ENRICHEnabling Research in Care Homes
The British Society of Gerontology Annual Conference is being hosted by the University of East Anglia, Norwich, UK on 5-7th July 2023.
Abstract submission closes soon (27th January).
Plenary Speakers: Adelina Comas-Herrera, Aravinda Meera Guntupalli, Karl Pillemer Find out more here
- Hearing older people’s voices
- Cultural ageing; Ageing in the community
- Ageing at a time of global crisis
- Technology and social interventions for independence, support and care
- Ageing in urban and rural spaces
- Empowering and supporting people moving to end-of-life
Please do consider submitting your research abstract to this vibrant and friendly conference. Submit your abstract here
Find us on Twitter: @bsg2023
“The first days of statutory integrated care systems: born into a storm
On 1 July 2022, integrated care systems (ICSs) finally arrived in statutory form, some five years after their initial conception through the first of the sustainability and transformation plans.
ICSs are partnerships that bring together NHS organisations, local authorities and others to take collective responsibility for planning services, improving health and reducing inequalities across geographical areas. There are 42 of them in England. They stem from a recognition that the traditional barriers between GPs, hospitals and community services, between physical and mental health, and between health and social care need to be broken down to provide care that is much better integrated. So that people with multiple health conditions, not just single diseases, are better supported. Integral to the concept is that a much stronger emphasis needs to be placed on prevention, on population health and on tackling socio-economic inequalities and the health consequences that flow from them – things that neither local authorities, nor the NHS can achieve on their own, even when working with the voluntary, community and social enterprise (VCSE) sector.
Following the 2022 Health and Care Act, what in most places was a single non-statutory partnership board for an ICS has been replaced by two statutory parts: an integrated care board (ICB), responsible for NHS services but with much wider duties, and a statutory integrated care partnership (ICP), convened by local government and the NHS, which brings together local authorities, the VCSE sector and others concerned with health and wellbeing to develop a health and care strategy for the ICS. ICPs have until December to produce a draft of these strategies, which the ICB will be required by law to take into account when commissioning and delivering NHS services. And the near alliteration between an ICB and an ICP operating as part of an ICS does not making explaining any of this to non-specialists easy, especially verbally. “
Authors: Nicholas Timmins, Chris Naylor, Anna Charles
What is the purpose of this research project?
Older adults with higher care needs are the group most in need of support to help manage their joint pain alongside additional conditions but are currently the least likely to be able to access support. Many older adults with joint pain living within care settings such as care homes have different degrees of cognitive impairment, and this is often seen as a barrier to self-manage without considerable support from carers (e.g. they may be unable to undertake exercise activity independently).
The SUSTAIN project (conducted by Cardiff University and funded by the UK Research Institute) aims to develop a new way to support carers to have the knowledge skills and confidence to support people living with multiple conditions. We will develop training resources that aim to increase carers’ understanding of a model of personalised self-management support that becomes a ‘way of working’. Carers will develop their knowledge and skills to empower them to make key changes in the way they support individuals to make decisions and be involved in their care. We will achieve this by working together with carers and people with joint pain and additional conditions, care providers, staff working in social care and charities to develop training resources.
What does the project involve?
We would like to interview care staff about their experiences of caring for older people with multiple long-term conditions to find out what matters most, their challenges and how they feel
about their role as carers. We will compile a short film from these interviews which will be shown to other carers and people working in the care sector. This will be used to help us to work together
to co-design new training and support that people want and need.
The interviews and co-design groups will all be held online (e.g via Zoom) and should last no longer than 60-90 minutes. Everyone will receive a £25 gift voucher for taking part.
How can care home staff get involved?
We would like to hear from any members of care home staff who might be interested in taking part in either an interview or a co-design group.
Interviews will be held in January-February 2023, and the co-design groups will be held in March-April 2023. The project finishes at the end of August 2023.
Who should care home staff contact for more information?
If care home staff are interested in taking part, or would like more information, they can contact: Dr Kate Button Email: firstname.lastname@example.org Phone: 02920687734
“Social care professionals involved in conducting, managing, or supporting the care planning process are invited to share their views and experience to help researchers to better understand how care planning can improve residents’ wellbeing and quality of life. The views and experiences of those who work in or with older adult care homes will be key to developing an approach that
We will be conducting a series of consultation interviews between October and December 2022 covering the following topics:
• The current care planning process in your organisation.
• The use of care planning data.
• Challenges in conducting care planning in care homes.
• Improving care planning in care homes.
• The potential of quality-of-life focussed care planning.
• Implementing changes in care planning and routine practice.
Interviews will be conducted by a member of the research team, either by phone, Zoom or MS Teams, although it may be possible to arrange an in-person interview, if preferred. Interviews will take around 45 minutes and be recorded. Participants will receive a £20 high street voucher to thank them for their time.
If you, or the organisation you work for, would like to take part in this consultation please contact email@example.com for more information.”
The cost of caring: poverty and deprivation among residential care workers in the UK
“Around 1 in 5 people in the UK live in poverty. They may be deprived of food, shelter, clothing, and other essentials. Poverty and deprivation affect people’s health and limit their ability to live a healthy life. Government policy is that ‘work is the best route out of poverty’. But while employment is one of the main ways to exit poverty, around half of those experiencing poverty in the UK live in households where at least one adult is in paid work.
