A of in Bupa care homes: results the .CPA Report A profile of residents in Bupa care homes: results

  • View
    212

  • Download
    0

Embed Size (px)

Text of A of in Bupa care homes: results the .CPA Report A profile of residents in Bupa care homes: results

  • CPAReport

    AprofileofresidentsinBupacarehomes:resultsfromthe2012Bupacensus

    November2012CentreforPolicyonAgeing

  • TheCentreforPolicyonAgeing,establishedin1947bytheNuffieldFoundation,hasalonganddistinguishedrecordasanindependentcharitypromotingtheinterestsofolderpeoplethroughresearch,policyanalysisandthedisseminationofinformation.TheCentreaimstoraiseawarenessofissuesaroundageing,influencethedevelopmentofpoliciestoenableolderpeopletolivetheirlivesastheychoose,andtosupportgoodpractice.CPAsoverarchingfocussinceitsinceptionhasbeenonempoweringolderpeopletoshapetheirownlivesandtheservicestheyreceive.Thefundamentaltouchstoneofitsapproachistodiscoverandadvocatewhatolderpeoplethemselveswantandneed.

    CentreforPolicyonAgeing28GreatTowerStreetLondonEC3R5ATTel: 02075536500Fax: 02075536501Email:cpa@cpa.org.ukWeb:www.cpa.org.uk

  • Summaryprofile

    Womenstillformtheoverwhelmingmajority(68%)ofBupacarehomeresidentsbuttheproportionisdecliningwiththemajorityofresidentsagedunder65beingmale.

    ThegreatmajorityofBupacarehomeresidentsareolderpeoplewithresidentsaged65andovermakingup93%ofthecarehomepopulationintheUK,95%inNewZealand,96%inAustraliaand97%inSpain.Maleresidentsareyoungeronaveragethanfemaleresidentsand,intheUK,3yearsyoungeronaveragethantheywereinthe2009census.

    Average(median)lengthofstaytodatedatafor2012hasshownnochangeoranincreaseforallcountrieswhencomparedwith2009.Thismayindicateareversalorslowingofearliertrendstowardsshorterlengthsofstay.

    Over90%ofBupacarehomeresidentsareeitherFrailElderlyorreceivingDementiacareandover90%arereceivingLongTermCare.IntheUK,whileLongTermCareresidentshavestayedfor22monthstodate,onaverage,shortstayresidentsstayforlessthan3months.

    Typeofcarevariesconsiderablywiththeageoftheresident.FrailElderlymakeup70%ofresidentsage95andoverwhileDementiaCarepeaksforthe7584agegroup.

    FiftyeightpercentofBupacarehomeresidentshaveamentalorneurologicaldisorderbuttheoverallprevalencedeclineswithagefromnearly70%ofunder65stoalittleover40%ofresidentsaged95andover.

    Theproportionofresidentswithdementiacontinuestorisewith,overall48%ofresidentseithercategorisedasreceivingDementiaCareorwithdementiaasareasonforadmittance.Thispeaksat65%forScotland.

    Recordeddepressionhasheldsteadyorfallenforresidentsofallagesandisbelowcommunitylevels,especiallyfortheolderagegroups.

    Theprevalenceofstrokecontinuestodeclinebut,at16%fortheUK,ismorethanthreetimesthatinSpain.

    DiabetesisrelativelymorecommonintheUKthaninothercountrieswhencomparedwithratesofothernonneurologicalconditionsandhasahigherprevalenceamongyoungerresidents.ThismayheraldagreaterchallengeinthemanagementofthisconditioninUKcarehomesinthefuture.

    LevelsofurinaryonlyincontinencearelowerintheUKthaninothercountriesandcontinuetodecline,perhapsprovidingamarkerofgoodmanagement.Levelsofdualincontinencearehowevermorethan10percentagepointshigherintheUKthanforothercountries.

    EightysevenpercentofBupacarehomeresidentsintheUKhavehighsupportneedsbutthisproportionhasfallenslightlysince2009intheUKandallothercountries.

    TwentyeightpercentofBupacarehomeresidentsexhibitchallengingbehaviour.Thispercentagehasrisen,since2009,forallcountriesandformostkeytriggers.ChallengingbehaviourismostprevalentinAustralia,NewZealandandScotland.

