January 2024 carehomemagazine.co.uk
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09/02/2022 16:31
Chief Editor
Jade Evans jade.evans@cimltd.co.uk
Editorial Assistant Ailsa Newgreen ailsa@cimltd.co.uk
Publication Manager James Davies jamesd@cimltd.co.uk Tel: 01795 509 112
Account Manager Hannah Moody hannah@cimltd.co.uk Tel: 01795 509 112
Administration Manager Natalie Murray admin@cimltd.co.uk Tel: 01795 509 103
Credit Facilities Manager
Gwen Lee creditcontrol@cimltd.co.uk Tel: 01795 509 103
Design and Production James Taylor james@cimltd.co.uk Grant Waters grant@cimltd.co.uk
Marketing Manager Lucas Payne lucas@cimltd.co.uk
Sales Director Tom Woollin tom@cimltd.co.uk
Chief Executive John Denning
Editor’s Letter January 2024
H
appy New Year! Unfortunately, a difficulty which has followed us into 2024 is the skill shortage which the care sector found itself up against last year following the global pandemic. In line with this, our recruitment feature leans on experts to reveal how you can work proactively in response to the current skill shortage in care. As part of the wider edit, our Essential 5 shares five ways to make your home an appealing place to work. The colder winter months are notorious for bringing with them the influx of colds and flus, which is why hand washing is even more important throughout these months. It can be difficult, however, to strike a balance between encouraging this heightened hygiene and keeping utility bills manageable within your care home. In an insightful guest column, we share details on navigating hand hygiene in line with the rising cost of utility bills. Delving into food hygiene, our main feature shares comments from industry experts as we look into how you can get a five rating from the Food Standards Agency. We are of course sharing all of our regular pieces including Industry Update, Activity of the Month, Dishing Up and more! We’re starting the year as we mean to go on by providing an abundance of advice and expert-led information to help shape your care home. As ever, enjoy the read!
Jade Evans, Chief Editor © 2024 TGM Publishing Limited, 1st Floor, Saphir House, 5 Jubilee Way, Faversham, Kent, ME13 8GD. No part of this magazine may be reproduced or stored in a retrieval system or transmitted in any form – electronic, mechanical or physical – without express prior permission and written consent of the publisher. Contributions are invited and when not accepted will be returned only if accompanied by a fully stamped and addressed envelope. Manuscripts should be type written. No responsibility can be taken for drawings, photographs or literary contributions during transmission or in the editor’s hands. In the absence of an agreement the copyright of all contributions, literary, photographic or artistic, belongs to TGM Publishing Limited. The publisher accepts no responsibility in respect of advertisements appearing in the magazine and the opinions expressed do not necessarily represent the views of the Publisher. The Publisher cannot accept liability for any loss arising from the late appearance or non publication of any advertisement.
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Table of
Contents 14
6 Industry Update
Providing insights into what’s currently happening within the care sector, we share a selection of the latest news.
11 Recruitment
With help from industry experts, we look at how you can work proactively in response to the current skill shortage in care homes.
20
20 Hygiene
Delving into food hygiene, we share details on a guide to getting a five rating from the Food Standards Agency.
24 Storing Medication
Based on the CQC guidelines, an advice-led feature from Lec Medical, hones in on the safe storage of medicines within a care home and the correct recording of fridge temperatures.
28
28 Activity of the Month
It’s cooking which takes centre stage this month. In our much loved regular feature we share the benefits cooking can offer and how to integrate successful culinary classes into your home.
30 Dishing Up
Providing yet another instalment of delicious inspiration, our Dishing Up feature shares a recipe from one of the UK’s leading foodservice providers, Bidfood.
30 carehomemagazine.co.uk
5
Industry update
Elevate your dining experience with apetito’s new FREE guide
F
or every care home, the significance of creating a great dining experience cannot be overstated. And for residents, mealtimes hold real importance - it’s a time of the day to look forward to that supports their physical health, mental wellbeing, and overall quality of life. The new FREE guide is packed with useful information and guidance for care homes on how to transform the dining environment. It looks at everything from how to turn everyday mealtimes into a special occasion, to understanding how important the dining environment is to those living with
dementia and how to help make a real difference to their mealtime experience. It also explores and offers insights into how creating the right dining experience can encourage healthy eating habits. Richard Woodward, General Manager for Care Homes, said the Future of Care Home Catering Guide has been developed to give homes helpful advice and support. “This really is an essential resource, tailored to help care homes craft a nurturing and enjoyable dining environment. It has been specifically designed to address the unique needs of residents, including those living
with dementia. “We know that one size does not fit all, and our Guide aims to give care homes a wealth of ideas on improving the dining experience that are adaptable to diverse resident needs and budgets. “Whether you’re looking to revamp your current dining space or seeking fresh ideas to enhance your residents’ mealtime experience, this guide is an invaluable resource.”
