Home Care Focus 2010 by Indigo Lithoprint Ltd

THE QUARTERLY MAGAZINE DEDICATED TO HOME CARE PROFESSIONALS

homecarefocus Ceretas, 21 Regent Street, Nottingham NG1 5BS. Tel: 0115 959 6130 Fax: 0115 959 6148 E-mail: info@ceretas.org.uk www.ceretas.org.uk

n um e ut u A Iss AUTUMN 2010

Budget cuts Threat or Opportunity?

ALSO IN THIS ISSUE

• Update on Personal health budgets

• New qualifications from Skills for Care

• ‘Growing Old Disgracefully’ Up Close and Personal with Diana Athill

inside THIS ISSUE

NEWS

A word from the PAGE 28

PAGE 22 PAGE 19

NEWS 3 4 5 6

8 10 10

11 12

A Word from the Chair Budget Cuts - Threat or Opportunity Abolition of the General Social Care Council Counsel and care launch offer for local authorities to deliver information and advice to older residents Liberating the NHS Fair Care Crisis Online publication of historical adult social care ratings Football project for dementia sufferers may be extended Department of Health latest

22 Sector rife for investor interest 23 Counsel + Care news 24 New qualifications for Skills for Care 25 Transforming social care: messages for home care providers and customers 26 Malnutrition in the UK: Why worry? 27 Future Jobs Fund Scheme - Care Sector 29 Bring me sunshine

PEOPLE PROFILE 28 Up close and personal with Diana Athill 31 Care to Talk

SECTOR UPDATE 14 Sector News in brief 16 Care Association & Ceretas corporate members come together to discuss coalition implications for sector 17 Personalisation tools from SCIE 18 Personal health budgets pilot programme, the story so far 19 Skills academy CEO awards South Birmingham College first recognised training provider 20 Turning Point 21 TV actress, Linda Bellingham supports the CPBF

contact Ceretas Administration Office 21 Regent Street Nottingham NG1 5BS

tel: 0115 959 6130 fax: 0115 959 6148 web: www.ceretas.org.uk e-mail: info@ceretas.org.uk

PAGE 18

MEMBERSHIP

PAGE 32

36 Become a Ceretas member 37 Good Practice Guidelines 37 Email address request

CONFERENCES

& EVENTS

Where does the time go, I have just started my two week holiday break and, even though it’s a week earlier than usual for me, it feels like Autumn. The shops have their Christmas cards on shelves even though the schools haven’t started back yet the world of homecare appears to be unaffected by all the changes around us……or is it?

PAGE 21

33 David Behan to deliver keynote speech at ECCA conference 38 Conferences and events 39 Counsel and Care charity partner of carer’s awards 39 Events Diary Dates

There is constant speculation in the media of the level of cuts in public spending with 40% being a recurring theme. The Supporting People programme is destined for 40% cuts from 2011 to 2015, this will badly affect services to a number of vulnerable groups including older people. This will mean more demand on social services who will be suffering from cuts to their own budget during the same period. The commission looking at the options for funding of long term care will not report until July 2011, lets hope that it doesn’t become another report destined for the shelf as we desperately need a system that is fair and equitable for all.

BUSINESS

CERETAS REGIONAL 30 Investing in independence: A journey into retirement 31 The implementation of ‘personalisation’ in Liverpool 32 The Kent Card 34 Joint working: Achieving more together 35 Live-in care, an easy provision

Chair

BRIEF

27 Business news

PAGE 10

COVER STORY PAGE 4 PAGE 11

The demise of the PCTs (152) from 2013 together with the Strategic Health Authorities (10) with the transfer of commissioning to GPs was not predicted. The take up of GP fund holding has not been a great success so time will tell if this huge undertaking will be effective. In the interim although it may create uncertainty it also presents opportunities as GPs will need management support to deliver new services. Personal Health Care budget pilots are already in place, you will find more information about the pilots in this newsletter. You will also find an update from the CQC in this edition, as care providers are still unhappy with the interim plans for the star ratings. The new system for quality ratings, which are still unknown, will not be implemented until May 2011. Existing quality ratings will stay on the CQC website however many of these will have been awarded up to three years ago. This means that any service that has improved since the last award will not get any recognition at all. Surely we should have continued with the current system until the new system, whatever it is, was in place. You should make sure that you get involved in the consultation that CQC are holding about the new system. As the Great British Care Awards judging days are just about upon us I hope to meet as many of you as I can.

MARY BRYCE, CHAIR,CERETAS

! !

"#$%&$%'!()!*+,,$%'!-(./!0'+%1-2! ! !

!"##$%&'()*+,+-&'$.$'&$(,*#/$'&$0##1$

! "#$%#$&! '()! *&$! %#+,-+,.! (/! 0$11+,.! '()&! *.$,2'! ,(3! (&! +,! %#$! /)%)&$4! 2(,%*2%! 2#+#"$ 3)++,**!/(&!*!/&$$!*,5!/&+$,51'!5+02)00+(,6!!! ! 789:;<! =%5! >&(?+5$0! *! 2(@>&$#$,0+?$! 0$&?+2$! %#&().#()%! %#$! 0*1$! >&(2$00! %(! 2(@>1$%+(,6! ! "+%#! (?$&! AB! '$*&0! $C>$&+$,2$! +,! %#$! D)&0+,.!*,5!;(@+2+1+*&'!E*&$!<.$,2'!0$2%(&4! >1$*0$!2(,%*2%F! $ 2#+#"$3)++,**!(,!4567$8794$568! !

(&!$@*+1!>$%$&,)%%*11G$H+%5*6(&.6)-!! ! I3334+!5/(6$*+!7(!80,.+!-(./!! 9.*$%+**!0*!6.1#!0*!-(.!:(333;! !

:;<=>?$@+A$

Mary Bryce

$ !

3336$H+%5*6(&.6)-! !

! ! !

Ceretas Home Care Focus

NEWS

The message is not a new one and indeed we have been through an extended period of considerable efficiencies under New Labour. But even in the short time since the General Election local authorities are feeling the pain! Mick Burrows, chief executive of Nottinghamshire County Council, has reflected that the situation is still fluid, though the county has already announced swingeing job cuts in the local press. He noted that alongside the anticipated stringencies of the Spending Review, inflation is increasing whilst at the same time demands on the Council are increasing.

Budget cuts Threat or Opportunity? U

ntil the Spending Review is published October 20th 2010 the details of the Coalition’s Government spending limits remain unclear. But we do know they will be prioritising their main programmes against tough criteria in order to achieve the 20% to 45% cuts from those departments without ring fenced budgets.

Each department will be asked: • is the activity essential to meet Government priorities? • does the Government need to fund this activity? • does the activity provide substantial economic value? • can the activity be targeted to those most in need? • how can the activity be provided at lower cost? • how can the activity be provided more effectively? • can the activity be provided by a non-state provider or by citizens, wholly or in partnership? • can non-state providers be paid to carry out the activity according to the results they achieve? • can local bodies as opposed to central government provide the activity? We also know that the new administration has put reducing the £155bn deficit as its most urgent issue. The Review will provide a complete re-evaluation of the government’s role in public services and whilst we do not need to rehearse again the reasons for the 04

Ceretas Home Care Focus

financial crisis we would do well do ponder on the consequences. The reduction plan for such huge savings cannot just be about cuts but must be about finding different ways of doing things. Given the size of the savings it must be asked how frontline services cannot be affected? Mervyn King, governor of the Bank of England, has recently warned of a ‘choppy recovery’ and Philip Greene, erstwhile of Top Shop and Dorothy Perkins, has been recruited to provide an audit of spending, supporting the stated intentions of government ministers to make immediate savings - £6.2bn this year. If we were in any doubt, the recent appearance on the DirectGov website of the Spending Challenge reinforces the message where the treasury is actively seeking the ideas of anyone who wishes to ‘help us get more for less’ – 100,000 suggestions have been received so far! So we must await the detail but some decisions have been made. The Department for Communities and Local Government recently announced the Spending Review Framework which modelled what each authority will receive and how they will be able to introduce local flexibility. £1.7bn of ring-fencing has been removed from council revenue grants, leaving only the Carers grant intact, worth £256m this year. Also £74m of capital grants will no longer be ring-fenced including £30m to fund IT and information services supporting transformation of Adult Care. Whilst Paul Burstow (Care Services Minister) has confirmed that no social care grant will be cut at a national level, it is likely that the removal of ring-fencing puts them at risk of local cuts. Communities Secretary Eric Pickles is clear that there is significant scope for efficiencies through joint working between councils and between different types of public authorities across local areas.

PriceWaterHouse Cooper have convened a public opinion poll as part of their response in the Governments Consultation process. They are committed to inform the Coalition’s understanding of what citizens consider is important when deciding where the cuts should be made, whilst retaining as high a standard as possible. Their research is indicating amongst other things that Councils must realise cashable savings; be sustainable over the medium to long term; put the citizen front and centre; achieve workforce reform; manage pay; blur boundaries; restructure pensions and review contracts. They conclude that breaking down the barriers between different services and designing those services differently around the needs of users can both cut cost and improve outcomes. Recent Age UK research indicates that if cuts are applied councils with Social Services responsibilities would only be able to afford Home Care for about 500,000 frail older people compared to the million who are projected to be eligible in 2012 under current criteria. Whilst it is not explicitly stated it might be concluded that those receiving help in their own homes could be the hardest hit as Councils would have no option but to retain responsibilities for those already living in Care Homes. CIPFA has created a manifesto ‘Better Ideas Better Public Services’ that echoes what perhaps many of us are thinking: that for those in leadership these are challenging times. Leaders will have to deal with high levels of uncertainty and anxiety, listen and engage with views of the public, service users, partners and stakeholders whilst charting a course to manage strategies and actions to manage cuts that is in the public interest. CIPFA call for an urgent debate on governance and financial management in the public sector. So – we must wait until October 20th, and even after that as local Councils translate the Treasuries intentions and requirements into local decisions. We must also not forget that there will be ripples into social care from the reorganisations in Health and Education, and the shift in the agenda of the voluntary, community and social enterprise sectors. But whilst the anticipated cuts are daunting, equally we need to grasp the opportunity to work in more efficient ways. Can such significant budget cuts stimulate innovation and creativity as decision-makers have to revisit assumptions and think the unthinkable? Transforming a huge service whilst the budget is shrinking is the biggest public management task since the welfare state was created. Will David Cameron and Nick Clegg realise their aim. Will we do things differently - do more for less…only time will tell.

NEWS

Abolition of the General Social Care Council

he General Social Care Council (GSCC) is to be scrapped, with responsibility for regulating social workers transferred to the Health Professions Council (HPC).

Social workers will become the 16th profession to be regulated by the HPC, which is set to be renamed to take into account its new social care role. The move is part of a major overhaul of the Department of Health’s (DoH) arm's length bodies, which is aimed at cutting costs. Commenting on the DoH’s decision, GSCC Chair Rosie Varley said: “We were surprised

by this decision.We recognise the economic imperative behind the proposal. However discussions have yet to take place about how this will work, including the costs, benefits and wider consequences.We are seeking an early meeting with the Health Professions Council and the government.

ROSIE VARLEY GSCC CHAIR

“Effective and mature regulation is vital in building social work as a profession.The needs of those who use social work services and the professional integrity of social workers must be paramount in the new regulatory arrangements. “I’m very proud of GSCC staff who have worked tirelessly over the past year to strengthen public protection and contribute to the reforms coming out of the Social Work Task Force. We will go on building on our recent progress in strengthening both the regulation of social workers and of social work education.We will continue to work with the government, employers, universities, social workers and service users to strengthen the profession and ensure public confidence in it.”

Ceretas Home Care Focus

NEWS

Counsel and Care launch offer for local authorities to deliver information and advice to older residents

ounsel and Care, the national charity working with older people, their families and carers to get the best care and support, is today launching an offer to support local authorities with implementing the milestones requirements of Putting People First and the personalisation agenda.

October 2010 sees the second Putting People First milestone coming into place; ‘that the council has put in place arrangements for universal access to information and advice’. Counsel and Care welcomes the opportunity of working in partnership with local authorities to help develop their information and advice strategies and complement existing provision. Counsel and Care has developed a flexible offer to provide local authorities with a bespoke specialist advice and information service for older residents, their families and carers.

Inspired solutions for community care

StaffPlan Connect is a revolutionary mobile working solution enabling real-time communication between !"#$%&"'#"($!)*$&+, #$(-!++. Based on the latest NFC enabled mobile phones, StaffPlan Connect delivers live schedules and service user information to care workers, whilst providing !"#$%&'!(%""# %'(%)*(*!+%",-"!(,#.!/(,0(01$2!(/,%11(#)("!%'(,#.!3( Ê yÊ Ê ,Ê Ê Ê p yÊ Ê Ê Ê It’sÊeasyÊtoÊuse,ÊsecureÊandÊcompletelyÊnon-intrusiveÊforÊserviceÊusers.

“Ê

StaffPlanÊConnectÊisÊtheÊicingÊonÊtheÊcake,ÊtheÊfunctionalityÊisÊexceptionalÊ...Ê !"# $%&' "#&() **&+ ,#&"#'-./0(#$&)+#&1#/#2)(&-*&"#'#0,0/.&)+#0"&"-) &()" 0.+)&)-& )+#&3+-/#&4&& !!&)+#&'!0#/)&$#) 0!(& "#& , 0! 1!#&)-&)+#56&7)&0(& &* "&5-"#&#*2'0#/)& systemÊthanÊpaperÊrostersÊandÊtimesheetsÊandÊweÊwouldÊgoÊasÊfarÊinÊsayingÊthatÊ itÊhasÊgivenÊourÊstaffÊaÊlift!” -Jane Tweed, Manager, Hinckley Carer Support Scheme

The service is delivered through a professional and independent telephone advice line and through the website. Counsel and Care’s advice team also produces more than 60 information guides and factsheets. The advice provided covers a range of issues including assessment and services, finding and paying for care in any setting, housing options, home adaptations, hospital discharge and community support, benefits, pension credits and where to find further information.

