Promoting Excellence in All Care Homes

Authors: Win Tadd, Robert Woods, Martin O’Neill, Gill Windle, Simon Read, Diane Seddon, Charlotte Hall and Tony Bayer

Funded By: Department of Health Policy Research Programme and Comic Relief

Started: 2012

Finished: 2013

Contact: Diane Seddon

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The Promoting Excellence in All Care Homes study focuses on the position of staff in care homes, and the influences upon them. The care home workforce has a pivotal role in the quality of care provided to residents of care homes, which in turn is a major influence on quality of life. This large work-force, of probably over a half a million people, carry out work that is often seen as unattractive, at rates of pay that are seen as under-valuing the contribution made, without a clear career structure, in a sector that is marked by constant change. Individual staff members are influenced by their personal attributes and resources, their own families, relationships and social networks, but also by the social climate in their work-place and by the organisational environment. Burn-out and low job satisfaction have been related to negative attitudes to residents and lower quality of life. The sector often attracts unfavourable publicity in relation to reported instances of abuse and neglect, although estimating the extent of such problems is challenging. Training is often viewed as a vehicle for reducing the risk of abuse and neglect, and to increase the value afforded to those undertaking this work.


Aims and Objectives

The aim of the study was to explore the needs, knowledge and practices of the care home workforce in relation to abuse, neglect and loss of dignity and to provide a preliminary evaluation of an evidence-based training package.

The objectives were to:

  • Identify positive and negative factors in relation to abuse, neglect and the provision of dignified care.
  • Explore the views and experiences of the care home sector workforce in relation to best practice, training, job satisfaction and wellbeing.
  • Determine organisational, personal, and practice contexts in which abuse, neglect and lack of respect may occur between staff and residents.
  • Develop and evaluate an evidence informed training package.
  • Make recommendations for policy development, training and regulation in care homes.

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