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JUL/AUG 2022 Issue 19 2022 NOVEMBER/DECEMBER
Professional, Training & Recruitment 38-40
Chancellor to Increase Social Care Funding, but Reform Delayed for Two Years
Chancellor Jeremy Hunt has announced a wave of new funding for the NHS and social care, with an £8bn support package for the health and care system in his autumn statement earlier this month. Mr Hunt announced he is to increase the NHS budget over the next two years by an extra £3.3 billion and announced an increase in funding for the social care sector of up to £2.8 billion next year and £4.7 billion in 2024, which the Chancellor said was the ‘biggest increase in funding under any government of
any colour in history’ and would allow the delivery of an extra 200,000 care packages. The Chancellor also allocated social care additional grant funding of £1bn next year and £1.7bn the year after to ‘help free up some of the 13 and half thousand hospital beds that are occupied by those that should be at home. ‘
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PAGE 2 | THE CARER | NOV/DEC 2022
VIEWPOINT Part of my duties here at RBC Publishing is to help out on one of our sister titles for the hospitality and licensed on trade. This week I attended my first demonstration at the ripe old age of 64! It took place outside the Houses of Parliament and then moved on to the Treasury. Attending this demonstration makes one realise, of course, that the Chancellor is under an enorEditor mous amount of pressure to balance the books. Every sector either wants more money or reduced taxation. However, with respect to adult social care we face a different situation as this Chancellor, Jeremy Hunt, called for an annual increase in the adult social budget of £7 billion when chairman of the select health committee. On October 22, 2020 he said: “In this report we look at one element of that, namely the funding pressures, and conclude that the government must use the spending review to raise the annual adult social care budget by £7bn by the end of the parliament as the starting point for a wider series of reforms. Whilst that is a significant sum, it would not increase access or quality of care.” Unprecedented though these times are, the government had broken a 2019 manifesto promise to “fix social care” and implement changes that were confirmed just a year ago. They included raising the amount of assets a person can have before getting state funding for social care from £23,250 to £100,000 as well as capping lifetime care costs at £86,000. To my mind, the delay in the reform of social care, and the implementation of the care cap, is simply an indication of a can yet again being kicked further down the road. Given recent history who knows who is going to be Chancellor this time next year? Of course, any additional funding is welcome. The sector has been in a perilous situation for far too long. However, increases to the national living wage, increases in energy prices and current inflationary pressures, interest rate rises - all these add to additional unbudgeted social care providers costs, so I suspect this additional funding will very quickly be eaten away with precious little impact. In recent weeks we urged care homes to send in and share your activities on Remembrance Sunday, inviting you to share residents experiences, and any events undertaken to commemorate British service members who have died in wars and other military conflicts since the onset of World War I. And you did not disappoint us and while we could not fit them all in our printed issue please do go online and visit our digital issue where we have a wonderful array of stories! www.thecareruk.com/carerdigital124 And soon we will be returning to the festive season, so once again we urge you to send in stories of your festive celebrations. (See page 5 for our Christmas hamper competition). Please do continue to share your stories of awards, birthday celebrations, fundraising, sports events, singing and dancing - you name it we are receiving them at the moment - all feelgood stories which highlight the dedication, commitment and devotion staff display in every day improving the well-being of the residents! I can always be contacted at firstname.lastname@example.org
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THE CARER | NOV/DEC 2022 | PAGE 3
Chancellor to Increase Social Care Funding, but Reform Delayed for Two Years (...CONTINUED FROM FRONT COVER) This will be combined with funding freed up by delaying the implementation of the Dilnot Reforms, which would cap the amount any person in England would have to pay towards social care at £86,000, and ‘more council tax flexibilities’.
REFORM DELAYED FOR TWO YEARS Speaking in the Commons Mr Hunt said: ““I have also listened to extensive representations about the challenges facing the social care sector. It did a heroic job looking after children, disabled adults, and older people during the pandemic.” “Its 1.6 million employees work incredibly hard. But even outside the pandemic, the increasing number of over 80s is putting massive pressure on their services.” “I also heard the very real concerns from local authorities about their ability to deliver the Dilnot reforms immediately, so will delay the implementation of this important reform for two years, allocating the funding to allow local authorities to provide more care packages.” “How we look after our most vulnerable citizens is not just a practical issue but speaks to our values as a society, so today’s increase in funding will allow the social care system to help deliver an estimated 200,000 more care packages over the next two years, the biggest increase under any government of any colour in history.”
REFORM FOR SOCIAL CARE “PUT ON BACK BURNER” Professor Vic Rayner OBE, CEO of the NCF said: “I fear that for the remainder of this parliament, the ambition for reform of social care has been put on the back burner. There is little in this budget that talks to the vision of developing care with people at its heart. Social care is about people, not packages and whilst discharge is vital, great social care changes lives and matters to us all, and it is imperative that over the next two years the government keeps its commitment to develop care that is fit for the future. “It is right that our workforce deserves the increase in the National Living Wage (NLW), and much more in terms of reward and recognition. However, to realise this, the government must set out how it intends to fund councils to meet the full costs of the NLW increase for all of the care workforce. As having made a decision to delay the cap on care costs, and the introduction of a more generous means test, it would seem outside of the realms of compassion and fairness to require those funding their own care to continue to have to cross subsidise public sector care provision.
“Fundamentally, care and support services are so much more than the ‘discharge arm’ of the NHS. The government must start to recognise this. If the integration of health and care is to mean anything to the people who need care and support, we need a reframing of the priorities.” “Whilst this is a welcome recognition of the importance of social care, much more is needed to put the sector on a sustainable longterm footing, support people where and when they need it and enable providers to reward the care workforce in the way they deserve.
MEASURES “FAR FROM THE BILLIONS WE NEED” Sam Monaghan, Chief Executive of Methodist Homes (MHA) the country’s largest charitable care provider, said: “A year ago, we hoped that the plans announced to reform the social care sector would lead to improved funding and make services fit for the future. Today the Chancellor has put a pause on those plans with his announcement that reforms are being delayed. “This is a Chancellor who, while Chair of the Health and Social Care Select Committee, said the sector needed the ongoing injection of £7 billion pounds per year of additional investment, but who today has made the smallest steps in terms of turning his words into actions. “Any additional money for social care is welcomed, but this is so far from the billions we need if we are to fund the sector properly, support the NHS in discharges from hospital
‘FALLS WELL SHORT OF WHAT IS NEEDED’ Mike Padgham, Chair of the Independent Care Group (ICG) which represents care homes and home care providers, said: “All extra funding is good, but without sounding churlish, the sums announced today (November 17) fall well short of what is needed. “The extra money is welcome, but will it increase staff pay to tackle the 165,000 vacancies in social care staff? No. Will it help us make inroads into the 1.6m who can’t get care? Very little, if any.” Mr Padgham said he was “not sure putting that pressure on to local council tax payers is the answer” and “councils will only be able to raise council tax by so much and that won’t be enough to tackle the problems social care is facing on the ground.” He called it “most disappointing” the government’s decision to delay the cap of social care costs for a further two years, “ensuring people will continue to face catastrophic care costs and continue to sell their homes to pay for care – breaking the government’s 2019 manifesto pledge. “and stem the tide of those leaving care work.”
NLW “NOT WITHOUT CHALLENGES” Director of Operations at PJ care, Lisa Andrew said “As a Real Living Wage employer, one of a small majority in the health and social care sector, PJ Care supports the increase to the National Living Wage to £10.42, especially in these times of financial hardship for care staff.” “However, the implementation of this uplift is not without its challenges. With the current inflated costs of essential utility provision, rising food and consumable costs, compounded with below inflation fee increases from the government, the pressures on the sector are increasing exponentially.” A review by the government of the current fees payable to the Health and Social Care sector would assist providers in meeting this well-deserved rise. The onus cannot be solely left with providers to plug the gap. This expectation will simply lead to many providers being unable to meet this requirement, forcing closures of homes and ultimately increased pressure on the NHS, as there will be fewer discharge placements, for those most in need, to go to. This will culminate in further pressures on bed availability for the acutely ill in the hospitals.”
DECISION TO DELAY REFORM “BRAVE BUT RIGHT” The County Councils Network (CCN) welcomed the Chancellor’s decision to delay the reform of social care services. Cllr Tim Oliver, Chairman of the County Councils Network, said: “The County Councils Network has been clear that its member councils face unsustainable pressures: with inflation and demand adding £3.5bn to their costs, we have called on the government to postpone the forthcoming adult social care reforms so funding earmarked for those changes can be reinvested in into stabilising care services that are creaking at the seams, as well as further support for vital services. “Today’s confirmation that these reforms for adult social care will be delayed is a brave decision but completely the right one. We understand that many will be disappointed but postponing these reforms and reinvesting significant additional funding into frontline care services is strongly welcomed and will protect the most vulnerable in our society as well as buy councils vital time to stabilise the care system. This will go a long way to enable us to address existing pressures, commission more care packages, and ensure that the reforms are a success on day one of their introduction in 2025. The government must ensure that as much of this additional funding as possible is distributed directly to councils, who will work tirelessly with their health partners to speed up hospital discharge.”
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Oliver’s Campaign Will Transform Autism and Learning Disabilities Training In Social Care By Barry Price, QCS (www.qcs.co.uk), Specialist contributor I want to tell you a story of an extraordinary young man. His name was Oliver. The tale I am about to share with you was originally written by his parents, Paula and Tom, and if you want to read it in full, please visit Oliver’s Campaign website. Let me begin by telling you about Oliver. Oliver was not an aspiring captain of industry, a political leader, a writer or a painter. Nor was he a musician, an actor, or a celebrity with a large social media following. Nevertheless, Oliver McGowan was exceptional. Oliver was remarkable because despite developing hemiplegia, epilepsy, a mild learning disability and later on a diagnosis of high functioning autism at an early age, he saw the best in everything and everyone. He never let his disabilities stunt his ambitions. Against the odds, Oliver passed his GCSE and BTEC examinations. He went to college. His academic talents were matched by his sporting achievements. He was an extremely accomplished athlete. But, perhaps one of Oliver’s most rewarding moments came not in the classroom, or on the sports field, but in the sterile surroundings of his neurologist’s office. It was there that Oliver was given the uplifting news that he would be able to live a normal independent life with only a little support required.
MEDICATION But, tragically, after suffering from a series of partial facial seizures, he was admitted to hospital. A raft of tests were carried out and Oliver was sent home. However, bizarrely, the doctors prescribed antidepressants, when he wasn’t depressed. The side-effects of the medication led to Oliver suffering more seizures and when he returned to hospital a few months later, the doctors elected to prescribe anti-psychotic medication, despite Oliver showing no signs of mental illness or psychosis. At this point, Oliver’s parents became very worried. They believed that his doctors had failed to take into account the fact that he was autistic and were therefore in fact prescribing entirely the wrong medication. It was only when a bed in the psychiatric ward could not be found that the doctors decided to stop administering the anti-psychotic medication. Once the drugs were out of Oliver’s system, his mood greatly improved and he had far fewer seizures.
SEIZURES However, a further bout of seizures meant another hospital stay, where Oliver was again prescribed anti-psychotic medication, despite the fact that the negative side effects had been recorded in Oliver’s medical records. Again, Oliver’s mood deteriorated and his seizures increased. Hospital staff did not understand Autism or Learning disabilities A stay in a specialist adult hospital yielded no better outcome. The hospital staff did not understand Autism or Oliver’s Learning disability, nor did they listen to Oliver’s parents or a Learning disability nurse. Instead of getting to the root of the issue, doctors prescribed anti-psychotic medication, while the staff used physical restraint, which made Oliver feel scared and isolated. After yet more seizures, Oliver was admitted to a different General Hospital. He was intubated and developed pneumonia. Astonishingly, despite it being written in red ink on his medical records, and Oliver stating to doctors that he did not wish to take anti-psychotic medication, doctors gave it to him anyway. The seizures continued, but now they were much worse than they had ever been. Oliver’s parents asked the doctors to conduct a brain scan. His doctors initially refused, but two days later they changed their minds and sent Oliver for a scan. The neurosurgeons diagnosed Neuroleptic Malignant Syndrome, a side effect of taking anti-psychotic medication. Oliver was now paralysed, he could not speak, eat or drink without a tube and was on a life support machine. A week later, Oliver’s family had to make the awful decision that no family should ever have to make. With a heavy heart, they gave the doctors permission to turn off Oliver’s life support machine.
CAMPAIGNING FOR CHANGE Having experienced so much grief, anguish and sorrow, Oliver’s parents, Paula and Tom, were determined that nobody else should have to suffer like Oliver did. His death had highlighted a terrible truth to them. It demonstrated that the vast majority of social and health care professionals did not understand autistic people with comorbidities, nor did they know how to support them. Having supported individuals with Autism, Learning disabilities and complex needs for many years, I have seen the monumental struggles that they and their families face. Often those in secure services are misunderstood. Like Oliver and his parents, they are constantly fighting the system to receive the right support. Doctors and care workers supporting people with Autism and Learning disabilities fail to grasp the complexities of the condition. Too often, the personality disorders and obsessive behaviours that are sometimes associated with Autism and Learning disabilities, lead to them being wrongly sectioned under the Mental Health Act, when their needs should be met through the Autism Act 2009 and the Equality Act 2010.
CAMPAIGN FOR BETTER TRAINING Paula decided to take action to right this wrong. She is very much a trailblazer and took it upon herself to lead the campaign for better training. Soon after Oliver’s death, she set up Oliver’s Campaign and has dedicated her life to championing the rights for autistic people and those with Learning disabilities. One of her greatest achievements to date has been to impress on government ministers the importance of her campaign. The UK government responded by commissioning the Learning Disability Mortality Review Programme (LeDeR). As a result, health and social care staff in England receive a package of training around Learning disability and Autism awareness. The training now available to social care has been transformational. In 2021, the Oliver McGowan Mandatory Training in Learning Disability and Autism, was trialled in the health and social care sector. Under new government requirements, all Care Quality Commission (CQC) registered providers must ensure that employees receive learning disability and autism training appropriate to their role.
and international benchmark for training workers in education, health and social care settings to support people who are distressed. But, perhaps one of the most invaluable training resources is STOMP. When you consider, according to Dimensions, that even after Oliver McGowan’s death, over 35,000 people with learning disabilities and autism are still being inappropriately prescribed psychotropic medication, STOMP, which stands for ‘Stopping Over Medication of People with a Learning Disability, Autism or both with Psychotropic Medicines’, is a resource that every provider should embrace. Closely connected to the inappropriate prescription of anti-psychotic medication is the incorrect placement of people with Autism and Learning disabilities in Assessment and Treatment Units (ATUs). A decade has passed since Winterbourne View scandal, which exposed “a systematic failing to protect people or to investigate allegations of abuse”. If there is one positive to come out of the scandal, it was the Transforming Care programme. It aims to improve care and services for people with Learning disabilities and Autistic people by reducing inappropriate admissions and length of stay for those in ATUs and secure hospital settings. Despite the creation of the Transforming Care programme around 2,000 people with Learning disabilities and Autism remain trapped in long-stay settings.
