Progress and problems in developing outcomes-focused social care services for older people in England

Glendinning, Caroline; Clarke, Susan E.; Hare, Philippa; Maddison, Jane; Newbronner, Elizabeth

doi:10.1111/j.1365-2524.2007.00724.x

Cited by 35 publications

(44 citation statements)

References 9 publications

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“…Maintaining functionality is not only important for being able to live independently, it also reduces the burden of the caregiver and it influences the well‐being of both . Interventions with a focus on activity, independence and successful aging have been shown to be more successful than those based on a dependency service provision model . Occupational therapy (OT), the health profession that focuses on enabling persons to engage in their daily occupations, is important in this respect.…”

mentioning

confidence: 99%

“…5 Interventions with a focus on activity, independence and successful aging have been shown to be more successful than those based on a dependency service provision model. 6 Occupational therapy (OT), the health profession that focuses on enabling persons to engage in their daily occupations, is important in this respect. OT aims to enable people to perform the occupations that foster health and well-being.…”

mentioning

confidence: 99%

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Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

Coninck

Bekkering²,

Bouckaert

et al. 2017

J American Geriatrics Society

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confidence: 99%

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confidence: 99%

Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

Coninck

Bekkering²,

Bouckaert

et al. 2017

J American Geriatrics Society

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“…It is therefore unsurprising that much research has focused on the commissioning, management and quality of care (Francis & Netten, 2004;Gethin-Jones, 2012;Glendinning, Clarke, Hare, & Maddison, 2008;Patmore & McNulty, 2005;Qureshi & Henwood, 2000). However, care in the home can also be considered in terms of how it interacts with an older person's sense of self, with a particular emphasis on whether it supports autonomy, as advocated within a person-centred care philosophy (Care Act, 2014).…”

Section: Introductionmentioning

confidence: 99%

‘I'm not just a number on a sheet, I’m a person’: Domiciliary care, self and getting older

Hughes

Burch

2020

Health Soc Care Community

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Social care funding is reducing in spite of a growing older population. Within this context, domiciliary services are increasingly failing to deliver care that respects the individuality and heterogeneity of older people. To date, there has been limited research in the U.K. that explores, from the older person's perspective, how care practices interact with self. Using biographical‐narrative methodology, this study takes a constructionist approach to understand the individual's lived experience of care and how it interacts with sense of self. A three‐stage model of data collection was used, beginning with a narrative biographic enquiry, exploring with participants (65 yrs +, n = 17) their journeys into care and any possible relationship to personal identity. Stage 2 involved a two‐week period of diary completion, with participants recording daily reflections on their care experiences. In stage 3, a semi‐structured interview explored the diary entries, linking back to the narrative biographic enquiry to reveal ways in which specific care practices interacted with the sense of self. The findings reveal that a strong relationship between older person and formal carer, forged through familiarity, regularity and consistency, plays a significant role in promoting feelings of autonomy. Furthermore, such relationship mediates against the loss of executional autonomy that often accompanies increasing disability. Maintaining autonomy and control was a recurring theme, including in relation to home, privacy and dignity. Feelings of autonomy are also promoted when formal carers understand the unique ways in which individuals experience ageing and being in the cared‐for relationship. This paper suggests that a care approach should be based on two tenets. First, a knowledge and insight into the importance of understanding and respecting the older person's continuing development of self, and second applying this knowledge to care through a positive, stable and consistent relationship between the older person and the carer.

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“…These studies established that the older people receiving outcomefocused care appeared to have a significant improvement in their subjective well-being. The original model of outcome-focused care arose out of the initial research of the Social Policy Research Unit based at York University with the main authors being Qureshi and Henwood [5], whose studies were developed further by Glendinning [6]. Glendinning in her follow up studies defined outcome-focused as:…”

Section: Background and Introductionmentioning

confidence: 99%

“…Outcome-focused services are therefore those that meet the goals, aspirations or priorities of individual service users" [6].…”

Section: Background and Introductionmentioning

confidence: 99%

Fictive Carers Perceptions of the Impact of Outcome-Focused Homecare with Older People Living Alone

Gethin‐Jones¹

2017

J Gerontol Geriatr Res

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Purpose: The aim of this paper is to discuss whether the use of outcome-focused homecare improves the subjective wellbeing of the fictive carers of older people living alone. It also discusses fictive carers' perception of whether this intervention has improved the well-being of their relative.Design/methodology/approach: This study followed the fictive carers of 30 service users who were assessed as having high care needs and living alone over a six-week period. Semi-structured interviews were undertaken at three intervals during the six weeks. The carers were asked to assess their subjective well-being at the start, middle and end of the study. Findings:The key findings were that all 30 fictive carers expressed an improvement in their subjective well-being and that of their older family member, who appeared more settled as a result of this model of care. Originality/value:This study provides an insight into the impact of outcome-focused homecare with older people as perceived by their fictive carers. Previously, research has established that outcome-focused care increased the subjective well-being of the older person from their own perspective. This study also demonstrated that this model of outcome-focussed care also improved the subjective well-being of the fictive carers themselves. These findings will help healthcare practitioners consider the use of this model of homecare as a potential alternative to providing separate support packages for the fictive carers.

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Progress and problems in developing outcomes-focused social care services for older people in England

Cited by 35 publications

References 9 publications

Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

Home‐ and Community‐Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review

‘I'm not just a number on a sheet, I’m a person’: Domiciliary care, self and getting older

Fictive Carers Perceptions of the Impact of Outcome-Focused Homecare with Older People Living Alone

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