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Older people and home care in Wales: findings from a survey of service users
- Authors:
- LLEWELLYN Mark, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 14(3), 2013, pp.167-179.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to provide an account of a comprehensive and independent study of 1,029 older people who receive home care in Wales. The study aims to expand knowledge on the views of older people, a group who traditionally have struggled to make their voices heard. It asked older people about six specific components of home care: being listened to; having trained, knowledgeable and skilled care workers; having enough time to be cared for; receiving care from as few different workers as possible; receiving quality care; and being signposted to other sources of information. Design/methodology/approach – After an initial literature review and period of analysis, a thematic framework for home care was developed which contained the six components described above. A questionnaire was subsequently designed and distributed via the post to all home care services over 65 years old in four local authorities across Wales. A sample response rate of 26.7 per cent was achieved. Findings – The paper provides evidence on the levels of satisfaction (or otherwise) with the home care received by older people in Wales. Overall, nearly 85 per cent of older people are either “satisfied” or “very satisfied”, and given the sample size these data are significant (within appropriate confidence intervals) for the whole of the 25,000 people who receive home care in Wales. However, it is difficult to contextualise these findings given that there are no effective comparator data. Research limitations/implications – Given the chosen research approach, the results may lack a certain depth of understanding. That said, the size of the sample does provide commissioners and providers of services with certainty about the general population view. Originality/value – This paper offers a unique independent analysis of home care in Wales, and provides the reader with detailed insights into the views of older people who rarely get a chance to be heard. (Publisher abstract)
Diversification of old-age care services for older people: trade-offs between coverage, diversification and targeting in European countries
- Authors:
- SUNDSTRÖM Gerdt, et al
- Journal article citation:
- Journal of Care Services Management, 5(1), January 2011, pp.35-42.
- Publisher:
- Taylor and Francis
The two major public services for older people are institutional care and home care. In addition to these, a number of other low-level support services have also developed including transportation, meals-on-wheels, alarm systems, and day care. Using secondary analysis of a number of earlier surveys, this paper provides information on the way in which all of these types of support are allocated and who uses them in six different countries: Denmark, Norway, Sweden, Germany, England, Spain, and Israel. It also provides a closer scrutiny of Swedish service profiles. When all types of support are considered, service coverage in these countries is approximately 50% to 100% higher than for the two major types alone. The results suggest that countries with higher service levels target all their services more strictly by needs than countries with lower service levels. In countries with lower user rates, users may get what is available with little differentiation between their needs. The article suggests that a range of services, major and minor, may suit the varying needs of older people, and that minor services may also be used as an inexpensive substitute for full support.
Housing advice for older people: research review, government policy and the need for housing advice
- Authors:
- PANNELL Jenny, BLOOD Imogen
- Journal article citation:
- Housing Care and Support, 5(4), November 2002, pp.8-16.
- Publisher:
- Emerald
This article was commissioned by Help the Aged. The paper draws on the following following sources: a short survey of national advice, housing and older people's organisations carried out in April 2002, a brief review of previous research reports on older people and housing advice, and a summary of current government and other initiatives relevant to older people and housing advice.
Measuring satisfaction with social care amongst older service users: issues from the literature
- Authors:
- BAULD Linda, CHESTERMAN John, JUDGE Ken
- Journal article citation:
- Health and Social Care in the Community, 8(5), September 2000, pp.316-324.
- Publisher:
- Wiley
This article highlights some of the main issues to be considered when designing and conducting surveys with older users of community care services. Through a review of British and North American literature the article outlines current approaches to measuring satisfaction and examines the relationship between the characteristics and circumstances of older people and their response to satisfaction questions. Concludes by offering some solutions to overcoming current problems by drawing conclusions about quality from survey findings, to that older people's opinions about the services they receive can be better assessed.
Low intensity support services: a systematic literature review
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2000
- Pagination:
- 4p.
- Place of publication:
- York
Despite some recent policy acknowledgement of the potential role of low intensity support services in assisting people to live independently, community care resources continue to be targeted mainly on high level, often crisis, interventions. Partly because of this continuing focus, there has been little consideration of the evidence of the value of low intensity services. The Centre for Housing Policy, University of York, has now undertaken a systematic research literature review of the effectiveness of such services in enabling people to live independently in ordinary housing. Presents the findings.