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Investigation into the care and treatment of Ms L
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2008
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
This report relates to the investigation into the care and treatment of Ms L. Several recommendations are made both for the services responsible for Ms L and for other services who may be able to learn from this individual case. This MWC investigation was instigated following reports of a number of incidents involving Ms L, a young woman with a severe learning disability and severe challenging behaviour, in an independent assessment and treatment resource for people with a learning disability (Unit A). The final incident, where Ms L was apparently bitten by a fellow resident overnight, resulted in a Vulnerable Adults Case Conference being called. Ms L had already been assessed as ready to move on and a place identified for her to go to. This move was therefore brought forward by about 2 weeks.
Quality of life for adults with learning disabilites in private residential care: monitoring aspects of life experiences over time
- Author:
- SKEA Derek
- Journal article citation:
- Mental Health and Learning Disabilities Research and Practice, 5(2), October 2008, pp.253-265.
- Publisher:
- South West Yorkshire Mental Health NHS Trust and University of Huddersfield
The quality of life (QoL) of a sample of 56 adults with learning disabilities was studied longitudinally over 18 months while they lived in community-based private residential homes. Six homes participated in the study. The Life Experiences Checklist (L.E.C) which considers a person’s home environment, leisure, freedom, relationships and opportunities, was used as a measure of QoL. The L.E.C was administered to participants on three occasions at approximately six-monthly intervals. Simple feedback reports giving overall results for the L.E.C (and other measures) were produced for each home at the end of each of these three phases. The L.E.C. results showed that overall participants’ QoL changed significantly over the course of the study, with assessed QoL peaking at phase two after homes had received the first feedback report, and decreasing to near phase one levels by the end of the study. People living in one of the homes, however, sustained the observed improvement in QoL over time. Comparisons were drawn between the L.E.C results for the sample and the general population living in the same area. The sample experienced a lower QoL than the general population regarding Relationships, Opportunities and Freedom L.E.C. sub-scales and had a comparable QoL regarding the Home sub-scale, and higher scores with respect to the Leisure sub-scale. Results are discussed in terms of subjective and objective QoL measurement as an indicator of quality of service provision and in particular the effects of feedback and monitoring per se. It is apparent that in the absence of intervention no sustained improvements in QoL are seen in this sample.
A policy that is failing vulnerable people
- Authors:
- ROBERTSON Janet, EMERSON Eric
- Journal article citation:
- Community Living, 22(2), 2008, pp.22-23.
- Publisher:
- Hexagon Publishing
A recently published knowledge review by SCIE found that placing people way from their families and communities to which they belong is still a widespread practice by authorities and means that thousands of vulnerable people are not receiving the personalised and good quality support. The authors summarise the findings of the review.
Pets and older people in residential care
- Author:
- McNICHOLAS June
- Publisher:
- Society for Companion Animal Studies
- Publication year:
- 2008
- Pagination:
- 29p.
- Place of publication:
- Burford
The 'Pets and Older People in Residential Care' survey was commissioned by the Society for Companion Animal Studies (SCAS) with funding from the Pet Food Manufacturers' Association (PFMA), in order to investigate attitudes towards pet ownership in UK residential care facilities. Carried out by June McNicholas B.Sc. Ph.D., a respected researcher of the human-animal bond, the survey included a sample of 234 care facilities (residential care homes and sheltered housing units), 23 animal shelters and 44 veterinary practices in six major cities (Cambridge, York, Plymouth, Birmingham, Coventry and Manchester) using questionnaires, interviews with staff and residents, and focus groups with older people both in and out of care. The study replicated an influential survey by the Joseph Rowntree Foundation in 1992-3, which highlighted a lack of understanding of the importance of pets to older people and the lack of policies on pet ownership at the time. The aim of the current study was to examine changes in policies and practices in care facilities since this time to determine whether further action is needed.
Improving care in residential care homes: a literature review
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2008
- Pagination:
- 4p.
