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Towards a national system for continuing assessment in care homes: findings
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 1996
- Pagination:
- 4p.
- Place of publication:
- York
Assessment of elderly people in nursing and residential care home is assuming increasing importance with a growing recognition of wide variations in the charging costs and quality of care required for individuals over time. However, there is no standard system in place for continuing assessment to inform both the development of individual care plans and broader institutional management. A study by a team at the University of Kent examined the role of assessment and addressed the potential for a standard assessment system that could be used in care homes on a nation-wide basis.
Care standards in the residential care sector: summary
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 1995
- Pagination:
- 4p.
- Place of publication:
- York
The growth in the number of people over 80 years old coupled with the increased level of clients entering residential and nursing homes is occurring at a time of significant change within local authorities and health authorities. Examines the issues surrounding quality, qualifications and regulations in the residential care sector and concludes.
Getting older people's views on quality home care services
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 4p.
- Place of publication:
- York
This study explored older people's ideas about what a quality home care service should look like and how their views about this can be regularly heard. The researchers saw 143 older people - living in Manchester - in focus groups or their own homes. Older people valued home care services highly and had clear views about what characterises quality in these services.
Calculating the costs of efficient care homes
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- York
Based on wage and land prices in a typical low-cost location, the study estimates fair fees for operating an efficient care home (meeting all national minimum standards for homes built after April 2002 as defined by the Department of Health). In the latter part of financial year 2003/04, these are: £497 per week for nursing care of older people and people with dementia; £375 per week for personal care of older people; and £399 per week for personal care of people with dementia. Taking account of the October 2004 increase in the National Minimum Wage, corresponding figures for 2004/05 rise to £520, £392 and £417 per week. Costs, and thus fair fees, are higher in more affluent parts of England. For example, the estimated London figure for nursing care of older people and people with dementia is £620 per week (2003/04). Assuming councils continue to 'spot' purchase services, the study proposes a target return on capital of 14% per annum. Under long-term block contracting, rates of return as low as 10% might give investors an incentive to develop and maintain capacity. However, the study concludes this rate of return is unlikely to stabilise the care home market as it is currently structured. To avoid sub-standard homes being paid at the same rate as good quality homes, the study proposes a 'capital cost adjustment factor' proportional to the degree to which each home falls short of the Department of Health's national minimum standards. This would lead to a maximum difference between the upper and lower end of the range of £77 per week in 2003/04 and £80 per week in 2004/05. On the evidence of this study, potentially, the public sector would have to find an additional £1 billion per annum to fund fair fees for a fully modernised care home sector.
The training needs of managers of long-term care
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 1999
- Pagination:
- 4p.
- Place of publication:
- York
The White Paper 'Modernising Social Services' has endorsed principles of national registration and national standards for nursing and residential homes as part of the way forward to improving care for elderly people. This study explored the range of views within the sector on what makes a good manager, and what form training should take to improve managers' performance. They conclude that real net gains in the quality of long-term care can best be achieved through improving the effectiveness and skills of staff by training their managers. Outlines the findings.