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What do we know about care home managers? Findings of a scoping review
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, MORIARTY Jo
- Journal article citation:
- Health and Social Care in the Community, 25(2), 2017, pp.366-377.
- Publisher:
- Wiley
This article reports selected findings from a scoping review of the literature about care home managers in England. The review was undertaken between December 2013 and April 2014, with searches conducted in December 2013, and completed in July 2014. Its aim was to identify the characteristics of care home managers, descriptions of their leadership and managerial roles, their experience, skills and support, and the managers' perceptions of their work and status and to identify knowledge gaps. The databases searched included Web of Knowledge, EBSCO, ASSIA, Embase, AgeInfo, NHS Evidence, Social Care Online and the publication platforms IngentaConnect, Wiley Online and JSTOR together with specialist sites and national information providers. Sixteen relevant studies directly about care home managers, reported in 24 articles, were identified. A further body of literature pertinent to the questions was located (n = 84), including sector reports, professional press, expert opinion, enquiries and reviews, and other material, which also informed the review. A consultation exercise with stakeholders informed the findings of the review. The review found that, despite frequent allusions to their impact on organisational culture, few studies have focused on care home managers, and, such as there are, mainly relate to managers of care homes for older people. This is despite managers' major responsibilities for the care of many frail and disabled people. (Edited publisher abstract)
Research into practice
- Author:
- MANTHORPE Jill
- Journal article citation:
- Community Care, 18.7.02, 2002, p.47.
- Publisher:
- Reed Business Information
Recently there has been a growth of large commercial companies in the residential and nursing home market. New research shows that a concentration of long-term care by large companies, some of them international, is occurring throughout the country. Some of this process is through merger, some through take-overs. It is taking place in nursing homes particularly. The concentration of places in homes run by large companies is accompanied by closure of homes with small numbers of places that are finding it difficult to operate profitably.
Is there an “optimal time” to move to a care home for a person with dementia? A systematic review of the literature
- Authors:
- COLE Laura, SAMSI Kritika, MANTHORPE Jill
- Journal article citation:
- International Psychogeriatrics, 30(11), 2018, pp.1649-1670.
- Publisher:
- Cambridge Journals
Background: There is limited evidence regarding how the decision evolves about whether and when it is best for a person with dementia to move to a care home. The factors leading to the timing of the decision remain particularly unclear. This systematic review of existing literature aims to gain an understanding of the decision-making timing and process to distinguish the drivers of these decisions, and to identify if there is an “optimal” or best time (if any) for a person with dementia to move to a care home. Methods: Six English language electronic databases were searched up to the end of 2016, along with included papers’ reference lists. Papers were screened against the inclusion criteria and rated for quality. Extracted data were thematically analysed. Results: The review identified 16 relevant papers. Seven themes were identified: (1) what happened before the move; (2) planning for the move, (3) weighing up the decision, (4) lack of support, (5) drivers of the decision, (6) emotional significance of the move, and (7) continued reflection on the decision. “Time” of the move was largely absent from much of the literature, although inferences were made. Overall, the decision-making process appeared to be cyclic, with family carers constantly re-evaluating when might be the time to make the move with some continuing to reflect on this even subsequently. Conclusions: Further research is required to understand the “optimal” or best time (if any) for when a person with dementia moves to a care home, and how to determine when someone is ready to move. (Edited publisher abstract)
Listening to the dementia workforce: local providers' perceptions of dementia services
- Authors:
- MANTHORPE Jill, ALASZEWSKI Helen
- Journal article citation:
- Quality in Ageing, 3(2), June 2002, pp.22-29.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Reports on the findings of a small research study exploring provisions at local level for people with dementia. The study involved a survey of practitioners and managers, and the difficulties of this approach are illustrated and explored. Responses contained a range of relevant opinions about service delivery, particularly perceived levels of quality and adequacy. Those providing care pointed to the unfulfilled potential of services for people with dementia, and their views provide a perspective on the workings of local services and their inter-relationships, and the development of planning and quality mechanisms.