{"title":"Editorial: Reflecting on the implications of the Care Act 2014 for care providers","authors":"Des Kelly","doi":"10.1179/1750167914Z.00000000037","DOIUrl":"https://doi.org/10.1179/1750167914Z.00000000037","url":null,"abstract":"","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"7 1","pages":"74-75"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750167914Z.00000000037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65650170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The business case for supporting carers: A case study from Hertfordshire","authors":"Hannah Rignell, S. Pickup","doi":"10.1179/1750168713Y.0000000021","DOIUrl":"https://doi.org/10.1179/1750168713Y.0000000021","url":null,"abstract":"In March 2012, Hertfordshire County Council approved funding of approximately £100 000 to implement a carer-friendly community and a carer-friendly hospital. The aim of the pilots is to test the impact of a carer friendly health and social care system on permanent admissions to residential care, as well as potential savings to the NHS. The business case was based on keeping eight more carers caring for 1 year by improving multi-agency support for those carers, and their cared for. The carer friendly communities themselves are based on a focussed implementation of the Hertfordshire Commitment to Carers, also known as the ‘core offer’; this is what all carers should be entitled to, wherever they happen to hit the system. The business case on which the decision to take forward this work was based provides the core content for this study. The aim was to use real evidence to support concerted action in an area where there is much debate but where justifying additional investment is challenging especially in th...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"7 1","pages":"41-57"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168713Y.0000000021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65654746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of the carers movement","authors":"B. Pitkeathley","doi":"10.1179/1750168713Y.0000000020","DOIUrl":"https://doi.org/10.1179/1750168713Y.0000000020","url":null,"abstract":"AbstractBaroness [Jill] Pitkeathley traces the development of the carers movement in the UK and assesses its impact. She concludes that it has been of vital significance in formulating and driving policy in health and social care. Its work is far from over though and a strong voice for carers will continue to be important in the future especially in view of our aging population and the pressure on health and social care budgets.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"7 1","pages":"58-60"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168713Y.0000000020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65654527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Residential care for those with neurological conditions: An exploration of three specialist neurological care facilities in the UK","authors":"E. Wilson, A. Aubeeluck","doi":"10.1179/1750168713Y.0000000025","DOIUrl":"https://doi.org/10.1179/1750168713Y.0000000025","url":null,"abstract":"AbstractNeurological conditions account for a high number of years lived with disability. Progressive long-term neurological conditions include Huntington's disease, Parkinson's disease, motor neurone disease, and multiple sclerosis. A multidisciplinary approach is recommended, but there is little evidence of the types of support needed for people living in long-term residential care facilities with these conditions. We used a qualitative case study approach to evaluate the care provided by three long-term residential care facilities. Focus groups (n = 5), interviews (n = 13), and observations were undertaken to engage 35 staff members, service users, and family members. Findings show an ethos of personalized and tailored care where continuity of staffing created a homely environment. Physical spaces were adapted to meet the needs of residents. On-site physiotherapy services were provided for all residents to proactively manage conditions and maintain as much function as possible. A range of social activi...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"66 1","pages":"61-71"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168713Y.0000000025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65654951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin Miller, Iestyn Williams, Kerry Allen, J. Glasby
{"title":"Evidence, insight, or intuition? Investment decisions in the commissioning of prevention services for older people","authors":"Robin Miller, Iestyn Williams, Kerry Allen, J. Glasby","doi":"10.1179/1750168714Y.0000000027","DOIUrl":"https://doi.org/10.1179/1750168714Y.0000000027","url":null,"abstract":"AbstractEnglish adult social care commissioners are expected to make ‘evidence based’ decisions on how best to invest public sector funding. This study explores the types of evidence that commissioners use in relation to prevention services for older people and the other factors that influence their investment decisions. A study of local authority Directors of Adult Social Services (DASSs) was used to identify three local prevention interventions. Semi-structured interviews with leads for these interventions explored the evidence and other factors that influenced the investment process. Commissioners drew on a variety of published evidence, in particular that deriving from central government and its regional representative bodies, and third sector organizations with specialist knowledge. Local evidence was also generated through the undertaking of pilots and gathering of performance data. Alongside these ‘rational’ decision-making processes were strong political, personal, and relational dimensions relate...