older peoples homes

Options for care funding: What could be done now?

Many experts, the public and the Government agree that the UK needs a new care funding system: evidence shows that the present system is unfair, unclear and unsustainable. This summary updates a Solutions produced in 2007, and suggests four costed, fairer and more sustainable methods of funding.

Facing the cost of long-term care: Towards a sustainable funding system - Facing the cost of long-term care: Towards a sustainable funding system

A review of the issues around paying for long-term care for older people, asking how the current system could be improved. This study brings together evidence and discussions assembled by the Joseph Rowntree Foundation. It identifies some key challenges that need addressing in order to start moving towards a fairer, more rational and adequate system of funding It deliberately avoids proposing a radical redesign of the whole system, though there is a case for that. Rather it provides a platform for sensible discussion of how to design improvements in the funding system.

Improving care in residential care homes: a literature review (summary report)

This review by a team from the University of Warwick and University of the West of England, with support from the University of York, examines research evidence available to support improved care for older people in residential homes. The review explores seven themes: residents' and relatives' views on care; clinical areas for improvement; medication in care homes; medical input into care homes; nursing care in care homes; interface between care homes and other services; care improvement in care homes.

Remember, I’m still me

Care homes across Scotland need to significantly improve the care they offer to people living with dementia.

This report was produce by the Care Commission and the Mental Welfare Commission and highlights a range of concerns, most notably the excessive use of drugs used to control behaviour and the lack of regular medication reviews.

Providing nursing support within residential care homes (summary report)

This study examines a joint NHS-Local Authority initiative providing a dedicated nursing and physiotherapy team to three residential care homes in Bath and North East Somerset. The initiative aims to meet the nursing needs of residents where they live and to train care home staff in basic nursing.

A systematic review of integrated working between care homes and health care services

This study aims to evaluate the different integrated approaches to health care services supporting older people in care homes, and identify barriers and facilitators to integrated working.

Restraint in care homes for older people: knowledge review 24

Staff in care homes for older people can be confused as to what constitutes restraint, and unsure how to balance their responsibilities to residents with the rights of residents to make their own decisions. This report is based on a selection of literature that addresses these questions, as well as considering how, when and why restraint is used.

Eating well in care homes for older people

This report details what the Care Commission found when it looked in detail at five areas of food and nutrition in a sample of 303 care homes for older people in Scotland during inspections in 2006 to 2007, investigated 91 complaints about eating, drinking and nutrition in 2006 to 2007, looked at the improvement notices that were served on care homes in 2008 to 2009, and worked with staff called nutrition champions to make improvements in eating, drinking and nutritional care in the care homes where they were working.

SCIE Report 25: minimising the use of 'restraint' in care homes - challenges, dilemmas and positive approaches

The report describes findings from a small-scale study commissioned by SCIE, which was undertaken as part of the My Home Life programme, a national programme aimed at supporting quality of life for those living, dying, visiting and working in care homes. The study seeks to shed light on the complexity of the issues facing care homes and to explore how managers and staff have developed strategies for avoiding or minimising the use of restraint.