Foreword by Professor Martin Green Chief Executive of Care England
The Government has just announced it will be ending the overseas care visas, and yet again, this was done without any consultation or, seemingly, without any impact assessment. There also seems to be a view within the Government that there are lots of people who are currently not employed and could work in the care sector. If they had taken the time to ask the sector, they would understand that it is not about people filling vacancies, it is about attracting the right people with good core values into the sector. Working in care is a very skilled and challenging job, and it is not something everybody can do. What we need from the Government is a route map on how we will fill these vacancies, now that overseas recruitment has been closed to us.
This month, we have seen The Dementia Action Week, and the purpose of the week is to raise the profile of dementia and to ensure that people get an early diagnosis. One of the many challenges in residential care is that many people living with dementia do not have a diagnosis, and this makes it even more challenging to support them in appropriate ways. It is disappointing that the Government has scrapped the dementia diagnosis targets because this was a way of ensuring that the system could be judged against a target, and we could also see regional variations. One way they could have supported the diagnosis targets would have been to do reviews of people living in care homes. We should also acknowledge that many people who have learning disabilities often develop dementia, and this is another area which should be part of any dementia strategy.
Support for people living with dementia is one of the things that our sector can be proud of, and we are true exemplars of good practice. There is much we can teach the NHS. I was a member of the Parliamentary Commission on Palliative and End of Life Care, which delivered its report and recommendations. This was another area where the sector excels. There is such good practice throughout social care, and we can be very proud of our fantastic support to people at the end of their lives.
There are so many challenging issues battering the sector at the moment, but we must hold onto the difference we make to people’s lives. Social care is a foundation stone of any civilised society, and whatever the Government does, we must keep delivering for the people we support and getting our positive messages to every citizen.
Professor Martin Green OBE Chief Executive: Care England DH: Independent Sector Dementia Champion
@ProfMartinGreen
Top tips for buying and selling in the social care sector
An acquisition or disposal of a business in the social care sector is a complex process that requires careful planning, timing, legal expertise, and a clear understanding of regulatory obligations. Whether acquiring a purpose-built care home or selling a specialist facility, success depends on navigating each stage of the transaction with precision.
The process of acquiring or disposing of a business can be broken down in three phases: pre-legal, legal and post-legal, and each phase presents its own challenges and opportunities.
Pre-legal considerations
Before engaging legal professionals, it is essential to assess all available options. Sellers should consider whether to sell the business as a going concern or explore alternative uses for the property. Buyers may wish to evaluate development opportunities and secure appropriate funding. Early engagement with a surveyor can help determine market value and identify improvements that could enhance the property’s appeal.
The structure of the transaction is also critical. A share purchase involves acquiring the entire company which includes all its assets and liabilities, while an asset purchase allows the buyer to pick and choose what assets they want. The nature of the property—whether freehold or leasehold—may influence the legal process and the structure of the transaction may also be driven by tax implications.
Heads of terms, or a letter of intent, should be drafted to outline the commercial agreement. This document lays out principal terms and key information such as for example the parties involved, the purchase price, due diligence procedure, any earn-out or deferred consideration, exclusivity, and confidentiality. Including property-specific details and third-party consents at this stage can prevent delays later.
Legal process
Once heads of terms are agreed, a due diligence exercise is conducted to assess the legal standing of the business and property and identifies any potential risks by assessing financial records, employee arrangements, insurance coverage, contracts, and regulatory compliance. This is followed by the drafting and negotiation of legal documents, including a sale and purchase agreement, property transfer agreement and other ancillary documents required to affect the transaction.
If third party finance is required, lenders may require legal charges over the property or the assets (if
they are held within a company). The transaction becomes legally binding at the point of exchange, with completion occurring once all pre-completion conditions are met which could include ensuring CQC registration has been obtained. This stage often involves multiple legal teams, including those representing the buyer, seller, lender, and landlord (if applicable).
Post-completion matters
After completion, several tasks remain. These include registering property transfers, paying Stamp Duty Land Tax (SDLT), and fulfilling any contractual obligations. Deferred consideration and earn-out provisions may be used to bridge valuation gaps or incentivise performance.
Restrictive covenants, consultancy arrangements, and future involvement in the business should also be considered and clearly documented.
Key takeaways
• Assess options early: Consider selling as a going concern or exploring alternative uses.
• Structure of the transaction: Take financial and legal advice as to whether a share or asset purchase is appropriate.
• Draft clear heads of terms: Include all key commercial terms.
• Conduct thorough due diligence: Review financials, contracts, compliance, and property.
• Understand legal timelines: Transactions can typically take 6 to12 months so key to plan ahead.
• Plan for post-completion: Address registrations, tax, and ongoing obligations.
• Use experienced advisers: Legal, financial, and regulatory expertise is essential.
Tackling Recruitment and Retention in Social Care: Insights from Roundtable Events
The social care sector is facing unprecedented workforce challenges. With rising costs to wage requirements and employer national insurance contributions – providers are feeling the pressure more than ever. At the same time, relying on overseas workers is becoming increasingly unsustainable, particularly in light of recent overseas recruitment restrictions, making the retention of domestic workers more critical than ever.
To better understand these challenges and uncover solutions, Cohesion and Care Character recently hosted roundtable events bringing together people leaders from across the sector. Insights from these events, alongside findings from recent Cohesion data, provide a clearer picture of what's happening – and what needs to change.
The Current Landscape: What the Data Tells Us
Applicant Trends
Our applicant survey data shows that job seekers prioritise job satisfaction and training and development opportunities – above flexibility. These preferences show what today’s candidates are truly looking for – development, purpose, and stability.
A large share of applicants have prior care experience or a personal connection to care, and the number of people entering the sector for the first time has declined over the last two years.
New Starter Experience
Retention interview data shows that new employees who have regular one-to-one meetings with their manager, are significantly more satisfied in their roles and more likely to stay. However, new starters report they are lacking formal support during their initial weeks.
Reasons for Leaving
Exit interviews reveal that poor relationships with managers are a common reason for leaving. While pay and benefits matter, they rank lower. While leavers enjoy their interactions with those they cared for, the majority said their relationship with their manager was least enjoyable. The highest attrition
occurs at just six months, and unmet expectations were more common among those who left early.
Roundtable Solutions: Sector-Wide Actions
During roundtable discussions, several key solutions emerged to help address these challenges:
Attracting Young Talent - Engaging Gen Z and underrepresented groups through education partnerships, digital-first campaigns, career pathway visibility, and authentic, values-driven communication.
Personalised Onboarding - Providing mentoring, regular communication, and pre-start engagement to reduce early dropout and strengthen first impressions.
Flexible Working - Greater control over shift and rota scheduling to support wellbeing.
Collective Recruitment Campaigns - Co-producing sector-wide initiatives to improve perceptions of care work and reach more diverse audiences.
Leadership Development - Investing in soft skill development, and clear progression for managers to create better team cultures.
Data-Driven Strategy - Using surveys and interviews to identify trends, understand attrition, and shape better workforce strategies.
The message is clear: the future of the social care workforce depends on collective, proactive change. By prioritising people, leadership, and communication, we can create workplaces where employees feel supported and want to stay.
To read the full whitepaper “From I Do to I’m Done: The Journey from Enthusiasm to Exit” visit cohesionrecruitment.com/whitepapers/
Cohesion are Social Care Specialists improving recruitment & retention. Contact the Cohesion team for more information:
careengland@cohesionrecruitment.com
Modernising care payments: quick wins through automation
Care providers across the country are under pressure to do more with limited resources, and leaders are seeking changes that deliver tangible benefits fast. One area with significant potential is how care organisations handle payments. By embracing payment automation, providers can unlock quick wins – reducing admin workload and improving cash flow –while laying the groundwork for a more resilient future.
