Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 15
Home care: commissioning for older people with complex needs
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Place of publication:
- London
This film highlights the challenges of commissioning home care for older people. It shows examples of providing good quality, person centred home care for older people with complex needs. The St Monica's trust approach to high quality person centred home care is built on the recruitment of the right staff and support , training and partnership working. This resource is aimed at commissioners of home care for older people, commissioners, care providers and carers. (Edited publisher abstract)
Navigating health and care: living independently with long term conditions: an ethnographic investigation: interim findings
- Author:
- IPSOS ETHNOGRAPHY CENTRE OF EXCELLENCE
- Publisher:
- Ipsos MORI
- Publication year:
- 2015
- Pagination:
- 44
- Place of publication:
- London
An evaluation exploring the lives of older people living with multiple long term conditions, assessing how well the health and care system is meeting their needs. The evaluation heard the views of 36 patients, family members and carers in order to gain an insight into their experiences of living with and managing their long term conditions and the care they receive. The key findings of the evaluation include: people greatly value the care and support they receive from the NHS and the wider health and care sector, and in the main feel the care they receive is good; however, they often feel the system is not set up to cope with their multiple and complex needs; people with more than one long term condition struggle to coordinate them all and they can feel there is no support linking all of their conditions and focusing on them personally and holistically; they can feel that they are a burden within their home as well as within the health and care system, which can prevent them seeking the help and support they need; and too often, there is an absence of discussion about care and care needs, within the home and within the health care system. (Edited publisher abstract)
Improving personalisation in care homes
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, THINK LOCAL ACT PERSONAL
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2019
- Place of publication:
- London
An action planning tool to help managers and owners of care homes for older people to build a shared understanding of what personalisation means and plan practical improvements to make care homes more personalised. Care home managers will be able to use the tool to support good conversations with residents and staff, and identify the improvements that will make the most difference to people’s quality of life. The tool covers: transition; choice and control; identity and purpose; community capacity; co-production; person-centred approaches; positive culture; end of life care; reviewing progress; and forward planning. The tool has been designed to also be used for wider groups of people including those with complex conditions. Originally published in 2017 and updated in 2019. The updated version includes new videos. (Edited publisher abstract)
Older people and quality of life: better life in residential care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 4 minutes 11 seconds
- Place of publication:
- London
This video shows older people with high support needs who live in a care home. They talk about what is important in their lives and how they like to be treated. It is based around the Joseph Rowntree Foundation's (JRF) A Better Life programme, and attempts to convey a set of key messages for practitioners. These include: seeing and treating older people with high support needs as individuals and helping them to do the things they want to do; building positive relationships with the people practitioners work with; looking for the strengths and assets each person has and supporting them to play an active role in the development and provision of services; and being open to doing things in new ways. This resource is aimed at anyone involved in providing services to older people with high support needs – commissioners, managers, social workers, care workers and educators – and older people with high support needs and their families and carers. (Edited publisher abstract)
Local authority interventions to improve quality in supported housing
- Author:
- GREAT BRITAIN. Department for Levelling Up, Housing and Communities
- Publisher:
- Great Britain. Department for Levelling Up, Housing and Communities
- Publication year:
- 2022
- Place of publication:
- London
This guide brings together work undertaken by the five local authorities who participated in the 2020-2021 Department for Levelling Up, Housing and Communities (DLUHC) supported housing pilots. Supported housing is accommodation packaged with support or care to enable some of the most vulnerable people to live as independently as possible in the community. The aim of this guide is to share learning from the pilot authorities' experience of improving quality and value for money in supported housing. The pilots were undertaken in response to increasing reports of providers using the welfare system to fund unjustified levels of rent and service charges and not providing good quality care, support or supervision for vulnerable people. The pilot authorities worked to address these concerns, focussing where poor quality is most often concentrated - in non-commissioned, supported 'exempt' accommodation. This guide sets out how the pilots conducted their activities but is not exhaustive and other local authorities may address quality concerns in different ways. Activities outlined in this guide include: establishing a council multidisciplinary team; undertaking strategic planning to understand local need and supply; conducting a standardised assessment of new providers and schemes; reviewing resident support; completing accommodation inspections; planning and targeting interventions effectively. The guide also addresses potential risks and challenges. (Edited publisher abstract)
Supported Housing Improvement Programme prospectus
- Author:
- GREAT BRITAIN. Department for Levelling Up, Housing and Communities
- Publisher:
- Great Britain. Department for Levelling Up, Housing and Communities
- Publication year:
- 2022
- Place of publication:
- London