IF WE DON’T UNDERSTAND AUTISM AND LEARNING DISABILITIES, WE CANNOT PROVIDE THE RIGHT SUPPORT The key question that providers must ask themselves is who is coming into the service, what is their life history and what are their needs and requirements? This information needs to be documented and recorded in the initial assessment and forms the foundation for a person-centred care plan, which should be constantly updated as the person’s journey in the service progresses. Crucial to the process is not just understanding the often complex needs of the service user, but also knowing how those individual needs are going to be addressed. That means creating a training matrix, underpinning it with analysis, and supporting care planning and training policies.
CQC REQUIREMENTS DON’T GO FAR ENOUGH
However, in my role as a consultant to Quality Compliance Systems (QCS), the leading provider of content, guidance and standards for the social care sector, I believe that the CQC requirement is far too vague. It leaves too much room for interpretation in my opinion, and in doing so, potentially puts those with autism and learning disabilities at unnecessary risk. I believe the guidance should be changed. Instead of stating that employees should receive training “appropriate to their role”, it should go much further and include anybody who comes into contact with a person with Learning disabilities or Autism as part of a wider training programme. When I worked as a Registered Manager in Supported Living services, I extended Autism and Learning disability training to encompass everyone in the service. It paid off too as it gave non-clinical staff such as handymen, cleaners and administrators, who were in regular contact with the service users, the confidence to observe and report anything to frontline teams that they considered unusual. I found that creating a wider circle of support was not only hugely effective, it visibly improved the safety and the wellbeing of service users. Moreover, this approach paid dividends with friends, families and anyone else in the person’s support network. It meant that they had a much better understanding of that individual’s needs.
QCS, the organisation that I consult for, has created this key infrastructure so that providers can embed a robust and highly effective culture of training and learning into the services they manage. Providers should reflect on additional training over and above Autism and Learning disabilities that is required when supporting individuals with supplementary needs and health conditions. Those include communication, epilepsy, mobility, medication and where needed (in some cases) restrictive practices, which are driven by person-centred care and positive behaviour support principles. In short, there is so much more required when providing training based on the needs of individuals. Most importantly, this needs to be built into an organisation’s training needs and analysis plan. For Oliver, tragically, the comprehensive package of training that services now have access to, came too late. However, his family can take comfort from the fact that their tireless campaigning and activism has changed social care for the better. At the very heart of this profound and lasting reform is a brave boy who saw only opportunity in every challenge he faced. With special thanks to Oliver’s Campaign in documenting Oliver’s life story. If you want to read Oliver inspirational story in full, please click here: https://www.olivermcgowan.org/home
TRAINING But, compliance aside, there is a much bigger point around best practice to be considered too. With the CQC requirement now incorporated into the Health and Care Act 2022, a code of practice that would standardise training has yet to be published. However, there is no shortage of training available for providers. BILD, which was formed by Professor Gerry Simon in 1971, with the aim of creating a society where everyone could enjoy the same right and opportunities, offers over 20 different training programmes. NAPPI UK, which trains workers in non-abusive psychological and physical intervention, offers a number of workshops, while the Restraint Reduction Network, which actively campaigns to reduce the reliance on restrictive practices and ensures that people’s human rights are respected and protected, is another invaluable training resource. The Restraint Reduction Network Training Standards apply to all training that has a restrictive intervention component. It is a national
ADDITIONAL RESOURCES To find out more about how you can access QCS’s care planning and training policies and its Training Matrix, contact its compliance advisors on 0333-405-3333 or email: firstname.lastname@example.org. Restrain Reduction Network https://restraintreductionnetwork.org BILD https://www.bild.org.uk/workplacedevelopment/ NAPPI UK https://www.nappiuk.com Oliver McGowan Mandatory Training Trial https://www.hee.nhs.uk/our-work/learning-disability/olivermcgowan-mandatory-training-learning-disability-autism
Artist Lucy Freud Leads Poppy Painting Classes at Veterans’ Care Home Celebrated artist Lucy Freud led painting classes for residents living at Royal Star & Garter in Surbiton. She visited the Surbiton care home on two occasions, for art classes which focussed on Remembrance. Royal Star & Garter is a charity which provides loving, compassionate care to veterans and their partners living with disability or dementia, and also has Homes in Solihull and High Wycombe. Lucy is daughter of famed painter Lucian Freud, and the great granddaughter of eminent psychoanalyst Sigmund Freud. During the first session, Lucy helped residents paint a field of poppies, using acrylics. In the second session, residents painted a sunset and silhou-
ette. Arts and crafts play an important part in life at Royal Star & Garter’s Homes, with activities led by dedicated Wellbeing Teams. Research shows painting can boost mental health and wellbeing, increase cognitive function and enhance motor-skill and co-ordination. Lucy said: “I was amazed at just how talented some residents are at the Home, their paintings were beautiful. Painting focuses the mind and is very meditative, and I could see that with the residents during the sessions.” Resident Vera said: “I didn’t know I could paint! I enjoyed the session and think Lucy is a wonderful teacher.”
THE CARER | NOV/DEC 2022 | PAGE 5
Campaigner Hails Constructive Minister Meeting A social care campaigner has described as “constructive” a one-to-one meeting with Social Care Minister Helen Whately today. Mike Padgham said he was optimistic that lines of communication between social care providers and the Government could improve. “I think it was a positive meeting. We discussed a lot, and I came away feeling that the minister had listened to the concerns of care providers and that we can hopefully strengthen lines of communication going forward,” said Mr Padgham, Chair of the provider organisation, The Independent Care Group (ICG). “It was extremely useful to get a one-to-one meeting with the minister and to tell her face-to-face the serious issues that care providers are enduring at the coalface. “We previously met 17 months ago, and I was at pains to point out just how much the situation had worsened in that time. I accept that the minister cannot change everything overnight, but I stressed that many providers are hanging on by their fingertips. “We desperately need to get more funding into the sector to raise staff pay and address the staffing crisis and to help smaller providers who do not enjoy the same economies of scale as their larger counterparts. We have to ensure there remains a mixed market in the sector. “I was also keen to stress that the sector is facing the dangers of a two-tier social care service contrasting providers who mainly take private-paying clients and those who rely on public-sector funded clients.” The two discussed the severe social care staff shortages, with Mr Padgham urging the Minister to extend the window of opportunity for care providers to employ care assistants from overseas. At the moment a 12month period during which providers can employ staff from overseas is due to end next spring. There is no such deadline for employing nursing staff. Mr Padgham urged the minister to further help overseas recruitment by introducing incentives like reduced council tax for key workers.
They also discussed the role of the Integrated Care Boards. “The minister asked what my experience of the Integrated Care Boards was like, and I had to tell her that I was dismayed at the lack of social care representation on them,” Mr Padgham added. “I stressed that social care wants to work with its partners to tackle the crisis, ease pressure on the NHS and provide people with the care they need. “Way back in 2001, the Department of Health published a document called Building Capacity and Partnership in Care. I think it would serve the Government well to revisit that document. “We also discussed improving commissioning, including longer-term contracts, the direct purchasing of beds from the NHS to the provider and the ongoing bugbear of meeting duplication of requirement from the CQC, local authorities and the NHS. “It was extremely useful for our regional organisation, The Independent Care Group, from North Yorkshire, to get a one-to-one conversation with the minister. “I would describe it as constructive, the minister listened to the concerns we have and that is progress. I would describe the minister as one of the most receptive I have met, but time will tell.” He has invited her to visit a care provider in North Yorkshire to see the pressures firsthand. Mr Padgham also presented the Minister with a copy of the ICG’s Five Pillars of Social Care Reform document which sets out what it believes are the actions required to save the sector.
The five pillars are: • Ring fence a percentage of GDP to be spent on providing social care to those who already receive it and the 1.6m who can’t get it • Create a unified National Care Service, incorporating health and social care • Set a National Minimum Wage per hour for care staff on a par with NHS • Set up an urgent social care task force to oversee reform • Fix a ‘fair price for care’ cost per bed and cost per homecare visit.
Christmas is Coming - Your Chance to Win a Luxury Hamper Yes, Christmas is coming and we here at THE CARER are offering care homes the opportunity to win a LUxURY SCOTTISH HAMPER packed with festive goodies! Remember afternoon tea week? We do! That wonderful and quintessentially British tradition so loved in care homes. This year we put up an “Afternoon Tea Week” prize inviting care homes to share the celebrations for afternoon tea week with us. We were overwhelmed with the response we received we are delighted to say, care homes all over the country sharing their activities, menus, stories and celebrations which filled 5 pages in our digital issue at www.thecareruk.com/carerdigital114 With the lucky winner being Hutton view care home in Brentwood.
So, we are launching our Christmas competition, and once again a delightful luxury Scottish festive hamper is waiting to be delivered to a care home who “pushes out the boat” to celebrate Christmas All you have to do is briefly tell us what you did at your home to celebrate Christmas, menus and decorations, details of any festive events you held, Christmas fundraising activities or details of the homemade traditional tasty delights you create with a couple of photographs and perhaps quotes from residents and we will pick a winner! That’s it! We will be picking a winner on Friday, December 30, and hopefully will be dispatching a luxury hamper to a lucky winner the very same day! Simply email your entry to email@example.com
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Safeguarding Employees Rights Within Care By Toby Pochron, Employment Director at Freeths (www.freeths.co.uk) In this article we briefly explore the areas of Health and Safety, Working Time Regulations 1998 and employee’s rights to take time off to provide care for a family member.
HEALTH AND SAFETY Health and Safety at Work Act 1974 (HSW) is the key regulation policing health and safety. The Act enforces the employer’s health and safety obligations ‘so far as reasonably practicable’. This means that employers must balance real risks against control of risk in terms of cost and trouble. Employees’ duties are followed by a similar principle which is to take reasonable care to protect their own safety and any other person who may be affected. The Act does not provide employers with a step-by-step guidance on how to effectively manage health and safety but instead gives the employer discretion. Whilst there are no approaches set in stone, the below is a good starting point: • Risk Identification: This can be achieved by simply walking around the workplace and identifying what could reasonably cause harm. Additionally, communicating and asking staff members. • Risk Assessment: The next step is to carry out a risk assessment of the risks identified. This is a process of identifying the potential harm a risk can cause and the likelihood of it. • Controls: Once the risk has been assessed, it is the employer’s duty to
implement measures to minimise the risks. • Training: The final step in this process is to raise awareness. The purpose of training is to raise awareness of the risks identified and teaching employees how they can overcome these risks and effectively manage health and safety at work.
WORKING TIME REGULATIONS The Working Time Regulations 1998 governs employees’ patterns of work, holidays, rest period and working time. Whilst it covers a large proportion of rules and regulations in the care sector, the following areas are considered to be of importance: • Rest: Employees must receive at least 20 minutes of break when working more than six hours a day, 11 hours of uninterrupted rest per day and 24 hours of uninterrupted rest per week. • Working time: Employers must ensure that the average working time does not exceed 48 hours per week (17-week reference period). Employees are able to opt out of the 48-hour working week but employers must ensure adequate rest and breaks are given. • Night workers: Night-time is usually defined as period of work between 11pm and 6 am. If an employee regularly works at least three hours during night-time, they will be considered a night worker. A night worker should not work for more than 8 hours in each 24-hour period. • Holidays: The WTR entitles employees (whether full time or part time) to a minimum of 5.6 weeks holiday. The employer ensure the employees receives the right amount of holiday leave and pay depending on their contract and hours worked. A recent Supreme Court case ruled that the common 12.07% method of calculating holiday accrual is no longer legal. This can cause problems if the employee is working irregular hours and it is recommended to seek legal advice if your business uses this calcula-
TIME OFF TO PROVIDE CARE An employee has a statutory right to take time off from work to help someone who depends on them regardless of their length of service. The law does not specify how long much time can be taken off or how many occasions but it states that the time off should be ‘reasonable’. Employers should be flexible in this regard and consider each employee’s situation on a case-by-case basis. The following persons are considered a ‘dependant’: • Spouse, partner or civil partner • Parent • Child • A household member (not tenant or lodgers) • A person who depends on them for help in the event of an emergency such as an old neighbour Employers are not obliged to pay for time off but may chose to do so and implement it as a policy. Employers must also be aware of overlapping policies for this type of leave. For example, if your company has implemented a compassionate leave policy, this may overlap with the statutory right to take time off for family and dependants.
CONCLUSION This article is merely the tip of the iceberg; nursing homes are bound by far more rules and regulations. The purpose of this article is to guide you in the right direction if you are new in the sector but for those who are experienced, we hope this has served as a refresher.
Chief Nurse Praises ‘Commitment and Passion For Social Care’ at Veterans’ Care Home The Chief Nurse for Adult Social Care in England has visited Royal Star & Garter in High Wycombe. Professor Deborah Sturdy OBE was given a tour of the state-of-the-art Home, meeting residents and seeing the nursing and dementia care on offer. She also talked to staff, including a Lead Healthcare Assistant about to start her Student Nursing Associate (SNA) course, and another who is about to complete it. Professor Sturdy visited the 74-room Home on Thursday November 10, and was given a tour by the charity’s Chief Executive, Andy Cole, Head of Care Quality, Walter Chikanya, and Home Manager, Reggie Ballos. She later said: “It was great to see such good care happening in such a lovely place.” Professor Sturdy also spoke to Chelsea Batchelier, who has just begun her two-year SNA course, and Mercy Sharp, who is nearing the end of her Nursing Associate studies. Royal Star & Garter was one of the first care homes in the country to accept Nursing Associate placements and is now actively supporting staff to qualify in their own right. After her visit, Professor Sturdy said: “It was truly heartening to meet so many fantastic people and hear
about their commitment and passion for social care. It was great to hear about the Nursing Associate programme and speak to Chelsea and Mercy about the journey they are on with their course. They spoke passionately about the support they’re getting, both at a senior level and day-to-day. Credit must go to Royal Star & Garter for this. I recognised a commitment at the top to grow their own staff and to invest in individuals.” Chief Executive Andy Cole said: ”It was a privilege to welcome Professor Sturdy to our Home, and I was pleased to show her the person-centred care provided by Reggie and her fantastic team. Nursing Associates will play a vital role in the sector going forward, so I was really happy that Professor Sturdy spoke to Mercy and Chelsea about their SNA journeys, and how important the programme is to them.” Home Manager Reggie Ballos said: “We are proud of the award-winning care provided at Royal Star & Garter, and we were delighted to have Professor Sturdy come to our High Wycombe Home to see the work we do, meet residents and speak to staff.” Professor Sturdy was appointed Chief Nurse for Adult Social Care in England in 2020.
