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Centre for Policy on Ageing | |
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Senior citizens, good practice and quality of life in residential care homes
— submitted for the degree of PhD, Department of Applied Social Science, University of Stirling | | Author(s) | Rosemary Elspeth Bland |
| Corporate Author | Department of Applied Social Science, University of Stirling |
| Publisher | unpublished thesis, 2005 |
| Pages | 357 pp |
| Source | Download (15/10/09): https://dspace.stir.ac.uk/dspace/bitstream/1893/70/1/All.pdf |
| Keywords | Care homes ; Quality of life ; Residents [care homes] ; Management [care] ; Qualitative Studies ; Theses. |
| Annotation | This thesis is an examination of the definition and implementation of 'good practice' in residential care for senior citizens. The central contention is that good practice is a term that has been variously defined. Different groups define it in different ways, and their definitions have changed over time. This reflexive qualitative study explores good practice in local authority, voluntary and private residential care homes in Scotland from the perspective of policy, practice. and the experience of senior citizens who live in them. The study is based on analysis of policy documents, historical studies, and re-analysed interview and survey data from two earlier studies conducted by the author and colleagues. The thesis shows that the notion of good practice that emerges in policy and practice documents is a confused and often conflicting set of ideas. Historically, the earliest were driven by concerns over cost. In more modern times, statements about good practice have had a more benevolent intent but are frequently flawed by paternalistic and ageist assumptions. It is shown that staff in residential homes typically adopt a different set of attitudes: their preoccupation is with safety and the avoidance of risk. Although benevolent in intention, these interpretations of good practice are also at variance with what residents themselves actually want. Two particular models or styles of care are examined in detail. One of these is the use of key workers, often implemented in ways that fail to realise their potential. The other is the hotel model of care. The potential of this model as an alternative to the statutory model is explored. The thesis concludes that this model that can realise the goal of enabling residents to exercise independence, choice and privacy while meeting their needs in residential care. (Author's abstract) |
| Accession Number | CPA-091015207 E |
| Classmark | KW: F:59: KX: QA: 3DP: 6KG |
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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