Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 12
Extra care housing in Wales: a state of the nation report
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2015
- Pagination:
- 17
- Place of publication:
- London
This report, prepared by the Institute for Public Care, provides an up-to-date picture of the current supply of extra care housing in Wales, the challenges facing the market and issues which will need to be considered for future provision. It also sets out some of the outcomes that extra care housing can offer, such as improving the health and wellbeing of residents and the benefits it can provide to the local community. The report offers support for encouraging and facilitating new extra care housing developments in Wales and draws attention to accommodation, care and services already offered in the country. The report makes four key recommendations to expand the provision of extra care housing for older people in Wales: developing a strategic vision on housing for older people; developing a better understand of the outcomes extra care housing can provide; raising awareness of extra care housing as a housing option for those seeking advice and information; and a greater degree of diversity and innovation to deliver services that meet the needs of local communities. (Edited publisher abstract)
Positive outcomes
- Author:
- MADDISON Jane
- Journal article citation:
- Community Care, 11.01.07, 2007, pp.32-33.
- Publisher:
- Reed Business Information
This article summarises research on the outcomes valued by older people and lessons learned from authorities developing outcomes-focused services for older people in England and Wales. The research was commissioned by the Social Care Institute for Excellence (SCIE) and carried out by the Social Policy Research Unit and Acton Shapiro.
Outcome of in-patient falls in hospitals with 100% single rooms and multi-bedded wards
- Authors:
- SINGH Inderpal, OKEKE Justin, EDWARDS Christine Anne
- Journal article citation:
- Age and Ageing, 44(6), 2015, pp.1032-1035.
- Publisher:
- Oxford University Press
Background: Falls in hospital account for almost two-fifths of the patient safety incidents reported to the National Reporting and Learning System in UK. Studies have suggested an increased incidence of falls in single-bedded hospitals. Objective: To compare the outcome of in-patient falls occurring in units with 100% single rooms (SRs) and multi-bedded wards (M-BWs). Sampling design and methods: an observational study. Retrospective standard incident reporting data (DATIX) on in-patient falls and associated injury were obtained from both sites over 18 months each. There was no change in demographics, size and characteristics of population except change in the geography of new hospitals. Results: The total number of in-patient fall incidents reported over the 3 years was 1,749. The mean age of patients on M-BW and SR sites was 81.0 ± 2.4 (51.3% females) and 80.3 ± 10.3 (50.7% females), respectively. The mean incidence of falls/1,000 patient-bed days on M-BW and SR sites was 5.44 ± 4.76 and 15.82 ± 19.56, respectively (P < 0.01). Overall fracture incidence/1,000 patient-bed days on M-BW and SR sites was 0.07 ± 0.48 and 0.36 ± 1.52 (P < 0.01), respectively. The hip fracture incidence/1,000 patient-bed days on M-BW and SR sites was 0.04 ± 0.38 and 0.15 ± 1.00 (P < 0.01), respectively. One-year mortality from the date of first incident fall was lower in M-BWs (41.1%) compared with SRs (47.1%), but this is not significant (P = 0.12). Conclusion: This observational study shows a significantly increased incidence of falls and fracture in a hospital design with SRs compared with a multi-bedded facility. Consideration should be given to increased incidence of falls and falls-related injury in SRs when deciding on the percentage of single-room provision in new hospitals to admit frail older adults.
Outcomes-focused social care services for older-people and possibilities
- Author:
- SOCIAL POLICY RESEARCH UNIT
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2006
- Pagination:
- 4p.
- Place of publication:
- York
In 2005, the Social Policy Research Unit was invited by the Social Care Institute for Excellence (SCIE) to review: research and knowledge on outcomes valued by older people; and progress in developing outcome-focused services for older people in England and Wales. This research briefing summarises some of the main findings. The briefing includes discussion of the extent and nature of outcomes focused services; factors that help and hinder outcomes- focused approaches; and a number of case study examples.
