Enforced relocation of older people when Care Homes close: a question of life and death?

Abstract

Care Homes are usually seen as the last refuge for older people but residents are sometimes required to move between homes for administrative purposes. There is concern that such moves threaten their well-being and survival. Relocations have been contested repeatedly in court. A recent ruling and its review of case-law and literature provides guidance for practitioners who may be consulted for advice in this demanding situation.

Policy instruments to promote good quality long-term care services

“…This may be considered a good thing, since it improves market efficiency. However, particularly in the case of care homes, it may be viewed more negatively since relocation to a new home is a stressful event which potentially leads to poorer health outcomes and increased risk of mortality, although the evidence is equivocal (Jolley et al 2011;Holder and Jolley 2012). A scheme that increased the number of care home providers exiting from the market may therefore, paradoxically, lead to worse outcomes for users.…”

Involuntary relocation and safe transfer of care home residents: a model of risks and opportunities in residents' experiences

“…Jolley et al . 2011; Robinson, Glasby and Allen 2013). For example, those who are given choices, control, individual preparation (Bekhet, Zauszniewski and Nakhla 2011; Gallagher and Walker 1990; Holzapfel et al .…”

“…In preparing for the move, a formal assessment of resident needs may help to reduce stress and improve outcomes (Jolley et al . 2011), whilst residents and key workers visiting potential new homes can also reduce stress (Woolham 2001). These activities help to inform decisions about appropriate new homes and to identify residents who may require additional support (Woolham 2001) where the relocation poses a higher risk.…”

“…This includes the transfer of all resident information, moving staff along with residents, familiar people travelling with residents to the new home (Woolham 2001), moving groups of residents together and having a formal handover between the old and new home (Jolley et al . 2011).…”

“…It is also important to conduct a formal review shortly after moving and to monitor the health of relocated residents to highlight any issues that may have resulted from the move (Jolley et al . 2011).…”