Top > ご連絡など > ケアマネジャーの介護保険NEWS > 【介護支援専門員 NEWS】お泊まりデイ事業所、半数に「毎日宿泊者」- 都の緊急調査
【介護支援専門員 NEWS】お泊まりデイ事業所、半数に「毎日宿泊者」- 都の緊急調査
調査は、介護保険外の宿泊サービスを提供する都内の通所介護事業所194か所を対象に都が実施した。
昨年11月の30日間における宿泊サービスの運営状況に関する調査結果では、95事業所(49.0%)に30泊した利用者がいた。都では、連日宿泊する利用者がいることについて、「高齢者の安全確保や尊厳保持の面で問題があるのではないか」(平山信夫・福祉保健局高齢社会対策部介護保険課長)としている。また、1人当たりの月平均宿泊数は9.42泊で、1事業所の1日当たりの平均利用者数は3.44人だった。
さらに、利用者の宿泊部屋が男女別に分かれていたのは124事業所(63.9%)で、70事業所(36.1%)は男女別ではなかった。夜間の職員体制については、「1人」が158事業所(81.4%)と大半を占め、「1-2人」は30事業所(15.5%)、「2人」は6事業所(3.1%)だった。
■宿泊サービスへの法整備を提案
こうした調査結果を踏まえ、都は8日付で、通所介護事業所が提供する介護保険外の宿泊サービスについて法整備などを求める緊急提案を厚生労働省に行った。
緊急提案で都は、介護保険外の宿泊サービスについて「施設基準や届け出の仕組みがなく、実態把握や法令に基づく指導が困難な状況」と指摘。その上で、国に対し、▽通所介護事業所が介護保険外の宿泊サービスを提供する場合の基準を設け、届け出を義務付ける▽介護保険外の宿泊サービスを提供する事業所に対し、自治体が立ち入り調査や改善勧告などを行えるよう、法的な整備を行う▽通所介護事業所のショートステイ設置を促進するため、医療機関などと連携が図れる場合には医師の必置を緩和するなど、小規模での運営を可能にする基準を設定する―の3点を提案している。
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