This document sets out National Minimum Standards for Care Homes for Older People issued by the Welsh Assembly Government under section 23 of the Care Standards Act 2000 (CSA). These standards will be used by the Assembly’s Care Standards Inspectorate for Wales (CSIW) when determining whether these care homes are providing adequate care, meeting the needs of the persons who live there and otherwise being carried on in accordance with regulatory requirements. The Welsh Assembly Government will keep the standards under review, and may publish amended standards as appropriate.
This document sets out National Minimum Standards for Care Homes for Older People issued by the Welsh Assembly Government under section 23 of the Care Standards Act 2000 (CSA). These standards will be used by the Assembly’s Care Standards Inspectorate for Wales (CSIW) when determining whether these care homes are providing adequate care, meeting the needs of the persons who live there and otherwise being carried on in accordance with regulatory requirements. The Welsh Assembly Government will keep the standards under review, and may publish amended standards as appropriate.
Subject terms:
inspection, older people, regulation, social services, standards, care homes, health authorities;
GREAT BRITAIN. Department of Health. Social Services Inspectorate
Publisher:
Great Britain. Department of Health. Social Services Inspectorate
Publication year:
2001
Pagination:
69p.,diags.
Place of publication:
London
This inspection report focuses on services for older people in twenty-one local authorities. It focuses in particular on how social services are responding to the national agenda set out in the November 1998 White Paper 'Modernising social services'. It analyses what has improved for older people and their carers, and what factors promoted and inhibited improvement. The biggest message from the inspection was that the majority of social services departments had responded to the White Paper by creating or expanding independence by promoting services targeted at prevention and rehabilitation. This was appreciated by service users but was not yet large scale. The report contains many illustrations of good practice, including user focused residential care, assessment and care planning, culturally responsive services, public information and promoting independence.
This inspection report focuses on services for older people in twenty-one local authorities. It focuses in particular on how social services are responding to the national agenda set out in the November 1998 White Paper 'Modernising social services'. It analyses what has improved for older people and their carers, and what factors promoted and inhibited improvement. The biggest message from the inspection was that the majority of social services departments had responded to the White Paper by creating or expanding independence by promoting services targeted at prevention and rehabilitation. This was appreciated by service users but was not yet large scale. The report contains many illustrations of good practice, including user focused residential care, assessment and care planning, culturally responsive services, public information and promoting independence.
Subject terms:
inspection, local authorities, older people, social services, social care, social care provision;
Content types:
inspection report, standards, government publication
This pack contains three booklets: 'National service framework for older people', 'National service framework for older people: executive summary', and 'Medicines and older people'. The national service framework for older people is a ten year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people; and the promotion of heath and active life in older age. Sections on local delivery of services, ensuring progress, and national support to underpin local action follow. The booklet on medicines and older people focuses in more detail on implementing medicines related aspects of the framework.
This pack contains three booklets: 'National service framework for older people', 'National service framework for older people: executive summary', and 'Medicines and older people'. The national service framework for older people is a ten year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. The overall aim is to ensure consistent services across the country and reduce variations in standards and service levels. The document sets out standards for: rooting out age discrimination; person centred care; intermediate care; general hospital care; stroke; falls; mental health in older people; and the promotion of heath and active life in older age. Sections on local delivery of services, ensuring progress, and national support to underpin local action follow. The booklet on medicines and older people focuses in more detail on implementing medicines related aspects of the framework.
Extended abstract:
GREAT BRITAIN. Department of Health. National service framework for older people: booklet 3: the framework. Great Britain. Department of Health, 2001.
Summary
Older people are the main users of health and social care services but sometimes services have not adequately addressed need. This National Service Framework is the first ever comprehensive strategy to ensure fair, high quality, integrated health and social care services for older people. It is a 10 year programme of action linking services to support independence and promote good health, specialised services for key conditions, and culture change so that all older people and their carers are always treated with respect, dignity and fairness. This text describes the background and lays out the standards developed by the National Service Framework for Older People.
Context
Since the early 1930s the number of people aged over 65 has more than doubled and today a fifth of the population is over 60. Between 1995 and 2025 the number of people aged over 80 is set to increase by almost a half and the number of people over 90 will double. The NHS spent around 40% of its budget - £10 billion - on people over the age of 65 in 1998/99. In the same year social service spent nearly 50% of their budget on the over 65s, some £5.2 billion. Older people tend to have a much greater need for health and social services than the young, so the bulk of health and social care resources are directed at their needs. For example, almost two thirds of general and acute hospital beds are used by people over 65. The National Service Framework for Older People (NSFOP) is the key vehicle for ensuring that the needs of older people are at the heart of the reform programme for health and social services.
Method
The NSFOP is the result of extensive consultation with older people and their carers and the leading professionals involved in the care of older people. However this text does not describe the consultation process and its implementation.
