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Using survey data to measure changes in the quality of home care: analysis of the older people's user experience survey 2006
- Authors:
- MALLEY Juliette, NETTEN Ann, JONES Karen
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2007
- Pagination:
- 110p., bibliog.
- Place of publication:
- Canterbury
The development of the User experience Survey (UES) and the inclusion of the user’s perspective in the Performance Assessment Framework (PAF) were novel and important steps forward in the world of performance assessment and monitoring of social services. Commentators had previously criticised the lack of connectedness between the performance/quality and user involvement agendas and these developments represented real steps forward in meeting this goal. Analysis from the 2003 extension to the UES for older people has demonstrated that user experience measures can usefully discriminate between Local Authorities (LAs). While his new research raises some important questions, this type of approach is clearly an improvement on performance measurement based on processes and inputs. Fifty authorities took part with representation from all Government Office Regions and LA types. Analysis of responses to the compulsory questions and comparison with responses to these questions nationally revealed very similar proportions responding to each category. We can assume from these findings that the sample of authorities is broadly representative of the views of service users across England.
Quality at home for older people: involving service users in defining home care specifications
- Authors:
- RAYNES Norma, et al
- Publisher:
- Policy Press/Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 79p.
- Place of publication:
- York
The government’s NHS plan emphasises the importance of services based on users’ views. This report provides practical guidance on how to ensure that older people’s views are heard and acted on, and their views monitored, in relation to service quality. The report provides new information on the definition of quality in home care services by users both under and over eighty years of age; identifies users’ priorities; shows the differences and similarities in the perceptions of quality between white and minority ethnic service users; and compares different methods of obtaining service users’ views.
How elderly people rank-order the quality characteristics of home services
- Authors:
- EDEBALK Per Gunnar, SAMUELSSON Gillis, INGVAD Bengt
- Journal article citation:
- Ageing and Society, 15(1), March 1995, pp.83-102.
- Publisher:
- Cambridge University Press
Various studies have dealt more or less directly with qualitative questions concerning social services provided in the home. While as a result of such studies the general characteristics of home services of importance to elderly people are quite well known, this is not the case regarding the relative importance assigned to such characteristics. Outlines the findings of research amongst older people in Sweden. The characteristics studied had largely the same relative importance for all older people.
Quality in social care: achieving excellence in home care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 19 minutes 48 seconds
- Place of publication:
- London
Service users get together with a social care academic and a leader in the home care sector to discuss how excellence can be achieved in domiciliary care. We see examples of excellence in support offered to older people, people with learning disabilities and people with physical disabilities in their own homes. Much of the focus is on the relationship between staff members and the people they support because getting that right is fundamental to excellent care. This film has now been revised. This film was previously available under the title 'Defining excellence: excellence in domiciliary care '. (Edited publisher abstract)
Putting the ‘care’ in housing-with-care: integrated retirement communities: improving care quality and tackling the workforce crisis
- Author:
- ASSOCIATED RETIREMENT COMMUNITY OPERATORS
- Publisher:
- Associated Retirement Community Operators
- Publication year:
- 2021
- Pagination:
- 17
- Place of publication:
- London
This report analyses the quality, efficiency and benefits of social care provided by Integrated Retirement Community (IRC) operators in the UK. The report is based on an analysis of the Care Quality Commission (CQC) ratings of domiciliary care agencies run by Associated Retirement Community Operators (ARCO) members in IRCs; a survey of IRC operators; empirical data from the ExtraCare Charitable Trust; findings from a study on Covid-19 and IRC conducted by St Monica Trust; and a review of other relevant literature and research. The study found that care can be provided more effectively and efficiently in IRCs due to staff giving care to residents onsite and not needing to travel in between visits, and because many residents require less care after moving in due to health and wellbeing improvements. The report compares the care and support requirements of people living in IRC with those living in dispersed family homes, and calculates that, for a typical IRC with 200 people living there, 16 fewer care staff are needed than if the same levels of care were provided in the wider community – freeing up staff to provide care to those who need it elsewhere. Other findings include: IRCs deliver high quality and effective care and that the Covid-19 pandemic has shone a light on the way in which IRCs can keep residents safe and secure. Case studies include: Wixams Retirement Village (Extra Care Charitable Trust); Audley St Elphin’s Park, Derbyshire; Rangeford Villages. The report concludes with three main recommendations addressed to the UK government. (Edited publisher abstract)
The quality of care services purchased by councils: 2010: technical report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 45p.
