Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Quality Action Groups have been set up in different parts of the country as a structured means of bringing 'stakeholders' together to improve services. The author, Quality Assurance Manager at Wiltshire Social Services Department, describes one project and how it achieved greater privacy for a group of people with learning difficulties.
Quality Action Groups have been set up in different parts of the country as a structured means of bringing 'stakeholders' together to improve services. The author, Quality Assurance Manager at Wiltshire Social Services Department, describes one project and how it achieved greater privacy for a group of people with learning difficulties.
Subject terms:
learning disabilities, privacy, quality assurance, social care provision;
Staff. anxious about allegations of inappropriate physical contact with children are sometimes given directives about how they can cover themselves, for example 'you can pat but not stroke'. In considering when to touch staff should consider the who, the where and the when.
Staff. anxious about allegations of inappropriate physical contact with children are sometimes given directives about how they can cover themselves, for example 'you can pat but not stroke'. In considering when to touch staff should consider the who, the where and the when.
... and defining the purpose for using surveillance systems; needs assessment; consultation and consent for surveillance, including capacity to consent; protecting privacy and treating people with dignity and respect; deprivation of liberty and restraint; safety, suitability and maintenance of equipment; staff training and record keeping; informing people; operation of the system; surveillance equipment
(Edited publisher abstract)
This guidance sets out some of the key issues providers need to take into account to help ensure decisions about the potential use of surveillance are informed, appropriate and lawful. It describes some of the alternative steps providers can consider before deciding to use surveillance and signposts relevant legislation. This guidance covers: using surveillance to monitor services; understanding and defining the purpose for using surveillance systems; needs assessment; consultation and consent for surveillance, including capacity to consent; protecting privacy and treating people with dignity and respect; deprivation of liberty and restraint; safety, suitability and maintenance of equipment; staff training and record keeping; informing people; operation of the system; surveillance equipment installed by people who use the service, or their relatives; and the Care Quality Commission and the use of information recorded using surveillance.
(Edited publisher abstract)
Subject terms:
quality assurance, care providers, monitoring, videos, staff supervision, privacy, risk management, health care, social care, alarm systems;
The authors report the results of a survey of state initiatives that measure resident satisfaction in nursing homes and assisted living facilities, and we describe several model programmes for legislators and public administrators contemplating the initiation of their own state programmes. Data on state initiatives and programmes were collected during March and April 2000 through a mailed questionnaire and follow-up telephone interviews and were current as of September 2002. Of the 50 states surveyed, 50 responses were received (response rate = 100%); 12 states (24%) reported the use of consumer satisfaction measures, and 7 (Florida, Iowa, Ohio, Oregon, Texas, Vermont, and Wisconsin) reported using resident satisfaction data within their consumer information systems for nursing homes or assisted living facilities. Additionally, 2 states (Iowa and Wisconsin) use resident satisfaction data for facility licensing and recertification. The design of the instruments and collection methods vary in these states, as do the reported response rates, per-resident cost, and the purpose for satisfaction data collection. State satisfaction efforts are in an early stage of development. Well-produced, easily understandable reports on nursing home and assisted living quality could provide information and guidance for patients and families contemplating the utilization of long-term care services. Dissemination of quality information may also facilitate sustained quality and efficiency improvements in long-term care facilities and thus enhance the quality of care for and quality of life of long-term care residents.
The authors report the results of a survey of state initiatives that measure resident satisfaction in nursing homes and assisted living facilities, and we describe several model programmes for legislators and public administrators contemplating the initiation of their own state programmes. Data on state initiatives and programmes were collected during March and April 2000 through a mailed questionnaire and follow-up telephone interviews and were current as of September 2002. Of the 50 states surveyed, 50 responses were received (response rate = 100%); 12 states (24%) reported the use of consumer satisfaction measures, and 7 (Florida, Iowa, Ohio, Oregon, Texas, Vermont, and Wisconsin) reported using resident satisfaction data within their consumer information systems for nursing homes or assisted living facilities. Additionally, 2 states (Iowa and Wisconsin) use resident satisfaction data for facility licensing and recertification. The design of the instruments and collection methods vary in these states, as do the reported response rates, per-resident cost, and the purpose for satisfaction data collection. State satisfaction efforts are in an early stage of development. Well-produced, easily understandable reports on nursing home and assisted living quality could provide information and guidance for patients and families contemplating the utilization of long-term care services. Dissemination of quality information may also facilitate sustained quality and efficiency improvements in long-term care facilities and thus enhance the quality of care for and quality of life of long-term care residents.
