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Review of seven residential homes for elderly mentally infirm people in Northern Ireland
- Author:
- NORTHERN IRELAND. Department of Health and Social Services. Social Services Inspectorate
- Publisher:
- Northern Ireland. Department of Health and Social Services
- Publication year:
- 1991
- Pagination:
- 60p.,tables.
- Place of publication:
- Belfast
A first review of the first seven homes for elderly mentally infirm people, which were opened in Northern Ireland between 1970 and 1982. Highlights similarities and dissimilarities in operation and details issues for consideration by social services management and staff at the homes. Makes suggestions for improvements, but concludes that the homes are successful and have resulted in a caring residential environment.
Evaluating volunteer support to elderly people in residential homes
- Authors:
- POWER Michal, et al
- Journal article citation:
- Research Policy and Planning, 2(2), 1984, pp.14-20.
- Publisher:
- Social Services Research Group
The expansion of volunteer care to very elderly people has been less marked in the residential sector. In 1979 the DHSS funded a field experiment of quasi-experimental design to explore the potential and assess the effectiveness of neighbourhood support to very elderly residents of old people's homes in Weston-super-Mare, a retirement resort. The study was undertaken on two stages: a survey of attitudes to volunteers amongst residents and staff or private, voluntary and local authority homes, and a parallel survey of households in the central district where most of the homes are located; followed by an experiment of volunteer support to one home in each of the three matched pairs.
cARTrefu: creating artists in residents. A national arts in care homes participatory and mentoring programme. Evaluation report 2015-2017
- Authors:
- ALGAR-SKAIFE K., CAULFIELD M., WOODS B.
- Publisher:
- Bangor University
- Publication year:
- 2017
- Pagination:
- 98
- Place of publication:
- Bangor
An evaluation of the cARTrefu project, which aimed to increase opportunities for care home residents and staff to participate in the arts and to develop mentor artists to deliver sessions for older people in care homes across Wales. The evaluation report provides information on the impact of cARTrefu, the mentoring process, provides tips for delivering an art residency, and identifies challenges and recommendations for future projects. The results of the evaluation found that involvement in a cARTrefu art residency had: significantly improved the well-being of care home residents; significantly improved the attitudes of care staff and artist practitioners towards residents, especially those with dementia; and significantly improved the confidence of care staff to lead sessions in the home. cARTrefu also influenced the likelihood of care staff to engage in creative and cultural activities both outside of work and with residents. (Edited publisher abstract)
The use of direct care in nursing home residents: a longitudinal cohort study over 3 years
- Authors:
- VOSSIUS Corinna, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 34(2), 2019, pp.337-351.
- Publisher:
- Wiley
Objectives: To evaluate the trend in the use of direct care in a cohort of nursing home (NH) residents and explore its association with resident characteristics and organizational factors. Methods/design: A total of 696 NH residents from 47 Norwegian NHs were included at admissions at NH. In 537 residents, the use of direct care was assessed every 6 months over a course of 3 years. A multiple model was estimated to identify demographic, clinical, and organizational characteristics associated with the use of direct care time. Results: Six months after admission, on average, 76.2 hours of direct care were rendered to each resident per month, while this number was reduced to 50.3 hours per month at the end of the study period. Most residents (92%) showed a stable use of direct care time, while a small group of residents displayed a much higher and varying use of direct care time. Increasing dementia, neuropsychiatric symptoms, and decreasing function in activities of daily living were associated with higher use of direct care time. Direct care time constituted about 50% of the staff's working time. Conclusion: In Norwegian NHs, high use of direct care time was associated with younger age, more severe dementia, and severe neuropsychiatric symptoms. By identifying factors that impact on direct care time, preventive measures might be put in place to the benefit of the residents and possibly to improve resource use. Further research should explore the association between direct care time, quality of care, and the residents' quality of life. (Publisher abstract)
Get into Reading pilot project evaluation: April - September 2011
- Author:
- THE READER
- Publisher:
- The Reader
- Publication year:
- 2011
- Pagination:
- 53
- Place of publication:
- Liverpool
An evaluation report of a 6 month Reader in Residence pilot delivered within eight Bupa care homes located in Merseyside and London by The Reader organisation. The pilot involved the setting up of Get Into Reading groups, which use the model of weekly long-term shared reading-aloud. A total of 162 Get Into Reading sessions were delivered during the project and 16 staff were trained. As part of the evaluation staff completed questionnaires at the beginning and end of the project, and focus groups were held with residents and staff to discuss their views about the group. The report includes feedback from residents, staff and family members on the sessions. The results of the evaluation demonstrated that the pilot was success in creating a culture of shared reading within the care homes. The pilot reported improvements in the wellbeing, social interaction, concentration, recollection, agitation and mood of residents, as well as the development of a strong sense of community within the groups. Staff also reported an improvement in their own wellbeing with groups providing an opportunity to build relationships with residents. Lessons identified from the project included the importance of the Reader in Residence to the model, the time the groups were held and the need for flexibility and responding to the needs of individual home set ups. (Edited publisher abstract)
Talking mats: a model of communication training
- Authors:
- MURPHY Joan, ALEXANDER Jean, McLINTON Ann
- Journal article citation:
- Journal of Dementia Care, 24(5), 2016, pp.22-25.