    3

  • Introduction

    BupahascarriedoutacensusofthepopulationofitscarehomesintheUK,NewZealand,AustraliaandSpainin2009and2012.AsimilarcensusofBupaUKhomeswascarriedoutin2003andofBupaandnonBupaUKcarehomesin2006.TheCentreforPolicyonAgeinghasbeenaskedbyBupa,forthe2012census,toupdateitsanalysisoftheprofileofBupacarehomeresidentsfromthe2009censuspublishedinLievesley,Crosby,BowmanandMidwinter,TheChangingRoleofCareHomes,2011.ThisreportwillcomplementseparateanalysescarriedoutbyAbies,focusingonthewellbeingofresidentsusingdataonHowRUandHowRwescoresgatheredforthefirsttimeinthe2012census.

    ComparabilitywiththeBupa2009Census

    TheBupaCensusdatacollectionfor2012wascarriedoutinadifferentwayfromthatforthe2009census.In2012,tofacilitatethecollectionandprocessingofdata,staffwereaskedtomakemarksinopticallyreadableboxesonthecensusquestionnaire.Thismeantrecordingagegroupratherthanageandtheyearandmonthofadmissionforrecentyearsonly,ratherthantheactualdateofadmission.In2009datahadbeencollectedontheageoftheresident,thedateofadmissionandthedateonwhichthecensuswastaken.The2012CensuswascarriedoutmainlyinJune2012butwithsomeoverrununtoJuly.Thedateonwhichthedatawasactuallycollectedwasnotrecorded.In2012theclassificationintoresidentialornursingcarewasnotrecordedbutawealthofadditionalinformationonthewellbeingofresidentsandtheviewsofresidentsandvisitors,includingHowRUandHowRwescoreswascollected.

    FortheUK,individualhomescodesallowregionalandotheranalysis.BupacarehomesintheUKvarytremendouslyinsizefromanumberwithfewerthan20respondentstoonecarehomewithnearly200.(Figure1)

    Figure1

    4

  • Gender

    AlthoughthevastmajorityofBupacarehomeresidentscontinuetobefemale,since2009thisproportionhasfallenineverycountry(Table1)

    Table1

    Country PercentageFemale

    2009 2012

    Australia 67.3% 65.9%NewZealand 66.5% 64.9%Spain 75.4% 73.8%UK 71.7% 68.0%

    Becauseoftheirshorterlifeexpectancy,maleresidentsaremorepredominantintheyoungeragegroupsthanintheolderagegroups(Table2Table5),formingamajorityoftheunder65sinAustraliaandNewZealand.Therehas,however,beennoobviousshiftintheoverallageprofileofresidentsthatmightexplainthefallintheproportionthatarefemale.(Figure2)Themostlikelyreasonisimprovedsurvivalofmeninthe7584and8594agegroupseachofwhichhave,forallfourcountries,ahigherproportionofmenin2012thanin2009.

    Table2

    Australia Resident Age Group

    All Ages Under 65 65-74 75-84 85-94 95 and over

    Gender Female 43.4% 48.0% 62.7% 70.6% 81.4% 65.9%

    Male 56.6% 52.0% 37.3% 29.4% 18.6% 34.1%

    Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

    n=3,366

    Table3

    New Zealand Resident Age Group

    All Ages Under 65 65-74 75-84 85-94 95 and over

    Gender Female 48.6% 49.1% 58.1% 73.8% 80.6% 64.9%

    Male 51.4% 50.9% 41.9% 26.2% 19.4% 35.1%

    Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

    n=2,815 Table4

    Spain Resident Age Group

    All Ages Under 65 65-74 75-84 85-94 95 and over

    Gender Female 52.2% 54.9% 70.5% 77.8% 86.3% 73.8%

    Male 47.8% 45.1% 29.5% 22.2% 13.7% 26.2%

    Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

    n=4,067

    5

  • Table5

    UK Resident Age Group

    All Ages Under 65 65-74 75-84 85-94 95 and over

    Gender Female 50.2% 53.0% 63.0% 75.0% 83.3% 68.0%

    Male 49.8% 47.0% 37.0% 25.0% 16.7% 32.0%

    Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

    n=12,724

    Ageofresidents

    ExceptinthecaseofSpain,whichhasseenashiftfromthe7584tothe8594agegroup,theoverallagedistributionofresidentshasremainedunchanged.(Figure2)