Care England Calls for Ofgem Investigation into ‘Horrendous” Energy Bills Care England has written to Ofgem and the Department for Business, Energy and Industrial Strategy (BEIS) accusing gas suppliers of being “unduly onerous” in their practices and asking for the matter to be investigated. It follows a review by the not-for-profit energy consultancy Box Power Cic which found that gas suppliers were not passing on recent decreases in wholesale prices to companies in the care sector. In a letter to Ofgem, and the Department for Business, Energy and Industrial Strategy, chief executive Professor Martin Green OBE accused energy suppliers of being “unduly onerous” in their practices, saying: “We believe there can be no justification for charging such horrendous and financially crippling rates that gas suppliers are explicitly prohibited from doing so.” “Ofgem’s supply licence stipulates that companies must take all reasonable steps to ensure that the terms of each deal for customers not locked into long-term contracts are “not unduly onerous”. “Undoubtedly one of the most pressing issues facing the country at present is the ongoing energy crisis. The rises in wholesale electricity and gas prices are having a profound effect on businesses and individuals across the country.
“However, there are few environments where the impact has been as severe and devastating as in the adult social care sector, which is required to heat facilities this winter and increase ventilation by letting in fresh air into indoor spaces.” Box Power noted that 1,172p p/therm (40p/kwh) prices bear no relation to the daily spot price of just 3.2p/kwh currently, with December 2022 priced at 8.3p/kwh. (1p kwh = 29.3 therm). The analysis added that even lower prices at 25p/kwh by some gas suppliers were still unjustified. The government announced support on business energy prices which runs until March 2023 in September. An Ofgem spokesperson said: “Ofgem’s priority is to protect consumers and businesses and ensure they pay a fair price for their energy. That’s why we are working with government and stakeholders to determine if further action or assistance is needed to help protect businesses including care homes and their residents, including whether a review on compliance of existing obligations is needed. We have a track record of robust action in compliance and enforcement where needed. We have received the letter from Care England and will respond to it in due course.”
Alzheimer’s Drug Fails to Slow Decline in Phase III Clinical Trial
The pharmaceutical company Roche has announced that two phase III trials of the potential Alzheimer’s drug gantenerumab did not achieve the goal of slowing clinical decline in participants with early Alzheimer’s disease. Dr Susan Kohlhaas, Director of Research at Alzheimer’s Research UK, said: “People with Alzheimer’s disease desperately need better treatment options, so it’s extremely disappointing when a potential drug doesn’t produce the benefits we were hoping to see. “The drug’s manufacturer, Roche will soon be presenting the results from this trial, and this will allow the research community to learn from them, to help inform future Alzheimer’s drug development. “Gantenerumab is one of several drugs that has been designed to remove the hallmark Alzheimer’s protein, amyloid, from the brains of people in the very early stages of the disease. “Earlier this year a final stage trial of a different anti-amyloid drug, called lecanemab, successfully cleared amyloid from the brain and slowed the decline in participants’ memory and thinking skills. Looked
at together, data from the lecanemab and gantenerumab trials will yield important insights as to why one
anti-amyloid drug worked better than the other, and this will help further refine this approach to treating people with Alzheimer’s disease. “Alzheimer’s disease is complex, and potential drugs that target other aspects of the disease are also making their way through clinical trials. There are over 140 potential Alzheimer’s drugs in clinical trials – the majority of which target proteins or processes other than amyloid. While anti-amyloid drugs are perhaps the closest to making it to patients, they are not the only hope for effective new treatments. “It is now absolutely critical that the UK government delivers on its promise to double dementia research funding to £160m a year by 2024. This will help to put UK dementia research at the forefront of the global search for life-changing treatments, and pave the way for more breakthroughs that will transform the lives of people with dementia and their families across the UK.”
THE CARER | NOV/DEC 2022 | PAGE 7
Care System “In Crisis” and “Gridlocked” - CQC Report Warns The adult social care sector has called on the Government to properly fund and reform social care to end a ‘gridlock’ in the care of older and vulnerable people. A highly critical new report by the Care Quality Commission (CQC) has highlighted the “gridlocked” state of health and social care in England, saying it is “unable to operate effectively” amidst record demand and workforce crises. The report states: • The workforce crisis in social care is greater than that of the NHS, with 165,000 vacancies. • Around 500,000 people are waiting for an adult social care assessment, for care or a direct payment to begin, or for a review of their care. • In the first 3 months of 2022, 2.2m hours of homecare could not be delivered because of insufficient workforce capacity, leading to unmet need and under-met needs. • Only 2 in 5 people are able to leave hospital when they are ready to so. CQC commissioned a survey of more than 4000 people aged 65 and over who had used health or social care services in previous 6 months: • Over 1 in 5 people (22%) said they were currently on a waiting list for healthcare services. • 37% on a health waiting list did not feel well supported by health and care services • 41% said their ability to carry out day-to-day activities had got worse while waiting • Of those waiting for a care needs assessment, 57% said they felt very or fairly well supported while waiting but 36% said they felt they were not very well or not at all supported. • 40% of those waiting for a care needs assessment said that their ability to
carry out day-to-day activities was now worse than when the assessment was required, while 15% said it was better. • There is unequal access to health and care services for ethnic minorities and people with learning disabilities and autistic people. While most people are still receiving good care when they can access it – too often, people are not able to access the care they need the report says, and capacity in adult social care has reduced and unmet need has increased. Only 2 in 5 people are able to leave hospital when they are ready to do so, contributing to record-breaking waits in emergency departments following a decision to admit, and dangerous ambulance handover delays. As part of work that included a series of coordinated inspections across the urgent and emergency care pathway in 10 Integrated Care Systems (ICSs), CQC convened a group of 250 health and care leaders – they described the system they work in as ‘in crisis’ and shared their fears that the risk of people coming to harm represents a worrying new status quo. The report goes onto highlight growing public and staff dissatisfaction with health and care services, citing the record numbers of people leaving the sector, all whilst providers continue to find recruitment more and more difficult. The CQC say that without urgent action, staff retention will continue to decline across healthcare, which will only increase pressure across the board and lead to worse health outcomes for the population. To solve this – whilst emphasising the need for long-term planning and investment to understand and ultimately solve the problems at hand – the CQC are urging local leaders to bring data and information together in order to come up with agreeable
solutions that focus on the overall patient experience.
GRIDLOCKED AND UNABLE TO OPERATE EFFECTIVELY Ian Trenholm, Chief Executive of CQC, said: “The health and care system is gridlocked and unable to operate effectively. This means that people are stuck – stuck in hospital because there isn’t the social care support in place for them to leave, stuck in emergency departments waiting for a hospital bed to get the treatment they need, and stuck waiting for ambulances that don’t arrive because those same ambulances are stuck outside hospitals waiting to transfer patients. “There’s lots of great care out there – from the GP practice in Manchester carrying out ward rounds in care homes, to the new initiatives introduced by a hospital in Newcastle upon Tyne which have improved people’s access to and experience of cancer treatments, to the ICS in Cornwall using inclusive technology to help give people more control of the services they use. “However, the fact is that it’s hard for health and care staff to deliver good care in a gridlocked system. There are no quick fixes, but there are steps to be taken now on planning, investment and workforce that will help to avoid continuing deterioration in people’s access to and experience of care. By working together to address the issues that lie behind the gridlock, we can create conditions that mean that next year, more people can access good, safe health and social care – delivered by a better supported workforce who have more reason to be optimistic about the future.”
Manufactured in the UK
Carer Scoops Coveted National Title Mira Lazovic at Chorleywood Beaumont Care Home in Chorleywood has beaten all the competition to be crowned National Hospitality Champion of the year in the Barchester Care Awards 2022. The Barchester Care Awards celebrate the staff who go the extra mile for the benefit of the 12,000 residents living in Barchester’s 248 care homes and private hospitals across the country. Categories range from ‘Registered Nurse of the Year’ and ‘Carer of the Year’ to ‘Dementia Care Champion’ and ‘Activities Coordinator of the Year’. More than 2,900 nominations were received from homes and hospitals across the UK. All entries were a very high standard and Mira Lazovic is over the moon to have been named the national winner, beating hundreds of other nominees to the coveted title.
Mira Lazovic said: “I am so very honoured to win this award, it was such a shock when they called my name at the awards ceremony. I work with such a great team at Chorleywood Beaumont and I am so grateful for all their support, this award is for all of us! ” Mira Lazovic’s win was announced at a special national award ceremony which took place to celebrate the outstanding achievements of Barchester’s many exemplary staff members who have all witnessed first-hand the hardest 18 months in the history of social care. General Manager, Ramona Stanciu, said: “This is an amazing achievement and the whole home is so proud of Mira. Mira is so dedicated to her role and our residents. She always goes above and beyond her duties to help others and make people happy.”
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PAGE 8 | THE CARER | NOV/DEC 2022
Retention of Staff in Social Care
By Ali Al-Mufti, Managing Director of Aria Care Home, a multi-award winning care home in Newport (www.ariacarehome.com)
Our workforce is heading towards the exit faster than we’re able to bring people in – it is the metaphoric revolving door and for the care sector it has become the pandemic after the pandemic. We all face the same problem, but we also all make the same mistake – we’re expecting someone else to provide the solution. Social care has drastically failed to adapt to modern times. A failure that everyone – from top to bottom – must accept responsibility for, from working practices to technology and attitudes, as a sector we have been afraid to change and we’re now paying a high price for it. As operators we’re all part of the same unique culture. We’re competitors all on the same side and while it’s a privilege to be a part of, it can also lead us to wait for others to solve the problem that we are individually more than capable of fixing ourselves. The retention of teams included. Fortunately, there are many practical measures you can take that when combined can transform your culture. Pieceby-piece and with patience you can create an environment that reduces the daily pressures on your team, provides greater job security and promotes a healthier work-life balance. Here we’ll focus on one specific change that took us at Aria Care Home, from double digit turnover to 100% retention overnight. In late 2021, we as a company decided to eliminate disciplinary procedures for absolutely everything up to allegations of gross misconduct. No verbal warnings, no investigations, nothing. Why? They didn’t work. Ask yourself, does someone’s performance improve after you’ve threatened them with disciplinary action?
Or do they keep their head down and do just enough not to step out of line? Spoiler: it’s the latter. Disciplinary policies are toxic to a workforce. They instil fear, create doubt and cause loss of confidence. People’s performance, wellbeing and attitude suffers at just the thought that a mistake could lead to disciplinary action. So, what happened after we removed the policy? Remember when Dorothy left Kansas and stepped into the Emerald City for the first time? Exactly like that, from black and white to a vibrant new world filled with colour. Our team were more relaxed, more confident and – most crucially – unafraid. We didn’t just say that we need to learn from mistakes, we gave them the platform to do so in full confidence that they had our support all the way. Almost instantly the changes were spectacular. We saw a stunning drop in every area where errors can happen, a reduction in conflict between team members, more honesty, and greater confidence. In short, it worked. Our hope was that it would create a culture where our team were given supreme job security, total autonomy, and peace of mind. Mistakes happen and they are also learning opportunities. They are the pinnacle of self-improvement, but to reach those levels we need an environment that nurtures people, not worries them. I know what you’re thinking, won’t people abuse this policy? Of course. Expecting everyone to adapt to your culture shift the way you hope is fantasy, but I would fall to my knees and beg you to never become discouraged by them. The informal working ethos is how many of the best modern companies run. They were borne in a time when the world of leadership became about protecting your team and supporting them through thick and think. Throughout the 21st century they’ve succeeded where we’ve failed - to recruit and retain the best people, and to help get the best from them. It’s time we caught up. Throwing most of your disciplinary policies (up to gross misconduct) in the bin is only one step in that direction. It’s a step that resonates with the younger people who we so desperately need to attract to our industry. It’s a step that empowers your team today. It’s a step that many operators will be afraid to take. But I plead with you from experience - be bold, be brave as it works, and we are testament to that.
Only 1 in 5 of England’s Largest Councils Confident of Setting a 2023 Balanced Budget Only one in five of England’s largest councils are confident they can meet their legal obligation of setting a balanced budget next year, with a new survey revealing the extent of planned service reductions due to soaring inflationary pressures. Council leaders warn that ‘everything is on the table’ in reducing local services if the Chancellor does not spare councils from further cuts and provide more funding for local government in Thursday’s Autumn Statement as they grapple with £3.5bn of additional costs this year and next. The survey, carried out by the County Councils Network (CCN), finds that in order to make up the shortfall and stave off bankruptcy councils are likely to have to reduce economic growth projects, their spend on climate action, and reduce adult social care packages and support for young people. They are also likely to reduce other essential everyday services such as bus route subsidies, waste centres and streetlighting. This comes off the back of councils seeing a reduction in spend each year between 2010 and 2018. The survey, which received a 90% response rate, asked councils about the impact inflation and demand were having on their budgets
than double the expected rise. Even if local authorities raised council tax by 3% and the Chancellor does not reduce their budgets further, those councils face a funding gap of £821m. In addition they face £700m of extra costs for their capital expenditure over this year and next, which is for one-off projects such as new buildings and roads.
At a time when economic growth and levelling-up is a key aim of the new government, councils say they will have little choice but to cut back on growth-related activity. Almost two-thirds (65%) of respondents said it was ‘likely or very likely’ that they will pause or cancel some economic growth and major road projects as well as routine road maintenance, whilst 81% said it was ‘likely or very likely’ they would have to pause or cancel projects such as building new leisure centres and bus or train station improvements. In addition, 78% said it was ‘likely or very likely’ they would have to scale back climate change action.
Services for the elderly, vulnerable people and children could be scaled back.
