Search results for ‘Subject term:"older people"’ Sort:
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Meltdown
- Author:
- DOBSON Alex
- Journal article citation:
- Care and Health Magazine, 36, 21.5.03, 2003, pp.40-41.
- Publisher:
- Care and Health
It is estimated that over the last 12 months, Wales has lost about 1,000 care home beds. Reports on the crisis.
In search of accountability: a review of the neglect of older people living in care homes investigated as Operation Jasmine
- Author:
- FLYNN Margaret
- Publisher:
- Welsh Government
- Publication year:
- 2015
- Pagination:
- 326
- Place of publication:
- Cardiff
This review is an examination of a series of events and allegations of abuse at care homes and nursing homes in south east Wales at the beginning of the twenty-first century. These events were the subject of a seven year investigation by Gwent Police, which was known as Operation Jasmine. The operation was established during October 2005 when an 84 year old resident of Bryngwyn Mountleigh nursing home in Newbridge was admitted to Newport's Royal Gwent Hospital after being given incorrect doses of medication. She later died. The operation identified over 100 alleged victims, many of whom have since died, but the police were unable to prosecute for either gross negligence manslaughter or wilful neglect since, during 2010, the Crown Prosecution Service decided that there was insufficient evidence to support a reasonable prospect of success on this basis. The report discusses the experiences of the relatives of older people who were harmed in the residential homes and sets out a series of chronologies, focusing on the role of care home owners, key events in the police investigation, and the roles of the Crown Prosecution Service, of the Care Standards Inspectorate for Wales and its successor, the Care and Social Services Inspectorate Wales, and of the Health and Safety Executive. The report also examines the role of the NHS in addressing the clinical needs of older people in care homes and in secondary care as well as in commissioning care. It considers the legal context of residential care and corporate governance and explores the role of the media; the governance of the police investigation; the use of expertise; the limits of local authorities’ adult protection procedures; the contrast between known outcomes and the expected outcomes; the challenges for inspection and regulation; the workforce culture; and questions about GPs and/or company directors of homes for older people and how the care of residents might be improved. The report concludes with the lessons learnt and recommendations. (Edited publisher abstract)
Quality of prescribing in care homes and the community in England and Wales
- Authors:
- SHAH Sunil M., et al
- Journal article citation:
- British Journal of General Practice, 62(598), May 2012, pp.246-247.
- Publisher:
- Royal College of General Practitioners
The main aim of this study was to compare prescribing quality in care homes and in the community in England and Wales. Additionally it compares potentially inappropriate prescribing with practice in US nursing homes. Data were drawn from an established UK primary care database (The Health Improvement Network) and included information from 326 general practices in 2008-2009 in England and Wales, with 10 387 care home and 403 259 community residents aged 65 to 104 years. The authors explored age and sex standardised use of `concern' and common drug groups in the last 90 days and potentially inappropriate prescribing based on a consensus list of medications best avoided in older people (Beers criteria). Compared to the community, care home residents were more likely to receive `concern' drugs, including benzodiazepines, anticholinergic antihistamines, loop diuretics, and antipsychotics. Use of several common drug groups, including laxatives, antidepressants, and antibiotics, was higher, but use of cardiovascular medication was lower in the homes. The results suggest that thirty-three per cent of care home residents in England and Wales received potentially inappropriate medication, compared to 21.4% in the community. The potentially inappropriate prescribing rate in US nursing homes was similar.
Antipsychotic prescribing to older people living in care homes and the community in England and Wales
- Authors:
- SHAH S.M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(4), April 2011, pp.423-434.
- Publisher:
- Wiley
Despite concern over the apparent excessive use of antipsychotic drugs by older people comparative information on their use in different ,residential settings is limited. This paper compares antipsychotic prescribing for older people in care homes and the community in England and Wales. Data were extracted from a primary care database (THIN) containing information for 403,259 community and 10,387 care home residents aged 65–104 years in 2008–9. Overall 3677 (0.9%) patients in the community and 2173 (20.9%) in care homes (20.5% in residential homes, 21.7% in nursing homes) had received an antipsychotic prescription in the last 90 days. Most patients had received prescriptions for more than three months and 60% of prescriptions were for atypical antipsychotics. A total of 2367 (0.6%) patients in the community and 1765 (18.2%) in care homes who did not have severe mental illness received antipsychotic medication. Such prescribing was common for dementia patients (30.2% in care home, 10.1% in the community). In care homes, younger age and living in the North of England predicted prescribing, but care home type did not. In the community, female gender, increasing age, living in a deprived area and the North predicted prescribing. It is concluded that despite safety concerns, antipsychotic prescribing is markedly higher in care homes than in the community, and strongly associated with dementia in both settings.
