The Relationship between the Delivery of 
Day Care Services for Older People and 
the Design of Day Unit Premises

Bacon, Valerie; Lambkin, Christopher

doi:10.1017/s0144686x96006289

Cited by 6 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Related to this are concerns of a loss of dignity and feelings of embarrassment, also raised in the international literature (Bacon and Lambkin 1997; Brody, Saperstein and Powell Lawton 1989; Nomura et al 2009; Richie 2003). In Nomura et al 's (2009: 433) study of a small, rural Japanese community, some people with dementia felt ‘compelled to stay indoors due to their disease’.…”

Section: Discussionmentioning

confidence: 99%

“…With regard specifically to day respite care, Ritchie (2003) reports that some ‘private’ families prefer to keep a family member at home rather than have them in day respite. Day care recipients (especially in early stage dementia) may be sensitive about their condition, seeing it or the associated behaviours as a source of embarrassment (Bacon and Lambkin 1997). This discomfort can manifest in reluctance to take part in particular activities, rigidity about routines within the care facility and even in refusal to attend (Bacon and Lambkin 1997; Ritchie 2003).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Seeking respite: issues around the use of day respite care for the carers of people with dementia

et al. 2011

View full text Add to dashboard Cite

Ageing in Place policies have transferred responsibility for many frail elderly people and those living with dementia from residential to in-home care. Despite this placing a greater obligation on families, in Australia carers continue to under-use day respite services. This qualitative design study identified issues around the use of day respite care from the perspective of the family carer, focusing on barriers to attendance and strategies to facilitate attendance. Telephone interviews were held in 2007 with Tasmanian carers whose family member refused to attend day respite care (ten carers) and those whose family member attended (17). Carers considering day respite care were often overwhelmed by the quantity of information, confused about the process, and worried about the recipient's safety in an unfamiliar environment. They felt anxious about public acknowledgement of the condition leading to fear of embarrassment. Day respite care users appreciated the break it provided them and the opportunity for their family member to socialise. To facilitate a greater uptake of day respite care, reliable information sources and strategies to help carers deal with the emotions they face on a daily basis, together with a wider social acceptance of dementia, are important. Furthermore, carers need an opportunity to talk with others, enabling them to gain support from those who have successfully introduced a family member to day respite care.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Seeking respite: issues around the use of day respite care for the carers of people with dementia

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Given that older people experience higher levels of disability than the younger population and that community care policies dictate that higher numbers of people with often severely disabling conditions remain in their own homes, it would seem sensible for day care facilities to include treatment areas as a matter of routine. This finding is echoed in Bacon & Lambkin’s (1997) survey of day care facilities. The authors found that many facilities were attempting to move towards a needs‐led rather than service‐led model of care in keeping with community care policies.…”

Section: Discussionmentioning

confidence: 81%

Collaboration, facilities and communities in day care services for older people

Burch

Borland

2001

Health &Amp; Social Care in the Community

View full text Add to dashboard Cite

Collaborative working in care for older people is often seen as a desirable goal. However, there can be problems with this approach. This paper reports on a single blind randomized controlled trial which was carried out to compare outcomes of rehabilitation in two settings: a day hospital and social services day centres augmented by visiting therapists. The subjects were 105 older patients. Principal outcome measures were the Barthel Index, Philadelphia Geriatric Centre Morale Scale and the Caregiver Strain Index. Two aspects of the trial are examined here. Firstly, we investigated whether trial patients were more disabled than regular day centre attendees. Levels of health and well being amongst trial patients were compared with those of a random sample of 20 regular attendees from both of the participating day centres and an additional voluntary sector day centre. Secondly, key staff from the different settings were interviewed to assess how well the day centre model had worked in practice. Trial patients were significantly more disabled than regular day centre attendees according to the Barthel Index (P < 0.001), but this difference was no longer significant after three months of treatment. The day centre model had several problems, principally discharge policy, acceptability, facilities and attitudes of staff and regular attendees. Positive aspects of the day centre model, as well as successful rehabilitation, included shared skills, knowledge and resources. This paper suggests that collaborative working in day centres requires multipurpose facilities. If health staff maintain a permanent presence, benefits can include improved joint working, easier access to health care and the use of rehabilitative therapy as a preventative strategy. Day care settings can be analyzed as representing different types of communities. Allowing older users a greater degree of choice in facilities may increase the acceptability of care.

show abstract

“…In more recent times, this legacy of a mixed economy remains in day care in England while most other care services are provided by commercial or private providers (Skills for Care, 2019b). Currently (2021) many English day centres are still run within the voluntary or not-for-profit sector and are largely 'staffed' by volunteers (Hussein and Manthorpe, 2014) while local authority provision, which flourished in the 1980s (Bacon and Lambkin, 1997), exists but is in decline (ADASS, 2011;Needham, 2014). There is little private day care provision in England, mostly associated with care homes offering day care, mainly for people living with dementia, as part of their operations.…”

Section: Introductionmentioning

confidence: 99%

Making My Day. Volunteering or Working at a Day Centre for Older People: Findings of Exploratory Research in English Day Centres

Orellana

Manthorpe

Tinker

2021

Journal of Long Term Care

View full text Add to dashboard Cite

Context: Day centres have long traditions in social care in the United Kingdom and internationally. In England, they are provided by a mix of organisations, they are not regulated, and there is no national representative body. Research mainly focuses on centre attenders and carers. Frontline staff and volunteer perspectives are rarely reported. Objective: To highlight the role of day centre work and volunteering for individuals and inform recruitment and workforce development. Methods: Qualitative interview data gathered from seven volunteers and ten staff at four English day centres for older people were thematically analysed. Data are drawn from three-year case study research investigating the role, outcomes, and commissioning of day centres. Findings: Paid or volunteer work in day centres has the potential to make unique contributions to people's lives. Older volunteers and staff particularly value centres' group environment and the continuity involved which contribute to person-centred relationships and role satisfaction. These experiences and satisfaction help explain why day centre staff retention is above average in social care. Limitations: Although in diverse settings, this research was small-scale. Only high-quality centres may have participated. Methods may have unintentionally excluded volunteers with learning disabilities. Implications: Within a context of problematic recruitment and retention and policy aspirations for community engagement and building on local assets, findings are relevant to workforce development and local recruitment strategies. Further research might explore what creates the working and volunteering culture within a centre and links between culture and outcomes, with a view to developing a model of day centre culture.

show abstract

The Relationship between the Delivery of Day Care Services for Older People and the Design of Day Unit Premises

Cited by 6 publications

References 0 publications

Seeking respite: issues around the use of day respite care for the carers of people with dementia

Seeking respite: issues around the use of day respite care for the carers of people with dementia

Collaboration, facilities and communities in day care services for older people

Making My Day. Volunteering or Working at a Day Centre for Older People: Findings of Exploratory Research in English Day Centres

Contact Info

Product

Resources

About