Councils are legally obliged to set a balanced budget, unlike the NHS, meaning they must use their reserves or cut services if spending exceeds their funding.
In total, 72% of councils said it is ‘likely or very likely’ they would tighten eligibility for adult social care services, and 56% said they would likely have to reduce reablement and community-based adult social care services. In addition, 63% would scale back school transport services, with almost half – 44% – councils said it is ‘likely or very likely’ they would have to cut support packages to young people with special educational needs, with 45% reducing the number of children’s centres and youth services.
This is because councils are grappling with £3.5bn of additional costs this year and next due to inflation and rising demand; more
Highly valued everyday services would also see reductions, unless further funding is made available.
over the next two years and reveals:
Only one in five (22%) of councils are confident of preventing financial insolvency next year if there is no additional support in the upcoming Autumn Statement.
In total, 75% of respondents said it was ‘likely or very likely’ they would cut some or all bus route subsidies which enables services to run on uncommercial routes. Almost two thirds – 63% – said it was ‘likely or very likely’ they would turn off an increased amount of streetlights or turn them off at certain periods in the night. Over half (56%) of councils also said they would likely reduce the number of libraries and (53%) household waste recycling centres or cut their opening hours Cllr Sam Corcoran, Labour Vice-Chairman of the County Councils Network said: “The next two years are shaping up to be some of the most challenging for councils in recent memory. After a decade of austerity and with inflation soaring, if the Chancellor does not spare councils from further cuts and provide more funding for local authorities, everything is on the table when considering which vital services to cut. “This County Councils Network budget survey paints a clear picture of what will happen if we do not receive more funding to address inflationary and demand pressures. Councils will have little choice but to reduce vital everyday services and those for the most vulnerable in society, as well as economic growth projects and those aimed at tackling climate change. Reducing these all create a false economy that stores up problems for the future. “Even these decisions will not be enough, with less than one in five councils confident of setting a balanced budget next year without further support. This is why it is vital that the government recognise the value in supporting councils – with investment in local government allowing us to continue vital economic growth and climate action, supporting people to stay outside of hospital settings, and provide vital services people rely on every day.”
Worcester Care Home Residents Take Flight Over The County In Exciting Helicopter Ride Residents at The Belmont in Worcester took part in a helicopter flying experience to prove that nothing should stop you from doing something that your heart is set on. Earlier this year, both residents were presented with the question about what their dream would be; both residents said to fly high and see the
ries and sentimental meaning. At the end of session, they received certificates of achievement, which they proudly showcased in their home. Registered Home Manager for The Belmont, Sandie Preece, said: “Our two wonderful residents are living with dementia and when we asked them if
world from above. The team made this dream a reality, by organising a
they had a wish, both residents wanted to see the world from high above. To
day in the skies.
grant that wish for them and see the delight in their faces when they took
Flying over Eastnor Castle and the Malvern Hills, the 20-minute flight was a memorable moment for Christine and Tanya. The day was not only a new and exciting experience for both residents, but one of reflection, flying over many sights that invoked strong memo-
off was truly lovely to see. Our Belmont wishes are in place for all of residents to make, and we try our hardest for them to come true. We are so pleased that we could fulfil this wish for them both and want to thank everyone involved for making it such an enjoyable experience.”
THE CARER | NOV/DEC 2022 | PAGE 9
Care Homes Face Being ‘Vilified’ if Patients Given Visitor Rights Care home residents may soon have the legal right to see visitors, however the care sector has expressed concern that faces being “vilified” on this issue when “we’re trying our very best.” While visiting restrictions in England’s care homes have been lifted, some care homes still do not allow visitors and, according to The Times, the government is now contemplating introducing legislation to make it happen. Speaking to the Times Care minister Helen Whately said she is “determined to fix” the issue around visiting, amid reports some residents are still being denied quality time in-person with loved ones as a precaution against the spread of coronavirus. The Times has reported that options to address problems could include introducing legislation giving residents or patients a right to receive visitors or legislation telling the health watchdog, the Care Quality Commission, to inspect visiting policies when rating care homes or hospitals. Nadra Ahmed the chair of the National Care Association branded called for the Government instead to fund the sector properly, highlighting the ongoing issue of staff shortages. She told BBC Radio 4’s Today programme: “I think it’s really disappointing that we’re looking at another piece of legislation in relation to the care home sector.” “And I think it will be really important for people to understand that we’re probably one of the most legislated against parts of the sector. “I would always start from the point that the wellbeing of every individual in our care service that we support is enhanced by a visit, and pre-Covid that is what happened. We had open visiting. This is a consequence of Covid that we have to go with the guidance that we do” she said. A spokesman for the department said: “Our guidance clearly states that residents in care homes should be able to have at least one visitor in all situations.
“We will continue to work with health protection teams to ensure the advice they are giving to care homes is proportionate and reflects Government guidance. “We urge all trusts and care homes to follow the guidance and ensure they are facilitating these visits, which play a crucial role in the wellbeing and care of patients and residents. “The Care Quality Commission is able to take regulatory action where there are concerns that safe and proportionate visiting is not being facilitated.” Referring to her personal experience, Ms Whately told The Times: “No one can be in any doubt now how much visits matter. “The darkest days of the pandemic are thankfully behind us but I’m still hearing from families (who are) being stopped from visiting loved ones. “I know how it feels. I didn’t know if I would see my mum alive again when she was very ill in hospital in the summer. “I remember well the feelings I had at the time: grief mixed with frustration and even anger at a system that seemed to lack humanity.” Campaigner Nicci Gerrard argued Covid-19 had shown why people should have a legal right to see their loved ones in their time of greatest need. The co-founder of the charity John’s Campaign said those with special needs such as dementia should have the right to have their essential caregiver “wherever they go”. Speaking on the Today programme: “There are lots of complicated things around the edges, but at the centre there’s this clear message that people should not be separated from those that they love during times of their greatest need. “And Covid has shown why that needs to be enshrined in law. It’s very easy to sweep away these human rights.”
Wartime Memories as Dorset Care Home Residents Join Community Parade Residents from a Dorset care home joined their community’s Remembrance parade to honour the service and sacrifice of those who have died in conflict. Pamela and Trevor Clark and David Vincent represented Colten Care’s Brook View home at the event in West Moors. David, who served in the Navy as an engineer, said he was thrilled to be invited to attend the parade down to the Petwyn war memorial. David said: “It’s very important to me to remember those who have lost their lives in battle. “It was wonderful to see so many people of all ages also showing their support.” An old military jeep that featured in the commemoration reminded Trevor of
his time as a young child growing up in the village of Warboys near Huntingdon. Trevor said: “I remember when I about five years old and the Americans from the nearby base would give us children from the village rides in their jeeps around the fields. “They also would offer lifts to anybody who needed it so that they could stay in favour with the villagers.” Tunde Zsiko, Brook View's Customer Advisor, who accompanied the residents at the commemoration, said: “While this was a sombre occasion, it was lovely to see our residents reminiscing.”
THE CARER | NOV/DEC 2022 | PAGE 11
Social Care Reform 'Cannot Wait' Says National Care Provider Alliance It is grossly irresponsible for the government to assist widespread speculation in relation to the fate of adult social care reform, says National Care Provider Alliance. The promises and commitments on reform were made to the millions who receive care and support, unpaid carers and those who work in the sector. Social care should be at the top of every Member of Parliament’s priorities – it sits at the heart of communities up and down the country – and it changes peoples’ lives. The Care Provider Alliance has called on the government to make clear today that there will be no delay to the planned timetable for reform, and that rather than kick the reform can further down the road, they grasp the urgency this fiscal event and escalate it to the top of the table. Investing in people is the responsibility of any government that has fairness at its heart. This government must ensure people can live the lives that they want, contribute to their communities and add value to the economy. There can be no delay – social care reform cannot wait.
MPs’ post bags and the media have rightfully been full of stories that outline the very real trauma associated with delays to social care reform. Each and every person struggling to access the care they need for rehabilitation, day support, care at home, palliative care, residential care or supported living can tell you that properly funded reform is the only way forward. CPA Chair, Nadra Ahmed says: “The plans as they stand are not sufficient to create the kind of step change that people are calling for, however, doing nothing and this delay will only accelerate the pain, further exacerbating the structural instability across the sector. The delay impact on us all, including the NHS who will also bear the brunt of our unfunded social care system.” This position is reflected in recent reports from the CPA and the Association of Directors of Adult Social Services (ADASS). CPA report on The State of Social Care and Support Provision highlights the key issues facing the entire social care sector including, workforce recruitment and retention challenges with one in ten posts vacant, inadequate funding with the gap being in excess of £7bn, and the rising costs of living adding to the structural instability. The ADASS Autumn Survey indicates that more than 9 in 10 (94%) adult social services directors in England do not believe they have the ‘funding’ or ‘workforce’ to meet care costs of older and disabled people in their area.
Excelcare Launch Warm Bank Stations to Ease Winter Freeze for Over 65’s Family run care provider Excelcare has announced that a selection of their care homes in Essex will be opening ‘warm banks’ for people over the age of 65. These warm banks will be free to attend and offer a safe haven for people to seek warmth and relaxation when in need. With the current cost of living crisis crippling families across the UK and the temperature steadily dropping as we approach winter, Excelcare has launched their warm bank initiative to provide support to an age group that are most likely to feel the harsh effects of the cold and rising energy costs. From 11am-4pm, people aged 65 and over will be welcomed into Excelcare homes listed in the graphic to seek refuge from the cold and enjoy a hot drink. The warm banks in each home are situated in communal areas such as lounges and dining rooms, so guests will also have the opportunity to engage with people who live and work in them. This will provide some welcomed company to elderly members of the community, especially those who live on their own or struggle with feelings of loneliness.
Precautions are in place to ensure those who currently live and work in the homes remain safe and free from the spread of infection, so upon entry guests will be asked to sanitise their hands, complete a lateral flow test* and wear a face mask for the duration of their visit. Helen Bennett, Regional Operations Director of Excelcare homes in Essex said, “it’s a pleasure to announce the opening of our warm banks in care homes across the region. Providing a safe space for people who are in need this winter is something we have been committed to doing and I am so happy to see this initiative come to life. “I encourage people over the age of 65 to make use of these warm banks and seek refuge in our comfortable homes surrounded by our caring teams.” Warm banks in each of the homes participating will be opening today and closing on March 31st, 2023. *The completion of a Lateral Flow Test will depend upon current guidance at the time of entry
PAGE 12 | THE CARER | NOV/DEC 2022
When An Inspector Calls... By Kevin Groombridge, Chief executive, Independent Care Inspections (www.careinspections.co.uk) Practice makes perfect and this philosophy is advisable to achieve a top performance when industry regulator inspectors scrutinise a care home. To achieve an outstanding rating from the Care Quality Commission (CQC), a home’s leadership, planning, legal compliance, care and procedures need to be excellent not only in deed, but also backed up by meticulous documentation. To overcome any doubts about its quality of care, a home should arrange regular mock audits of its operations and records. Homes that don’t feel confident about identifying any deficiencies themselves can always seek help from independent external experts to point them in the right direction. This will help identify, enact on and embed factors essential to providing successful and person-centric care and services. The reputational and commercial damage to a home given a poor rating by the CQC can be devastating. It can lead to a fall in demand for its care from potential new residents and current occupants and their families considering alternative accommodation, which will impact on its financial viability. A good reputation is hard won, but can quickly and easily be lost, through sloppy practices and procedures, if a home’s owner or managers take their eye off the ball. Care homes striving to retain an outstanding ranking or to improve on a below par performance should operate as if there is an inspector on the premises every day. CQC inspections usually are unannounced. Therefore, those homes that continually concentrate on meeting the regulator’s criteria and conditions are less likely to be given a low rating. There are three key aspects to the performance of a care home, these are: • Quality care – The effective care of people that ensures that residents are living their best lives • Financial performance – A care home must be sound financially and be able to attract and retain the highest calibre of staff • Management of risk – Reducing risks in care, health and safety and financially are essential for the longterm well-being of residents and the care home.
The most successful care homes, in terms of high regulator ratings, take a positive approach to inspection with robust systems, a high degree of preparedness and staff being positive about the inspection process. The preparation and availability of complete records, especially care plans is essential for an inspector to locate and see evidence of strong and effective practice. Checklist for Inspection – Factors to consider There are four main factors in preparing for, and achieving better inspection outcomes: 1. Clear understanding of standards, regulations, and best practice: Communication is key. Staff should be aware of and apply all relevant standards, regulations, and best practice. Regular and effective training and supervision is essential for employees, so they are confident and able to demonstrate competency. 2. Records and documentation: It is not enough to be seen by residents and their families to be doing the right thing. Detailed, up to date and accurate documentation must be in place to prove this is happening and that the correct procedures, systems and methodologies are in place and being closely followed. 3. Staff are briefed and confident When staff are more relaxed and natural then residents are also. Inspection can create pressure, but confident staff are better at explaining and demonstrating good care and in people interactions. This ensures that the inspector can observe a more normal process. To improve practice, it is vital that staff are trained, properly briefed and their confidence is boosted to participate positively in inspections. 4. Quality assurance and continuous improvement A care home that has confidence in its quality assurance system will be constantly reviewing practice to minimise weaknesses and build on strengths. This process is very effective if there are internal and external elements in auditing the home. The CQC inspector is independent of the home and is applying standards that are well known, but not just specifically what the care home company has contained within its policies. Inspectors will also be seeking evidence that a care home can act on deficiencies that are identified. The most effective care homes and care home groups utilise fully independent inspection systems to ensure that they can achieve higher ratings.
Studley Care Home Launch Food Bank Initiative for Local Community The home participated in a month-long food bank collection to support the Studley community as part of Harvest Festival, which took place during the month of October. Residents, family members and the team at Four Acres arranged a harvest festival collection for the Arden Food Bank at Studley Methodist Church. Four Acres received donations of tinned items, pasta, cereal, and non-perishable items to help families in need during the Winter months.
The collection was delivered to the local food bank on the 1st of November. Wellbeing Lead for Four Acres care home, Diane Wood, said: “We are so proud to have Four Acres care home involved in the community collection. It was great to see residents thoroughly involved in the decision-making process and we look forward to supporting many more initiatives in the future.” Four Acres are committed to being an active member of the community and look forward to strengthening relationships with those in the local area now, and well into the future.
