Centre for Policy on Ageing
 

 

Quality improvement through the paradigm of learning
Author(s)Trish Hafford-Letchfield, Peter Lavender
Journal titleQuality in Ageing and Older Adults, vol 16, no 4, 2015
PublisherEmerald, 2015
Pagespp 195-207
Sourcewww.emeraldgrouppublishing.com/qaoa.htm
KeywordsLearning capacity ; Adult Education ; Participation ; Care homes ; Quality of life ; Qualitative Studies.
AnnotationAchieving meaningful participation and co-production for older people in care requires radical approaches. This paper explores an innovation where learning interventions were introduced into care settings, and older people were matched to community-based learning mentors to develop partnerships. The authors explore how the concept of learning might be used as a paradigm to raise the quality of care in institutionalised setting, using a co-productive and relationship-based approach to promote well-being. A structured evaluation drew on qualitative data captured from interviews with 25 older people and 22 learning mentors, to reflect on the potential benefits and challenges involved when introducing learning interventions in care settings. This was contextualised alongside data captured from 10 stakeholders, including a care home manager, social care and education commissioners, trustees and project staff, to assess the interdisciplinary contribution of lifelong learning to quality improvement. It is found that introducing learning interventions to older people within care settings promoted participation, advocacy and relationship-based care, which in turn helped to create a positive culture. Given the current challenges to improve quality in care services, drawing on a paradigm of learning may encourage older people to retain their independence, as care homes strive towards a person-centred approach. Promoting social activities and leisure using learning was found to foster closer working relationships between older people and the wider community. These had a levelling effect through reciprocity, using an asset based approach. There were benefits for the care provider, as the partnerships formed enabled people to raise both individual and collective concerns about care and support. Raising and sustaining the quality of support for older people requires input from the wider public sector beyond health and social care. Purposeful engagement with other disciplines, such as learning and leisure offers the potential to realise a more sustainable model of user choice, person-centred support and user involvement. Being engaged through learning can nourish membership in the community for marginalised populations such as older people living in care homes. (RH).
Accession NumberCPA-170512220 A
ClassmarkDE: GP: TMB: KW: F:59: 3DP

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