Contents
This book is divided into five chapters and concludes with four annexes. Chapter one provides an introduction to the NSFOP and sets the scene by providing contextual information. It also discusses the development of this NSF, its scope and its delivery. Chapter two outlines in detail the standards that the NSFOP has developed. Eight standards are outlined and each is discussed in terms of its aims, rationale, key interventions, actions and milestones. The eight standards are: Rooting out age discrimination; Person-centre care; Intermediate care; General hospital care; Stroke; Falls; Mental health in older people; and, The promotion of health and active life in older age. Chapter three discusses the local delivery of these standards and the achievement of the standards. Chapter four describes how the performance management systems will help deliver the targets in the NHS plan and ensure the NSF standards are met. Chapter five sets out the underpinning programmes essential to the delivery of the NSF. These are: finance; workforce development; research and development; clinical and practice decision support services; and, information systems. Annex one provides a glossary for terms used in the text. Annex two is Acknowledgements and provides the names of the members of the various task groups involved in the development of the NSFOP. Annex three provides a summary of milestones and annex four contains references.
Conclusion
"It is true though that services sometimes fail to meet older peoples' needs - sometimes by discriminating against them, by failing to treat them with dignity and respect, by allowing organisational structures to become a barrier to proper assessment of need and access to care, and because best evidence-based practice is not in place across important clinical areas.
This National Service Framework sets out a programme of action and reform to address these problems and deliver higher quality services to older people. There will be more consultants, nurses and therapists working for older people and better access to high-tech surgery and community equipment. New national standards will be put in place to modernise the NHS and social services and promote new ways of working."
369 references
Subject terms:
local authorities, older people, social services, standards, central government, falls, health authorities, health care;
Stationery Office,|National Care Standards Commission
Publication year:
2004
Pagination:
35p.
Place of publication:
London
The National Care Standards Commission regulates and inspects social care and independent health care services in England. This report, based on data gathered during 2002-03 from about 16,7000 care homes and children's homes, provides the first ever national review of how care services in England provide information in relation to the national minimum standards. The information standard sets out how care homes and children's homes should provide information to the public about services and facilities. Findings include that performance against the information standard varies widely by region and by provider type; with 24 per cent of care homes for older people, 29 per cent of care homes for younger people and 19 per cent of children's homes failing to meet the information standard.
The National Care Standards Commission regulates and inspects social care and independent health care services in England. This report, based on data gathered during 2002-03 from about 16,7000 care homes and children's homes, provides the first ever national review of how care services in England provide information in relation to the national minimum standards. The information standard sets out how care homes and children's homes should provide information to the public about services and facilities. Findings include that performance against the information standard varies widely by region and by provider type; with 24 per cent of care homes for older people, 29 per cent of care homes for younger people and 19 per cent of children's homes failing to meet the information standard.
Subject terms:
inspection, older people, performance management, private sector, residential care, residential child care, social services, standards, access to information, care homes;
Great Britain. Department of Health. Social Services Inspectorate
Publication year:
2003
Pagination:
65p.
Place of publication:
London
It is social services’ responsibility to plan with service users, carers and other partners to ensure that the right range of services is available to meet older people’s needs locally. The NHS and social care Planning and Priorities Framework 2003-6 has established detailed targets for the improvement of services for older people, which are focused on quality and growth in the provision of services. This report brings together all the information that we collected about older people's services in the year ending March 2003 and presents an encouraging picture about the way that services are being planned and delivered. Overall, councils and their partners were making good progress with strategic and organisational developments. Key achievements in the year have been: more integrated planning and services between health and social care; greater consultation with older people; expanding intermediate care and extra care housing; developing a range of services that promote independence; good systems to safeguard vulnerable older people from abuse; and an active and increasingly engaged role for councillors.
It is social services’ responsibility to plan with service users, carers and other partners to ensure that the right range of services is available to meet older people’s needs locally. The NHS and social care Planning and Priorities Framework 2003-6 has established detailed targets for the improvement of services for older people, which are focused on quality and growth in the provision of services. This report brings together all the information that we collected about older people's services in the year ending March 2003 and presents an encouraging picture about the way that services are being planned and delivered. Overall, councils and their partners were making good progress with strategic and organisational developments. Key achievements in the year have been: more integrated planning and services between health and social care; greater consultation with older people; expanding intermediate care and extra care housing; developing a range of services that promote independence; good systems to safeguard vulnerable older people from abuse; and an active and increasingly engaged role for councillors.
Subject terms:
independence, housing, intermediate care, local authorities, local government, needs, older people, planning, social services, social care provision, standards, extra care housing;
Describes the standards of the Health Advisory Service for social care and health services for older people which underpin the work of the organisation as it carries out its remit of evaluating, inspecting and advising services. Standards are presented in simple list form to give the reader an understanding of their breadth and content, and there is a brief description of how the standards were developed. Contents include: what the Health Advisory Service is and what it does; development of the standards; the standards and criteria.
Describes the standards of the Health Advisory Service for social care and health services for older people which underpin the work of the organisation as it carries out its remit of evaluating, inspecting and advising services. Standards are presented in simple list form to give the reader an understanding of their breadth and content, and there is a brief description of how the standards were developed. Contents include: what the Health Advisory Service is and what it does; development of the standards; the standards and criteria.
Subject terms:
interagency cooperation, management, older people, planning, social services, social care, social care provision, standards, user participation, community care, health care;