Search results for ‘Subject term:"older people"’ Sort:
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Safeguarding adults: helping people to protect themselves from crime
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 10 Minutes 24 seconds
- Place of publication:
- London
Care staff can help older people to protect against burglary and feel more confident at home. Practical advice such as using door chains, window locks and asking for identification are simple strategies older people can take to reduce the risk of burglary. In this video, older people who were robbed by distraction burglars and rogue traders are interviewed. They explain the shock, fear and deep disappointment such experiences can cause. Interviews with care staff illustrate this issue can be discussed without being patronising or making a person feel unduly concerned. This film was previously available under the title 'Action against burglary.' (Edited publisher abstract)
Food provision for older people receiving home care from the perspectives of home-care workers
- Authors:
- WATKINSON-POWELL Anna, et al
- Journal article citation:
- Health and Social Care in the Community, 22(5), 2014, pp.553-560.
- Publisher:
- Wiley
To examine the barriers and facilitators to food provision for older people receiving home care, semi-structured interviews with nine home-care workers employed by independent agencies in a large city in northern England were conducted in June 2013. Data were analysed thematically, based on the principles of grounded theory. Findings showed that significant time pressures limited home-care workers in their ability to socially engage with service users at mealtimes, or provide them with anything other than ready meals. Enabling choice was considered more important than providing a healthy diet, but choice was limited by food availability and reliance on families for shopping. Home-care workers received little nutritional training and were not involved by healthcare professionals in the management of malnutrition. Despite the rhetoric of individual choice and importance of social engagement and nutrition for health and well-being, nutritional care has been significantly compromised by cuts to social care budgets. The potential role for home-care workers in promoting good nutrition in older people is undervalued and undermined by the lack of recognition, training and time dedicated to food-related care. (Edited publisher abstract)
Individual determinants of task division in older adults' mixed care networks
- Authors:
- JACOBS Marianne T., et al
- Journal article citation:
- Health and Social Care in the Community, 22(1), 2014, pp.57-66.
- Publisher:
- Wiley
Older adults in need of long-term care often receive help from both informal and formal caregivers. The division of tasks between these different types of caregivers may vary among such mixed care networks. Traditional models of task division suggest that formal and informal caregivers may either supplement each other or specialise in the care activities performed. This study explores division of Activities of Daily Living (ADL) andI Instrumental ADL (IADL) between informal and formal caregivers of older people in the Netherlands, using data collected in 2007 on 458 mixed care situations. Four types of task divisions of informal and formal care are distinguished: the complementation model [neither Activities of Daily Living (ADL) nor instrumental ADL (IADL) tasks shared, 14%], the supplementation model (both ADL and IADL tasks shared, 39%) and informal and formal specialisation (one type of task shared, one type of task not shared, 27% and 20% respectively). Analyses show that the intensity of care provision, the informal caregivers' motives and the presence of privately paid help – more than care receiver's health – are related to type of task division with formal care. For example, when the informal caregiver provides more hours of help and out of a strong personal bond, the likelihood of informal specialisation increases, whereas the likelihood of formal specialisation decreases. When privately paid help is present, the complementation model is more likely, whereas the supplementation model is less likely to be found. Results are discussed regarding the differential consequences for co-ordination and co-operation in mixed care networks. (Edited publisher abstract)
Dignity in care: social inclusion
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 17 minutes 32 seconds
- Place of publication:
- London
Many older and disabled people are at risk of becoming socially isolated and should be supported in all aspects of daily living so that they can live ordinary and fulfilling lives. This short film which looks at people doing normal, everyday things like catching the bus or socialising with friends. The film shows a care worker discussing a recent football match with someone he cares for and supports. It shows other examples of supporting people to keep in contact with family and friends, and to participate in social activities; it's an important part of providing dignity in care. Social inclusion, in practice, means doing things such as promoting and supporting access to social networks; or resolving transport issues so that they do not prevent people from participating in the wider community. (Edited publisher abstract)
Delivering integrated dementia care: the 8 Pillars Model of Community Support
- Author:
- KINNAIRD Lindsay
- Publisher:
- Alzheimer Scotland
- Publication year:
- 2014
- Pagination:
- 40
- Place of publication:
- Edinburgh
This report sets out an integrated and comprehensive, evidence-based approach to supporting people with dementia and their carers in the community. It provides an understanding of the nature and experience of dementia and identifies the factors that influence the progression of the illness. It looks at the current provision of support in the community, highlighting the disjoint and fragmented range of services that often fail to address the full picture. It then outlines the 8 Pillars Model of Community Support for people with dementia living at home, which address the full range of factors that influence the experience and impact of the illness. The pillars of community support are: the dementia practice coordinator; therapeutic interventions to tackle the symptoms of the illness; general health care and treatment; mental health care and treatment; personalised support; support for carers; environment; and community connections. This model provides local authorities and NHS boards with a blueprint for restructuring integrated dementia care so that resources are used to greatest effect and the report suggests that adopting the model must become a priority for the integration agenda. (Edited publisher abstract)
Still working for love? Recognising skills and responsibilities of home-based care workers
- Authors:
- BRIAR Celia, LIDDELL Elizabeth, TOLICH Martin
- Journal article citation:
- Quality in Ageing and Older Adults, 15(3), 2014, pp.123-135.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to focus on care workers employed in clients’ own homes recognising the skills and responsibilities of home-based care workers. Design/methodology/approach: Interviews and focus groups with domiciliary care workers in New Zealand centred on what these employees actually do during their working day. Findings: Home-based care workers require the same skills as residential care workers, but they also have greater responsibilities and receive less supervision and support, as they work largely in isolation. In addition, they must spend a large part of their working day travelling between clients: this time is unpaid, and brings their average hourly pay below the minimum wage. Practical implications: Although the home-based care workers who took part in this project love and are committed to making a positive difference to their clients, they also want the government, employers and the public to recognise their skills, efforts and their challenging working conditions. Originality/value: In earlier days of deinstitutionalisation, Graham described caring work as a “labour of love”. More than three decades years later, a New Zealand government minister described paid care workers as working partly “for love”. Care work is also currently perceived as unskilled. Both these perceptions depress the pay and working conditions of care staff, and in future may undermine the quality of care delivered to vulnerable clients. (Publisher abstract)
Hillcroft Carnforth Limited, Hillcroft Throstle Grove, October 2010 - January 2014: an analysis of the Care Quality Commission’s responses to events at Hillcroft Throstle Grove identifying the key lessons for CQC and outlining its actions taken...