Care UK opens the door to inspire future workforce
C
are UK has partnered with the Careers & Enterprise Company on their ‘Open Doors’ project, which provides secondary school students the opportunity to learn about the careers available to them within a care provider and explore working in a care home ‘behind the scenes’. The first ‘Open Doors’ event at Care UK was hosted at Silversprings care home in Thorrington, Essex. Year 10 students learnt about the variety of careers available within a care home, as well as careers across the company, including within Care UK’s Colchester based Support Centre. Twenty students from St Helena’s School were welcomed to Silversprings with a full care home tour, where they met residents and Care UK colleagues with different academic and career backgrounds. Students met with carers and nurses, spoke to those working in the kitchen and within hospitality and discussed career pathways and individual journeys with managers. Following the tour, the
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students engaged with various Care UK colleagues, from both the Support Centre and care homes, to learn more about the different opportunities and career development routes available at Care UK. Students were able to ask questions and have an in-depth discussion about the potential professions available to them, as well as hearing colleagues’ stories from their own work experience, early job roles, and the lessons they’ve learned over the course of their careers. Having met with students during ‘Open Doors’, Omar Taylor, Care UK’s Regional Director for Essex, said: “I am delighted for us to have hosted this opportunity for local
students, so that they can learn more about a career in care and how care homes operate. I am proud that, as a region, we are working hard to pilot a formalised work experience programme to further allow those interested in a career in care to learn more and experience the workplace. We have a number of early career initiatives that we are developing, and we are also working with SEND schools and disadvantaged groups to raise awareness of what they can achieve, and the support on offer to them.” To learn more about the various career paths Care UK has to offer, and please reach out: Rcs. recruitment@careukcom
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Industry update Simply UK Closes Out 2023 With Seventh Completion
R
eal estate developer and investment company Simply UK has completed its latest development at Escan Manor, Exeter, bringing its tally of completions in the past 12 months to seven new care homes. These completions equate to over 500 new beds in aggregate added to Simply UK’s portfolio in the past year. With a further pipeline of new homes scheduled to commence development in 2024 and 10 new developments in planning stages, Simply UK is on course to add a further 1,000 beds and is rapidly becoming one of Europe’s largest care developers.
Recent new site starts include their flagship home at St Andrews including Wimborne Minster, Bury St Edmunds and Dunfermline, while the group’s first European venture, in Dublin, is due for completion mid-2024. Simply UK Land Director, Neil Dobbie, said: “Our current acquisitions programme represents the scale of our ambition as we seek to roll out our platform to be operated by a number of brands
and providers”. Over the past three years, Simply UK has invested around £250m in the healthcare sector and is currently targeting a portfolio of 4,000 beds in the coming years. Operating under the Morar Living brand, Simply UK currently has a portfolio of 19 operational homes, offering over 1,200 beds and provides a range of luxury longterm, care for elderly dementia, palliative and respite care.
Grimsby care home under new ownership
A
leading Yorkshire-based social care group has acquired a care home in Grimsby as the organisation grows a portfolio of personalised services to meet the changing needs of users. Hull-based HICA Group has purchased Fairways Care Home on Little Coates Road, Grimsby from Care Plus Group for an undisclosed sum. Fairways Care Home is a 55-bed single storey, purpose-built home located within a large, landscaped site. The home provides high quality residential and dementia care. The employment of all 65 staff has been secured in the handover to new ownership, and manager Sam Brackenbury will continue to lead the team. HICA already has a strong presence in Grimsby, operating Cranwell Court, a 56-bed purposebuilt residential and dementia care home in Cambridge Road; the
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41-bed specialist care home, the Anchorage in Rutland Street; and homecare organisation HICA at Home, based in Wilton Street. A spokesperson for Care Plus Group explained: “We are pleased that by selling Fairways as a going concern, all current staff have transferred over to the new owners and there will not be any disruption to the residents and their care. “We are proud to be handing Fairways over to another not-forprofit organisation with other care homes locally, allowing Care Plus Group to focus on our community health and social care services. “The Board would like to thank all the staff at Fairways for their hard work during the time Fairways was part of Care Plus Group and wish residents, their families and HICA all the best for the future.” Terry Peel, HICA CEO, said: “As we broaden our care home horizons with the inclusion of Fairways into the HICA portfolio, we eagerly
anticipate the opportunities it presents to enhance the lives of our residents and their families. “This new venture is part of our ongoing strategy to expand our commitment to delivering exceptional care and support services to the communities we serve.”
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11
RECRUITMENT
Essential 5 As part of our wider recruitment focus, we share five ways to make your home an appealing place to work.
1
Positive Work Culture
Be sure to foster a supportive and inclusive environment within your home where staff feel valued, respected, and appreciated, and make this apparent in first meetings with potential staff members. Encourage open communication by allowing staff to have their say, promoting teamwork and a sense of belonging among employees.
2
Career Advancement Opportunities
Usually when looking for a new potential role, candidates suss out the scope for growth. Create pathways for career growth within the organisation, and ensure they are apparent from the offset. Look to offer opportunities for promotions, leadership roles or lateral movements that allow employees to expand their skills and responsibilities. Remember - this will be a benefit for the residents, team and home alike.
3
Quality Management and Resident Care
In the job advertisement, potential candidates will look for details on the home, including how they work and the care they offer. Ensure you emphasise the importance of quality care for residents, and share details on your ethos as a home and a team. When staff members see positive outcomes, and the impact of their work on residents’ lives, it can boost morale and job satisfaction, in turn encouraging them to strive for better.
4
Embrace Diversity and Inclusion
Diversity and inclusion are more important than ever before and are key areas that candidates will look into when researching your home. Create an environment that celebrates diversity and promotes the utmost inclusivity. Ensure you encourage cultural sensitivity and respect for different backgrounds among staff members. Going above and beyond in this area will only enhance the appeal to potential employees.
5
Recognition and Appreciation
Appreciation goes a very long way, probably a lot further than you might initially think. Staff members, especially in care, don’t have it easy with the tasks they’re up against day-to-day, so a pat on the back will have a huge knock-on effect to their performance. Acknowledge and reward staff members for their hard work and achievements, and not just at specific times of the year such as Christmas. It’s worth looking to implement an employee recognition programme to highlight exceptional performance and contributions and reward them. A programme like this will allow everyone to keep track and will ensure all team members know that it’s fair.
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RECRUITMENT
Taking Action
With the help of industry experts, we address the current skill shortage in the care sector and how to respond proactively.
