Residential respite

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Barriers to non residential respite care for adults with moderate to complex needs: A UK perspective

Barriers to non residential respite care for adults with moderate to complex needs: A UK perspective

5 The paper begins by summarising the more general barriers to respite described in the published research literature, which illuminates and contextualises the barriers to availing non-residential respite. Whilst this paper is principally about the experience of adult service users, published literature concerning children or young people with an intellectual disability and/or autism as respite service users is included in the literature review. This is because, representing a significant proportion of knowledge about respite, these papers help to illuminate potential barriers for availing respite more generally. Equally, whilst this paper is ostensibly about availing non-residential respite in the context of one northern city in England, it was felt that published international research literature would also serve to illuminate some potential barriers. Following the literature review the methodological approach adopted for this research is outlined, including how data was collected and analysed. The findings are then presented and discussed in relation to the identified research literature before the limitations of the research, areas of future exploration, and conclusions are outlined.
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Prosper Fingal Residential Respite Service 2, OSV 0003395, 10 October 2018

Prosper Fingal Residential Respite Service 2, OSV 0003395, 10 October 2018

disabilities. All service users who avail of residential respite in Lambay House, also receive day service supports form Prosper Fingal. Individuals who access this service can manage all their activities of daily living with minimal support. There are five single occupancy bedrooms available. An individual bedroom with a key is allocated to each person when availing of respite. Each resident is allocated their own room during their stay. Two shared bathroom facilities are provided. All service users have free access to, and shared use of the lounge, kitchen/dining room other communal rooms. There is a laundry facility also available. The service also provides support to families and carers in times of crisis. Lambay House is staffed by one Social care Worker and two care assistants.
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The impact of residential respite care on the behavior of older people

The impact of residential respite care on the behavior of older people

Over a 12 month period, in a provincial Australian city, we approached a consecutive series of 186 people being admitted for residential respite care, and their home caregivers. Of these 182 potential participants 40 did not respond to the request to participate, 37 were not eligible or declined to give consent and 9 commenced the study but did not complete it. One hundred (54.9%) respite recipients and their home caregivers agreed to participate. These 100 participants had booked respite admissions to nine residential aged care facilities with a total of 456 beds. A small proportion beds (17; 3.7%) were designated for respite care. The participants were provided with the usual program of non-specific social and diversional activities available in the residential aged care facilities. Twenty-five nurses participated.
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Prosper Fingal Residential Respite Service 1, Co  Dublin

Prosper Fingal Residential Respite Service 1, Co Dublin

Overall the inspector found residents received a good standard of care and support during their stay in respite services and residents expressed they were happy with the services provided. Good practice was identified in the management of complaints and in healthcare needs. Sufficient resources were made available to meet the needs of the residents such as adequate staffing, a large well maintained premises and a centre bus and residents were supported to access meaningful activities of their preference in the community. Some improvement was required in medication management practices in the centre.
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Cois Fharraige Residential & Respite Services, OSV 0001765, 15 May 2018

Cois Fharraige Residential & Respite Services, OSV 0001765, 15 May 2018

The designated centre comprises of two houses which offer residential and respite services for up to nine residents with an intellectual disability. The respite service is opened on a pre-determined number of nights per month and there are 10 residents identified as using this service. Residents using the residential house have a full-time service and four residents using this service on the day of inspection. Both houses are located within walking distance of a medium sized town and residents are supported to access their local community on a regular basis. A social model of care is delivered in the centre and residents are supported by both social care workers and social care assistants.
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Slieve Rua Residential & Respite Services, OSV 0003916, 28 March 2018

Slieve Rua Residential & Respite Services, OSV 0003916, 28 March 2018

Slieve Rua provides a residential and respite service to 12 individuals in three separate houses. This centre supports residents with low to high needs and can also facilitate residents with reduced mobility. One house is dedicated to respite and one resident uses this house for planned breaks. One house supports four residents on a full-time basis and also facilitates respite for two identified individuals. The final house in the centre does not provide any respite and is home to five residents. Each house in the centre is warm and comfortably furnished and residents' bedrooms are decorated with items of personal interest and photos of family and friends. The centre is located within walking distance of a small town and residents are supported to access local facilities on a daily basis. Full-time residents in the centre are offered an integrated service and one resident attends day services. All respite users attend day services.
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St Martin's House Residential & Respite, OSV 0002508, 22 November 2017

St Martin's House Residential & Respite, OSV 0002508, 22 November 2017

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.
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Cois Fharraige Residential & Respite Services, Mayo

Cois Fharraige Residential & Respite Services, Mayo

The designated centre comprised two houses. One house was a single story building and accommodated five residents on a full-time basis. The other house was a two story building and accommodated four respite users on a set number of nights per week. There were nine identified respite users for this house. Each resident had their own bedroom and both houses had an adequate amount of shared bathrooms and toilets which were appropriately equipped. There were adequate communal rooms available for residents to have visitors such as family and friends. One house was located in a suburban area of a town and the other was located in the town. Suitable transport was made available to residents who wished to access the community.
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Prosper Fingal Residential Respite Service 2, OSV 0003395, 19 September 2017