Richard Ellis, Deputy Director, Adult Services at Hampshire County Council said: "Hampshire County Council is delighted to be working in partnership with Counsel and Care to ensure that universal information, advice and advocacy is accessible to all older people, their families and carers. Access to expert information and advice is a vital part of a sustainable care system, helping people to plan for the future and respond to immediate needs".

Counsel and Care is committed to delivering the highest quality of service and value for money. Evaluation, feedback and measuring outcomes are also provided through an established reporting process. Rebecca Shaw, Development Manager at Counsel and Care explains: “We recognise local authorities have different needs and therefore we have developed a flexible offer to reflect this. Our advice service can complement existing information and advice provision. We can also provide a tailored marketing plan to promote the service to older residents, using our experience to reach self funders and those not already in touch with local council services”.

Good ideas?

Let’s innovate together… At CACI we develop innovative technology to support where your business needs to go. Voted 1st for quality by ESPO, our award-winning care management software is already helping many homecare providers across the UK generate ƥ ǥ ǥǤ Ǩ

“

7&*##!&'-//#')#$&)-&)+#&-*2'#8&/-)& !-/#& (&7&$0$&0/&)+#&3 ()6” -Angela Rogerson, Senior Care Worker

Call us now on 020 8772 8773 or visit www.staffplan.co.uk

Ceretas Home Care Focus

020 8893 9039 | careprovider@caci.co.uk | www.caci.co.uk/careprovider

Electronic Monitoring: 394 Monitoring & Rostering: 394R

Ceretas Home Care Focus

NEWS

•

PCTs to be phased out by 2013 and the 10 SHAs will go in 2012

•

New consumer champion to be set up – HealthWatch England to be part of the Care Quality Commission

•

New Commissioning Board to be set up independent from Dept of Health with responsibility for managing the membership of GP commissioning consortia

•

Monitor, which monitors Foundation hospitals will become the economic regulator for health services

•

Local councils to promote ‘joined up’ commissioning locally (social care and health improvement) with councils taking over the public health role from PCTs and taking control of health improvement budgets which gives them ‘unprecedented opportunities’ to link health and social care together (budgets for public health to be ring fenced.) There will be further consultation on options to ensure that health and care work seamlessly together and plans to extend the use of powers to enable joint working.

The NHS White Paper Equality and Excellence:

Liberating the NHS 1. Introduction On 12 July the Government announced a radical pro-market agenda of reform to the NHS, shifting control of resources to local patients and professionals rather than managers and central targets. The White Paper outlines what many commentators have called the most fundamental shift in power and organisation of the NHS for decades. However, it does underline that some of the central features of the NHS will not be changed. In the introduction to the White Paper, it states that: “The government upholds the values and principles of the NHS: of a comprehensive service, available to all, free at the point of use and based on clinical need, not the ability to pay”. The NHS is considered by the coalition government as a key component of ‘the Big Society’, based on the three principles of fairness, freedom and responsibility. Central to this is the notion that the NHS will become “the largest social enterprise in the world”. In a press briefing at the launch the health secretary stated that private health 08

Ceretas Home Care Focus

providers would have a greater role in providing NHS services. “We are going to make it clear that independent-sector providers can offer services to the NHS if they provide the high-quality care we are looking for, and they can do it within NHS prices,”

2.2. Move from performance targets to improving health outcomes •

2.1 Personalisation

•

Greater choice and control for patients – putting patients and the public first (One aspect is developing personal budgets for health with pilots already up and running)

- A culture of open information to ensure patient safety

•

Money will follow the patient

Payment by performance – outcomes not just activity - Will develop new outcome goals for NHS

•

“Nothing about me without me”

- More patient control of information (care records) and input into decision making with the right to chose GPs and choices in care and treatment -

2.4. Simplification and shifting accountability and control

NHS still based on principles of universal provision free at point of use and with choice and control -

- Targets with no clinical basis or rationale to go

System to be focussed on personalised care

- Opportunities for more transparency, for patients to rate and publish ratings on hospitals and the care they get - Create a greater collective voice for patients through HealthWatch – section 2.3)

2.3. Commissioning health and social care services and local accountability •

Devolve power to front-line staff empowering professionals and providers to take more control through GP commissioning of services. (All 35,000 GPs and their practice teams will have to join consortia) This will involve £80 billion of health spend with freedom to buy in services from external agencies and a duty to promote equalities and work with local councils

•

Move to create ‘the largest social enterprise in the world’ – this is the vision for NHS, with more opportunities for staff creativity / input into management and strategic direction. ”We will radically simplify the number of NHS bodies, and radically reduce the Department of Health’s own NHS functions.We will abolish quangos that do not need to exist and streamline the functions of those that do. “ All hospitals to become Foundation hospitals with greater powers to enable them to undertake private work Plan is to slash 45% from [bureaucratic] management budgets by 2014) and to release up to £20 billion of efficiency savings by 2014 Spending on the NHS will be increased in real terms over each year of this Parliament Plan is for PCTs to be gone by 2013 “In autumn 2012 the new consortia will receive allocations “direct” for the financial year 2013-14 and from April 2013 – the date PCTs are “abolished” – it is consortia that will hold the contracts with providers.

Consortia will “need to be of sufficient size to manage financial risk and allow for accurate allocations”. This means a minimum of 100K population so likely to be 5 – 600 consortia nationally.

•

Move from structures and processes to priorities and progress – “the headquarters of the NHS will be the consulting room and the clinic

•

There will be a reduced role in the NHS for the Department of Health. It will have a strategic remit and work to implement these changes

•

New ‘health premium’ allocation formula for funds to target areas with poorest health

2.5. Social Care On social care the White Paper states •

There is no detail on how GP commissioning will work. A follow up health bill is expected in autumn. The new Commissioning Board will apparently have final say in size and membership of GP consortia. There is also some clarity needed on how councils will work with GP commissioners in their new role on integrating health and social care.

Quality standards developed by NICE to inform commissioning (will be 150 altogether. There are ones already for stroke and dementia)

2. Key issues in the White Paper •

Focus on clinical (credible and evidence based outcome measures) not targets

•

The Department [of Health] will continue to have a vital role in setting adult social care policy.We want a sustainable adult social care system that gives people support and freedom to lead the life they choose, with dignity.We recognise the critical interdependence between the NHS and the adult social care system in securing better outcomes for people, including carers.We will seek to break down barriers between health and social care funding to encourage preventative action. Later this year we will set out our vision for adult social care, to enable people to have greater control over their care and support so they can enjoy maximum independence and responsibility for their own lives.

•

The Commission on Adult Social Care to report within a year (2011) working jointly with Law Commission to reform legal framework

•

There will be a White Paper on Social Care in 2011 with a view to finding ‘a sustainable legal and financial framework by second term of this parliament’.

Union leaders are amplifying this concern calling the reforms ‘untested dogma’. In Parliament, responses of the opposition focussed on concerns over the ‘fragmentation of the health service’. Andy Burnham was concerned that with the abolition of PCTs and SHAs, there would be no proper monitoring of standards Nigel Edwards, chief executive of the NHS Confederation, said: These proposals, if implemented successfully, will recast the relationships between government, the NHS, patients and the public.This is a serious attempt at major and lasting reform in the NHS and will require considerable skill and leadership to make it work. Many people working in the NHS will welcome the principle of judging the performance of the NHS on health outcomes. But it is important to acknowledge that the clear targets set for the NHS over the last 10 years have delivered significant improvements to patient care. The transition of commissioning functions to GPs will require careful management over the next three years to ensure that the handover of responsibility is smooth and patient care is not affected. It will also be essential to avoid a talent drain from primary care trusts; now is the time for strong leadership at a local level. He goes on to say that the task of finding savings of up £20bn over the next five years, which is outlined in the document, is going to be a bit of a challenge. Paul Burstow, the Social Care Minister - stated in Community Care that local government will be in the driving seat on integration (health and social care) with a new strategic commissioning role through new health and well being boards or through existing arrangements.

4.Timeframe Health Bill

Autumn

Vision for adult care

By end 2010

Public Health White Paper

Late 2010

Many GPs know their patients and their needs well, but others don’t and there is a risk that significant numbers of GPs have neither the skills nor motivation to make commissioning decisions for all their patients. It is risky to roll this out as wholesale reform without some element of testing. (CEO King’s Fund, Chris Ham speaking on Today programme on the day of the launch)

Choice for long term conditions

From 2011

White Paper on social care

2011

GP consortia established in shadow

From 2011/12

The Kings Fund in its press response says the White paper is

PCTs abolished

2013

150 new NICE standards

2015

3. Some key comments made after the launch

The biggest shake up on the health system since the NHS was established with setting the deadline for GP consortia to be responsible for commissioning by 2013 ‘very ambitious’ It welcomes the councils role in public health and the strengthening of links proposed with councils taking a key role in integrating health and social care

Jane Minter and Sarah Vallelly Housing 21 Ceretas Home Care Focus

NEWS

Fair Care Crisis? Social care providers for the elderly are concerned about maintaining quality of services against a backdrop of rising costs and downward pressure on fees, with the majority (77%) feeling that service user expectations may be unrealistic, according to new PricewaterhouseCoopers LLP research, published recently. The report, “Fair care crisis? An independent survey of social care providers for the elderly” examines the views of over 100 domiciliary and care home providers on the current and future challenges facing the elderly social care provider market. The survey revealed a strong desire from providers to have more central and coordinated support from Central Government with over half (55%) feeling that they do not receive sufficient support in responding to elderly social care market challenges. The majority (79%) also strongly agree that Central Government needs to articulate its vision on future elderly social care. Social care providers for the elderly are optimistic that the market will grow with an ageing population, but expect greater pressure on fees (77% strongly agree) and further consolidation of the market in the medium term. Amanda Kelly, lead social care partner, PricewaterhouseCoopers LLP, commented: “These findings highlight the need for government to set clear policy and direction now to address the acute funding crisis facing the sector which could result in reduced choice and potentially lower quality of services for those who depend on social care. “The challenge for providers will be to look beyond their current plans and be more flexible in their business strategy to remain competitive. There will be clear opportunities for providers who grasp changes to their market and adapt to them.” Key survey findings also included: • The majority (71%) of care providers are concerned that there will be less choice for users. • 80% of care providers think that the quality of care services will suffer due to cost reduction measures. • Personalisation of care services is seen as having the most positive impact (70% agree), with the shifting of responsibility for care to the community seen as having the most negative impact (39%). • Care providers do not feel particularly knowledgeable about future policy direction for the market, with only 28% indicating that they know a lot about future policy and regulation, and the majority (65%) claiming to know a moderate amount. • 94% are taking action in response to market challenges, with the majority of providers focusing on increasing skills and capacity (83%), controlling costs (78%) and diversifying their activities (70%) to combat the market conditions. Amanda Kelly, lead social care partner, PricewaterhouseCoopers LLP, concluded: “As demand grows with the ageing population, a clear pressure for providers will be to continue to deliver quality care with ever increasing costs and lower fees. Providers recognise that they will need to move away from their traditional way of working and tailor their services to meet need, but service users may also need to re-set their expectations on what care will be provided. “The future of the elderly social care market depends on the right decisions being made now. Providers need to be engaged in discussions on the market’s future alongside policy makers, commissioners and service users.” 10

Ceretas Home Care Focus

THE STUDY FOUND OLD PHOTOS WERE A “POTENT TRIGGER” FOR FANS WITH DEMENTIA

NEWS

CYNTHIA BOWER, CARE QUALITY COMMISSION

Online publication of historical adult social care ratings In May Chief Executive of the Care Quality Commission, Cynthia Bower, briefed providers on changes coming to the regulation of adult social care. As part of that briefing, she explained that: • The awarding of quality ratings (the “star ratings”) through the Care Standards Act 2000 would be phased out by 30 June 2010 • All adult social care providers that carry on regulated activities are required to be registered with us under our new registration system from 1 October 2010 • CQC will be working with the sector to design a new information system for the quality of adult social care, which builds on registration • CQC will support people in accessing information between 1 October and the launch of the new quality information system IIt is a priority of CQC's to keep us informed of key decisions and plans as soon as they are made. They have now set out their approach to the online publication of historical quality ratings between now and spring 2011. On 20 August CQC published new information on their website that explains the approach.You can find this at www.cqc.org.uk/ascratings. A paper copy of this information to will also be sent to adult social care establishments. Through the course of the year, CQC will be engaging providers and commissioners of adult social care, as well as others, in our work to design a new information system for the quality of adult social care. They do not yet know what that system will look like. However, they plan for it to be closely tied with registration. They anticipate that a good track record of compliance with essential standards of safety and quality will be a measure used in the new system. If you would like to register your interest in the consultation taking place later this year, please contact our National Contact Centre: enquiries@cqc.org.uk or call 03000 616161.

football project for dementia sufferers may be extended new therapy which uses football to stimulate the minds of dementia sufferers could be extended abroad, after the success of a pilot project. Glasgow Caledonian University said showing memorabilia to men with the condition stimulated their memories in a "remarkable" way.

"At the moment, I am gathering together a group of researchers to mount a proposal to roll out the concept to other European countries."

They were able to chat about memories of players and games, after being shown photographs and match programmes.

There are nearly 25 million people with dementia across the world, with an estimated 4.6 million new cases each year.

Researchers in Canada may now take the same approach, using ice hockey.

Prof Tolson said: "By listening to men with dementia and family carers we have realised how little meaningful activity is provided for men that reflect their past passions."

Professor Debbie Tolson, director of the university's Centre for Evidence Based Care of Older People, described it as a fascinating study with impressive results. "The men's life-long interest in football connected them to their former selves and shared memories," she said. "There is very little provided specifically for men with dementia and this is a welcome and positive innovation.

The project has been conducted by the university together with the Scottish Football Museum, Alzheimer Scotland and member clubs of the Scottish Football Heritage Network. It was supported by Museums Galleries Scotland.

