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Centre for Policy on Ageing | |
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Standards of care in day hospitals and day centres a comparison of services for older people with dementia | Author(s) | Siobhan Reilly, Dan Venables, Jane Hughes |
Journal title | International Journal of Geriatric Psychiatry, vol 21, no 5, May 2006 |
Pages | pp 460-468 |
Source | http://www.interscience.wiley.com |
Keywords | Dementia ; Day hospitals ; Day centres ; Quality ; Indicators ; Comparison ; North West England. |
Annotation | Current policy in England emphasises the importance of caring for high dependent older people at home for as long as possible. It is therefore crucial that day care services are effective and widely available. This study used a cross-sectional postal survey design, in which representatives from three-quarters of identified specialist day care services for older people with dementia in North West England provided information on a range of indicators including: basic structural features; delivery of care; service content; and quality measures. Day hospitals tended to have more day care places and a greater number of attendees, but lower occupancy rates than day centres. Day hospitals reported higher standards of care in relation to systematic assessment and care planning, promotion of rehabilitation, carer involvement and individualised provision of care. They were also more likely to employ building design features to encourage independence and choice for people with dementia. A higher proportion of day centres provided services exclusively for older people with dementia; and a greater proportion of staff in day centres had undergone specific training in caring for people with dementia. Day centre were also more likely to have effective transport arrangements in place. The standards developed for the study were sufficiently reliable to allow for an acceptable estimate of quality. Day centres and day hospitals appeared to perform tow distinct but complementary functions. These results provide key material for shaping provision of day care for older people with dementia, especially given the absence of national standards in this area. (RH). |
Accession Number | CPA-061109003 A |
Classmark | EA: LDD: NMC: 59: 3RI: 48: 82NW |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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