A considerable amount of community care work is concerned with older people entering permanent care in residential or nursing homes. This article explores some practice implications of older people moving between permanent care settings. While the National Minimum Standards for Care Homes for Older People (DoH, 2001a) does not directly mention resident transfers, both its underlying philosophy and some of the standards have the potential to aid professional assessments and decision making in this area. The paper also examines the poor status and training of care home staff which often compounds the complexities and dilemmas involved in transfer decisions. Suggestions are offered to ameliorate the transfer process in order to minimise the concomitant adverse psychosocial impact of transfers
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