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Using survey data to measure changes in the quality of home care: analysis of the older people's user experience survey 2006
- Authors:
- MALLEY Juliette, NETTEN Ann, JONES Karen
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2007
- Pagination:
- 110p., bibliog.
- Place of publication:
- Canterbury
The development of the User experience Survey (UES) and the inclusion of the user’s perspective in the Performance Assessment Framework (PAF) were novel and important steps forward in the world of performance assessment and monitoring of social services. Commentators had previously criticised the lack of connectedness between the performance/quality and user involvement agendas and these developments represented real steps forward in meeting this goal. Analysis from the 2003 extension to the UES for older people has demonstrated that user experience measures can usefully discriminate between Local Authorities (LAs). While his new research raises some important questions, this type of approach is clearly an improvement on performance measurement based on processes and inputs. Fifty authorities took part with representation from all Government Office Regions and LA types. Analysis of responses to the compulsory questions and comparison with responses to these questions nationally revealed very similar proportions responding to each category. We can assume from these findings that the sample of authorities is broadly representative of the views of service users across England.
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.
National care standards: care homes for older people
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2007
- Pagination:
- 66p.
- Place of publication:
- Edinburgh
- Edition:
- Rev ed.
The National Care Standards Committee was set up by the Scottish Government to develop national standards in collaboration with a number of working groups including service users and service providers. They are designed to be from the point of view of service users to help them to understand what they can expect from the service provider. They may also be of use to service providers to help them know what is expected of them. The standards in this publication cover care homes for older people. These services offer 24-hour care, 7 days a week, to older people. They provide accommodation together with nursing care, personal care and support. Older people may choose to stay in a care home permanently, or for regular planned short breaks. Staff should be able to cater for individual’s changing needs so they should not have to move if they become ill. The standards are grouped under 4 headings: before moving in; settling in; day-to-day life; and moving on.
Using older home care user experiences in performance monitoring
- Authors:
- JONES Karen, et al
- Journal article citation:
- Health and Social Care in the Community, 15(4), July 2007, pp.322-332.
- Publisher:
- Wiley
Home care services play a fundamental role in England in supporting older and disabled people in their own homes. In order to identify and monitor the degree to which these services are providing good quality services, in 2003 the government required all councils with social services responsibilities (CSSR) to undertake user experience surveys among older service users. The questionnaire was required to include four questions, two of which were designed to be used as Best Value Performance Indicators (BVPI) reflecting the quality of home care of older people. Thirty-four local authorities participated in an extension study providing data from 21,350 home care users. The aim of the study was to answer three questions: (1) Do the performance indicators reflect home care quality? (2) Are the performance indicators using the most appropriate cut-off points? (3) What are the underlying constructs of home care quality? Evidence was found to support the use of two of the performance indicators and the current cut-off point being used for the satisfaction indicator. Factor analysis identified indicators of important dimensions of quality that were associated with overall satisfaction.
Multi-agency inspection: collaborative working across services for older people in Tayside
- Author:
- SOCIAL WORK INSPECTION AGENCY
- Publisher:
- Social Work Inspection Agency
- Publication year:
- 2007
- Pagination:
- 116p.
- Place of publication:
- Edinburgh
This report gives an overview of collaborative working between health and social work services provided in Tayside (covering NHS Tayside, and Angus, Dundee City and Perth and Kinross Councils). It also sets out the strengths and areas of good practice as well as identifying areas where improvements are needed. There were distinctive differences in the way in which the three Tayside health and social work partnerships approached their strategic and operational responsibilities for services for older people, despite there being one health board, NHS Tayside.
Multi-agency inspection: collaborative working across services for older people in Tayside
- Author:
- SOCIAL WORK INSPECTION AGENCY
- Publisher:
- Social Work Inspection Agency
- Publication year:
- 2007
- Pagination:
- 6p.
- Place of publication:
- Edinburgh
Main findings of a multi-agency inspection of services for older people in Tayside are presented. Older people in Tayside were generally pleased with the services they received and the way these services worked together. Carers were less satisfied with the support they received, although this is consistent with the way carers across Scotland feel. There is one health board, NHS Tayside, and three councils, Angus, Dundee and Perth and Kinross. There were distinctive differences in the way that the three health and social work partnerships in Tayside provided services. There was no over-arching strategy for health services for older people.
Unhappy change of scene
- Author:
- -
- Journal article citation:
- Community Care, 19.04.07, 2007, pp.40-41.
- Publisher:
- Reed Business Information
A practice panel comment on the case of an 85-year-old women who changed care homes to stay close to her daughter, and then faced a deterioration of her health and memory.
Helping informal caregivers with responsive communication in the adult day care center
- Authors:
- CHEUNG Chau-Kiu, NGAN Raymond Man-Hung
- Journal article citation:
- Administration in Social Work, 31(2), 2007, pp.27-48.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Informal caregivers of older users of adult day care centers are important clients for promoting the quality of services related to them. From the perspective of quality management, responsive communication and training provided to informal caregivers would enhance the caregivers' knowledge about the services of the center and thereby their perception about the helpfulness of the center. These effects are the focus of examination in the present study, which surveyed 508 caregivers affiliated with 22 adult day care centers in Hong Kong. The study measured the responsive communication of the center by aggregating caregivers' perceptions. Results support the hypothesis by revealing the contributions of the responsive communication of the center and the caregiver's knowledge to the caregiver's perception of helpfulness of the center. Moreover, responsive communication appears to foster the caregiver's service knowledge. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Caregiver objective burden and assessments of patient-centered, family-focused care for frail elderly veterans
- Authors:
- ROSE Julia Hannum, et al
- Journal article citation:
- Gerontologist, 47(1), February 2007, pp.21-33.
- Publisher:
- Oxford University Press
There is a growing consensus that quality of care for frail elders should include family and be evaluated in terms of patient-centered, family-focused care (PCFFC). Family caregivers are in a unique and sometimes sole position to evaluate such care. In the context of caring for physically frail elders, this study examined the extent to which objective burden was associated with caregiver perceptions of PCFFC and the extent to which it mediated the influence of other variables on perceptions of PCFFC. In a study of frail elderly veterans receiving care in U.S. Department of Veterans Affairs ambulatory primary care clinics, informal caregivers assessed quality of care with 13 questions. Factor analysis of these items revealed an eight-item scale that specifically assessed PCFFC ( =.90). Regression analysis identified variables associated with caregiver (N = 210) assessments of PCFFC and the potential mediating effect of objective burden. Caregiver assessments of PCFFC were positively associated with care recipient instrumental activity of daily living limitations and perspectives on the quality of their own patient care. Greater objective burden was negatively associated with caregiver assessments of PCFFC and mediated (i.e., reduced) the relationship between care recipient perceptions of the quality of their own patient care and caregiver assessments of PCFFC (R2 =.06). These findings support recommendations for conducting caregiver assessments as part of routine care and highlight the importance of measuring objective burden and expectations for PCFFC in assisting physically frail elders. Primary care providers will require additional training in order to effectively implement and translate such caregiver assessments into clinical practice improvement.