Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 11
Telecare: addressing the problems and challenges
- Author:
- WOOLHAM John
- Journal article citation:
- Journal of Dementia Care, 26(3), 2018, pp.18-19.
- Publisher:
- Hawker
Telecare has a growing role in the care of older people with dementia, but has its potential been fully exploited? Reports the findings of a survey of council telecare lead managers, carried out as part of the UTOPIA (Using Telecare for Older People in Adult social care) project, which was carried out between November 2016 and January 2017. All 152 English local authorities were invited to participate. The survey achieved an overall response rate of 75%. The main findings from the survey indicate that, by organising and providing telecare differently, outcomes for older recipients could be improved. Other findings indicate that: telecare is generally seen as a way to keep people safe and support family carers; the potential for telecare for promoting social contact and spending time meaningfully is given less priority; training for telecare assessments is of variable quality and telecare is a complex intervention requiring careful assessment. See Woolham JG et al (2018) The UTOPIA project: using telecare for older people in adult social care. The findings of a 2016-17 national survey of local authority telecare provision for older people in England. Social Care Workforce Research Unit, King's College London for a full report of the research. (Edited publisher abstract)
Results of a national survey of support to adult care homes in England: a specialist palliative care provider perspective
- Authors:
- NEWMAN Alisha, CARDIFF UNIVERSITY. Marie Curie Palliative Care Research Centre
- Publisher:
- National Council for Palliative Care
- Publication year:
- 2017
- Pagination:
- 49
- Place of publication:
- Cardiff
This report aims to increase understanding of how specialist palliative care services support adult care homes in England. It discusses the results of a survey of 108 specialist palliative care services based in hospices, the community or hospitals organisations who provide support to care homes. The survey was commissioned by Public Health England, and carried out by the Marie Curie Research Centre, with input from the National Council for Palliative Care and Hospice UK. The results provide quantitative data, examples of good practice, quotes and vignettes. Of those surveyed, 84 per cent provided education or training to care homes. High turnover of staff was a big obstacle to improving end of life care in care homes, affecting continuity of care and uptake of training. The report also found that specialist palliative care performance measures were more focussed on processes than outcomes and that there could be more emphasis on capturing patient and carer experiences. Recommendations from the report include the need for better data collection, a focus on patient related outcomes rather than numbers, and ways to improve staff training including raising awareness and attainment of key competencies in palliative care. (Edited publisher abstract)
Increasing delirium skills at the front door: results from a repeated survey on delirium knowledge and attitudes
- Authors:
- JENKIN Rodric Peter Llewelyn, et al
- Journal article citation:
- Age and Ageing, 45(4), 2016, pp.517-522.
- Publisher:
- Oxford University Press
Background: Delirium is under-recognised in comparison to other common and serious acute disorders. A 2006 survey of UK junior doctors (not undertaking specialist training) identified poor knowledge of the diagnostic criteria and treatment of delirium. The authors hypothesised that increased prominence accorded to delirium in the form of national initiatives and guidelines may have had an impact on understanding among junior doctors. Objective: The authors repeated a multi-centre survey of knowledge of and attitudes to delirium in junior doctors (not undertaking specialist training) assessing unselected acute medical presentations (the ‘medical take’). Design: Questionnaire-based survey in 48 acute hospitals in UK and Ireland. Methods: The authors used questionnaires designed to test understanding of delirium, including prevalence, knowledge of the DSM-IV diagnostic criteria, use of specific screening tools, association with adverse outcomes and pharmacological management. Results: One thousand two hundred and fifteen trainee physicians participated. Compared with the 2006 cohort, improvements were seen in 9 of 17 knowledge-based questions and overall score improved in the 2013 cohort. Nonetheless, significant deficits in knowledge, particularly for the diagnostic criteria for delirium, remained. Conclusions: Despite improvements in some aspects of delirium knowledge, the diagnostic criteria for delirium remain poorly understood. Challenges remain in ensuring adequate training for junior doctors in delirium. (Edited publisher abstract)
Come on time, slow down and smile: experiences of older people using home care services in the Bradford District: an independent report by Healthwatch Bradford and District
- Author:
- HEALTHWATCH BRADFORD AND DISTRICT
- Publisher:
- Healthwatch Bradford and District
- Publication year:
- 2015
- Pagination:
- 23
- Place of publication:
- Keighley
Summarises the findings of a study of people’s experiences of receiving care services in their home. The report is based on 240 responses from older people or their carers. It shows that: people value their home care service and recognise its importance in keeping them as independent as possible and enabling them to live at home; many respondents raised concerns about rushed visits, unpredictable and variable timings of care and missed visits; nearly half of respondents felt there was insufficient time and/or carers’ approach or skill level resulted in care needs not being met; service users rated the attitude and approach of staff overall as good and felt they were treated with dignity and respect but a high number of respondents made reference to poor communication and poor attitude of some care staff; there was a high recognition of lack of skills and training among some care staff; many respondents highlighted the need for the same care workers to visit regularly; overall support and effectiveness from the service generally received positive commentary. The report sets out recommendations for both home care providers and Bradford Council, calling for more choice, flexibility and a person centred approach that promotes the well-being and independence of individuals. (Edited publisher abstract)