The Integrated Care Evaluation Framework ((ICE-F): a realistic evaluation of integrated health and social care services in Wales
- Authors:
- CARNES-CHICHLOWSKA Susan, BURHOLT Vanessa, REA David
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2015
- Pagination:
- 81
- Place of publication:
- Cardiff
Building on the interim report from researchers at the Centre for Innovative Ageing, Swansea University, this report sets out the Integrated Care Evaluation Framework (ICE-F) developed to help service providers to design and undertake evaluations of integrated services. Specifically the ICE-F assesses the impact of delivering integrated care to older people with the aim of improving wellbeing and independence. The model provides guidance on core elements that need to be considered in the evaluation, namely cost efficiency, effectiveness and the personal benefit of independence and wellbeing. It describes the stages necessary, the data requirements and the tools providers can use to assess the outcomes of their services.The framework is structured in four stages: describing what the service hopes to achieve and how; making a decision about what is going to be used to know whether the service will achieve it overall aims; the construction of a template for service evaluation; and the health economic evaluation of cost effectiveness, followed by a cost benefit analysis on the social return of investment. The final section provides a refined theory of integrated care, explaining why and how some aspects of the different contexts, mechanisms and outcomes work together in Wales. A series of recommendations for the Welsh Government and providers of integrated health and social care are also provided. (Edited publisher abstract)
Measuring the impact of Supporting People: a scoping review: research summary
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2013
- Pagination:
- 6
- Place of publication:
- Merthyr Tydfil
The Aylward Review of Supporting People (Welsh Assembly Government, 2010) recommended the review of outcomes measurement and monitoring of Supporting People projects in Wales. This scoping study was designed to inform the range, methodology and research questions of a large scale assessment of the impacts of Supporting People across Wales. The research was carried out between April and September 2012. The scoping study explored the Supporting People provision by contacting local authorities and also surveying service providers. Existing outcome monitoring and impact assessment systems developed both within and outside Wales were also reviewed. This research summary outlines key findings of the scoping review, including the drawbacks of and problems with the methodologies used. (Edited publisher abstract)
All together now: a collaborative and relationship-centred approach to improving assessment and care management with older people in Swansea
- Authors:
- ANDREWS Nick, DRIFFIELD Deborah, POOLE Vicky
- Journal article citation:
- Quality in Ageing, 10(3), September 2009, pp.12-23.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
The need for more holistic and inclusive approaches to assessment and care management for older people is widely promoted but difficult to achieve. This paper describes the All Together Now initiative in Swansea, South Wales, which seeks to promote better practice in assessment and care management by actively involving all stakeholders, older people and family carers, and practitioners and service providers from across the statutory and third sectors. The project is underpinned by a relationship-centred approach based on the belief that an enriched environment of care will only be created when the needs of all stakeholders are acknowledged and given attention. How such a model was used to establish the goals for the project is described, together with the proposed model of evaluation.
Progress and problems in developing outcomes-focused social care services for older people in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- Health and Social Care in the Community, 16(1), January 2008, pp.54-63.
- Publisher:
- Wiley
Social care services for adults are increasingly required to focus on achieving the outcomes that users aspire to, rather than on service inputs or provider concerns. This paper reports a study aimed at assessing progress in developing outcomes-focused services for older people and the factors that help and hinder this. It describes the current policy context and discusses the social care service outcomes desired by older people. It then reports on a postal survey that identified over 70 outcomes-focused social care initiatives across England and Wales, and case studies of progress in developing outcomes-focused social care services in six localities. The study found progress in developing outcomes-focused services was relatively recent and somewhat fragmented. Developments in intermediate care and re-ablement services, focusing on change outcomes, were marked; however, there appeared to be a disjunction between these and the capacity of home care services to address desired maintenance outcomes. Process outcomes were addressed across a range of re-ablement, day care and residential services. The paper concludes by discussing some of the challenges in developing outcomes-focused social care services.
The anatomy of resilience: helps and hindrances as we age. A review of the literature
- Authors:
- BLOOD Imogen, COPEMAN Ian, PANNELL Jenny
- Publisher:
- Social Services Improvement Agency
- Publication year:
- 2015
- Pagination:
- 62
- Place of publication:
- Cardiff
Reports on the findings of a literature review to examine the outcomes that matter most to older people in relation to their personal wellbeing, the barriers that prevent older people achieving these outcomes and the role the statutory and voluntary sector, community networks and informal carers play in reducing these barriers. The review looks at the Welsh and wider UK literature and focuses on carers and older people who are not already engaged in services. Findings are discussed in the areas of: relationships, community, finance, health, home, psychological resources, information, and working and learning. The review proposes a model to understand the sorts of crises which bring people into contact with social services or to unplanned long-term care. The model focuses on the crisis triggers of carer breakdown, crime and abuse, falls, and loneliness. The review then discusses approaches and models for ‘prevention’ before highlighting the cross-cutting themes that emerged from the evidence review and their implications for service providers and policy makers. The review highlights the importance of ‘social connectedness’ and of building on the strengths in individuals, families and communities. (Edited publisher abstract)
A framework for delivering integrated health and social care for older people with complex needs
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2014
- Pagination:
- 16
- Place of publication:
- Cardiff
This Framework aims to develop integrated services to improve care and support for older people, particularly frail elderly people or those with complex needs, including dementia. It aims give greater emphasis to prevention and early intervention, to reduce, or delay, people becoming frail or developing complex needs. The Framework: summarises the relevant policy and key principles; sets out the Welsh Government’s expectations for all partners (local authorities, health, housing, third and independent sectors) to work together to develop and deliver integrated services; identifies the evidence and core requirements for local planning and delivery; and identifies key actions for delivery and high level outcomes, against which progress will be measured. (Original abstract)