S
ince the global pandemic, the care sector has been facing significant challenges due to skill shortages, particularly in healthcare, eldercare, childcare, and social work. Addressing this shortage requires a multifaceted approach to attract, train, and retain individuals within the sector. There are however a range of innovative recruitment methods that care homes employ to attract and retain skilled care workers. Matthew Bond, CEO and CoFounder at Get Borderless, explained that some of the best campaigns he has seen have been locally based, emphasising the experience new recruits have when
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joining the company: “Elements such as a good on-boarding experience, the opportunity for ongoing career development and social gatherings with colleagues.” Matthew sees that to maintain ongoing recruitment, it is critical to get the early parts above right, and to also create a welcoming environment for the new employee and their family, especially for overseas or sponsored candidates. Collaborating with educational institutions or training programmes to encourage more individuals to enter the care profession can be beneficial as it allows the candidate to get a sense of what the role will entail. Matthew said: “It’s going to encourage some and deter others
but this makes the fit better for those who join, leading to better retention overall. “For the employer, it means they can tailor courses and feedback to the training programme”, added Matthew as he revealed that Get Borderless hope to launch a few pilot programmes along these lines early next year. As a platform, Get Borderless can help providers with all things sponsorship for both in-country and overseas candidates. As part of that, Matthew revealed that the team will be leaning more into training programs and upskilling (likely via the partnerships above). Chris Donnelly, CEO at Found CRM, recommends talking to your
RECRUITMENT
current employees for honest feedback on what they enjoy about working at your home or any areas they think can be improved will give you a true insight into how others view working at your home to attract and retain skilled care workers. Attracting and retaining people who share your vision and goals is important. For example, when advertising for a new role, Chris recommends considering what qualities or traits are most important in a person for the role and make this clear in the advertisement. “Consider what is truly important to your team, and make sure you offer this as an employer. Whether this is work-life balance, competitive pay, room for progression, training, and development - people are attracted to workplaces that reflect their own personal values and goals. Ultimately, a care home that prides itself on a positive and supportive working environment often sees higher volumes of
applications for open vacancies,” added Chris. Previous research from Found CRM (a care home management software) has revealed there is a demand for jobs in the care sector. Online searches for social care jobs have increased over the last 12 months, with ‘nearby care home jobs’ surging by* 129% and online searches for ‘care home part time jobs near me’ rising by 271%. However, Chris recognises that more must be done to attract and retain talent within the care sector. Collaboration between care homes and educational institutions is a great way to encourage more individuals to consider a career in care. “By engaging in tailored training programmes, educational institutions can help aspiring caregivers develop essential and practical skills, for example, through work experience opportunities, creating a more competent workforce. Supporting a seamless transition from education to
employment, creating a sustainable talent pipeline for care homes. Workplace initiatives provide hands-on experience, increasing the likelihood of employment in the sector. “Ongoing partnerships facilitate knowledge exchange, ensuring current caregivers stay on top of industry trends, news, and practices. It also creates awareness of a care operator’s name within the care sector and those seeking employment or care development. Together, care homes and educational institutions contribute to the profession’s growth, attracting, nurturing, and retaining dedicated individuals in the care sector,” said Chris. In order to enhance job satisfaction and retain existing staff within your home, a combination of technology and a personled approach to staffing and recruitment can help to reduce staff turnover in care homes. With ever-increasing pressure on care home staff to carry out
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RECRUITMENT
all administrative tasks, there has never been a more suitable time to invest in technology to lift the workload. Staff are feeling burnt out, stressed and overloaded – leading to many quitting the social care sector. Found’s research has shown care homes are struggling with the pressure of coping with new enquiries more than ever before, with 68%** of all care enquiries not responded to by care homes, and a shocking 92% of enquiries weren’t followed up within a 7-day period.
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Chris said: “From budgeting apps to care home software that tracks new enquiries, these types of technology can help to reduce the pressure on employees. Tasks that may have previously taken a few hours could be reduced to minutes so care workers can focus more attention on resident care.” Investing in ongoing training and development opportunities for existing staff to upskill and meet evolving care needs is essential for the success of a home. Chris recommends talking to your staff
members about the types of training and development they think they would benefit from. This will provide useful insight when planning training sessions as well as looking to spend money on training tools and platforms. “Care Home Managers should lead by example and also look to develop their skill set. From joining a webinar, attending an industry event, or even a training session there are lots of ways managers can upskill, too. They should also catch up with their teams regularly to find out their individual aspirations and career goals, helping them create targets to achieve them,” added Chris. What’s more, sharing career development opportunities with team members is also a great way to encourage them to build on their skillset. One in every ten jobs*** in the care sector is vacant. Low morale, burnout and below-average wages drive many social care workers to leave the sector. Technology – alongside continued improvements in pay – will undoubtedly solve the staff retention issue facing the
RECRUITMENT
Here are the biggest myths to address surrounding social care as told by Found: Myth 1: There’s no progression within the care sector
There is lots of room for growth and for those working within this sector to learn and adapt their skills. There are over 50 qualifications at different levels in social care, so there are always opportunities to progress and widen your skillset. If you decide you want to push your career forward once you’ve completed some social care qualifications, you’ll see a salary increase and more responsibilities, too.
Myth 2: The pay is low
Whilst those working with older people in a care environment tend to be lower paid in comparison to other sectors, it isn’t as low as you may think. All employers in the UK must pay their staff at least the minimum wage, and we’re seeing more care homes now offer the living wage.
Myth 3: Working in a care home is unfulfilling
It’s another common misconception that working in elderly care is unfulfilling. As with any job, it can be a bit challenging sometimes, however you will have regular sessions with your manager to share any negative experiences and what you’d like to improve in your role. The training you’ll receive working in the care industry will be tailored to the kind of care and support you will be providing so you will be well-equipped to deal with challenging situations, too.
