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Workforce planning to achieve person-centred support
- Authors:
- VOLUNTARY ORGANISATIONS DISABILITY GROUP, ENHAM TRUST
- Publisher:
- Voluntary Organisations Disability Group
- Publication year:
- 2013
- Pagination:
- 8
- Place of publication:
- London
Workforce planning to achieve person-centred support’ offers unique insights into the employment challenges facing social care providers. It describes how Voluntary Organisations Disability Group (VODG) member Enham Trust developed a workforce to support personalisation and person-centred care. The steps taken to change the workforce include: comprehensive re-assessment with individuals in relation to their hourly needs for care and support; aggregating the core hours required to deliver safe personal care and analysing how much of the time remaining available could be used “flexibly”; consulting staff about contracts; embedding principles of personalisation, for example, through a series of training workshops; changing job specifications, titles and content, from that of a support worker to a personal assistant; re-interviewing senior care staff to underline the aim of creating major change - not just the same way of working under a different title. Key factors that help make the process successful include strong leadership, the involvement of individuals’ families, and clear communication and targets. The learning shared from Enham’s experience of introducing a personal assistant workforce will be useful for providers and commissioners in shaping a workforce that is equipped to deliver truly personalised care and support. (Edited publisher abstract)
Defining excellence: excellence in domiciliary care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
Service users get together with a social care academic and a leader in the home care sector to discuss how excellence can be achieved in domiciliary care. We see examples of excellence in support offered to older people, people with learning disabilities and people with physical disabilities in their own homes. Much of the focus is on the relationship between staff members and the people they support because getting that right is fundamental to excellent care. This film has now been revised and is available under the new title 'Quality in social care: achieving excellence in home care'.
Human rights - disability - children: towards international instruments for disability rights: the special case of disabled children: proceedings of the conference: 8-9 November 2004, Council of Europe, Strasbourg
- Author:
- COUNCIL OF EUROPE
- Publisher:
- Council of Europe
- Publication year:
- 2005
- Pagination:
- 258p.
- Place of publication:
- Strasbourg
Too many people with disabilities, particularly children, continue to experience isolation, stigma and social exclusion because they live in specialised institutions. The Conference "Human Rights- Disability-Children: towards international instrument for disability rights - the special case of disabled children", organised by the Council o1 Europe in Strasbourg (8-9 November 2004) under its Norwegian Chairmanship, reviewed current Council of Europe instruments to promote and protect the rights of people with disabilities. It focused in particular on the right of children with disabilities to grow up within a family and in a community context. The event, attended by more than 100 participants from 34 Council of Europe member and observer states, clearly showed that strengthening the rights of children with disabilities within a non-discriminatory framework "from patient to citizen" is a pan-European issue. The concrete follow-up of the conference is provided by a multidisciplinary ad hoc group of experts who, in the framework of the forthcoming Council of Europe Action Plan to promote the rights and full participation of people with disabilities in society: improving the quality of life of people with disabilities in Europe (2006 2015), will draw up recommendations and guidelines for the deinstitutionalisation of children with disabilities, promote the policy of community living and support families to care for their disabled children at home.
Estimating the cost of free home care for disabled people in Wales
- Author:
- BELL David N.F.
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2006
- Pagination:
- 63p., tables
- Place of publication:
- Cardiff
Local Authorities in Wales have a statutory right to charge for domiciliary care. The Welsh Assembly Government does not have the legislative powers necessary to set aside this right except for the first 6 weeks. It could, however, introduce a voluntary grant scheme whereby it reimbursed authorities for the costs of not charging for certain services. As part of this research project, Welsh local authorities have been surveyed to determine the income they receive from charging.
Promoting independence for wheelchair users: the role of home accommodations
- Authors:
- ALLEN Susan, RESNIK Linda, ROY Jason
- Journal article citation:
- Gerontologist, 46(1), February 2006, pp.115-123.
- Publisher:
- Oxford University Press
The objective of this research was to investigate whether home accommodations influence the amount of human help provided to a nationally representative sample of adults who use wheelchairs. The authors analyzed data from the Adult Disability Follow-back Survey (DFS), Phase II, of the Disability Supplement to the 1994–1995 National Health Interview Surveys (NHIS-D). The analytic sample consisted of 899 adults aged 18 and older who reported using wheelchairs in the previous 2 weeks. The authors conducted logistic regression and ordinary least squares (OLS) regression analyses to test the influence of home accommodations on the receipt of any human help, and among respondents who received help, on the hours of help received, respectively. The authors analyzed paid and unpaid help separately. Home accommodations were related to the receipt of unpaid, but not paid, help. Relative to having no home accommodations, the presence of each additional accommodation decreased the odds of having unpaid help by 14%. Additionally, the authors observed an inverse relationship between the number of accommodations in the home and hours of unpaid help. For wheelchair users who live alone, specific types of home accommodations were also inversely related to hours of unpaid help. Policies that reimburse for home accommodations may be an efficient response to the growing demand for home-care support while enabling greater autonomy and independence for people who use wheelchairs.