She said the study had shown that photos were a "potent trigger" for fans with dementia. "We are currently in discussion with potential European partners to bid for monies so that we can do research to understand the best way to help men with dementia through football reminiscence," she added.

Ceretas Home Care Focus

NEWS

Department of Health Latest First step to sustainable care and support system The first step towards creating a sustainable care and support system for all adults, that puts individuals and their families at its heart, unveiled by Health Secretary Andrew Lansley. In setting out to Parliament the terms of reference for the Commission on the Funding of Care and Support, Andrew Lansley made clear that it will consider a range of funding ideas including both voluntary insurance and partnership schemes. The Commission will be chaired by Andrew Dilnot with two further commissioners, Lord Norman Warner and Dame Jo Williams and it will report within a year. The Commission will build on the extensive body of work that has already been done in this area and provide advice on how to implement the best option. Health Secretary Andrew Lansley said: “By 2026, the number of 85 year olds is projected to double. In the next 20 years we estimate that 1.7 million more people will have a potential care need than today. We know that one in five 65 year olds today will need care costing more than £50,000, which could force many to sell family homes. The answer is clear - we must develop a funding system for adult care and support that offers choice, is fair, provides value for money and is sustainable for the public finances in the long term. HEALTH SECRETARY, “I want to build momentum on this reform and expect to ANDREW LANSLEY see legislation in front of Parliament next year. “I am delighted that Andrew Dilnot will chair the independent commission. I know Andrew will bring a powerful analysis, rigour and expertise to the debate.” The Commission will examine and provide recommendations on: • the best way to meet care and support costs as a partnership between individuals and the state; • how an individual’s assets are protected against the cost of care; • how public funding for the care and support system can be best used to meet needs; • how to deliver the preferred option including implementation timescales and impact on local government. Care Services Minister Paul Burstow said: "Urgent reform of the social care system is at the top of our agenda. The current system is unsustainable - it cannot go on as it is. The country needs a new settlement for social care. Our first step to reaching a new settlement is to get the independent commission up and running. "For too long social care reform has been a talking shop. Trade offs will have to be made but we are determined to build a funding system that is fair, affordable and sustainable." Commission Chair Andrew Dilnot said: "I am delighted to have been asked to Chair this Commission. How we best look after those who need care and support is one of the most pressing social policy challenges facing our society today. With more people living longer, we urgently need to find a fair and sustainable way to pay for the care which many of us will need. “There are not going to be any easy answers, and I know difficult decisions will have to be made. However, I am looking forward to examining all the issues, and listening to the ideas of those who have been working on care and support over the past few years. This has been a hotly debated topic over recent months. It is now my job to consider the best way forward and offer concrete recommendations to Government." 12

Ceretas Home Care Focus

Refreshing the national Carers Strategy The Government has announced its intention to refresh the strategic approach to supporting carers and will produce a clear plan of action for 2011-2015 by the end of the year. This work will build on the previous Government’s carers strategy – Carers at the heart of 21st century families and communities – and will be a crossgovernment approach. In a letter to social care staff and other healthcare professionals in July, Care Services Minister Paul Burstow confirmed both of these are still appropriate. The aim of the refresh is to focuson the activities that will have the greatest impact on improving the quality of carers’ lives and the support they receive, from April 2011 onwards. Ensuring the Government works in partnership with local authorities, the NHS, employers, local communities and carers will be a central theme of the refreshed approach. To supplement the extensive consultation the previous Government undertook with carers, the Coalition Government is asking social care staff, the NHS, the voluntary sector and others to put forward their views on the top priorities and what will have the greatest impact on improving carers’ lives in the next four years. Responses are needed by 20 September 2010. The tight timescale is necessary in order to help inform decisions in light of the Government’s Spending Review, including planning by local authorities and the NHS from April 2011 onwards. It will also allow the Government and its delivery partners to move quickly to make a difference to carers’ lives. The Government will consider the issue of carers’ benefits separately under plans to simplify and modernise the benefit system. It will also seek views separately on the extension to the right to request flexible working and the work of the proposed Commission on Funding of Care and Support. In responding to this call for evidence, organisations are asked to involve carers in formulating their responses, wherever possible and to advise them of the process so they can respond directly.

More power to the patient Patients will be offered more choice and control over their healthcare with the launch of the first direct payment scheme, Care Services Minister Paul Burstow announced recently. Eight Primary Care Trusts will begin to road test direct payments for personal health budgets. This will allow Primary Care Trusts to give the money for someone’s care directly to them, allowing individuals to decide how, where and from whom they receive their healthcare, in partnership with the local NHS. Previously, personal health budgets could only be held by a Primary Care Trust or third party. The cost of providing direct payments will come from existing funding within PCTs. Direct payments can be paid to patients in a number of ways, including monthly direct payments or a lump sum for a one off purchase such as a piece of equipment. The scheme is designed to help individuals with a range of health conditions including people with diabetes, stroke, heart disease, end of life care and mental health conditions.

'This is an important step towards putting patients at the heart of everything the NHS does. 'Direct payments have real potential to improve the lives of individuals with long-term health needs by putting treatment choices in their hands. That is why we are driving forward the commitment in the Coalition Agreement to extend access. 'There is strong evidence from the social care sector that direct payments help achieve better outcomes, and give people more choice and control over the care they receive. It also encourages a more preventative approach. It is a step away from the rigidity of the Primary Care Trusts deciding what services a patient will receive. 'Direct payments will not work for everyone or for all patient groups or services, but we want to identify whether, for whom and how they could offer an opportunity to help achieve the best health and wellbeing outcomes. That is why we are developing this pilot programme. 'It will stop healthcare from slipping back to the days of one-dimensional, like-it-or-lump-it services.'

People can use their personal budgets in a number of ways. For example, one patient who suffers from chronic pain following removal of a spinal tumour uses her personal health budget for long term, extensive massage and hydrotherapy sessions to relieve chronic pain without the side effects of painkilling drugs, drowsiness and disorientation. Another patient’s personal budget enabled him to spend his last few months at home with his daughter and grandchildren. The budget was used to provide flexible care while his daughter was at work, rather than the more traditional four times a day short visits. Piloting direct payments is part of wider programme testing personal health budgets. More PCTs will be authorised to offer direct payments over the coming year. The pilot programme will inform decisions around how to proceed with wider, more general roll-out. Care Services Minister Paul Burstow said:

Are you thinking about selling your business, but unsure of its value or what your next steps should be? Our expert team has over 30 years combined Care Sector experience and a 100% success rate in guiding the shareholders of both small and large businesses through the sales process. We offer: A FREE business evaluation and price expectation guide A confidential service tailored to your needs Management of the sales process on your behalf.

No sale - No fee basis CARE SERVICES MINISTER, PAUL BURSTOW

Contact Noel, Di or Jane in confidence on 0845 4750 120 or enquiries@phoenixbsc.com www.phoenixbsc.com

Ceretas Home Care Focus

SECTOR UPDATE

sector news

SECTOR UPDATE

Sector News in Brief

End-of-life care improving but more can be done says Minister

A new report published has found that end of life care in the UK is improving. But the Government's End of Life Care Strategy report said more can be done to ensure patients get the best care possible in their choice of setting. The second annual report showed key areas of end of life care where progress had been made, including the launch of e-learning for care workers, the introduction of the Dying Matters Coalition to raise public awareness of the issue, and a ÂŁ40 million grant for hospices. But the report highlighted a number of variations in the country - something that care services minister Paul Burstow said needed to be addressed. Mr Burstow recognised the progress in end of life care over the past year, but said more can be done. He stated: 'We need to ensure that the care people receive at the end of life is compassionate, appropriate, and gives people choices in where they die and how they are cared for. He confirmed that areas targeted for improvement include training in end of life care, and promoting best practice. Professor Mike Richards, national clinical director for end of life care, added it was 'crucial' to get it right because 'end of life care is the final health outcome for all of us'. To find out more visit www.endoflifecareforadults. nhs.uk/publications/route-tosuccess-care-homes

Ceretas Home Care Focus

Equality and human rights consultation launched today

The Care Quality Commission (CQC) have joined together with the Equality and Human Rights Commission (EHRC) to create guidance for inspectors and assessors. The guidance, created with the help of our Voices for Equality and Human Rights Group, will help to ensure robust scrutiny of human rights issues within our essential standards of quality and safety. Inspectors and assessors will be able to look to this guidance when they monitor providers according to our standards and registration requirements. CQC are encouraging people who use services, providers, commissioners and any other interested party to get involved with this consultation. Responses should be sent by 12 November 2010 To find out more visit www.cqc.org.uk/yourviews/ consultations/equalityandhu manrightsguidance.cfm

Social Care Framework published

Supporting people to live and die well: a framework for social care at the end of life was published on 8 July. It maps out how social care commissioners and providers, together with those involved in training and education, can boost social careâ&#x20AC;&#x2122;s role in end of life care for individuals and their families. The framework calls for National End of Life Care Programme to work with the Association of Directors of Adult Social Services and other partners to shape education, policy and practice. Download the framework by emailing information@eolc.nhs.uk

Valuing People Now Care Services Minister Paul Burstow has confirmed that the Coalition Government is committed to improving the lives of people with learning disabilities and their family carers. At the Learning Disability Programme Board, he emphasised the need to focus on the key priorities of improving outcomes for people with learning disabilities in employment, health and housing and on personalised services for individuals and their families.

Safeguarding vulnerable adults: awareness campaign

The DH and the Police National Fraud Intelligence Bureau are working together on safeguarding vulnerable adults. This includes a campaign to raise awareness of financial abuse of vulnerable people. Social care staff are encouraged to download and display the posters to increase awareness among health staff and the public. To find out more visit www.cityoflondon.police.uk/ CityPolice/Media/News/2106 10-protect-vulnerableadults.htm

Backing for single legal framework for adult care assessment The Law Commission plans to introduce a single legal framework for assessment were strongly endorsed as part of its consultation on reforming the law on adult social care which closed on 1 July. Respondents have strongly backed a proposal to institute a single duty to assess in law, which would be triggered when a person appears to have needs that can be met by community care services or direct payments. The commission is due to publish final plans to establish a single overarching statute for social care next April, bringing together 38 existing laws. It will be up to ministers to decide how this is taken forward. The commission proposed to maintain the existing legal boundary between health and social care, which prohibits councils from providing services the NHS is under a duty to provide.

However the Law Commission's approach had not adequately addressed the interaction between health and social care and some health laws would also need to form part of the review. The commission's final report will be published on 28 April 2011 after the government asked for the date to be bought forward from the summer.

PA Register The PA Register is an innovative online product that supports the personalisation agenda - matching the variety of needs within a local community with available help from personal assistants More individuals need to seek out and secure their own source of support directly. Opportunity Links is launching the PA Register to provide an online service that will enable the public to search for and book local support services. The PA Register will match the variety of needs within a local community - from someone requiring an hour a week for help in the garden, to 24 hour care with services available from personal assistants. The Register will also provide an online marketplace for personal assistants, so that they can update their details and promote their services - while giving local authorities a tool to manage and maintain records and create reports. For more information visit www.opportunitylinks.co.uk

New Dementia & Sight Loss Interest Group Launched!

As part of National Eye Health Week (14th-20th June 2010),VISION 2020 UK are pleased to announce the launch of its new Dementia and Sight Loss Interest Group. Details of this new Group are found below. If you would like to join it, please go our homepage (http://www.vision2020uk. org.uk), click on Interest/Workgroups & Committees, log-in using your email address and password (there is a password reminder if you require it), scroll down to "JOIN Dementia and Sight Loss Interest Group" and double click on this link. Obviously, as the Interest Group matures, more documentation etc. will be added.

Commissioned by the Department of Health (DH) and the National End of Life Care Programme to support the National End of Life Care Strategy (2008), e-ELCA has been developed by the Association for Palliative Medicine of Great Britain and Ireland in partnership with e-LfH. Employers registered with the NMDS-SC will now have access to a user registration code that is available when logged in to their individual online account and which will allow them to register for access to e-ELCA. For more information about how to access the user registration code, visit http://www.nmds-sconline.org.uk/help/Category. aspx?id=1266

New e-learning available for NMDSSC users Skills for Care is now offering free access to e-End of Life Care for All (e-ELCA) for adult social care employers registered with the National Minimum Data Set for Social Care (NMDS-SC). The new access in partnership with DH e-Learning for Healthcare (e-LfH) is a free and innovative e-learning resource that aims to enhance the training and knowledge of all those involved in delivering end of life care. The website offers more than130 easy to use and interactive e-learning sessions covering all aspects of end of life care including assessment, advance care planning, symptom management and communication skills. Ceretas Home Care Focus

SECTOR UPDATE

Personalisation Tools from SCIE Betty lives with Eric.This may be the scene in any house in the country, but this couple have had to face the challenge of dementia. By providing services that fit around Betty and her condition, domiciliary staff provide care and support so that the couple can stay in the family home where they’ve lived for nearly seventy years. The workers have to balance Betty’s support needs with Eric’s wishes and his right to be the principal carer. It would be easy to assume that the former is more important than the latter and this can be a delicate and challenging care situation. However, the workers have in place systems of mutual team support; they also have an open exchange of coping strategies.This means that workers have mechanisms for addressing these care issues and for providing quality care at home. (Watch Betty and Eric’s story on Social Care TV, providing care at home for people with dementia).