Care Residents and Children’s ‘Art Through the Generations’ Exhibit at Cheltenham Library Community groups including residents at local care homes, run by The Orders of St John Care Trust (OSJCT), have created a range of artwork pieces for ‘Art Through the Generations’, a free exhibition opening at Cheltenham Library on 21 November. Contributors also include pupils at Stow Primary School and Warden Hill School, and patients from the Paediatric Unit at Gloucester Royal Hospital. Laura Morris, OSJCT Windsor Street Care Centre Customer Relationship Manager, said: “Having previously worked as an art consultant, I am incredibly excited to be able to host a second exhibition at Cheltenham Library. ‘Art Through the Generations’ focuses on nostalgia and childhood
C&S Seating C&S Seating have provided postural control equipment to nursing homes, hospices, medical equipment services and NHS trusts nationwide since 1991. With 9 different sizes of T-Rolls and Log Rolls, in a removable and machine washable, Waterproof Titex or Soft Knit material. These rolls are used to control posture and position of the body in either supine or side lying. Our Knee & Leg support wedges are available in 2 sizes. C&S Seating is the sole manufacturer of the
memories told through artwork that has been created by local children and our care home residents.” Brenda, a resident at OSJCT Windsor Street Care Centre and contributor to the exhibition, said: “It’s nice to have an opportunity to show other people what my hobbies are. Doing this is a good way to occupy myself but I enjoy the art club activities as well. I am looking forward to seeing other people’s art.” Suzanne Bruce, Warden Hill Primary School Teacher, said: “We were delighted to work in partnership with Laura and OSJCT Windsor Street Care Centre to help put on the exhibition. It is always a wonderful experience for children to have the opportunity to display their artwork publicly within our local community.” Alternative Positioning Support – available in two sizes and ideal when more control of the abducted lower limb is required, which has removable side cushions and middle pommel. Our popular and vibrant range of Soft Knit covers in a choice of 5 colours provide a softer alternative that fit easily over our standard Waterproof rolls. Ideal for the colder seasons and are designed to fit snug over our waterproof rolls for maximum protection and comfort. Contact us on 01424 853331 or visit www.cands-seating.co.uk to request or download a brochure, pricelist or order form, request an individualised quotation, speak to an advisor or to place an order.
THE CARER | NOV/DEC 2022 | PAGE 13
Time for “Fundamental Change” to Professionalise Care Workers with Voluntary Register The National Association of Care and Support Workers (NACAS) and Institute of Health and Social Care Management (IHSCM) are calling for the immediate professionalisation of the care industry through the development of a voluntary register for paid carers much like the NMC and other health and social care colleagues. Both organisations have combined forces to address the emerging need for professionalising the Care industry and the Care workforce within England in a bid to improve recruitment, and retention and raise the profile of the profession.
CARE IS IN CRISIS The call follows warnings that care providers are struggling with a recruitment crisis, and unable to accept any more residents or take on new clients. New team members are not entering the profession as they believe they will not be valued within their role. The recent CQC’s ‘State of Care” report highlights the need for a registration process for care workers, just like Doctors, Nurses and other Health Care professionals. Just as they do in other devolved nations but currently not in England. The organisations say that for employers, it will mean attracting and retaining team members from an early age into a profession of choice
and the ability to offer a career path, and for the Social Care Workforce, it means professional and public recognition, value and integrity with the prospect of a vocation for life. For the public, the organisations add, it offers professional governance, bringing much-needed reassurance to those in receipt of care and their families that additional checks are taking place on those providing care.
RECOMMENDATION TO REGISTER CARE WORKERS IN ENGLAND in June this year the Care Workers Charity (CWC) welcomed a longawaited publication of the report into the treatment of lower-paid ethnic minority workers in health and social care by the Equality and Human Rights Commission (EHRC), which was released on June 9, along with a detailed set of recommendations for UK Government. The report made a recommendation to register care workers in England which it said would align with policy in the devolved nations, which the CWC said would support better workforce data, planning and professionalisation, leading to better outcomes for all care workers, recognising their valuable contribution to society. Registration they said would inevitably lead to improved understanding of employment rights and give care workers a voice, so that
abuses of the kind detailed in this EHRC report are easier to monitor and address with commissioners and providers.
TIME FOR FUNDAMENTAL CHANGE Liz Blacklock, Director of Operations at NACAS. says “The Health and Social Care workforce works tirelessly to improve the lives of the most vulnerable in our society yet are some of the most underpaid and under-recognised roles. It’s time for a fundamental change in the industry. The population is ageing and the need for professional care services will only keep growing. This is an indisputable fact. We need social care to be the best it can be.” Such a register could include and support training passports, quicker and safer recruitment, paid job trials, and much more. “We urgently need people working within the industry and those who receive Care and Support to complete a short consultation for the proposed register…it’s here at https://www.surveymonkey.co.uk/r/6KQKQF9 and will take just 3 minutes. The Consultation closes on 30th November 2022 following which it will be analysed, and results reported.”
Iraq Veteran Gets VIP Treatment at Soldiering On Awards Ceremony Iraq War veteran Stephen Vause was a guest of honour at a glittering Soldiering On Awards ceremony after winning a prestigious prize. The 35-year-old, a resident at Royal Star & Garter, won Soldiering On Awards’ Inspiration category in 2021. A gala dinner was due to take place in December that year but was postponed due to Covid. The black-tie dinner brought together the finalists and winners from the 2020 and 2021 Soldiering On Awards, as well as announcing the winners of 2022, at Park Plaza Westminster Bridge Hotel on Thursday 27 October. Army veteran Stephen, who suffered traumatic head injuries in a mortar attack while serving in Basra in 2007, won the coveted Inspiration award in a public vote, after raising thousands of pounds for Help for Heroes from his room at Royal Star & Garter in Surbiton, with the support of care staff. He attended the dinner with his father James and staff from Royal Star & Garter, a charity which provides loving, compassionate care to veterans and their partners living with disability or dementia. The event was hosted by ITV news presenter Lucrezia Millarini and adventurer and former Army reservist Jamie Hull. Guests included House of Lords Deputy Leader and former Defence Minister The Rt
Hon. Earl Howe, Minister for Veterans’ Affairs Johnny Mercer MP, and Chief of Defence People, Lt Gen James Swift OBE. Former England football captain David Beckham also provided a video message praising all finalists which was played during the ceremony. Afterwards, Stephen said: “It was a privilege to be at the Soldiering On Awards. The room was filled with people whose inspiring stories demonstrate huge courage and bravery. It felt amazing to be part of that.” Stephen, whose injuries left him using a wheelchair and communicating using a tablet, undertook a gruelling 60-mile virtual London to Brighton cycle ride at Royal Star & Garter during the second lockdown, in early 2021. With the help of Royal Star & Garter staff, he completed the challenge on his adapted static bike in six weeks, raising more than £5,000 for Help for Heroes. His Soldiering On Awards success was praised by the then Prime Minister Boris Johnson, who said: “Stephen has shown remarkable courage in dealing with his injuries and great fortitude in raising money for Armed Forces charities. I take my metaphorical hat off to him for his latest fundraising exploit. I am full of admiration for him.”
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Fire Risk/Safety in Care Homes by Kevin Irwin, Chartered Member of Institution of Occupational Safety & Health (CMIOSH), Arinite Health & Safety (www.arinite.co.uk) It is almost 20 years since the tragic fire at the Rose Park care home in Uddingston near Glasgow claimed the lives of 14 residents. The fatal accident enquiry into the cause of the deaths concluded that there were multiple failures in building maintenance and fire safety management. It is 16 years since the introduction of the Regulatory Reform (Fire Safety) Order 2005 and the Fire Safety (Scotland) Regulations 2006. Yet still in late 2022 care organisations large and small are being prosecuted for failing to manage fire safety issues, which in some cases has led to loss of life, and that should have been identified by a thorough Fire Risk Assessment. The largest fine was just under £1 million, with £100,000 costs for failing to assess the risks to a resident smoker who was being treated with paraffin based emollient creams which can be flammable when allowed to build up on skin, clothing, or bedding. Sadly, the resident died while smoking unsupervised outside in a garden shelter.
FIRE RISK ASSESSMENT OBJECTIVE The objective of a Fire Risk Assessment is to look at the premises and the people who use them. It’s about understanding the potential risks, then improving the fire safety precautions to keep people safe. The fire safety of residents in residential care homes and similar
premises relies on layers of protection such that if one of the protective layers fails, the other layers should hopefully mitigate for the failure. The layers of protection may be; • fire prevention which coincides with staff training, • fire detection and warning systems, • the compartmentation of the building to prevent fire spread which includes fire doors, • fire suppression systems, • smoke ventilation, • effective plans to evacuate people from the affected part of the building, maintenance programmes for building services, • assessment of how individual can be safely evacuated, • staff training in evacuation plans and the use of evacuation equipment, • emergency escape lighting, etc.
FIRE RISK ASSESSMENTS ‘HARD’ VERSUS ‘SOFT’ ISSUES Many times, Fire Risk Assessments concentrate on the ‘hard’ issues such as fire alarm adequacy and maintenance, fire doors, emergency lighting, building maintenance, and often insufficient attention is given to the ‘soft’ issues. To be fair, fires in care homes can generally be attributed to human error or equipment misuse or failure. However, residents of care homes are individuals and have unique and frequently changing characteristics. Issues that would seem to be straight forward in other environments can be complicated in a care home environment. For instance, all exit doors releasing from a locked position in the event of a fire alarm would appear to be a common-sense provision until you consider that
some residents may use the exits unsupervised and be exposed to the risk of falling on stairways, or wandering onto roadways. Evacuation aids may not be suitable for all residents or may not be capable of being used on all types of beds. While a fire at night when residents are in bed and there are generally less staff on duty is often seen as the worst-case scenario, frequently though the daytime residents gather in lounges to chat and watch TV.
PERSONAL EMERGENCY EVACUATION PLANS Personal Emergency Evacuation Plans (PEEPs) rarely consider how individuals can be evacuated from such situations. The ‘soft’ issues therefore, of how individuals can live fulfilling lives but also can be safely evacuated in the event of a fire must be given sufficient importance during any assessment. Given the current conditions with many residential care homes suffering shortages of staff or have problems recruiting new staff, it is important to assess the capability of the staff available to be able to effectively conduct evacuations of any fire affected areas of the home. An evacuation assessment may consider the number of staff available, the dependence of the residents to be evacuated, and the number of bedrooms or size of the area to be evacuated and should be considered as part of the Fire Risk Assessment. However, the number of residents and their individual dependence on others changes constantly, and so the evacuation assessment should be reviewed regularly. Fire Risk Assessments are often seen as an annual one-off event conducted (hopefully) by a competent person. Fire Risk Assessments should be an ongoing daily exercise conducted by all staff as they go about their daily routine.
Care Home Plants A Tree To Celebrate King Charles’ Birthday For the first time in seven decades, Tixover House in Rutland marked the King’s birthday on November 14th with a right Royal Tea Party attended by a very special guest. As His Majesty’s representative within the county, it was an absolute pleasure for the home to welcome the Lord-Lieutenant of Rutland, Dr Sarah Furness to join us and witness her plant a tree on our residents’ behalf in recognition of King Charles III birthday. The chosen tree is a ‘Royal Medlar Apple’ whose fruits, once fermented are rich in potassium, calcium, phosphorus, magnesium and iron. The home has registered its planting as part of The Queen's Green Canopy with the location open to visitors. Patisserie Chef Claudia Sleight and the homes’ hospitality team whipped up a tasty selection of freshly-made finger sandwiches, walnut and cherry scones, pastries and cakes for the occasion, all washed down with pots of tea. Ive Alexander, General Manager at Tixover House said: “Our residents love a
party and they love the Royal family so they all enjoyed the tea and cakes to mark the King’s birthday, for a lot of us it was the first time we’ve ever celebrated a King’s birthday, but some of our residents do remember the previous Kings.” Dr Sarah Furness raised a toast to His Majesty for a long, and joyous reign followed by three cheers to the King from our residents, staff and fellow guests including friends, family and members of the local community. Party guests were entertained with uplifting songs from the 1940s and 50s courtesy of the sensational female vocalist Nicky Downs who had everyone singing and dancing throughout. Tixover House would like to thank Dr Sarah Furness and send a big ‘Happy Birthday’ to King Charles. Tixover House care home is run by Barchester Healthcare, one of the UK’s largest care providers, which is committed to delivering high-quality care across its care homes and hospitals. Tixover House provides residential, nursing and dementia care for long-term and residents on respite breaks.
Carers Urged to Keep Safe Over The Winter By Getting Their COVID-19 and Flu Vaccinations Whether you work in a care home or another healthcare setting, or you provide care to a friend or relative, as a carer, you’re more likely to be exposed to the flu and COVID-19 viruses. You also care for people who may be at greater risk and can easily pass these viruses on without knowing. Both flu and COVID-19 can be life-threatening and getting both flu and COVID-19 increases risk of serious illness. Even if you’re healthy, you can still catch these viruses and spread them to people you care for, as well as to family and friends. The flu and COVID-19 vaccines are the best defence against these potentially life-threatening viruses. If you’re a carer and you haven’t had your vaccinations yet, you can still get them free from the NHS before the start of the winter.
England, Dr Nikita Kanani MBE, who also works as a GP, stresses the importance for all carers – not just paid carers – to protect themselves from COVID-19 and flu this winter. “The NHS autumn booster programme launched in September and millions of people so far have received their COVID-19 vaccinations but there’s still a lot more that we can do,” she says. “Getting vaccinated in good time, ahead of winter before viruses start circulating when it gets colder is really important. Making sure carers – whether they are paid or unpaid - are protected is not just good for them, it’s good for the people being cared for too.”
HOW TO GET YOUR COVID-19 AND FLU VACCINATIONS
PROTECTING CARE HOME RESIDENTS Dr Adrian Hayter is a GP and National Clinical Director for Older People and Integrated Person Centred Care at NHS England. He explains that COVID-19 still presents a threat in our care homes and calls for care home staff to make sure they are up to date with their vaccinations. “Undoubtedly vaccination has saved lives and it is also safe” he says. “But we are still at risk of very serious illness and people are in hospital with COVID. “We can help protect care home residents by both bringing the vaccine to them and protecting ourselves – those who go into care homes and work in them. This helps stop the spread in care homes and that reduces outbreaks. If we can vaccinate both residents and ourselves against flu and COVID-19, we will be doing as much as we can to protect our communities.”
