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Fragmented Time and Domiciliary Care Quality

Atkinson, Carol and Crozier, Sarah (2020) Fragmented Time and Domiciliary Care Quality. Employee Relations. ISSN 0142-5455 (In Press)


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Purpose – The purpose of this paper is to examine the marketization of domiciliary care, its consequences for employment practice, specifically fragmented time, and the implications for care quality. Design/methodology/approach – Focus groups and face-to-face or telephone interviews were conducted with care commissioners, service providers and care workers across Wales. There were 113 participants in total. Findings – These demonstrate fragmented time’s negative consequences for service providers, care workers and, ultimately, care quality. Research limitations/implications – No care recipients were interviewed and care quality was explored through the perceptions of other stakeholders. Social implications – For policy makers, tensions are evidenced between aspirations for high-quality care and commissioning practice that mitigates against it. Current care commissioning practices need urgent review. Originality/value – The research extends the definition of fragmented time and integrates with a model of care quality to demonstrate its negative consequences. Links between employment practice and care quality have only previously been hinted at.

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