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The Closure of Care Homes for Older People in Wales: Prevalence, Process and Impact

The Closure of Care Homes for Older People in Wales: Prevalence, Process and Impact. Christian Beech C.L.Beech@swansea.ac.uk. Project background. Care home closures Increasing media coverage & campaigning Emotive topic Impact upon health & mortality

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The Closure of Care Homes for Older People in Wales: Prevalence, Process and Impact

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  1. The Closure of Care Homes for Older People in Wales: Prevalence, Process and Impact Christian Beech C.L.Beech@swansea.ac.uk

  2. Project background • Care home closures • Increasing media coverage & campaigning • Emotive topic • Impact upon health & mortality • Policy (Escalating Concerns guidance. WAG, 2009) • Assists stat. bodies in fulfilling responsibilities • Does not offer information on good practice & additional responsibilities • Examine process of closure & relocation

  3. Aims of the project • Identify the rates of closure within specified time period • Examine the process surrounding closures • Explore experiences of older people, their relatives, providers and staff • Examine process where closure was avoided

  4. Phase 1: Prevalence and causes of care home closure • Analysis of Care and Social Services Inspectorate for Wales (CSSIW) data regarding; • Number of types of homes closed & residents relocated • Reasons for closure • Telephone interviews with; • CSSIW Inspectors • Owners/ managers of homes closed within last year • Commissioners of care home providers

  5. Phases 2 & 3 • Phase 2: The process of care home closure • Acquire local authority protocols for care home closures to; • Compare to WAG guidelines • Identify common views of best practice • Phase 3: Consequences & outcomes for stakeholders • Case studies of care homes (public & private) • During process of closure • Under threat of closure

  6. Findings • Prevalence of closures • A mixed picture emerged • Reasons for closures • Most private homes ceased to operate for financial reasons/ Most local authority care homes were closing due to service reconfiguration

  7. Findings • Impact of closures (and threat of closures) • Extended closure timescales can be as distressing as sudden closure and relocation • Existing guidance could usefully be supplemented with principles for good practice (Role of carers/ providers; Advocacy and support) • Older people paying for their own care were being overcharged for care by providers

  8. Recommendations • Information relating to prevalence and reasons for (or threat of) closure need to be more robustly gathered and synthesised • The care home sector requires financial regulation to protect self-funders from being overcharged • Disclosure plans for older residents

  9. Recommendations • Consultation on proposed closures plans should not exceed 8 weeks - Lengthy closure plans can be as distressing as sudden closures • Independent advocacy services should be offered to all residents in care homes under threat or in the process of closure

  10. Thank you for listening • For further details visit: • Centre for Innovative Ageing website • www.swan.ac.uk/humanandhealthsciences/departments/centreforinnovativeageing

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