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Delivering Care at Home: Emerging Models and Their Implications for Sustainability and Wellbeing, 2018-2020
Creator
Yeandle, S, University of Sheffield
Study number / PID
855139 (UKDA)
10.5255/UKDA-SN-855139 (DOI)
Data access
Restricted
Series
Not available
Abstract
Homecare is sometimes characterised by poor employment practices which hamper good care, leading to degrading work practices and high turnover. The sector faces rising demand / staff costs, reductions in public funding and rationing of care by LAs, with more people making private arrangements, often without support . Experts claim home care needs a ‘relationship-centred approach’, innovation including greater use of technology and skilled workers, yet the UK lags behind developments in other nations. Few studies have examined homecare provision and the social relations in which it is embedded. Specifically, how approaches to care, the use of technology and job design inter-relate in innovative provision and affect sustainable wellbeing, has not been adequately researched. This study contributes new knowledge by investigating the potential of innovative models of homecare to foster sustainable care relations, use technology and create job quality, by asking:
What innovative home care models are emerging in different local and national UK contexts?
What capacity do innovative home care models in the UK have to support sustainable wellbeing, and through which mechanisms is this achieved?Our programme focuses on the care needs of adults living at home with chronic health problems or disabilities, and seeks sustainable solutions to the UK's contemporary 'crisis of care'. It is distinctive in investigating sustainability and wellbeing in care holistically across care systems, work and relationships; addresses disconnection between theorisations of care in different disciplines; and locates all its research in the context of international scholarship, actively engaging with policy partners.
It will fill knowledge gaps, contribute new theoretical ideas and data analyses, and provide useful, accurate evidence to inform care planning, provision and experience. It develops and critically engages with policy and theoretical debates about: care infrastructure (systems,...
Terminology used is generally based on DDI controlled vocabularies: Time Method, Analysis Unit, Sampling Procedure and Mode of Collection, available at CESSDA Vocabulary Service.
Methodology
Data collection period
06/11/2017 - 31/08/2021
Country
United Kingdom
Time dimension
Not available
Analysis unit
Individual
Organization
Universe
Not available
Sampling procedure
Not available
Kind of data
Text
Data collection mode
The study used a multi-method comparative approach within a case study framework. RQ1 was addressed through consultations with key informants and a review of literatures on emerging models of home care, used to develop an initial typology of innovative provision. RQ2 was addressed through case study investigations of 4 emerging models of service provision. Sampling was informed by the typology of alternative provision; cases were selected to reflect developments in the sector and included novel use of care organisation, technology and job design. To investigate how business models, labour management and use of technology relate to the delivery of sustainable care and wellbeing, we conducted interviews with a sample of stakeholders in each organisation (1 manager/owner, up to 8 office based care staff, up to 8 care workers and where possible up to 8 clients); used non-participant observation of routine work-based practices where possible and appropriate (up to 10 hrs per organisation where possible, excluding personal care); and analysis of organisational documents (policies /reports /records. Case data was transcribed, coded and analysed for themes using NVivo both ‘within case’ (for each site) and comparatively ‘across case’ (accumulatively as fieldwork at each case site was completed). Data triangulation was used to identify and analyse the organisational characteristics of innovative provision and the mechanisms and processes at the service provider level that matter for sustainable wellbeing of workers and care recipients.
Funding information
Grant number
ES/P009255/1
Access
Publisher
UK Data Service
Publication year
2021
Terms of data access
The Data Collection is available for download to users registered with the UK Data Service. All requests are subject to the permission of the data owner or his/her nominee. Please email the contact person for this data collection to request permission to access the data, explaining your reason for wanting access to the data, then contact our Access Helpdesk.