could no longer continue in their caring role, sufficient plans were in place to avoid a crisis where their son or daughter may be forced into residential care. The project was funded by Lincolnshire County Council, through the Better Care Fund, and delivered by Lincolnshire Carers and Young Carers Partnership. The evaluation interviewed 12 carers about the support they had received from the Project, the future planning they had undertaken and any benefits of the intervention. The evaluation found the Older Carers Project had been a successful in helping carers set up emergency and future plans. Participants highly valued the support they had received from project support workers, talked positively about the flexibility of the support, the role and knowledge of the project support workers and the delivery of the project by a third sector organisation. Participants also valued having a service aimed at themselves rather than their sons or daughters. In some cases the project had highlighted benefits, services and support that the carers did not know they were entitled to. Overall the preparation of plans enabled carers to feel more positive about the future for themselves and the future care their son or daughter may receive. (Edited publisher abstract)
Care coordination for older people in the non-statutory sector: lessons from research
- Authors:
- CHALLIS David, et al
- Publisher:
- University of Manchester. Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 18
- Place of publication:
- Manchester
This research explores care coordination arrangements for older people in the non-statutory sector and looks at what is required to promote its capacity to meet increasing expectations resulting from the changed policy environment. Care coordination arrangements covered in the study were defined as the assessment of needs undertaken by a worker with specialist knowledge and the compiling, monitoring and review of a support plan by a care coordinator. The research also took into account the introduction of personal budgets for older people and self-directed support. Evidence was collected from a variety of sources, including: a scoping review of the literature, consultations with people who had experience of services, a survey of non-statutory organisations, and interviews with practitioners and mangers. The briefing summarises the findings in the following areas: messages from the literature review, standards to guide practice, service arrangements across England, priorities for developing quality services and implications for service development. To summarise lessons from the research, the findings were subjected to a SWOT analysis to identify risks of developing key services in the non-statutory sector and success factors. Strengths identified in the non-statutory sector identified were their independence and flexible approach to staffing. Areas of weakness related to their small scale and sometimes limited range of care coordination task undertaken. It also identified opportunities for non-statutory organisations to provide specialist services and to work in partnership with other local agencies. Threats for further development were associated with fixed term funding and uncertainty due to the commissioning process. The research was undertaken by the undertaken by Personal Social Services Research Unit and was conducted in partnership with staff in Age UK Trafford and LMCP Care Link. (Edited publisher abstract)
Care coordination for adults and older people: the role and contribution of the non-statutory sector
- Authors:
- ABENDSTERN Michele, et al
- Journal article citation:
- Journal of Integrated Care, 24(5/6), 2016, pp.271-281.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide new insights into the contribution and experiences of non-statutory sector (voluntary) services delivering care coordination. Design/methodology/approach: This qualitative study, based on face-to-face semi-structured interviews with 17 managers from a range of non-statutory sector services, used thematic data analysis supported by a framework approach. Findings: Four themes emerged: commissioning arrangements undermined non-statutory sector development; working relationships between statutory and non-statutory services required time and energy to navigate and sustain; the establishment of a niche role in the larger network of provision; and tensions relating to future developments. The non-statutory sector was found to provide a mix of services, including specialist provision targeting specific communities that complemented or substituted for those provided by the state. Managers wanted their services to be recognised by the statutory sector as equal partners in the delivery of care coordination and were also keen to retain their independence. Practical implications: Findings provide information for service commissioners and managers from statutory and non-statutory sectors indicating a complex set of experiences and views regarding the role of the latter. This is particularly salient in a political landscape which has increasing expectations of their involvement in the provision of care coordination. Originality/value: This study considers the work of the non-statutory sector in the delivery of care coordination to adults and older people, an area under-reported to date. It suggests that there are opportunities available for these services to become embedded within a wider social care system and to excel by retaining or developing specialist roles and services. (Publisher abstract)
Integrated care for older people with frailty: innovative approaches in practice
- Authors:
- ROYAL COLLEGE OF GENERAL PRACTITIONERS, BRITISH GERIATRICS SOCIETY
- Publishers:
- Royal College of General Practitioners, British Geriatrics Society
- Publication year:
- 2016
- Pagination:
- 40
- Place of publication:
- London
Joint report showing how GPs and geriatricians are collaborating to design innovative schemes to improve the provision of integrated care for older people with frailty. The report highlights 13 case studies from across the UK which show what an integrated health and social care system looks like in practice and the positive impact it can have. The case studies are grouped into three areas: schemes to help older people remain active and independent, extending primary and community support to provide better services in the community, and integrated care to support patients in hospital. The examples cover a range of locations across the UK, including urban and rural populations, and a range of settings, including services based in the community, in GP practices, in care homes and in hospitals. Whilst the majority of the initiatives led by GPs or geriatricians, they illustrate the vital role that many other professionals play, including nurses, therapists, pharmacists and social workers. The report also outlines some common themes from the case studies, which include person-centred care, multidisciplinary working, taking a proactive approach and making use of resources in the community. (Original abstract)
Social care for older people with multiple long-term conditions: QS132
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2016
- Place of publication:
- London
Quality standard which covers the planning and delivery of coordinated, person-centred social care and support for older people with multiple long-term conditions. This includes care for people living in their own homes, in specialist settings or in care homes. The standard consists of five quality statements which cover the assessment of social care needs, the coordination of care through named care coordinators, planning and reviewing health and social care plans, the integration of health and social care and the delivery care. For each quality statement the standard provides details of the rationale, quality measures that can be used to assess improvement, and equality and diversity considerations. It also outlines what each quality statement means in practice for service providers, social care practitioners, commissioners, home care service users and carers. The standard is expected to contribute to improvements in the following outcomes: social care and health-related quality of life, involvement in decision-making, safety of people using services, hospital and residential care admissions, older people being supported to live where they wish, and service user and carer satisfaction. (Edited publisher abstract)
End of life care: the experiences of advance care planning amongst family caregivers of people with advanced dementia - a qualitative study
- Authors:
- ASHTON Susan Elizabeth, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(5), 2016, pp.958-975.
