Search results for ‘Subject term:"older people"’ Sort:
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Stoke-on-Trent: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 42
- Place of publication:
- Newcastle upon Tyne
One of 20 targeted local system reviews looking specifically at how older people move through the health and social care system, with a focus on how services work together. The review looks at how hospitals, community health services, GP practices, care homes and homecare agencies work together and whether services are safe, effective, caring, responsive and well led. The review found that older people living in Stoke-on-Trent sometimes have poor experiences of care and do not always have access to the right care, in the right place at the right time because the health and social care system, led by Stoke-on-Trent City Council and Stoke-on-Trent Clinical Commissioning Group, is not working in a joined up way that is meeting their needs. The reviewers found that organisations and individuals designing and delivering services in Stoke-on-Trent were not working to an agreed, shared vision and that there was a lack of whole system strategic planning and commissioning with little collaboration. This resulted in people finding it difficult to access GP appointments, older people being delayed in hospital, and needs and care packages in the community not being reviewed as regularly as they should be. The review also identifies areas for improvement. (Edited publisher abstract)
Halton: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 35
- Place of publication:
- Newcastle upon Tyne
One of 20 targeted reviews of local authority areas looking specifically at how older people move through the health and social care system, with a focus on how services work together. The review looks at how hospitals, community health services, GP practices, care homes and homecare agencies work together and whether services are safe, effective, caring, responsive and well led. The review found that there was a strong commitment and a shared vision across the local authority and the clinical commissioning group (CCG) to serve the people of Halton well. There was a positive approach in Halton to maintain people’s health and wellbeing in their own homes, with services designed for older people to keep them socially included, active and able to manage their long term conditions. There was good support for carers including those supporting people living with dementia. Halton had also recently introduced new services introduced to avoid hospital admissions, including a rapid seven-day re-ablement service and a rapid clinical assessment team. Transformation projects for care homes and domiciliary care were underway so that people’s individual needs could be met in a timely way. This had led to a reduction in the numbers of delayed transfers of care and improvements in performance. The review also identifies areas for improvement (Edited publisher abstract)
Bracknell Forest: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 42
- Place of publication:
- Newcastle upon Tyne
One of 20 targeted local system reviews looking at how older people move through the health and social care system, with a focus on how services work together. The review consideres how hospitals, community health services, GP practices, care homes and homecare agencies work together and whether services are safe, effective, caring, responsive and well led. The review found that the health and social care system in Bracknell Forest was working effectively and using an integrated approach that was having positive outcomes for older people. Most older people were receiving good quality health and social care services in a timely way. Reviewers found evidence of strong strategic leadership between Bracknell Forest Council, Bracknell and Ascot Clinical Commissioning Group and providers, with a well-established, collaborative approach to designing and delivering services. Bracknell Forest service priorities included helping older people avoid unnecessary admissions to hospital, offering older people support to stay well, and improving the capacity of homecare agencies and care homes to manage the recruitment challenges. As a result, there had been reductions the numbers of people remaining in hospital while they waited for their ongoing care to be arranged. Performance had improved and was better than comparator and national averages. The review also identifies areas for improvement. (Edited publisher abstract)
Leeds: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 36
- Place of publication:
- Newcastle upon Tyne
The findings of a targeted local system review of health and social care services in Leeds, looking at how older people move through the care system, with a focus on how services work together. The review focuses on three areas: supporting people at home, care and support when people experience a crisis and hospital discharge. It gathered feedback from a range of people including those responsible for directly delivering care, as well as people who use services, their families and carers. CQC reviewers identified a good voluntary, community and social enterprise sector in Leeds with many opportunities for people to receive support, particularly for people at risk of social isolation and loneliness. Initiatives included investment in community based Neighbourhood Networks and multidisciplinary Neighbourhood Teams to help people remain well at home. The review found that when older people attended hospital, there was a higher chance than the England average that they would be admitted, and once people were admitted it was difficult for them to return home with support. Some areas of good practice were also identified, including the provision of 227 community care beds across the city as a responses to delayed discharges and the pressure of bed occupancy. The report concludes that system leaders in Leeds had a shared vision that was supported and understood across health and social care organisations, with a shared understanding of the challenges ahead. The review identifies some potential areas for improvement, which include for continued work to reduce hospital admissions and the development evaluations and exit plans for people who had benefitted from support in the community. (Edited publisher abstract)
Staffordshire: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 28
- Place of publication:
- Newcastle upon Tyne
