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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, Morgan, Sarah, Jones, Karen, Hogan, Helen, Dargan, Alan (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:99964)

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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
Uncontrolled keywords: Safety; Care Homes; Social Care; Safeguarding; Older Adults; Nursing Homes
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
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: National Institute for Health Research (https://ror.org/0187kwz08)
Depositing User: Stacey Rand
Date Deposited: 09 Feb 2023 14:46 UTC
Last Modified: 10 Feb 2023 08:57 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/99964 (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: https://orcid.org/0000-0003-0851-8341
Dargan, Alan: https://orcid.org/0000-0002-8963-3802
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