Search results for ‘Subject term:"older people"’ Sort:
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How would you like it?
- Author:
- BROWN Derek
- Journal article citation:
- Community Care, 8.11.90, 1990, pp.24-25.
- Publisher:
- Reed Business Information
Listening to consumers can offer important insights and a useful way of checking quality - examines options of local authority home users, following an SSI survey of residents.
A federal survey deficiency citation is needed for resident-to-resident aggression in U.S. nursing homes
- Author:
- CASPI Eilon
- Journal article citation:
- Journal of Elder Abuse and Neglect, 29(4), 2017, pp.193-212.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Resident-to-resident aggression (RRA) in nursing homes is a prevalent and concerning public health problem. A rapid growth in the number of research studies has led to advancements in understanding and awareness of these incidents. However, no state survey deficiency citation (F-Tag) currently exists to capture RRA in a structured way in the Centers for Medicare & Medicaid Services’ (CMS) nursing homes F-Tags Coding System. This omission represents a major barrier to State Survey Agencies, CMS, consumers, and care advocacy organisations’ efforts to keep vulnerable and frail residents safe and free from psychological harm. The commentary makes the case for development and implementation of a new RRA-specific F-Tag by identifying 20 problem areas and the ways in which this F-Tag could address them. The new F-Tags Coding System (part of the new Federal Nursing Home regulations) represents a rare and time-sensitive opportunity to bridge this major gap in practice, research, and policy (Publisher abstract)
The practice of GPs charging retainers to care homes
- Author:
- BALBES James
- Publisher:
- Care England
- Publication year:
- 2013
- Pagination:
- 3
- Place of publication:
- London
This briefing follows up two previous reports by Maria Patterson of the English Community Care Association (ECCA): ‘Can we afford the doctor?' (2008); and ‘Postcode tariff: PCTs and GP retainers in care homes’ (2010). These reports investigated the practice of general practitioners charging retainers to work with care homes. The research confirmed this to be a widespread practice, and that the concept of free health care at the point of need was not necessarily true for residents of care homes. This summary report published by ECCA’s successor body, Care England outlines findings of ECCA’s repeat of its survey, and indicates that GPs continue to charge retainer fees for basic services. Of the 34 care homes responding, 30 pay a retainer to secure the services of a GP practice. Of these 30, only two defined the service that they receive from their local practice as being enhanced. (Original abstract)
Differences between newly admitted nursing home residents in rural and nonrural areas in a national sample
- Authors:
- BOLIN Jane Nelson, PHILLIPS Charles D., HAWES Catherine
- Journal article citation:
- Gerontologist, 46(1), February 2006, pp.33-41.
- Publisher:
- Oxford University Press
Previous research in specific locales indicates that individuals admitted to rural nursing homes have lower care needs than individuals admitted to nursing homes in urban areas, and that rural nursing homes differ in their mix of short-stay and chronic-care residents. This research investigates whether differences in acuity are a function of differences in resident payer status and occur for both individuals admitted for short stays, with Medicare as payer, and those needing chronic care. The authors used a representative 10% sample of national resident assessments (Minimum Data Set) for calendar year 2000 (N = 197,589). We conducted statistical analyses (means, percentages, and logistic regression) to investigate differences in Medicare and non-Medicare admissions to facilities in metropolitan and nonmetropolitan areas. Non-Medicare residents admitted to rural nursing facilities have lower acuity scores than non-Medicare residents admitted to metropolitan nursing homes. However, individuals admitted under Medicare were similar in rural and urban areas. Differences in resident acuity at admission among facilities in different locales were largely a function of lower acuity levels for individuals admitted to rural nursing homes for long-term or chronic care, although differences in Medicare census also played some role in facility-level differences in acuity. Other factors must be explored to determine why this lower acuity occurs and whether higher use of rural nursing homes by less impaired older persons meets their needs and preferences and represents good public policy.
Residential care of elderly people: the consumers' view
- Authors:
- WILKIN D., HUGHES B.
- Journal article citation:
- Ageing and Society, 7(2), 1987, pp.175-201.
- Publisher:
- Cambridge University Press
Reports on interviews with 60 residents in various local authority residential homes.
Provision and perceived quality of mental health services for older care home residents in England: a national survey
- Authors:
- STEWART Karen, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 33(2), 2018, pp.364-370.