REPRESENTATIVES FROM CARE ASSOCIATIONS & CERETAS CORPORATE MEMBERS AT THE HOUSE OF COMMONS

Care Associations & Ceretas Corporate Members come together to discuss coalition implications for sector

n 20th July 2010 temperatures soared in London whilst the sun shone on the London Eye & Westminster Abbey. In between lies the House of Commons where Ceretas was delighted to chair a luncheon hosted by Lilian Greenwood MP & sponsored by Boots, bringing together Ceretas corporate members which included care providers, both large & small, and care associations from around the country. This was a most appropriate setting to discuss the implications for the care sector of a new Coalition Government. David Behan, Department of Health's Director General of Social Care, was invited by Ceretas to share his view of the future of Social Care following the change of Government. 16

Ceretas Home Care Focus

David Behan advised that there would be a significant shift in policy. The clues were in the 3 White Papers that will be produced over the next two years & the Structural Reform Plan giving the first five objectives to be delivered: •

A Patient Focused NHS

•

Better healthcare outcomes not process driven services

•

Accountability Framework with Economical Monitoring

•

Public Health Service

•

Social Care Reform

These objectives along with the Clegg-Cameron statement identify the focus of reform. The Government will produce three white papers, two by the end of this year for NHS and Public Health and a further white paper within 2011 for the Future of Social Care. David also stated that with a 25% reduction in resources the ‘game changes’ and we need to consider how we can work together to ‘change the game’. A debate regarding the Care Quality Commission and the abolishment of the star ratings was also a hot topic for the day. It was widely agreed that the sector should continue to work closely together and form one voice bringing together partners and communities with different levels of expertise. One guest stated that the white paper produced in 62 days was a remarkable achievement and that Local Authorities de-commissioning services demonstrates the sense of urgency of what needs to be done. David Behan stated that they have no option but expressed concern that Local Authorities will cut the 25% off everything rather than looking at the model. A general debate ensued on how Ceretas may, whilst the memento is high, identify an opportunity to collaborate and share best practice working closely with Care Associations and its corporate members. David Behan stated that Ceretas and the Associations should, ‘Be clear on what you need to compete on and what you need to co-operate on’ i.e. quality kite marking, workforce development,

and then begin to influence. This will be for the long haul, maybe ten years. The Sector needs to strike up the conversations as the policies in which we operate are changing dramatically. The Government are looking for good ideas and practices for collaborative working. Local Authorities are also being given the same message to start looking at collaborative working.’ The Care Associations were unanimous in their aspirations to be the vehicle to disseminate good practice and to stimulate creative options for service delivery, but there was a varied picture of their current success in the cross-fertilisation of ideas, either at local or national level. There was debate on the benefits of understanding what works well and why, and positive examples from representatives were highlighted. These benefits would be enhanced by bringing together communities and developing partnerships with Trade Associations. Mary Bryce, Chair of Ceretas, summed up the discussions by reflecting that there needed to be more joined-up thinking within the sector and this was supported by Martin Green, Chair of the English Community Care Association (ECCA) advocating that change needs to be motivated by the sector. Ceretas and ECCA will go forward to act as ‘communicators’ to ensure a clear message is sent to the new Government in the early stages of policy development and in order to influence policy for the longer-term. Mary Bryce said,

Betty and Eric are just one example of where personalised care has made a real positive difference. This is why the Social Care Institute for Excellence (SCIE) says that personalisation must be at the heart of social care services. However, personalisation means thinking about public services in an entirely different way – starting with the person and their individual circumstances rather than the service. Getting this right takes times and is not always easy. That’s why SCIE offer a range of support services for those providing care services across the UK, including a rough guide to personalisation, and the Social Care TV films in which Betty and Eric star. One of SCIE’s most practical personalisation tools is their e-learning resources. These can easily be used by social care managers to provide training to care staff, giving them an introduction to personalisation and tips and advice on how it can be put into practice. All staff have to do is log onto the SCIE website and complete the training programmes, each lasting between 20-30 minutes. Of course not everything will be answered and learnt in half an hour. One of the main benefits to managers and their staff of SCIE’s resources is their ability to spark debate and discussion. To aid these discussions across the sector SCIE now hosts the Putting People First website. PPF is an online hub of information, news, events and resources for social care staff, providers and councillors. The website includes a forum for networking and debate, and managers and staff can sign up to receive the PPF e-bulletin. Resources like PPF are extremely important to ensure topics like personalisation are kept at the forefront of the social care profession. Social care managers are facing a difficult time as they try to do more work for less resources, meaning it has never been more important for the sector to share ideas about what works and what doesn’t. SCIE’s Good Practice Framework offers an online portal for capturing these good ideas, and sharing your examples with others. The framework brings you through a series of questions to help you assess your practice or plans.You can also search the site for other examples. We’ve redesigned the site to

“It was widely agreed that the lunch had been a useful starting point with approximately 40% representation of the domiciliary market in attendance. It would be important to encourage others to join the networking group with the purpose of bringing Care Associations and Corporate Members together with providers across the country. We are even now a big voice but we can be bigger!”

make it easier to use so go on, take a look!

For more information about forthcoming implications for the sector or to become a Ceretas Corporate Member contact info@ceretas.org.uk or call 0115 959 6130

Find out more: www.scie.org.uk/ www.puttingpeoplefirst.org.uk www.scie.org.uk/socialcaretv Ceretas Home Care Focus

SECTOR UPDATE

SECTOR UPDATE It is believed that personal health budgets could give patients a better experience and better care by giving them as much control over their healthcare as is appropriate for them. The main aim in introducing personal health budgets, however, is to support the cultural change that is needed to create a more personalised NHS. This is a very different way of commissioning services with many complexities to work through which is why the NHS are piloting personal budgets, and evaluating the work that the pilot sites will do.

What a personal health budget involves People can design their personal health budget to suit them, with help, advice and support from family, friends, professionals and third sector organisations if they want it.

The story so far...

pilot programme involving around half the primary care trusts (PCTs) in England is underway to test out personal health budgets in the NHS, building on experience with personal budgets in social care. A personal health budget is an amount of money allocated to a person with an established health need. It enables people to have more choice, flexibility and control over the services and care they receive.The pilot programme is looking at how best to implement personal health budgets, in addition to exploring who would benefit most from them. Twenty of these PCTs have been selected for an in-depth study, as part of a wider evaluation exploring the potential of personal health budgets to benefit different groups of people and how the NHS can make them work. 18

Ceretas Home Care Focus

At the heart of a personal health budget is a care plan, the agreement between the PCT and the individual that sets out the person’s health needs and desired outcomes, the money available to meet those needs and how this money will be spent. Regular reviews of the care plan and monitoring of how the money is spent is important. The money should meet the full cost of the agreed care plan, and the plan should be agreed by both the individual and the relevant professionals.

How a personal health budget can be used People can use their personal health budgets in a number of ways. For example, a patient who suffers from chronic pain following removal of a spinal tumour uses her personal health budget for long term, extensive massage and hydrotherapy sessions to relieve chronic pain without the side effects of pain-killing drugs. Another patient, who needed 24/7 care after a series of strokes, was able to spend his last few months at home with his daughter and grandchildren. A personal health budget was used to provide flexible care for him while his daughter was at work, rather than the more traditional four times a day short visits.

There are different types of budget Personal health budgets can be held in three different ways (or potentially a combination of them):

• a notional budget: the PCT holds the budget and purchases the services or products agreed in the care plan, but the individual knows what the budget is; • a third party budget: where the money is given to an independent third party such as an independent user trust, who buys the services or products agreed in the care plan; or • a direct payment (in approved pilot sites), where the money is given to the individual and they buy the services or products agreed in the care plan themselves. PCTs can already offer notional and third party budgets. Regulations have now been laid to allow direct payments for healthcare in selected pilot sites and currently, twelve sites are testing direct payments under this arrangement.

Skills Academy CEO awards South Birmingham College first Recognised training provider

Chief Executive of the Skills Academy, Liz McSheehy said “I am delighted to be visiting South Birmingham College to present them with their Certificate of Recognition which signifies a real achievement, highlighting the college’s dedication to maintaining high levels of training standards in this sector.”

Integrating health and social care Personal budgets will allow greater integration of health and social care. Many people who receive both health and social care could benefit from a joint single budget – which brings together both funding streams and enables people in partnership with professionals to find ways to meet their needs in a holistic and personal way.

The Skills Academy’s endorsement framework launched in May this year and comprises two levels, Recognition and the Excellence Award. This quality assurance framework is designed to be a continuous improvement tool for providers, as well as enabling social care employers to consistently choose and purchase high-quality training that lives the values of excellent social care. The endorsement framework is the embodiment of the Skills Academy’s aspiration to make social care a career of choice, with excellent training underpinning the excellent work done by people in the sector.

Evaluating the personal health budget pilot The Department of Health has commissioned an independent research team to look comprehensively at the impact of the pilots. The evaluation will focus on effects on individual outcomes, behavioural changes of patients and NHS staff, finance, system effects and implementation. The full evaluation is due to be published in October 2012, with the first of a series of interim reports published in July 2010.

How to find out more about the personal health budgets pilot programme If you have an interest in personalisation in health, please visit the Learning Network for the pilot programme, www.personalhealthbudgets.org.uk The website is a source of news, stories and resources about personal health budgets, and a platform for you to engage in discussion with others who are interested.

In July 2010 South Birmingham College became the first provider of social care training in England to achieve the Skills Academy’s quality assured status as a Recognised provider. South Birmingham College’s Assistant Director of Health and Social Care, Moira Mees, said “we are thrilled to be the first training provider in England to gain Skills Academy Recognition, and really appreciate the Skills Academy Chief Executive taking the time to personally present us with the award.”

L – R: SKILLS ACADEMY CEO LIZ MCSHEEHY, SOUTH BIRMINGHAM COLLEGE PRINCIPAL GLYNIS NICHOLSON AND SKILLS ACADEMY BOARD MEMBER JERRY GARRETT

Moira Mees added “We are deservedly proud of achieving Recognition and of the high-quality training we provide. In the current climate employers need to be certain that when they spend money on training their employees will achieve the outcomes they expect, and our Recognition status means employers know they will get this with South Birmingham College.”

Ceretas Home Care Focus

SECTOR UPDATE

LYNDA BELLINGHAM

TURNING POINT

Health and Social Care organisation, are celebrating 25 years of working in the mental health sector this year. Their Director of Mental Health Services, Zelda Peters talks through some of the challenges and highlights.

SECTOR UPDATE

TV actress, Lynda Bellingham, supports the CPBF

ne of television’s most beloved actresses, Lynda Bellingham, has shown her commitment to UK carers by becoming the Care Professional Benevolent Funds (CPBF) newest Patron. Standing alongside the likes of June Whitfield and Fiona Phillips, the Loose Women star is keen to help promote the CPBF so it can continue with the tremendous support it already offers.

ZELDA PETERS, DIRECTOR OF MENTAL HEALTH SERVCES TURNING POINT’S FORMER PATRON, PRINCESS DIANA VISITING IN 1992 I am incredibly proud to be in the role of Director of Mental Health as we move through our 25th year of providing person centred mental health services. There have been significant developments in mental health over the last 25 years; the move from hospitals to residential care services, then to bringing people back into their own communities and now further progressing towards empowering individuals with their own personal budgets. At Turning Point, we have enjoyed the challenge of moving and adapting to these changes and although in the world of health and social care, contracts come and go, two of our services, Edward House and Alfred Minto House, have been with us for the full 25 years. Edward House has an interesting history. The first residents that arrived there in 1985 were transferred from a long stay ward at the Royal Oldham Hospital psychiatric unit. The then manager was a nurse who worked on the ward. She brought four residents out to see if they could manage in the community. The service model worked well and Turning

Ceretas Home Care Focus

Point’s former patron, Princess Diana even visited herself in 1992. However, mental health theory and practice has gone through a lot of changes since then and Edward House has changed a great deal as a result. Not only has the service been refurbished but the way they do things is also very different.

user involvement. It is of key importance that we continue to provide the opportunity for the people we support to influence the direction, design and delivery of our services and we were particularly pleased when our Pendelbury House service in Manchester was singled out by the CQC as an example of good involvement practice.

Edward House, and Turning Point as a whole, have adapted an entirely personcentred approach over the past 5-6 years. The result is that staff spend much more time with our clients now, who themselves lead more normal lives and have more opportunities as a whole. People have told me they can see a real difference since we have moved to this way of working.

In recent years, Turning Point has also designed and delivered new and innovative service models along the entire care pathway; from our low level intervention IAPT model, Rightsteps through to our forensic services and independent hospitals. Now we look towards the next 25 years, we must focus on reducing the stigma of mental health problems at one end of the scale and unlocking acute care at the other. We look forward to working with others within the mental health sector in order to achieve this goal.

