This text addresses care management and health care of older people. It discusses the outcome of care for clients, the experience of carers, the costs of care, and other issues. The Darlington Community Care Project serves as a model.


This title was first published in 2000: Caring for Older People provides a unique insight into the world of community care in the 1990’s. It presents findings from a national study of social care from the perspectives of older service users, their carers and care managers. Descriptive findings from this longitudinal study - conducted by the PSSRU from 1994 and funded by the Department of Health - are set in the context of the history of community care and developments since the passage of the 1990 NHS and Community Care Act. The study’s findings highlight important challenges for policy and practice development in the new millennium.



Care in the Community

by J. Renshaw, etc., and Et Al

Published December 1982
This text looks at a project which began in 1989, to integrate people with learning disabilities into the community. It covers the outcomes and effectiveness of the project, the costs, staffing and how care in the community can be developed further.


England and France have contrasting systems in community care for elderly persons as in other areas of social policy. The aims of this book are: the comparison of community care service and financing systems; the comparison of reform arguments and history over the last decade; the comparison of who uses how much of what services; and with what impact on their needs and the probability of having to enter institutions for long-term care. The book compares systems and describes contemporary reform arguments and proposals. It presents evidence from a collection and analysis of quantitative data, made for the comparison of the two countries, and based on matched area samples collecting comparable information about cohorts of new users on two or more occasions. The book also shows how the need related circumstances of users differ between countries and within each country between areas. The book also shows how and why the French care benefits for community care have more effect on the central policy goals of community care policy than its British equivalent, and how the French services have smaller effects on this outcome than the British equivalents.

This unique evaluation of the outcomes of residential and nursing home care for older people identifies the factors determining the quality of life of older people who have moved into care homes. It examines the relationship between older people's psychological well-being and the kinds of care received in residential homes. The volume draws on a study of UK care homes, interviewing new entrants soon after admission and then on two further occasions to ascertain their experience of care and their quality of life. Interviews were also undertaken with care staff and their managers, and the care environment of each home was assessed. The authors provide valuable evidence of the factors which can influence older people's well-being on entering a care home and how they adjust either positively or not to their new surroundings. The volume offers clear pointers towards ways to improve quality of residential and nursing home care.


The growing focus on performance review and monitoring means that awareness and use of performance indicators has increased throughout a number of public services. Set within a national context, this book reviews the historical development and measurement issues of performance indicators within social care and the public sector for older people. It then provides an approach to effective local performance measurement in services for older people and an organizing framework within which organizations can arrange their performance appraisal for older people's services. The development of performance review in social care of older people is examined, as is the process of developing local performance measures and engaging staff in enquiry and quality management. The book also reviews the process of developing performance indicators and their utilization at an agency level. Performance Indicators in Social Care for Older People will be of particular interest in the UK for local service providers who are developing approaches for local performance review. It will also be of interest internationally, especially in countries where services for older people are currently developing in a similar direction.