A highly detailed, multi-staged, investigation into which type(s) of NHS primary care services work best for care homes and their residents was conducted. Conclusions drawn are hard to summarise simply, without doing this research some injustice.
One thing is clear. Provision of age-appropriate care to help support residents with dementia would appear to be worthwhile.
“If NHS and care home staff have access to dementia expertise when addressing residents’ behaviours that they find challenging (context) then they have confidence and skills in providing care (mechanism) that reduces the need for antipsychotic prescribing and the distress of residents (outcome)”. (p.vii)
Goodman, C. Davies, SL. [and] Gordon, AL. [et al] (2017). Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings. Southampton (UK): NIHR Journals Library; October 2017. Vol.5(29).
There is also an Executive Summary.
Insights From Kerala, India
Possibly of broad interest, with different cultural premises: an initial investigation into the psychosocial impact of living in Old Age Homes (OAHs) for elderly persons in Kerala (India):
Augustine, A. George, S. Sudhir Kumar, CT. (2020). Life in old age homes: reflections from God’s own country, Kerala, India. Journal of Geriatric Care and Research (JGCR). June 14th 2020, Vol.7(2): pp.64-67.