Brian J. Taylor, Insa Osterhus, Rachel Stewart, Suzanne Cunningham, Olive MacLeod and Mary McColgan
This study explored the feasibility of developing scaled inspection tools for use during external inspection of health and social care facilities to give improved accuracy in…
Abstract
Purpose
This study explored the feasibility of developing scaled inspection tools for use during external inspection of health and social care facilities to give improved accuracy in identifying facilities “at risk”, a tool for risk-adjusted frequency of inspection, and greater consistency of judgements.
Design/methodology/approach
This paper summarises the development through working groups and workshops involving 20 experienced inspectors (nurses and social workers) of the Regulation and Quality Improvement Authority who inspect the 206 nursing and 182 residential care homes in Northern Ireland. A brief evaluation survey, including response to a case vignette, gathered inspectors' views after using the tools for six months.
Findings
Eight two-dimensional Scaled Inspection Tools were created, each embodying a scale of performance (seriousness of risk issue) and a scale of the ability of the facility to manage that issue, each axis comprising four points. The Scaled Inspection Tools were used for on-site inspections during 2017–18. Evaluative comments were generally positive. The case vignette seemed to highlight greater risk aversion amongst newer inspectors.
Research limitations/implications
The creation of scaled inspection tools adds credibility to the potential for developing risk-based governance in service regulation. Further testing of domains and their scope is required.
Practical implications
Prompts for each domain were found essential to guide inspectors. Despite the challenge of change, inspectors became enthusiastic about use for evaluating risks, and managers about improvements in consistency of inspection.
Social implications
Knowledge derived from statistical approaches needs to be incorporated into inspection and regulation, just as in other aspects of professional practice.
Originality/value
Scaled inspection tools, with two orthogonal axes corresponding to seriousness of risk and ability to manage the risk (inverse of likelihood of harm), proved acceptable and intuitive in use. The study gives credibility to the possibility of developing screening and surveillance approaches to risk-based governance in service regulation.
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In consequence of inadequate accommodation, the Editorial and Publishing Offices of the British Food Journal have been removed to more commodious offices at
IN order to be able to discriminate with certainty between butter and such margarine as is sold in England, it is necessary to carry out two or three elaborate and delicate…
Abstract
IN order to be able to discriminate with certainty between butter and such margarine as is sold in England, it is necessary to carry out two or three elaborate and delicate chemical processes. But there has always been a craving by the public for some simple method of determining the genuineness of butter by means of which the necessary trouble could be dispensed with. It has been suggested that such easy detection would be possible if all margarine bought and sold in England were to be manufactured with some distinctive colouring added—light‐blue, for instance—or were to contain a small amount of phenolphthalein, so that the addition of a drop of a solution of caustic potash to a suspected sample would cause it to become pink if it were margarine, while nothing would occur if it were genuine butter. These methods, which have been put forward seriously, will be found on consideration to be unnecessary, and, indeed, absurd.
THIS issue forms the conclusion of Volume LX of THE LIBRARY WORLD, and from the editorial point of view we regard the last issue as the final stage in the completion of an…
Abstract
THIS issue forms the conclusion of Volume LX of THE LIBRARY WORLD, and from the editorial point of view we regard the last issue as the final stage in the completion of an entirely separate undertaking—in much the same way that we regard December 31st as completing an independent calendar episode—for in one moment a whole present period of time suddenly becomes a part of the past; and we incline to review this (no longer current) volume of THE LIBRARY WORLD in brief fashion, and to mention the considerable changes which it has witnessed, not only in its own make‐up, but also in the make‐up of the library world.
BY February most of the parties, which are a gracious feature of modern libraries, are over. They arise from Staff Guilds, which now in most libraries associate the workers, and…
Abstract
BY February most of the parties, which are a gracious feature of modern libraries, are over. They arise from Staff Guilds, which now in most libraries associate the workers, and some of them are on a large scale. We have been represented at only a few of these but there seems to be a great fund of friendliness upon which the modern librarian can draw nowadays. An interesting one was that of the National Central Library Staff which, by a neighbourly arrangement, was held at Chaucer House. A reunion has been held of old and new members of the Croydon Staff Guild and no doubt there were many others. One New Year party was a small but notable dinner at Charing Cross Hotel where the 100th issue of The Library Review was toasted eloquently by the President of the Library Association and amongst the guests were Mr. C. O. G. Douie who was secretary of the Kenyon Committee of the 1927 Library Report and well‐known librarians and journalists. To us it was notable for the assertion by Mr. R. D. Macleod that amongst the young writers were too many who wrote glibly but without that research which good professional writing demanded; but he was sure that where intelligent industry was shown any article resulting would find a place in library journals.
