Analysis of Domiciliary and Residential Care in Health & Social Care

This essay provides a detailed comparison of domiciliary and residential care within the context of health and social care. It explores the advantages and disadvantages of each care type, highlighting the flexibility and personal independence offered by domiciliary care versus the 24/7 security and medical support of residential care. The essay also discusses the roles of the Care Quality Commission (CQC) and the Nursing and Midwifery Council (NMC) in regulating and ensuring the quality of these services. Furthermore, it addresses different service user disabilities and recommends appropriate care types, such as domiciliary care for physical weakness and social care for social impairments, emphasizing the importance of tailored care solutions. Desklib offers a platform for students to access this essay and other similar resources for their studies.

Running Head: HEALTH AND SOCIAL CARE LEVEL
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Health and Social Care Level
Name
Institution
Instructor
Course
Date

HEALTH AND SOCIAL CARE LEVEL
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Domiciliary care
Domiciliary Care is an additional service or a support to people mostly the sick and elderly who
live in their homes to help them in personal care and other home activities to maintain the quality of life
and home even personal independence.
Advantages of Docile Care
It allows home comforts where they have adapted facilitating options for great
intermediary options. It provides time flexibility to visiting relatives and friends as there is not
strictness in visiting time. It also allows the person to maintain their personal life and routines in
their own living rooms. There is affordability and cost-effectiveness as no additional cost for rent
and visit transport by the relatives. It also allows promotes mental well-being due to availability
in all times visitation by friends and relatives (Rodrigues & Glendinning, 2015). Besides,
domiciliary care helps people who want to stay in their homes but they require consistence
assistance in their daily activities such as home chores and maintaining their households.
Disadvantages of Docile Care
First, the person providing the services is not there 24/7. Extra cost for vulnerable people
need round the clock attention to prevent injury or severity of the disease. If a vulnerable person
is disabled or likely immobile, there will be a need to install alarms systems and other sensors
like fall and bed sensors to be aware in the case when alone (Green, 2015). Lack of consistent
services due to shifting of staffs in times of leaves and holidays can risk to loss of life of severity
of the condition in times of emergency.

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Residential care
Residential care is the long-term care for children and elderly persons who require special attention in an
agency or residential settings away from home. It is usually done to older people whose needs are low,
the services provided are aimed at meeting peoples residential care needs and capabilities.
Advantages of Residential Care
Firstly, there is enhanced security for elderly who cannot live alone in their homes.
Secondly, there is personal and medical care availability round the clock and in case of
emergency (Kalra, Unnikrishnan & Baruah, 2017). Forth, some residential places that offer trips
and activities and other important therapies that are of great importance.
Disadvantages of Residential Care
They are expensive than in-home care services. According to the recent “Cost of Care
Survey” annual reports, they published that t nursing home care are the most expensive form of
long-term care service. Residential care can be depressing as some older adults find it hard to
adapt to the new environment as they feel they are neglected by their very respective family
(Kogan, Wilber, & Mosqueda, 2016). There is strictness in the visiting hours by the relatives and
friends. Loss of freedom and independence to adults and elderlies who were accustomed to their
own personal life hence reduced privacy.

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Comparison of the roles of the Care Quality Commission and Nursing and Midwifery
Council.
The CQC is an independent body which regulates all health and social care service. It
plays essential role in ensuring that the care provided by hospitals and care homes meets t6he
government required standards of quality and safety. According to the memorandum of
understanding by the England statute, CQC is mandated to regulate health and adult social care
while NMC is mandated to regulate the nursing and midwifery institutes (Kalra, Unnikrishnan &
Baruah, 2017). Care Quality Commission (CQC) roles are registration functions as described
under the Health Care Social Act (HCSA, 2008) regulation activities. It also reviews and
investigates the functions periodically (Moss, 2017). It enhances efficiency and effectiveness in
utilizing resources when providing health and social services to the peoples. On the other hand,
Nursing and Midwifery Council (NMC) aims to safeguard the wellbeing and ensure the safety of
the people by setting standards of education to training and conducting nurses and midwives
performances to ensure they provide quality healthcare to individuals. NMC enhances skills and
knowledge is up to date when they fall short of the NMC professional standards (McKenna,
2018).
Description of two service Users disabilities and care that should be provided.
Service users have different disabilities .One of the disabilities include physical weakness. The
type of care that can be provided to such a service user is the domiciliary care. The rationale as to
why I would chose domiciliary care is that this type of care can be provided to the service users
who are weak and live independently and therefore they cannot take good care of themselves. It

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includes providing personal care and support services. This type of care can also provide
reablement services and provide domiciliary meals as well.
Another disability experienced by service users is the social impairments since this people live
independently at their homes. The best form of care that can be provided to such disabilities is
social care .The reason why I would settle on this type of care is that ensures the improvement in
the social status of the service user. It also boosts the self-esteem of the service user.
References

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Brown, J. (2018). What Survivors Tell Us about Facilitating Early Disclosure. Protecting
Children and Adults from Abuse After Savile: What Organisations and Institutions Need
to Do, 186.
Green, D. (2015. Safeguarding and protection of vulnerable adults. Nursing And Residential
Care, 17(5), 293-296.
Kalra, S., Unnikrishnan, A. G., & Baruah, M. P. (2017). Interaction, information, involvement
(The 3I strategy): Rebuilding trust in the medical profession. Indian journal of
endocrinology and metabolism, 21(2), 268
Kogan, A. C., Wilber, K., & Mosqueda, L. (2016). Person‐centered care for older adults with
chronic conditions and functional impairment: A systematic literature review. Journal of
the American Geriatrics Society, 64(1), e1-e7
Lewis, J., & West, A. (2014). Re-shaping social care services for older people in England: policy
development and the problem of achieving ‘good care’. Journal of Social Policy, 43(1),
1-18.
McKenna, H. (2018). Are we expecting too much from the NHS?
Moss, B. (2017). Communication skills in health and social care. Sage
Officer, C. P., & Wyss, M. N. (2017). Safeguarding & Protecting Children &Vulnerable Adults
Policy. Policy, 3, 14

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Rodrigues, R., & Glendinning, C. (2015). Choice, competition and care–developments in English
social care and the impacts on providers and older users of home care services. Social
Policy & Administration, 49(5), 649-664.