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The trust confirmed that the decision to cease permanent admissions to all five homes had been taken at its board meeting last month, in order to "minimise the number of residents who will be affected as the number of homes reduce".
Permanent admissions to residential care were often preceded by domiciliary care or emergency hospital admission (37.6% and 45.1% of people, respectively).
For example, incorporating two-digit postcode matching increased the sensitivity of the constrained SLG-based E linkage for RAC permanent admissions from 75.0% (SLG v1) to 88.5% (SLG v2).
In particular, links to permanent admissions were more likely to be false positives than links to respite admissions or hospital leave, and the sensitivity of the strategy was lower for admissions (under 75%) than for other RAC events (over 85%).
Inconsistencies in reported region of usual residence were considered highly likely as a sizeable proportion of the transitions relate to people in the process of changing their usual residence (i.e. being admitted into permanent RAC for the first time) – nearly 20% of links found using basic E linkage were for permanent admissions.
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This respite from caregiving might be enough to slow the need for a permanent admission to a memory-care unit.
Institutionalization was defined as permanent admission to a nursing home.
Nursing home admission in our trial is defined as the permanent admission into an inpatient nursing care facility according to the social security code of Germany.
Nursing home placement was defined as the permanent admission to a licensed skilled nursing facility with 24-hour care (ie, rehabilitative or respite care were not included).
We established mortality and permanent admission to a high dependency level of long term care (nursing home care) by direct enquiry at each follow-up visit.
Mortality rates in that study were similar in both groups (8.9% usual care versus 8.7% telecare), as were rates of permanent admission to care homes (3.2% usual care versus 3.1% telecare).
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