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Residential Care

This guidance is for all those involved in promoting older people's mental wellbeing. It focuses on practical support for everyday activities, based on occupational therapy principles and methods. This includes working  with older people and their carers to agree what kind of support they need. It replaces the guidance 'mental wellbeing and older people'

NICE recommendations include the following:

  • Offer regular sessions that encourage older people to construct daily routines to help maintain or improve their mental wellbeing. The sessions should also increase their knowledge of a range of issues, from nutrition and how to stay active to personal care.
  • Offer tailored, community-based physical activity programmes. These should include moderate-intensity activities (such as swimming, walking, dancing), strength and resistance training, and toning and stretching exercises.
  • Advise older people and their carers how to exercise safely for 30 minutes a day on 5 or more days a week, using examples of everyday activities such as shopping, housework and gardening. (The 30 minutes can be broken down into 10-minute bursts.)
  • Promote regular participation in local walking schemes as a way of improving mental wellbeing. Help and support older people to participate fully in these schemes, taking into account their health, mobility and personal preferences.
  • Involve occupational therapists in the design of training offered to practitioners.

This can be accessed by clicking here: http://bit.ly/1CKdaFP

A survey of the friends and family of residents of residential care in Bolton from September 2011 as part of the wider residential care review. The purpose of the survey was to garner their opinion on the quality of service provided to help inform future residential care development priorities. This will be of use to anyone developing or re-designing residential care services. 

Trend analysis of ADASS/AQuA whole system quality and efficiency locality benchmarking focusing upon the frail elderly population in Bolton. Covers: Non-elective admissions aged 65 + per 1000 population aged 65+; Non-elective bed days aged 65+ per head of 1000 population aged 65+; Non-elective re-admission rate within 28 days aged 65+; Non-elective re-admission rate within 90 days aged 65+; Number of dealyed transfers of care aged 18+ per 100,000 population; proportion of people aged 65+ discharged directly to residential care; Permanent admissions to residential/nursing care aged 65+ per 100,000 population 65+; proportion of all deaths which occur at home aged 65+.

A benchmarking analysis report for Bolton and other NW areas covering: Non-elective admissions aged 65+ per 1000 pop 65+; Non-elective bed days aged 65+ per head of 1000 pop 65+; Non-elective re-admission rate within 28 days aged 65 and over; Non-elective re-admission rate within 90 days aged 65 and over; No of delayed transfers of care aged 18+ per 100,000 pop; Proportion of people aged 65+ discharge direct to residential care; Permanent admissions to residential / nursing care aged 65+ per 100,000 pop 65+; Proportion of local authority ASC spend on aged 65+ on residential/nursing care; Proportion of all deaths which occur at home - aged 65 and over.

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