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Commissioning social care for older people: influencing the quality of direct care
- Authors:
- CHESTER Helen, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 34(6), 2014, pp.930-950.
- Publisher:
- Cambridge University Press
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the delivery of quality care services. Using both primary and secondary data, this paper explores commissioning and contracting arrangements for domiciliary care and care home provision in England and their influence on the recruitment and retention of staff in these services. The implications of the findings are discussed in the context of two factors which influence continuity of care, a proxy for quality services for older people: training opportunities for staff and factors affecting the supply of labour from which direct carers are traditionally recruited. It is suggested that some of the drivers of quality in the provision of care may not be susceptible to the influence of commissioners and providers. Nevertheless, training may aid the recruitment and retention of care workers and provide one way in which they can promote a higher standard of care for older people. (Publisher abstract)
The development of a national standard assessment instrument for use in continuing care homes
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Care Plan, 5(3), March 1999, pp.19-21.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
This study examines the possibility of developing a standard assessment instrument for residents in care homes, which could assess individual care needs, assist in constructing care plans and help to cost the level of care provided. Staff used a modified American Minimum Data Set/Resident Assessment Instrument in the pilot study. This showed that the MDS/RAI has the potential to be used in continuing care homes in the UK.
The development of a national standard assessment instrument for use in continuing care homes
- Authors:
- CHALLIS David, et al
- Journal article citation:
- Working with Older People, 3(2), April 1999, pp.24-26.
- Publisher:
- Emerald
Following a focused training programme in eight homes, staff using a modified American Minimum Data Set/Resident Assessment Instrument carried out 125 assessments. The pilot study found that the MDS/RAI has potential to be used in continuing care homes in the UK. Reports on a study to examine the possibility of developing a standard assessment instrument for residents in care homes, which could assess individual care needs, assist in constructing care plans and provide appropriate information to permit costing the level of care provided.
Performance indicators for community-based social care: From theory to practice
- Authors:
- CHALLIS David, WARBURTON Raymond
- Journal article citation:
- Care Plan, 2(4), June 1996, pp.19-24.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Describes a framework for establishing local performance indicators for community-based social care, with an emphasise on care management. The framework has been developed by the Personal Social Services Research Unit (PSSRU) in collaboration with Cheshire Social Services Department. The framework is for services for older people and people with mental health problems, but can be readily modified to accommodate other groups of adult service users.