Hulya Yuceer and Beser Oktay Vehbi
Scattered mainly along the coast of Cyprus, a series of modest stone built carob warehouses provide a historical legacy of the agricultural, social and economic life of the rural…
Abstract
Scattered mainly along the coast of Cyprus, a series of modest stone built carob warehouses provide a historical legacy of the agricultural, social and economic life of the rural areas of Cyprus during the late 19th and early 20th century. They were constructed of local materials and employed local building techniques, and have become a largely unrecognized part of the local landscape. Most remain in a dilapidated condition through neglect and weathering throughout the years. It is suggested that this is largely due to a lack of understanding of their cultural significance, and a lack of vision as to how a holistic conservation approach could help to address wider strategic policy objectives in the areas of sustainable tourism/place marketing, and rural economic development. More specifically it is suggested that a tourism path incorporating former carob collecting routes could support the adaptive re-use of the former warehouses based upon contemporary cultural needs and opportunities. The development of such an approach will require a multi-agency, cross-sectoral involvement that sees these buildings as a significant cultural resource.
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George Koulierakis, Anastasia Dermatis, Nair-Tonia Vassilakou, Elpida Pavi, Dimitris Zavras and John Kyriopoulos
The purpose of this paper is to investigate the key determinants of dietary choices of the Greek population during a period of financial austerity.
Abstract
Purpose
The purpose of this paper is to investigate the key determinants of dietary choices of the Greek population during a period of financial austerity.
Design/methodology/approach
Data from the 2016 “Health and Welfare” Greek national cross-sectional survey, in a representative sample of 2,003 individuals, were examined. The survey was conducted via computer-assisted telephone interviews. Sociodemographic characteristics and diet knowledge were examined as potential determinants of four dietary behaviours (fruit, fish, red meat and fast food consumption).
Findings
Findings showed significant gender differences against men (64.4% were overweight and obese; 57.6% and 18.4% reported red meat and fast food consumption more than twice a week, respectively). Age and financial affordability were the most significant determinants of fruit consumption. Fish consumption was determined by age, financial affordability, and family status (unmarried, living with the parents). Gender, age, family status (unmarried, living alone), employment status (unemployed) and social support affected red meat consumption. Finally, factors influencing fast food consumption were gender, age and employment status (unemployed).
Originality/value
This research incorporates unique and original insight in the determinants of healthy dietary choices during the austerity measures in Greece. Findings could contribute to a better understanding of the main factors that influence healthy eating and help develop policies to encourage healthy dietary lifestyles for the general public.
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IN the April number of Public Libraries, Mr. Andrew Keogh, sometime of Newcastle‐on‐Tyne, now Professor of Bibliography at Yale University, comes forward in defence of American…
Abstract
IN the April number of Public Libraries, Mr. Andrew Keogh, sometime of Newcastle‐on‐Tyne, now Professor of Bibliography at Yale University, comes forward in defence of American libraries from the aspersions alleged to be cast on them in this periodical. Other journalistic comments have also appeared, which we may have occasion to mention at another time; and altogether some pother has been caused in America over our very straightforward and simple remarks. Mr. Keogh assumes, quite erroneously, that the first Library World editorial was based on the one or two instances of American reference to European libraries which he quotes. He knows, however, just as well as ourselves, that the American pose in library work is to adopt an attitude akin to contempt for anything outside the boundaries of the United States, and this is shown in nearly every publication dealing with library work. The Nation example was only one which happened to come along at the moment, and it is direct confirmation of what was stated in these columns in April, namely, that even in secular journals the writers were, as Mr. Keogh now certifies, prominent members of the A.L.A. Our attitude is, therefore, not that of defence simply, against certain outsiders writing in non‐professional journals, but against American professional librarians lending themselves to the poor work of trying to belittle the efforts of European librarians on every possible occasion. The mere fact that, as Mr. Keogh affirms, the great research libraries of Germany were attacked in the Nation, does not justify the publication of such ungenerous articles, especially coming from librarians who profess so much friendliness and high feeling.
Maintaining an adequate nutritional state, important at all times, is never more so than during the dark days of Winter. The body reserves are then taxed in varying degrees of…
Abstract
Maintaining an adequate nutritional state, important at all times, is never more so than during the dark days of Winter. The body reserves are then taxed in varying degrees of severity by sudden downward plunges of the thermometer, days when there is no sight of the sun, lashing rains and cold winds, ice, frost, snow, gales and blizzards. The body processes must be maintained against these onslaughts of nature — body temperatures, resistance against infections, a state of well‐being with all systems operating and an ability to “take it”. A sufficient and well balanced diet is vital to all this, most would say, the primarily significant factor. The National Food Surveys do not demonstrate any insufficiency in the national diet in terms of energy values, intake of vitamins, minerals and nutrients, but statistics can be fallacious amd misleading. NFS statistics are no indication of quality of food, its sufficiency for physiological purposes and to meet the economic stresses of the times. The intake of staple foods — bread, milk, butter, meat, &c., — have been slowly declining for years, as their prices rise higher and higher. If the Government had foreseen the massive unemployment problem, it is doubtful if they would have crippled the highly commendable School Meals Service. To have continued this — school milk, school dinners — even with the financial help it would have required would be seen as a “Supplementary Benefit” much better than the uncontrolled cash flow of social security. Child nutrition must be suffering. Stand outside a school at lunch‐time and watch the stream of children trailing along to the “Chippie” for a handfull of chip potatoes; even making a “meal” on an ice lollie.