Myth 4: It’s all about personal care
Although personal care is and always will be a key part of working with the elderly, there is so much more to working in this industry! From helping with meal preparation to creating activities for residents, there’s a lot to get involved in. No two days are ever the same and there’s always activities to be planned. Whether that’s a music class or pet therapy session, it’s a real joy to see the enjoyment these activities bring for care home residents. It’s also a fantastic opportunity to get creative if you’re working in a home!
Myth 5: Elderly care is a job for women
One of the biggest misconceptions is that all carers are women. There is a growing number of male carers within the elderly care sector. Previous research has found that 58% of carers are women, whilst 42% are men. Working with elderly people is all about care, empathy, and a genuine passion for supporting the older generations. Whatever gender you are, whether you’re old or young, is irrelevant.
social care sector. Found’s new data**** has revealed care homes with a lower technology uptake rate are the hardest hit in the staffing crisis - with care homes in North East England seeing the lowest staffing levels and technology adoption levels across the UK. Chris explained how electronic systems specifically designed for the care sector offer enhanced data security, improved accessibility, and simplified record management, ultimately leading to better care outcomes for residents. What’s more, the reduction in paper usage results in substantial cost savings for care home providers, allowing them to allocate resources more effectively. “We’re seeing more care homes
adopt software management tools - like Found. Our new research has revealed that care home managers are actively seeking CRM solutions over the last 12 months and this expected to continue into 2024 and beyond: 300% increase in online searches on Google for ‘care home management systems’***** and 133% increase in online searches on Google for ‘best care management software.”
impacting the care sector and how technology can help recruit and retain staff. 1. Based on internal Found data, the locations of care homes using Found’s technology were analysed and split by the 9 UK regions. 2. Found compared the number of care homes using its technology and the number of social workers in each of the 9 UK regions based on data collected by UK Parliament Data & www.skillsforcare.org.uk 3. Analysis of technology uptake and social care workers for each region revealed the North East was the hardest-hit region. 4. The findings also analysed the percentage of
Data set and methodology:
unpaid carers across the UK based on 2021 Census
*Data taken from Keyword Planner based on internal
data.
analysis by Found CRM - November 2022 - October
Found’s research revealed regions with less than one
2023. Full data set available upon request.
in 50 care homes uptaking technology had some of
**Internal survey created by Found in 2020. Full data
the highest numbers of unpaid carers, including The
set is available on request.
Derbyshire Dales in the East Midlands
***UK Parliament Data: Adult Social Care Workforce In
*****Data taken from Keyword Planner based on
England: August 2023
internal analysis by Found CRM - November 2022 -
**** Found wanted to reveal how understaffing is
October 2023. Full data set available upon request.
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BUSINESS
onth M e h t f o e Care Hom Harlow , e m o H e r Abbot Ca
S
ituated in Essex, Abbot Care Home is a thriving community, made up of caring team members and many individuals who call it home. With 117 bedrooms laid out in six care suites over three floors, Abbot is a large, premium care home that boasts gorgeous views of landscaped gardens and open parkland. Abbot Care Home offers the décor and furnishings of an intimate boutique hotel, coupled with a real home-from-home atmosphere. With a variety of excellent facilities and spaces to enjoy, Home Manager Matthew Abbotson, explained how the residents play an active part in life at Abbot Care Home, where team members tailor everything to their personal preferences, including the wide range of activities and events as well as their mealtime experience. In January 2023, Abbot
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launched a brand new 20-bedded suite called the Jubilee Suite. Matthew said: “This was purposely refurbished to attract people over the age of 65 who are looking for a socially active place to live in a luxury environment. The suite was tastefully designed to meet the needs of the modern world, with en-suite wet rooms, fitted units in each room with a smart TV, an Amazon Alexa and tasteful décor with high end furnishings.” Alongside the introduction of the Jubilee Suite came the introduction of hosts who cater to residents’ and their families’ needs, such as offering beverages and snacks throughout the day and ensuring people have everything that they need to enjoy their time living or visiting Abbot Care Home. Abbot provides a range of different care services to people seeking support in and around Harlow, Essex. Residential care,
residential dementia care, frail nursing care, respite care and end of life care is offered over three floors, by a team of caring individuals that together share over 350 years of combined experience. Matthew sees that by supporting people with a variety of different care needs, from different backgrounds, ethnicities and faiths makes Abbot an exciting place to spend time: “If you take time to talk to the people who live there, you will hear a wealth of different interesting life stories and experiences. That’s what makes Abbot a truly special place to live.” Boasting unique selling points as a care home is important in order to stand out. For Abbot Care Home, this is the is beautiful green scenery which borders the home, including large, landscaped areas and football fields that people enjoy watching during matchdays. “The home also boasts a large
BUSINESS number of community rooms which includes a sensory room, cinema room, library, quiet rooms, sociable dining areas and a large number of lounge areas where the residents can watch television together, play games, take part in regular activities and be entertained by a variety of visiting performers,” added Matthew. In order to market Abbot Care Home in a way that will stick in potential residents’ and their families’ minds, Abbot hosts various community engagement groups within the home, which includes a visiting local over 65s group – a service Abbot does not charge for with the aims of supporting people who live locally. “We also host community coffee mornings, cheese and wine afternoons, memory cafés, knit and natter groups, art clubs and lots of other exciting events which the community is welcome to attend alongside friends, family members and relatives. “These links with our local community help to build a positive reputation within the area and effectively showcases the benefits of living at Abbot by inviting the community in. By offering open invitations to join Abbot’s extended family, people feel a real sense of togetherness which is not easily forgotten,” Matthew explained. Abbot Care Home is currently rated as ‘Requires Improvement’ but rated ‘Good’ in ‘Caring’ and ‘Responsive’. Matthew told us how the team is committed to improving this score and to do this, has put a comprehensive plan in place to ensure the people living at Abbot receive the best life experiences, from the dignified care delivered to the exciting wellbeing initiatives. A recent change in management has also had a positive impact, leading the team to effectively deliver the high-standards of care that Abbot has always upheld. The team are positive these changes and the current plan will lead to an improved rating in 2024. www.excelcareholdings.com/ care-homes/our-care-homes/ essex/abbot-care-home
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HYGIENE
Setting the Standards Exploring food hygiene in care homes, we share a guide to a five rating.
