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Adapting the adaptations process: tackling the barriers within policy and practice
- Author:
- MCCALL Vikki
- Publisher:
- UK Collaborative Centre for Housing Evidence
- Publication year:
- 2022
- Pagination:
- 42
- Place of publication:
- Glasgow
This report gives insight to the fragmented policy landscape in Scotland around adaptations, with further experiences gathered from England, Wales and Northern Ireland. There are many good practice examples throughout Scotland, and key stakeholders emphasise the important role for adaptations in the impact they make in people’s lives. However, the current systems that supports home adaptations in Scotland are fragmented, overly complex, and bureaucratic. These challenges undermine the preventive potential that adaptations can offer to service users. The report presents the perspectives of key stakeholders on how we can tackle the barriers within policy and practice within the adaptations process. Adaptations involve health and wellbeing-related home and environmental modifications for social, private renters and home-owners. In Scotland and throughout the UK, there are various adaptations processes that support the access, assessment and delivery of adaptations for service users. The report offers a new process for understanding the adaptations process, presenting barriers attached to governance, need awareness, information and advice, assessment, funding, design, delivery, evaluation & performance monitoring. Adaptations to homes and wider environments are essential for supporting health, social care and wellbeing needs, preventing health crises and future proofing homes for a diverse and ageing population. The processes that support adaptations, however, are fragmented, difficult to understand, and involve clear divergence between both local authority area and tenure. The evidence offered in this report leads to a clear need for finding a common approach across Scotland for supporting adaptations. (Edited publisher abstract)
Delivering A Better Life for older people with high support needs in Scotland
- Author:
- INSTITUTE FOR RESEARCH AND INNOVATION IN SOCIAL SERVICES
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- Glasgow
'A Better Life' was a major five year programme of work developed by the Joseph Rowntree Foundation which explored how to achieve a good quality of life for older people with high support needs. This briefing looks at the seven key messages from the project in relation to current policy drivers in Scotland and draws out the messages for practice for Scotland. (Edited publisher abstract)
A better life: valuing our later years
- Author:
- BLOOD Imogen
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2013
- Pagination:
- 91
- Place of publication:
- York
In 2009, the Joseph Rowntree Foundation launched the five-year programme A Better Life, to explore what can help older people with high support needs to improve their quality of life (and what ‘quality of life’ means for them) now and in the future. This book was commissioned by JRF to draw out and reflect on the key messages from this body of work. A recurring theme in the programme is that ageing is about all of us; it is everyone’s business, not just those working in care homes, commissioning health and care services, or developing government policies and programmes. The book quotes the personal experiences of individual older people, and asks why it is that personal identity risks getting overlooked at this stage of life. It looks specifically at how they can contribute to the development of the supportive relationships, which older people with high support needs value. It considers the messages about what ‘choice’, ‘control’ and ‘independence’ mean to people as they get older. A concluding chapter summarises key messages and draws together the practical ideas for change that were introduce throughout the report, starting with old age is not about ‘them’: it is about all of us. Older people are individuals, and as a group, they are becoming more diverse. Relationships matter to us whatever our age: we have a fundamental human need to connect with others meaningfully. Older people with high support needs have many assets, strengths and resources; and whatever our age or support needs, we should all be treated as citizens: the individual and collective voices of older people with high support needs should be heard and given power. A short paper is also available that summarises the key messages from JRF’s ‘A better life’ programme of work. (Edited publisher abstract)
Living digitally: an evaluation of the CleverCogs™ digital care and support system: summary report
- Authors:
- LAWLOR Eilis, CAMPBELL Sue
- Publishers:
- Carnegie UK Trust, Just Economics
- Publication year:
- 2018
- Pagination:
- 18
- Place of publication:
- London
A summary report of the evaluation of CleverCogs™, a digital care and support system designed to increase digital participation in adults receiving care and support and enable increased use of Technology Enabled Care. CleverCogs™ is delivered via a handheld touchscreen device (tablet) and provides ‘simplified access’ to the internet and can support the delivery of Technology Enabled Care, through features such as automated medication prompts. CleverCogs™ was developed by Blackwood Homes and Care, a housing and care provider specialising in homes and care services for people with disabilities in Scotland. The evaluation was undertaken with Just Economics, Blackwood Housing and Scottish Government. The evaluation draws on a survey of 56 customers (including 20 care home residents), a staff survey and a time and motion study across five Blackwood Housing pilot sites. This report summarises findings for the following short time outcomes: digital participation, time spend on meaningful activities, self-management of health condition, mental well-being, reduced social isolation, improved independence, efficiency savings, and improved quality of care and support package. The findings suggest that the system provides an effective way of improving digital inclusion of older people with disabilities and is also effective for improving life satisfaction. (Edited publisher abstract)
Living, not existing: putting prevention at the heart of care for older people in Scotland
- Author:
- ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
- Publisher:
- Royal College of Occupational Therapists
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- London
This report focuses on the important contribution that occupational therapists can make to support further integration of health and social care in Scotland. It looks at the role of occupational therapy in helping older people to remain independent and live in their own communities for as long as possible, preventing or delaying the need for expensive care long-term. The report focuses on three key areas: prevention or delaying the need for care and support; helping older people to remain in their communities; and ensuring equality of access to occupational therapy. In each area, the report provides examples of best practice to how occupational therapists can contribution to preventative, person-centred services and provides recommendations to improve the design and delivery of services. Service examples include community initiatives to prevent and reduce the risk of falls in Aberdeen and a telecare services to support people with dementia to remain at home. The recommendations include for occupational therapists to work more closely with general practitioners, take on leadership roles to provide expertise to community providers on the development of person and community centred services; and the development of formal partnership agreements across local housing, health and social care sectors to ensure all older people have access to occupational therapy services. (Edited publisher abstract)