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2014
- Pagination:
- 21
- Place of publication:
- Newcastle upon Tyne
Examines the events leading up to the prosecutions of four care staff of Hillcroft Nursing Home, Throstle Groveand, setting out the actions taken by the Care Quality Commission, and looks at points where CQC as the regulator could have done more to protect the people living at the home. The review acknowledges that at the time the Commission did not recognise the increasing risk at the service, failing to trigger the necessary responsive action. It also failed to work collaboratively with partner agencies until such time as the police escalated the concern and suspended staff. It was too easily persuaded by the provider’s reassurance that they were able to improve and provide people with safe, effective, compassionate, high quality care at each stage from the transition registration through to the applications to vary their registration and the appointment of a registered manager. There is little evidence that CQC regularly reviewed all the information held about Throstle Grove or the provider, and this included points when the management oversight changed. At the time, registration and compliance inspectors were under pressure to register services in a timely way and inspectors had high numbers of inspections to complete. While Hillcroft Throstle Grove demonstrated an improving picture of complying with regulation from December 2012 to January 2014, the report recognises that, given the providers history, it will be important to monitor if this is sustainable at not only the home itself, but within the Carnforth Group as a whole, so that any escalating risks are identified and responded to promptly. (Edited publisher abstract)
Attachment and coping of dementia care staff: The role of staff attachment style, geriatric nursing self-efficacy, and approaches to dementia in burnout
- Authors:
- KOKKONEN Taru-Maija, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 13(4), 2014, pp.544-568.
- Publisher:
- Sage
Past research suggests that dementia care staff are vulnerable to the development of burnout, which has implications for staff well-being and hence the quality of care for people with dementia. Studying personal vulnerability factors in burnout is important as it can guide staff training and support. Attachment theory suggests that adult attachment styles affect caregiving relationships and individuals’ responses to stress, providing a framework for understanding caregivers’ styles of coping. This cross-sectional survey study examined relationships between staff attachment styles, geriatric nursing self-efficacy, and approaches to dementia in burnout. Seventy-seven members of dementia care staff working on inpatient wards for older people completed self-report questionnaires. Insecure attachment, lower levels of self-efficacy, and more optimistic attitudes in staff were related to higher levels of burnout. Staff training on the role of attachment in dementia care is recommended. Further research is required to explore mediating factors between adult attachment styles and burnout. (Publisher abstract)
Framing of intimate care in home care services
- Authors:
- KALMAN Hildur, ANDERSSON Katarina
- Journal article citation:
- European Journal of Social Work, 17(3), 2014, pp.402-414.
- Publisher:
- Taylor and Francis
Provision of intimate care is a challenge for the care worker, as well as for the recipient of care, in terms both of how this care is to be performed and of how to manage feelings such as anxiety and embarrassment. In home care services, most intimate care work is performed by non-professionals who have received little or no formal or in-house training, and who are at risk of being left to devise their own methods or coping strategies. This article reports on a participant observation study of intimate care in home care services in Sweden. The strategies used to handle intimacy in care work displayed similarities, as well as dissimilarities, to those of professional framing identified in earlier studies of medical and nursing practice. There are similarities in terms of how framing was accomplished in a balance between a distanced matter-of-fact stance and one of personal acknowledgement created in interplay between care workers and care recipient. There are dissimilarities in terms of the challenges presented by the home care setting. As the relationship between care worker and care recipient in intimate care is a particularly precarious one, lack of guidance and formal training may hamper care and lead to neglect. (Publisher abstract)
Care workers in long-term care for older people: challenges of quantity and quality
- Author:
- CHEN Lisa Henglien
- Journal article citation:
- European Journal of Social Work, 17(3), 2014, pp.383-401.
- Publisher:
- Taylor and Francis
This article, drawing on a qualitative study in England, the Netherlands and Taiwan, explores how countries with very different care systems address the challenge of securing sufficient numbers of care workers with appropriate skills in ageing care. The analysis exposes the salient features of care systems, ageing-care markets and the ageing-care workforce in the three countries. To support the analysis, examples of how the countries attempt to recruit and retain ageing-care workers are provided. Key findings are that to secure an adequate number of skilled ageing-care workers, job satisfaction, coherence between care and labour policies and equal working conditions across sectors are vital. A quality ageing-care worker requires regular professional supervision and support, resources for ongoing training and career development opportunities. Most importantly, securing a sufficient number of ageing-care workers and ensuring they have appropriate skills are not isolated challenges but are interlinked and require collaboration between a range of care actors. (Publisher abstract)