M
ealtimes in care homes are often seen as a highlight by many residents and the sector is known for serving up delicious and nutritious meals to help with the overall wellbeing of individuals. When the all-important meals are prepared and serves, strict guidelines surrounding safety and hygiene must be adhered to. Food hygiene is critically important in a care home setting and kitchen teams must adhere to specific food safety regulations and standards set by health authorities. Failure to comply can result in legal repercussions or closure of the facility. Along with this, maintaining high food hygiene standards helps build trust among residents, their families, and the community; a care home with a reputation for excellent food hygiene is likely to attract more residents and positive reviews. To comply with regulations
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Regular training and staff education is essential in maintaining a high standard surrounding on-site food hygiene. set out by the Food Standards Agency, a care home’s food safety procedures are assessed on the following aspects: hygienic food handling, food management systems and the physical condition of the home. Along with rules highlighted by the Food Standards Agency, The Care Quality Commission (CQC) is the independent regulator of care homes in England and part of this regulation includes making sure care homes properly handle, store and prepare food so that it meets the standards of the Food Standards Agency (FSA). CQC inspectors will look at a care home’s kitchen to check whether:
food is in date and clearly labelled, equipment, work surfaces, cookers and appliances are clean, food has been stored correctly, separate chopping boards are being used to prevent cross-contamination, staff are washing hands before handling food and are following the correct protective procedures, such as wearing aprons. Be sure to work in line with these rules and enforce hygiene policies and procedures clearly. This includes guidelines for cleaning schedules, food safety, waste management, and infection control. Regular training and staff education is essential in maintaining a high standard surrounding
HYGIENE
Good record-keeping demonstrates a commitment to maintaining high standards. on-site food hygiene. The entire team should all have the same knowledge, so educating all staff members about hygiene protocols, including proper handwashing techniques, sanitation procedures, and food-handling practices should be a priority as soon as they begin their role. The, moving forward, you must conduct regular training sessions to reinforce these practices. When potential residents and their families visit care homes, cleanliness is often high up on their priority list, so you must ensure that the entire facility is kept spotless at all times. Regularly clean and sanitise all areas, including bedrooms, bathrooms, communal spaces, dining areas, and most importantly; the kitchen. Use appropriate cleaning agents and methods to eliminate bacteria and viruses effectively. Staying on top of hygiene within your care home can be easily done by conducting regular internal audits and inspections to identify and address any hygiene issues promptly. This proactive approach allows for timely corrections before official inspections. Maintaining accurate records of cleaning schedules, staff training, and any incidents related to hygiene is crucial, especially when an inspection is due. Good record-keeping demonstrates a commitment to maintaining high standards. Although it is of course important for your staff to promote good hygiene, encouraging residents and visitors to practice good personal hygiene will only help raise the
standards, it’s all about working together. In line with this, you must provide facilities such as hand sanitisers, tissues, and appropriate waste disposal units throughout the care home. It’s also worth collaborating with health officials and seeking advice from health inspectors. This proactive engagement can provide valuable insights and guidance on maintaining high hygiene standards. Strive to continuously seek
feedback and make necessary improvements to encourage a culture of continuous progress in hygiene practices within the care home. Mark Midgley, Group Hospitality and Wellbeing Manager at HICA Group sees that staff members undergoing appropriate food hygiene training is crucial to ensure the safety and wellbeing of residents, alongside ensuring the company is adhering to
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HYGIENE
current legislation: “Proper training helps staff understand the risks associated with food handling, storage, and preparation. Training covers topics such as personal hygiene, cross-contamination prevention, and the importance of temperature control. Regular refresher courses are provided to keep staff up-to-date with the latest guidelines.” The Food Standards Agency prioritises several key elements when assessing the hygiene of care homes. This includes personal hygiene of staff, cleanliness of facilities and equipment, safe food handling practices, temperature control during food storage and preparation, allergen control and effective measures to prevent cross-contamination. When asked what is the appropriate way to make staff members aware of and following proper food safety protocols, Mark told us: “This is achieved
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Our Infection Policy clearly outlines when employees should report illnesses. through regular training sessions, distributing written guidelines, and displaying visual aids in the kitchen. Additionally, supervisors reinforce these protocols through regular monitoring and feedback.” In terms of storing food items to prevent contamination and spoilage, Mark explained how food items should be stored according to their specific requirements and manufacturer guidelines, taking into consideration factors such as temperature, humidity, and shelf life. Raw and cooked
foods must be stored separately to prevent cross-contamination. Refrigerators and freezers should be regularly cleaned, and a first-in, first-out (FIFO) system should be implemented to use older items before newer ones. Additionally, it is crucial to segregate and clearly label allergens to avoid crosscontact and ensure the safety of individuals with food allergies. Mark said: “Protocols to avoid cross-contamination include using separate cutting boards and utensils for raw and cooked foods, regular cleaning and sanitising of surfaces, and proper hand hygiene. Color-coded equipment can also be implemented to easily distinguish between items used for different food categories.” It goes without staying that staff members who are ill should not handle food or be present in the kitchen. Mark added: “Our Infection Policy clearly outlines when employees should report
HYGIENE illnesses, the steps to be taken if a staff member becomes ill while on duty, and when they can safely return to food handling duties in compliance with health regulations. All employees must sign off to say they have read this policy.” Waste should be properly manages and therefore a disposal system should be put in place and all staff made aware. This involves separating different types of waste (e.g. organic, recyclable, non-recyclable) and providing designated bins for each. Regular disposal schedules and thorough cleaning of waste storage areas are essential to prevent odours, the spread of bacteria and the attraction of pests. Mark told us how in all HICA Group homes, detailed records and documentation are maintained regarding hygiene practices and inspections: “This includes records of staff training, cleaning schedules, temperature logs, and any corrective actions taken. These records serve as evidence of compliance during inspections and help identify areas for improvement. All records are kept for 12 months. “Along with this, a comprehensive system is in place to gather feedback from residents regarding food quality and hygiene. This includes conducting an annual food survey for residents and their families, organising tasting sessions with catering partners to ensure menu satisfaction, maintaining personalised food diaries for residents detailing their likes, dislikes, comments about meals and any hygiene issues that may arise, and actively seeking verbal feedback to address any immediate concerns and continuously enhance our culinary services.” By consistently following these steps and maintaining a strong focus on hygiene and cleanliness, care homes can increase their chances of achieving and maintaining a five-star hygiene rating. Regular monitoring, staff training, and a commitment to high standards are essential for success in this area.