Chief Nurse for Adult Social Care at the Department for Health and Social Care, Deborah Sturdy OBE, emphasises the increased risk to staff who work in social care. “As a social care worker, you’re more likely to be exposed to the flu and COVID-19 viruses, which can be life threatening,” she says. “You also care for people who may be at greater risk, and it’s easy to pass these viruses on without knowing. “That’s why it’s essential that all care workers take up their offer of the COVID-19 autumn booster and flu vaccine this winter – they will help protect you and your family from potentially serious illness, as well as the people you provide care for.”
UNPAID CARERS SHOULD ALSO GET VACCINATED Deputy SRO of the COVID-19 Vaccination Programme at NHS
If you’re a carer, NHS England is urging you to get your vaccinations as soon as you can and if you haven’t got any earlier doses that you need of the COVID-19 vaccine, it’s not too late. You can get them now and will be welcomed at a local vaccination centre. If you work in a care home, the COVID-19 booster and flu vaccine may be offered through your employer. If not, you can still get the COVID-19 and flu vaccines through the NHS free of charge. Whether you’re a paid or unpaid carer, you can book your COVID-19 booster through the National Booking Service, call 119 or find a walk-in appointment through the online vaccination walk-in finder. The flu vaccine may be offered at the same time but if not you can get it at a GP practice or community pharmacy at another time – it’s better to get what you need as soon as you can rather than waiting to have both at the same time. For more information on COVID-19 and flu vaccinations, visit www.nhs.uk/conditions/coronavirus-covid-19 and www.nhs.uk/conditions/vaccinations/flu-influenza-vaccine
THE CARER | NOV/DEC 2022 | PAGE 15
Local Authorities Spent £22.0 Billion on Adult Social Care in 2021-22, NHS Digital Reveal The Adult Social Care Activity and Finance Report, England 2021-22 is among four publications which cover topics such as outcomes, activity, finance and the opinions of those receiving care. The reports relate to England and contain figures covering 2021-22. During that period, gross current expenditure on adult social care by local authorities was £22.0 billion, which was up £0.7 billion from the previous year. The findings of the 2021-22 report also show: • £16.6 billion (75.4%) of the total expenditure went on long term support, an increase of £0.9 billion compared with 2020-21. • There were almost 2.0 million requests for adult social care support from nearly 1.4 million new service users received by local authorities in 202122. This is equivalent to 5,420 requests per day in England, up by 170 requests per day on last year. • The number of service users receiving long term care has decreased to 818,000, continuing the downward trend in the number of service users receiving long term care since 2015-16. This is mainly driven by a decrease in those aged 65 and over, as well as the continued impact of the coronavirus (COVID-19) pandemic reported by local authorities. Other reports published this month include: Measures from the Adult Social Care Outcomes Framework, England 2021-22 This publication draws on a number of data collections and measures how well care and support services achieve the outcomes that matter
most to people. The findings include: • Fewer females (67.5%) reported feeling as safe as they would like in comparison to male service users (71.5%). • The proportion of carers who reported having as much social contact as they would like dropped to 28.0% in 2021-22 from 32.5% in 2018-194. • The North East region was rated highest for quality of life for carers, scoring 7.7 out of 12, compared with the lowest regions London, South West and East Midlands which achieved 7.1. • For adults in contact with secondary mental health services, the North East region has the highest proportion (44%) who are living in their own home independently or with family, while the West Midlands has the lowest proportion (15%).
PERSONAL SOCIAL SERVICES ADULT SOCIAL CARE SURVEY, ENGLAND 2021-22 This annual survey, conducted by councils with Adult Social Services Responsibilities (CASSRs), asks service users questions about quality of life, the impact of care and support services and their general health and wellbeing. The 2021-22 survey reports: • 9% were very or extremely satisfied with the care and support they received, down from 64.2% in 2019-20. The proportion of service users who were very or extremely dissatisfied with the care and support they received rose to 2.6% from 2.1% in 2019-20.
• Fewer service users (40.6%) felt they have as much social contact as they want with people they like compared with 45.9% in 2019-20. The number who felt they have little social contact and feel socially isolated rose to 8.3% from 6.3% in 2019-20. • In relation to finding information and advice, 29.1% reported they found this easy, which was down from 31.0% in 2019-20, while 14.2% found it very difficult, which was an increase from 12.1% in 2019-20. • While the number of service users able to get to all the places they want in their local area remained unchanged at 29.6%, those who do not leave the home increased to 29.1% from 26.5% in 2019-20. • The number of service users receiving practical help on a regular basis from someone living in their household dropped to 39.6% from 42.3% in 2019-20. The number receiving regular help from someone in another household also decreased to 45.0%, from 48.3% in 2019-20. Also published is the Deferred Payment Agreements Report 2021-227 Key information from some of these publications will be included in the next version of Adult Social Care Statistics in England: An Overview, which brings together information collected by NHS Digital around different aspects of adult social care and covers from 2015-16 to the latest available data8. Statistics from this publication are also accessible through the Adult Social Care Data Hub, where you can access official statistics, dashboards, metadata, data collection information, financial information and guidance documentation.
NCF Supports The Care Workers Charity £500 Challenge The National Care Forum (NCF) a founding member of the £500 Challenge – a fundraising campaign launched by The Care Workers’ Charity, is encouraging businesses across the adult social care sector to commit to an annual donation of £500, the same as an average grant they award to a care worker experiencing financial hardship. Social care is experiencing a workforce crisis, and it is important now more than ever that organisations in the sector come together to recognise the immense value and tireless contributions of care workers across the UK in helping services to stay open. The National Care Forum are contributing to this worthwhile cause to ensure that there is a helping hand for care workers in these difficult times. By signing up as a Founding Member, we hope to encourage other organisations to sign up themselves. The Care Workers’ Charity, who are one of NCF’s 165 members, is experiencing high demand for their services – since 2020 they have made over 6000 grants to care workers in crisis. If one in ten organisations providing and organising care in the UK accepted the £500 Challenge, they could raise £2.5 million per year to support care
workers. Karolina Gerlich, CEO of The Care Workers’ Charity said: “We are extremely grateful to The National Care Forum who have signed up as a Founding Member of our £500 Challenge. Every organisation who signs up and spreads the word is making it more likely that our charity can support care workers across the UK, providing the right support when it is needed most. We hope to sign up hundreds of businesses, ensuring that we have the funds we need to continue providing essential grants and mental health support in the years to come.” Professor Vic Rayner OBE, CEO of the NCF said: “NCF are delighted to be founding members of this initiative. By committing to the £500 challenge we will contribute to fund vital work to support and make a difference to care workers all over the country through this great charity.” We urge organisations working in adult social care to accept this challenge and show that they really care about supporting the people who make up our essential workforce. It is everyone’s responsibility to ensure that care workers are supported to stay in their jobs and have a place to go in times of crisis. Please donate what you can by following this link to The Care Workers’ Charity website: www.thecareworkerscharity.org.uk/the-care-workers-charity-500-fundraiser/
PAGE 16 | THE CARER | NOV/DEC 2022
Legal View: Staying In The Green When It Comes To Employees
By Gareth Matthews, employment law partner at MLP Law (www.mlplaw.co.uk)
There are many legal considerations for care home managers and operators – not least those regarding the safe and lawful employment of their staff. Care employment, particularly in residential nursing care, can present a complex issue due to the nature of the work. Shift patterns, absences and meeting the duty of care can all make managing employees tricky. So, what do residential nursing home managers need to be aware of in order to stay in the green?
NATIONAL MINIMUM WAGE Like all employees, all care workers are entitled to be paid at least the national minimum wage for all the hours they work. In 2021, a Supreme Court decision rules that carers who work ‘sleep in’ shifts are not entitled to be paid for the time they are asleep – only the hours they are awake and working requires payment by law. In a similar vein, time spent training or travelling between sites counts as working hours – whereas commuting does not. There are some scenarios where employers inadvertently pay staff less than minimum wage. An example would be if the employee is required to buy their own uniform and this is deducted from their pay.
It’s important for care home managers to ensure that they place proper emphasis on national minimum wage compliance, given that there is often little opportunity to pay staff over this rate.
WORKING TIME REGULATIONS Every individual is subject to restrictions on their working time hours and breaching these can have serious consequences for employers. The rules include a maximum 48-hour working week (although staff can choose to opt out of this, which should be agreed in writing), a minimum 11 hours’ rest in each 24 hour period, at least one uninterrupted period of 24 hours in each seven day period, and a 20 minute unpaid rest break when working for six hours or more. In special circumstances, you can require staff to work above this level, but you must give the equivalent time off as compensatory rest to make up for it.
TIME OFF FOR DEPENDENTS Carers have a right to unpaid time off during working hours to care for, or arrange care for, their dependents. This is generally a short-term measure, designed to enable carers to deal with an emergency or unexpected disruption, rather than a long-term solution to their responsibilities outside of work. Other rights exist where more long-term solutions are required, such as parental leave for up to 18 weeks (unpaid) or the right to request flexible working arrangements.
SICKNESS, INCLUDING COVID AND ISOLATION Staff who are unable to work due to illness or injury are entitled to statutory sick pay from the fourth day of any absence, for a maximum of 28 weeks. Employers are entitled to request evidence (usually a doctor’s
‘fit note’) for absences of more than seven days. Like many other employees, carers are not generally entitled to paid time off to attend medical appointments – with the exception of antenatal appointments. Temporary rules covering Covid absences have now been removed, meaning carers are no longer required to self-isolate if they have Covid-19. Difficulties can arise where employees attend work despite being unwell with Covid-19 – or any other illness – for example if they do not want to lose earnings. If an employee is sent home from work by their employer, after declaring themselves to be ready and able to work, they may be entitled to full pay.
HEALTH AND SAFETY Employers must ensure the health and safety of their employees. This should typically include things such as having an effective health and safety policy, managing risk assessments and providing appropriate training. There are lots of opportunities for risk within most care and nursing homes! Risk of injury may arise out of many types of tasks, including manual handling, use of chemicals and cleaning products, exposure to contagious illness and so on. You should identify and assess each risk, and put a plan to mitigate them in place. While running a care or nursing home comes with its own specific challenges, the law applies in the same way as it does for any other business. if you are unsure of your obligations, or want to discuss your employment law needs, the best thing to do is to seek expert advice from an employment lawyer.
From Care Assistant to Home Manager at Dorchester Care Home Maiden Castle House, a Care South home situated in Dorchester, has announced the promotion of Ashley Smith from Acting Home Manager to Home Manager. He started his career at Maiden Castle House as a Care Assistant and thanks to Ash’s dedication and commitment has progressed to take over the running of the home as Home Manager. Simon Bird, Chief Executive Officer at Care South, said: “We are very pleased that Ashley has been promoted at Care South’s Maiden Castle House care home. He brings a wealth of experience and knows the home very well after starting his care career at the home. Ashley has invaluable skills and has demonstrated his ability to manage a successful business in the care industry. His experience and knowledge are very beneficial for residents and staff at this wonder-
ful home, and we have enjoyed seeing Ashley develop and drive Maiden Castle House to where it is now. We look forward to seeing him flourish in his new role as Home Manager.” Ashley Smith, Maiden Castle House Home Manager, added: “There is nothing better than seeing happy residents, and the memories and friendships you make with them. Every day I look forward to challenges the day may bring, I have worked here for a third of my life, so I am particularly passionate about the home continuing to be as successful as possible. I am a positive person that is always looking forward to the future and all the exciting journeys you can embark on.” When Ash isn’t working at the home, he is a proud dad to twins, Archie and Myla. He loves to spend free weekends adventuring with them and is a keen runner and sports person.
Research Shows Music and Movement Hits Right Note with Care Home Residents A pilot study by the University of Stirling has found that music and movement can have a positive impact on the health and wellbeing of care home residents – and could lead to similar activities being rolled out on a wider scale. The study, conducted by researchers from the Faculty of Health Sciences and Sport, in partnership with wellbeing, arts and fitness company danceSing Care, followed 47 residents from 10 Balhousie Care Group homes across Scotland over a period of 12 weeks as they evoked memories and improved their mental, emotional and physical wellbeing. Residents and caregivers got their toes tapping, hands clapping and voices singing as they enjoyed digital music and movement resources created by the danceSing Care team in consultation with NHS healthcare professionals. Over the study period, residents joined the online danceSing Care sessions four times per week, where they were encouraged to take part in a variety of fun and meaningful activities including everything from chair and standing fitness, music and singing, bespoke Memory Lane radio shows, and musical concerts. The sessions proved increasingly popular as the weeks went on, and a range of benefits and improvements to residents’ wellbeing have been reported. Academics looked at a number of aspects of participants’ health and wellbeing, spanning anxiety and depression, stress and loneliness, sleep satisfaction, and indications of frailty such as appetite and unintentional weight loss. The study showed improvements in a number of areas. Balhousie Care Group also reported that the collective mood of the residents was visibly improved during the sessions. Even those participants who were demotivated at the beginning were visibly happier by the end of the session, or those not actively taking part still enjoyed the benefits of being present while the session took place. The numerous benefits and joy from the danceSing Care sessions were exemplified in moments such as one resident, after being hospitalised, returning to the home and immediately asking to take part in a danceSing Care session. As the programme progressed, residents waited in the lounge for the sessions to start, showing enthusiasm and excitement. It was noted that residents participated more in each movement session as the weeks went on, with visible improvements in physical strength. Staff members commented that the success of the programme was visible in the residents’ “eyes, smiles and more smiles”, and one resident described the mood-boosting music sessions as being “good for the soul”.