- Publisher:
- Hawker
Talking Mats is an interactive communication resource which was devised by NHS speech and language therapists in a series of research projects at Stirling University. The authors explain how it works and why it is a valuable tool. They use an example of training they were commissioned to do in a long stay hospital in Glasgow, where patients were mainly older people with dementia who often found it difficult to communicate their needs and wishes. (Edited publisher abstract)
Dementia care in hospitals: key findings and ideas from the evaluation of four projects
- Author:
- STATE OF VICTORIA. Department of Human Services
- Publisher:
- State of Victoria. Department of Human Services
- Publication year:
- 2005
- Pagination:
- 9p.
- Place of publication:
- Melbourne, VIC
This report provides ideas resulting from the evaluation of 4 projects on dementia-friendly care in hospitals. These 4 projects were at the following hospitals: Bairnsdale Regional Health Service, Ballarat Health Services, Southern Health, and Gippsland Health Services Consortium. Each project was evaluated by the Lincoln Centre for Ageing and Community Care Research, Latrobe University. The evaluation highlighted the need for culture, policy and practice change, together with the involvement of families and carers, to encourage appropriate dementia care in hospitals. The project outcomes provided many ideas and suggestions for hospitals in culture, policy and practice change; education programmes and resources; specific dementia care practice; and engaging families and carers of patients with dementia. This report lists the key findings resulting from the evaluations under the following headings: ideas for managers on culture change; ideas for managers on education; ideas for staff; and ideas for supporting carer relationships.
Enriching opportunities for people living with dementia in nursing homes: an evaluation of a multi-level activity-based model of care
- Authors:
- BROOKER Dawn J., WOOLEY Rosemary J., LEE David
- Journal article citation:
- Aging and Mental Health, 11(4), July 2007, pp.361-370.
- Publisher:
- Taylor and Francis
This paper reports on the evaluation of the Enriched Opportunities Programme in improving well-being, diversity of activity, health, and staff practice in nursing home care for people with dementia. Participants were 127 residents with a diagnosis of dementia or enduring mental health problems in three specialist nursing homes in the UK. A repeated measures within-subjects design was employed, collecting quantitative and qualitative data at three points over a twelve-month period in each facility with follow-up 7 to 14 months later. Two-way ANOVAs revealed a statistically significant increase in levels of observed well-being and in diversity of activity following the intervention. There was a statistically significant increase in the number of positive staff interventions but no change in the number of negative staff interventions overall. There was a significant reduction in levels of depression. No significant changes in anxiety, health status, hospitalisations, or psychotropic medication usage were observed. The Enriched Opportunities Programme demonstrated a positive impact on the lives of people with dementia in nursing homes already offering a relatively good standard of care, in a short period of time. The refined programme requires further evaluation to establish its portability.
Experiencing training: the need for a detailed investigation
- Authors:
- FLANNERY Jo, et al
- Journal article citation:
- Working with Older People, 9(1), October 2005, pp.13-16.
- Publisher:
- Emerald
The author makes the case for more widespread training in person-centred care among the staff of residential care and nursing homes. Reports on an evaluation study of the AgeCare Awards, a training scheme that gives emphasise to individualised care. Reports on the reactions of the trainees and on some practical management difficulties associated with the course.
Dementia care mapping: experience and insights into practice
- Editor:
- BROOKER Dawn
- Publisher:
- Hawker
- Publication year:
- 2004
- Pagination:
- 122p.
- Place of publication:
- London
Dementia Care Mapping is an observation tool designed to examine quality of care from the perspective of the person with dementia, it is part of a process of bringing about improvements to care, and is designed to be used only in formal care settings. It is grounded in the philosophy of person centred care, which promotes the personhood of people with dementia and a holistic approach to their care. The Dementia Care Mapping process involves briefing staff who work in the area to be 'mapped' about the method, observation of participants with dementia within the setting for at least 6 hours, processing the analysed data, feeding back this information to staff, and using this to action plan change in the setting. Therefore it is a means for bringing about change and improvements based on direct observations of the care being delivered.