Improving safety and quality of care for the local care home population through integrated working in the community between primary and secondary care

2016 ◽  
Vol 3 (Suppl 2) ◽  
pp. s33-s33
Author(s):  
Katie Athorn ◽  
Anna Folwell
Keyword(s):  
Quality Of Care ◽  
Secondary Care ◽  
Care Home

Aged Care Residents’ Perspectives on Quality of Care in Care Homes: A Systematic Review of Qualitative Evidence

2021 ◽  
pp. 016402752198907
Author(s):  
Andrew S. Gilbert ◽  
Stephanie M. Garratt ◽  
Leona Kosowicz ◽  
Joan Ostaszkiewicz ◽  
Briony Dow
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Quality Care ◽  
Care Home ◽  
Aged Care ◽  
Care Homes ◽  
Care Providers ◽  
Eligibility Criteria ◽  
Qualitative Evidence

There is increasing interest in harnessing aged care residents’ perspectives to drive quality improvement in aged care homes. We conducted a systematic review of qualitative evidence including literature examining residents’ descriptions of “quality of care” in aged care homes, using database searches and screening records according to eligibility criteria. Three independent reviewers conducted quality assessment of forty-six eligible articles and performed thematic synthesis of articles’ findings. We distinguish nine key themes describing factors influencing quality care: staffing levels, staff attitude, continuity, routine, environment, decision-making and choice, dignity of risk, activities, and culture and spirituality. While many themes were consistent across studies, residents’ prioritization of them varied. Aged care home residents have differing conceptions of quality care as well as heterogeneous and dynamic needs and preferences. Care providers are best able to facilitate quality care when intentional efforts are made to recognize this and tailor delivery of services the individual residents.

scholarly journals THE RELATIONSHIP BETWEEN STAFFING AND QUALITY FOR CARE HOME RESIDENTS: A REALIST REVIEW

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S381-S381
Author(s):  
Karen Spilsbury ◽  
Kirsty Haunch
Keyword(s):  
Quality Of Care ◽  
Care Home ◽  
Realist Review ◽  
Team Size ◽  
Work Package ◽  
Staffing Levels ◽  
The Uk ◽  
The Relationship ◽  
Individual Commitment

Abstract In recent years, quality of care in the sector has come under increasing scrutiny, and practice and policy concerns have been raised about staffing levels, recruitment and retention. Beyond broad recognition that ‘staff influence quality’, little is known about the care home workforce and its relationship to quality. We are undertaking the first study in the UK to address this important question, considering quality from a range of perspectives. One work package comprises a realist review to develop theoretical explanations of how, why and in what circumstances staffing promotes quality for residents and relatives. We will present three mechanisms that promote quality - individual commitment to resident focused care, reciprocity in the team, and a mandate to be creative and flexible to meet residents’ needs. We will consider the contexts required to trigger these mechanisms – staffing numbers, stability of the team, size of the team, and clear leadership.

scholarly journals RELATIONSHIP BETWEEN CARE HOME STAFFING AND QUALITY OF CARE: A MIXED-METHODS APPROACH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S242-S242
Author(s):  
Karen Spilsbury ◽  
Andy Charlwood ◽  
Danat Valizade ◽  
Kirsty Haunch
Keyword(s):  
Quality Of Care ◽  
Observational Study ◽  
Care Home ◽  
Data Sets ◽  
Mixed Methods Approach ◽  
Using Data ◽  
The Uk ◽  
First Time ◽  
Individual Commitment

Abstract Beyond broad recognition that ‘staff influence quality’, little is known about the care home workforce and its relationship to quality. Our study examines this relationship for the first time in the UK. Quality is a complex, contested and dynamic concept: we have operationalised this concept using data collected at national and organisational levels to measure quality, as well as considering the views of quality of different stakeholders. We will present interim findings from this study’s work packages (due to complete in July 2020), including: (1) our review which has developed theoretical explanations of how, why and in what circumstances staffing promotes quality for residents and relatives; and (2) our observational study using routine administrative data sets at national and provider level. Key findings include the importance of experience and stability of care hoe staff, as well as how care is delivered (individual commitment, team reciprocity and organisational mandate).

