Assessing care home quality using routine regulatory information

Worden, Angela; Challis, David

doi:10.1108/14717794200600018

Cited by 4 publications

(6 citation statements)

References 26 publications

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“…Our study results contribute to the sparse body of research investigating residential long-term care regulation and resident care. Earlier work in the United Kingdom analyzed six domains reflecting care processes within announced local authority and health inspection reports, from 2001 to 2002, to develop six measures of quality of care (Worden & Challis, 2006 ). The “best” measure was “the number of negative comments recorded about a home” (Worden & Challis, 2006 p. 40).…”

Section: Discussionmentioning

confidence: 99%

“…Earlier work in the United Kingdom analyzed six domains reflecting care processes within announced local authority and health inspection reports, from 2001 to 2002, to develop six measures of quality of care (Worden & Challis, 2006 ). The “best” measure was “the number of negative comments recorded about a home” (Worden & Challis, 2006 p. 40). Indicators that were predictive of fewer negative comments about a home, or higher quality were: (1) “belonging to a ‘group or chain’”; (2) “higher staffing levels”; (3) “less than 40 beds in size”; (4) “greater coverage of domains on assessment documents”; and (5) “use of assessment information for other purposes” (Worden & Challis, 2006 , p. 40).…”

Section: Discussionmentioning

confidence: 99%

“…The “best” measure was “the number of negative comments recorded about a home” (Worden & Challis, 2006 p. 40). Indicators that were predictive of fewer negative comments about a home, or higher quality were: (1) “belonging to a ‘group or chain’”; (2) “higher staffing levels”; (3) “less than 40 beds in size”; (4) “greater coverage of domains on assessment documents”; and (5) “use of assessment information for other purposes” (Worden & Challis, 2006 , p. 40).…”

Section: Discussionmentioning

confidence: 99%

“…Types of data reported in studies of resident-to-resident aggression resulting in death are: (a) publicly available media reports (Caspi, 2018 ); (b) coroner reports (Murphy et al, 2017 ); and (c) reports of violent deaths (DeBois et al, 2020 ). Further, LTC inspection reports have been analyzed to determine six measures of care quality in the United Kingdom (Worden & Challis, 2006 ), and investigate the extent to which the LTC home monitoring system in Portugal controls quality of care related to institutional violence (Gil, 2019 ).…”

Section: Methodsmentioning

confidence: 99%

“…Regulation functions to “reassur[e] the public that they are receiving services of a certain standard of care” (O’Farrell et al, 2014 , p. 194). Regulation has thereby become linked to LTC quality (Bowblis & Lucas, 2012 ; Furness, 2009 ; Mor et al, 2014 ; O’Dwyer, 2015 ; Worden & Challis, 2006 ). Internationally, policy and decision makers grapple with how best to assure high quality residential LTC (Lloyd et al, 2014 ; Mor et al, 2014 ; Weiner, 2014 ) because “for people who use long-term care services, the quality of the care they receive is critically important, and in some cases can be the difference between life and death” (Weiner, 2014 , p. xxiii).…”

Section: Introductionmentioning

confidence: 99%

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An Analysis of Long-Term Care Home Inspection Reports and Responsive Behaviours

2023

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Concern about residential long-term care quality and safety is a critical issue in developed countries internationally, often fueled by media scandals exposing riveting accounts of resident-to-resident aggression/responsive behaviours. These scandals raise questions about standards of care set through long-term care regulation. Using a participatory action research approach and document analysis method, we analyzed incidents related to responsive behaviours documented in three types of public version inspection reports posted for 535 Ontario, Canada long-term care homes from 2016 through 2018. Creation of an Individual Home Data Collection and Analysis Tool facilitated data collation and descriptive statistical analysis of seven long-term care service areas in the province of Ontario. Results highlight several combined service areas differences between for-profit and not-for-profit home documentation related to responsive behaviours in (a) resident quality inspection means; (b) total complaint and critical incident proportions and means; (c) total enforcement actions proportions; and (d) enforcement penalties. We discovered that documented evidence of incidents related to responsive behaviours was instead represented by other sections of the legislation. The highest proportion of enforcement actions related to responsive behaviours involved no follow-up by inspectors and only four enforcement penalties over three years. Recommendations include revision of the inspection report judgement matrix tool to produce separate enforcement actions specific to responsive behaviours. We submit that attending to this will contribute to protecting long-term care residents from harm and improving their quality of care through more effective connection of long-term care regulation to responsive behaviour care management.

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Section: Discussionmentioning

confidence: 99%