- Place of publication:
- York
Although there is currently less ethnic diversity in the older population than in younger age groups, this is predicted to change. Policy-makers, clinicians and care home staff are increasingly aware of the future challenge of providing quality, long-term care in care homes for older people. Residential home care, provided by social as opposed to health care staff, will be a major part of this long-term care. Historically, residential homes have catered for less dependent older people than nursing homes. However, a recent census has identified a 'considerable overlap' in dependency and nursing care needs (due to increased illness/disability with age) between both types of home. With longer survival predicted, and the number of residential care places set to increase, it is important to consider the available research evidence relevant to this setting. This review brings together research on improving care in care homes as the needs of older people intensify. It aims to clarify the agenda for policy-makers and practitioners, highlight areas for future research and promote further discussion of this important topic. Most of the research was carried out in nursing homes; there is very little published evidence on residential care homes, although many studies make no distinction between the two. Seven themes were identified relating to provision of care.
Mabel finds her voice
- Authors:
- LYNN Simon, NOWICKA Gosia
- Journal article citation:
- Community Living, 22(1), 2008, pp.14-15.
- Publisher:
- Hexagon Publishing
The lives of people with learning disabilities in long-stay hospitals in Britain are still mostly a hidden history. In this article, Mabel Cooper, who from the age of 13 lived in St Lawrence's hospital for people with learning disabilities, talks about her experiences. She now lives in supported housing.
Learning disabilities: barriers to choice in residential services
- Authors:
- WALTON Chris, FINLAY Mick, SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Journal article citation:
- Community Care, 31.7.08, 2008, pp.30-31.
- Publisher:
- Reed Business Information
A recent study has revealed the extent of the obstacles to choice and control in residential settings for people with learning disabilities. In the first part of this article the first two authors highlight the key messages for practice. In the second part of the article the Social Care Institute for Excellence provides an overview of other research and resources on residential services and learning disabilities.
Promoting choice and control in residential services for people with learning disabilities
- Authors:
- FINLAY W.M.L., WALTON C., ANTAKI C.
- Journal article citation:
- Disability and Society, 23(4), June 2008, pp.349-360.
- Publisher:
- Taylor and Francis
This paper discusses the gap between policy goals and practice in residential services for people with learning disabilities. Drawing on a nine-month ethnographic study of three residential services, it outlines a range of obstacles to the promotion of choice and control that were routinely observed in the culture and working practices of the services. Issues discussed include conflicting service values and agendas, inspection regimes, an attention to the bigger decisions in a person's life when empowerment could more quickly and effectively be promoted at the level of everyday practice, problems of communication and interpretation and the pervasiveness of teaching. The authors offer a range of suggestions as to how these obstacles might be tackled.
Learning disabilities service provider directory
- Author:
- BETTERCARING
- Publisher:
- Pavilion
- Publication year:
- 2008
- Pagination:
- 93p.
- Place of publication:
- Brighton
Bettercaring, the search directory for UK care homes, is launching a number of services designed to provide more information for people searching for residential care homes for adults with learning disabilities. Aimed at social workers and learning disability care managers, the Bettercaring Learning Disabilities Service Provider Handbook, co-published with Pavilion, provides a comprehensive listing of learning disability care homes and is a useful reference guide for professionals looking for learning disability homes throughout the country. In addition, a learning disability care home search engine based on the successful Bettercaring model will be launched to coincide with the publication of the handbook. This will enable professionals and members of the public to select the criteria, such as location and specific care, when searching for a home. Professionals will also benefit from the introduction of a vacancy alert service. This will provide regular updates on residential home vacancies and will allow social workers to search for vacancies, as well as giving them access to more information about the vacancies quickly and easily.
Models for providing improved care in residential care homes: a thematic literature review: master bibliography
- Authors:
- SZCZEPURA Ala, et al
- Publisher:
- University of Warwick
- Publication year:
- 2008
- Pagination:
- 88p., bibliog.
- Place of publication:
- Coventry
This bibliography is one output from a review of the available research evidence to support improved care in residential care homes as the needs of older people intensify. No commentary or discussion is included.