We now understand that contemporary mental health must focus on improving outcomes for everyone by reducing inequalities and stigma and increasing social inclusion. Our recognition of the importance of the recovery process for every individual means that we must ensure we can measure their progress and the effectiveness of our services. We have worked hard to put in place the robust outcome tool ARROW, which I know will enable us to do this effectively moving forward. Over the last 25 years, we have also come to recognise the true value of service

This isn’t the first charity Lynda has been involved with, highlighting what a caring person she is, not lost on the CPBF which is dedicated to supporting carers in times of financial hardship. Lynda’s effect on the CPBF has been immediate as she has publicly backed the Charity’s ‘Mad Hatters’ themed tea party event as well as being enthusiastic about all areas of the Fund. Lynda was delighted to have been approached by the charity with regards to her patronage and had this to say about the very worth cause: “I was very pleased to be contacted by the CPBF and more than happy to become an ambassador because of the tremendous support they offer to carers nationwide. Having sadly lost my mother to Alzheimer’s and with my birth mother currently suffering from this frightening disease, it has given me a insight in to the brilliant and wonderful work that these people do on a daily basis to make others’ lives a lot more comfortable. As a supporter of the Alzheimer’s Society already, I thought this would be a perfect opportunity to give back to those who care for Alzheimer patients as well as carers from all walks of life. I want to help increase the recognition and support that carers receive which is why I am whole heartedly backing a charity that can help make this happen.” The CPBF is the registered charity for the care industry and is dedicated to helping current, former and retired care professionals who, through no fault of their own, have fallen on hard times. This is normally in the form of grants enabling individuals to purchase essential equipment to improve quality of life or to prevent debt arising in times of crisis. By offering small pockets of financial support the CPBF is able to truly make a huge difference to people’s lives. Those associated with the CPBF are said to be extremely happy and proud by the support pledged by Lynda and hope that this, as well as the fantastic support it receives already, will catapult the fledgling charity to the next level. Charity workers outlined that it is the least that UK care workers can expect. Having given so much time themselves to looking after others, it is about they were safe in the knowledge that there is support for them should they ever need it. For further information about the CPBF please visit our website at: www.cpbenevolentfund.og.uk

Ceretas Home Care Focus

SECTOR UPDATE

Future Jobs Sector rife Fund Scheme for investor – Care Sector interest

ANDREW NICHOLSON, PARTNER HEALTHCARE CORPORATE FINANCE, KPMG LLP

Do you want to get more high quality people to think of working for you? Does your organisation have unmet needs that could be catered for by creating vacancies through the Future Jobs Fund? ECCA and Acas have successfully bid to manage a Future Jobs Fund (FJF) scheme to employ 90 young people aged 18-24 in the care sector in London. This scheme offers a great opportunity to care organisations and we are now calling for expressions of interest for new vacancies for FJF job candidates.* The scheme offers you the following benefits: • £2,500 for each young person you employ • Free pre-employment skills training for eligible individuals so they come to you with the right attitude right from the start • Free management training for care managers working directly with the young people worth up to £1000 per person delivered by Acas • HR and admin support from ECCA To participate in this scheme you should be able to offer job seekers: • A job placement of at least six months • 25 hours of work per week • Supervision To discuss the scheme further please contact Maria Patterson, Project Manager, on 020 7492 4844 or maria.patterson@ecca.org.uk. * Vacancies should be for additional jobs and should not include personal care roles.

s a £5 billion market1, it is no surprise that the UK homecare sector has recently been attracting significant investor interest. KPMG Corporate Finance has advised on several of the recent landmark transactions in the sector including the sale in 2009 of Claimar Care Group plc and Lyceum Capital’s acquisition of Carewatch Care Services in 2008.

Housing 21’s acquisition of Claimar last year fundamentally realigned the pricing for businesses in the market. At a price of c.8x EBITDA, this was well above the expected valuation, but Housing 21’s bold bid was followed by Mears paying a similar multiple for Supporta and Saga has recently offered c.9x EBITDA for Nestor as confidence has gradually returned to the market. This level of pricing indicates the strong interest of operators and investors in the sector, with further domestic and overseas investors being keen to enter the market. Under the new administration, the domiciliary care market looks certain to continue to grow and develop its product offering. The previous government began the personalisation agenda which promised to radically transform the way in which domiciliary care was procured and provided; the precise shape of this personalisation in the various segments of the domiciliary care market remains to be seen. Whatever course the government takes, however, it is likely to mean further change; my advice to domiciliary care providers is to remain flexible, provide a high quality, value for money service and try to grab the opportunities that come from all this change.

Any providers who do not receive their Notice(s) of Decision by 1 October, but who submitted their application within the timescale we gave them, will be able to continue to operate legally after this date. If anyone has genuinely attempted to meet their deadline but failed, we will look at their case on its merits.

We have recently published specific guidance on registration for domiciliary care and nurses agencies. This can be found on our website at: http://www.cqc.org.uk/_db/_documents/RP_PoC2A_100804_20100726_ v1_00_NA_and_dom_care_guidance_FOR_PUBLICATION.pdf As part of their application to be registered under the new Act, providers are able to apply for one or more person(s) to be registered as a manager, so long as they are already registered managers under the old Act. If the provider hasn’t yet done this, a manager can contact us for a declaration form that they should complete and return.

The current environment presents challenges and opportunities to market participants. Local authorities are finding themselves under increasing budgetary pressure which they are endeavouring to pass onto operators, and commissioners are becoming ever more focused on care outcomes. To protect and grow profit, many operators are seeking to develop higher margin and more defensible positions in higher acuity services and to exploit the potential of technology in the home, for example through telehealth. Investors, attracted by the market’s positive dynamics and its fragmented structure are seeking to consolidate rapidly; in June this year Core Capital and Ashridge Capital invested in Ark Healthcare, an acquisition vehicle to consolidate the sector. Ark immediately acquired AG Care, Breslin Care and Mac Caring, all based in the South of England. Meanwhile Enara (backed by August Equity), City & County Healthcare (backed by Sovereign Capital) and Carewatch (backed by Lyceum Capital) continue to acquire smaller operators.

Domiciliary care agencies are among the 13,000 adult social care and independent healthcare providers who we are working hard to register by 1 October.

We are working to identify any providers who have not yet been placed in the process, and any that have not heard from us should get in touch immediately.

As a result of our close involvement with the sector we regularly speak with operators, investors and funders who are in the market or are keen to enter it. They are attracted by the scale of the opportunity, the different potential growth routes (such as live in care, private pay, supported living and complex care) and the solid dynamics underpinning market growth including the UK’s ageing population, the relative cheapness of domiciliary care in some instances compared to residential care and the preference of many people to live at home.

counsel + care news

Almost all domiciliary care agencies in England have now submitted their applications for registration under the Health and Social Care Act 2008, and many will have already received their Notice(s) of Decision from us.

Quality ratings CQC stopped awarding or reviewing quality ratings (‘star ratings’) on 30 June this year. However, we are still carrying out urgent inspections where we consider there may be serious risks to people using services. This could result in a revised rating.

BY DR LINDA HUTCHINSON, DIRECTOR, CARE QUALITY COMMISSION

We now need to design a new information system on the quality of adult social care, working with providers, commissioners, the Association of Directors of Adult Social Services (ADASS) and people who use services and their carers. This will provide information about the quality of registered services for people who use and commission them, to help them make choices and decisions. We hope that it will also help to motivate providers to improve the quality of care. The new information system will work alongside registration and compliance monitoring. We anticipate that the system will take into account a provider’s record of compliance with the essential standards of quality and safety, and any regulatory action we have taken. We will launch a formal consultation on our proposals over the coming winter, and of course we hope Ceretas members will contribute. So what will appear on our website pending the development of the new system? For each service that has an existing quality rating, we will display the rating, the date it was given and the inspection report, along with an explanatory note. For unrated newly-registered services we will explain why they have not got a rating. From 1 October, we will also refer people to the service’s registration status for an up-to-date picture of its performance.

For updates on registration and other matters, you can sign up to our monthly email bulletin via the CQC website: www.cqc.org.uk/newsandevents/newsletter.cfm If you have any queries, please contact our national contact centre on 03000 616161 or enquiries@cqc.org.uk.

– Laing & Buisson, includes hourly, live in and supported living care and private pay market Ceretas Home Care Focus

Ceretas Home Care Focus

Does

SECTOR UPDATE

New qualifications from Skills for Care

Mark, can you use montage of black and white

The current leadership and management in care services (formerly the Registered Managers award) and the Health and Social Care (HSC) NVQ level 4 will become a combined qualification called Level 5 Diploma in Leadership for Health and Social Care and Children and Young People Services. Learners will then complete one of six pathways dependant on their job role. The difference in levels reflects differences between the current framework and the QCF. This qualification will also be launched January 2011. All existing qualifications will be recognised at an equivalent level, so those staff who are qualified will not have to repeat their qualification. The new qualifications and credit framework (QCF) gives the flexibility to link units studied into relevant qualifications as appropriate, and in some cases will also allow non-accredited prior experience and knowledge to be taken into account. This is formally known as recognition of prior learning (RPL). It is a term used with the QCF to ensure learners do not repeat learning. The RPL system allows certificated and un-certificated learning to be recognised, providing it meets the learning outcomes of the units. Further information should be sought from individual awarding organisations.

Structure of health and social care diplomas at level 2 and 3

A whole range of new qualifications are currently being developed by Skills for Care in partnership with awarding organisations. This is an employer and sector led process designed to meet the needs of employers. There will be many different units that reflect what workers should ‘know’ and ‘do’ which make up a number of different qualifications.

Group A – 9 mandatory units across England adults, Northern Ireland and Wales

What is changing?

This includes a range of both specialist and generic units

The current Health and Social Care (HSC) NVQs level 2 and 3 will be replaced by Health and Social Care (HSC) Diplomas at Level 2 and 3. These will be launched in January 2011. There will be options to take a generic HSC Diploma or a specialist dementia pathway or learning disability pathway, which will allow learners to tailor their learning to their job role. The current learning disability qualification (LDQ) will not exist on the QCF. The learning disability pathway will provide a new way for learners to gain contextualised knowledge and skills around supporting individuals with learning disabilities.

Ceretas Home Care Focus

Personal development Equality and inclusion Role of health and social care worker Person-centred support Handling information

Communication Duty of care Safeguarding of vulnerable adults Health and safety

Group B - made up of knowledge only units that offer the learner the opportunity to undertake units that form either a generic or specialist learning disabilities or dementia pathway. There is a choice of units and these are stipulated in order to achieve the appropriate pathway.

Group C - provides the learner the opportunity to take a variety of competence units that reflect their job role.

Total credit for Health and Social Care Diploma level 2 = 46 credits or more Credits from Group A = 24 credits Combined credits from Groups B and C = at least 22 credits Total credit for Health and Social Care Diploma level 3 = 58 credits or more Credits from Group A = 28 credits Combined credits from Groups B and C = at least 30 credits Further updates and information, including footage contained on our new DVD, can be found on our website: www.skillsforcare.org.uk/qcf

Transforming social care: messages for home care providers and customers

Lastly, home care agencies have the advantage of managing the very things that worry many older people; insurance, holiday pay, disputes and payroll. Evidence from research is that this is very important to older people and their family. For people with public money to fund their social care, options are increasing in number. Some will want their personal budget handled entirely by a care provider; some will want to spend their Direct Payment in several ways. What they may wish for is a care provider who understands these complexities of funding but also understands that care at home is best when it is highly personalised.

JILL MANTHORPE SOCIAL CARE WORKFORCE RESEARCH UNIT KINGS COLLEGE LONDON

t is three years now since the government announced that it was intending to put personalisation at the centre of its thinking for social care services. While governments may change, this policy looks set to survive and the implications for home care providers are unfurling. Transformation suggests overnight change however.The transformation of social care is taking much longer.

Home care providers are already seeing greater numbers of people wanting to make their own arrangements and using public money (from local councils) in the form of Direct Payments to do so. While some people are employing their own care workers, many are also going to home care providers to seek staff on a regular or intermittent basis. There are three points for home care providers to think about here if they are not already doing so. First they need to be able to give people a quick indication of what they will get for their money if they employ a member of staff working for them. For example, they might be able to guarantee that the staff will have received training, some of it in specialised areas. They should be able to say that they have taken up and verified references and conducted CRB checks. They can say that they have a complaints system and that they will replace staff, if they can, if relationships do not work out satisfactorily. Second, home care providers can provide certain assurances that they will cover when things go wrong, for example they will send someone if the care worker is unavailable, on holiday, or sick. They will want to say what their terms and conditions are for emergency care and for times when more or less is needed.

Putting People First • • • • •

leading recruiter in the sector over 15 years experience specialist in the social care market retained relationships with service providers care coordinators through to senior management and directors

If you are a service provider seeking strategic long-term people solutions we can search and select the ideal individual, tailored to your specific requirements. If you are an individual seeking a new challenge we will take the time to listen to you. All conversations are in the strictest confidence. T: 07956 19 60 63 E: sanjay@cityworx.co.uk T: 07889 77 10 52 E: charmain@cityworx.co.uk www.cityworx.co.uk

Recruitment Specialists

Ceretas Home Care Focus

SECTOR UPDATE

Malnutrition in the UK: Why Worry? Malnutrition is a significant problem in the UK, both in terms of cost and increased demand on health services. The annual cost of malnutrition is estimated to be more than £13 billion and over half of this cost is in those aged over 65 years. The huge cost of malnutrition (nearly twice that of obesity) can be explained, in part, by the large number of people affected; more than three million. Although malnutrition is widely acknowledged as a problem in people in hospital, the reality is that 93% of those at risk of malnutrition live in their own homes or care homes. There are many reasons why a person can become malnourished. These include chewing and swallowing difficulties, illness and lack of awareness of the importance of nutrition (this includes the person, their carers and family). Consequences of malnutrition include loss of muscle mass, increased risk of falls, increased risk of infections, poor wound healing, greater

BUSINESS BRIEF risk of pressure ulcers, depression and reduced quality of life. Studies have also shown malnourished patients have 65% more GP visits, 82% more hospital admissions and 30% longer hospital stays.

prescribable ‘sip feeds’ and referral to a dietitian. Regular monitoring is a vital part of good nutritional care and ensures any changes in nutritional status are picked up and the care plan is adjusted accordingly.

Numerous factors influence the prevalence of risk of malnutrition. Dependence level has been shown to be an important factor and as dependence increases so does the risk of malnutrition. Studies report a prevalence of malnutrition of 12-14% in sheltered housing, 22-36% in residential homes and 35-46% in care homes. Similarly, age has been shown to be associated with malnutrition risk. Older people are at particular risk, with one in seven people over the age of 65 at risk and this increases with advancing age. Due to the adverse effects of malnutrition, identifying and treating those at risk is of high importance and carries a significant potential for cost savings and improvement in patient outcomes and quality of life.

Improving nutritional care and giving appropriate nutritional support has numerous beneficial effects for those who are malnourished. These include improving individuals’ nutritional intakes, weight, strength and mobility, aiding recovery from illness and surgery and reducing health care use, such as hospital admissions.

