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Person centred thinking with older people
- Authors:
- SANDERSON Helen, et al, (comps.)
- Publisher:
- Helen Sanderson Associates
- Publication year:
- 2007
- Pagination:
- 19p.
- Place of publication:
- Stockport
Older people want real choices and the responsibility to choose the best possible lifestyle for them with the support they need. This little book of person centred thinking tools gives you an opportunity to start supporting older people to lead the lives they want by offering practical ways to gather information and to start to set actions that make a real difference.
Honoring the everyday preferences of nursing home residents: perceived choice and satisfaction with care
- Authors:
- BANGERTER Lauren R., et al
- Journal article citation:
- Gerontologist, 57(3), 2017, pp.479-486.
- Publisher:
- Oxford University Press
Purpose of the Study: The nursing home (NH) culture change movement advocates for residents to be able to make choices about important aspects of their care. This study seeks to understand NH residents’ perceptions of choice that they have in the care they receive while in the NH setting. The authors examine the association between residents’ perceived choice and satisfaction with care preferences being met using a mixed methods approach. Design and Methods: Using the Preferences of Everyday Living Inventory, cognitive interviews were completed with 39 NH residents which resulted in a total of 600 item-level ratings of residents’ perceived choice and satisfaction and corresponding open-ended comments on choice. Results: Quantitative findings revealed a significant Pearson correlation between residents’ perceived choice and satisfaction. Participants’ responses of free choice were linked to significantly higher ratings of satisfaction compared to no choice and some choice. Responses of some choice were associated with significantly higher ratings of satisfaction than the no choice group. Open-ended comments provided greater depth in understanding regarding how residents perceive the level of choice in fulfilling their preferences. Implications: This study establishes a positive association between NH residents’ perceived choice and feelings of satisfaction with their care preferences being met. Offering choices that are deemed favourable or solicited from NH residents is a fundamental step toward increasing resident satisfaction with NH care. (Edited publisher abstract)
Quality in social care: achieving excellence in care homes for older people
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 14 minutes 18 seconds
- Place of publication:
- London
Focusing on activities in a residential home for older people, some of them with dementia, this film explores how excellence can be achieved in residential settings. A panel of service users and social care academics analyses the support offered in the home, and assesses where and how it constitutes excellence. The panel discusses how standards of care across the sector can be raised so that all older people can experience the level of care demonstrated in this home. This film previously available under the title 'Defining Excellence: excellence in residential settings', revised in 2014. (Edited publisher abstract)
Personalisation in care homes for older people: final report
- Authors:
- ETTELT Stefanie, et al
- Publisher:
- London School of Hygiene and Tropical Medicine, Policy Innovation and Evaluation Research Unit
- Publication year:
- 2020
- Pagination:
- 117
- Place of publication:
- London
This report presents the findings of research into the barriers to achieving more personalised care in care homes for older people and measures being taken in some care homes to improve personalisation. The report sets out a brief overview of the concept of ‘personalisation’, and its close relatives, ‘choice and control’ and ‘person-centred care’; a discussion of the development of policy and practice guidance surrounding personalisation in England; findings from a review of studies of approaches, effects and contexts of personalisation in care homes; findings from the analysis of interviews with care home managers; and the results of an analysis of examples of, and barriers to, personalisation reported in CQC inspection reports. The report also draws out implications for policy, practice and research. These include acknowledging that the provision of an attentive, individualised service requires adequate staffing, staff training and management support; government and local authorities increasing their level of awareness of the differences in care provision, which are reflective of different approaches to personalisation, within care home markets; and fostering commitment to personalised care and quality of leadership of care home managers, and the skills and motivation of their care staff. (Edited publisher abstract)
Defining excellence: excellence in residential settings: older people
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
Focusing on activities in a residential home for older people, some of them with dementia, this film explores how excellence can be achieved in residential settings. A panel of service users and social care academics analyses the support offered in the home, and assesses where and how it constitutes excellence. The panel discusses how standards of care across the sector can be raised so that all older people can experience the level of care demonstrated in this home. This film has been revised and is now available under the title ' Quality in social care: achieving excellence in care homes for older people'.
Dignity in care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2020
- Place of publication:
- London
This practical guide helps to define dignity in care, as well as how best to implement it. Care with dignity is a central part of quality in care work – it supports the self-respect of the person, recognising their capacities and ambitions, and does nothing to undermine it; and it values what they can do, who they are, and the life they have lived. The guide is aimed at care providers, managers and staff who work with adults – especially older adults. It defines the meaning of real everyday dignity to the lives of people receiving social care, their carers, families and friends, as well as the managers and staff who provide it. Topics discussed include: defining dignity; recognising the individual; skills and strengths; communication; freedom to choose; privacy; involvement and inclusion; warmth and kindness; a dignified life; and a dignified death. Throughout the guide, the links between dignity and key policy issues, including Care Quality Commission (CQC) regulations, are highlighted. (Edited publisher abstract)
Facilitators and barriers to autonomy: a systematic literature review for older adults with physical impairments, living in residential care facilities
- Authors:
- van LOON Jolande, et al
- Journal article citation:
- Ageing and Society, 41(5), 2021, pp.1021-1050.
