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The scope of safety in English older adult care homes: a qualitative analysis of Safeguarding Adult Reviews

Smith, Nick, Rand, Stacey, Jones, Karen C. (2023) The scope of safety in English older adult care homes: a qualitative analysis of Safeguarding Adult Reviews. The Journal of Adult Protection, 25 (1). pp. 3-13. ISSN 1466-8203. E-ISSN 2042-8669. (doi:10.1108/JAP-03-2022-0006) (KAR id:97592)

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Official URL:
https://doi.org/10.1108/JAP-03-2022-0006

Abstract

Purpose

This paper aims to explore the content of Safeguarding Adult Reviews (SARs) from older adult care homes to understand how safety is understood and might be measured in practice.

Design/methodology/approach

SARs relevant to older adult care homes from 2015 onwards were identified via the Social Care Institute of Excellence SARs library. Using thematic analysis, initial inductive coding was mapped to a health-derived safety framework, the Safety Measurement and Monitoring Framework (SMMF).

Findings

The content of the SARs reflected the dimensions of the SMMF but gaining a deeper understanding of safety in older adult care homes requires additional understanding of how this unique context interacts with these dimensions to create and prevent risks and harms. This review identified the importance of external factors in care home safety.

Originality/value

This study provides an insight into the scope of safety issues within care homes using the SARs content, and in doing so improves understanding of how it might be measured. The measurement of safety in care homes needs to acknowledge that there are factors external to care homes that a home may have little knowledge of and no ability to control.

Item Type: Article
DOI/Identification number: 10.1108/JAP-03-2022-0006
Additional information: This author accepted manuscript is deposited under a Creative Commons Attribution Non-commercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for non-commercial purposes, subject to full attribution. If you wish to use this manuscript for commercial purposes, please contact permissions@emerald.com.
Subjects: H Social Sciences > HV Social pathology. Social and public welfare > HV59 Institutional care/home care
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
Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Funders: Department of Health and Social Care (https://ror.org/03sbpja79)
Depositing User: Nick Smith
Date Deposited: 25 Oct 2022 12:02 UTC
Last Modified: 03 Oct 2023 10:38 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/97592 (The current URI for this page, for reference purposes)
Smith, Nick: https://orcid.org/0000-0001-9793-6988
Rand, Stacey: https://orcid.org/0000-0001-9071-2842
Jones, Karen C.: https://orcid.org/0000-0003-0851-8341
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