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Quality of life in older adult care homes: comparing office hours with out-of-office hours
- Authors:
- SMITH N., et al
- Journal article citation:
- Journal of Long-Term Care, November 2019, pp.153-163. Online only
- Publisher:
- King's College London
- Place of publication:
- London
Context: Poorer mortality rates and quality of care in hospitals outside of office hours is well documented. The literature on adult social (long-term) care, and in particular, care homes, is much less developed. There are, however, a few studies that suggest that outside of Monday to Friday between 9.00am and 16.30pm, quality of care in care homes might be lower. Objective(s): The objective of this study was to compare the social care-related quality of life (SCRQoL) of residents in older adult care homes during office hours (0900 to 16.30) with outside of office hours (evenings and weekends). Method(s): Researchers conducted a nested, cross-sectional study, collecting SCRQoL data using the Adult Social Care Outcomes Toolkit at two time points, office hours (Monday-Friday between 9.00 and 16.30) and outside of office hours. We did not examine nigh times in the homes. Data were collected for 99 older adult care home residents in 13 care homes (5 residential and 8 nursing) and analysed using a combination of non-parametric and parametric techniques. Findings: SCRQoL ratings were lower during the weekends and early evenings than during office hours. The differences were most pronounced in the higher order domains of social participation, occupation and control over daily life. Limitations: The study struggled to explain this variation. This work was both exploratory and small in size. The study also did not collect data on levels of staffing. Implications: Further work is required to both confirm the findings and explore the reasons for the difference. Nonetheless, this study challenges the traditional model of care, in which social activities and meaningful pastimes are mostly organised during ‘office hours’. Researchers observed evenings that were very short, as residents tended to return to their room shortly after dinner, and quiet weekends, and this was reflected in residents’ quality of life. This is contrary to the rhetoric of care homes being people’s own homes, where they would be able to choose to remain active and engaged into the evening and on the weekends, as they may have done throughout their lives. (Edited publisher abstract)
Living life: activity at the heart of care
- Authors:
- GOODMAN Alexander, (Director)
- Publisher:
- National Association of Providers of Activities for Older People
- Publication year:
- 2010
- Pagination:
- DVD
- Place of publication:
- London
This DVD contains three short films, entitled 'Why activity is important'; Living a meaningful life; and 'Starting the transformation' which provide an insight into providing good quality care in care homes for older people. The films draw on interviews with older people, staff, relatives and volunteers to show how life in a care home can include real relationships and a sense of community. The DVD, produced as part of the Activity Toolkit series, can be used as a training resource for those working in care homes.
Creature comforts
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 22.1.09, 2009, pp.26-27.
- Publisher:
- Reed Business Information
The importance of pet ownership to older people is often underestimated but there is evidence that it can help their well-being. Despite this, only a minority of care homes routinely accept them.
Understanding care homes: a research and development perspective
- Editors:
- FROGGATT Katherine, DAVIES Sue, MEYER Julienne, (eds.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2009
- Pagination:
- 272p.
- Place of publication:
- London
Understanding Care Homes draws together a range of research and development initiatives that emphasise the importance of partnership working, and of enabling older people and their families to maintain the highest quality of life. The book is divided into three sections, each investigating how research and development can be undertaken to provide better care for the individual resident and their family, to enhance care at the organisational level and to develop the care home's relationships within the wider community. By addressing the concerns of residents and their families as well as those of carers and home managers, this book identifies how the generation of new knowledge through research can bring about real changes in care provision.
How to keep residents active
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 4.12.08, 2008, pp.30-31.
- Publisher:
- Reed Business Information
Ashley House care home in Borden, Hampshire provides a wide range of activities for residents - both formally structured events and spontaneous activities. This article reports on their practice and the benefits for residents.
My home life: quality of life in care homes: a review of the literature
- Author:
- NATIONAL CARE HOMES RESEARCH AND DEVELOPMENT FORUM
- Publisher:
- Help the Aged
- Publication year:
- 2007
- Pagination:
- 192p., bibliog.
- Place of publication:
- London
My Home Life is a new initiative aimed at improving the quality of life of those who are living, dying, visiting and working in care homes for older people. This review aims to find existing best practices in care homes and promote care homes as a positive option for older people. The project is working to help improve the quality of life in care home, through the development of a range of resources, events, practice development initiatives and other activities.
My Home Life: a new vision for care home practice
- Authors:
- OWEN Tom, MEYER Julienne
- Journal article citation:
- Journal of Dementia Care, 15(5), September 2007, pp.28-30.
- Publisher:
- Hawker
The My Home Life programme aims to improve the quality of life for everyone involved in care homes - residents, staff and visitors. This article outlines the vision of My Home Life and discusses the eight best practice themes identified: managing transitions; maintaining identity; creating community; sharing decision-making; improving health and healthcare; supporting good end-of-life care; keeping workforce fit for purpose; and promoting positive culture.
Reminiscence: social and creative activities with older people in care
- Author:
- SIM Roger
- Publisher:
- Speechmark
- Publication year:
- 1997
- Pagination:
- 229p.
- Place of publication:
- Bicester
Ideas for Activities themes and resources using photographs, slides, videos, cultural trips etc. Reminiscence sessions and associated activities are an appropriate and effective way of bringing pleasure, stimulation, meaning and purpose into the lives of older people in care. This manual describes in detail the kind of activities that can be carried out, as well as the principles behind Reminiscence Work.
Residential homes: quality of life and quality of service
- Authors:
- WATKINS Tim, PEARSON Nich
- Publisher:
- Welsh Consumer Council
- Publication year:
- 1996
- Pagination:
- 112p.,bibliog.
- Place of publication:
- Cardiff
Report summarising the main conclusions of research carried out by the Welsh Consumer Council into the quality of life of older people living in residential homes.
Mot en ny institutionsvardag. (Towards a new everyday life in institutions.)
- Author:
- VILJARANTA Liisa
- Journal article citation:
- Nordisk Sosialt Arbeid, 13(4), 1993, pp.19-27.
- Publisher:
- Universitetsforlaget AS
Describes a development project carried out in some institutions for the elderly in Finland. The project lasted almost three years, with the aim of changing the everyday life of the institution so that there would be greater scope for self-determination and participation for the older people. All the employees, from the superintendent to the caretaker, took part in the development and the associated group work, which was the most important working form used by the project.