Automation delivers speed and control
Automating payments stands out as a straightforward change with immediate impact. It eliminates repetitive manual tasks and cuts payment processing from hours to seconds. Victoria Ramsay, Founder and Director at Aequalis Accountancy, has seen this firsthand: “With Modulr, payments can be loaded and released within 90 seconds,” she says. “It saves hours of admin and helps with cash flow.” In addition to speed, automation brings greater control and transparency. Pav Selvaraj, Account Executive at Modulr, explains that providers need payments to be not just fast but also controlled and visible. “Once they can track transactions in real time and automate routine tasks, they can start planning ahead,” he says. “It gives them control back – and in a sector where every penny and every minute count, that’s especially important.”
Reclaiming time for care
Perhaps the most important win from payment automation is the gift of time. By cutting down the hours spent logging into multiple banking systems, cross-checking data, and fixing errors, finance teams can redirect their energy to higher-value work. Frontline staff also feel the difference when payroll and supplier payments run like clockwork – fewer payment hiccups mean fewer distractions from care delivery.
Richard Ayres, Social Care Advisor at Care England, observed that providers waste hours each week on manual financial processes –time that “could be spent improving the care they deliver.” Even saving a few hours a week through automation can directly benefit care quality. Those reclaimed hours might allow one more resident to be cared for or give staff much-needed breathing room. Over time, these efficiencies boost staff morale and give teams more capacity to focus on residents’ needs.
Building a future-ready finance function
Investing in payment efficiency doesn’t just solve today’s headaches – it sets care organisations up for long-term success. Automating routine payments and reporting creates a finance function that can scale as the business grows. “Whether a provider has 5 employees or 500, they need a system that grows with them,” notes Victoria Ramsay. “It’s about preparing for what’s next – especially in a sector under pressure to adapt quickly.” In short, modernising payments turns a finance operation from a bottleneck into a backbone for sustainable growth.
The path to a more efficient and resilient care business can start with a single step: streamlining your payments. Modern tools make it easier than ever to automate and integrate payments without major disruption. To learn more about how payment automation can support your care organisation, get in touch with Modulr. Book a no-obligation call with a payments specialist and discover how faster, smarter payments can help your care team thrive.
For further information view the full post at: https://www.careengland.org.uk/the-cost-ofpayment-inefficiencies/
AI-Powered Resident Monitoring Solution for Fall Prevention and Proactive Care
75% Fewer resident falls
T
+44(0)2038380090
Care Campaign for the Vulnerable: Working Together to Redefine Safety in Care
Care Campaign for the Vulnerable (CCFTV) is a national, not-for-profit organisation advocating for safety, transparency, and dignity in care, with a particular focus on dementia and elderly care. Founded following personal experience with unsafe care practices, CCFTV has evolved into a respected voice in the sector — supporting families, influencing policy, and working alongside providers to help improve outcomes for vulnerable individuals.
Through our work, we’ve supported hundreds of families navigating serious issues — including safeguarding failures, unexplained injuries, and concerns around care standards. Our support includes representation in best interest meetings, guidance through safeguarding procedures, and presence at inquests and legal proceedings. We work from a place of empathy, while always maintaining professionalism and a commitment to constructive resolution.
Central to our work is our long-standing advocacy for independently operated, consent-led safety monitoring in care environments. We believe visual technology can play a vital role in promoting transparency, protecting residents and staff alike, and supporting care providers to deliver consistent, high-quality care.
CCFTV is proud to be building a collaborative network of providers, safety experts and advocates who share our vision. Notably, we have recently appointed Ambassador Visual Seewoolall, Chief Operating Officer of Signature Senior Lifestyle, whose dedication, professionalism and commitment to championing safety, quality, and innovation in care reflect the very values at the heart of CCFTV. His leadership within one of the UK’s most respected care providers reinforces the importance of sector-wide collaboration and strengthens our shared mission to place residents and their families at the centre of care provision. These partnerships reflect our commitment to working with organisations who embrace open, forward-thinking approaches to care.
Our relationship with care providers is central to our efforts to see a more open and transparent care sector . While we are known for highlighting the real experiences of families
— often in highly distressing circumstances — we are equally committed to championing providers who are willing to listen, evolve, and adopt practices that prioritise safety and dignity. This includes supporting staff wellbeing, engaging families in care planning, and embracing a culture of openness.
We understand the care sector is under pressure — from workforce challenges to rising costs and regulatory demands. Our goal is not to place blame, but to offer constructive, practical support to help providers deliver the safe and dignified care we all want to see. We have witnessed first-hand how positive collaboration can lead to improved outcomes for residents, families, and staff.
As a Supporter Member of Care England, CCFTV is proud to align with fellow organisations committed to raising standards and sharing knowledge across the sector. We welcome dialogue with providers and industry leaders who value transparency and believe, as we do, that real change is achieved through partnership.
Together, we can ensure that safety in care is never compromised — and always championed.
Getting down to business
When it comes to health and social care, we mean business – with award-winning products, and specialist support from our team of experienced Relationship Managers.
Here are some of the sectors we work with:
• Aged, specialist and childcare facilities
• Dentists and dental practices
• Hospitals and medical centres
For more info call: Derek Breingan Head of Health and Social Care 07818 454674
• Real estate and development finance
• Pharmacists and pharmacies
• Doctors and medical practices
A Game Changer for Us – How Technology Enabled Care Reconnected
a Mother and Daughter
When Sharon’s mum Monica lost her partner and began facing health challenges, Sharon found herself trying to provide care from a distance—juggling a demanding job in Exeter with constant worry about her mum, who lives alone in Barnstaple with her two dogs.
“Mum was always independent, but after her partner died and she was told she needed a hip replacement, everything changed. She became more withdrawn and physically frail,” said Sharon. “I was calling every morning to check she was up, had taken her tablets, and eaten something. It was exhausting, and I felt helpless.”
Monica was reluctant to accept any kind of formal support. “She kept saying she didn’t need care,” Sharon explained. “But with me living more than 90 minutes away, I knew I needed to find a solution that worked for both of us.”
That solution came through Sharon’s employer, Bluebird Care N.E.W. Devon, which has partnered with Access Health, Support and Care (HSC) to offer families access to Access Assure, a discreet, sensor-based technology designed to support independent living without intrusion.
Unlike traditional monitoring systems, Access Assure doesn’t use cameras or audio. Instead, it relies on smart home sensors—installed on doors, cupboards, and appliances—to learn daily routines and identify changes in activity. For example, it can detect when the kettle is boiled or the medicine cupboard is opened. If something unusual happens, such as a missed routine or lack of movement, an alert is sent to a designated family member.
For Sharon, the impact was immediate. “I can see when Mum is up and about. I know when she’s had her morning tea, when she’s taken her medication. That reassurance has lifted such a weight off my shoulders. I can focus at work, sleep better at night, and just enjoy being her daughter again.”
Monica now also receives a weekly visit from a Bluebird Care N.E.W. Devon professional to check on the equipment and provide a bit of company. What began as a technical visit has become something Monica actively looks forward to, gradually opening the door
to accepting more help in the future—on her terms.
The technology, powered by AI, continues to learn and adapt to Monica’s unique routines, detecting potential concerns early without invading her privacy. “It’s the perfect balance,” Sharon said. “Mum feels in control, and I feel supported.”
