Legislating home : the impact of the regulation of small house settings for long term care residents in Nova Scotia, Canada

Roberts, Emily

doi:10.32469/10355/33102

Cited by 3 publications

(4 citation statements)

References 76 publications

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“…Staff controlled shared spaces, excluding residents from kitchens or staff toilets, granting only limited privacy in bedrooms. Roberts (2012) found that although residents in a small community housing scheme in Nova Scotia had considerably more freedom than in traditional care facilities, that freedom was still bounded; staff still felt obliged to ensure residents got up, ate healthy meals, and were protected from perceived risks. Residents perceived themselves as having limited freedoms and expressed ambivalence over whether the housing scheme was their home.…”

Section: Home As Territory In Liminal Spaces Of Carementioning

confidence: 99%

“…Echoing this association between institutions and size, several contemporary de-institutionalization policies limit the size of congregate settings. A limit of ten or 12 is typical (for example, Working Group on Congregated Settings, 2011; Roberts, 2012;Crowther et al, 2017). In Chapter 7, I discuss a the CQC policy discouraging new services for people with intellectual disabilities or autism housing more than six people together.…”

Section: Batch Livingmentioning

confidence: 99%

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Deprivation of Liberty in the Shadows of the Institution

Series¹

2022

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The book cover is black, with the title and author's name in white writing at the top, and the publisher's logo at the bottom. Below the title is an image of room with light coming in through windows and a large pair of glass doors, which are thrown open, on the right-hand side. On the left is a short flight of stairs leading to another room. The warm colour and low angle of the light suggest it is early morning or evening. The room inside is lit up but the small square frames on the doors and windows cast long shadows. You can glimpse trees outside the window. The room is unfurnished, with a brown carpet, white ceiling tiles and long strip lights, which are turned off. The photograph is of a large room -possibly a day room -in the West Sussex County Asylum, later known as Graylingwell Hospital, which closed in 2003. The photographs were taken in 2017 by two (anonymous) brothers, whose website, The Time Chamber (https:// the time cham ber.co.uk/ ), documents empty and derelict buildings, including many former asylums.

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Section: Home As Territory In Liminal Spaces Of Carementioning

confidence: 99%

Section: Batch Livingmentioning

confidence: 99%

Deprivation of Liberty in the Shadows of the Institution

Series¹

2022

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“…43 As staff become engaged with their SH universal duties, they often build a sense of empowerment, resulting in lower turnover rates. 44 This is important, as studies of the relationship between rates of infection, and infection related hospitalization document that a variety of process characteristics relate to the care staff turnover. Care staff that get to know residents better due to more contact are better able to observe changes in individual physical and mental health.…”

Section: The Dementia Friendly City Center Modelmentioning

confidence: 99%

Making the Case for Centralized Dementia Care Through Adaptive Reuse in the Time of COVID-19

Roberts

Carter

2020

INQUIRY

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It is estimated that 5.4 million Americans have some form of dementia and these numbers are expected to rise in the coming decades, leading to an unprecedented demand for memory care housing and services. At the same time, infectious disease outbreaks like the COVID-19 pandemic have raised great concerns for the future of care settings for people living with dementia. In searching for innovative options to create more autonomy and better quality of life in dementia care settings, while at the same time improving infectious disease control, repurposing existing structures, in particular vacant urban malls, may be one option for the large sites needed for the European model of dementia villages. This editorial paper makes the case for the Dementia Friendly City Center model for centralized dementia programs, medical services and housing. By working across multiple disciplines, this research team has simultaneously addressed numerous issues, including community revitalization, building sustainability, and the strengthening of infectious disease control in care sites which are inclusive, progressive and convergent with the needs of an aging population.

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“…Compared to other models, care staff in the household model report being more familiar with residents and better able to detect early changes in health conditions (Bowers et al, 2016). Research shows that as staff become engaged with their universal duties, often building a sense of commitment leading to empowerment, resulting in lower turnover rates (Roberts, 2012). This is important, as studies of the relationship between long term care rates of infection, and infection related hospitalization document that a variety of process characteristics relate to the care staff turnover.…”

Section: Adaptive Reuse Of Malls For Dementia Friendly City Centersmentioning

confidence: 99%

Thinking outside of the Box: Medical Provider Perspectives on Adaptive Reuse of Closed Mall Sites for Mixed-Use Dementia Programs and Services

Roberts

Kleszynski

Shehadeh

et al. 2020

Journal of Aging and Environment

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The double societal hit of dementia and infectious disease outbreaks like the COVID-19 pandemic have raised a convergence of concerns for the future of care settings for people living with dementia. It is estimated that 5.4 million Americans have some form of dementia and these numbers are expected to rise in the coming decades, leading to an unprecedented demand for memory care housing and services. In searching for innovative options to create more autonomy and better quality of life in dementia care settings, repurposing existing structures, in particular vacant urban malls, may be one option for the large sites needed for the European model of dementia villages. These settings may become sustainable Dementia Friendly City Centers, because with enclosed mall construction, the internal infrastructure is in place for lighting and HVAC, with varied spatial configuration of public spaces. This paper describes the community-based focus group research with medical providers who addressed designs for adaptive reuse of an existing closed mall case study site. Focus group outcomes included discussions on four central themes about the adaptive reuse including: applicability of the concept, spectrum of programs, economic feasibility and onsite medical care.

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Legislating home : the impact of the regulation of small house settings for long term care residents in Nova Scotia, Canada

Cited by 3 publications

References 76 publications

Deprivation of Liberty in the Shadows of the Institution

Deprivation of Liberty in the Shadows of the Institution

Making the Case for Centralized Dementia Care Through Adaptive Reuse in the Time of COVID-19

Thinking outside of the Box: Medical Provider Perspectives on Adaptive Reuse of Closed Mall Sites for Mixed-Use Dementia Programs and Services

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