Residential care homes and nursing homes in Wales: 1994
- Author:
- GREAT BRITAIN. Welsh Office
- Publisher:
- Great Britain. Welsh Office
- Publication year:
- 1995
- Pagination:
- 69p.,tables.
- Place of publication:
- Cardiff
Assessment of the demand for specialist housing and accommodation for older people in Wales
- Authors:
- HASTINGS Reuben, COPEMAN Ian, PORTEUS Jeremy
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2020
- Pagination:
- 85
- Place of publication:
- London
Commissioned by the Welsh Government, this report identifies current provision and future demand to 2035 for different types of specialist housing and accommodation for older people. It covers estimates of specialist housing for older people, including sheltered housing and age-designated housing; housing with care such as extra care housing; residential care; nursing homes; and Step-up and Step-down intermediate care. It estimates by 2035 there are likely to be shortfalls of accommodation across Wales of: approximately 15,000 units of housing for older people, approximately 5,000 units of housing with care, approximately 7,000 nursing care beds, and approximately 120 step- up/step-down housing units. (Edited publisher abstract)
Care under the rainbow
- Authors:
- DIVERSITY TRUST, UNIVERSITY OF BRISTOL. School for Policy Studies
- Publisher:
- The Diversity Trust
- Publication year:
- 2019
- Place of publication:
- Bridgwater
An online resource containing learning materials and films to promote the inclusion of older residents who identify as lesbian, gay, bisexual and trans (LGBT+) in care and nursing homes in England and Wales. The resource provides managers and staff teams with tools for leading discussions and educational sessions about the importance of promoting equality between residents and of valuing diversity amongst staff and residents. It includes short films on the inclusion of LGBT+ residents; case studies to promote discussion on how to provide an inclusive environment for older LGBT+ people who identify in different ways; tips on promoting inclusion and equality; and legal timelines highlighting key changes in equality law and policy in England and Wales. The resource is a collaboration between the School for Policy Studies, University of Bristol and The Diversity Trust CIC. (Edited publisher abstract)
"Lets agree to agree": a toolkit for commissioners and providers to agree the cost of residential and nursing care for older people in Wales
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2018
- Pagination:
- 31
- Place of publication:
- London
A toolkit to help commissioners and providers of residential and nursing care for older people to reach agreement on the cost of care and fee levels in their local area. The work has been carried out for the Welsh Government, and aims to provide an approach that will help provide a sustainable cost model for care homes in Wales. The toolkit covers the following key steps for agreeing a price: Step 1: Agree what you need to agree, who needs to agree it, what information do you need and how will you agree; Step 2: Gather the data and intelligence; Step 3: decision making. The toolkit draws on methodologies used in Wales and elsewhere in the UK. It is also based on engagement which took place with health board and local authority commissioners, providers and other stakeholder representatives at a series of events and workshops. (Edited publisher abstract)
Continuing to care
- Authors:
- SEDDEN Diane, JONES Kate, BOYLE Mari
- Journal article citation:
- Working with Older People, 7(2), June 2003, pp.35-39.
- Publisher:
- Emerald
Reports on a collaborative study of carers from across North Wales, whose relatives have moved to live in a care home. Interviews were conducted with 78 family carers whos relative had been recently admitted into a care home. Follow-up interviews were conducted 10-12 months later with a sub-sample of 29 carers. Discusses the the carers experiences and the implications for staff working in care homes. The research was conducted by the Centre for Social Policy Research and Development, University of Wales and the Princess Royal Trust for Carers.
Swimming upstream: the provision of inclusive care to older lesbian, gay and bisexual (LGB) adults in residential and nursing environments in Wales
- Authors:
- WILLIS Paul, et al
- Journal article citation:
- Ageing and Society, 36(2), 2016, pp.282-306.
- Publisher:
- Cambridge University Press
This paper examines the ways in which older people's residential and nursing homes can constitute heteronormative environments – social spaces in which the same-sex attractions and desires of residents are disregarded in the provision of everyday care. The aim of this discussion is to examine the synergies and differences between older lesbian, gay and bisexual (LGB) adults' expectations for future care home provision and the expectations of care staff and managers in providing residential services to older people with diverse sexual backgrounds. This paper presents qualitative evidence from research into the provision of care environments in Wales. It discusses the findings from two cohorts: first, from five focus groups with care and nursing staff and managers; and second, from 29 semi-structured interviews with older LGB adults (50–76 years) residing in urban and rural locations across Wales. The authors argues that residential care environments can constitute heterosexualised spaces in which LGB identities are neglected in comparison to the needs and preferences of other residents. The paper then discusses how care staff and managers can be more attentive and responsive to the sexual biographies of all residents and argues against the separation of care and sexual orientation in practice. (Edited publisher abstract)