- Publisher:
- Wiley
Objective: This study examined the nature, extent and perceived quality of the support provided by community mental health teams for older people (CMHTsOP) to care home residents. Methods: A postal survey was sent to all CMHTsOP in England. Information was collected about teams' staffing and their involvement in case finding, assessment, medication reviews, care planning and training as well as team managers' rating of the perceived quality of the service they provided for care home residents. Data were analysed using chi-squared tests of association and ordinal regression. Results: Responses were received from 225 (54%) CMHTsOP. Only 18 per cent of these teams contained staff with allocated time for care home work. Services for care home residents varied considerably between teams. Two-fifths of teams provided formal training to care home staff. Team managers were more likely to perceive the quality of their service to care homes as good if they had a systematic process in place for reviewing antipsychotic drugs or routine mental health reviews, including contact with a GP. Conclusion: The findings suggested that more evidence is needed on the best approach for supporting care home residents with mental health needs. Areas to consider are the potential benefits of training to care home staff and regular mental health reviews, utilising links between GPs and CMHTsOP. (Publisher abstract)
Your care rating: 2016 survey
- Author:
- IPSOS MORI
- Publisher:
- Ipsos MORI
- Publication year:
- 2017
- Pagination:
- 32
- Place of publication:
- London
Reports on the findings from the 2016 Your Care Rating surveys, which gathered the views of residents and their families and friends on the care provided in over a thousand care homes in the UK. A total of 35 care providers took part in the survey. , which is in its fifth consecutive year. A total of 18,786 residents participated in the survey, with a response rate 38 per cent. A separate survey was completed by 10,963 family members and friends, a response rate of 47 per cent. The report discusses the results under the following themes: overall performance; staff and care; choice and having a say; home comforts; and quality of life. The overall results suggest that both residents and their relatives and friends are positive about the care and the service they receive in their care home, with high scores achieved in all aspects of care. The overall rating score has also increased over the five years that the survey has been conducted. Ratings were found to be slightly lower among family and friends than among residents, and there were also differences on specific aspects of care. Areas were respondents were consistently less positive about were the quality and variety of food and the amount of time staff have to talk to residents. (Edited publisher abstract)
Your care rating: 2014 survey
- Author:
- IPSOS MORI
- Publisher:
- Ipsos MORI
- Publication year:
- 2015
- Pagination:
- 31
- Place of publication:
- London
Report presenting a summary of findings from the 2014 Your Care Rating Survey, which is the largest survey of care home residents in the UK. The report provides details of how the survey was conducted and provides a summary of results under four themes: staff and care; home comforts; choice and having a say; and quality of life. The survey was conducted over 29 care providers and obtained views from over 21,000 residents from 1,096 care homes. Findings were analysed to give each home an Overall Performance Rating (OPR) out of 1,000. Although designed primarily for care home residents aged 65 or over, the survey also includes younger adults living in care homes. The overall results of resident feedback paints an encouraging picture of life in care homes from the majority of homes which took part. The overall average overall performance rating score for participating homes was 872 (in line with 871 in 2013) and more than half of the care homes which took part in the previous year improved their OPR score. Within the theme relating to Staff and Care, staff have positive views of the manner in which staff treat them, however a relatively smaller proportion of residents felt staff treat them as an individual and have time to talk. Other findings were that residents were less positive about having a say in their care and about having choice than they were about other aspects of their care, such as feeling safe and secure. Improving residents’ perceptions of having choice and control within their care home and also treating them in a more person centred way may help to improve their experience within their care home. (Edited publisher abstract)
Village life: independence, loneliness, and quality of life in retirement villages with extra care
- Author:
- BEACH Brian
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2015
- Pagination:
- 37
- Place of publication:
- London
Reports on the findings of a survey of residents of seven retirement villages offering extra care support. The report explores whether extra care support can promote greater independence and provide greater choice in planning for later life; reduce social isolation and promote residents’ quality of life. Responses were received by 201 out of a total of 743 residents, representing a response rate of 27.1%. Response are discussed in the following areas: residents' motivations to move into housing with care, and how this reflected on the concepts of independence and control; residents’ experience of loneliness and social isolation; and an analysis of the quality of life in extra housing using the using CASP and OPQOL measures. The final section of the report compares the findings with a sample of older people living in private households in the community. The research found that the average person living in a retirement village experienced half the amount of loneliness (12.17%) than those in the community (22.83%). It also found that living in a retirement village can promote greater independence and provide greater choice in planning for later life and that the communal environment has the potential to reduce social isolation. The report calls on the government to identify ways of working with the private sector to stimulate the building of new good quality retirement housing and to encourage people in early older age to consider making such a move. (Edited publisher abstract)
Measuring resident and family member determinants of satisfaction with assisted living
- Authors:
- EDELMAN Perry, et al
- Journal article citation:
- Gerontologist, 46(5), October 2006, pp.599-608.
- Publisher:
- Oxford University Press
This study developed measures of satisfaction with assisted living from residents' and family members' perspectives. The authors collected survey data from 204 residents and 232 family members associated with 11 assisted living facilities. Confirmatory factor analysis were used to evaluate the goodness of fit of a priori measurement models. Iterative analysis to improve measurement models resulted in a multifaceted unidimensional model of resident satisfaction and a 5-factor model of family member satisfaction. It was found the scales provide tools for estimating the impact of assisted living on various relevant domains for residents and their family members. These measures should prove useful to administrators attempting to meet the needs of their clients and to potential clients of assisted living attempting to judge the appropriateness of specific assisted living facilities.