Technology for supporting care staff in residential homes.

Care staff, those who attend to the day-to-day needs of people in residential facilities, represent an important segment of the health-care provision of those entrusted to their care. The potential use of technology by care staff has not been a focus of researcher attention. The work reported here provides initial steps in addressing that gap, considering both the design requirements for this population and presentation of early work on a software system for use by care staff. We describe the development of a software tool for use by care staff, called Portrait, and report two studies related to factors affecting technology use by this population. The results of this research are promising, with Portrait being very positively received by care managers and care staff. Use of this software in a care home for over a month indicated continued use, with care staff returning to the system throughout the test period. The contributions of this research are the identification of factors important in working with a care staff population, the introduction and evaluation of a novel software tool for care staff in residential homes, and the highlighting of potential benefits of technology in assisting care staff

Toward Common Data Elements for International Research in Long-term Care Homes: Advancing Person-Centered Care

To support person-centered, residential long-term care internationally, a consortium of researchers in medicine, nursing, behavioral, and social sciences from 21 geographically and economically diverse countries have launched the WE-THRIVE consortium to develop a common data infrastructure. WE-THRIVE aims to identify measurement domains that are internationally relevant, including in low-, middle-, and high-income countries, prioritize concepts to operationalize domains, and specify a set of data elements to measure concepts that can be used across studies for data sharing and comparisons. This article reports findings from consortium meetings at the 2016 meeting of the Gerontological Society of America and the 2017 meeting of the International Association of Gerontology and Geriatrics, to identify domains and prioritize concepts, following best practices to identify common data elements (CDEs) that were developed through the US National Institutes of Health/National Institute of Nursing Research's CDEs initiative. Four domains were identified, including organizational context, workforce and staffing, person-centered care, and care outcomes. Using a nominal group process, WE-THRIVE prioritized 21 concepts across the 4 domains. Several concepts showed similarity to existing measurement structures, whereas others differed. Conceptual similarity (convergence; eg, concepts in the care outcomes domain of functional level and harm-free care) provides further support of the critical foundational work in LTC measurement endorsed and implemented by regulatory bodies. Different concepts (divergence; eg, concepts in the person-centered care domain of knowing the person and what matters most to the person) highlights current gaps in measurement efforts and is consistent with WE-THRIVE's focus on supporting resilience and thriving for residents, family, and staff. In alignment with the World Health Organization's call for comparative measurement work for health systems change, WE-THRIVE's work to date highlights the benefits of engaging with diverse LTC researchers, including those in low-, middle-, and high-income countries, to develop a measurement infrastructure that integrates the aspirations of person-centered LTC

Employers skill survey : case study : health and social care

"This report examines the relationship between service delivery strategies and processes, and the deployment of skills, recruitment problems and skill gaps within selected sub-sectors of health and social care. The sub-sectors within health are physiotherapy and radiography. Within social care the focus is on care of the elderly (both residential and domiciliary care). Although subject to similar drivers and associated pressures, the two sub-sectors of health and social care display markedly different characteristics, particularly in terms of service delivery strategies, qualification frameworks and utilisation of skills. In simple terms, the health and social care subsectors considered within this report may be thought of as being situated at opposite poles of the ‘skills spectrum’: with radiography and physiotherapy characterised by high level skills, while care of the elderly is traditionally associated with low level skills. Hence, the two sub-sectors are discussed separately throughout this report. The greater complexity and range of skills required in the two health sub-sectors is reflected in the comparative length of the two sections of the report" - page 9

Challenges Associated with Implementing an Education Program in a Residential Aged Care Setting

The link between independence and well-being of older people in residential care is well established. This paper reports some challenges encountered during implementation of an education program designed to assist nursing staff to adopt an independence-supporting model of residential care. The education program was part of a larger project aimed at developing an example of best practice in supported care which promotes independence, well-being and community linkages. Implementation of the program created many interesting challenges which were overcome by strategies and facilitating forces such as support from management and some staff, and the collaborative nature of the project. Positive outcomes of the education program included increased awareness of, and change in, practice; increased staff-resident interaction; and increased encouragement for residents to be independent and to engage with the wider community. Moreover, a facilitator manual - Promoting Independence: A Learning Resource for Aged Care Workers was subsequently developed so that the program can be implemented in aged care facilities elsewhere

Housing and Support Options for People with Intellectual and Developmental Disabilities

This document presents resources and next-steps for finding housing options by ideal situation and level of support for people suffering with intellectual and/or developmental disabilities

Setting priorities to inform assessment of care homes’ readiness to participate in healthcare innovation: a systematic mapping review and consensus process

© 2020 The Author(s). This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedOrganisational context is known to impact on the successful implementation of healthcare initiatives in care homes. We undertook a systematic mapping review to examine whether researchers have considered organisational context when planning, conducting, and reporting the implementation of healthcare innovations in care homes. Review data were mapped against the Alberta Context Tool, which was designed to assess organizational context in care homes. The review included 56 papers. No studies involved a systematic assessment of organisational context prior to implementation, but many provided post hoc explanations of how organisational context affected the success or otherwise of the innovation. Factors identified to explain a lack of success included poor senior staff engagement, non-alignment with care home culture, limited staff capacity to engage, and low levels of participation from health professionals such as general practitioners (GPs). Thirty-five stakeholders participated in workshops to discuss findings and develop questions for assessing care home readiness to participate in innovations. Ten questions were developed to initiate conversations between innovators and care home staff to support research and implementation. This framework can help researchers initiate discussions about health-related innovation. This will begin to address the gap between implementation theory and practice.Peer reviewe

Creating an evidence base to support the development of a holistic approach to working with children and young people in Derbyshire: a local authority case study on the integration of social pedagogy in children and young people’s services

Derbyshire County Council Children and Younger Adult’s Directorate has been undergoing a social pedagogy learning journey. Local research has identified that where social pedagogy underpins the activities offered to vulnerable children and those in residential care settings the outcomes for these groups are improved. Research suggests that there is a growing appetite for a programme of workforce development in social pedagogical approaches. A growing body of research suggests that whilst training in this area is valued and has impact, it should not result in a new professional identity, that of social pedagogue. Rather the principles and concepts should be embedded in the existing roles of a range of practitioners and stakeholders working with children and young people. As a result of these insights a new accredited programme is being developed in Derbyshire in partnership with the University of Derby which will be offered to 100 practitioners drawn from across the range of the children’s and young people’s workforce. This new approach will be the focus of new research which monitors the impact of the training on the behaviours of practitioners and the outcomes for children. This article offers insights into process and thinking which surrounds the new strategy