The UTOPIA project: using telecare for older people in adult social care. The findings of a 2016-17 national survey of local authority telecare provision for older people in England
- Authors:
- WOOLHAM John, et al
- Publisher:
- King's College London. Social Care Workforce Research Unit
- Publication year:
- 2018
- Pagination:
- 59
- Place of publication:
- London
This report describes how electronic assistive technology and telecare are used by local authorities in England to support older people. It is based on an online survey of local authority telecare managers to identify local authority’s aims when offering telecare to older people, the methods they use to assess whether their objectives are achieved, and how telecare is operationalised and delivered. It also aimed to explore why the findings of the earlier the Whole System Demonstrator project - which found no evidence that telecare improved outcomes - have been overlooked by local authorities and policy makers, and whether there is other evidence that could account for WSD findings. The survey results found a third of local authorities used research evidence to inform telecare services and half were also aware of the Whole System Demonstrator. It also found that telecare is used in most local authorities to save money. Although there was some evidence of monitoring, there was no evidence of local authorities adopting agreed standards. The final section of the report provides suggestions for improving telecare service practice. They include the areas of using telecare as a substitute for social care; expanding the focus on telecare beyond risk management, safety and cost reduction; the impact of telecare on family members, carrying out effective assessments, and training. (Edited publisher abstract)
Older people and human rights in home care: a report of two surveys
- Author:
- SPEED Liz
- Publisher:
- Equality and Human Rights Commission
- Publication year:
- 2011
- Pagination:
- 93
- Place of publication:
- Manchester
This research was carried out as part of a formal inquiry into older people and human rights in home care in England. The report presents findings from two surveys carried out by IFF Research: one with local authorities, and the other with organisations that provide home care. The surveys explored whether human rights, in the broadest terms, were covered in commissioning, procurement, contract management, assessments, care planning and other activities related to home care services. The local authorities survey findings also covers complaints, regulation, funding and eligibility; information and ,advice, and training. The survey of home care providers also covers complaints, regulation, information, advice and advocacy; training; and barriers and changes. Overall, local authorities claimed to be carrying out many activities in the commissioning and procurement of home care services that relate specifically to older people's human rights. The home care providers in this survey were overwhelmingly positive about local authorities' actions in relation to human rights. However, human rights has largely been subsumed by the dignity and respect agenda. Most respondents were very definite about barriers to good quality home care: the lack of or insufficient training and funding, insufficient legislation and monitoring, older people being unaware of their rights, and society's attitudes towards older people more generally. Local authorities also stressed the need for practical examples of what human rights look like in this context, and how they can be delivered. (Edited publisher abstract)
'They have started to call it their club': a survey of staff views of dementia-specific day care centres in Ireland
- Authors:
- CAHILL Suzanne, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 2(1), February 2003, pp.85-103.
- Publisher:
- Sage
This article reports survey data on a study of 18 day centres providing dementia-specific care across the Republic of Ireland. Quantitative and qualitative data were collected from 77 practitioners (nurses in charge, care staff and branch managers). The focus of the research was on examining staff views of the physical characteristics of day care settings, the effectiveness of day care and staff views on the major benefits derived from day care attendance. The research also explored the perceptions of staff on how design features could be improved and their views on challenging behaviours, the suitability of certain clients for day care, staff training needs and the cost of care.
Old habits die hard: tackling age discrimination in health and social care
- Authors:
- ROBERTS Emilie, ROBINSON Janice, SEYMOUR Linda
- Publisher:
- King's Fund
- Publication year:
- 2002
- Pagination:
- 45p.
- Place of publication:
- London
This report presents the results of a survey between May and September 2001 carried out by the King's Fund. One hundred senior managers working in health and social services in England were interviewed by telephone. The aims of the survey were to find out how much they believed age discrimination was affecting services in their local area, and to discover what measures they were employing to combat it.
Can staff training reduce behavioural problems in residential care for the elderly mentally ill?
- Authors:
- MONIZ-COOK Esme, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 13(3), March 1998, pp.149-158.
- Publisher:
- Wiley
Describes the effects of a brief in-service training programme on the psychosocial management of behavioural disturbance in residential care. Although the incidence of problematic behaviour did not change 3 months after training, staff in the experimental homes reported a significant improvement in their management of problematic behaviour, as compared to the control home. However, these effects were not maintained a year later. The importance of post-training supervision and the socio-cultural context of the home in the maintenance of psychosocial intervention in residential settings is discussed.
Combating age barriers in job recruitment and training
- Authors:
- TAYLOR Philip, WALKER Alan
- Journal article citation:
- Policy Studies, 16(1), Spring 1995, pp.4-13.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The proportion of older people active in the British labour market has declined in recent decades, a process at times accelerated by government policies. But recent demographic changes may improve the employment prospects for older people, many of whom would work if they could, with benefit to themselves and their families. Draws upon survey research to examine the attitudes of employers towards older workers and to present some examples of positive action.