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The provision of care for residents dying in UK nursing care homes
- Authors:
- KINLEY Julie, et al
- Journal article citation:
- Age and Ageing, 43(3), 2014, pp.375-379.
- Publisher:
- Oxford University Press
Objectives: To identify the care currently provided to residents dying in UK nursing care homes. Method: Study participants were residents who had died within 38 nursing care homes in southeast England over a 3-year period. The nursing care homes had been recruited to take part in a cluster randomised controlled trial looking at different models of facilitation while implementing the Gold Standards Framework in Care Homes (GSFCH) programme. Two researchers examined the notes and daily records of all residents who died in each of these homes between the 1 June 2008 and the 31 May 2011. Results: A total of 2,444 residents died during the 3-year period. Fifty-six percent of these residents died within a year of admission. The support from specialist healthcare services to residents during their last 6 months of life was variable. Conclusions: Nursing care homes have established links with some external healthcare providers. These links included the GP, palliative care nurses and physiotherapy. As dependency of resident increase with 56% residents dying within a year of admission these links need to be expanded. The provision of health care that meets the needs of future nursing care home residents needs to be ‘proactively’ obtained rather than left to chance.
Bettercaring
- Publisher:
- Pavilion Interactive
Bettercaring offers a searchable database of all registered care homes in the UK with more than four beds. The database contains information on more than 20,000 care homes, in all regions of the UK. It is possible to search by location, size, cost and special support services offered. The resource also provides a frequently-asked questions page, and a number of articles on topics related to residential care.
Structure and agency attributes of residents’ use of dining space during mealtimes in care homes for older people
- Authors:
- MALUF Adriano, et al
- Journal article citation:
- Health and Social Care in the Community, 28(6), 2020, pp.2125-2133.
- Publisher:
- Wiley
Research stresses that mealtimes in care homes for older people are vital social events in residents’ lives. Mealtimes have great importance for residents as they provide a sense of normality, reinforce individuals’ identities and orientate their routines. This ethnographic study aimed to understand residents’ use of dining spaces during mealtimes, specifically examining residents’ table assignment processes. Data were collected in summer 2015 in three care homes located in England. The research settings looked after residents aged 65+, each having a distinct profile: a nursing home, a residential home for older people and a residential home for those with advanced dementia. Analyses revealed a two‐stage table assignment process: 1. Allocation – where staff exert control by determining residents’ seating. Allocation is inherently part of the care provided by the homes and reflects the structural element of living in an institution. This study identified three strategies for allocation adopted by the staff: (a) personal compatibilities; (b) according to gender and (c) ‘continual allocation’. 2. Appropriation – it consists of residents routinely and willingly occupying the same space in the dining room. Appropriation helps residents to create and maintain their daily routines and it is an expression of their agency. The findings demonstrate the mechanisms of residents’ table assignment and its importance for their routines, contributing towards a potentially more self‐fulfilling life. These findings have implications for policy and care practices in residential and nursing homes. (Edited publisher abstract)
Planning for retirement: how retirement communities can help meet the needs of our ageing population
- Authors:
- ASSOCIATED RETIREMENT COMMUNITY OPERATORS, COUNTY COUNCILS NETWORK
- Publishers:
- Associated Retirement Community Operators, County Councils Network
- Publication year:
- 2020
- Pagination:
- 24
This report highlights the impetus for local collaboration between housing and social care in order to make retirement communities offering care and support a key part of the sector rather than the niche provision it currently is. Historically the UK has focused on a binary strategy of developing retirement housing for independent living alongside the provision of designated care and nursing homes to cater for people when they become more infirm. Recently new models – most often referred to under the umbrella term of ‘retirement communities’ – have begun to emerge to provide a more seamless link between these extremes, recognising that people age in different and incremental ways where health and quality of life can be better retained by fusing care in a gradated manner. The report looks particularly at the issues facing two-tier authority areas where responsibility for housing and social care sit across different organisations in order to more easily identify and address areas of challenge and celebrate best practice. The report suggests a number of policy recommendations, including establishing a comprehensive task force review on meeting the current and future housing and care needs of people as they age in communities and the economy; and the designation of a new ‘C2R’ planning use class for retirement communities offering care and support. (Edited publisher abstract)
Models for providing improved care in residential care homes: a thematic literature review: master bibliography
- Authors:
- SZCZEPURA Ala, et al
- Publisher:
- University of Warwick
- Publication year:
- 2008
- Pagination:
- 88p., bibliog.
- Place of publication:
- Coventry
This bibliography is one output from a review of the available research evidence to support improved care in residential care homes as the needs of older people intensify. No commentary or discussion is included.
Taking a stand against falls
- Author:
- VERE-JONES Emma
- Journal article citation:
- Nursing Times, 9.05.06, 2006, pp.16-17.
- Publisher:
- Nursing Times
This article reports on an initiative to reduce the rate of falls among nursing home residents, which was winner of a Nursing Times Award.
Care homes for the elderly: where are we now?