The findings of a targeted local system review of Staffordshire, looking at how older people move through the health and social care system, with a focus on how services work together. It focuses on three areas: supporting people at home; care and support when people experience a crisis; and hospital discharge. The review gathered feedback from a range of people including those responsible for directly delivering care, as well as people who use services, their families and carers. The review found that although there was a shared vision from leadership in the county’s Sustainability and Transformation Partnership (STP), but that this did not transfer to those at an operational level. Overall CQC reviews found that older people living in Staffordshire had varied experiences of health and social care services, and that there were variations in what was available to them depending on where they live; there were instances of people attending A&E because they couldn't get GP appointments; A&E attendance for people over 65 living in care homes were higher than both national and comparator areas; there were also delays in older people being discharged from hospital. The review also identified examples of good practice, for example people were being supported to remain in their own home through services coordinated through a GP practice hub model. The review makes a number of suggestions for improvement: further development of a whole county joint commissioning strategy to enable consistency of provision throughout Staffordshire; the development of a whole county dementia strategy; and the rolling out of nationally validated models of GP support for care homes. (Edited publisher abstract)
Social care in prisons in England and Wales: a thematic report
- Authors:
- CARE QUALITY COMMISSION, HM INSPECTORATE OF PRISONS
- Publisher:
- HM Inspectorate of Prisons
- Publication year:
- 2018
- Pagination:
- 43
- Place of publication:
- London
This joint review looks at the provision of social care in prisons following the introduction of new social care services to prisoners under the Care Act 2014 and the Social Services and Well-Being (Wales) Act 2014. It draws on inspection reports and additional data collection conducted in eight establishments. Although the review identified developments that are good practice in the social care of prisoners, it found a wide variation and disparity in the provision of social care services in prisons. Many older jails are ill-equipped for prisoners in wheelchairs or with mobility problems. Some prisoners also struggle to wash and look after themselves. The report also shows a failure of the prison service and local authorities to plan for the future needs of a growing population of older and frail prisoners, with developments in social care in prisons only relating to current levels of need. The report makes recommendations for prisons and local authorities in relation to strategic planning, needs assessment, care planning, adapting the physical environment, and continuity of care when prisoners are transferred or released into the community. (Edited publisher abstract)
Checking services for people living in their own homes: this is an easier to read version of our report on our home care inspection programme
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 24p.
- Place of publication:
- London
This is a brief, easy read report summarising a themed inspection programme of home care services in England. A total of 250 home care agencies were inspected, consisting of 208 privately owned agency services, 22 council owned and 20 owned by voluntary organisations. These ranged from ‘micro’ providers (fewer than five clients) to a service caring for 700 people. Overall three out of four services were considered very good. The programme also tested the ways in which the views of people who use services, as well as those of their carers and relatives are captured. The findings are collated under the headings; what worked well, and what needs to change.
Not just a number: home care inspection programme: national overview
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 60p.
- Place of publication:
- London
As a consequence of the growing number of people being cared for in their own homes, the number of home care services registered with the Care Quality Commission (CQC) increased by 16% in 2011/12. This themed inspection programme of home care services in England reports in detail on the quality of care delivered to people in their own homes by regulated providers. A total of 250 home care agencies were inspected, consisting of 208 privately owned agency services, 22 council owned and 20 owned by voluntary organisations. These ranged from ‘micro’ providers (fewer than five clients) to a service caring for 700 people. Overall, 74% (184 out of 250) of services met all the five standards inspected. The findings are collated under the headings; what worked well, and what needs to improve. There were many example of good practice but the report highlights and makes recommendations on the following areas: late and missed visits; lack of consistency of care workers; lack of support for staff to carry out their work, and failure to address the ongoing issues around travel time; poor care planning and a lack of regular review; and staff understanding of their safeguarding and whistleblowing responsibilities. Gaps were also found in some agencies’ quality monitoring processes, including not actively seeking the views of people using services.
Not just a number: home care inspection programme: national overview: summary
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 8p.
- Place of publication:
- London
This brief report summarises a themed inspection programme of home care services in England. A total of 250 home care agencies were inspected, consisting of 208 privately owned agency services, 22 council owned and 20 owned by voluntary organisations. These ranged from ‘micro’ providers (fewer than five clients) to a service caring for 700 people. Overall, 74% (184 out of 250) of services met all five standards inspected. The programme also provided an opportunity to test and develop different ways of capturing the views of people who use services, as well as those of their carers and relatives. The findings are summarised clearly in tables, graphically and using quotations from users. There were many examples of good practice but the report highlights and makes recommendations on the following areas: late and missed visits; lack of consistency of care workers; lack of support for staff to carry out their work, and failure to address the ongoing issues around travel time; poor care planning and a lack of regular review; and staff understanding of their safeguarding and whistleblowing responsibilities. Gaps were also found in some agencies’ quality monitoring processes, including not actively seeking the views of people using services.