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Results for 'residential care'

Results 1 - 8 of 8

'My nature' - an effective tool for residential care

BREWIN Wendy, ORR Noreen, GARSIDE Ruth
2018

Experiencing nature is increasingly recognised as having a positive impact on the health and wellbeing of older people living in care homes. This practice example of "My Nature" activities toolkit designed to solve the problem of access to green spaces, which can be difficult for older people with dementia in care homes. Sensory Trust and the University of Exeter collaborated on developing 'My Nature', an evidence based training toolkit to help care staff identify ways in which nature can not only play a role in a resident's care plan but also support them in their work. The toolkit consists of: evidence booklets, nature based activities and a wall chart. The toolkit was piloted and then evaluated to see how far it could achieve the health and wellbeing gains that access to nature can provide. Two care homes in Cornwall participated in the pilot. Activities demonstrated in the pilots include: nature palettes, nature mapping, painting by nature and a tea tasting party. Key findings from the evaluation: the activities succeeded in getting residents out into the gardens and also stimulated interaction, enjoyment and pleasure. For staff, the activities proved to be adaptable to different contexts, could be planned in advanced and person-centred. Challenges identified include: the activities did not appear to appeal to male residents and care home culture.

Arts in care homes: a rapid mapping of training provision

ALLEN Penny
2018

This report uses desk research, interviews and online searches to map creative training provision available to artists and staff working in care homes in the UK. The mapping took place in 2017 and identified examples of good practice, innovative delivery, and opportunities for growth and development. It total, 65 providers of training were identified, delivering training in person or online. Training was aimed at artists, health/care providers, volunteers, arts venues, activity coordinators and friends/family. Seven main types of training opportunity identified: toolkits; one-off workshops; whole home and leadership training; maintenance models; mentoring; networks and peer learning; and conferences. The results highlight the diverse nature of the sector and the multiple pathways for people to access training, which present both challenges and opportunities for training providers. The author also highlights variation in quality of provision and argues for a system of accreditation. Case study examples are included throughout the report, and appendices provide links to a range of toolkits and providers.

Homemade circus handbook

UPSWING
2018

Homemade Circus is a project that uses circus to improve the health and wellbeing of older people. This booklet enables care homes and day centres to try out some simple circus games themselves. It includes advice on running activities such as juggling games, push hands, scarf juggling and feather balancing. Each activity is described as a progression, starting with simple movements and actions that require very little verbal instruction. The guide also provides advice on opening and closing activity sessions. The activities provide an opportunity for residents and carers to have fun together, learn new skills and try something new. The activities also support the interaction and co-operation between participants and staff.

Effectiveness of complex falls prevention interventions in residential aged care settings: a systematic review

FRANCIS-COAD Jacqueline, et al
2018

Objective: The objective of this review was to synthesize the best available evidence for the effectiveness of complex falls prevention interventions delivered at two or more of the following levels: resident, facility or organization, on fall rates in the residential aged care (RAC) population. Introduction: Preventing falls in the high risk RAC population is a common global goal with acknowledged complexity. Previous meta-analyses have not specifically addressed complexity, described as falls prevention intervention delivery at multiple levels of a RAC organization, to determine its effect on fall outcomes. Inclusion criteria: The current review considered studies that included participants who were aged 65 years and over residing in long-term care settings providing 24-hour supervision and/or care assistance. Studies that evaluated complex falls prevention interventions delivered by single discipline or multidisciplinary teams across at least two or all of the following levels: residents, RAC facility and RAC organization were eligible. Experimental study designs including randomized controlled trials, controlled clinical trials and quasi-experimental trials that reported on measures related to fall incidence were considered, namely, rate of falls (expressed as the number of falls per 1000 occupied bed days), the number of participants who became fallers (expressed as the number of participants who fell once or more) and the rate of injurious falls (expressed as the number of falls with injury per 1000 occupied bed days). Methods: A three-step search strategy was undertaken, commencing with an initial scoping search of MEDLINE and CINAHL databases prior to an extensive search of all relevant published literature, clinical trial registries and gray literature. Two independent reviewers assessed selected studies for methodological validity using the standardized critical appraisal instrument from the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI SUMARI). Data were extracted from the selected studies using the standardized data extraction tool from JBI SUMARI. Quantitative data were pooled in statistical meta-analysis for rate of falls, the number of participants who became fallers and the rate of injurious falls. Meta-analysis was conducted using a random-effect model with heterogeneity assessed using the standard Chi-squared and I2 index. Where statistical pooling was not possible, study findings were presented in narrative form. Results: Twelve studies were included in this review with seven being eligible for meta-analysis. Complex falls prevention interventions delivered at multiple levels in RAC populations did not show a significant effect in reducing fall rates (MD = −1.29; 95% CI [−3.01, 0.43]), or the proportion of residents who fell (OR = 0.76; 95% CI [0.42, 1.38]). However, a sensitivity analysis suggested complex falls prevention interventions delivered with additional resources at multiple levels had a significant positive effect in reducing fall rates (MD = −2.26; 95% CI [−3.72, −0.80]). Conclusions: Complex falls prevention interventions delivered at multiple levels in the RAC population may reduce fall rates when additional staffing, expertise or resources are provided. Organizations may need to determine how resources can be allocated to best address falls prevention management. Future research should continue to investigate which combinations of multifactorial interventions are effective.