William Flint, Director at Bluebird Care N.E.W. Devon, said: “This kind of technology isn’t just about safety and early intervention—it’s about giving people space to reconnect as families. Daughters can be daughters again, not just carers. It’s a powerful, human use of technology.”
Andy Sparkes, Managing Director at Access TEC, added: “Access Assure is designed to work quietly in the background, giving families peace of mind and helping people live independently for longer. It’s about dignity, autonomy, and knowing someone’s there if you need them.”
Following stories like Sharon’s, Bluebird Care N.E.W. Devon is now preparing to roll out Access Assure more widely, helping even more families across the region feel closer and more connected—no matter the distance.
Living better by design: Accora’s vision for the future of care
At Accora, we’re passionate about supporting better care through innovation, education, and a deep commitment to improving quality of life.
Our values are at the heart of everything we do. From the beginning, our mission has been to develop preventative solutions that empower residents in care settings with greater flexibility, safety, and dignity- so they can simply live better.
Founded in 2008 by four brothers, Accora began as a family business with a shared vision: to rethink traditional healthcare equipment through user-centered design. Since then, we’ve grown into a leading innovator in assistive furniture, working in partnership with care providers across the UK and beyond to enhance resident outcomes and support care teams.
Our commitment to innovation has led us to reimagine how care environments can function more effectively. One of our earliest developments set a new benchmark for safety by enabling beds to lower to floor level, helping reduce the risk of falls. More recently, we’ve introduced flexible seating systems that can be tailored to the needs of individual residents while supporting carers in their daily routines.
During the COVID-19 pandemic, we responded to an urgent request from the Department of Health to supply beds for the NHS Nightingale hospitals. Within 24 hours, we developed a prototype and delivered a production-ready model in just 10 days. This project demonstrated the responsiveness, collaboration, and commitment that continues to define our approach.
Innovation at Accora also means looking beyond equipment to the broader ecosystem of care. We believe that education is central to achieving better outcomes. That’s why we offer a wide range of free learning opportunities, including webinars, Lunch & Learn sessions, and collaborative workshops. These are designed to support care teams in developing practical knowledge on key topics such as pressure ulcer prevention, postural management, and regulatory best practices.
Our educational sessions are led by clinical specialists and experienced professionals, and
they reflect our belief that informed carers are empowered carers. Through shared learning and practical insights, we aim to strengthen confidence and competence within care teams, ultimately benefiting the residents they support.
As we continue to grow and evolve, our focus remains the same: delivering meaningful solutions- both practical and educationalthat help residents live more comfortably and independently. We’re proud to be part of a community committed to quality and innovation, and we welcome opportunities like this to contribute to the ongoing conversation shaping the future of care.
Connecting the dots:
Using Data Analytics to Prevent Falls and Improve Care
Justine Abson, Head of Marketing for Radar Healthcare, explores the significance of care insights derived from data analytics, asserting that they offer more than just the ability to identify cause and effect. These insights are crucial for establishing a health ecosystem that can adequately serve the needs of a growing elderly population.
and act promptly. This often entails recognising subtle patterns that even the most dedicated care staff might miss. Here, technology plays a pivotal role.
Systems such as Radar Healthcare’s, which consolidate fragmented data, can identify trends and reveal hidden insights. For instance, recurring falls in a specific location might suggest the need to reconfigure that area.
Radar Healthcare’s system uses machine learning to analyse data, flagging potential issues for staff to investigate. This enables the creation of data-driven, personalised care plans, and facilitate close monitoring, ultimately preventing hospital admissions. By integrating with other systems like care planning software and electronic patient records, it ensures comprehensive analysis across all areas, not just isolated incidents.
In the next two decades, the UK is anticipated to witness an increase of four million individuals aged over 65. With the nation's health and social care system already under significant strain, it is evident that integrated care should be the ultimate objective.
Achieving this necessitates a comprehensive transformation in the approach and delivery of care for older adults. Change is undeniably essential. We now have an opportunity to change this with technology and data analytics enabling us to function as a cohesive system, facilitating connections across various the entirety of care.
Taking falls as an example. Falls are the predominant cause of emergency admissions for individuals aged 65 and above with individuals over 65 accounting for nearly a quarter (21 per cent) of A&E visits. While this rise can be attributed to factors such as reduced access to primary care and a burdened social care system, a more concerning statistic is that nearly half (48.8 per cent) of ambulancearrived A&E visits are from this age group, with over 41 per cent being admitted to the hospital for inpatient care.
While a fall might appear to be a straightforward accident, it is often the result of a more intricate sequence of events. This is why it is imperative to identify early warning signs
Looking to the future, imagine the potential of integrating the various data sources that exist across health and social care. Now is the time for a collective response. By investing in the advanced digital tools available today, we can transform insight into action and create a new system that will support the care of our future ageing population.
Discover how Radar Healthcare’s platform could assist you in generating actionable health insights: https://radarhealthcare.com/
Giving People More Control, One Voice Command at a Time
By Rebecca, Operations Lead at Vocala Smart Properties
Last week, I spent two days installing Fleetmanaged Alexa devices in an 18-bed supported living service for people with learning disabilities. As someone who spends a lot of time training and supporting care teams, I’ve seen the difference the right tools can make, but this install really stayed with me.
One of the residents asked for 90s dance music and, within moments, was dancing around her lounge, full of energy and confidence. No prompts, no support needed, just a voice command and a moment of joy that was completely her own.
That’s what stood out, the small but powerful shift in control. With Alexa, residents weren’t being told what to do by staff. Prompts were set up in Flo based on care plans, and the familiar Alexa voice delivered them. Residents could respond by saying when they’d finished. Whether it was drinking water, taking medication, or going to an appointment, the reminders created structure without pressure. They could even add their own, like, “Alexa, remind me my mum is visiting at 3pm.”
One support worker said, “I won’t have to keep checking in every ten minutes. She can complete it when she’s ready and then tell Alexa it’s done. That kind of independence is gold.”
In supported living, routines matter, but so does flexibility. Alexa helped people stick to a plan while still feeling in charge. Rather than being told what to do and when, they heard friendly reminders on a schedule that suited them.
The Echo Show 15 in the communal area is becoming a hub for the home. Staff can add group reminders, like an upcoming event or a change of plan, and the screen displays photos, schedules, and prompts in a clear, accessible way.
For residents who are non-verbal or prefer visual cues, the touchscreen offers another way to interact, using taps and swipes instead of speech. Photos from the VE Day party will soon be added, and residents will be able to scroll through them on their own devices.
Staff are also using Alexa announcements, asking a colleague to come to the office,
sharing when the fire alarm will be tested, or letting someone know their taxi has arrived. It’s a calm, consistent way to communicate.
Looking ahead, the team plans to add video clips to support daily tasks, like loading the washing machine or making a snack, so residents can follow along visually, at their own pace. They've already explored simple baking recipes with voice and screen instructions.
There’s a fear that tech might make care less personal. But I saw the opposite. With Alexa handling small, repeatable tasks, staff had more freedom to talk, listen, and connect, not just prompt.
Digital support doesn’t need to be complex. Sometimes it’s music from the 90s, a photo on a screen, or the quiet satisfaction of saying, or tapping, “I’ve done it.”
Sometimes, that’s exactly what people need.
If you’d like to find out more or have any questions about how we’re using Alexa to support independent living, feel free to get in touch with me at rebecca@vocala.co.uk
Understanding Urinary Incontinence:
Definitions, Types, Causes, and Management
Urinary incontinence (UI) refers to the involuntary loss of urine, a condition that can significantly impact an individual's quality of life. It’s a common issue, with approximately 7 million people in the UK affected, though many remain undiagnosed due to stigma and embarrassment.