- Publisher:
- Sage
Background: End of life decisions for people with advanced dementia are reported as often being difficult for families as they attempt to make appropriate and justified decisions. Aim: To explore the experiences of advance care planning amongst family caregivers of people with advanced dementia. Design: Qualitative research including a series of single cases (close family relatives). Methods: A purposive sample of 12 family caregivers within a specialist dementia unit was interviewed about their experiences of advance care planning between August 2009 and February 2010. Results/Findings: Family caregivers need encouragement to ask the right questions during advance care planning to discuss the appropriateness of nursing and medical interventions at the end of life. Conclusions: Advance care planning can be facilitated with the family caregiver in the context of everyday practice within the nursing home environment for older people with dementia. (Publisher abstract)
Frailty: a term with many meanings and a growing priority for community nurses
- Author:
- WALLINGTON Sophie Louise
- Journal article citation:
- British Journal of Community Nursing, 21(8), 2016, p.385–389.
- Publisher:
- MA Healthcare
- Place of publication:
- London
The question of exactly what frailty is and what that may mean for patients is extremely complex. This is a very conceptual problem requiring a broad and long-term solution. It is not a disease or a condition that can be treated in isolation. Frailty is a collection of contributing factors that culminate in an individual being susceptible to poorer outcomes following health-care interventions and minor illness. The solution to such a complex problem lies in engaging and empowering staff to understand and champion frailty. Once better understood, it will be possible to educate and enable this workforce to recognise the signs of frailty, poor prognosis and patients requiring more specialised palliative care. Informing staff working within a health-care economy of this issue must be the first step in a shift towards managing patients with frailty more appropriately, and streaming their care towards the correct care pathways sooner. This article discusses what frailty is, what it may mean for patients, and attempts to expand on why the construct of frailty is a prevalent issue for community nurses. The link between frailty and mortality is discussed and how targeted appropriate advanced care planning may be used to address this demographic challenge. (Publisher abstract)
Home care for older people: QS123
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2016
- Place of publication:
- London
Quality standard covering the provision of home care services to older people who have been assessed as needing social care support. Home care support can help people to stay independent and may include support with personal care, activities of daily living and essential household tasks. The standard consists of six quality statements: person-centred planning; plan for missed or late visits; consistent team of home care workers; length of home care visits; reviewing the outcomes of the home care plan; and supervision of home care workers. For each quality statement the standard provides details of the rationale, quality measures that can be used to assess improvement, and equality and diversity considerations. It also outlines what each quality statement means in practice for service providers, social care practitioners, commissioners, home care service users and carers. Although the majority of people using home care service are aged 65 and over, the quality standard may also be relevant to some people under 65 with complex needs. The standard does not cover intermediate care, short-term reablement, home care for younger adults or children using home care services. (Edited publisher abstract)
Involuntary relocation and safe transfer of care home residents: a model of risks and opportunities in residents' experiences
- Authors:
- LEYLAND Anna F., SCOTT Jason, DAWSON Pam
- Journal article citation:
- Ageing and Society, 36(2), 2016, pp.376-399.
- Publisher:
- Cambridge University Press
Few studies explore the application of literature on care home closures in practice or how it can influence residents' experiences. The aim of this study was to investigate from multiple perspectives how a protocol, designed by a local council for the involuntary relocation and safe transfer of older adult residents, was adhered to and the influence that the protocol had on the experiences of residents who relocated from two care homes. Interviews were conducted with 34 stakeholders, including relocated residents (N=11), relatives (N=2), care home staff (N=13), managers (N=6) and advocates (N=2), and analysed using framework analysis. The protocol covered key aspects of guidelines extracted from research evidence grouped into four themes: involvement; staff approaches; preparation; and consistency and familiarity, with the majority of the guidelines being followed in practice. Two further themes that centred on the processes of transitional adjustment and impact of relocation were influenced by the protocol but were also mediated by factors relating to the environment and the resident. Involvement of residents, relatives and advocates, extensive planning and a person-centred approach were of particular importance in improving residents' experiences of relocation. A model that places residents' experiences at the centre of relocations is proposed, which draws on and applies the themes identified in this study and applies them within the context of opportunities and risks. (Publisher abstract)