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HEALTH AND SAFETY
Storing Medicines Safely
Care Homes must follow strict CQC guidelines to ensure medicines and vaccines are stored safely. Colin Burgess, Senior Technical Manager for refrigeration specialists Lec Medical, explains how to ensure that procedures are followed correctly and how refrigeration technology can take the pressure off busy home care staff.
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number of drugs administered in nursing homes are considered ‘cold chain’ products, which means they must be stored in a medical refrigerator, at temperatures between 2ºC and 8ºC, at all times. These include insulins, cancer drugs, antibiotic liquids and some pharmaceutical creams, as well as vaccines. Ensuring these products are stored safely within a strict temperature range is essential because the active chemicals in all vaccines and some other medication can change in molecular form when exposed
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to temperatures which are too high or too low, with potentially damaging consequences. For example, a vaccine stored outside its recommended temperature will biodegrade more quickly, making it less effective and potentially putting patients at risk. The CQC requirements relating to cold chain vaccines and medicines are understandably stringent. It stipulates that they should be stored in a medical fridge, and gives clear guidance on how temperatures should be monitored and recorded to ensure they are kept within the safe temperature range.
This includes: • Completing temperature recordings on a daily basis • Recording minimum, maximum and current temperatures • Resetting the thermometer after each reading • Ensuring staff understand the recommended temperature range, how and why they must read and reset the thermometer, and what to do if the fridge temperature falls outside the recommended range • Keeping records of any actions taken
HEALTH AND SAFETY
This daily monitoring and recording is an essential task, but it is also a labour and time intensive one, which can be quite onerous for staff members who must often fit it in among a raft of other responsibilities. Human error can creep into reporting procedures, while simple actions such as leaving the fridge door open for too long can also inadvertently increase fridge temperatures. For care home managers wanting to ensure they comply with CQC guidelines, keep their residents safe and support dedicated but busy staff, a modern medical refrigerator is the only option. The QCQ stresses the need to use a medical fridge that is capable of maintaining the correct temperature for the medicines being stored. It warned: “Some fridges are advertised as ‘medicines fridges’ but they may maintain temperatures in ranges that are too low or too high.” Advanced medical fridges such as the Lec Pharmacy Plus range remove any risk of incorrect medicines storage. They have inbuilt technology which not only ensure vaccines and medicines are stored within a stable temperature range, but also remove
the risk of human error when it comes to monitoring and recording temperatures. The use smart technology to enable completely contactless temperature readings. Data can be downloaded directly to a phone or tablet and shared with approved personnel directly, via an app. This means staff no longer need to take temperatures manually and record fridge temperatures each time – freeing them up for other important care work. Digital temperature monitoring is also far more accurate. Lec Medical has developed dual air and load probes to deliver the pinpoint temperature measurement vital to storing sensitive vaccines and medicines. The first probe monitors the internal temperature of the fridge, while a second probe sits within a silicon oil formulated to mimic a vaccine. It means the temperature of the vaccine is monitored – not just the fridge temperature. If there are any power outages or a door is left open, the data will show if the fridge contents have fallen outside the recommended temperature ranges at any point. Additionally, an intelligent fan management system prevents
warm air being drawn in when the fridge door is open and automatically restarts when it closes, ensuring temperatures remain stable, while a power failure alarm with battery back-up and data retention add an extra level of safety. Other important measures will ensure your medicines fridge operates at the highest level of efficiency including: do not fill it to more than 75% capacity to allow adequate air circulation, never store anything other than vaccines and other pharmaceutical products in it – items such as blood, food, or milk present a contamination risk and be sure to site the fridge in a well-ventilated room maintained between 10°C and 25°C, away from radiators or direct sunlight, and at least 5-10 cm from walls or units. Medical fridges are available in capacity levels ranging from 47 litres to 400 litres, so costs need not be prohibitive. This means that even the smallest nursing home can keep expensive medicines safely stored and ensure their protect residents’ health is protected. www.lec-medical.co.uk/en-gb
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RESIDENT WELLBEING
A Game Changer
Care Supply Store explain how they can help to enhance care with the use of bariatric aids.
