scholarly journals Performative Compliance and the State–Corporate Structuring of Neglect in a Residential Care Home for Older People

2019 ◽  
Vol 28 (4) ◽  
pp. 651-668 ◽  
Author(s):  
Joe Greener
Keyword(s):  
Older People ◽  
Residential Care ◽  
Corporate Crime ◽  
Care Home ◽  
Political Factors ◽  
Residential Care Home ◽  
The Face ◽  
Ethnographic Data ◽  
Material Conditions

AbstractThe abuse and neglect of older people in care homes is widespread across England, but current causative explanations are limited and frequently fail to highlight the economic and political factors underpinning poor care. Informed by social harm and state–corporate crime perspectives, this study uses ethnographic data gathered through a nine-month period of working in an older person’s residential care home to show how neglect is embedded in working routines. Three aspects of care are interrogated to reveal the embedded nature of harm in the home; all reveal the rift between official, regulatory rules and informal working practices shaped by material constraints of the labor process. This article explores the role of regulatory regimes in actively legitimizing sectors, such as the residential care industry, even in the face of routine violence, by bureaucratically ensuring the appearance of compliance with formal rules. While the harms of contemporary institutionalized care for older people have its roots in material conditions, performative compliance through regulation guarantees that these injurious outcomes are concealed. This article contends that malpractice (and harm) can be explained with reference to conjoint state–corporate relationships and practices.

scholarly journals 4CPS-160 Management of drugs in patients with swallowing difficulties in a public residential care home: role of the hospital pharmacist

2020 ◽  
Author(s):  
N Ferreras López ◽  
MA González ◽  
N Álvarez Núñez ◽  
D López Suarez ◽  
E Martínez Álvarez ◽  
...  
Keyword(s):  
Residential Care ◽  
Care Home ◽  
Hospital Pharmacist ◽  
Residential Care Home ◽  
Swallowing Difficulties

The inside story of how one successful residential care home is surviving lockdown

2020 ◽  
Vol 22 (7) ◽  
pp. 1-3
Author(s):  
Adrian Ashurst
Keyword(s):  
Residential Care ◽  
Best Practice ◽  
Care Home ◽  
Residential Care Home ◽  
The Face

Sharing best practice is one of the ways in which providers are managing and innovating in the face of the pandemic and its impact. Adrian Ashurst explores one residential care facility's journey during these unprecedented times

scholarly journals Separation and not residency permit restores function in resignation syndrome: a retrospective cohort study

2021 ◽  
Author(s):  
Karl Sallin ◽  
Kathinka Evers ◽  
Håkan Jarbin ◽  
Lars Joelsson ◽  
Predrag Petrovic
Keyword(s):  
Cohort Study ◽  
Social Services ◽  
Residential Care ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Care Home ◽  
Essential Components ◽  
Residential Care Home ◽  
The Difference ◽  
Oriented Approach

AbstractDespite poor treatment results, a family-oriented approach and the securing of residency have been deemed essential to recovery from resignation syndrome (RS). In a retrospective cohort study, we evaluated an alternative method involving environmental therapy, with patients separated from their parents, while actively abstaining from involving the asylum process in treatment. We examined medical records, social services acts, and residential care home acts from 13 individuals treated at Solsidan residential care home between 2005 and 2020. Severity and outcome were assessed with Clinical Global Impression, Severity and Improvement subscales. Thirteen participants were included and out of these nine (69%) recovered, i.e. they very much or much improved. Out of the eight that were separated, all recovered, also, one non-separated recovered. The difference in outcome between subjects separated and not was significant (p = 0.007). Moreover, out of the five which received a residency permit during treatment, one recovered whereas four did not. The difference in outcome between subjects granted residency and not was significant (p = 0.007). The data revealed three (23%) cases of simulation where parents were suspected to have instigated symptoms. Our evaluation suggests that separation from parents and abstaining from invoking residency permit could be essential components when treating RS. Relying on a family-oriented approach, and residency could even be detrimental to recovery. The examined intervention was successful also in cases of probable malingering by proxy.

scholarly journals An exploration of hydration practices in Maltese residential care homes for older people

2021 ◽  
Vol 23 (11) ◽  
pp. 1-12
Author(s):  
Francesca Micallef ◽  
Marisa Vella ◽  
Alan Sciberras Narmaniya ◽  
Glenda Cook ◽  
Juliana Thompson
Keyword(s):  
Older People ◽  
Residential Care ◽  
Care Home ◽  
Good Health ◽  
Care Homes ◽  
Complex Needs ◽  
Increased Risk ◽  
Adequate Hydration ◽  
Axial Coding ◽  
Sugary Beverages