Types of Urinary Incontinence
UI manifests in several forms, each with distinct characteristics:
• Stress Incontinence: Leakage occurs during activities that increase abdominal pressure, such as coughing, sneezing, laughing, or lifting heavy objects.
• Urge Incontinence: Characterized by a sudden, intense urge to urinate, leading to involuntary leakage before reaching the toilet. This may result from overactivity of the detrusor muscle.
• Overflow Incontinence: Occurs when the bladder does not empty completely, leading to frequent dribbling of urine. It can be caused by bladder muscle weakness or obstruction.
• Functional Incontinence: Involuntary leakage due to physical or cognitive impairments that prevent timely access to a toilet, despite normal bladder function.
• Mixed Incontinence: A combination of stress and urge incontinence symptoms.
• Total Incontinence: Continuous leakage or the frequent need to urinate without control, often due to severe neurological conditions or anatomical abnormalities.
Causes of Urinary Incontinence
UI can result from various factors, including:
• Pregnancy and Childbirth: Vaginal delivery can weaken pelvic floor muscles and damage bladder-supporting tissues.
• Menopause: Decreased estrogen levels can lead to thinning of the urethral lining, increasing the risk of incontinence.
• Age: Aging can reduce bladder capacity and the strength of bladder muscles, contributing to UI.
• Obesity: Excess weight increases pressure on the bladder, potentially leading to UI.
• Neurological Disorders: Conditions like stroke, multiple sclerosis, or spinal cord injuries can disrupt nerve signals involved in bladder control.
• Prostate Issues: In men, prostate enlargement or prostate cancer treatments can affect urinary control.
• Urinary Tract Infections (UTIs): Infections can irritate the bladder, leading to temporary UI.
• Medications: Certain drugs, such as diuretics or sedatives, may contribute to UI.
Management and Treatment
Effective management of UI involves a comprehensive approach:
• Lifestyle Modifications: Weight management, dietary adjustments, and smoking cessation can alleviate symptoms.
• Pelvic Floor Exercises: Strengthening pelvic muscles through exercises like Kegels can improve bladder control.
• Bladder Training: Scheduled voiding and techniques to delay urination can help retrain the bladder.
• Medications: Anticholinergic drugs can reduce bladder spasms, while topical estrogen may be beneficial for postmenopausal women.
• Surgical Interventions: Procedures such as sling surgery or bladder neck suspension may be considered for severe cases.
• Absorbent Products: Incontinence pads or garments can provide comfort and confidence for individuals managing UI.
Conclusion
Urinary incontinence is a prevalent condition that can affect individuals across various age groups and backgrounds. Understanding its types, causes, and treatments is crucial for effective management and improving patient outcomes. Healthcare professionals play a vital role in diagnosing and providing appropriate interventions, thereby enhancing the quality of life for those affected by UI.
For more information or to discuss continence provision and support please contact marketing.uk@ontexglobal.com
Treasured items from Boots help rekindle memories for those with dementia
As part of the Alzheimer’s Society’s Dementia Action Week, Boots recently launched a nationwide initiative to spark conversation and rekindle memories for those affected by dementia.
As the UK’s leading health and beauty retailer, Boots created over 1,000 multi-sensory memory boxes which have been distributed to care homes and communities across the UK this Dementia Action Week (19 – 25 May 2025).
The initiative follows research by Professor Victoria Tischler and colleagues from the Universities of Surrey, West London and Nottingham that supports the connection between smell, handling familiar objects and memory1, conducted using the Boots Memory Boxes.
In many people with dementia, handling familiar objects that combine distinctive smells, and attractive designs can provide wellbeing benefits including enhanced mood, social inclusion and memory retrieval. Simple prompts like familiar smells from a person’s past can stimulate recall and bring people into the present moment.
The Boots Memory Boxes are filled with items carefully selected by the team at the Boots Archive and include familiar smells and sounds to trigger memories. For example, popular toiletries and soaps can remind them of a loved one and cough medicine or bath salts can help them remember times they looked after themselves or others. The boxes will also feature items with familiar sounds, like the click an old powder compact, or camera.
Professor Victoria Tischler, Professor of Behavioural Science, University of Surrey, said: “Our research showed clear connections between sensory simulation, memory and wellbeing. We built on the established connection between smell and memory to create memory boxes that use recognisable Boots products that stimulate engagement and enhance mood in those affected by dementia. It’s really great that Boots is now rolling out its memory boxes to reach more people with dementia as well as creating a resource for carers – a group it’s so important to support. It’s such a simple initiative yet it has a powerful impact that’s backed up by research.”
One care home that was among the first to receive a Boots Memory Boxes held an interactive session with their residents.
Lucy Atkinson, Director at Church Farm Care, Nottingham, said: “During the memory box sessions we’ve held, I’ve seen the most remarkable transformation in the people who live with us here. People living with dementia light up when they smell something familiar from their youth, sparking memories that last beyond the session. One lady was flooded with happy memories seeing items she remembered from childhood, which prompted her to animatedly share stories with the group. The sessions have not only brought a lot of joy but also help to access memories that were otherwise lost, memories that help people to remember who they are.”
Alongside the 1,000 Boots Memory Boxes that the health and beauty retailer is sending to care homes, Boots has also created a bank of free online resources with guidance for carers on how to create their own memory box at home and spark memories and conversations with loved ones.
For further information: Treasured items from Boots can help rekindle memories for those with dementia
Or contact: care.services@boots.co.uk
1. - D’Andrea, Dening and Tischler (2022) Object Handling for People With Dementia: A Scoping Review and the Development of Intervention Guidance | Innovation in Aging | Oxford Academic
‘Sticks and Stones May Break My Bones, but Names Will Never Hurt Me’
This rhyme was repeated almost daily in my childhood, suggesting we should shrug off invisible harm like name-calling, while physical injuries deserved real concern. Yet I still remember the sting of cruel words when I was targeted by the 'tough kids'. Words matter— language matters.
In the care sector, language used to describe individuals holds significant power. Labels like ‘residents’, ‘the disabled’, ‘service users’, or even ‘non-verbal’ maybe convenient shorthand for professionals, but they often dehumanise, reducing people to conditions or needs. People receiving support report these labels as patronising and impersonal. Why are we afraid to just refer to people as people?
Labels are often used to simplify communication, but over time they shape how professionals see and treat those they support. Calling someone “a schizophrenic” rather than “a person with schizophrenia” reduces them to a diagnosis, ignoring their full identity and story.
Even seemingly neutral terms like “service user”, while designed to be inclusive, can feel cold and institutional, reinforcing a power imbalance that frames the person as a passive recipient rather than an active participant in their own life.
Constantly using labels can cause people to internalise them, damaging self-esteem, autonomy, and identity. For instance, someone called “non-verbal” may start to see themselves only through that lens, rather than as a whole person.
Labels also fuel bias amongst teams. A support worker who hears someone described as “difficult” may unconsciously lower expectations or show less empathy, leading to poorer care, even abuse, fewer meaningful interactions, a diminished quality of life for the person receiving support and a culture where such attitudes are normalised.
To counteract the dehumanising effects of labels, at LDC we embrace a person-centred approach to language. This means using terminology that recognises individuals first and foremost as people—not as conditions or problems to be managed.
Instead of “challenging behaviour”, we say “a person experiencing distress” or “having a bad day”. These subtle shifts help reaffirm dignity, reinforce humanity, and promote empathy in relationships.