Prosper Fingal Residential Respite Service 2, OSV 0003395, 19 September 2017

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.
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Slieve Rua Residential & Respite Services, Mayo

Slieve Rua Residential & Respite Services, Mayo

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.
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Cois Locha Residential & Respite Services, Mayo

Cois Locha Residential & Respite Services, Mayo

The designated centre comprised of a large single storey house that accommodated up to four residents who have an intellectual disability. The centre offered a respite service to a number of residents and the centre had a specific bedroom for respite users. Each full time resident also had their own bedroom which was warm,

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Adult & Children's Respite, Westmeath

Adult & Children's Respite, Westmeath

A written agreement of the terms on which a service user would avail of the respite service was not available for review in the centre. It was reported that service users and their family representatives were sent a written contract which dealt with the support, care and welfare of the resident and included details of the services to be provided. The inspectors reviewed a template contract which included a space to detail a fee payable. The centre held a copy of a confirmation form signed by the family representative outlining that they had received and understood a contract of care but no further details. A copy of the signed contract was not maintained on file. At the time of the last inspection, the contract of care in place was not reflective of the services provided. Since that inspection the contract template had been revised to better reflect the services provided.
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Drumboe Respite House

Drumboe Respite House

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.
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Receiving in-home respite when caring for a palliative family member at the end-of-life: family caregivers’ experiences of the eShift model of care

Receiving in-home respite when caring for a palliative family member at the end-of-life: family caregivers’ experiences of the eShift model of care

Across Canada, the number of older adults is increasing (Sinha et al., 2016), which has contributed to an increase in the demand for home care services (Carriere, Keefe, Legare, Lin, & Rowe, 2007), including end-of-life palliative care and respite for family caregivers (Canadian Healthcare Association, 2009). Although end-of-life palliative care can be provided in a variety of settings such as hospitals, long-term care institutions, and one’s home (Health Canada, 2007), the majority of Canadians prefer to die at home (Agar et al., 2008; Hansford & Meehan, 2007; Kitchen, Williams, Pong, & Wilson, 2011; Stajduhar, Allan, Cohen, & Heyland, 2008; Stajduhar & Davies, 2005; Wilson, Cohen, Deliens, Hewitt, & Houttekier, 2013). In addition, end-of-life care in the home can sustain or improve a patient’s quality of life and reduce costs to the health care system (Canadian Hospice Palliative Care Association, 2018a; Ministry of Health and Long-Term Care [MOHLTC], 2015; Wholihan & Pace, 2012). Despite the preferences of Canadians and the benefits of receiving end-of-life care in one’s home, over forty percent of Canadians continue to die in a hospital setting (Canadian Institute for Health
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Shannon Respite, Clare

Shannon Respite, Clare

There was an annual meeting for each resident attended by the resident, their family and support staff to discuss and plan around issues relevant to the resident's life and wellbeing. Plans set out each resident's individual needs and some identified life goals that they wished to achieve while in the centre. These included outings, short holiday breaks, attending concerts, transition to residential living and use of computer

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Factors affecting carers’ acceptance and use of support

Factors affecting carers’ acceptance and use of support

• Designed to support carers through – providing respite care.. – facilitating personal development..[r]

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Scariff Respite, Clare

Scariff Respite, Clare

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.
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Miltown Respite, Clare

Miltown Respite, Clare

Staff had and continued to assess and establish residents' likes and dislikes, what residents liked to participate in and activities that were not enjoyed by residents. Staff confirmed that prior to each admission for respite; residents would be consulted with to establish if there was a particular activity that they wished to engage in during their stay. There was an activity planner that included established interests including traditional music, walks in the local community and trips to the beach.

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Regarding the Serious Case Review In respect of Miss A

Regarding the Serious Case Review In respect of Miss A

Miss A had a severe learning disability, limited communication skills and epilepsy controlled with medication. She had lived with her mother Mrs A. Miss A. had had monthly respite care in 3 respite health settings initially, and from 2005, 3 respective Social Care commissioned settings. She died in the last setting in January 2008 when Mrs A was aged 71 years. Miss A had been known to get up at night, and in the Dorset Health Care settings there were waking night staff and, in the first of the Social Care settings, an alarm.

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Ballymacool Respite House, Donegal

Ballymacool Respite House, Donegal

The inspector found that residents were supported in-line with their assessed needs as described in their personal plans. Residents told the inspector that they were supported to access a range of activities of their choice and enjoyed coming to the centre for respite stays. The inspector observed that residents appeared happy to be at the centre and were comfortable and relaxed with all supports provided by staff. The centre was well-maintained and its design met the both the needs of children and adult who accessed the service.

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