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SCIE research briefing 34: communication training for care home workers: outcomes for older people, staff, families and friends
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Pagination:
- 16p.
- Place of publication:
- London
This briefing draws on a range of UK and internationally published research to look at training to improve nursing and residential care workers' communication skills. This research asks: What sort of topics does ‘training in communication skills’ cover? What teaching and learning methods can be used to deliver training? Does training lead to improvements in knowledge? Does training improve the way that staff in nursing and care homes communicate with older people, their family carers and friends? Do residents and family carers think that training has resulted in improvements to the quality of care that they receive? What incentives and reinforcements can be used to help staff continue to apply what they have learned during training? Implications from the research for organisations, the policy community, practitioners and people who use services and their carers are briefly discussed. More studies looking at the effects of training in the long term and more drawing on the perspectives of older people and carers are needed.
Correlates and prevalence of depression in Chinese residents of nursing homes in Hong Kong and implications for services and intervention policies
- Authors:
- YEUNG Jerf W. K., CHING Kwok-Lai Yuk, CHUNG Annie
- Journal article citation:
- Ljetopis Socijalnog Rada, 17(3), 2010, pp.445-460.
- Publisher:
- University of Zagreb
- Place of publication:
- Zagreb
In 2006, 12% of the total population of Hong Kong was aged 65 or above; in 2031 the total number of elderly people is expected to reach 25% of the population there. Noting that depression is one of the most common mental health problems occurring among older people, this study investigated the prevalence of depression. It used questionnaires to gather information from a sample of 187 older people living in 2 nursing homes in the Kwun Tong district of Hong Kong. The results showed that 17.6% of the participants reported a manifest level of depression according to the Geriatric Depression Scale. The researchers found that personal financial strain and physical functioning impairment were significantly predictive of depression. However, strong support networks in the residential setting and high self-esteem were factors which reduced the likelihood of developing depression. The authors discuss the findings and their implications for services and intervention policies.
Bridging the gap in care provision
- Author:
- DARWENT Jenny
- Journal article citation:
- Viewpoint, 118, September 2010, pp.22-23.
- Publisher:
- Mencap/Gateway
There are an estimated 25,000 older people with a learning disability living in England, and this number is rising due to improved care and medical advancements. This article notes that the particular needs of older people with a learning disability are not usually met by standard homes for older people. It describes the work of the Fynvola Foundation and its Lady Dane Farmhouse, a residential home in Faversham dedicated to caring for older people with a learning disability.
Older people who use BSL: preferences for residential care provision in Wales
- Authors:
- HUNT Ros, ORAM Rosemary, YOUNG Alys
- Publisher:
- University of Manchester
- Publication year:
- 2010
- Pagination:
- 59p.
- Place of publication:
- Manchester
The Welsh Assembly Government has begun to consider whether there is a case for the establishment of a specialist, Sign Language medium, residential care provision for deaf people in Wales. Currently there is no care home provision in Wales where British Sign Language (BSL) is used as a matter of course. All deaf older people in Wales are placed in care environments where BSL is not routinely used by staff and where they are often the only deaf resident. The study comprised: 4 community consultations involving 32 deaf people throughout Wales; 6 stakeholder interviews with representatives of relevant specialist service providing organisations in Wales; and 7 individual interviews with older deaf people. The findings are discussed under the following headings: high levels of concern about the current situation; communication and language as pre-eminent issues; failure to meet cultural needs; the whole older people’s care spectrum; arguments for specialist residential care; and barriers to specialist residential care provision. The report concludes that there is a clear need to change current practice. Meeting deaf people’s linguistic and cultural needs should be the starting point in making decisions about future care provision, and in judging the efficacy and appropriateness of this care.
Choice of accommodation: care homes
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2010
- Pagination:
- 14p.
- Place of publication:
- London
This factsheet explains what rights care home residents have to choose which home they will live in when the local authority assists with the funding and arrangement of the placement. It is also relevant to residents who arrange and fund their own residential care to start with but need local authority assistance later on. The rights of individuals to choose their own care home accommodation have been developed over a number of years. Local authorities have a responsibility to provide a range of accommodation to meet identified needs at their ‘usual cost’. In this context ‘top-up’ of care home fees is only appropriate where a genuine choice has been made by a service user to live in a care home that costs more than the ones that the local identified have identified to meet identified eligible needs. The information in this factsheet is correct for the period April 2009 to March 2010.
Projections of demand for residential care for older people in England: report for BUPA
- Authors:
- KING Derek, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2010
- Pagination:
- 23p., bibliog.