Addressing the use of dehumanising labels requires more than a simple change in vocabulary. It demands a cultural shift—one that is rooted in awareness, education, and reflection. LDC ensures that language is a core part of all training and meetings. We encourage anyone in the organisation to challenge use of stigmatising language, irrespective of their position.
Care should never be a process that objectifies or diminishes people. At its core, caregiving is a deeply human act—one that should honour the totality of those receiving support. By shunning harmful labels and embracing more respectful, empathetic language, the care sector can move closer to truly person-centred care.
Lara Bywater, Director of the OS and LDC Care
The OS is a Community Interest Company, free to all providers irrelevant of their rating. It is a platform to share and celebrate best practice, help others to improve and promote careers in Social Care. Please contact Sonia - info@theoutstandingsociety.co.uk for more information or follow the links below:
Nourishing Care: The Essential Role of Nutrition in Dementia Support
Recent figures estimate that 70% of people living in care homes have dementia, or severe memory problems1, and this stark figure is only on the rise.
Living with dementia directly impacts an individual’s physical health, cognitive function and overall well-being, and therefore ensuring proper nutrition is vital to help manage symptoms and reduce risk of further complications.
In apetito’s latest instalment of its “Lunch With…” series, host and in-house Dietitian, Sophia Cornelius sits down with Professor Jane Murphy, Professor of Nutrition at Bournemouth University and experienced Speech and Language Therapist, Tracy Broadley Jackson to delve into the importance of proper nutrition for those living with dementia and how care homes can support through early intervention.
During the episode, Jane explained the severe consequences that can arise from residents with dementia not getting the nutrition they need:
“If people aren’t eating enough to support their needs, they are at risk of malnutrition, and around 50% of those living with dementia are malnourished.
“The impacts of this can be massive, particularly on quality of life. Malnutrition causes people to lose muscle mass and strength, reducing their ability to move around their environment and putting them at risk of frailty and increased falls.
“It also heightens the risk of infection and pressure sores, which can result in increased GP and hospital visits.
“Therefore, not only do we see big impacts for the individual, but also the increased care needs can create further impact on the care home and wider health and social care sector as they support the individual.
“Early intervention to mitigate the risks of poor nutrition is key, and there are lots of elements that care home staff, and the environment can do to support this.”
For caregivers, it’s essential to notice warning signs as early as possible so that timely action can be taken, explains Jane:
“Look out for if people aren’t eating well during
mealtimes, refusing to eat altogether or have changing appetites. There are also some clear physical signs to keep an eye out for, such as clothes and rings becoming looser fitting.
“All care homes need to be using a validated screening tool on a regular basis to ensure consistent monitoring, particularly if you notice any of the above signs. The Malnutrition Universal Screening Tool (MUST) is a common one, but there are other tools available.”
Tracy highlighted additional cues during mealtimes that may indicate a resident isn’t receiving proper nutrition:
“Pay attention to how long it takes someone to eat their food. If it’s taking up to an hour then that should raise concern – there is no enjoyment, and they won’t be getting the nutrition needed.
“Frequent coughing is something else to keep a close eye on, as it could be a sign they’re unable to swallow safely and food or drink could be going down towards the airway rather than the food pipe.
“Taking bits of food out of their mouth during a meal is a sign that they cannot manage the lumps. Recognising these altered behaviours is important in catching the signs early that someone may be eating less.”
To understand how to ensure residents living with dementia can enjoy mealtimes safely and get the nutrition required, particularly through specialised solutions such as texture modified meals and finger foods, watch the full episode for FREE at https://apetito.link/lunch-withapetito
With the growing digitisation of records, communications and care systems, the risk of cyber threats to care providers is rising fast. In a timely and insightful article, legal experts Mills & Reeve offer a vital overview of what care home operators need to know, and do, to protect their services from cyberattacks. The full piece, available on the Care England website, is a must-read.
Why it matters now
Recent high-profile attacks on major UK retailers like M&S, Co-op and Harrods have shown just how widespread and damaging cyber breaches can be, and the care sector is no exception. Care providers hold vast amounts of sensitive data and operate critical systems, making them particularly vulnerable and high-value targets.
What’s covered?
The article outlines the key risks facing care providers today, both from external cyber threats and internal vulnerabilities. Drawing on real-world incidents from across the healthcare sector, it highlights:
• Ransomware, phishing and DDoS attacks that can cripple services, compromise data and create major disruption.
• Internal threats such as unauthorised access or poor security practices among staff, and the
Helping you navigate the complex
Providers of regulated activity operate in a challenging and highly regulated landscape As leading legal advisers in the health and care sector, Mills & Reeve is a law firm who can support you every step of the way.
CQC inspections and enforcement action
CIW inspections and enforcement action
Safeguarding investigations
Police investigations and prosecutions
Health and safety enforcement
Inquests
To find out more please contact Amanda or click here to see how we can support you
Amanda Narkiewicz Partner, health and care regulatory
Amanda Narkiewicz@mills-reeve com 01223 222267
importance of proper controls and training.
• Striking a balance between protecting digital systems and supporting the uninterrupted delivery of care — overly complex security measures can risk slowing down frontline work.
• Risk-based planning, helping providers prioritise action based on the likelihood and impact of different threats.
• Practical interventions, with a helpful checklist of 12 key actions — from multi-factor authentication and firewalls to incident response planning and staff awareness training.
• Support during a breach, with details of how Mills & Reeve’s cyber response team can guide care providers through UK GDPR notifications, regulatory engagement and legal action if needed.
Take action before it’s too late
Cybersecurity is no longer just a technical issue, it’s a core part of running a safe, compliant and resilient care service. This article is a practical, insightful resource for operators looking to improve their preparedness and ensure continuity of care, no matter what challenges arise.
Don’t wait until you’re the next headline. Read the full article by Mills & Reeve on the Care England website and take the first step towards a more.
Sounds Of Isolation: The Real Cost of Poor Acoustics in Care Homes
Poor acoustics in care homes present a significant challenge, profoundly affecting residents' well-being, staff efficiency, and the overall care environment. When acoustic conditions are inadequate, residents, particularly those with hearing impairments, struggle to engage in conversations and participate in social activities. This isolation can lead to frustration, anxiety, and a decline in their social and cognitive well-being.
One of the most critical issues caused by poor acoustics is communication barriers. In care homes, where many residents already experience hearing loss, excessive noise and poor sound quality make it difficult for them to understand conversations. This difficulty leads to confusion, missed instructions, and a reluctance to participate in communal activities. For example, during resident meetings, many individuals miss essential information due to poor sound clarity, leading to frustration and misunderstandings. Even social events like coffee mornings and movie nights become a source of stress rather than enjoyment. Some residents may require high volume levels to hear properly, which can disturb others, creating tension and conflicts.
Cognitive decline among residents can be accelerated by poor acoustics. Those with dementia or other cognitive impairments are particularly vulnerable. High noise levels can increase stress, anxiety, and agitation, which not only deteriorate their mental state but also disrupt their sleep patterns. Over time, this constant exposure to a challenging acoustic environment can further impair their cognitive functions, making daily life even more difficult.
Social isolation is another significant consequence. When residents struggle to hear and understand, they become less inclined to join group activities. Events that should foster social interaction, such as quiz nights or bingo sessions, turn into confusing and frustrating experiences. As a result, many residents gradually withdraw, choosing solitude over the stress of trying to engage in an acoustically challenging environment. For those who attempt to stay active, the strain of trying to hear and understand can lead to fatigue and discouragement.
