Abuse in care? A research project to identify early indicators of concern in residential and nursing homes for older people

Marsland, David; Oakes, Peter; White, Caroline

doi:10.1108/jap-08-2014-0027

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…Such problems could move beyond the care home if they were observed by external visitors, carrying risks to reputation and regulatory status. For example, Marsland et al (2012) suggested that an early indicator of concern in care homes may be that members of staff are shouting at residents. As noted in the Serious Case Review into events at the Orchid View Care Home, there was no evidence that the care home corporate owner (Southern Cross) had equipped the manager with skills to address problems arising from the workforce diversity: The one manager in our study who reported training that was helpful had found for herself a training programme that suited her managerial imperatives and gave her a structure for minimising risks.…”

Section: Proactive Management Of Potential Conflictmentioning

confidence: 99%

Workforce diversity and conflicts in care work: managers’ perspectives

Manthorpe¹,

Harris²,

Moriarty³

et al. 2018

International Journal of Care and Caring

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Section: Proactive Management Of Potential Conflictmentioning

confidence: 99%

Workforce diversity and conflicts in care work: managers’ perspectives

Manthorpe¹,

Harris²,

Moriarty³

et al. 2018

International Journal of Care and Caring

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“…Though the "early" indicators of poor quality care in care homes that give rise to circumstances where abuse of older people is more likely to occur may well be observable and tangible, as Marsland et al (2015) asserted, such as a lack of direction and support from managers, it is also clear that such abuse remains unidentified and unreported to a significant extent, and may sometimes be deliberately concealed by the actions of care home staff (Greve, 2008;Moore, 2016b). Unfortunately, the reassurance that might otherwise arise as a result of staff holding recognised qualifications in care is illusory, because they are demonstrably over-represented among those proven to have perpetrated abuse against older people (Moore, 2017c).…”

Section: The Problem Of Imperfect Informationmentioning

confidence: 99%

Through a glass darkly: exploring commissioning and contract monitoring and its role in detecting abuse in care and nursing homes for older people

Moore

2018

JAP

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Purpose-The purpose of this paper is to present findings from face-to-face interviews undertaken with 16 care and nursing home managers employed in homes situated in two English local authorities. The research sought to explore managers' perceptions of the role of contract monitoring in the prevention of abuse. Design/methodology/approach-Semi-structured interviews were undertaken with 16 care and nursing home managers. Findings-Though personnel employed by the local authority who conducted contract monitoring were generally thought of positively by care home managers on a personal level, their effectiveness was perceived to be limited as a result of their lack of experience and knowledge of providing care, and the methods that they were required to use. Research limitations/implications-Though the research draws upon the experiences of only 16 care and nursing home managers in two local authorities, data suggest that current contract monitoring activity is of limited utility in determining the true nature of care and the presence of abuse. Originality/value-Unusually, the paper explores care and nursing home managers' perceptions of contract monitoring processes in terms of how they perceive their effectiveness in preventing abuse.

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“…Another example was given of "[…] a resident in an armchair be dragged forward by their head to have a cushion shoved behind their back" (focus group 2). Staff skills, knowledge and practice can be considered as an early indicator of concern (Marsland et al, 2012). However one indicator on its own is unlikely to indicate serious risk of abuse.…”

Section: Moving and Handling Issuesmentioning

confidence: 99%

“…The basic care, I have previous experience as a HCA and so could see how bad the standard of basic care was, but for a student starting with no previous experience it would have not been a good learning environment. Marsland et al (2012) found that early indicators of concern in nursing and residential homes included quality of basic care in addition to skills knowledge and practice. Therefore such issues raised by the students could be considered as early indicators of possible abuse.…”

Section: Poor Practicementioning

confidence: 99%

Student nurses on placement – collaborators or challengers

Clarke

2015

The Journal of Adult Protection

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Purpose – All nursing students have the opportunity to gain experience in the Independent Sector. The Health and Social Care Act (2012) in the UK has led to more health services being provided by the Independent Sector. The purpose of this paper is to explore the perceptions of first year student nurses of their learning experience in nursing homes placements within the Independent Sector. Design/methodology/approach – Two focus groups were undertaken with first year student nurses, one with six students and the other with seven students. All students had completed four week clinical placements in nursing homes. The focus groups were semi structured. Thematic analysis was undertaken on the data. Findings – Important themes that emerged from the data included: leadership issues, poor practice relating to infection control and manual handling, team dynamics, commitment to addressing issues when raised and challenges to raising issues within the placement area. The findings provided an insight into some of the barriers for student nurses when raising issues. The decision to raise concerns was multifactorial and complex. Attention was also focused on the relationship between the mentor and the student and the impact that can have on the learning environment. Research limitations/implications – The limitations for this study included: this was a small scale study, the findings were from a small number of placement areas within a small geographical area of the UK. Some students may have felt reluctant to share their views in a focus group. The findings reflect the views of first year student nurses only. However, first year students can provide an alternative view of a placement area. Their lack of experience can be an opportunity to question accepted norms with the mentor, acting as a resource of new ideas. Originality/value – This paper identified opportunities and challenges for student nurses and education providers alike. For the student it was the complexities of raising issues and for the education provider it was equipping students with the knowledge and skills to raise such issues not only as a student but also upon qualification.

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Abuse in care? A research project to identify early indicators of concern in residential and nursing homes for older people

Cited by 9 publications

References 11 publications

Workforce diversity and conflicts in care work: managers’ perspectives

Workforce diversity and conflicts in care work: managers’ perspectives

Through a glass darkly: exploring commissioning and contract monitoring and its role in detecting abuse in care and nursing homes for older people

Student nurses on placement – collaborators or challengers

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