- Author:
- GRANT THORNTON UK LLP
- Publisher:
- Grant Thornton UK LLP
- Publication year:
- 2018
- Pagination:
- 48
- Place of publication:
- London
This report draws together recent and relevant research to determine where the care home sector is now and understand where it is heading in the future. It covers: market structure, sustainability, quality and evolution; the role of the public sector and regulators in social care market shaping; future funding changes and the political agenda; the investment, capital and financing landscape; new funds and methods of finance; and future outlook. Against a backdrop of cuts to local authorities’ budgets and the increasingly stringently-applied eligibility criteria for support, it is widely thought that a care home business model that mostly relies on local authority placements is unsustainable in the current economic climate. The report argues that the care home market development and management needs to be a priority for all local authorities with responsibility for adult social services, working with providers and other key stakeholders, so the sector can grow in an efficient and effective way. A strategic approach will also be needed to recruit and retain the large number of workers needed to care for the ageing population in the future. The report concludes by positing that the most important conversation that needs to be had is with the public around what kind of care services they would like to have and, crucially, how much they would be prepared to pay for them. Most solutions for sustainable funding for social care point towards increased taxation, which will generate significant political and public debate. With Brexit dominating the political agenda, and the government holding a precarious position in Parliament, shorter-term funding interventions by government over the medium-term look more likely than a root-and-branch reform of the current system. (Edited publisher abstract)
Commentary: COVID in care homes- challenges and dilemmas in healthcare delivery
- Journal article citation:
- Age and Ageing, 49(5), 2020, pp.701-705.
- Publisher:
- Oxford University Press
The COVID-19 pandemic has disproportionately affected care home residents internationally, with 19–72% of COVID-19 deaths occurring in care homes. COVID-19 presents atypically in care home residents and up to 56% of residents may test positive whilst pre-symptomatic. In this article, the authors provide a commentary on challenges and dilemmas identified in the response to COVID-19 for care homes and their residents. The authors highlight the low sensitivity of polymerase chain reaction testing and the difficulties this poses for blanket screening and isolation of residents. They discuss quarantine of residents and the potential harms associated with this. Personal protective equipment supply for care homes during the pandemic has been suboptimal and they suggest that better integration of procurement and supply is required. Advance care planning has been challenged by the pandemic and the authors say there is a need to for healthcare staff to provide support to care homes with this. Finally, the authors discuss measures to implement augmented care in care homes, including treatment with oxygen and subcutaneous fluids, and the frameworks which will be required if these are to be sustainable. The authors say that all of these challenges must be met by healthcare, social care and government agencies if care home residents and staff are to be physically and psychologically supported during this time of crisis for care homes. (Edited publisher abstract)
Supporting military veterans in residential care: a practice guide
- Author:
- DEMOS
- Publisher:
- DEMOS
- Publication year:
- 2018
- Pagination:
- 16
- Place of publication:
- London
This guide aims to help care home managers and their staff understand more about how to support military veterans of all ages living in residential care, or on a respite stay. It highlights the importance of taking into account residents military service and backgrounds, and addressing their specific needs and preferences in a more personalised way. The guide includes examples of good practice to show the types of support and activities undertaken by care homes that specialise in supporting veterans. It also includes a list of useful military charities and associations who can provide advice and information. (Edited publisher abstract)
Comparing nursing home assistive personnel in five countries
- Authors:
- LAXER Katherine, et al
- Journal article citation:
- Ageing International, 41(1), 2016, pp.62-78.
- Publisher:
- Springer
- Place of publication:
- New York
Assistive personnel are the primary caregivers in long-term residential care (LTRC) in industrialised countries. The authors' goal is to describe and compare the work-related characteristics of assistive personnel in LTRC in five countries (Canada, Germany, Norway, U.K., and U.S), which may reflect how various societies view their responsibility to ageing populations and the workers who care for them. OECD and national statistical databases are used to assess and compare the work context for assistive personnel. Analysis of the statistical data is informed by on-site observations in nursing homes with reputations for high quality, close readings of these organisations’ documents and records, and interviews with LTRC staff. Pay is generally low and the work required of assistive personnel is often demanding in all countries studied. While most assistive personnel have completed high school, formal certification requirements vary considerably. Professionalisation is increasing in Norway with its high school major in eldercare, and in Germany, which has a 2-year certificate programme. Financial compensation for assistive personnel in Norway and Canada is greater than in the other countries. Union membership for assistive personnel ranges from very high in Canada to negligible in the U.S. Some countries studied have training programs of only a few months duration to prepare assistive personnel for highly demanding jobs. However, in Germany and Norway, training aims to professionalise the work of assistive personnel for the benefit of workers, employers, and residents. There are high rates of part-time and/or casual work among assistive personnel, associated with reduced employment-related benefits, except in Germany and Norway, where these benefits are statutory for all. Data suggest that unionisation is protective for assistive personnel, however union coverage data were not available for all countries. The need to improve the qualifications and training of assistive personnel was observed to be a national priority everywhere except in the U.S. Compensation is relatively low in the U.K., the U.S. and Germany, despite the important jobs performed by assistive personnel. Finally, to improve future research, statistical mapping of this critical component of the labour force in LTRC should be a greater priority across high-income countries. (Edited publisher abstract)