Search results for ‘Subject term:"older people"’ Sort:
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Award not enough
- Author:
- WITTON Marion
- Journal article citation:
- Community Care, 27.01.05, 2005, pp.38-39.
- Publisher:
- Reed Business Information
The government had a requirement for 50 percent of care staff to be qualified to at least NVQ level 2 in care by this year. The decision was taken with no evidence that NVQ in care is the best qualification to ensure residents' needs were met. Reports on research which aimed to determine whether the NVQ has the potential to improve the quality of care for these vulnerable older people. Interviews were held with representatives of six training providers contracted by Kent Council to provide training and assessment to care staff undertaking NVQ level 2 and 3 in care. Interviews were also carried out with care staff working in residential and nursing homes, who were registered with the training providers. Highlights possible changes to the NVQ to ensure it is better suited to contributing to a well-trained and properly qualified workforce.
The biggest difference is attitude
- Author:
- BIELBY Kate
- Journal article citation:
- Management Issues in Social Care, 2(4), 1995, pp.42-45.
- Publisher:
- OLM Systems
Discusses quality systems for residential care for older people in Cambridgeshire.
The APEX partnership charter for nursing and residential home owners
- Author:
- O'DONOGHUE Dolores
- Publisher:
- GMB
- Publication year:
- 1994
- Pagination:
- 15p.
- Place of publication:
- London
Sets out care provision policies aimed at ensuring quality care, and stressing the importance of staff training.
Quality in residential care: exploring residents’, family members’, managers’ and staff perspectives
- Authors:
- JAYE Chrystal, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 17(4), 2016, pp.253-262.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the indicators of quality in care for people working and living in aged residential care (ARC) settings. Design/methodology/approach: This research was conducted using an ethnographic design in two distinct ARC facilities in a New Zealand city, a large facility with residential, dementia and hospital level care, and a small family owned facility providing residential care only. In total, 50 hours of observational data were collected, and semi-structured interviews were conducted with 21 people, including managers, careworkers, nurses, family members and residents. These data were thematically analysed using the constant comparative method. Findings: The main indicators of quality for staff, family and residents included: a home-like, friendly and safe environment; good medical and personal care; respect for the residents; and good staff. Participants also acknowledged the need for adjustments by residents to living in aged care; and the challenges of caring for increasingly frail residents. Originality/value: Findings support the growing recognition of a need for resident-centred approaches to ARC that are reflected in government policy and regulatory apparatus. Managers in ARC facilities must balance adherence with health and safety standards, and providing an environment where their residents can enjoy a meaningful life that has purpose and value. (Publisher abstract)
Digging deep: how organisational culture affects care home residents' experiences
- Author:
- KILLET Anne
- Journal article citation:
- Ageing and Society, 36(1), 2016, pp.160-188.
- Publisher:
- Cambridge University Press
Organisational culture of institutions providing care for older people is increasingly recognised as influential in the quality of care provided. There is little research, however, that specifically examines the processes of care home culture and how these may be associated with quality of care. This paper draws from an empirical study carried out in the United Kingdom (UK) investigating the relationship between care home culture and residents' experience of care. Eleven UK care homes were included in an in-depth comparative case study design using extensive observation and interviews. The analysis indicates how organisational cultures of care homes impact on the quality of care residents receive. Seven inter-related cultural elements were of key importance to quality of care. Applying Schein's conceptualisation of organisational culture, paper examines the dynamic relationship between these elements to show how organisational culture is locally produced and shifting. It is found that a particular organisational culture in a care home cannot be achieved simply by importing a set of organisational values or the ‘right’ leader or staff. Rather, it is necessary to find ways of resolving the everyday demands of practice in ways that are consistent with espoused values. It is through this everyday practice that assumptions continuously evolve, either consistent with or divergent from, espoused values. Implications for policy makers, providers and practitioners are discussed. (Edited publisher abstract)
Quality of care in the nursing home: effects of staff assignment and work shift
- Authors:
- BURGIO Loius D., et al
- Journal article citation:
- Gerontologist, 44(3), June 2004, pp.368-377.
- Publisher:
- Oxford University Press
The purpose of this study was to compare a variety of resident and staff outcomes across two types of staffing patterns, permanent and rotating assignment, and work shift. Although studies have examined these staffing patterns as part of multicomponent intervention packages, few studies have examined the isolated effects of staffing pattern by using an experimental design. A between-groups comparison design was used to compare residents and certified nursing assistants (CNAs) from four nursing homes; two self-identified as using permanent assignment (PA) staffing and two as using rotating assignment (RA) staffing. Measures yielded data on verbal interaction among residents and staff, resident disruptive behavior, and specific aspects of resident–staff behavior during care routines. Other assessments included resident personal appearance and hygiene, expressed affect, and CNAs' job satisfaction, burnout, absenteeism, and turnover rates. A treatment fidelity check was conducted to confirm PA and RA staffing patterns. Staffing patterns were significantly different between self-identified PA and RA nursing homes. Residents in PA nursing homes and on morning shifts received significantly higher ratings of personal appearance and hygiene. Rates of expressed sadness and interest among residents differed by staffing patterns and shift. However, these differences do not appear to be clinically significant. Although absenteeism was higher in PA nursing homes, these CNAs reported greater job satisfaction than CNAs from RA nursing homes. As expected, evening shifts across nursing homes had significantly higher turnover rates and significantly more resident disruptive behaviour. Quality-of-care outcomes were similar among the two types of nursing homes, despite significantly different staffing patterns. Though staff permanency rates in PA nursing homes (50%) were twice that of RA nursing homes (26%), more research is needed to determine feasibility of higher rates of staff permanency (i.e., > 50%) and effects on resident and CNA outcomes.
Specialist dementia units: a practice guide to staff
- Author:
- ARCHIBALD Carole
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 1997
- Pagination:
- 57p.
- Place of publication:
- Stirling
Many residential care and nursing homes are setting up specialist dementia units at present. This report looks at all the aspects of these units: design, staffing activities, and the role of carers, from both literature and practice. Several case examples are described.
Drive to raise standards of dementia care in care homes
- Author:
- VAUGHAN Janette
- Journal article citation:
- Professional Nurse, 17(5), January 2002, p.316.
- Publisher:
- Emap Healthcare
Reports on the Alzheimer's Society's new quality care standards and its Care Homes Forum, which are both targeted at helping homes improve their quality of dementia care and enabling them to offer staff better training.
Mapping out the framework
- Authors:
- INNES Anthea, et al
- Journal article citation:
- Journal of Dementia Care, 8(2), March 2000, pp.20-21.
- Publisher:
- Hawker
Summarises the way the Dementia Care Mapping method has developed over the last ten years, and sets out Bradford Dementia Group's framework for DCM users and trainers.
Care in the balance: evaluating the quality and cost of residential and nursing home care for older people
- Author:
- ACCOUNTS COMMISSION FOR SCOTLAND
- Publisher:
- Accounts Commission for Scotland
- Publication year:
- 1999
- Pagination:
- 66p.,diags.
- Place of publication:
- Edinburgh
Begins by looking at staffing issues and how these affect the quality of care in residential and nursing homes for older people. Goes on to examine other aspects of the quality of care, exploring how much freedom residents have to make choices about their way of life, and the quality of the building and its environment. Analyses the cost of providing these services, and considers the links between cost and quality. Focuses in particular on two groups of factors: those which contribute to high costs without improving quality, and those where quality can be improved without significantly increasing costs. Also includes a chapter on achieving best value.