This prospectus provides detailed guidance and context that will assist local authorities, both in considering whether and how to bid for the Supported Housing Improvement Programme, and also for those local authorities who go on to participate in the programme. The Programme is an England-wide £20 million funding programme, available over the 3 financial years (2022 to 2025), which draws on the outcomes and good practice from earlier pilots. The Programme requires the establishment of a multi-disciplinary team, bringing together expertise from across the Council, allowing for a holistic approach to improving quality and value for money. The team could comprise members from: housing options/housing need; homelessness/rough sleeping; adult social care including social workers and commissioners; housing enforcement including environmental health; revenues and benefits. Other key activities will include: improving quality and oversight of support; improving quality of accommodation; scrutiny of housing benefit claims; need and supply assessment; strategic planning; and gateway reviews (standardised process to manage new providers or new schemes). (Edited publisher abstract)
Evidence review for adult social care reform: summary report
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2021
- Place of publication:
- London
Summarises the evidence review for adult social care reform. Its main purpose is to outline trends and challenges based on the current (as of 1 December 2021) adult social care system in England. It is a technical paper summarising the existing evidence that has informed the development of policy proposals. Data and evidence are presented on: changes in the numbers of people with care needs and the nature of those needs; current levels of formal care; the interface with wider systems, such as the NHS, housing and benefits; important factors influencing the resilience of the current system, including characteristics and availability of unpaid care, challenges in the providers’ market, workforce pressures. Evidence is strongest concerning demographic change and how this will substantially increase demand for care, though this will vary across the country and between socio-economic groups. (Edited publisher abstract)
Evidence review for adult social care reform
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2021
- Pagination:
- 125
- Place of publication:
- London
The report collates a wide range of evidence on challenges and changes facing social care in England and what is driving them. The evidence is clear that both the absolute numbers of over 65s, and the proportion of the population they represent, are growing. People are living longer (although the impact of COVID-19 on long-term life expectancy trend is still unclear). However, as people live longer, many are spending more years in ill health, with complex health needs or disabilities. Similarly, there is an increasing number of adults under 65 with disabilities. This is driven in particular by more people with learning disabilities being diagnosed and supported, and many are now living longer than they did in previous generations. Overall, the total number of users of long-term adult social care in England is projected to increase by 50% between 2018/19 and 2038/39. This would mean total expenditure on adult social care services under the current, unreformed, system would more than double in real terms, from £28bn to £56bn (2018 prices), over the same period. The evidence shows significant variations both in care need and system capacity across the country. There is also significant variation in health and disability between socio-economic groups. The increasing prevalence of long-term conditions and complex comorbidities, driven in part by factors such as rising obesity rates, may require different models of care. Other drivers of ill health such as poor or inappropriate housing, and changes in living arrangements that affect people’s ability to care for themselves, may also increase future demand for care. At the same time, issues such as workforce turnover and a fragmented provider market are potential barriers to the system responding, for example through new technology that could help manage that demand. (Edited publisher abstract)
Government response to ACMD report 'Ageing cohort of drug users'
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2019
- Place of publication:
- London
A policy document which sets out the government's response to the four recommendations made in the Advisory Council on the Misuse of Drugs (ACMD) report Ageing cohort of drug users. Officials from each of the four nations reviewed the council's advice and this document provides a coordinated response from the English, Scottish, Welsh and Northern Irish administrations. The recommendations of the ACMD report include the need for training for specialist community-based drug treatment services on treatments and specific risks for older drug users and a pilot programme to assess whether the navigator model would help older drug users to engage with services. (Edited publisher abstract)
Comprehensive assessment when older people are in hospital improves their chances of getting home and living independently
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. Dissemination Centre
- Publisher:
- National Institute for Health Research
- Publication year:
- 2017
- Place of publication:
- London
This NIHR Signal looks at the findings of an updated Cochrane review which compared the effectiveness of comprehensive geriatric assessment by a multidisciplinary specialist team with routine care for people over 65, excluding those with stroke and orthopaedic conditions. The findings show that older people who received comprehensive geriatric assessment when in hospital were slightly more likely to be living in their own homes one year later. People who received comprehensive geriatric assessment were also 20 percent less likely to be in a nursing home after three months or more. It concluded that comprehensive geriatric assessment may save NHS resources, but the quality of evidence was too low to assess this reliably. NIHR Signals highlight examples of important research and explain why the study was needed, what the study found and the implications of the findings. They include commentary from experts, researchers and those working in practice. (Edited publisher abstract)