IMCA involvement in accommodation decisions and care reviews
How the person will manage a move
A common concern for accommodation decisions is the potential impact on the person of moving, especially when this may be avoidable. Examples of such situations include:
- a move into short-term accommodation in advance of a more permanent move when there is an option to stay in the current accommodation
- a move from a home which is assessed as providing an inadequate standard of care
- a move forced by a local authority because it is unwilling or unable to pay the level of fees set by the service
- a move from a home that is due to close when the closure could be challenged.
Research has explored what happens to people who move home, and most of these studies have considered older people. The research has attempted to measure psychological and physiological changes in addition to any changes in mortality rates. A large review of this research found that it is difficult to make general comments about what might happen because people's circumstances vary so much (Castle 2001). Common variables include:
- the type of setting a person is moving from and to
- the support and preparation a person receives for the move
- whether the person has a choice about moving
- the person's health, age and gender.
When supporting and representing people who might be moving, IMCAs should focus on the following areas:
- the person's views and wishes regarding a potential move
- whether all options have been considered, including any which may be less restrictive
- the support provided in the different settings
- the impact of the move on the person's social network – this includes family and friends, co-residents of a service and in some cases staff
- how the person could be supported before, during and after any move.