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Centre for Policy on Ageing | |
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Will direct payments make adult residential care more personalized?
— Views and experiences of social care staff in the direct payments in residential care trailblazers | | Author(s) | Lorraine Williams, Stefanie Ettelt, Margaret Perkins |
| Journal title | Social Policy and Administration, vol 51, no 7, December 2017 |
| Publisher | Wiley, December 2017 |
| Pages | pp 1060-1078 |
| Source | http://www.wileyonlinelibrary.com/journal/spol |
| Keywords | Direct payments ; Care homes ; Attitude ; Social workers ; Care home staff ; Local Authority ; Evaluation ; England. |
| Annotation | Direct payments, i.e. cash payments made directly to the individual in lieu of social care services, have become an established option in council-funded domiciliary care as a means to better personalise care and support. As part of its agenda to modernise social care, the Government tested their use in long-term residential care with 18 trailblazing councils in England. This article presents findings from the independent evaluation of this initiative. Interviews were conducted between September 2014 and November 2015 with project leads seconded to the programme in all participating councils, and with council and care home staff involved in implementing direct payments in residential care in five of the areas. The interviews explored professionals' views and experiences of personalisation in residential care, and their thoughts on the potential contribution of direct payments in promoting personalisation. Whilst there was agreement that good care takes personal preferences into account and that many care homes could provide a more personalized service, doubts were voiced about whether direct payments were an appropriate mechanism to achieve this aim. This was seen as particularly pertinent in relation to residents with very high care needs and limited capacity to exercise choice and control. Interviewees also identified a number of risks and challenges to implementation, including financial risks to care homes. The findings from these interviews suggest that the contribution of direct payments to personalising residential care may be more modest than expected. (RH). |
| Accession Number | CPA-171208201 A |
| Classmark | JH3: KW: DP: QR: QRM: PE: 4C: 82 |
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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