Managing the care home closure process: care managers experiences and views

This paper reports case study research that set out to identify what care managers do during independent care home closures. Little research has focused on the way in which care homes for older people are closed in England, or what those involved think about the process. This paper reports the activities and views of care managers directly involved in helping older people relocate from care homes that were closed by their owners. During such closures, residents and their families have no choice but to move, usually to a deadline, and with little control over the process. Care managers have a responsibility to help arrange alternative care for those current residents who are publicly funded, and to offer information and support to those funding their own care (the ‘self-funded’). Closure related activities could involve considerable staff time. Care management arrangements, including the organization of teams and provision of needs assessments, varied across authorities. The care managers described drawing on emotional counselling and inter-personal skills, as well as practitioner knowledge and experience, particularly when offering support and advice about finding appropriate new homes. Tensions between aims, constraints on their actions and views of good practice are identified.