Poor acoustics also have a negative impact on staff. Communication among staff members becomes less efficient, increasing the likelihood of misunderstandings, errors, and safety risks. Staff members often have to repeat themselves or raise their voices, which is not only tiring but can also lower morale and job satisfaction. In some cases, staff may need to communicate one-on-one with residents, which is timeconsuming and affects overall workflow.
Privacy is another concern. Inadequate acoustic management means confidential conversations can be overheard more easily, compromising resident dignity and comfort. Residents may feel exposed and uncomfortable, knowing that private discussions can be easily overheard.
This is exactly why Symphony Sound was founded — to address these critical issues directly. Recognising the significant impact of poor acoustics on residents and staff, Symphony Sound is committed to delivering specialised acoustic solutions that transform care homes into environments of comfort, communication, and well-being. By prioritising clear communication, reduced anxiety, and enhanced social interactions, Symphony Sound helps care homes become truly supportive environments.
Breaking Down the Barriers: Transforming Dysphagia Training in Care Homes
Key Points:
• Dysphagia affects over 80% of individuals in UK care settings.
• Current training is often reactive, fragmented, and treated as specialist.
• A whole-team, sustainable approach is essential to improve outcomes.
• Training must go beyond awareness to build real competence.
• Family involvement and regulatory support are key to long-term success.
Dysphagia: A Growing Concern in Social Care
Dysphagia—the difficulty or inability to swallow—is a widespread yet often under-addressed challenge in care homes. It affects a significant proportion of older adults and people with learning disabilities. Despite this, dysphagia is frequently seen as a niche or specialist issue, rather than a core element of care that needs daily attention.
Over 80% of residents in UK care settings are at risk of developing dysphagia. Without appropriate support, this can lead to devastating outcomes such as malnutrition, dehydration, aspiration pneumonia, and even death. The risks are real, and immediate action is needed.
The Need for a Cultural Shift
Training around dysphagia is often reactive, brought in only after an incident occurs. This approach puts both staff and residents at risk. Experts Preston Walker and James Ball, founders of OHK, along with Care England, argue that the care sector needs to embed dysphagia management into everyday practice for the whole team.
Their white paper outlines a sustainable training model that ensures everyone—from care assistants to chefs—understands how to support individuals with dysphagia safely and confidently.
Beyond Awareness: Building Confidence and Competence
One of the most common barriers is a lack of confidence around IDDSI (International Dysphagia Diet Standardisation Initiative) guidelines and texture-modified meals. Staff fear getting it wrong, leading to bland meals, limited choice, and increased risk of choking on inappropriately presented foods and drinks.
OHK’s approach focuses on moving beyond awareness into practical competence. When teams understand not just what to do but how to do it, safety, efficiency, and meal quality all improve.
Addressing Operational and Staff Challenges
Care homes operate 24/7, making staff-wide training logistically difficult. High turnover—one in three staff leave annually—adds to the problem. A one-off training session cannot withstand these pressures – and can turn into a costly exercise.
What’s needed is a flexible, sustainable training model embedded into daily routines that is validated and refreshed regularly. This ensures that knowledge remains in the organisation, not just with individuals.
Family Engagement and Risk Reduction
Families often unknowingly introduce risk by bringing in unsuitable foods like biscuits or sweets. Open communication and support, along with educational materials are essential to ensure that everyone, including relatives, support safe eating practices.
Investing in Long-Term Impact
While financial pressures exist, short-term solutions don’t deliver long-term safety. As Preston Walker notes, when organisations adopt holistic strategies, they see real results. East Sussex Healthcare NHS Trust is a prime example—reporting an 85% drop in incidents through integrated training.
Time to Act
This is about more than just compliance. It’s about dignity, safety, and quality of life. The tools and training models are available. Now, the sector must act decisively to embed dysphagia training as a standard, not a specialist, part of care. Because everyone deserves the right to safe nutrition.
Read the full white paper at https://www. careengland.org.uk/oak-house-kitchen-whitepaper/ Explore training solutions at oakhouse-kitchen.com
Eye-Watering Water Price Hikes: How Businesses Can Take Action The Rising Cost of Water: What You Need to Know
Businesses across the UK are facing huge increases in water costs, with some areas seeing price hikes of over 50%. From metered water charges to wastewater and trade effluent fees, companies are being hit from all sides.
According to Graham Mann from SwitchWaterSupplier.com, these increases are a financial shock that could severely impact businesses in hospitality, manufacturing, retail, and beyond.
But here’s the good news: you don’t have to accept these rising costs. With the right strategy, businesses can reduce their water bills, reclaim overcharges, and implement efficiency measures to protect themselves from future increases.
How Are Water Costs Increasing?
Key Price Rises by Category
• Metered Water (Water In) – Up to 40.7% increase in some areas
• Measured Sewage (Water Out) – Up to 54% increase
• Surface Water Drainage – Up 57.4% in some regions
• Trade Effluent Charges – Increasing by up to 54%
• Highway Drainage Fees – Rising 26-57% depending on location
These increases are hitting businesses hard— one client of SwitchWaterSupplier.com is facing a staggering £660,000 annual increase in water costs.
How Can Your Business Reduce Water Costs?
• Switch Your Water Supplier – If you’ve never switched, you could be paying more than necessary on default rates. Businesses can save significantly by switching suppliers.
• Audit Your Water Bills – Many businesses overpay due to incorrect charges. A detailed review can identify savings and possible refunds for past overcharges.
• Reduce Wastewater Output – Manufacturing and production facilities can limit water sent to drains by improving their processes.
• Recycle & Reuse Water – Using filtration and treatment systems allows businesses to reuse water rather than paying again for disposal and supply.
• Rainwater Harvesting – Companies can collect and reuse rainwater for toilet flushing, cleaning, or production processes, lowering costs.
Real Businesses, Real Savings
At SwitchWaterSupplier.com, we’ve helped businesses save thousands of pounds by identifying inefficiencies and overcharges.
• Case Study: A business in Scotland was advised by another broker that switching suppliers could save £6,000 per year. However, after an in-depth audit by SwitchWaterSupplier.com, the actual savings were:
• £26,000 in immediate reductions
• £100,000 refunded for historical overcharges
Take Action Now Before Prices Go Even Higher
With water costs skyrocketing, businesses must act before it’s too late. The team at SwitchWaterSupplier.com is here to help you:
• Cut your water bills
• Recover overcharges
• Implement water efficiency strategies
• Don’t wait until your next bill surprises you— take control of your water costs today!
• Visit SwitchWaterSupplier.com now and start saving!
The state of cybersecurity in adult social care
At the start of this year, the Government announced a package of reforms to improve adult social care services. With a focus on digitisation, this has elevated cybersecurity up the agenda for care providers. The Department of Health & Social Care has now published a report summarising research by Ipsos and the IPC at Oxford Brookes University.
The report highlights that human error remains a major risk to care providers:
• phishing was the most common cyber incident (reported by 75% of affected providers);
• nearly half of attacks came from third-party organisations (44%), while 21% originated internally;
• although 77% of providers agreed their frontline staff have the necessary digital skills, concerns remain about high staff turnover, inconsistent digital literacy and a perception that cybersecurity isn’t part of care workers’ roles.
Risky behaviours identified include:
• sharing organisational devices (39%);
• staff using personal devices for work (33%); or
• sharing email addresses (30%).
These practices were acknowledged as widespread.
Providers who experienced incidents faced an average cost of £9,528 over three years, with the highest reported cost reaching £900,080. Common impacts included implementing new preventative measures (28%) and allocating extra staff time, adding to workforce pressures.
While 68% of providers said they’d trade functionality or pay more for better cybersecurity, suppliers noted that purchasing decisions are still driven by price and features. Consequently, support after incidents is often offered on a goodwill basis, not contractually.
