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Person-centred Australian residential aged care services: how well do actions match the claims?

Published online by Cambridge University Press:  30 March 2021

Sylvia Sing Lynn Seah Open the ORCID record for Sylvia Sing Lynn Seah [Opens in a new window] ,
Lynn Chenoweth  and
Henry Brodaty
Sylvia Sing Lynn Seah
Affiliation:
School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia
Lynn Chenoweth*
Affiliation:
Centre for Healthy Brain Ageing (CHeBA), School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia
Henry Brodaty
Affiliation:
Centre for Healthy Brain Ageing (CHeBA), School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia
*
*Corresponding author. Email: l.chenoweth@unsw.edu.au
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Abstract

Recent inquiries into residential aged care services, including the 2018–2019 Australian Royal Commission into Aged Care Quality and Safety, have informed revisions to the 2019 Australian Aged Care Quality Standards. Reforms to the Standards include a greater focus on person-centred services, consumer-directed care and authentic participation in decision-making on service provision by residents and their family members. In respect of person-centred services, the revised Standards reflect the four elements of the ‘Valuing, Individualised Care, Personal Perspective, Social Environment’ (or VIPS) framework for quality aged (social) care services in the United Kingdom. This qualitative study investigated whether the quality of services in a convenience sample of seven Australian aged care homes, which claimed to be person-centred, aligned with the four elements and 24 indicators of the VIPS framework. Data were obtained via semi-structured interviews with a volunteer sample of people associated with these seven aged care homes: 12 residents, 15 family members and 18 staff members in various roles. Data were analysed deductively with a priori reference to the 24 VIPS framework indicators, achieving data saturation for four common themes which indicated more person-centredness and ten common themes indicating less person-centredness. Only two of seven homes adhered to the four elements and 24 indicators of the VIPS framework across most service offerings. The remaining five homes offered some aspects of a person-centred service. The study findings provide insight to the factors which support and hamper the implementation of the VIPS-informed indicators of a person-centred aged care service and, therefore, what is needed to help meet person-centred requirements as outlined in the 2019 Australian Aged Care Quality Standards.

Keywords

personalised careindividualised careperson-centrednessperson-centred carenursing homeaged care homesocial care
Type
Article
Information
Ageing & Society , Volume 42 , Issue 12 , December 2022 , pp. 2914 - 2939
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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