Quality of care in private sector and NHS facilities for people with dementia: cross sectional survey

doi:10.1136/bmj.323.7310.426

BMJ 2001;323:426-427 ( 25 August )

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Quality of care in private sector and NHS facilities for people with dementia: cross sectional survey

Editorial by Marshall

Clive Ballard, professor of old age psychiatry, Jane Fossey, consultant clinical psychologist, Ramilgan Chithramohan, consultant old age psychiatrist, Robert Howard, reader in old age psychiatry, Alistair Burns, professor of old age psychiatry, Peter Thompson, consultant old age psychiatrist, George Tadros, specialist registrar in old age psychiatry, Andrew Fairbairn, consultant old age psychiatrist.

Royal College of Psychiatrists, London SW1X 8PG

Correspondence to: Andrew Fairbairn, Royal College of Psychiatrists, London SW1X 8PG

The first 150 words of the full text of this article appear below.

Residential and nursing homes provide an essential contribution towards the care of people with dementia. It is a challengeto provide good care within tight budgets and often with a workforcethat has little formal training. Most people are cared for withinthe private sector, although a limited number of NHS beds providecontinuing care for people with severe dementia and intractablebehaviourproblems.

Dementia care mapping¹ is a direct, standardised assessment with good interrater reliability.² Activities are codedaccording to category of behaviour, and they are recorded everyfive minutes. Wellbeing is measured using the dementia care index,which indicates the overall quality of care within a particularenvironment extrapolated from dementia care mapping evaluationsof half of the residents.¹ We used dementia care mapping toevaluate the quality of care in 10 private sector and seven NHScarefacilities.

Participants, methods, and results

People living in care facilities from specific geographical catchment areas . . . [Full text of this article]

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Rapid Responses:

Read all Rapid Responses

Confusion: Gareth Lloyd
bmj.com, 25 Aug 2001 [Full text]
A change in attitude is what is needed: Joan Scott
bmj.com, 28 Aug 2001 [Full text]
Is Dementia Care Mapping an adequate methodological tool for care quality research?: Chris Edwards
bmj.com, 30 Aug 2001 [Full text]
The Uncharted waters of dementia care: Clive Bowman, et al.
bmj.com, 22 Sep 2001 [Full text]
Comparison of NHS services: Grace Sansom, et al.
bmj.com, 22 Sep 2001 [Full text]