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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.
Intermediate care: what do we know about older people's experiences?
- Author:
- PETCH Alison
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 37p.,bibliog.
- Place of publication:
- York
Traditionally ‘intermediate care’ has often been used to refer to a range of services at the boundary of primary and secondary care, although there have been differing assumptions as to the goal of intermediate care, the intensity of support provision and the appropriate target groups. Confusingly, intermediate care has also been used within the hospital as a term for units located between the intensive care unit and the general ward. The current form of intermediate care provision started to shape up with the NHS Plan. This proposed a range of intermediate care services designed to bridge between hospital and home and to: help people recover and regain independence more quickly; bring about swifter hospital discharge when people are ready to leave; and avoid unnecessary long-term care.
See change: a resource pack for commissioners and service providers to help them in implementing the National Service Framework for Older people
- Author:
- ROYAL NATIONAL INSTITUTE FOR THE BLIND
- Publisher:
- Royal National Institute for the Blind
- Publication year:
- 2003
- Pagination:
- 43p., 2 CD ROMs
- Place of publication:
- London
This resource pack seeks to raise awareness about the prevalence of sight problems among people over the age of sixty. It focuses on the support older visually impaired people need to maintain their independence and that resources are directed to addressing key issues in a timely and cost effective manner.
Performance indicators for sheltered housing: good practice paper 01-2002; a product of the ERoSH good practice sub group
- Authors:
- PHILLIPS Meic, MILTON Linda, THOMPSON Lyn
- Publisher:
- Centre for Sheltered Housing Studies
- Publication year:
- 2002
- Pagination:
- 40p.
- Place of publication:
- Worcester
This report suggests a range of performance indicators for sheltered housing. The benefits of consolidated data can improve the ways in which organisations deliver strategies, monitor performance and service delivery, and direct and target resources.
Calculating a fair price for care: a toolkit for residential and nursing care costs
- Author:
- LAING William
- Publisher:
- Policy Press,|Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 38p.
- Place of publication:
- Bristol
- Edition:
- 2nd ed.
The principal objective of this report is to provide commissioners of care services, care home operators and others with an interest in the care sector with a transparent and robust means of calculating the reasonable operating costs of efficient care homes for older people and people with dementia in any given locality, and thus determining fee levels necessary to sustain delivery of adequate care services by independent sector providers, now and in the future.
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.
Fair Rate for Care: calling for the proper planning and funding of long-term care
- Author:
- FAIR RATE FOR CARE FOR OLDER PEOPLE
- Publisher:
- Age Concern
- Publication year:
- 2002
- Pagination:
- 14p.
- Place of publication:
- London
Describes the aims and objectives of the Fair Rate for Care coalition representing voluntary and commercial organisations collaborating to seek sustainable solutions for older people.
Calculating a fair price for care: a toolkit for residential and nursing care costs
- Author:
- LAING William
- Publisher:
- Policy Press
- Publication year:
- 2002
- Pagination:
- 32p.,bibliog.
- Place of publication:
- Bristol
Reports on the concern that many local authorities are paying care home fees that are insufficient to cover operators' reasonable costs. As a result of margin pressures and new minimum standards under the Care Standards Act, many care homes are ceasing to operate, while few new care homes are opening. Using industry benchmarks and survey data this report presents a model for calculating the costs of providing nursing and residential care for older people. A free spreadsheet toolkit is included alongside the report.
The code of practice for sheltered housing and related support for older persons in the community
- Author:
- THE CENTRE FOR SHELTERED HOUSING STUDIES
- Publisher:
- Centre for Sheltered Housing Studies
- Publication year:
- 2001
- Pagination:
- 15p.
- Place of publication:
- Worcester
The standards within the code of practice encompass key issues associated with the provision of for sheltered housing and support for older people, including equal opportunities and diversity, the fostering of independence and the promotion of individual rights an choices. The most recent version of the code has aimed to ensure best value principles, together with the government's agenda for the provision of services for older people. Compliance with the code enables providers to demonstrate that they fully comply with the proposed national common standards framework to be applied within the 'Supporting People' regime.
Crossing the housing and care divide
- Authors:
- CAMERON Ailsa, et al
- Publisher:
- Policy Press
- Publication year:
- 2001
- Pagination:
- 43p.,bibliog.
- Place of publication:
- Bristol
Examines projects carried out under the Housing Corporation's Crossing the Housing and Care Divide Programme, which sought to tackle the interface between housing and personal care systems, focusing on services for older people. Describes the programme and the background of policy against which it operated. Evaluates the projects with reference to interagency cooperation, user involvement, and management and organisational issues. Examines outcomes in terms of quality and value for money, and policy impact and sustainability, and draws conclusions from the results.