Quality of life outcomes for residents and quality ratings of homes: is there a relationship?

Netten, Ann, Trukeschitz, Birgit, Beadle-Brown, Julie, Forder, Julien E., Towers, Ann-Marie, Welch, Elizabeth (2012) Quality of life outcomes for residents and quality ratings of homes: is there a relationship? Age and Ageing, 41 (4). pp. 512-517. ISSN 0002-0729. (doi:10.1093/ageing/afs050) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:32444)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.
Official URL: http://dx.doi.org/10.1093/ageing/afs050

Abstract

Background: quality ratings of care homes are used by decision makers in the absence of direct information about outcomes. However, there is little evidence about the relationship between regulators' ratings of homes and residents' quality of life outcomes.

Objectives: to capture social care-related quality of life (SCRQoL) outcomes for residents and investigate the relationship between outcomes and regulator quality ratings of homes.

Methods: data were collected for 366 residents of 83 English care homes for older people inspected during 2008. Outcomes were measured using the Adult Social Care Outcomes Toolkit (ASCOT). Multivariate multilevel modelling was used to investigate the relationship between quality of life outcomes and star ratings of homes, controlling for resident and home characteristics.

Results: care homes were delivering substantial gains in SCRQoL, but were more successful in delivering ‘basic’ (e.g. personal cleanliness) than higher-order domains (e.g. social participation). Outcomes were associated with quality ratings of residential homes but not of nursing homes.

Conclusions: the approach to providing quality ratings by the regulator in England is currently under review. Future quality indicators need to demonstrate their relationship with quality of life outcomes if they are to be a reliable guide to commissioners and private individuals purchasing care.

Item Type:	Article
DOI/Identification number:	10.1093/ageing/afs050
Uncontrolled keywords:	residential homes; nursing homes; outcomes; quality of care; regulation; elderly
Subjects:	H Social Sciences > H Social Sciences (General)
Divisions:	Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Depositing User:	Julie Beadle-Brown
Date Deposited:	13 Dec 2012 13:23 UTC
Last Modified:	16 Nov 2021 10:10 UTC
Resource URI:	https://kar.kent.ac.uk/id/eprint/32444 (The current URI for this page, for reference purposes)

University of Kent Author Information

Netten, Ann.

Creator's ORCID:	https://orcid.org/0000-0003-2567-8523
CReDIT Contributor Roles:

Beadle-Brown, Julie.

Creator's ORCID:	https://orcid.org/0000-0003-2306-8801
CReDIT Contributor Roles:

Forder, Julien E..

Creator's ORCID:	https://orcid.org/0000-0001-7793-4328
CReDIT Contributor Roles:

Towers, Ann-Marie.

Creator's ORCID:	https://orcid.org/0000-0003-3597-1061
CReDIT Contributor Roles:

Welch, Elizabeth.

Creator's ORCID:
CReDIT Contributor Roles:

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