- Place of publication:
- Canterbury
This paper reports on the impact that changes in assumptions about household composition, housing tenure and the balance of domiciliary to institutional care could have on the future numbers of older people in care homes. It uses the PSSRU model, a macrosimulation model which makes projections of demand for long-term care for older people. A series of scenarios regarding changes in household composition, tenure, and balance of care were developed for this project, and their impact compared to that of scenarios previously investigated about variant population projections, marital status and rises in the real costs of care. The results show the impact of the scenarios in terms of the distribution between public and privately funded residents in care homes, projected numbers of recipients of local authority funded home care, total expenditure on long-term care and workforce requirements for care homes. The analyses suggest that projections of future demand for residential care are very sensitive to assumptions regarding the rate of change in the probability of entering residential care. This is also likely to impact significantly on the distribution of funding of residential care between public versus private spending. The rate of change in the probability of entering residential care is also likely to have a significant impact on the future demand for workers employed in care homes.
Care of elderly people: UK market survey 2010-11
- Editors:
- LAING William, (ed.)
- Publisher:
- Laing and Buisson
- Publication year:
- 2010
- Place of publication:
- London
- Edition:
- 23rd ed.
This survey offers a wide-ranging review of the current state and future prospects for this £20 billion sector, with facts, figures and analysis based on original research. Topics covered include: demand and capacity; market structure; facility openings and closures; the political and regulatory environment; fee rates; corporate penetration and consolidation; profitability; and the impact of public spending cuts. New to this edition is an appendix with financial information for up to four years for all significant providers of care homes and home care for older people. While national demand for care homes has stabilised in recent years, incumbent providers have been challenged by an unexpected surge in new capacity, as care home developers have found ways of moving forward despite bank lending constraints. The authors suggest that the market is becoming increasingly polarised as providers with high exposure to state-funded customers are finding their margins squeezed by funding cuts. Providers with a focus on private payers are said to be finding market conditions less difficult despite the recession. Those with the ability and vision to broaden their business to encompass a continuum of residential and non-residential services are believed to have good opportunities to build brand value with a new generation of care service consumers.
Encouraging the bond between children and grandparents
- Authors:
- SMETHERS Sam, COOK Glenda
- Journal article citation:
- Nursing and Residential Care, 12(8), August 2010, pp.396-397.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Care homes can sometimes make family visitors feel as if they are disrupting the running of the place. This article argues that properly managed residential care homes can be made more family friendly, while respecting the needs of other residents. The article emphasises the importance of grandparents to their families and to society, both in terms of the social support that older members of a family give to younger generations and the economic contribution made through childcare. It argues that the role of grandparents in the family should not be diminished as they move into care home and that residential care can be supportive to family relationships. Moreton Hill Care Centre in Gloucestershire is described as an example of a place where family relationships are supported. Children are made to feel welcome through the use of toys and themed events, and facilities are provided to encourage family events and parties.
The power of observation: a reliable method for measuring outcomes in care homes?
- Authors:
- TOWERS Ann-Marie, et al
- Journal article citation:
- Generations Review, 20(2), April 2010, Online only
- Publisher:
- British Society of Gerontology
Measuring and monitoring dignity, quality of care and outcomes for residents of care homes presents particular methodological challenges. It becomes increasingly difficult to ascertain the views of care home residents as their level of cognitive and communication abilities decline. This article reports on a project to develop a tool for measuring outcomes for people in residential care, based on observations by pairs of fieldworkers. Indications are that with some future development of the tool and the necessary additional guidance and training, this approach could be a reliable methodology for measuring outcomes in care homes in the future.
Charging arrangements for residential social care: consultation on issues concerning the current charging arrangements for residential social care
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 12p.
- Place of publication:
- London
In 2006-07, a stakeholder group convened by the Department of Health to consider the residential charging arrangements raised a number of issues about the charging regulations and guidance. This consultation seeks views on 4 of these issues and specifically on potential amendments to the National Assistance (Assessment of Resources) Regulations 1992, the National Assistance (Residential Accommodation) (Additional Payments and Assessment of Resources) (Amendment) (England) Regulations 2001, the National Assistance (Residential Accommodation) (Relevant Contributions) (England) Regulations 2001 and the Charges for Residential Accommodation Guidance (CRAG). The consultation is about changes to the charging regulations regarding: the treatment of personal injury compensation, the treatment of single premium investment bonds, the introduction of a new disregard for pre-paid funeral plans, and deferred self top-ups during the 12 week property disregard. Responses are also sought regarding impact and equality impact of the proposals. The consultation document states that it is anticipated that these changes, on balance, will not have a significant impact on local authority budgets. The consultation period runs until 23 April 2010.