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Moral dilemmas and the management of private residential homes: the impact of care in the community reforms in the UK
- Authors:
- ANDREWS Gavin J., PHILLIPS David R.
- Journal article citation:
- Ageing and Society, 20(5), September 2000, pp.599-622.
- Publisher:
- Cambridge University Press
Based on a three-stage quasi-longitudinal survey of over 100 residential care homes in one county, this paper considers changes in the overall size and structure of a local sector and discusses the specific management strategies that have been adopted by proprietors. The withdrawal of guaranteed state support has impacted heavily on residential home businesses. Indeed, many homes have multiple vacancies and have been facing financial hardships. The paper concludes with a discussion of the ethical and moral issues associated with certain management decisions and their possible effects on residents.
Private residential care for older persons: local impacts of care in the community reforms in England and Wales
- Authors:
- ANDREWS Gavin J., PHILLIPS David R.
- Journal article citation:
- Social Policy and Administration, 34(2), June 2000, pp.206-222.
- Publisher:
- Wiley
The 1990 National Health Service and Care in the Community Act, implemented in 1993, had as a prime objective the creation of social care markets. Since then, residential homes have had to complete amongst each other for a finite number of clients funded by limited local budgets. The withdrawal of guaranteed state support and the introduction of a marketplace have had negative impacts on many residential home businesses. This article considers the actions and attitudes of proprietors under the new conditions, based on a three-stage survey in Devon. The private residential sector illustrates that local social care markets have the potential to produce negative outcomes that are far from ideal and, to some extent, the article highlights a market failure. As a case study this research also demonstrate the value of undertaking locality-based detailed studies over time to investigate the impacts of policy change.