Nutritional screening is the quickest and simplest method for identifying individuals at risk of malnutrition. The ‘Malnutrition Universal Screening Tool’ (‘MUST’, developed by BAPEN, www.bapen.org.uk) is a simple 5step screening tool to identify malnutrition. This tool is widely used to identify adults of all ages and in any setting (at home, in hospital, in care homes) who are thin and/or unintentionally losing weight. Screening is the first part of the care process and once someone is identified to be at risk, an appropriate nutritional care plan needs to be started. The care plan depends on a persons nutritional risk and may include advice on choosing nutritious foods, explaining the importance of good nutrition, the use of oral nutritional supplements including

For further information: The ‘Appropriate Use of Oral Nutritional Supplements in Older People’ document has been compiled by a panel of health professionals who are experts in the area of malnutrition or are involved in the care of older people. The document has been reviewed and endorsed by the National Nurses Nutrition Group (NNNG) and the British Association for Parenteral and Enteral Nutrition (BAPEN) as well as the British Dietetic Association (BDA), the Nutrition Advisory Group for Older People (NAGE) and the Parenteral and Enteral Nutrition (PEN) Group. The document is available to download from www.nutricia.co.uk. The BAPEN website (www.bapen.org.uk) has further information on the Malnutrition Universal Screening Tool ‘MUST’.

Dr William Cook PhD RD Research Advisor

Business Brief ARK HOME HEALTHCARE has received funding of £17.5m from Ashridge Capital and Core Capital to purchase three local care providers in the South of England. Care and staffing providers AG Care, Breslin Health & Social Care and Mac Caring, are now part of Ark Home Healthcare’s businesses in the domiciliary sector. Ark is led by chief executive Mark Lavery, former managing director of Allied Healthcare, and Chairman Dr Mike Sinclair, founder of domiciliary care provider Lifetime Corp in the US. ENARA acquired Bespoke Care Solutions Limited based in Bournemouth which provides domiciliary care services. CAREWATCH CARE SERVICES has secured a new £45m debt facility from Barclays which will be used for further acquisitions. Carewatch was acquired by Lyceum Capital from the Nestor Healthcare Group in October 2008 with the support of Barclays Corporate. Since then, the business has made 12 acquisitions. Andrew Aylwin, partner, Lyceum Capital, said: “The new enlarged facilities will allow us to continue our proven acquisition strategy and we have a strong pipeline of opportunities that we wish to explore.” LIFEWAYS COMMUNITY CARE has acquired Autism Solutions Limited, based in Devon, a provider of support solutions for individuals with autistic spectrum conditions and similar complex needs. Its offering will complement Lifeways which provides a wide range of personally tailored services for people who need ongoing social care support. CCS CENTRAL has been the subject of a management buy-out for an undisclosed sum. The buy-out was led by Steven and Graham Smith of CCS Central (trading as Complete Care Services) from former director and shareholder, John Teather, who has remained as a consultant to the business. CCS Central, based in the West Midlands, are providers of domiciliary care services to local authorities and private clients.

Ceretas Home Care Focus

CARETECH HOLDINGS has recently made three acquisitions, all for undisclosed sums. St Michaels Support & Care (provider of support for young adults with learning difficulties and mental health problems), Greenfields Care Group (operator of care homes) and Outlook Fostering Services (provider of fostering services). PLC RESULTS CareTech Holdings plc has announced its interim results for the six months ended 31 March 2010. Revenue has increased by 5% to £41.4m and profit before tax has increased by 32% to £7.6m. Nestor Healthcare Group plc has announced its half year results for the six months ended 30 June 2010. Group operating profits have increased by 35% to £5.9m. The highlight is the Social Care business which has delivered growth, both in revenues and margin, resulting in a 42% increase in its profits. APPOINTMENTS Mike Adams has joined the Board of CareTech Holdings as a non-executive director. Mike is the Chief Executive Officer of the Essex Coalition of Disabled People and a former non-executive director of the Mid Essex Hospitals NHS Trust. Mike Parrish, CEO of Care UK, has been appointed as a trustee for the NHS Confederation which represents over 95% of public healthcare bodies in England and companies providing healthcare services on behalf of the NHS.

Andrew Durbin is a partner in Smith Cooper Corporate Finance, the Midlands based advisor to acquirors and vendors in deals of £2m to £25m. For more information, email andrew.durbin@smithcooper.co.uk or call 01332 374419.

Ceretas Home Care Focus

PEOPLE PROFILE

Up Close and Personal with...

Diana Athill ‘Growing Old Disgracefully’ ‘Book after book has been written about being young... but there is not much on record about falling away,’ says Diana. At the age of 92, Diana Athill is suddenly a celebrity. Her frank and entertaining memoirs, mainly written after the age at which most people retire, chart a life less ordinary. Diana was a publisher all her working life, then took to writing herself: five volumes of memoirs that included some rather steamy affairs. Her latest book, Somewhere Towards the End is about old age and approaching death and won the 2008 Costa prize for biography. “At first I thought there wasn’t much to say about growing older except that it’s bloody. Seventy is the beginning of being old, I felt really old when I was 80 and really really old when I was 90.” What she calls the ebbing of sex comes in the late sixties. “Rather a relief, not going to bed with anyone any more. One has the chance to enjoy men for other reasons.” Recently, she has chosen to go into an old people’s home, where they take people ‘who have had interesting lives’. As part of the BBC’s ‘Imagine’ series, Diana met with Alan Yentob to discuss her life, her work - and her outspoken thoughts on death. Here she talks to Ceretas with her inimitable candour that is so prevalent in her memoirs. • Having watched the documentary about yourself, what did you make of it?! I was cross because they cut a lot that was important to me, about a cousin and my beloved nephews – but getting in everything they had filmed into an hour was impossible, so I had to accept that. On the whole I thought they had done a great job. Looking at it felt like watching “her” and not “me”, which was odd. • Becoming something of a literary celebrity later in life, was it a great benefit being older and wiser? And what lessons did you learn from the writer’s you had previously known in your life? Being older helps because, while having success is pleasant, it doesn’t seem really important- one is past being given a swelled 28

Ceretas Home Care Focus

head! Lessons learnt – Too many and various to be described. • What is the best thing about being an older person? No longer minding what people think of you. • ..and the worst? Aches and pains • What have your experiences been of being a carer yourself? Looking after my mother (a bit) and my partner (quite a lot) proved that when you have to do something, you find you can do it and in the end you are glad you did do it. • If you knew then what you know now, what advice would you give to your younger self? Try to believe that when sadnesses happen, that you will get over them, because you do! (not that one’s young self would have believed it) • What is your perception of social care today? That I’m unusually lucky in hitting on absolutely first rate care (non profit making so comparatively inexpensive) because a good deal of care fails to overcome many of the formidable difficulties that are entailed. • Was it a difficult decision to move into residential care yourself? The decision just seemed sensible. When it came to actually doing it it was very painful. Once done – what a surprise – I loved it!!! • Who has been the biggest influence in your life? My first love. Although it ended in sadness, I was young enough to be shaped by his attitude to life, for which I’m grateful. • What has been your biggest challenge in your professional life? Overcoming my reluctance to do any part of a job that I found boring • What has been your biggest challenge in your personal life? I’ve always felt that things happened to me rather than that I made them happen, so I don’t seem to think in terms of challenges.

IMAGINE: DIANA ATHILL AND ALAN YENTOB

• What do you consider to be your greatest achievement? Having written and had published 3 books since I turned 80, the last of which is becoming a bestseller. Although those books do feel as though they “came to me” rather than were “achieved”.

Bring me

sunshine....

• What is your favourite film and why? Some like it Hot – never fails to be funny no matter how often I see it.

TAKING VITAMIN D SUPPLEMENTS CAN SIGNIFICANTLY REDUCE FALLS AND PROTECT AGAINST DEMENTIA ONSET.

• Nature or nurture? What has the biggest influence on living a long healthy life? I think that the two interact in ways so complex that you can’t tell.

Older people with low levels of vitamin D appear more likely to have problems with memory, learning and thinking, suggesting low vitamin D could give an early warning for dementia risk a recent research has shown.

• Would you regard yourself as a feminist and do you believe women have achieved equality in your life time? I’ve always been more or less a feminist, though not an aggressive one. In my lifetime equality has become a good deal nearer, but it has not yet been reached. • Do you have any regrets? I wish I’d seen more of the world. The little bits of travel that came my way have meant so much to me that it seems very silly not to have made myself opportunities for much more of it. • What decade did you enjoy most in life and why? From 10- 20 and from 40-50 – both because of Love. • If you were stranded on a desert island what would be your one luxury item and why? Pen and Paper – that way I would always have something to do. • If you had a magic wand, what is the one thing you would change about social care today? Make everyone engaged in it truly wise and kind. I think that it is the nature of the people caring that matters the most to the cared for – though of course the structure within which the carer is working is very important, as it does so much either to enable or to inhabit wisdom and kindness.

Researchers of the Peninsula Medical School at Britain's Exeter University, studied 850 Italians aged 65 or older and found that those who were severely vitamin D deficient were 60 percent more likely to experience substantial general cognitive decline, and 31 percent more likely to experience problems with mental flexibility studied 850 Italians aged 65 or older and found that those who were severely vitamin D deficient were 60 percent more likely to experience substantial general cognitive decline, and 31 percent more likely to experience problems with mental flexibility. About a third of over 65s will fall at least once a year - with many of these fracturing bones. Bone fractures are a particular risk for those with brittle bones caused by osteoporosis. Indeed, osteoporotic hip fractures almost always require hospitalisation and major surgery - the outcome of which may be prolonged or permanent disability, early care home entry and, even, premature death. Scientists say that older people can reduce their risk of falls by as much as 20% if they take high daily doses (17.5 micrograms) of vitamin D. It is also now known that taking vitamin D supplements in middle age can provide protection from the risk of Alzheimers and other forms of dementia in later life. A major source of vitamin D is exposure to sunlight. Apart from the often lack of outdoor activity of older people - particularly in our long dark winters - the capacity of the skin to absorb vitamin D from sunlight decreases significantly as the body ages. To address this problem, people from middle age would be well advised to take a vitamin D supplement. Vitamin D also, of course, supports good bone health, whilst low levels of vitamin D are linked to greater risks of dying from cancer, heart disease and diabetes.

For more information see www.archinte.ama-assn.org Ceretas Home Care Focus

REGIONAL

Investing in Independence: A Journey Into Reablement…

CaretoTalk? The implementation of ‘personalisation’

in Liverpool

By Leicester City Council

eicester City Council has a long history of providing services that promote independence, for example intermediate care within the community and in residential facilities. Recognising the benefits of this approach the Council has started to mainstream reablement as a first response for people in need of care and support. A new approach to domiciliary support was launched in September 2009.

Its Reablement Service currently supports individuals that have recently been discharged from hospital, setting personal targets for improvement, encouraging people to regain lost skills and so better maintain their independence. The results make for impressive reading: around half of the people who receive the Reablement Service have no need for any further care input after six weeks, and all of these individuals have maintained their independence in the period following their discharge from the Reablement Service. Under more traditional home care schemes people can quickly settle into a system of receiving long-term care; old skills are lost and their independence is reduced. Their care needs at the time of crisis often determine the degree of input that they will receive into the future. If a person needs a very intensive package upon discharge from hospital, then this is what they can go on to receive with the dependence on care providers being maintained. The Reablement Service offers a shorter-term intervention with progressive reductions in care input as the individuals relearn old skills and start doing more and more for themselves. Consequently, the degree of dependence in the majority of cases will fall. The roots of Leicester City Council’s project lie with the work of its Intake Team. This team provided short-term tailored care packages upon hospital discharge, before reassessing needs and finding a suitable long-term care package, should one be necessary. This complemented an intermediate care service that provided support to people who had been identified as having the potential to increase their independence. This service had input from NHS therapy staff and clearly made a big impact on those people it supported. There was a feeling that criteria for accessing intermediate care, based on perceived potential to increase independent living skills, were diverting people who, if given the benefit of this approach, could indeed become less dependent on care provision. The Council initiated a six-month pilot using short term funding to introduce an Occupational Therapist and a Physiotherapist to the Intake Team. As hoped, care packages reduced in size more than under the regular system; service users were less likely to need long-term input and the outcomes were even more positive. The Council and NHS Leicester City were committed to working in partnership to build an approach that was truly integrated and which addressed the wider factors that can impact on independence. NHS Leicester City commissions the Occupational Therapists and Physiotherapists, who are part of the care team. Dedicated care management staff work alongside care provider staff, to ensure a whole team approach to reablement and assessment of future needs. 30

Ceretas Home Care Focus

This means that there is clear communication and familiarity with the cases across disciplines, which aids support planning. In designing the Reablement Service, a Handy Person Service was incorporated, with the result that keysafes and adaptations are delivered quickly with no delays in starting the service. A full-time worker specialising in assistive technology is also attached to the Reablement Service, and quickly identifies where new technology would be of benefit to the service user. Some of this is used, in conjunction with the LeicesterCare monitoring scheme, to alert our 24-hour Response Team in cases where rapid intervention is required. Of course, there were challenges to overcome. By their nature, care workers are quick to do tasks for vulnerable people, stepping in to help with little things without even thinking about it. It’s how they are, and it underlines the selfless qualities needed to be a compassionate care worker. Special training sessions were delivered which outlined through role-playing activities how we wanted the mindset to be changed, and acknowledged to the care workers’ that we knew that it was a huge culture change for them. A second challenge was delivering a model that involved partners from several different backgrounds. All viewpoints were taken into account. There have been real benefits for all partners in adopting this approach Overcoming these challenges was worth the hard work. Our service impacts the lives of vulnerable people and it is this impact that we continuously monitor. Since launching the Reablement Service, we are now accepting all referrals from two of Leicester’s three acute hospitals. There hasn’t been a single delayed discharge in this client group, meaning that the individual is safely back at home as soon as possible instead of unnecessarily waiting on a ward. Benefits are being carefully tracked both for individuals and for organisations. 50% of our service users stay at home without needing a traditional care package after six weeks – they have fully regained their independence to the point that there is no need to provide any continuing package of support. 30% regain enough of their skills to require less help, and a reduced care package is provided. 20% have required ongoing support at the same level as upon discharge. In other words, the ‘default service’ approach that characterises the Reablement Service results in 80% of cases showing increased independence, demonstrating that most people can improve their own quality of life if given the opportunity and encouragement to do so. The Reablement Service really works and many people are better off for it. In addition to the personal benefits, there is also a financial factor to consider. Reducing our intervention by promoting independence not only increases the service users’ quality of life – it also generates substantial savings into the future. At a time of fiscal austerity, Reablement Services are evidently an effective way of reducing cost pressures for the long term. For further details please contact: Jagjit Singh Bains, Head of Service, Intermediate Care, Leicester City Council, Contact No: 0116 221 1555, E-mail: jagjit.singh-bains@leicester.gov.uk