Living well in later life in Scotland
- Author:
- HENDRY Anne
- Journal article citation:
- Working with Older People, 21(1), 2017, pp.22-30.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the development, implementation and early impact of a national action plan for active and healthy ageing in Scotland. Design/methodology/approach The Joint Improvement Team, NHS Health Scotland, the Scottish Government and the Health and Social Care Alliance Scotland (ALLIANCE) co-produced the action plan with older people from the Scottish Older People’s Assembly. Together they supported partnerships to embed the action plan as an important element of the reshaping care for older people transformation programme in Scotland. Findings: A cross-sector improvement network supported health, housing and care partnerships to use a £300 million Change Fund to implement evidence based preventative approaches to enable older people to live well. Older people in Scotland spent over two million days at home than would have been expected based on previous balance of care and impact of ageing. Practical implications: Improving the health and wellbeing of older people is not just the responsibility of health and social care services. Enabling older people to live independent, active and fulfilling lives requires coordinated effort that spans national and local government policy areas, mobilises all sectors of society, and involves all health and care disciplines. Success starts with listening to what matters to older people, and working together, and with older people and local communities, to make that a reality. Originality/value: This case study from Scotland offers transferable learning for other systems who have an ageing population and an ambitions to enable them to live well in later life. (Publisher abstract)
The state of social care in Great Britain in 2016: our call for urgent action on social care
- Author:
- LEONARD CHESHIRE DISABILITY
- Publisher:
- Leonard Cheshire Disability
- Publication year:
- 2016
- Pagination:
- 40
- Place of publication:
- London
Drawing on the results of an online survey with over 1,000 disabled people, focus groups and interviews, this report provides an overview of the state of social care across England, Wales and Scotland today and how a crisis in social care is impacting on the lives of disabled people across the country. The report presents case studies and quotations from the survey to illustrate some of the challenges disabled people face in getting services to support them in their day to day lives. In addition the general public were asked about their understanding of social care and how they think the system is working. The report finds that many disabled people are missing vital support, often trapped in their own homes and unable to participate more actively in work, social and community activities. The majority of the general public surveyed also felt that the government did not spend enough on social care for disabled and older people, and over half thought the system is not currently working well. The report outlines key recommendations for Government to improve the stability and quality of the social care sector, including calling for an end to councils in the UK commissioning 15-minute homecare visits for personal care and bringing forward planned investment through the Better Care Fund. (Edited publisher abstract)
Falls: measuring the impact on older people
- Author:
- PCP Market Research Consultants
- Publisher:
- WRVS
- Publication year:
- 2012
- Pagination:
- 16p.
- Place of publication:
- Cardiff
Noting the significant personal costs for individuals and financial costs for health and social care services associated with falls, this document reports on the findings of research into the impact and challenges of falls for older people. It covers vulnerability of survey respondents (including living alone and lack of social contact), severity of falls, reaction to falls (including loss of confidence), losing independence, and the response of statutory services. It reports that 26% of older people surveyed reported that they had fallen, either inside or outside their home, in the last year, and that only 11% of people had received a visit from a specialist falls prevention team, with English older people less likely to have had support from a falls team than their counterparts in Scotland or Wales. It also discusses national policies and guidelines to prevent falls in England, Wales, and Scotland. It argues that the survey findings indicate that those who are having falls are not being offered appropriate support, calls for implementation of the good practice in existing policy frameworks, and sets out recommendations for policy changes to help deliver cost effective and quality services to reduce overall incidence and severity of falls.
Report on the use of the indicator of relative need (IoRN): a survey of Scotland's health and social work partnerships at April 2010
- Author:
- SCOTLAND. Scottish Government. Directorate for Health and Social Care Integration. Joint Improvement Team
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- Edinburgh
The Indicator of Relative Need (IoRN) tool is a set of questions and a classification system relating to the responses to these questions for assessing the needs of older people. Older people are classified into 1 of 9 groups based on their relative independence/dependence. In March 2010, a questionnaire survey was carried out in order to find out what progress local authorities and partner organisations had made in implementing and using the IoRN tool and what further action they would like to be taken nationally with the tool. This document provides a summary of the findings. In total, 33 separate returns were received; 31 from local authorities, and 2 from Community Health and Care Partnerships. Twenty five of these currently used the IoRN to some extent, 3 had used in the past, and 5 had never used it. Social work teams collected IoRN data in 26 authorities, with health staff also involved in only 5 of these 26. In 1 partnership the only health staff were using the tool. The findings relating to the use of the IoRN, suggestions for ‘wider uses’, and the need for further support are provided.
bespoken
- Publisher:
- Blackwood Foundation
A social media website dedicated to building a community that aims to include disabled people in the design of everyday household products to support independent living. The website lets disabled and older people share their insights, tips, frustrations, ideas and expertise about design and technology and how it affects independence. The aim is to support people to live independently and to get the most out of life. The site includes a number of discussion forums. an area for posting events and a chat room.