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Occupational therapy: supporting people living in care homes
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Publisher:
- College of Occupational Therapists
- Publication year:
- 2013
- Pagination:
- 5
- Place of publication:
- London
An outline of how occupational therapists can help care home residents to develop a routine that improves quality of life, provide advice, ideas and equipment to support people to carry out activities that they enjoy or want to do, and offer solutions to difficulties with communication, memory or the environment. (Original abstract)
Measurement features of a long-term care quality of life (LTC-QoL) assessment scale
- Author:
- McDONALD Tracey
- Journal article citation:
- Journal of Care Services Management, 7(3), 2013, pp.76-86.
- Publisher:
- Taylor and Francis
The issue of life quality for older people admitted for long-term care is of concern to those keen to provide services that support an acceptable quality of life. This study investigates measurement characteristics of the long-term care quality of life (LTC-QoL) assessment scale developed to address a gap in quality in life assessment in such contexts, i.e. an easy to use single scale generating summary information on the life quality experienced by all older adults in care, indicating aspects requiring attention from direct care personnel and providing management information on individual and care unit outcomes in supporting residents' experiences of life quality. Analysis of repeated LTC-QoL data for 62 long-term residents in an Australian aged care facility establishes the instrument as having good reliability and validity. Exploratory factor analysis of nine items revealed high internal consistency, good test–retest reliability, and validity across age, gender, and cognitive capacity of participants. Findings establish that the LTC-QoL has adequate reliability and dimensionality. Content validity and management utility were verified by experts using and refining the scale over 7 years in long-term care contexts, resulting in an easy to use and reliable assessment tool for long-term care recipients. (Publisher abstract)
The evaluation of a Fall Management programme in a nursing home population
- Authors:
- BURLAND Elaine, et al
- Journal article citation:
- Gerontologist, 53(5), 2013, pp.828-838.
- Publisher:
- Oxford University Press
Purpose of the Study: This study evaluates a nursing home Fall Management programme to see if residents’ mobility increased and injurious falls decreased. Design and Methods: Administrative health care use and fall occurrence report data were analysed from 2 rural health regions in Manitoba, Canada, from June 1, 2003 to March 31, 2008. A quasiexperimental, pre-post, comparison group design was used to compare rates of three outcomes, falls, injurious falls, and falls resulting in hospitalisation, by RHA (programme vs nonprogramme nursing homes) and period (preprogram vs postprogram). Data collectors entered occurrence report information into spreadsheets. This was supplemented with administrative health care use data. Results: The programme appears to have benefited residents—falls trended upward, injurious falls remained stable, and hospitalised falls decreased significantly (0.036–0.021 per person-year [ppy]; p = .043). Compared with nonprogramme residents in the postperiod, both groups had the same fall rate, but programme residents had significantly fewer injurious falls (0.596–0.746 ppy; p = .02) and hospitalised falls (0.02–0.041 ppy; p = .023). Implications: These results are among a small body of literature showing that Fall Management was associated with improved outcomes in programme nursing homes from pre- to postperiod and compared with nonprogramme nursing homes. This research provides some support for the benefits of being proactive and implementing injury prevention strategies universally and pre-emptively before a resident falls, helping to minimise injuries while keeping residents mobile and active. Larger scale research is needed to identify the true effectiveness of the Fall Management programme and generalisability of results. (Publisher abstract)
A cap that fits: the 'capped cost plus' model
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2013
- Pagination:
- 76
- Place of publication:
- London
The government has committed to implementing reform of care funding in England in April 2016. However, detailed analysis of the ‘capped cost’ reforms suggests they are unlikely to meet any of their objectives. Consequently, people’s care costs will not be capped; and a market in pre-funded care insurance is unlikely to emerge. Rather than providing peace of mind to the population, annual increases in the ‘cap’ may insttead cause worry and concern. With less than three years until the reforms are due to be implemented, this report examines in detail the issues facing the ‘capped cost’ model’ and identifies the options for policymakers to fix these problems. The report concludes by assembling a range of options into an alternative package of measures that could be implemented in April 2016: the ‘capped cost plus’ model. The model comprises: a ‘cap’ on the assessed care costs that individuals are expected to pay for out of their own pockets; changes to means testing thresholds and the financial support individuals receive, proportional to their level of wealth; and a standardised expected contribution by individuals to ‘living costs’ in residential care. (Edited publisher abstract)
Release the pressure
- Authors:
- BOLOT Tim, PHILLIPS Scott
- Journal article citation:
- Health Service Journal, 123(6357), 28 June 2013, p.32.