REGIONAL

Q A

I am a care worker employed by one of the big national agencies but they can’t offer me any more hours. As my husband has recently lost his job I need to earn more. I have seen an advert for a Personal Assistant:The help required is the same as I am trained for & the hours could be easily combined with my other job. Is there any reason why I shouldn't apply? No.This situation is no different than anyone else having 2 jobs.You will need to be clear & careful about your pay, tax & National Insurance: you will need to ensure that shifts & holidays don't clash & that you can indeed ensure a break every so often as care work can be tiring & stressful. All your guidance & traing will apply regarding confidentiality, data protection, health & safety etc. but you will also need to be aware that you have TWO employers. As such there there may be some differences in your day to day work as people employing PAs are not obliged to require NVQ or any formal training, & may have their own requirements & expectations of how & when support should be provided. Also whilst local authorities encourage people to apply good employment practice when using their Individual Budgets this is not obligatory so you may need to make other arrangements for career development, advice, supervision, help following ill-health & so on, that is provided by operational managers working for local authority or private sector providers. So, go in with your eyes open but this could be an ideal opportunity for you.

iverpool City Council is to consult on the biggest transformation of adult social care for more than 60 years - enabling it to provide support for far more people. A new system called ‘Liverpool Cares’ is to be introduced, based upon a successful personalisation programme which has increased choice, promoted independence and improved the quality of life for vulnerable people. It will focus the council on meeting people's individual needs and support them to live independently, rather than them having to choose from a rigid list of care services. The move follows the introduction of Putting People First, a government initiative which has already led to a huge number of people opting to use direct payments to choose for themselves the type of care they want to receive. By 2011, more than 4,000 people will be doing this in Liverpool, which means there has been a huge drop in demand for in-house services such as day centres. To bring social care up to date and tackle excess capacity and duplication, a root and branch review of the council's in-house social care service is also being launched. It will cover everything from home care to day centres, supported accommodation and residential care. Under the new-look service, 12 day centres and three residential care homes will be amalgamated to become six new 'Health and Wellbeing Centres' in neighbourhoods across the city. The six centres will be split into two different types: • Three round-the-clock centres in the north, centre and south of the city providing a total of 85 intermediate care and crisis beds offering rehabilitation free of charge for up to four weeks, followed by home based support

•

Three community 'hubs' in the north, central and south, open 12 hours per day, 7 days a week. They will provide intensive health and social care support for people with complex needs and placements for people coming out of acute care. One to one support will be provided with help and guidance around employment, leisure activities, housing, training opportunities and much more. They will also be a place for people to meet and hold events

The intermediate care beds will be aimed at preventing deterioration and to ensure that people do not end up becoming institutionalised in residential or nursing accommodation permanently, or end up being admitted to hospitals. Instead, they will be given intense support through rehabilitation so they can return to living independently again - known in the social care profession as "re-ablement". The role of the workforce will change, with staff in the in-house service increasingly becoming advocates to support and promote independence for the user, rather than doing the work for them. A team of "person-centred planners" will be created, to work in the community, assessing the needs of people and working closely with them on a one-to-one basis to support them to identify and secure the care and support they want. New people coming into the system with moderate care needs will be assessed and supported to find the most appropriate services, sometimes these may be provided by other organisations. An annual review will be introduced for all people who currently receive moderate care, during which their needs will be re-assessed. They will then be fully supported and assisted into alternative and personalised services. A full consultation on the in-house service review will be launched in the next few weeks involving people who receive care, their carers, staff, partner organisations and the unions. Ceretas Home Care Focus

REGIONAL

CONFERENCES AND EVENTS

What are the pros and cons of Kent Card? The Individual (Service User)

It was on a cold but clear day on Tuesday the 6th of March 2007 that I and many others were invited to the official launch of Kent County Councils latest initiative:

The Kent Card

1. Service user control and empowerment. 2. Service users are able to add their own contributions as well as other sources of funding. 3. Can be used for a wide range of services and activities from the traditional to the more innovative, dependant on the individual and the desired outcome eg:-Domiciliary Care, Day-Care, Respite, Transport andselected social activities such as gym or football club membership.

Cons Not suitable for all individuals especially those with memory loss problems. (This could be offset if the card can be used by a responsible individual or family member. The use of Power of Attorney maybe useful here.)

The Providers Pros

But what is the Kent Card and why was it thought to be necessary? To understand this we need to look at the history of Direct Payments and the dawning of Personalisation.

1. Receipt of funds within 4 working days directly to the bank account. 2. Payment can be made over the phone. 3. Improved cash flow and reduced requirement for financing. 4. Being part of the KCCâ&#x20AC;&#x2122;s Preferred Providers List.

Direct Payments

Cons

Direct Payments have been available since the Direct Payment (1996) Act. This gave local authorities the power to offer cash payments to people so that they can secure their own services. Since then Direct Payments have been extended to people with a range of impairments and of any age. In April 2003 it became unlawful NOT to offer a Direct Payment after a community care assessment and in Kent this is now the default position.

1. Set up time can sometimes be lengthy. However I am sure in time this will improve. 2. Higher Percentage Transaction Fee. With normal credit cards a percentage of 1.5% per transaction is not uncommon. With Debit cards a set fee is charged per transaction e.g. 35p With the Kent Card and Commercial Cards the Transaction charges are higher KCC has negotiated a lower fee with the Royal Bank of Scotland and as the card is more widely used then charges will reduce further in relation to turnover. However it is a consideration for providers especially in these difficult financial times.

How does Kent Card Support Direct Payments? The Kent Card is loaded with the individualâ&#x20AC;&#x2122;s direct payments and in doing so provides a new, convenient and secure way of receiving these funds. Cardholders are able to top up the card with their assessed contribution or additional money they may wish to pay for their services/support/care. The Kent Card is not a credit or debit card but is described by Kent as a VISA Card it actually works in the same way as a Commercial Card. The Card carries a variable amount of money based on the amount loaded onto the card. The individuals direct payment and the assessed contribution. Each time the card is used the purchase amount debited from the available balance. KCC has a responsibility to make sure that financial resources are spent appropriately. The Kent Card was therefore chosen as a product that will best meet the needs of individuals and the KCC as it provides detailed blocking facilities and detailed management information which is not available on personal card products such as debit cards. All policy and procedures are the same as for direct payments. The Kent Card provides the tool for simplifying the financial management of direct payments for the individual and designated KCC staff, making the auditing process easier.

How does Kent Card work? The card is easy to use. Each time an individual needs to make a payment towards the cost of their care they just present the Kent Card or quote their card number over the telephone remembering that for a face to face purchase they will have to enter their four digits PIN. The value of the payment is then deducted from the amount of credit on the card. People cannot spend more that the available credit on the card.

The Kent Card in 2010 It is 3 years since the launch of the Kent Card and there are now nearly a 1,000 cards in circulation now.

The Future As the Personalisation agenda takes shape over the next few years the use of payment by cards will increase. In Kent we are already seeing an increase in the use of all types of card and I predict this will become a large part of the market. Kent is also at the forefront of developing close working relationships with Health and has instigated a pilot looking at Personal Health Budgets. They will also be examining the potential of the Kent Card as a method of payment. The Kent Card is here to stay and helps people to take control of their own needs and lead an independent life. It also embraces the principles of self directed support where the individual knows how much money is available to them and has as much support as required to spend their direct payments to meet their needs. It also helps the County Council to do this in a responsible way.

Andrew Saunders Chair of The Kent Community Care Association

Ceretas Home Care Focus

diary event

Pros

17 November 2010 Holiday Inn, Bloomsbury, London WC1.

David Behan to deliver Keynote Speech at ECCA Conference

he English Community Care Association (ECCA) is delighted to announce that David Behan, the Department of Health's Director General of Social Care, has agreed to deliver the keynote speech at this year's ECCA conference.

This completes the speaker line-up, which also includes Paul Allen, Chief Executive of the Abbeyfield Society, Liz McSheehy, Chief Executive of the National Skills Academy, and Professor Alistair Burns, National Clinical Director for Dementia Under the title 'For better or for worse?', the Conference will take a close look at integrated commissioning - and ask whether health andsocial care can ever be happily married! Interactive workshops and seminars during the afternoon session will cover a range of business and care-related topics - designed to provide both practical advice and to help Care Services to develop their own strategies for effective care provision in a time of financial restraint. The Conference will also feature an exhibition of products and services from leading sector suppliers.

To book a conference place, visit the ECCA website at: http://www.ecca.org.uk E-mail: conference@ecca.org.uk. Or call 08450 577677

Ceretas Home Care Focus

REGIONAL

Joint working: Achieving

more together

Background Local authorities, providers and taxpayers alike are each bearing the brunt of this challenging economic climate.The private sector has been experiencing the reality of the economic downturn for some time but the public sector is only now entering the eye of the storm. In these uncertain times, joint working will be crucial. Local authorities, support organisations and providers must stand shoulder to shoulder to ensure value for money is delivered and services for vulnerable members of the community are protected. With this in mind, Surrey County Council and Surrey Care Association Ltd (a not for profit organisation established in 2005 to support local providers in the independent care sector) have worked increasingly closely over the last 12 months to develop a strong working relationship to support the delivery of quality services, as well as the development of businesses within Surrey.

The benefits The benefits of Surrey County Council and Surrey Care Association working together to support and engage the market have been numerous. The Council’s communication strategy has been supported by the Surrey Care Association, whose existing communications framework (newsletter, member mailing list and network meetings) has been well utilised. The two organisations held a successful tender information event in May 2010. This event updated providers as to the rationale behind the tender process as well as to the strategic direction the Council is moving in. It also served as a forum to offer support to

those interested in participating in the tender, with Surrey County Council’s e-sourcing expert providing guidance. Providers in Surrey reported it was a “not to be missed” event and whilst providers who were already engaged with SCA valued the opportunity, it also attracted others who had not previously participated in network meetings. Their feedback was very positive and they realised immediately the advantages of engagement and all benefited from the wider perspective they gained as well as practical guidance to assist with the tender. Surrey County Council’s communication strategy for this year’s tender (of which the tender event held in collaboration with the SCA was part) has proven successful and has resulted in an overwhelming response at both PQQ and ITT stages creating a truly competitive procurement process. By engaging with, and stimulating the market, this has also benefited the providers involved. The transparent and consistent way of working has allowed for a fair and even playing field to be established. Attending provider network meetings has also facilitated knowledge sharing allowing providers to remain up to date with industry information and making them aware of the support available from the Surrey Care Association. Encouraging joint working has also enabled providers to listen and respond to comments from Surrey County Council representatives, and has promoted reflective practice. Attending networking forums and participating in procurement processes has encouraged providers to consider how they do business, identify areas for improvement and gaps in the market and to formulate innovative solutions to fill those gaps in order to demonstrate the quality service they can deliver.

Conclusion Utilising and building upon existing communication and networking channels has facilitated a three way flow of information between the Surrey Care Association, the Council and providers, which has benefited all involved and supported the current tender exercise. Continuing to work collaboratively and looking for constructive and innovative solutions is likely to be a strong way forward.

Live-In Care An Easy Provision? The live-in market is competitive and the way services are now publicly commissioned means that live in providers need innovative ways of attracting privately funded individuals to use their service. Movement towards specialism of live-in services means great things for the end user but continues to mean challenges for the provider, challenges which include whether the specialism chosen can generate sufficient interest to be viable and how training can be identified and secured. Success will be found by the providers who are progressive thinkers and who go the extra mile in assessing the basics above and beyond what is imposed on them by the NMCS. They will think more laterally about issues such as the workers ability to lay a table, cook a meal and embrace social graces. These factors are less important when delivery of a service is confined to 1 or 2 hours per day but are essential elements of the success of the live-in care model.

So what does a good model of live in care & support look like? 1. It gives equal consideration to the person in receipt of the care, their loved ones and associates along with the care worker 34

Ceretas Home Care Focus

2. It provides meaningful and effective training 3. Supervision is continuous and robust 4. It is holistic in its delivery of care and recognises that the success of the provision is not in isolation to the provider but is a team effort 5. It takes the time to match the care staff personalities to the recipients 6. It offers an alternative to nursing home care even for people with more complex needs because the provider agency has appropriate skills mix / works closely with healthcare professionals like community nursing teams

Then there is the matter of family dynamics because where family live in the home there’s potential for a compromise of privacy. Issues of how to do things can also put strain on relationships between care worker, the person using the service and family members. For a person living alone there is also the danger that even with a live-in care worker present, social isolation can occur. The good news is Live – In Care is rewarding and enables many less able people to remain where they want to be - at home. As a provision of service however ....it’s not for the faint hearted!

7. It offers a cost effective solution when measured against 24-hour daily support

Erica Lockhart

8. It offers flexibility for the people using the service

Chief Executive, Surrey Care Association Ltd

For the consumer of the service there are many considerations that must be made. From a practical perspective, the recipient must as a minimum: • Have a spare bedroom • Be able to afford to feed the care worker • Have the money to pay for the running of the house in addition to the fees • If 2 care workers are required there will be a double the cost implication OR a need for additional support from a 2nd worker Ceretas Home Care Focus

MEMBERSHIP

Become a

Ceretas Member By becoming a member you can help us, help you and our sector as a whole!

MEMBERSHIP

Ceretas Aims • To promote best practice within all Home Care Sectors. • To raise the status of Home Care. • To help all staff working in Home Care to be recognised as professionals in their field. • To offer advice and information on all aspects of Home Care. • To assist in the identification and promotion of workforce development of expertise in the sector. • To promote discussion and debate with all stakeholders involved in Home Care Services. • To influence thinking that may result on legislative changes and the development of Government Policies.