- Place of publication:
- London
Councils spend nearly £8 billion each year on residential care and home care, which is over 70% of all their expenditure on adult care services. In November 2009, all 152 councils in England provided the Care Quality Commission (CQC) with data on the number of their residents for whom they purchased care in care homes in the period April to September 2009. This report links the data supplied to data on quality ratings for each care home. In addition, the councils reported to CQC in November 2009 on 317,000 adults for whom they had arranged home care with registered agencies in a week in the 6 months to 30 September 2009. The report provides a detailed analysis of the findings of these council returns. The data shows some variation in the quality of services purchased by councils. Councils purchased care for 230,000 adults in care homes. Eighty-six percent of these adults were living in care homes rated good or excellent. The percentage was lower (82%) for those in homes offering nursing care for older people. Ninety-three percent of adults whose home care was arranged or purchased by their council received a service from a home care agency rated good or excellent. Comparisons of the quality of care arranged by councils between September 2008 and September 2009 show that the percentage of people receiving care from services rated good or excellent has improved for both care homes and home care.
The real cost of quality care and support
- Authors:
- NATIONAL CARE FORUM, COUNSEL AND CARE
- Publisher:
- National Care Forum; Counsel and Care
- Publication year:
- 2009
- Pagination:
- 8p.
- Place of publication:
- Coventry
The findings of a survey of National Care Forum (NCF) member organisations to explore the issues of quality and cost in the provision of care and support services are presented. A total 189 care homes and 21 home care services responded to the survey. The key findings are briefly summarised under the following themes: the views of people who use services and their families; putting relationship-centred care into practice; effective leadership and management; learning and development; valuing and rewarding staff; service innovation; and income and costs.
Using older home care user experiences in performance monitoring
- Authors:
- JONES Karen, et al
- Journal article citation:
- Health and Social Care in the Community, 15(4), July 2007, pp.322-332.
- Publisher:
- Wiley
Home care services play a fundamental role in England in supporting older and disabled people in their own homes. In order to identify and monitor the degree to which these services are providing good quality services, in 2003 the government required all councils with social services responsibilities (CSSR) to undertake user experience surveys among older service users. The questionnaire was required to include four questions, two of which were designed to be used as Best Value Performance Indicators (BVPI) reflecting the quality of home care of older people. Thirty-four local authorities participated in an extension study providing data from 21,350 home care users. The aim of the study was to answer three questions: (1) Do the performance indicators reflect home care quality? (2) Are the performance indicators using the most appropriate cut-off points? (3) What are the underlying constructs of home care quality? Evidence was found to support the use of two of the performance indicators and the current cut-off point being used for the satisfaction indicator. Factor analysis identified indicators of important dimensions of quality that were associated with overall satisfaction.
Home Care Quality Indicators (HCQIs) based on the MDS-HC
- Authors:
- HIRDES John P., et al
- Journal article citation:
- Gerontologist, 44(5), October 2004, pp.665-679.
- Publisher:
- Oxford University Press
Of the 73 original candidate HCQIs, 22 were retained for the final list of recommended indicators. All but three indicators include risk adjusters based on individual-level covariates. An agency-level risk adjustment was developed to correct for selection and ascertainment bias. The HCQIs are new tools providing a first step along the path of quality improvement for home care. These indicators can provide high-quality evidence on performance at the agency level and on a regional basis.
The emotional climate of care-giving in home-care services
- Authors:
- OLSSON Eric, INGVAD Bengt
- Journal article citation:
- Health and Social Care in the Community, 9(6), November 2001, pp.454-463.
- Publisher:
- Wiley
This study explores the emotional aspects of the care-giving relationship in home-care services starting from the home-care recipients and the home-care workers perception of the emotional climate. Two hundred and twenty-two recipients and their home-care workers in three typical Swedish municipalities were studied. Results show that home-care workers are more likely to experience the climate with a higher degree of emotionality. There is symmetry between the parties in the perception of a negative climate. However, if one party perceives the climate as close the other party is more likely to perceive it as rational or instrumental. The organisational processes, especially the group climate of the work team, principally influence the home-care recipients perceptions. The workers perceptions are principally influenced by age and gender of the recipients and the workers own age.