The study also identified challenges to delivering the programme, such as staff time and availability of suitable technology, so solutions to these can be incorporated into any future activity. One resident who particularly felt the sessions had a positive impact on their health and wellbeing was 79-year-old Robert Wilson, a resident at Balhousie Coupar Angus Care Home. Robert has always enjoyed an active lifestyle, being a former gym member who did Tai Chi, swimming, and used weight machines. He found that the danceSing Care sessions helped to keep him active and social. Robert said: “I very much enjoyed taking part in danceSing Care exercise and music sessions. I think I’ve benefited a lot from taking part in the programme as the sessions have kept me active and helped to improve my wellbeing and even my fitness. “I enjoyed the fitness part of it the most and have become familiar with the moves as they were easy to follow. I love music and found the music part of the programme very enjoyable too.” Care home staff also benefited from the injection of music and movement into their weekly routine, with team members reporting improved mood, physical health and job satisfaction. Bonds have been strengthened even more between staff and residents, with the programme encouraging increased interaction between the two
groups. Residents with dementia were also noted as being “calm”, “content” and in a “happy place”, which in turn had a positive impact on staff wellbeing. Professor Anna Whittaker, the study lead from the University’s Faculty of Health Sciences and Sport said: “The early results of the study are extremely promising in terms of the positive impact that music and movement can have on care home residents and staff alike. Giving residents something to look forward to and a chance to engage with one another has visibly improved their quality of life, which is exactly what we were hoping for. Such good results at this stage are really promising for the future, and we hope this type of programme could be implemented in care homes across the country before too long. We did also identify some challenges to delivering the programme in care homes which we will address in our future research.” Karen Johnson, Quality Director at Balhousie Care Group, said: “As a care home operator we see first hand the benefits of music and exercise to our residents. However, to have this tracked, documented and researched to such an extent is valuable both to us and the whole social care sector. Our homes thoroughly enjoyed being part of this pilot project and feasibility study, and we hope to see such programmes extended to more care homes across the country.” Natalie Garry, from danceSing Care, said: “The danceSing Care experience has been developed not just for people in care themselves, but for the caregivers too. It can create solid change and help create a happy vibrant community with a core of wellbeing and improving fitness. We know anecdotally that our music and movement resources positively impact mental health, emotional wellbeing, physical condition, and improved socialisation and were excited to team up with academics from the University of Stirling and Balhousie Care Group to prove this. Even with the restrictions of Covid, we’ve been able to launch this important research project which will positively impact the provision of music and movement resources for older people.” The success of the novel pilot project highlights the possibility of similar activities being adapted and rolled out across the country into the future, with further studies underway and in planning. A realist evaluation of the feasibility of a digital music and movement intervention for older people living in care homes study is available to view here. Further analysis is expected to be conducted and published in the coming months.
THE CARER | NOV/DEC 2022 | PAGE 17
Advinia HealthCare Chairman Writes Open Letter to Prime Minister Dr, Sanjeev Kanoria, Chariman of Advinia HealthCare, has written an open letter to Rishi Sunak on his concerns for the social care sector: The new Prime Minister must pay particular attention to the health of the nation and should ensure previous pledges are honoured to increase funding of social care and also to ensure that independent social care providers receive the right fee for care. This is a sector that is crying out for intervention. Over the past 30 years, hospital bed capacity in England has more than halved, from around 300,000 in 1988 to 140,000 in 2022, while the number of patients treated has increased significantly leaving the NHS with one of the lowest rates of hospital beds per person among OECD countries. An estimated 117,000 patients died last year waiting for medical care on the NHS and the number of patients waiting for non-emergency NHS care is at record levels — about 6.5 million. Many of them, are people in employment who have taken sick leave reducing growth and productivity. The vicious cycle of bed blocking by older people who no longer need hospital care needs to be broken for people in employment to be treated rapidly in hospitals, so there is no productivity loss. This simple equation needs to be appreciated. A properly funded social care system ensuring additional funds going to local authorities is ring-fenced for independent social care providers is urgently needed. Over 300,000 vulnerable older people, receive funding through local authorities and CCG, and have their safety compromised because the fees are currently 40 per cent lower than the true cost of care. It is the statutory duty of local authorities and the CCG to pay the right cost for care, however their significant market influence means that if a care provider insists on the right fees, they simply stop placing residents. Thus many vulnerable older people end up getting low quality care, with daily news on some safeguarding issue at a
care home. They blame the government for not funding them, but we increasingly see that the money they receive is used to fill their own financial black holes and are not reaching independent providers. The most cost-effective way to ease the burden on the NHS is to increase support to care homes so that elderly patients are not blocking hospital beds at great cost because care homes are closing down or are refusing to take them for low fees. If the working age population do not get timely medical treatment due to hospital bed blocking, sicknesses, absences will continue to increase and productivity will reduce creating a vicious cycle of low growth. Unless social care providers are paid a minimum of £1100 per resident per week (i.e. circa £160 per day) which is then adjusted based on nursing needs and dependency with reassessments done regularly, the vicious cycle of older people blocking the 140,000 hospital beds for the circa 65 million population of UK ( a dismal 0.2%) will not be broken. With rising staff, energy costs, and now interest costs and with inappropriately low fees by LA/CCG, social care beds will continue to be lost. £160 per day which includes 4 hours of personal/nurse care, lodging, food, laundry, electricity etc will go a long way to keep social care viable and hospital beds available for patients with health needs. Providers are helplessly caught between the two pincer arms of the CQC. One arm wants them to continuously invest in staff training and physical environment whereas the other arm the CQC Market oversight team, want independent social care providers to have enough surplus cash to ensure viability. The CQC MO “likely probability of failure” and issuance of warning notices is a significant threat to the independent care sector Caught helplessly between the two pincer arms of the CQC and crushed by the LA/CCG with low fees, where is the surplus cash to preserve, where is the surplus cash to invest in staff training and in physical environment. This problem is further augmented by independent social care providers unable to claim back VAT, limiting their ability to fund capital expenditure to maintain properties to regulatory standards. We have been forced to close 1000 operating beds in the last one year and plan to close another 200 in the next few months for we cannot operate with low fee paying LA and CCGs and meet the regulatory cost of care. A broken social care will lead to a pressurised health service which will impact the health and well being of the working age population, and economic growth will be affected. We hope that this simple equation is understood by key decision makers in Govt.
87% of Healthcare and Care Sector Organisations Struggling with Staff Shortages Amid Changing Regulation According to a recent WorkNest poll, an alarming 87% of care and healthcare providers admitted that their organisations are currently struggling with staff shortages, and 36% of those admitted that these shortages are compromising the quality of service they can deliver. With staff shortages at the height of their worries, care and healthcare providers would rather not also have to deal with adapting to recent changes to the Care Quality Commission’s (CQC) new framework, which is yet to be fully announced. These staff shortages could not have come at a worse time. But unfortunately, it is only exacerbating the problem. Nevertheless, 77% of care and healthcare professionals believe recruitment challenges are the most significant driver behind staff
shortages in the sector. What makes matters worse is that over half (58%) admitted they are experiencing issues with staff performance. While addressing performance management issues is crucial for any healthcare organisation, a quarter (25%) of respondents aren’t addressing performance concerns because they are understaffed or don’t know how to. Toyah Marshall, Principal Employment Law Adviser and Solicitor at WorkNest, said: “This is truly a challenging time for care and healthcare providers. But addressing recruitment challenges by upskilling the workforce, offering learning and development opportunities and supporting employees with their physical and mental wellbeing is critical.
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“When skills shortages and recruitment challenges occur, the rest of the employees in the team are affected, which ultimately causes burnout, stress, poor mental health, poor performance and even further resignations. Training employees on the importance of compliance, embedding it into their daily operations and reducing manual processes can ensure they are fulfilling their duties with the best care quality and minimise the likelihood of affecting their performance. “Care and healthcare leaders can ensure their teams are present and performing by creating a culture of putting quality and patient care first. In addition, leaders must regularly connect with staff members to address their concerns with tasks and support them through performance or wellbeing-related issues.”
PAGE 20 | THE CARER | NOV/DEC 2022
CLEANING, HYGIENE & INFECTION CONTROL Noroviruses: Outbreak Management and Disinfectant Choice By James Derham (BSc (hons)), Liam Grimshaw (MSc by research, BSc (hons)) Enteric virus (EV) outbreaks are prevalent in the care home community, with 73% of cases of outbreaks in weeks 43-44 in 2022 attributed to them (UKHSA, 2022). Typically spread via contact with faeces, infection can spread easily via surfaces, food and close contact from someone with the virus (NHS UK, 2021). Norovirus is a small, non-enveloped virus that’s very difficult to destroy with traditional disinfectants owing to its small size and external capsid structure (GOV, 2012). It is vital to choose a disinfectant that is efficacious against Noroviruses. Chlorine-based products (bleach, NaDCC tablets and chlorine dioxide) lose efficacy in soiled conditions, where Noroviruses are prevalent. This means that they require an additional detergent cleaning step prior to use in order to still maintain efficacy. An excellent alternative is peracetic acid (PAA), which outshines chlorine-based products because PAA is not hindered by soiled conditions. PAA is widely used in the food industry, water treatments, agriculture and many other high-level industries. Independent studies have shown that 85 – 250 ppm peracetic acid was effective in reaching 99.99 % reduction in viral particles with a contact time of 1 – 5 mins. It was also found that even in the presence of synthetic faeces, 85 ppm peracetic acid with a contact time of 1 minute was not hindered by soiling (Girard et al., 2015).
Peracetic acid in any format is the most effective active ingredient to use against noroviruses. PAA is safest and easiest to use for healthcare environments in its in-situ format, containing the pre-cursors to PAA, for “stepup” dilution (from 0ppm to 1000ppm for example). This minimises corrosion typically associated with PAA, allows for addition of ingredients to enhance cleaning properties, is suited for use on hard and soft surfaces, and provides a more sustainable option to your care home. See the advert on the facing page for more information about Peracetic acid products from Sky Chemicals. REFERENCES Girard M, Mattison K, Fliss I, Jean J. Efficacy of oxidizing disinfectants at inactivating murine norovirus on ready-to-eat foods. International Journal of Food Microbiology. 2015Nov30;219:7–11. GOV. Guidance for managing norovirus outbreaks in healthcare settings [Internet]. https://assets.publishing.service.gov.uk/. 2012 [cited 2022Nov18]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/322943/Guidance_for_managing_norovirus_outbreaks_in_healthcare_settings.pdf National Norovirus and Rotavirus Report, week 46 report: Data up to Week 44 (6 November 2022) [Internet]. GOV.UK. UKHSA; 2022 [cited 2022Nov18]. Available from: https://www.gov.uk/government/statistics/national-norovirus-and-rotavirus-surveillance-reports-2022-to-2023-season/national-norovirus-and-rotavirus-report-week-46report-data-up-to-week-44-6-november-2022
Sustainability, Cobotics and Hygiene Habits The Cleaning Show returns to London to highlight the latest trends and technologies transforming the cleaning industry The Cleaning Show 2023 returns to ExCeL, London, from 14-16 March 2023 to demonstrate the very latest advancements in cleaning technologies and provide unmissable learning and sourcing opportunities for the cleaning and hygiene sector, which together with the waste industry is one of the biggest sectors in the UK, worth nearly £59bn and employing 1.47m people. The show, organised by the British Cleaning Council and Quartz Business Media, is set to attract more than 100 cleaning suppliers, with the likes of Jangro, Numatic, Makita UK, Karcher UK, Nilfisk and SC Johnson Professional among those confirmed to exhibit. And, with more than 7,000 senior cleaning professionals set to attend from across the contract cleaning, facilities management (FM), healthcare, hospitality, retail and public services sectors, it is no surprise that the event has become the largest and longest running exhibition in the UK dedicated to cleaning, hygiene and facilities management.
A CHANCE TO LEARN FROM INDUSTRY EXPERTS Alongside a growing list of Europe’s leading cleaning suppliers confirmed to showcase their latest technologies and innovations on the show floor, The Cleaning Show Conference will also return. Welcoming the industry’s leading experts, the conference will offer a place to discuss and debate the big issues affecting the sector. A full programme of speakers and topics will be announced in the coming weeks.
Also returning after a successful debut in 2021, the Cleaning & Support Services Association will once again host the CSSA Innovation Showcase. The dedicated pavilion is designed to highlight and celebrate the industry’s most innovative cleaning products, services and initiatives. Among the big trends anticipated to take the spotlight, the theme of sustainability will return to help operators minimise their impact on the planet. Cobotics and the evolution of robotic technology to support the cleaning process and tackle the ongoing resources challenge will also play a key role alongside healthy buildings, where the Internet of Things (IoT) enabled dynamic resource applications will transform operations. With a focus on creating the Future of Cleaning, businesses and organisations operating throughout the industry can enter their innovations via the CSSA website by 30 November 2022. Prior to The Cleaning Show, the CSSA will hold an Innovator's Pitch with a panel of leading industry experts who will review and interview all entrants and select those to be exhibited at the Innovation Showcase itself. For further information on submitting an entry, visit https://www.cssa-uk.co.uk/. Registration for The Cleaning Show 2023 will open on 1st November 2022. To register your interest to attend and find out more about this year’s event, visit https://cleaningshow.co.uk/london/ See the advert on page 11 for further details.
ID NOW – Helping You to Put Your Residents’ Needs First ™
Helping you to put your residents’ needs first by treating them quickly, and isolating where needed.
AN EASY-TO-USE INSTRUMENT, PROVIDING POSITIVE RESULTS FOR:
• SARS-CoV-2 in 13 minutes or less2
LEARN MORE AT https://tinyurl.com/9b5pukyh LEARN MORE ABOUT THE HUMAN IMPACT OF ID NOW IN DONCASTER AND BASSETLAW NHS TRUST What has been the human impact of ID NOW on community care? WATCH NOW: https://media.gpoc.abbott/video?yztkzyp339 What has been the human impact of ID NOW on staff well-being? WATCH NOW: https://media.gpoc.abbott/video?bn08a6s0pc Contact us to learn more. See the advert on the previous 2 pages for details.
• Influenza A & B in as little as 5 minutes, with 95% detected within 7 minutes1 and negative results in 13 minutes2 • RSV in 13 minutes or less2 • Strep A in as little as 2 minutes, with 99% detected within 3 minutes and negative results in 6 minutes2
REFERENCES 1. NHS England and NHS Improvement. Primary Care Bulletin. Updated June 29, 2021. Accessed November 2021. https://www.england.nhs.uk/ coronavirus/primary-care/otherresources/primarycarebulleting/june- 2021. 2. Zhou H, Tsou JH, Chinthalapally M, Liu H, Jiang F. Detection and Differentiation of SARS-CoV-2, Influenza, and Respiratory Syncytial Viruses by CRISPR. Diagnostics. 2021;11(5):823. 3. MedTech Europe. The Value of Diagnostic Information in Acute Respiratory Infections — Observations From the COVID-19 Pandemic. Accessed November 2021. https://www.medtecheurope.org/wpcontent/uploads/2021/04/vodicase- on-respiratorydisease_case-study.pdf. 4. Moore N, et al. Evaluation of the Alere™ i Influenza A & B 2 Assay. Poster presented at: ASM Clinical Virology Symposium; 2018; West Palm Beach, Florida. 5. Abbott. Data on File. ID NOW™ Clinical Data.