Special

Offer!

• Individual Direct Care • Individual Management • Organisational

2 for1!

Which category is for you..? Membership Categorisation There are three levels of membership. The information set out in the next column is for you to determine the level most suited to your needs.

Individual Management

e tic ac Pr es d elin o Go uid G

This membership covers such organisations as Home Care Providers within local authority, independent and voluntary sectors. It is also appropriate for commercial providers, including IT companies, consultancies or training providers who support the aims and objectives of the organisation.

For more information, e-mail heather@ceretas.co.uk or call 0115 959 6130

e hom re at al ca sion ofes g pr me otin ho prom at

s e ta c e r e

g tin mo pro

re ca al ion fess pro

Ceretas publishes Good Practice Guidelines which are issued to new and existing members as well as being purchased by nonmembers. Highly regarded in the industry, they are referred to in the Appendix to the National Minimum Standards for Domiciliary Care. Tick the relevant boxes opposite to take advantage of this Special 2 for 1 offer.

ntia

tiaDem

£25.00

for the full set 1. Caring for Staff 2. Control of Infection 3. Dementia 4. Elder Abuse 5. Food Hygiene 6. Managing Absence 7. Medication, Assistance with 8. Personal Safety for Home Care Staff 9. Professional/Personal Boundaries 10. Staff Support, Supervision and Appraisal 11. Full set of all Good Practice Guidelines Special Offer price £5.00 for two. Normal price £5.00 each. Please make cheques payable to Ceretas.

Name: Organisation Address

Special Offer price

ers . work 2 or 3 Care Level me Q s Ho S/NV ch a ut not rs su e , rk b er wo port uired) eith sup q Care in full and re re d me are (whe s Ho chieve re n ct c ha suc ) and a t Ca in dire ductio , c rt e In ery po uired : Dir loyed PSS eliv sup q TO ed iate mp , and re re Affil ose e pleted of th 5 years er’s are (whe th g ent n ct c For g com em t least Mana re in dire ductio in a nag d Ca In d hav ma ry for tere ect PSS loye r the indust g Regis : Dir emp ted TO /o ll e e nd Fu ied r 3. n a d in th alifers those omple r 3. are r io is c Fo ct C erv ploye ally quork l 2 o l2o ing Dire Care. sup m w hav Q Leve ber ent the een e pation are Leve V em Home b gem d in cu S/N C Q ll Mr in ana mploye st hsave be oc oefrsFuithence :M me S/NV e r d rk rie o ire e e o Full ose e re. Muri and/o er H t qu xp ll a gole th y oth tion, as t no tus re re awrs efu For me C o ef ro r an anisa o ch u sta eaye in rg rs’, o of H ectivaet Q 4. su de)ebt the ave fiv e C ed are ry e o CS/NV r t, m e h m iev al c elisveof th rship. irresp p poo nqout ir nt and s Ho ach rm rd l i e e , p a fo a ’s b tiv d rAshw dividu wdhsouhaednrearegeme such a) anssdionals,a‘innd obf jethrceFu5 llyeMaersnmager f the o fo t be Full: Individureablsaenr(M a s d fe es o Care t, w aim ueanlift y leas d M ctiv l or rirepro in e a em For ll tMcemtion ividuauppr othqeu ort the /or eqm obje Hom mon t re re pp r a te s and s asare com nies, e r Fuec uc Ind and g tes fo sM ar o dir Indiate: ip aronud heesreto su nefits ana y fo egeis aim isation t C are a . ompa sh t C tr in R c n S e h c h th o s re w o a m b S u ogrt rg re wireh a IT c ct ed APss bers are wis( the the indsupdpe ch o tionrsD ceh Cas ire loy TO mem t lcwhotion uire Ce naolr isthhe to lifieover su anisa bers su : D mp ted A ividireuca dnuoct req e Hom rg evm w uald c ationd/ in te le ind d oSeIns u ry o r n, ia se e mp ro id in anis n sawheo d is llw re d in y oq lunta iceullpM fil e ut d Org atio PS the tio vo Af r tho co a rv F nc los.y Th te: Ca ye b TO is isio pta y o isa ons and rcial se of erie re atiie Fo ving ct plo ted ssocia orgapnervCeem an an e d e A. m and or org . snu oef n ucthuporit comm rs. uire exp ha Dir e e ple or 3 pen to tio ng e l ac lso a e bea s O t nisth ruiti rs rs’, the hip m ll: vide q e c becom Fu r tho co vel 2 in ersv,elocbe otas. A g pro tus re yea are of bers ofthre eonrga t c g re d s in a o e l m e vid /oCr e train F vin Le waysof ff atore nvel tha n Fee a tive em sta e fiv ge lopy roust hwith r tive veusr stea Ca le tio o rm d o e a c M ha NVQ s y p va v n , ti omt at m insistra Mim a nc an m nfo bje ull inno t th ha forcyo m mie S/ M e e are. aroolensulta ee nd co Adan s ls, ‘i d o mroFre yingobejess aares Hse s ll: fc t m nt aount iona aenkinligfy fo der pa d fe t themp nre Fu r tho e C e o 4. o a u n s n o si ip o n s h c o c s reimse utacon c Fo Hom ctiv VQ erss ha to meis atidis o s IT do e eD l roferseaa h/oyr nqo memabim ble nis wh as of spe S/N ua ho mag th rpploye our thebeoarga ons uch r t aff, nwd id lsowluan eme ost irre ard s M a p ts a ough woorut ld ahl enoth apre d h ati div V Aw In idu ber e uw fomr e C uacr. nis ers an su ns?efiAlth y, weppg Ye timid iv m ll: u in er s rga vid e Ho s toerebta t: g e divingute one toJosin v o pro Fu r ind Me At a m C e aitin om t e e o In r ro f in e ho th e fo al thhe c ry e : n-lincru c Fe Fo Full teretahip bewrsis irva e lu bnle inwis uld nta rvic in o f re be l tha on or o lu e ti n jo u o to e a tio o cia emrsemhosenqts u ca ressa:ys taff lev istra so mb l w ret re appislica s wh his w d vo ial s p s yo , A me uare no h is an n . T an rc a in.uk dd w r s ip ersh wing a tive you t attaAs.domrg s hic Org atio tas es me rs. A ivid ew b m r is re riti om e se re : va me e follo ind t do os c vid re cet the te an f Ce U ing n6oAAg fo foa@ th bu o ctauth Also pro regard us at cia org nta C2inB ayainil: in es un ct . ingtion so to tin o al ore Er -m n W p ip fe isco a As pen Ciso onta a loc tas rm ndog m d 001 e h foain .uk or c O an ers, Ceerer in rn Lo in 1 1 sid ers to r tr t: oslbo 0 s7e8e4k con mb ble h rth y otas.org t H org vid r itfu 2 a t y e ea 0 a n o ncere s w ltwa.c pro Fo -lin gswou Fax: are y n ur m be w u h rs ld on 8 Kin i1sc aim w 060 ns k ye f, w h o ou ar. s 8 1 join co ereta 784D plo staf oug e w Ye rg.u C m an ss: 020me lth y, w ing e c s.o re l: re A n a u d Te u in reta l yo ad he C s? one Jo ce ip, g Vo time wHomeCeretafor min the @ rsh owin A fo e f e g o A a le mb foll 2B 6 il: in At tainin ers valu cab a me t the C re emb ents ppli W E-m ing a m pres is a rd us on 1 ga ct nd 00 re ich Us tion reconta rn Lo 841 1 wh t 7 a or lbo 0 ac k Ho : 02 nt form .u Co rther intas.org gsway0 Fax r fu ere 8 Kin 106 Fo w.c 8 41 w s 8 w 7 reta 0 Ce l: 02 Te

It is recognised that some managers and supervisors will only just have arrived at management status after a number of years of providing direct care or undertaking other roles within the sector. You should be aiming to qualify within 2 years of appointment and this may be, but is not limited to the following qualifications: NVQ Level 4 or 5 in Management, Registered Managers Awards, Certificate in Management Studies, (CMS) Diploma in Management Studies, (DMS) Degree in Management or MBA.

Organisational

s reta

e actic d Pr s Goo ideline u G

You will be employed in the sector providing direct care. You will have undertaken the appropriate employment checks and have ies successfully completed an induction programme that meets with rship Categor e b em sM Skills for Care Principles (where required) you should have or etabe Cer working towards F/NVQ Level 2/3 in Care.

Ceretas Home Care Focus

Order Form

Ceretas Membership Framework

Individual Direct Care

GOOD PRACTICE GUIDELINES

Special promotion price

£5.00

for two GPGs

Please send your completed order form and payment to: Ceretas Administration Office, 21 Regent Street, Nottingham NG1 5BS tel: 0115 959 6130 fax: 0115 959 6148 web: www.ceretas.org.uk e-mail: info@ceretas.org.uk

Postcode Tel: Email:

email address request Any questions? Want to receive e-Updates? If you have any questions or would like to receive all the latest news on awards, conferences and events in your area, please send your email address to

info@ceretas.org.uk Ceretas Home Care Focus

CONFERENCES AND EVENTS

Counsel and Care Charity Partner of Carer’s Award

he Great British Care Awards are delighted to announce that Counsel and Care are to be the charity partner for the Carer’s Award category for the 2010 regional awards.

Clos date ing appr s fast oach i ng

Closing date for nominations fast approaching for the regional Care Awards

To nominate visit www.care-awards.co.uk and click on your region Great West Midlands Care Awards, 9th October, National Motorcycle Museum, Solihull Great London Care Awards, 14th October, Emirates Stadium, London Great East Midlands Care Awards, 16th October, East Midlands Conference Centre, Nottingham Great North West Care Awards, 22nd October, Manchester United FC Great East of England Care Awards, 29 October, Imperial War Museum, Duxford Great South West Care Awards, 5th November, The Passenger Shed, Bristol Great Yorkshire and Humberside Care Awards, 12th November, National Railway Museum, York Great North East Care Awards, 19th November, The Marriott Hotel, Gosforth Park, Newcastle Great South East Care Awards, 27th November, Hilton Hotel, Brighton

www.care-awards.co.uk ( 0115 959 6133 38

Ceretas Home Care Focus

Counsel and Care is the national charity working with older people, their families and carers to get the best care and support. We provide personalised, in-depth advice and information, which informs our research and campaigning work. The Carer’s Award is a new category for the Great British Care Awards, and will be given to an unpaid carer who in the opinion of the judges can demonstrate commitment and perseverance in the care they give. This award seeks to acknowledge and celebrate the dedication that carers give to those they care for and the incredible contribution they make. The award was created by the Great British Care Awards to recognise those unsung heroes who are providing a vital social care service to support people who would otherwise have little of no independence or quality of life. This support can be given to an individual or a number of people. The award is open to all without any upper or lower age limit. The carer must have been providing a service for not less than 2 years from January 1 2008, be unpaid and receive no financial reward. The individual should be able to demonstrate that they have had a significant positive impact on the life of the person being cared for and that they have gone the extra mile and have compassion, having a truly caring nature and humility. In 2009 the category was piloted at the Yorkshire & Humber awards and was extremely well received. BBC Look North have expressed interest in covering this specific award in York and it is hoped to roll out the concept to the other BBC regions. Stephen Burke, Chief Executive of Counsel and Care, said: “Counsel and Care is delighted to be sponsoring the Great British Care Awards Carer’s Award. There are six million unpaid carers in this country, tirelessly providing care to friends and relatives. These carers risk their health and wellbeing, often sacrificing their livelihoods to devote themselves to this crucial role. “All these carers deserve an award, but by recognising just one of the six million, we hope to encourage more ‘hidden carers’ to seek support from the people around them, and to encourage support services and employers to help the carers to care.” The award is also sponsored by Enara Community Care, a private company which has been providing high quality domiciliary care since 1996. Mike Padgham, Director of the Great British Care Awards said, “We are delighted that Counsel and Care are supporting the Carer’s Award. The endorsement of such a well regarded national charity together with the support of Enara will ensure that this award category gains the high profile it so highly deserves. Without the millions of unpaid carer’s many of the elderly and vulnerable members of our communities would not be able to remain independent in their own homes. We look forward to receiving the nominations which will doubtless prove to be of an extremely high calibre.” Sponsored by HET Software, the Great British Care Awards are now in their second year. The Great British Care Awards are a series of regional events throughout England and are a celebration of excellence across the care sector. The purpose of the awards are to pay tribute to those individuals who have demonstrated outstanding excellence within their field of work. This year there are 9 regional awards leading to 2 national finals for both the home care and care home sectors, to be held at a prestigious central London venue in London in 2011. Nominations are still been invited for the regional 2010 Great British Care Awards details of which can be found at www.care-awards.co.uk

Events Diary Dates Surrey Care Awards 2010 The Surrey Care Awards gala ceremony and dinner dance will take place on Friday 19th November in the splendid new grandstand at Epsom Downs Racecourse. BBC Radio Surrey presenters Mark and Clare Cowan will be master of ceremonies for the evening. Nomination forms are available to download by visiting www.surreycare.org.uk or by calling 01372 825116

Skills for Care Accolades 2010 25th November 2010 at the Dorchester Hotel, London with presenter Penny Smith. This year’s finalists for the Skills for Care Accolades have been announced. To view visit www.skillsforcare.org.uk /accolades/accolades2010/finalists .aspx

CMM Insight – The Future for LD Care Provision A Care Management Matters conference 23rd September 2010 The Midland Hotel, Manchester

Ceretas Home Care Focus

you take care of your clients... ...weâ&#x20AC;&#x2122;ll take care of you

join us!

Ceretas aims to promote best practice and raise the status of home care in all sectors by helping all staff working in home care to be recognised as professionals in their field. If you would like more information on how to become a Ceretas member please email heather@ceretas.co.uk or call 0115 959 6130 or visit our website www.ceretas.org.uk