Background/aims The integral relationship between adequate hydration and good health is widely recognised. Older people with complex needs and frailty can struggle to maintain adequate hydration, with residents in care home settings being at an increased risk of dehydration. The aim of this study was to explore current hydration practices in residential care homes in Malta. Methods An exploratory qualitative approach was adopted to explore staff's views and approaches in supporting residents' hydration. Data was collected via semi-structured, individual and small group interviews with staff from two care homes from the central and southern region of Malta. A process of open coding, followed by axial coding, was used to analyse the data. Peer debriefing was performed throughout, until agreement was reached among the research team about the final themes and sub-themes. Results Three themes emerged from the data: culture of promoting fluid intake; challenges in supporting older people to achieve optimum hydration; hydration practices and approaches. Conclusions A hydration promotion culture was demonstrated through various practices adopted in the care homes. The strong focus on water intake, in response to concerns about consuming sugary beverages, has implications for the promotion of a person-centred approach to hydration care. Inconsistencies in monitoring of fluids and daily recommended targets highlights the importance of policies or guidelines to guide hydration practice. Challenges related to refusal of fluids and language barriers among non-native staff were evident and justify further research is this area.

scholarly journals Improving Dental Access and Oral Health of Older Adults Living in Residential Care: A Qualitative Research

2021 ◽  
Vol 10 (02) ◽  
pp. 84-90
Author(s):  
Samantha Glover ◽  
Russell Kabir
Keyword(s):  
Oral Health ◽  
Residential Care ◽  
Care Home ◽  
Oral Care ◽  
Local Area ◽  
Communication Training ◽  
Structured Interviews ◽  
Dental Services ◽  
Care Home Staff ◽  
Residential Care Home

Abstract Objectives To explore the access to daily oral care and access to dentistry for those living in a residential care home. Materials and Methods For this research, a residential care home and a dental practice within the local area to the care home was approached. A total of 45 participants were interviewed. Statistical Analysis Semi-structured interviews with three separate cohorts were performed, the patients or their friends and families, care home staff, and the dental teams. The data were analyzed using thematic analysis. Results The three cohorts of patients had similar concerns in accessing the dentists including transport, communication, training, and the need for raised awareness of the importance of oral health. The access to daily oral care was impacted upon by apathy and lack of education or training. Conclusion Better training is required for care home staff and older people living in care on the importance of oral health. The provision of dental services for this community could be delivered differently with a focus on preventing and maintaining independence as long as possible.

Interactions of shame: violence against children in residential care

2020 ◽  
pp. 99-118
Author(s):  
Marie Demant ◽  
Friederike Lorenz
Keyword(s):  
Young People ◽  
Residential Care ◽  
Negative Impact ◽  
Care Home ◽  
Institutional Setting ◽  
Violence Against Children ◽  
Seeking Help ◽  
Empirical Material ◽  
Independent Inquiry

Within their chapter Marie Demant and Friederike Lorenz discuss the role of shame in the context of violence against children in residential care. Their work is based on two empirical projects and includes reports of survivors of sexual violence, who reported their experiences in hearings conducted by the German ‘Independent Inquiry into Child Sexual Abuse’, which started its work in 2016. It furthermore includes empirical material from a research project on systematic violence by a team of professionals in a residential care home for children with disabilities. Both perspectives indicate how young people experience shame and humiliation as part of the institutional setting. Furthermore, it shows the negative impact these practices have on children and adolescents in situations of dependency, seeking help, and disclosure. It points out practices of humiliation as a part of the violence and shows to which extent shame can affect the possibilities for young people in these situations to be heard and to get help.

A helping hand

2020 ◽  
Vol 16 (5) ◽  
pp. 248-250
Author(s):  
Amanda McLaughlin
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Oral Health ◽  
Residential Care ◽  
Care Home ◽  
The Elderly ◽  
Oral Health Care ◽  
Care Homes ◽  
Residential Care Home

Amanda McLaughlin considers the importance of oral health care in nursing and residential care homes Aim The reader should be able to understand the importance of introducing and maintaining effective oral health care in nursing and residential care home and nursing home settings. Objectives To have an overview of UK statistics. To understand the implications of poor oral health on overall wellbeing To understand ways in which teams can improve the oral health of the elderly.

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