How organizational factors interact to influence the quality of care of older people in the care home sector

2013 ◽  
Vol 18 (1_suppl) ◽  
pp. 14-22 ◽  
Author(s):  
Anne Killett ◽  
Paula Hyde ◽  
Diane Burns ◽  
Richard Gray ◽  
Fiona Poland
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Care Home ◽  
Organizational Factors

scholarly journals Digging deep: how organisational culture affects care home residents' experiences

2014 ◽  
Vol 36 (1) ◽  
pp. 160-188 ◽  
Author(s):  
ANNE KILLETT ◽  
DIANE BURNS ◽  
FIONA KELLY ◽  
DAWN BROOKER ◽  
ALISON BOWES ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Care Home ◽  
Organisational Culture ◽  
Care Homes ◽  
Comparative Case Study ◽  
Home Culture ◽  
Dynamic Relationship ◽  
Experience Of Care ◽  
Espoused Values

ABSTRACTOrganisational culture of institutions providing care for older people is increasingly recognised as influential in the quality of care provided. There is little research, however, that specifically examines the processes of care home culture and how these may be associated with quality of care. In this paper we draw from an empirical study carried out in the United Kingdom (UK) investigating the relationship between care home culture and residents' experience of care. Eleven UK care homes were included in an in-depth comparative case study design using extensive observation and interviews. Our analysis indicates how organisational cultures of care homes impact on the quality of care residents receive. Seven inter-related cultural elements were of key importance to quality of care. Applying Schein's conceptualisation of organisational culture, we examine the dynamic relationship between these elements to show how organisational culture is locally produced and shifting. A particular organisational culture in a care home cannot be achieved simply by importing a set of organisational values or the ‘right’ leader or staff. Rather, it is necessary to find ways of resolving the everyday demands of practice in ways that are consistent with espoused values. It is through this everyday practice that assumptions continuously evolve, either consistent with or divergent from, espoused values. Implications for policy makers, providers and practitioners are discussed.

scholarly journals 37 Enhance GP-Geriatrician Care Homes Multidisciplinary Team

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i9-i10
Author(s):  
E Ruiz-Mendoza ◽  
A Penart ◽  
I Obi ◽  
E Addison ◽  
H Clark
Keyword(s):  
Quality Of Care ◽  
Patient Experience ◽  
Multidisciplinary Team ◽  
Care Home ◽  
Care Homes ◽  
Home Support ◽  
Support Team ◽  
The Impact ◽  
Improve Patient

Abstract Introduction Peterborough Care Home Support Team (CHST) have worked on a small pilot of 4 care homes with a local GP and an interface geriatrician to address the complex needs of the residents within those care homes to improve patient experience, quality of care and reduce attendances and admissions to hospital in a geographical area of 5000 care home beds. Methods The multidisciplinary team (MDT) consisted of a General Practitioner, Interface Geriatrician, Pharmacist from the medicine optimisation team and Care Home Support Team member with once a month meeting in the selected Care Home. We measure the impact of our intervention comparing the data predating our intervention comparing 4 selected care homes with high A&E attendances in each period 2017 and 2018. Results 50% reduction in hospital attendances with £4985.48 cost saving following medication review in the 4 care homes under study. Conclusions Commissioners, Local Authorities and Care Home Providers have started to look towards more innovative solutions to improve patient experience, quality of care and reduce attendances and admissions to hospital. Our experience and results aim to consider enhance GP-Geriatrician Care Homes MDT as a good model of care.

scholarly journals UNDERSTANDING AND MEETING THE NEEDS OF RESIDENTS IN LONG-TERM CARE FACILITIES: A MULTIDISCIPLINARY PERSPECTIVE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S241-S241
Author(s):  
Barbara Hanratty ◽  
Karen Spilsbury
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
Service Providers ◽  
Quality Care ◽  
Care Home ◽  
Later Life ◽  
Term Care ◽  
Care Facilities

Abstract Long-term care facilities play a vital role in the care of older people. Across the world, service providers face common challenges to the delivery of high quality care to residents. Rising levels of morbidity and dependency, recruiting and retaining a skilled workforce, and separation from mainstream services are some of the issues that make this one of the most precarious care sectors. In this symposium, we will consider the evidence underlying some of these challenges, along with current and possible future service responses. The first presentation will look at factors that increase the risk of transition to dependency in the Newcastle 85+ cohort study. This is followed by an analysis of trends over time in health, morbidity and disability in the UK care home population, drawing on data from three later life cohorts. Having considered the characteristics and needs of residents, the next presentations move onto care services. Findings will be presented from a mixed methods study on the relationship between care home staffing and quality of care, followed by a study of the organisation of primary care for long term care facilities. This session will end by looking to the future, with findings from rapid syntheses of international evidence on technology, and evaluation methods, in animated format. Together, these presentations will enhance our understanding of the relationships between the needs of residents in long-term care facilities, demands on service providers and quality of care. We aim to stimulate debate and discussion on future directions for research and practice.

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