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dc.contributor.advisorBowes, Alison M.-
dc.contributor.advisorTester, Susan-
dc.contributor.authorBland, Rosemary-
dc.description.abstractThis thesis is an examination of the definition and implementation of ‘good practice’ in residential care for senior citizens. The central contention is that ‘good practice’ is a term that has been variously defined. Different groups define it in different ways, and their definitions have changed over time. This reflexive qualitative study explores ‘good practice’ in local authority, voluntary and private residential care homes in Scotland from the perspective of policy, practice and the experience of senior citizens who live in them. The study is based on analysis of policy documents, historical studies, and reanalysed interview and survey data from two earlier studies conducted by the author and colleagues. The thesis shows that the notion of ‘good practice’ that emerges in policy and practice documents is a confused and often conflicting set of ideas. Historically, the earliest were driven by concerns over cost. In more modern times, statements about ‘good practice’ have had a more benevolent intent but are frequently flawed by paternalistic and ageist assumptions. It is shown that staff in residential homes typically adopt a different set of attitudes: their preoccupation is with safety and the avoidance of risk. Although benevolent in intention, these interpretations of ‘good practice’ are also at variance with what residents themselves actually want. Two particular models or styles of care are examined in detail. One of these is the use of ‘keyworkers’, often implemented in ways that fail to realise its potential. The other is the ‘hotel’ model of care. The potential of this model as an alternative to the statutory model is explored. The thesis concludes that it is a model that can realise the goal of enabling residents to exercise independence, choice and privacy while meeting their needs in residential care.en
dc.format.extent1413514 bytes-
dc.publisherUniversity of Stirlingen
dc.subject.lcshAged Institutional care Great Britainen
dc.subject.lcshOld age homes Great Britainen
dc.subject.lcshQuality of life Great Britainen
dc.subject.otherGood Practice, Senior Citizens, Quality of Life, Ageing, Residential Care, Models of Ageing, Medical Modelen
dc.titleSenior Citizens, Good Practice and Quality of Life in Residential Care Homesen
dc.typeThesis or Dissertation-
dc.type.qualificationnameDoctor of Philosophy (PHD(R))-
dc.contributor.affiliationSchool of Applied Social Science-
Appears in Collections:Faculty of Social Sciences eTheses

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