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Care homes for older people

Abstract
The care home sector has changed significantly in recent years: the vast majority of care homes are now in the independent sector, funding of care is complex, with greater reliance on self-funders to ensure profitability, and regulation has shifted to a more targeted model. In terms of the care home population, as most people are admitted at a late stage of their illness trajectory, many have comorbid conditions and multiple needs. Frailty is a dominant issue, often combined with dementia and other problems, e.g. sensory impairment and incontinence. The dimensions of a positive care home culture include a well-managed transition into the home, a commitment to person-centred care, and a well-trained and supported workforce. Over the last few years there has been a growing interest in care homes as major providers of care to some of the UK’s most vulnerable citizens; this includes welcome attention to research.
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Date
2020
Type
Book chapter
Subject
Nursing homes, Carers, Quality of health care
Citation
Dening, T. & Milne, A. (2020). Care homes for older people. In: Dening, T., Thomas, A., Stewart, R. & Taylor, J.-P. (eds.) Oxford textbook of old age psychiatry. 3rd ed. Oxford: Oxford University Press, pp. 371-393.
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Publisher’s statement
Available in the library: https://nottshc.koha-ptfs.co.uk/cgi-bin/koha/opac-detail.pl?biblionumber=61265
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