Taking the 'care' out of care homes: The moral dilemma of institutional long-term care provision during COVID-19



Giebel, Clarissa ORCID: 0000-0002-0746-0566, Hanna, Kerry ORCID: 0000-0001-7357-7749, Cannon, Jacqueline, Shenton, Justine, Mason, Stephen ORCID: 0000-0002-4020-6869, Tetlow, Hilary, Marlow, Paul, Rajagopal, Manoj and Gabbay, Mark ORCID: 0000-0002-0126-8485
(2022) Taking the 'care' out of care homes: The moral dilemma of institutional long-term care provision during COVID-19. HEALTH & SOCIAL CARE IN THE COMMUNITY, 30 (5). E2127-E2136.

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Abstract

Little is known on how the pandemic has changed care home care delivery. The aim of this study was to explore the impact of COVID-19 on care provision and visits in care homes from staff and family members' perspectives. For this purpose, we conducted a telephone- and zoom-based qualitative semi-structured interview study. Care home staff and family carers of people living with dementia (PLWD) across the UK were recruited via convenience sampling and participated via telephone or online. Participants took part in a semi-structured remote interview. Data were collected between October and November 2020. Anonymised transcripts were analysed separately by two research team members using thematic analysis, with codes discussed and themes generated jointly, supported by research team input. 42 participants (26 family carers and 16 care home staff) took part. Five themes were generated: (a) Care home reputation and financial implications; (b) Lack of care; (c) Communication or lack thereof; (d) Visiting rights/changes based on residents' needs; (e) Deterioration of residents. With a lack of clear guidance throughout the pandemic, care homes delivered care differently with disparities in the levels and types of visiting allowed for family members. Lack of communication between care homes and family members, but also government and care homes, led to family carers feeling excluded and concerned about the well-being of their relative. Improved communication and clear guidance for care homes and the public are required to negate the potentially damaging effects of COVID-19 restrictions upon residents, their families and the carers who support them.

Item Type: Article
Uncontrolled Keywords: care delivery, care homes, COVID-19, dementia, nursing, staff
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 09 Nov 2021 08:35
Last Modified: 18 Jan 2023 21:25
DOI: 10.1111/hsc.13651
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3142943