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Reshape care into a home-like and inclusive environment, report urges

Care home providers have been urged to rethink their care model in a new report.

Long Term Care: A Call for Action on a Global Scale calls for care to move away from institutional care to a model that is service- and support-orientated, and more homely.

The report notes the ageing global population and urges government funding models to consider the importance of public-private partnerships to keep the long-term sector for older adults sustainable and person-centred in the future.  

The report notes that 24-7 care and support for people will remain needed – however, it suggests that this care may become less institutional, for example, in supported apartments where family members are the first responders and have control over the professional caregivers, not the other way around.

The report notes that the continuing dominance of the medical model in long-term care, which may reduce the emphasis on the social, emotional, and spiritual dimensions of care. The report notes: “A social and service approach built around quality of life should be dominant, without denying that medical care plays an important role when the client has health challenges.”

The report also notes that the mental and physical stress of informal care may lead to an earlier care home placement for the person being cared for. Where possible, the decision to enter a care home should be made with the older adult, and the reasons for the move should be explained.

Scottish Care is a member of the Global Ageing Network which published the report. For Scotland, the organisation calls for better access to care and services through improved funding, workforce development and training.

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