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"7 1","pages":"119-127"},"PeriodicalIF":0.0,"publicationDate":"2013-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168714Y.0000000027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65655046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Squaring another circle in policy and practice: Personalization and adult safeguarding","authors":"K. Ellis, M. Preston-shoot","doi":"10.1179/1750168713Y.0000000023","DOIUrl":"https://doi.org/10.1179/1750168713Y.0000000023","url":null,"abstract":"AbstractAdult social care policy and practice in England have been dominated by two competing imperatives, namely personalization and safeguarding. They have largely followed parallel tracks, with practitioners and managers, service users, and care-givers having to manage the complex interface between choice, autonomy, risk, and protection. Not surprisingly, practice approaches have shown considerable variation towards service users with and without decision-making capacity, with respect to their choices about risk. Levels of legal knowledge among practitioners and managers have also been patchy, introducing additional uncertainty about how to approach complex cases where empowerment principles appear to clash with safe, protective outcomes. This paper considers the research evidence on outcomes of current policies on personalization and adult safeguarding, and reviews proposals in the Care Bill for reform of this key area of policy and practice. The paper concludes with implications for practitioners and...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"161-171"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168713Y.0000000023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65655157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adult safeguarding – the state we're in","authors":"J. Manthorpe","doi":"10.1179/1750167913Z.00000000028","DOIUrl":"https://doi.org/10.1179/1750167913Z.00000000028","url":null,"abstract":"","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"137-139"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750167913Z.00000000028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65650071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitating the concept of abuse in adult safeguarding policy and practice","authors":"M. Dunn","doi":"10.1179/1750168713Y.0000000010","DOIUrl":"https://doi.org/10.1179/1750168713Y.0000000010","url":null,"abstract":"Government policy in England has established that the role of adult safeguarding work is to prevent, or reduce the risk of, adults being subject to abuse. Evolving policy and practice frameworks account for abuse in terms of the violation of a person's rights, or by reference to harm. However, the relationship between abuse, harm, and rights is poorly articulated, and there is evidence that these concepts become blurred within practice. In this study, I aim to clarify the concept of abuse as it ought to be applied in the context of adult safeguarding. I argue that the concept of abuse should function to draw attention to the problematic dynamics of interpersonal relationships that lead to adults being caused harm. Understanding abuse in this way has important implications for thinking about adults' vulnerability, the place of self-harm, and self-neglect in safeguarding work, and the broader planning and delivery of multi-disciplinary services within local authorities.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"140-148"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168713Y.0000000010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65654278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safeguarding adults with a learning disability in England and Wales: Money, markets, and ethically sustainable care","authors":"J. Parker, D. Galpin","doi":"10.1179/1750168713Y.0000000014","DOIUrl":"https://doi.org/10.1179/1750168713Y.0000000014","url":null,"abstract":"There are growing numbers of adults with learning disabilities in the UK. The extent to which the rights of adults with learning disabilities are being respected raises fundamental issues of humani...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"149-155"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168713Y.0000000014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65653906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safeguarding and domestic abuse: An intersection for future policy and practice development","authors":"J. McGarry, C. Simpson, K. Hinsliff-Smith","doi":"10.1179/1750168713Y.0000000009","DOIUrl":"https://doi.org/10.1179/1750168713Y.0000000009","url":null,"abstract":"There has been a growing recognition among a number of commentators that domestic abuse among older people has historically been largely ‘subsumed’ under the umbrella of elder abuse and that older people have been largely excluded from the discourse surrounding domestic abuse. Failure to acknowledge domestic abuse as occurring in later life, and as distinct from other forms of family violence, has in turn exerted a considerable impact in terms of the development, or a lack thereof, of appropriate services and care provision to meet the particular needs of older people who have experienced intimate partner violence (IPV). Awareness surrounding domestic abuse generally has been growing, and continues to grow in terms of visibility in both policy and practice arenas. However, it also remains unclear how current developments recognise or will explicitly address the needs of older populations. Domestic abuse in later life can be inherently complex especially where the boundaries of domestic abuse and vulnerabi...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"6 1","pages":"156-160"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/1750168713Y.0000000009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65654212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}