Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 4 of 4
Factors associated with higher quality assessment tools in care homes
- Authors:
- WORDEN Angela, CHALLIS David
- Journal article citation:
- Journal of Care Services Management, 2(1), October 2007, pp.79-91.
- Publisher:
- Taylor and Francis
This paper investigates the relationship between the quality of assessment tools used in care homes and the different characteristics of care homes in part of North-West England. Using both single variable comparisons and multivariate analyses there were several home characteristics associated with the use of higher-quality assessment tools. Higher-quality assessment process were associated with homes being larger, part of a group or chain, provision of staff training and run by non-for-profit organisation or local authority. Poorer quality of assessment was associated with inspection reports indicating lower standards of management and staffing and generally poorer quality of the home. The findings raise the question as to whether government initiatives to improve assessment of older people should be extended to care homes, with a need to focus on certain types of home where assessment is less likely to be well developed.
Assessing care home quality using routine regulatory information
- Authors:
- WORDEN Angela, CHALLIS David
- Journal article citation:
- Quality in Ageing, 7(3), September 2006, pp.33-44.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Quality is an essential criterion by which care homes for older people are judged. However, the measurement of quality is both challenging and potentially costly. This article examines the potential of using routinely generated data from inspection processes as quality indicators. Eight key areas are identified: leadership, activity, meals services, health, staffing, size of homes, environment and quality of life. It indicates that generation of such information is possible, providing material that may be used in research and also for more general guidance.
Assessment in continuing care homes: towards a national standard instrument
- Authors:
- CHALLIS David, CARPENTER Iain, TRASKE Karen
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1996
- Pagination:
- 94p.,tables,bibliog.
- Place of publication:
- Canterbury
Report from a study examining the role of assessment in continuing care homes for older people, including a review of relevant care systems, procedures and documents in the UK and elsewhere. Assessment of quality in residential settings currently focuses on standards measuring regime, staff quality and casemix using aggregated home level information, but there is very little individual care plan or resident focus to quality assurance. Concludes that what is needed is a single instrument, the Minimum Data Set/Resident Assessment Instrument developed in the United States, to measure all the aspects of care home life.
Home care services for older people: findings from a national survey of social care commissioners
- Authors:
- HUGHES Jane, CHESTER Helen, CHALLIS David
- Journal article citation:
- Research Policy and Planning, 30(1), 2013, pp.51-64.
- Publisher:
- Social Services Research Group
This paper explores local authority commissioning and contracting arrangements for home care, staff training opportunities and the range of services provided for older people utilising data from a national postal survey with a 74 per cent response rate. Local authority provision focused on intermediate care services. Joint commissioning of this with health was common but less likely for specialist mental health services. Most home care was commissioned from and provided by independent sector providers with contractual requirements identified as a means of influencing and monitoring training opportunities. A range of services were provided for users, additional to personal care. Local authority training was sometimes available to independent providers, focused on statutory requirements rather than user needs. Implications for the development of high quality services are discussed in terms of user need, service flexibility and training for staff providing direct care. It is suggested that within the commissioning process key drivers of the development of more personalised high quality home care services are: regular dialogue with service providers; greater health and social care involvement in a joint commissioning process; alignment of contracting arrangements to reflect service outcomes; and specification of training requirements within the setting and monitoring of home care contracts. (Publisher abstract)