Consequences for senior leaders
Interviews with sector leaders revealed concerns about identifying cyber threats and operating in a low digital maturity environment with limited supplier options.
Some leaders rely heavily on policies without
fully understanding cyber risks, depending on suppliers for resilience but lacking the expertise to monitor performance post-contract.
Recommendations and support
Cost was cited as a barrier to improving cybersecurity, yet many providers were unaware of existing support, such as the Digital Care Hub’s Better Security Better Care programme.
The report offers several sector-wide recommendations. In the meantime, care providers are encouraged to:
• complete the NHS Data Security & Protection Toolkit (DSPT) and embed good practice;
• appoint a dedicated cybersecurity lead or team;
• provide mandatory cyber training for new staff and regular refreshers;
• access cyber expertise for proactive and reactive support;
• use two-factor authentication and regular data backups;
• prioritise cybersecurity in tech procurement.
The full report is available here. To arrange a call to discuss how these findings could shape your cybersecurity strategy, please contact Emma Watt.
How technology can significantly ease care management for UK care providers
The UK care sector is facing mounting challenges, with the 65+ population expected to grow by 38% by 2040, reaching 14.5 million. This demographic shift will require an estimated 540,000 additional care workers. At the same time, ongoing staffing pressures and the need for high-quality care are pushing providers to find smarter, more efficient ways to manage services.
But amidst these challenges lies a powerful solution – admin software. Rather than replacing staff, this technology supports them by streamlining operations, reducing errors and enabling better decision-making. In a sector where many still rely on spreadsheets, paper records and manual payroll, the adoption of purpose-built software can be transformative.
Smarter occupancy management
Effective occupancy management is critical for the financial health of care homes. Poor enquiry handling, long admission times and lack of real-time data can lead to revenue loss. Software like CoolCare offers real-time occupancy tracking and detailed enquiry data, helping managers plan proactively. For example, understanding conversion times between private and local authority placements allows more accurate staffing and resource allocation.
Strategic data use also supports informed decisions—like holding beds for higher-revenue private placements—optimising both income and care delivery.
Reducing reliance on agencies
While national occupancy sits at a strong 85.7%, workforce shortages persist. Sickness, absence and last-minute changes often lead to agency use, which can disrupt continuity and drive up costs. Scheduling software helps homes forecast staffing gaps and match shifts with available, qualified staff—minimising the need for external help.
Care homes using digital rostering tools have seen agency usage fall by as much as 80%. Staff satisfaction also rises when in-house teams are prioritised for shifts, creating more cohesive care environments.
Payroll and admin efficiency
Payroll errors can be expensive and undermine
staff trust. Biometric clock-ins and automated attendance records integrated with payroll systems not only ensure accurate pay but reduce the burden on admin teams. This boosts staff trust and saves hours each month—time that can be redirected toward care delivery.
Enhancing the visitor experience
With 99.5% of care homes welcoming visitors, the first impression counts. Digital visitor management systems streamline entry while improving security and compliance. Virtual noticeboards further create a welcoming atmosphere, sharing daily menus, events and staff updates that foster a sense of community.
Empowering staff and improving retention
Staff experience matters. Tools like mobilefriendly scheduling apps let employees view rotas, request holidays, or swap shifts independently. Earned wage access options, such as enabling workers to receive a portion of wages ahead of payday, help relieve financial stress, boosting morale and retention.
A foundation for the future
At CoolCare, we’ve seen real-world impact— like at Doveleigh Care, where rota admin time dropped by over 50 hours per month after adopting our software. These systems don’t replace human care, they make delivering it easier.
As the CQC places greater emphasis on digital efficiency, embracing admin software is no longer optional. It’s essential for building sustainable, people-first care environments.
To find out how CoolCare can support your care home, email info@coolcare.co.uk or call 01133 853 853.
With overseas recruitment curtailed, inclusive financial support is essential
Alex Ramamurthy, VP, Strategic Partnerships
The UK care sector is facing what Care England has called a “crushing blow” following the government’s new ban on overseas recruitment for care workers. With vacancy rates already topping 131,000, removing access to international talent further tightens the screws on a workforce already stretched to its limits.
Without the pipeline of overseas workers, social care providers must turn their attention inward: how can they better recruit, support, and retain the talent already in the UK? Part of the answer lies in financial inclusion.
Recent research from Wagestream and Care England, based on a survey of 1,700 social care employees, reveals a workforce disproportionately made up of women (over 80%) and people from ethnic minority backgrounds (25.8%). These employees are more likely to face volatile working hours, low savings, and limited access to affordable credit. One in three respondents reported that their hours “change a lot” - with ethnic minority workers almost 30% more likely to experience this volatility than their white peers.
The impact is tangible. Just 51.7% of ethnic minority care workers said they could usually pay their bills on time, compared to 62.4% of white colleagues. Even more concerning, ethnic minority workers were three times less likely to receive the state support they’re entitled to and more than twice as likely to be depleting their savings just to meet everyday expenses. Financial strain of this kind is not just a personal hardship - it affects retention, productivity, and wellbeing across the board.
That’s why inclusive financial wellbeing support isn't just the right thing to do - it’s a strategic priority. This means recognising that financial needs differ widely depending on someone’s background, so support must be flexible, equitable, and designed for real-world use. Inclusive doesn’t mean identical; it means useful, accessible, and relevant to everyone.
Providing tools that address employees’ short, medium and long-term needs - like budgeting support, payroll savings, flexible pay, and visibility over shifts - is a proven lever for reducing churn, agency spend, and improving
continuity of care. Employers like Bupa, Care UK, HC-One and Nuffield Health are already seeing the benefits.
In the absence of overseas recruitment, care providers must do more to make domestic roles attractive, stable, and sustainable. Financial inclusion is not just a workforce benefit, it’s now a workforce necessity. If we are serious about valuing care, then we must also value carers - and that starts with giving them the financial tools they need to thrive.
You can download a copy of Inclusion at the Crossroads here.
If you have any questions, feel free to contact me on alex.ramamurthy@wagestream.com
Designing for Dignity:
Rethinking the Role of the Bed in UK Care Homes
In the ongoing conversation about improving care in UK residential settings, much attention is rightly given to staffing, funding, and regulation. But sometimes, the most meaningful changes begin with the basics—like the bed.
Beds are central to care home life—not just for sleep, but for rest, recovery, and interaction with caregivers. Yet, despite their importance, beds are often treated as static pieces of equipment rather than dynamic tools that can support better outcomes for both residents and staff.
As care needs grow more complex—driven by increasing frailty, mobility challenges, and dementia—there’s growing recognition that equipment design can make a significant difference. Beds that lower to safer heights help reduce fall risks. Adjustable settings support safer manual handling, easing physical strain on staff. And more domestic, less clinical aesthetics contribute to environments that feel familiar and comforting.
At wissner-bosserhoff, we see the bed as more than furniture. It’s a platform for safety, dignity, and independence—and a tool that empowers staff to deliver better care. One example is the Movita SC, a universal, economically efficient solution, designed with both residents and caregivers in mind.
Offering adjustable height settings that promote safer sleeping and ergonomic working conditions. Designed with both residents and caregivers in mind, it offers a safe sleeping height of 25 cm to reduce fall risk and a nursing height of 80 cm to support back-friendly care. A 57 cm adjustment range allows for flexible care delivery, while automatic functions— such as comfort seat, prophylaxis, CPR, and Trendelenburg—streamline routine tasks and emergency responses.