- Publisher:
- Emap Healthcare
Highlights key lessons from US regulators that could help inform the UK care home sector. The first, that in the long run providing health and social care services in the home are much less expensive and more effective than providing them in a hospital or care home setting. The second, than individuals must be expected to assume some responsibility for their housing needs in old age, not all can be met by the government. Developments in the US have resulted in expanding privately assisted living (residential and social care); focusing on delivering economies of scale; and moving activity to the lowest cost setting that is appropriate. (Original abstract)
The road barely taken: funerals, and people with intellectual disabilities
- Author:
- FORRESTER-JONES Rachel
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 26(3), 2013, pp.243-256.
- Publisher:
- Wiley
This small exploratory UK study sought to investigate how practitioners deal with the topic of funerals and to capture the views of older people with and without intellectual disabilities about funerals. A semi-structured questionnaire was administered to 40 service managers, and five focus groups for 26 people with and without intellectual disabilities were facilitated. Questionnaires were subjected to thematic content analysis; focus group data were analysed using a grounded theory approach. Managers demonstrated confusion about organizing the funerals of people with intellectual disabilities. Few differences existed between the views of people with and without intellectual disabilities in relation to funerals and a number of core themes were identified including the lack of opportunities to attend funerals. More thought and practical interventions are needed to support vulnerable people to participate in the funerals of people they know. (Edited publisher abstract)
Analysis of the UK long term care market
- Author:
- FROST AND SULLIVAN
- Publisher:
- Technology Strategy Board
- Publication year:
- 2013
- Pagination:
- 38
- Place of publication:
- Swindon
Examines the economic research in the current care market and makes some analyses and extrapolations of future market potential. The report looks at the public and private long term care provision in the UK and makes some comparisons with global markets. It argues that the residential sector will continue to see higher growth compared to the non-residential sector. The total residential market will see a compound annual growth rate of 4.3 per cent between 2030 and 2040, with the private sector growing faster than the public sector. The report also examines how demand factors impact on the market, focusing in particular on changing demographics, the source of funding and expenditure, the consumer trends and the role of technology, and provides a brief outline of the current political and regulatory context. (Edited publisher abstract)
Making choices: meeting the current and future accommodation needs of older people: proposed criteria for change: consultation document
- Author:
- NORTHERN IRELAND. Health and Social Care Board
- Publisher:
- Northern Ireland. Health and Social Care Board
- Publication year:
- 2013
- Pagination:
- 72
- Place of publication:
- Belfast
The review of health and social care, ‘Transforming your care’ (2011) consulted on health and social care in Northern Ireland. One aim was to make home the hub of care for older people, with a recommendation to reduce the number of statutory residential care homes. This consultation document is the first in a two-stage consultation process, and outlines four criteria to be used as the basis for assessing the future role and function of statutory residential care for older people. The criteria are designed to be used by Trusts to assist decision making about the role of statutory provision in the context of planning suitable services for older people in the future. The proposed criteria are: availability and accessibility of alternative services; quality of care; care trends; and best use of public money. The consultation period runs from 29 November 2013 to 7 March 2014; but no final decisions on any individual home have been made and will not be made until both stages of consultation have been completed. (Edited publisher abstract)
Short changed: the Care Bill, top-ups and the emerging crisis in residential care funding
- Authors:
- LLOYD James, INDEPENDENT AGE
- Publisher:
- Independent Age
- Publication year:
- 2013
- Pagination:
- 28
- Place of publication:
- London
In England, more than 350,000 older people live in residential care, of whom 175,000 are ‘self-funders’ who pay for their residential care fees themselves, 143,000 have their residential care fees are paid by their council, and 56,000 ‘top-up’ the local authority funding they receive via so-called ‘third party payments. This report sets out the context for the government reforms to social care by reviewing key aspects of the current residential care market in England, including the growing use of ‘third party’ top-ups. It identifies those aspects of the Care Bill and the government’s ‘capped cost’ reforms to care funding in England that will have significant implications for the operation of ‘top-up’ payments. It explores the consequences of the new category of top-up payments - ‘self-funder top-ups’ - that will emerge following the 2016 reforms to care funding in England, and the rules that should be applied to them. It makes recommendations to policymakers that existing rules on top-ups must be properly applied, and must also be applied to the new category of ‘self-funder top-ups’ from 2016 when the Care Bill reforms are due to take effect. Applying these rules will have budgetary implications for local authorities and care providers, in light of which the Government must review public spending accordingly. (Edited publisher abstract)
Independent living in care homes for older people
- Author:
- MOORE John
- Journal article citation:
- Quality in Ageing and Older Adults, 14(3), 2013, pp.156-159.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to investigate how care homes can be de-institutionalised and what factors are key in independence for residents? Design/methodology/approach – This paper takes the form of a review of the current life of residents in care homes with insight from My Home Life Cymru. Findings – This research identifies eight best practice themes which together form a vision for care homes in the twenty-first century. Originality/value – Care homes play an important role in social care, providing services to some of our most vulnerable citizens. By focusing on the quality of life in care homes for older people, we can play a part in delivering services that people want, in the way that they want them. (Publisher abstract)