Evaluation of the volunteering in care homes project: summary report

HILL Matthew
2016

Summary report of an evaluation of the Volunteering in Care Homes (ViCH) project, which examines the impact of volunteering on residents, staff and volunteers and also explores the implications for developing volunteering in care homes more generally. The project was piloted in fourteen care homes, which placed trained volunteers in befriending and activity-based roles. The evaluation found good subjective evidence from staff and volunteer surveys of that befriending and activity-based volunteering roles have major positive impacts for residents in care homes, especially around social and emotional wellbeing. The majority of staff surveyed also felt the involvement of volunteers has a positive impact on their job, in terms of job satisfaction, retention and levels of stress. The evaluation also looked at the cost-effectiveness of the approach. The project had high start-up costs, with a positive ongoing value ratio achieved 18 months into the project. In order to deliver positive impacts for residents and staff, the project found that volunteers need to be effectively recruited, sufficiently trained, well matched and receive substantial ongoing support and coordination. Other factors identified that need to be addressed to enable volunteer engagement to become well established across the sector, include strategic leadership, culture change, good practice learning, financial resources and regulatory incentives.

Arts in care resource pack

CARE INSPECTORATE
2016

An online resource pack which brings together a collection resources to help promote the importance of arts and creative activities for older residents in care homes. The resource aims to support care staff to plan and run creative arts sessions and help then work with professional artists. It includes a film where three care homes and their residents share their experience of participating in the arts and the difference it has made to living life well. It also includes ‘recipe cards’ for five different arts forms created by artists for care staff. These cards provide ideas and methods to help care staff to run a variety of creative arts sessions within care homes. They cover creative dance, writing poetry, facilitating a singing session, print making and salt dough. The pack also contains guidance on working with professional artists. The pack was developed in partnership with Luminate and a national working group which included representatives from Creative Scotland, the voluntary and independent sectors, Scottish Care, the Scottish Poetry Library, NHS and professional artists.

Growing older together: the development and promotion of resident-led models of housing with care for older people: a programme of work being undertaken by the Housing LIN (Learning and Improvement Network)

HOUSING LEARNING AND IMPROVEMENT NETWORK
2015

This practice briefing outlines the work being undertaken to capture examples of practice of resident-led housing for older people, building on the 2013 report ‘Growing older together: the case for housing that is shaped and controlled by older people’. This key area of work recognises that there is a need to increase the supply of housing suitable for older people and ensure that the offer of new housing options and choices prove attractive to a new generation of older people with changing priorities and higher expectations. The work programme will comprise several elements, including: an overall report, covering a broad range of examples; liaison with community-led housing organisations, older people’s representative forums/networks and other interested parties; and a spring conference for 2016.

Occupational therapy and physical activity interventions to promote the mental health wellbeing of older people in primary care and residential care: evidence update March 2015

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
2015

Summarises selected new evidence published since the original literature search was conducted for the NICE guidance 16 Occupational therapy and physical activity interventions to promote the mental health wellbeing of older people in primary care and residential care (2008). A search was conducted for new evidence from 1 June 2011 to 28 July 2014 and a total of 8,973 pieces of evidence were initially identified. The 21 most relevant references underwent a critical appraisal process and then were reviewed by an Evidence Update Advisory Group, which advised on the final list of 6 items selected for the Evidence Update. The update provides detailed commentaries on the new evidence focussing on the following themes: occupational interventions, physical activity, walking schemes, and training. It also highlights evidence uncertainties identified.

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