The bed also incorporates ErgoFrame® technology, which increases pelvic space in upright and seated positions to improve pressure distribution and reduce the risk of pressure ulcers. Meanwhile, 4Safe® split side rails provide tailored fall prevention and support residents when standing. These rails are easy to operate and can be configured in multiple ways, combining safety with a warm, domestic design.
Design plays a vital role in creating a more dignified care experience. Moving away from institutional aesthetics, beds like the Movita SC embrace softer, more homely appearances. This is particularly important for residents living with dementia, helping to reduce anxiety and confusion by creating a familiar, reassuring environment.
Supporting care staff is equally essential. Ergonomic controls and smooth adjustability reduce the physical strain of daily tasks, improving staff wellbeing and enabling more consistent care. As digital systems become more integrated into care environments, beds that offer visual safety cues or interface with monitoring tools are becoming increasingly valuable—helping staff stay informed and responsive.
While no single piece of equipment can solve the complex challenges facing the care sector, rethinking the role of the bed is a small but meaningful step. It’s a reminder that innovation in care doesn’t always have to be high-tech or headline-grabbing. Sometimes, it’s about reimagining the familiar with fresh eyes.
As care homes continue to navigate change, perhaps it’s time to look again at the bed—not just as furniture, but as a foundation for better care.
Your ultimate partner in HR & Employment Law, Health & Safety and more!
Are you ready for anything? With Citation’s all-in-one compliance support delivered by people who believe in your care business, you easily can be.
HR & Employment Law – streamline your processes, save time and stay compliant with ever-changing regulations.
Health & Safety – create a safe environment for everyone with on-site inspections, risk assessment support and incident reporting.
Cyber Security – build resilience, reduce risk and stay compliant with our test, train and certify approach.
Regulatory Compliance – mock inspections, care policies and procedures and our online tool CQC Pro, all designed to keep your business up to scratch to reduce your risk of noncompliance and pesky penalties.
Let’s get ready for anything together
As a Citation client, you could be...
Less likely to face an employment tribunal claim*
Less likely to have a reportable accident*
Less likely to suffer a major incident in the workplace*
Less likely to face an enforcement notice*
Recommended by Care England “Citation has a suite of services and an unparalleled knowledge of the care sector and care business. They’re able to provide the right information in a way that other providers don’t.”
– Professor Martin Green OBE
Join over 2,600 care businesses already partnering with Citation and stay informed with the latest in Employment Law changes, CQC updates and more. Plus, you’ll get to join exclusive webinars and get support through every step of your compliance journey.
Call 0345 844 1111 or scan the QR code to see how we can help – and don’t forget to quote ‘Care England’ to access preferential rates.
Rethinking sleep: A clinical lever for better nutrition and medication adherence
Within residential care, a lot of attention is rightfully given to nutrition, medication, mobility, hydration, and activity. But one vital pillar of resident health often slips under the radar: sleep.
The truth is, sleep isn’t just rest — it’s recovery. And when care homes get it right, the ripple effects are wide-reaching.
Recent research and real-world data from UK care homes show that improving sleep can lead to significant benefits in resident wellbeing, including more stable nutrition, better medication adherence, fewer behavioural incidents, and longer, healthier stays in care.
But how exactly does better rest lead to better outcomes?
The connection between sleep, nutrition and medication
Care staff are seeing a consistent pattern: when residents sleep better, they wake more alert, eat better, and are more cooperative with medication routines.
In one example from a care home using Ally Cares AI resident monitoring, a resident receiving time-sensitive Parkinson’s medication had a history of missed and delayed morning doses. Once staff adjusted night-time checks to support uninterrupted sleep, missed and late doses dramatically dropped. The resident became easier to rouse, more responsive, and more engaged.
On the nutritional side, sleep proved just as transformative. Residents with historically disrupted sleep who began resting for longer overnight were more present at mealtimes, regained appetite, and in some cases, showed measurable weight gain over a few months.
These stories echo a simple truth: better sleep improves both physiological and behavioural readiness, making it easier for residents to eat well, take medications as prescribed, and actively participate in their day.
Why sleep Is often overlooked
Despite its importance, sleep is rarely treated as a clinical priority in care settings. Night-time checks, lighting, alarms, and environmental noise are often considered necessary for safety, but they unintentionally contribute to chronic sleep disruption.
With the average care home resident getting little more than five hours of uninterrupted sleep per night, the consequences compound quickly — from increased falls and infections to reduced cognition, energy, and motivation.
In fact, studies show disrupted sleep may shorten healthy life expectancy by up to six years and significantly increase risks of dementia, depression, and cardiovascular disease.
A quiet revolution in night-time care
New monitoring tools are now helping care teams understand sleep quality in real time — allowing for fewer disruptions, earlier interventions, and more targeted care. And the impact is clear: fewer falls, fewer hospital admissions, improved nutrition and mood, and greater resident satisfaction.
The best part? These changes often free up valuable staff time by reducing unnecessary night checks — allowing carers to focus where they’re truly needed.
This summary only scratches the surface. To explore real-life examples and outcomes from care homes actively improving sleep for residents — including detailed impacts on nutrition and medication — read the full article published by Care England:
The overlooked pillar of care: How better sleep transforms nutrition and medication outcomes in care homes
Bridging the Skills Gap in UK Social Care: How Altura Learning is Supporting a Capable, Confident Workforce
The UK’s adult social care sector is under mounting pressure. With more than 130,000 vacancies across the workforce and a 30% staff turnover rate, care providers are not only managing daily operational challenges but facing long-term sustainability questions. Amidst calls for better training and retention, Altura Learning is helping to address the care sector’s most pressing concern: capability.
Altura Learning is a trusted training provider delivering high-quality, video-based learning designed specifically for the health and social care sector. Its mission is clear: to inspire lifelong learning that improves the lives of people in care.
“We’re at a pivotal moment for UK social care,” says Paul Goudie, CEO of Altura Learning. “What’s needed isn’t just more people, it’s well-trained, confident staff who feel valued and capable in their roles. That’s where Altura comes in.”
Altura Learning offers a library of over 170 CPD-certified short courses, each mapped to key UK standards such as the Care Certificate, CQC requirements, and Skills for Care guidance. Topics range from safeguarding, medication management, and dementia care, to leadership, communication, and infection control. The short format allows care teams to learn in manageable sessions, ideal for time-poor workers juggling complex demands.
Altura’s approach combines expert-led, real-world video scenarios with self-paced assessments and reflective learning. This format ensures that staff understand not just what to do - but why it matters.
“Our video-based courses are designed to be flexible, engaging, and practical,” explains Dr Roshmeen Azam, Chief Medical Officer at Altura Learning. “They allow providers to upskill their teams quickly and effectively, while also improving
compliance and care quality. It’s about learning that sticks, so staff can apply it on the floor, straight away.”
The courses are accessed via Bridge LMS, a userfriendly learning management system that allows providers to track progress, assign personalised learning plans, and onboard staff efficiently. This is critical in a sector where time, retention, and compliance are constant challenges.
Altura Learning partners with many of the UK’s leading care providers, and is used across residential aged care, home care, and supported living services.
Goudie continues: “In an industry where expectations are growing and resources are stretched; training has to work harder. Our courses give providers the tools to build a workforce that’s not just trained, but truly ready to deliver quality, person-centred care.”
As the UK Government moves to invest more in care workforce development, Altura Learning stands out as a provider combining pedagogical expertise, sector knowledge, and technology to support the frontline.
“With the right tools, care providers can close the skills gap, retain great people, and raise the standard of care across the board,” says Goudie. “Altura Learning is proud to be part of that solution.”