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n the realm of residential care, addressing the diverse needs of residents is paramount. Particularly challenging is the care for bariatric residents, whose requirements demand specialised equipment and an understanding of their unique needs. The Care Supply Store’s comprehensive range of bariatric care aids presents a transformative opportunity for care homes, ensuring both resident comfort and caregiver safety. Bariatric care involves residents who are significantly overweight and may have associated health conditions like diabetes or heart disease. These residents require specialised equipment to accommodate their size and weight. Care Supply Store offers an extensive range of bariatric aids, designed to provide support and comfort to these residents, while ensuring the safety and ease of handling for the care staff. Products available include reinforced beds, chairs, and wheelchairs, each designed to bear extra weight while providing comfort. For instance, the bariatric beds are wider and sturdier, ensuring stability and ease of mobility for residents. These beds also come with adjustable features to cater to individual needs, facilitating care tasks like changing linens or assisting with personal hygiene. Mobility is a significant challenge for bariatric residents. The Care Supply Store’s range includes heavy-duty walkers and wheelchairs, which are essential for aiding mobility. These aids not only help residents in moving around but also play a vital role in their physical and mental wellbeing by enabling them to participate
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Bariatric care aids are more than just equipment; they are essential tools. in social activities within the care home. The use of appropriate bariatric aids is crucial for preventing injuries both to the residents and the caregiving staff. Equipment like hoists and lift systems are designed to facilitate the safe transfer of residents, reducing the risk of strain or injury to the staff. Additionally, the comfort factor of these aids, such as cushioned seating and adjustable bed positions, contributes to the overall well-being of the residents. The Care Supply Store’s dedication to providing tailored solutions for bariatric care highlights their understanding of
the unique challenges faced in residential care settings. Their range of products not only addresses the physical needs of bariatric residents but also encompasses their dignity and quality of life. Bariatric care aids are more than just equipment; they are essential tools that enable care homes to offer a higher standard of care. By integrating these aids, care homes can ensure a safer, more comfortable, and dignified living environment for their bariatric residents, while also safeguarding the health and wellbeing of their staff. www.caresupplystore.co.uk
The UK’s most comprehensive selection of care home supplies Over 30,000 products available online
01375 651 609 caresupplystore.co.uk
ACTIVITY OF THE MONTH
Exercising Wellbeing
In an era where wellbeing is seen as an utmost priority, care providers must embrace innovative solutions that improve the lives of residents. We look into how introducing exercise groups can enhance care home life.
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or an entire range of ages, regular physical activity can enhance overall wellbeing, contributing to a better quality of life by maintaining independence and functional abilities. Introducing exercise classes, whether they are group or individual, into care homes can greatly benefit residents’ physical and mental health. It is firstly essential to understand the physical abilities, limitations, and interests of the residents. Remember that everyone is different and each individual’s mobility levels, health conditions,
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and preferences for activities must be considered before the initial introduction. Ahead of the establishment of regular exercise classes, we recommend seeking advice from healthcare professionals or fitness experts specialising in senior care. These will be the best people to provide guidance on suitable exercises and precautions based on residents’ health conditions. It’s important to develop a structured plan for the exercise classes, to ensure residents are kept engaged and look forward to the activity. These plans should include the type of exercises which will be
implemented, frequency, duration, and suitable timings. Ensure variety in the exercises to cater to different abilities and interests. Although there may be someone in-house that volunteers to carry out the classes, we recommend hiring certified fitness trainers or instructors experienced in working with seniors. They should have knowledge of modified exercises for varying abilities and the patience to work with older adults, in addition to this it will help add variation to the residents’ days, allowing them to meet and interact with someone new. Depending on the exercises
ACTIVITY OF THE MONTH planned, you must acquire appropriate exercise equipment such as resistance bands, lightweight dumbbells, yoga mats, chairs for seated exercises, etc. ahead of the schedules classes. In order to carry out the regular exercise classes, it’s important a specific area in the care home is designated; one that is spacious, well-lit, and safe for conducting exercise sessions. Ensure the area is easily accessible for all residents. To spark interest amongst residents, try creating flyers, posters, or share announcements to inform residents about the upcoming exercise classes and be sure to highlight the benefits to encourage participation. When introducing the classes, begin with simple and lowimpact exercises, gradually increasing intensity based on residents’ progress and comfort levels. Look to incorporate different types of exercises such as stretching, chair yoga, light aerobics, balance training, and seated strength exercises to keep sessions engaging for residents and remember to emphasise the social aspect of the classes to create a supportive and enjoyable atmosphere. Encourage residents to interact and support each other
during sessions to ensure they return time and time again. Keep an eye on residents’ progress, assess and then regularly feedback – this will help the residents feel a sense of purpose, and more than likely get excited for the following week. Adapt the
exercise routines based on the feedback you’re giving, their needs, preferences, and any physical limitations which have been identified in previous classes. As well as asking the class leader to feedback to the members of the group, you should encourage the residents to provide feedback on the classes regularly, too. You can then use their input to improve and tailor future sessions. Keep records of residents’ participation, progress, and any notable improvements in their physical health or mood as a result of the exercise classes. Also, crossreference whether there has been a dip in attendance and look to figure out if there are external factors contributing to it. It’s also important to acknowledge and celebrate milestones or achievements of the residents within the class to motivate continued participation. By following these steps and maintaining a supportive and inclusive environment, introducing exercise classes can significantly enhance the wellbeing and quality of life for residents in care homes.
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FOOD AND NUTRITION
Dishing Up This month, Bidfood shares the recipe guide to a delicious roast celeriac soup.