- Publisher:
- Cambridge University Press
Autonomy is important in every stage of life. However, little is known about how autonomy is enhanced for older adults living in residential care facilities (RCFs). This leads to the research question: which facilitators and barriers to autonomy of older adults with physical impairments due to ageing and chronic health conditions living in RCFs are known? The results will be organised according to the framework of person-centred practice, because this is related to autonomy enhancement. To answer the research question, a systematic literature search and review was performed in the electronic databases CINAHL, PsycINFO, PubMed, Social Services Abstracts and Sociological Abstracts. Inclusion and exclusion criteria were derived from the research question. Selected articles were analysed and assessed on quality using the Mixed Methods Appraisal Tool. Facilitators and barriers for autonomy were found and arranged in four themes: characteristics of residents, prerequisites of professional care-givers, care processes between resident and care-giver, and environment of care. The established facilitators and barriers are relational and dynamic. For a better understanding of the facilitators and barriers to autonomy for older adults with physical impairments living in RCFs, a description is based on the 35 included articles. Autonomy is a capacity to influence the environment and make decisions irrespective of having executional autonomy, to live the kind of life someone desires to live in the face of diminishing social, physical and/or cognitive resources and dependency, and it develops in relationships. The results provide an actual overview and lead to a better understanding of barriers and facilitators for the autonomy of older adults with physical impairments in RCFs. For both residents and care-givers, results offer possibilities to sustain and reinforce autonomy. Scientifically, the study creates new knowledge on factors that influence autonomy, which can be used to enhance autonomy. (Edited publisher abstract)
Does educational inequality predict exercise of users' choice? Survey evidence from domiciliary care services among elderly in Oslo, Norway
- Authors:
- TRAETTEBERG Hakon S., FLADMOE Audun
- Journal article citation:
- Social Policy and Administration, 54(7), 2020, pp.1123-1140.
- Publisher:
- Wiley
The traditional goal of equality in services remains at the heart of the Scandinavian welfare model; however, in recent decades, policymakers have also placed increased emphasis on user influence over services. Voice and choice are two channels to achieve this goal. The possibility to give feedback and voicing dissatisfaction to service providers (voice) is a well‐established channel of service users' influence, however it is increasingly supplemented by user choice schemes (choice), where one can choose between different public and private service providers. We use the case of domiciliary care for the elderly to examine how the traditional goal of user equality is associated with the growing emphasis on user influence through voice and choice. The analyses are based on user surveys carried out by the municipality in the city of Oslo, which is arguably the only municipality in Norway where user choice plays a significant role in elderly care. Since the municipality subsidizes the private providers, individual economic resources should have less relevance. However, voicing dissatisfaction and choosing between different providers may anticipate cognitive resources that are not equally distributed among the users. The survey data indicate that there is an association between level of education and propensity to exploit all channels of user influence. Expanding user influence by introducing user choice thus confirms the differences between highly educated and less educated. (Edited publisher abstract)
Consumer directed care in residential aged care: an evaluation of a staff training program
- Authors:
- McCABE Marita P., et al
- Journal article citation:
- Aging and Mental Health, 24(4), 2020, pp.673-678.
- Publisher:
- Taylor and Francis
Objectives: The advent of Consumer-Directed Care (CDC, or individualized care) in Residential Aged Care Facilities (RACFs, or residential care) will require a paradigm shift in service delivery. This article evaluated the six-session Resident at the Centre of Care (RCC) staff training program designed to equip staff to implement a CDC model of care among residents. Method: There were two experimental conditions: RCC training program alone, RCC training program plus support, and a ‘care as usual’ condition. Outcome measures were resident quality of life (QoL) and resident working relationships with staff at 3-month follow-up. At Time 1, 92 residents from RACFs participated in the program. The RCC is six sessions that focus on the development of staff skills in communicating with residents, as well as the organizational change and transformational leadership that is needed for the implementation of CDC. Results: There were significant improvements in resident QoL. There was no major difference between the RCC Program plus support condition compared to the RCC Program alone condition, but both were associated with more positive changes in resident QoL than the ‘care as usual’ condition. Conclusion: This study demonstrates that training staff in strategies to implement CDC in RACFs can lead to an improvement in the wellbeing of many residents, and that additional support to assist staff to implement the strategies may not be required to produce such improvements. Longer term follow-up is necessary to determine if the improvements in resident QoL are sustained. (Publisher abstract)
Merely a rhetorical promise? Older users' opportunities for choice and control in Swedish individualised home care services
- Authors:
- DUNER Anna, BJALKEBRING Par, JOHANSSON Boo
- Journal article citation:
- Ageing and Society, 39(4), 2019, pp.771-794.
- Publisher:
- Cambridge University Press
A policy shift has taken place in Sweden towards individualised elder-care and consumer choice. The aim of the study is to investigate how older users of home care services view and experience their opportunities of exerting influence and having choice and control in their everyday living, in terms of receiving preferred services that are flexible and responsive to their actual needs and priorities. The study was conducted in three local elder-care authorities, reflecting diverse present models of organising home care services in Sweden. Data consisted of responses to a postal survey (N = 2,792) and reports from qualitative interviews (N = 28) with older users. Our findings point to similarities rather than differences between the views and experiences of the users in the three participating local municipal elder-care authorities. A majority of users were positive about their home care services. The experiences ranged from being active and enabled to choose between providers and services, to being more or less passive dependants having to rely on the decisions of family and staff. The importance of supportive relationships, and interdependence between older people and their formal as well as informal support networks, became clear. Our findings may guide policy makers in refining home care services, irrespective of preferred model. In particular, efforts to facilitate staff continuity and prevent high staff turnover need to be prioritised. (Edited publisher abstract)