    Figure2Agedistributionofresidents

    Although,inthe2012Bupacensus,residentagegroupratherthanageisrecorded,wecanstillestimatethemedianageofresidents.(Table6)

    Maleresidentsare,onaverageyoungerthanfemaleresidents(Table6).FortheUK,comparing2012with2009,whilethemedianageoffemaleresidentshasremainedmuchthesameat86,thatformaleresidentshasfallenfrom81to78.MaleresidentsintheUKareyoungeronaveragein2012thanin2009.

    6

  • Table6EstimatedmedianageofBuparesidents2012

    Australia NewZealand Spain UK

    Female 86.2 85.8 86.2 85.9

    Male 79.4 78.2 79.6 78.3

    ThegreatmajorityofBupacarehomeresidentscontinuetobeolderpeople.In2012residentsaged

    65andovermadeup93%ofthecarehomepopulationintheUK,95%inNewZealand,96%in

    Australiaand97%inSpain.(Table7Table10)

    Table7

    Australia Resident Age Group

    Total Under 65 65-74 75-84 85-94 95 and over

    Gender Female 2.8% 6.9% 28.1% 51.0% 11.2% 100.0%

    Male 7.1% 14.6% 32.3% 41.2% 5.0% 100.0%

    Total 4.2% 9.5% 29.5% 47.6% 9.1% 100.0%

    n=3,366

    Table8

    New Zealand Resident Age Group

    Total Under 65 65-74 75-84 85-94 95 and over

    Gender Female 3.9% 8.8% 30.0% 47.7% 9.6% 100.0%

    Male 7.6% 16.9% 40.0% 31.3% 4.3% 100.0%

    Total 5.2% 11.7% 33.5% 42.0% 7.7% 100.0%

    n=2,815 Table9

    Spain Resident Age Group

    Total Under 65 65-74 75-84 85-94 95 and over

    Gender Female 2.4% 5.0% 29.6% 54.1% 8.8% 100.0%

    Male 6.2% 11.5% 34.9% 43.5% 3.9% 100.0%

    Total 3.4% 6.7% 31.0% 51.3% 7.5% 100.0%

    n=4,067 Table10

    UK Resident Age Group

    Total Under 65 65-74 75-84 85-94 95 and over

    Gender Female 4.9% 8.5% 28.6% 46.7% 11.3% 100.0%

    Male 10.3% 16.0% 35.7% 33.1% 4.8% 100.0%

    Total 6.6% 10.9% 30.9% 42.3% 9.3% 100.0%

    n=12,724

    7

  • Lengthofstay

    TheBupacensusgathersinformationonlengthofstayoftheresident.Thislengthofstaytodate

    informationdoesnotmeasurethetotallengthofstayofcarehomeresidentsbecause,ontheone

    hand,residentsatthetimeofthecensushavenotyetcompletedtheirstay,thereforelengthof

    staytodateprovidesanunderestimateofthetotallengthofstay.Ontheotherhand,ashortstay

    residentislesslikelytobeincludedinthecensusthanalongstayresident.Theremighthavebeen3

    shortstayresidentsduringtheperiodofasinglelongstayresident,onlyoneofwhomwouldhave

    beenincludedinthecensus.Inthisrespectlengthofstaytodateprovidesanoverestimateof

    actuallengthsofstay.

    Figure3

    *This graph does not show the 2.5% of residents who stay for longer than 10 years 5 months.

    Asinpreviousyears,thecensusrevealsalargenumberofresidentswhohavestayedforashort

    periodwiththenumberofresidentsdecliningconsistentlyasthelengthofstayincreases.(Figure3)

    8

  • OtherdatacollectedbyBupa,onlengthofstayforresidentswhohavediedfortheperiod2001

    2009,hasshownadeclineintotallengthofstaybothforresidentswithdementiaandthose

    consideredfrailelderly.1

Recommended

View more >