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t Bidfood we share our customers’ passion for great food. In fact, as one of the UK’s leading foodservice providers, and experts within the care sector, it’s of paramount importance to ensure that this passion filters through not just to our customers, but to care home residents too. Helping our care customers to cater with confidence and stay ahead of the curve by proving industry knowledge, nutritional advice and guidance on food standards and legislation is all part of our mission, to deliver service excellence and help our customers grow. With years of experience and a wide-range of knowledge amongst them, our dedicated care team provide operators with support on hydration, dementia, diabetes and IDDSI meals, as well keeping up to date with the latest trends in care. Our chef team have even developed a whopping 500+ recipes providing plenty of inspiration to ensure residents have something tasty on offer to them at all times. During the chilly winter months, it’s important to keep your residents stocked up on all the important nutrients they need to help combat the cold, especially for those who struggle due to a poor appetite and/or increased requirements. Commonly known as fortification, this is the concept of enhancing the nutritional content of a dish, but without increasing the volume. Improving energy (calories) and protein is normally the main focus when it comes to fortification, but it can also help to reduce anaemia, iron deficiency anaemia and micronutrient deficiencies (iron, vitamin A, vitamin B2 and vitamin
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B6), as well as some motor and cognitive outcomes1. Butter and cream are high in calories and can make a dish nice and tasty, however they are low in protein and other vitamins and minerals. Nutrient dense foods that work well when fortifying include cheese, nuts (ground or nut butter), milk powder, Greek yoghurt and eggs. Coconut milk is well suited to certain recipes such as soups and curries, but bear in mind that it is low in protein and a source of saturated fat. Food fortification has also been identified as one of the most costeffective nutrition interventions available, so even with purse-strings tight, it’s certainly something care kitchens can look to implement. Our latest Care Home Guide provides some delicious winter warmer recipe inspiration, using seasonal ingredients that utilize food waste and include tips on how to fortify, like our roast celeriac soup, with herb oil & apple pearls. To find out more about Bidfood’s care offering visit www.bidfood.co.uk/care-homes 1. WHO, 2023
Ingredients
[03435] Everyday Favourites Extended Life Vegetable Oil 50ml [75585] Brown skin cooking onion yellow pre pack 200g [75442] Celery 200g [75426] Leek 200g [75568] Celeriac 1 piece [30268] Triple Loin Garlic Puree 40g [04666] Everyday Favourites Gluten Free Vegetable Bouillon Paste 50g Water – 1000ml [03380] Everyday Favourites Skimmed Milk Powder 200g [40551] Millac Gold Double Cream 200ml [13685] La Espanola Pure Olive Oil Glass 50ml [75664] Dill 20g [84659] Apple Pink Lady 100g
Method
1. Prep all the veg. 2. Place vegetable oil in a pan and gently heat, then add the onions, celery and leeks, then cook for a few minutes until tender. 3. Add the celeriac and garlic and cook for a further few minutes. 4. Add the water, stock and milk powder. Bring to the boil and allow to simmer for 40 minutes (until all veg is soft), then blend until smooth. 5. Add the cream and stir well, then set aside. 6. Using the trimmings of the celeriac, finely slice and then deep fry until crisp. Set aside. 7. Place a pan of water on the stove to boil, then blanch the herbs and pat dry. Place the olive oil and dill in a blender, blitz until smooth and then set aside. 8. Chop the apple into tiny bite size pieces. 9. Place the soup into a bowl, drizzle with a little dill oil then top with apple and celeriac crisps.
RESIDENT WELLBEING
A Stitch in Time
A Newbury care home fulfils resident’s wish of returning to family-owned shop.
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Newbury care home resident was delighted to pay a visit to her family’s knitting shop – which has been in her family for four generations. When the team at Care UK’s Winchcombe Place, on Maple Crescent, learned that 85-year-old resident, Anne Cummings, was keen to give her friends at the home a tour of her old workplace, they were determined to make it happen. Anne’s grandma, Rita, founded Purlescence, a knitting shop in Maidenhead, in 1940. As a child, Anne spent much of her free time at the store, helping her mum run the shop and learning to knit herself. Having remained in the family for over 80 years, the shop is now owned by Anne’s daughter, Sarah. To help fulfil her wish, the team at Winchcombe Place arranged for Anne and her friends from the home, Alma, Audrey, and Sonia, to visit the shop, where they were welcomed by Anne’s daughter with tea and cake, as well as having the opportunity to discuss knitting techniques and share projects they are working on. Commenting on the day, Anne said: “It was an amazing trip out. The shop looked as beautiful as ever – I’m so proud of it!” The special visit was part of the home’s Wishing Tree Initiative, which encourages residents to put wishes forward, allowing them to reconnect with a past hobby or try something completely new – from flying on a plane to enjoying a fish and chip supper, no wish is too big or small. Shirley Summerbell, Home Manager at Winchcombe Place, said: “Anne absolutely loves knitting – she’s always got a project on the
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go and has even helped a few of her fellow residents learn the craft. When she shared that she would love to show her friends at the home her family’s knitting shop, the team were thrilled to make it happen. “Our Wishing Tree initiative is a wonderful way for residents to share their passions and ambitions and it’s hugely rewarding to be able to make these a reality. Anne’s always sharing stories from her time at Purlescence and is so proud of her family’s legacy, so she was delighted to be able to go back and relive those fond memories with her friends. “I’d like to extend a big thank you to the team at Winchcombe Place,
as well as to Anne and Sarah for welcoming us into their family – we all had a wonderful day!” Winchcombe Place is a state-ofthe-art care home which provides full-time residential, nursing, dementia and short-term respite care. The care home incorporates space for hobby and leisure activities and includes its own cinema, hair salon and café. To find out more about Winchcombe Place, call Customer Relations Manager, Vicki Lambourne, on 01635 783 098, or email vicki.lambourne@careuk.com For more general information, visit careuk.com/winchcombeplace
GET IN TOUCH We’d love to hear from you on how your business is progressing in 2024. Specifically, any new ideas you’ve implemented, any ways you are making additional revenue, your sustainability initiatives and your plans for the rest of the year – we know that a lot of you are doing inspiring things every day in your businesses and we want to give you the opportunity to shout about it. Please reach out to jamesd@cimltd.co.uk for the opportunity to be featured in Care Home Magazine.
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Coffee Solutions JDE Professional UK 0808 100 1030 www.jacobsdouweegberts professional.co.uk
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Laundry Girbau
01462 427780 sales.uk@girbau.com www.girbau.com Girbau girbau-uk
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