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Quality of life outcomes for residents and quality ratings of care homes: is there a relationship?
- Authors:
- NETTEN Ann, et al
- Journal article citation:
- Age and Ageing, 41(4), 2012, pp.512-517.
- Publisher:
- Oxford University Press
Background: Quality ratings of care homes are used by decision makers in the absence of direct information about outcomes. However, there is little evidence about the relationship between regulators' ratings of homes and residents' quality of life outcomes. Objectives: To capture social care-related quality of life (SCRQoL) outcomes for residents and investigate the relationship between outcomes and regulator quality ratings of homes. Methods: Data were collected for 366 residents of 83 English care homes for older people inspected during 2008. Outcomes were measured using the Adult Social Care Outcomes Toolkit (ASCOT). Multivariate multilevel modelling was used to investigate the relationship between quality of life outcomes and star ratings of homes, controlling for resident and home characteristics. Results: Care homes were delivering substantial gains in SCRQoL, but were more successful in delivering ‘basic’ (e.g. personal cleanliness) than higher-order domains (e.g. social participation). Outcomes were associated with quality ratings of residential homes but not of nursing homes. Conclusions: The approach to providing quality ratings by the regulator in England is currently under review. Future quality indicators need to demonstrate their relationship with quality of life outcomes if they are to be a reliable guide to commissioners and private individuals purchasing care. (Publisher abstract)
Measuring personal social services outputs for national accounts: services for older people
- Authors:
- NETTEN Ann, FORDER Julien, SHAPIRO Judith
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2006
- Pagination:
- 55p., bibliog.
- Place of publication:
- Canterbury
There is increasing pressure to devise a means of reflecting the outputs of social care in ways that can be used to reflect changes in productivity and efficiency. Professor Sir Tony Atkinson led a review for the Office for National Statistics (ONS) on the future development of government output, productivity and associated price indices (Atkinson, 2005). The review followed Eurostat guidance that countries should be developing direct measures of government services that are individually consumed. As part of this review and with the longer-term objective of improving measurement and understanding of PSS output and productivity in social care, the Department of Health funded work to develop new measures of personal social services (PSS) output and productivity, reflecting best available practice. This paper reports on the results of this work. An extensive search of the literature identified little theoretical discussion or empirical evidence in the field of measuring productivity and outputs of social care services. Most of the evidence was limited to evaluations of cost effectiveness of specific interventions or services for particular client groups. While valuable in their own right such studies do not address the central question of how to measure government output in social care services across client groups in a way that could be used to monitor changes in productivity over time. The first stage of the work was to develop a theoretically based approach and to identify how it might be applied (at least to some extent) using existing sources of data. The second stage (which we report on here) is to illustrate the application of the approach for measuring for National Accounts purposes outputs and services for older people using routine statistical sources and drawing on data collected as part of a study conducted to inform the Formula Spending Share The authors start by describing the overall approach to the welfare index and then in turn discuss the methodology and basis for estimating core components of this index: Capacity for Benefit and quality. In section 5 they illustrate the application of the approach to activity data in estimating outputs and changes in levels of output over time. Finally they discuss some of the issues raised by the application including the wider potential of the approach and data requirements if such an approach were to be used in the future for National Accounts.
Measuring the outcomes of care homes: final report
- Authors:
- NETTEN Ann, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2010
- Pagination:
- 117p., bibliog.
- Place of publication:
- Canterbury
The authors report on a project which developed and tested an approach to measuring and monitoring outcomes of the care and support provided to residents of care homes for older people and people with learning disabilities. The research was part of the ‘Measuring Outcomes for Public Service Users’ (MOPSU) project, which was funded by the Treasury under the Invest to Save budget and led by the Office for National Statistics (ONS). The domains that comprise social care related quality of life (SCRQOL) formed the basis of the measures used in the study.
The rate, causes and consequences of home closures
- Authors:
- NETTEN Ann, DARTON Robin, WILLIAMS Jacquetta
- Publisher:
- Personal Social Services Research Unit (PSSRU). University of Kent at Canterbury
- Publication year:
- 2002
- Pagination:
- 56p.
- Place of publication:
- Canterbury
This report describes the study on the causes, processes and consequences of home closure. A survey of registration and inspection units was conducted to identify rates of closure, the proportions of closures that were due to business reasons, changes in registration, the consequences for supply and the views of unit managers