Use of home care services effectively reduces feelings of burden among family caregivers of disabled elderly in Japan: preliminary results
- Authors:
- KUMAMOTO Keigo, ARAI Yumiko, ZARIT Steven H.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(2), February 2006, pp.163-170.
- Publisher:
- Wiley
The aim was to examine whether the use of care services reduces the feelings of burden among family caregivers in Japan. Specifically, the study was aimed at testing the following three hypotheses: (1) The severity of impairment and the dementia among the disabled elderly increases the feelings of burden among family caregivers and the support from family members decreases burden: (2) the amount of services used by older people and their caregivers is affected by the severity of dementia and ADL deficiencies among the disabled elderly and the amount of support from family members: and (3) controlling for severity, the use of care services under the LTC insurance program serves to reduce the feelings of burden among family caregivers. A structural equation model using the data obtained from 82 pairs of community-dwelling disabled elderly and their principal family caregivers. The model included the following variables: age of the disabled elderly; the severity of ADL deficiency and behavioral disturbances; use of formal (public) care services; support from family members; and feelings of burden among family caregivers.The structural equation model revealed that, after controlling for the effects of severity on service use, home care services effectively reduce feelings of burden among family caregivers. The findings suggest that care services provided under the LTC insurance have been successfully reducing burden among family caregivers in the study area.
Help for a sitting target
- Author:
- -
- Journal article citation:
- Community Care, 30.1.03, 2003, pp.44-45.
- Publisher:
- Reed Business Information
Presents a case study of a wheelchair user who claims his carer physically attacks him, but is unwilling to have his claims investigated.
Letter from Sundsvall Sweden
- Author:
- LINDELOF Margareta
- Journal article citation:
- Community Care, 21.2.02, 2002, p.39.
- Publisher:
- Reed Business Information
The author looks at recent changes made in community care in parts of Sweden where district nurses have taken over from home care managers trained in social work.
The social and psychological aspects of smart home technology within the care sector
- Author:
- DEWSBURY Guy
- Journal article citation:
- New Technology in the Human Services, 14(1/2), 2001, pp.9-17.
- Publisher:
- Centre for Human Service Technology
Technological innovations within the home are nothing new. The introduction of the radio, through to the current rise of computer technology have affected the way in which people interact with their environment and between each other. The advent of ‘smart’ technology for the home has been welcomed by the minority and shunned by the majority, being perceived as unreliable and too ‘sci-fi’. Orwelian conceptions of the home as a locus of extended social control, no doubt, also affect the acceptance of technology into the fabric of the house. Alienation from this form of technology might have also arisen as a by-product of the way it has been introduced and marketed. Many people with disabilities and older persons might feel that they are not included in discussions on technology, as it is perceived as irrelevant to their needs. There is little doubt in the mind of the author that this pessimistic view will decrease and acceptance will occur when the technology no longer holds the associations and values associated with the sci-fi label and is used within the care field appropriately. This paper considers how the technology can be used in the provision of extending care for people with disabilities or older people. It considers the efficacy of approach and its potential consequences. The observations within this paper stem from undertaking a number of workshops and consultations on the use of smart home technology within the social care field. Within these consultations, certain common themes evolved from the discussions that the author attempts to address here. Most frequently, the issues centred on the relationship between technology and the person with disabilities.
Design with care
- Authors:
- CHEVERST Keith, et al
- Journal article citation:
- New Technology in the Human Services, 14(1/2), 2001, pp.39-47.
- Publisher:
- Centre for Human Service Technology
This paper is primarily about design and some of the difficulties of ‘appropriate’ design in care settings: about the interaction between technologies, application domains, design methodologies and about some of the challenges of informing design. This is hardly a novel concern, but this particular focus arises as a consequence of digital technologies maturing and transferring to the everyday domain; as the convergence of interactive digital systems, networks and mobile devices potentially transforms the ways that we carry out mundane, everyday activities. In recent years, the increasing presence of computing technology in the domestic environment has emerged as an important new arena of study. Domestic environments are becoming key sites for the consumption of information and communication technologies - embracing, in the ‘care’ domain, various forms of ‘assistive’ technologies and the design and provision of ‘smart’ homes. This paper reports on a recently initiated research project ‘Care in the Digital Community’ - begun under the Engineering and Physical Sciences Research Council (EPSRC) Dependability Interdisciplinary Research Collaboration (DIRC) Network project EQUATOR. The project aims to use a multidisciplinary research team to facilitate the development of enabling technologies to assist care in the community for particular user groups with different support needs. The general objective is to examine how digital technology can be used to support sheltered housing residents and their staff. Although only recently started, the project anticipates exploring the affordances of a variety of technological configurations, including the use of virtual environments replicating real world situations, and the use of handheld and wearable digital technology to provide support.