Subject terms:
human rights, long stay care, nursing homes, older people, privacy, quality assurance, care homes, dementia;
... of nearly 1,500 eligible ALFs were interviewed by telephone. As of 1998, there were an estimated 11,459 ALFs nationwide, with 611,300 beds and 521,500 residents. Nearly 60% offered a combination of low services and low or minimal privacy, whereas only 11% offered relatively high services and high privacy. Seventy-three percent of the resident rooms or apartments were private. Aging-in-place was limited
Throughout the 1990s, assisted living was the most rapidly growing form of senior housing. The purpose of this paper is to describe the existing supply of assisted living facilities (ALFs) and examine the extent to which they matched the philosophy of assisted living. The study involved a multistage sample design to produce nationally representative estimates for the ALF industry. Administrators of nearly 1,500 eligible ALFs were interviewed by telephone. As of 1998, there were an estimated 11,459 ALFs nationwide, with 611,300 beds and 521,500 residents. Nearly 60% offered a combination of low services and low or minimal privacy, whereas only 11% offered relatively high services and high privacy. Seventy-three percent of the resident rooms or apartments were private. Aging-in-place was limited by discharge policies in most ALFs for residents who needed help with transfers, had moderate to severe cognitive impairment, had any behavioral symptoms, or needed nursing care. The industry is largely private pay and unaffordable for low- or moderate-income persons aged 75 unless they use assets as well as income to pay. ALFs differed widely in ownership, size, policies, and the degree to which they manifested the philosophy of assisted living. This diversity represents a challenge for consumers in terms of selecting an appropriate facility and for policy makers in terms of deciding what role they want assisted living to play in long-term care.
Subject terms:
human rights, long stay care, nursing homes, older people, privacy, quality assurance, surveys, care homes, dementia;
... – risk to others; observation and privacy; planning, implementation, evaluation and revision of care; and positive culture. The document should be used in conjunction with the 'How to use the Essence of Care 2101'.
The Essence of Care benchmarks are a tool to help healthcare practitioners take a patient-focused and structured approach to sharing and comparing practice. There are 12 benchmarks in total. This document provides the benchmarks for safety, so that people, their carers, visitors and staff feel safe, secure and supported. It starts by considering the general indicators that apply to every factor: people’s experience; diversity and individual needs; effectiveness; consent and confidentiality; people, carer and community members’ participation; leadership; education and training; documentation; service delivery; safety; and safeguarding. It then considers the factors specific to safety, together with their supporting indicators. The factors are: orientation; assessment – risk of injury; assessment – risk to others; observation and privacy; planning, implementation, evaluation and revision of care; and positive culture. The document should be used in conjunction with the 'How to use the Essence of Care 2101'.
Subject terms:
organisational culture, patients, person-centred care, privacy, quality assurance, risk assessment, standards, carers, care planning, crime, crime prevention;
... and personal identity; personal boundaries and space; communication; privacy: confidentiality; privacy, dignity and modesty; and privacy: private area. The document should be used in conjunction with the 'How to use the Essence of Care 2101'.
The Essence of Care benchmarks are a tool to help healthcare practitioners take a patient-focused and structured approach to sharing and comparing practice. There are 12 benchmarks in total. This document outlines the benchmarks for respect and dignity, so that people experience care that is focused upon respect. It starts by considering the general indicators that apply to every factor: people’s experience; diversity and individual needs; effectiveness; consent and confidentiality; people, carer and community members’ participation; leadership; education and training; documentation; service delivery; safety; and safeguarding. It then considers the factors specific to respect and dignity, together with their supporting indicators. The factors are: attitudes and behaviours; personal world and personal identity; personal boundaries and space; communication; privacy: confidentiality; privacy, dignity and modesty; and privacy: private area. The document should be used in conjunction with the 'How to use the Essence of Care 2101'.
Subject terms:
patients, person-centred care, privacy, quality assurance, self-concept, standards, attitudes, care planning, communication, confidentiality, dignity;
Contains a series of eight guides written specifically with care assistants in mind and designed for everyone involved in the direct care of working in residential and nursing homes. Booklets include: privacy; meal times; restraint; leisure in homes; coping with death in homes; helping resident to hear; dementia; abuse in homes.
Contains a series of eight guides written specifically with care assistants in mind and designed for everyone involved in the direct care of working in residential and nursing homes. Booklets include: privacy; meal times; restraint; leisure in homes; coping with death in homes; helping resident to hear; dementia; abuse in homes.