Adult social care workers – who are mostly women – are among the lowest paid in the UK. Social care staff also experience insecure employment conditions and are more likely to be on zero-hours contracts and carry out shift and night work than other low-paid UK workers. Perhaps unsurprisingly, vacancy and turnover rates in the sector are high and rising. The social care system is under extreme strain, unable to provide care to everyone who needs it.
Unlike other low-paid sectors, such as retail and hospitality, government has a large influence on pay in social care. Levels of central government funding affect how much local authorities can pay care providers to deliver services, and how far many care providers can increase wages for staff. Yet social care has suffered years of underfunding by central government: when the pandemic hit in 2020, government spending per person on adult social care services in England was lower in real terms than in 2010. In recent years, devolved governments in Scotland, Wales, and Northern Ireland have introduced policies to increase pay or offer one-off payments for care staff. But policy to improve pay for social care staff in England has been limited.
Evidence suggests residential care workers in the UK face among the highest rates of poverty and experience financial difficulties, like being unable to pay rent. Analysis of data from 2013–2018 in the US found residential care workers more likely to experience food insecurity than other workers. But we know little about experiences of poverty and deprivation among social care workers in the UK, and the factors that shape them.”
- The types of links that exist between different communities and care homes in England and the barriers to creating long-term relationships with care homes
- How these relationships impact care home residents and the quality of care home services
- How to build and strengthen sustainable relationships such that care home residents are included as full members of their communities
“With millions of us living longer with ever-increasing care needs, providing effective care for older people living in nursing homes is now more important than ever.
An estimated 361,000 people live in UK care homes, with this figure expected to rise in line with an ageing population.
Research is a key driver in the continuous improvement of health and social care services, including providing dignified end-of-life care for care home residents, many of whom are living with dementia. But how can we champion and facilitate research in what can be a challenging care environment?”
To learn more about how the NIHR intend to engage with care homes to carry out research click here for the full blog.
Health Data Research UK North (HDR UK) and NIHR Yorkshire and Humber invite you to register for our Care Homes Research Workshop.
This event will provide a platform for researchers, stakeholders and public and patient representatives from across the Care Home sector to come together and discuss the latest research within the field. The workshop will be split into two sessions; the first will include a panel discussing how to make research findings useable in care homes and a second session will discuss future research priorities in the sector.
Venue: INOX The University of Sheffield
Date: 20th October 2022
Time: 12:00 – 16:00
The order of the day is as follows:
12:00 – 12:45 Welcome Buffet Lunch
12:45 – 13:00 Introductions and Welcome by Professor Peter Bath and Carl Marincowitz
13:00 – 13:15 Liz Jones, Policy Director & Professor Julienne Meyer National Care Forum – The view from the care home: benefits and challenges of research
13:40 – 13:55 Duncan Chambers University of Sheffield – Reducing unplanned hospital admissions from care homes: an updated and extended systematic review
13:55 – 14:25 Panel discussion and questions: Making research findings useable in care homes
14:25 – 14:45 Refreshments
14:45 – 15:00 Academic Health Science Network (Speaker TBC) – National work stream managing deterioration in care homes
15:00 – 15:15 Professor Suzanne Mason University of Sheffield – Evaluation of use Health Call app in care homes
15:15 – 15:30 Professor Karen Spilsbury & Peter Hodkinson (Chair of Leeds Care Association and Managing Director of Westward Care) – NICHE Leeds: A care and science partnership enhancing the quality in care homes
15:30 – 16:00 Panel discussion and questions: Future research priorities
16:00 – onwards Refreshments and networking
Please register to join us by clicking here
Care home staff play a crucial role in managing residents’ health and responding to deteriorations. When deciding whether to transfer a resident to hospital, a careful consideration of the potential benefits and risks is required. Previous studies have identified factors that influence staff decision-making, yet few have moved beyond description to produce a conceptual model of the decision-making process.
To develop a conceptual model to describe care home staff’s decision-making when faced with a resident who potentially requires a transfer to the hospital.
Data collection occurred in England between May 2018 and November 2019, consisting of 28 semi-structured interviews with 30 members of care home staff across six care home sites and 113 hours of ethnographic observations, documentary analysis and informal conversations (with staff, residents, visiting families, friends and healthcare professionals) at three of these sites.
A conceptual model of care home staff’s decision-making is presented. Except in situations that staff perceived to be urgent enough to require an immediate transfer, resident transfers tended to occur following a series of escalations. Care home staff made complex decisions in which they sought to balance a number of potential benefits and risks to: residents; staff (as decision-makers); social relationships; care home organisations and wider health and social care services.
During transfer decisions, care home staff make complex decisions in which they weigh up several forms of risk. The model presented offers a theoretical basis for interventions to support deteriorating care home residents and the staff responsible for their care.
If you would like to read this paper in its entirety please click here for free access
How will dementia care develop and transform in the future? – be part of the conversation at Care Roadshows London as our brilliant panellists dive deep into the crucial challenges of dementia care 💚
Join the discussion with:
Dr Kellyn Lee 💚, CEO and Founder of WISER Health and Social Care and Visiting Researcher at the University of Southampton
Nula Suchet, Author of – The Longest Farewell: James, Dementia and Me
Date: Tuesday 18th October 2022
Venue: Epsom Downs Racecourse
To register for your free ticket click here