GOJO Offers Support & Advice on Infection Prevention at IPS 2022
GOJO, experts in skin health and surface hygiene were recently exhibiting at the 14th annual Infection Prevention Society (IPS) conference, where healthcare professionals were invited to join GOJO, THE INVENTORS OF PURELL™ - and the hand sanitiser category itself on stand 37! The team of GOJO Healthcare Support Managers offered support and advice on their total solution approach to infection prevention in healthcare facilities, highlighting the company’s ability to help hygiene standards across all areas and situations within hospitals and healthcare facilities. GOJO showcased its role as a specialist partner in healthcare hygiene, by focussing on three areas with specific need:
• SURGICAL WARDS Meeting key hygiene norms is of the utmost importance in these environments, but the harsh products used to do so can really take their toll on hands. In contrast, using PURELL Advanced Hygienic Hand Rub offers a gentler way to meet EN 12791 standard.
• ACUTE AND GENERAL WARDS GOJO provides a straight ‘out of the box’ solution for hand hygiene, incorporating dispensers, products, accessories, and signage, as well as training and on-boarding support. It also manages installations, thereby reduc-
ing the staffing impact of changing suppliers.
• COMMUNITY & SOCIAL SERVICES: These environments often have radically different needs from what are traditionally catered for in healthcare packages. GOJO takes these specificities into consideration and offers specially adapted products – for example locked dispenser units and foam sanitiser, so they can only be opened by trained personnel in demanding environments. Its ‘train the trainer’ programme allows all staff to be trained on product use, whatever shift they work. Personal formats can also be supplied, so healthcare professionals always have products on hand when they are needed – even if their work is off-site. Chris Wakefield, Managing Director UK & Ireland, GOJO Industries-Europe Ltd comments: ‘We know the key to increasing hand
hygiene compliance is to ensure that the right products are available in the right places, at the right time. We are constantly innovating to keep people and places healthy. This means formulating products that are not only effective at killing germs, but that won’t irritate hands that must be repeatedly cleaned throughout a shift. ‘Ensuring that the products are available when and where they are needed – be that personal bottles of hygienic hand rub, or dispensers positioned in optimal locations. And last but not least, developing solutions with the environment in mind.” “For example, from 2023, we plan to move to RPT refills; all collapsible refills will be made from recycled materials, as well as being recyclable.” ‘Widely used in the NHS, PURELL® is a trusted brand in healthcare facilities around the world. Our solutions encompass fastactive, effective formulas that care for skin, state of the art dispensers, and specialist support such as the Royal College of Nursing (RCN) accredited training making us the ideal healthcare partner. For a tailored, effective, total solution for your setting, or for more information on the benefits of partnering with GOJO, please call +44 (0)1908 588444, email CustomerExperienceUK@GOJO.com, or visit www.GOJO.com
THE CARER | NOV/DEC 2022 | PAGE 21
CLEANING, HYGIENE & INFECTION CONTROL
Clean Away Your Kitchen Ductwork Fire Risk There aren’t many fire risks that you can simply clean away, but here’s one that an expert can. Kitchen extract fire safety cleaning helps to protect your kitchen, your team, your residents and visitors – and the rest of your premises – from fire. Cooking even the healthiest menu creates airborne fat, oil and grease particles, which settle into deposits inside your kitchen extract ductwork, canopy and fan. Anything more than a thin layer of grease, about half the depth of a business card, is a serious fire risk. Grease needs to be controlled and removed at regular intervals, in accordance with TR19® Grease, the specification for ductwork hygiene. Your normal cleaners won’t be able to access the ductwork to remove these deposits, so you will need a specialist cleaning provider. Swiftclean is a founder member of the Vent Hygiene Elite scheme, which is run by the Building Engineering Services Association,
known as BESA. This means that after we’ve completed your TR19® Grease compliant clean, we can provide certification to demonstrate that you have done everything required of you to protect the users of your premises. In the event of a fire, certification will help to demonstrate that you have not been negligent. If there should be a fire, and particularly if residents are harmed or negligence is proved, the Responsible Person can face legal proceedings and even, if convicted, a custodial sentence. If you cannot demonstrate TR19 Grease® compliance, your buildings insurance provider may also refuse to pay out following a fire. And don’t worry about disturbing your residents. We’ll work with you to establish a time frame to perform your TR19® Grease clean when your kitchen is not being used and your residents are safe elsewhere. Our technicians are DBS checked so you can be confident that we will also act with care and respect at all times. Make sure you have your kitchen extract ductwork cleaned regularly. Call us now on 0800 243 471, visit www.swiftclean.co.uk or email firstname.lastname@example.org.
Angloplas Dispensers Help Reduce the Risk of Cross Infection
Angloplas are a UK manufacturer who specialise in producing dispensers for the health and hygiene industry. Angloplas’ range of dispensers are produced in the world’s first proven Antimicrobial PVC with silver ion technology and which is exclusive to Angloplas. This helps reduce the risk of cross infection by stopping the growth of bacteria and mould and works continuously for the lifetime of the product, reducing levels of bacteria such as MRSA, E Coli, Legionella, Salmonella and mould by up to 99.99%.
For non-clinical environments Angloplas has
recently launched its new Budget Range of products which are made to the same exacting standards as the antimicrobial protected ones but with lower price tags. You can order Angloplas products directly from its website by going to www.angloplas.co.uk and clicking Hospital, Health and Hygiene or by using the Quick Response code.
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PAGE 22 | THE CARER | NOV/DEC 2022
CATERING FOR CARE For The Cuppas That Comfort As we enter into winter, we know people seek warmth through the enjoyment of hot beverages, with tea remaining the most popular pick on the list of wintertime beverages.1 At Tetley, we’re here here to support your staff and residents to feel cosy with a comforting cuppa. As the UK’s No.1 tea brand in the foodservice industry,2 we are dedicated to going beyond simply providing delicious tea solutions, we aim to support all our customers with useful tools, tips and resources to help with your day-today operations.
CUPPAS THAT COUNT Current research shows that 20% of care home residents are dehydrated,3 and this is becoming a leading cause of hospitalisation. Therefore, understand just how important it is to keep residents healthy and hydrated while also making the experience enjoyable, and the challenge this can face for care providers. Did you know? Tea counts towards your daily water intake,4 and so aids with rehydration! Offering residents their favourite cuppa not only acts as a comforting moment for them but also helps maintain their hydration level.
When you serve Tetley, you’re serving the Nation’s favourite.5 Feel confident in bringing a familiar taste to your residents, helping them relax, settle and celebrate this festive season.
FOR THE LOVE OF TEA We’ve been serving quality cuppas to the Nation for the past 185 years. Operating globally, we source, buy and blend the finest tea leaves, so you can promise residents perfection with every sip. We are also environmentally conscious and committed to operating our business in a way that supports the people and environment it touches.
MORE THAN JUST TEA Designed with care professionals in mind, the Tetley Hydration Handbook and Hydration Help Sheet offer insight and advice to help keep residents hydrated! We have a range of free POS available to reassure residents that you serve the much-loved taste of Tetley while having physical drink prompt reminders for staff.
Sources: 1. Sharron Hall (2022), “Tea Census 2022”, tea.co.uk 2. Salesout excl. Booker MAT data to Jan 2022 3. Open Access Government (2022), “Eradicating dehydration in the elderly with Aquarate”, openaccessgovernment.org 4. NHS (2021), “Water, drinks and your health”, nhs.uk 5. Kantar World Panel No. of Households Buying Dec 2019
Helping to Support and Keep Your Patients Safe at Mealtimes with It’s Made For You Softer Foods
At It’s Made For You, we believe that everyone should look forward to tasty, safe, and nutritious texture modified meals. The It’s Made For You range is designed for the International Dysphagia Diet Standardisation Initiative (IDDSI) framework standards and includes valuable nutrition. It’s Made For You are proud to be Gold Sponsors of IDDSI. Our range of meals have been developed to ensure the nutritional content will meet the nutritional needs of your patients whilst they follow a texture modified diet. Research has shown that up to 50% of people with dysphagia are malnourished or at risk of malnutrition. There could be numerous reasons for this, including a reduced appetite or the inability to consume large quantities of food in one sitting. Our range of ‘classic’ and ‘mini meals’ can help to ensure your patients are getting the most nutritional value from the food they consume. The use of pre-prepared It’s Made For You meals can also be a practi-
cal time-saver and bring peace of mind to the person with dysphagia as well as their carer. The range includes over 60 tasty dishes including chicken, beef, lamb, fish, and vegetarian recipes. We also offer a tasty selection of desserts, and breakfast options as well as mini meals for those with smaller appetites. Each meal is easy to cook in either the microwave or oven, and promises to deliver delicious and tasty mealtimes, every time. This festive season, It’s Made For You are here to help deliver an easy and smooth Christmas. Choose from our festive favourites including a Level 4 Puréed Roast Turkey Dinner and a Level 4 Puréed Spiced Apple & Custard Dessert. From our Level 5 selection, we have a tasty Minced & Moist Roast Lamb and Mint dinner. Or if you’re looking for a Level 6 option, why not choose from our best-selling Soft & Bite-Sized Chicken Casserole followed by a delicious Soft & Bite-Sized Jam Sponge & Custard Pudding. At It’s Made For You, we offer a delivery service that cares, making it easy and convenient for our customers to eat delicious meals which can be delivered directly and safely to their homes. This helps them if they cannot leave the house or go to the shops. Plus, people love to use our service, as they can rely on a regular delivery of good quality and safe meals, directly to their door, by a friendly local Oakhouse Foods delivery driver. Find out more at www.Itsmadeforyou.co.uk.
PAGE 24 | THE CARER | NOV/DEC 2022
CATERING FOR CARE Anglia Crown – Adding Warmth to the Colder Months The autumn and winter months are a busy time for anyone in the care sector and it is important that all residents have a chance to enjoy warming, nutritious food at every mealtime. Mary Wedge, Business Development Manager at Anglia Crown comments: “In our experience, many of the residents look forward to the desserts. They often represent familiar comfort foods and, even if they cannot face the main course, will often go straight for the pudding. Anglia Crown offer a wide range of hot and cold desserts that are ideal for a well-balanced, nutritional diet, including choices that do not contain gluten. Our Crown Choice and Advantage ranges include some fifty-eight dishes, including our new, autumnal warming Ginger Chocolate Chip Sponge and delicious, comforting custard that goes with almost any hot dessert. Our Crown Choice cold dessert includes the perennial favourites such as Chocolate Cake, whilst our Crown Advantage range also offer ‘reduced sugar’ desserts. All individual Crown Advantage desserts come in packs of eighteen, whilst the Crown Choice desserts come in packs of 3 and 6 allowing accurate portioning and cutting down on any potential waste. Many of the Anglia Crown dishes can be teamed up with fresh fruit, allow-
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ing for additional choice. Items such as our Carrot Cake or Vanilla Cheesecake can be accompanied by whipped cream, garnished with seasonal fresh fruit. Our hot desserts are high in energy, our hot portions of 170kcal and above provide energy and protein dense options and when served with custard provide over 250 kcal per serving. Our cold desserts of 250 kcal and above also meet the energy guidelines in the British Dietetic Association (BDA) Nutrition and Hydration Digest (2017) requirements.
VEGAN SUITABLE CHOICES At Anglia Crown we pride ourselves with the array of vegetarian and gluten free dishes that we offer, including an impressive range of desserts. This was recognised with us being named at the Vegetarian Wholesaler of the Year 2022 at the VfL Awards for Excellence in Veg*n Care Catering. All the Anglia Crown hot desserts are suitable for vegetarians, Most of the Anglia Crown vegan products have been registered with the Vegan Society, including some thirteen of the dessert dishes.” Anglia Crown are here to help take the strain out of your menus throughout the year. Visit www.angliacrown.co.uk for further details
Carte D’Or Chocolate Mousse: Same Great Taste, New Recipe Easy to prepare, reliable every time and adaptable for a wide range of applications, preparing a range of memorable and eye-catching desserts consistently has never been easier. Get your free sample whilst stocks last from the Unilever Food Solutions website now: www.ufs.com/veganmousse
A delightful luxury Scottish festive hamper is waiting to be delivered to a care home who “pushes out the boat” to celebrate Christmas!
FIND OUT MORE ON PAGE 5
Carte D’Or’s Chocolate Mousse powder mix has been reformulated, now giving chefs the freedom to mix it with dairy, oat or soy milk, without compromising on texture or taste. Delivering the same rich taste and that chefs and residents living in care know and love, the new formulation allows you to cater for even more of your resident’s dietary requirements.
PAGE 26 | THE CARER | NOV/DEC 2022
PRODUCTS AND SERVICES BIOFROST® Cold Therapy Gels for Drug-Free Natural Pain Relief
BIOFROST® Cold Therapy Gels are natural drugfree topical cold therapy gels for muscular and joint pain, chronic arthritic pain, post-activity muscle tension, general aches and overuse disorders. Easy to use and fast acting, BIOFROST® Cold Therapy Gels relieve pain, reduce inflammation and swelling without drugs and drug-related side-effects. BIOFROST® Gels:
• BIOFROST® Relief Cold Gel for pain relieving cold therapy • BIOFROST® Active Dual-Action Cold Gel with Heat Sensation combining cold with heat to treat back pain BIOFROST® Relief provides instant pain relief and activates body’s own healing through an optimal com-
bination of natural ingredients, including ethanol, menthol, eucalyptus, peppermint and MSM. Reported benefits of BIOFROST® Relief include lasting pain relief, improved joint movements, comfort during sleep, fewer cramps, calmed nerve pain, reduced joint and muscle discomfort and faster post-activity recoveries. BIOFROST® Active is a dual-action fast-acting cold gel with heat sensation for effective relief of muscular and joint pain. Containing 10 natural herbal extracts (i.e. Arnica, Burdock, Roman Chamomile, Garlic, Watercress, Ivy, White Nettle, Pine, Rosemary, Menthol), BIOFROST® Active relieves chronic pain, releases muscular tension, loosens stiff joints and effectively treats back pain. Benefits of BIOFROST® Active include easier joint movements, effective pain relief in treated areas, discomfort-free sleep, fewer cramps and reduced post-activity muscular and joint fatigue. BIOFROST® Cold Therapy Gels are usable standalone or alongside other pain relieving therapies (i.e. medication, physiotherapy, etc.). BIOFROST® Cold Therapy Gels are suitable for people of any age, including elderly and disabled people living independently or in nursing care. BIOFROST® Cold Therapy Gels are Class 1 Medical Devices made in Finland. Win Health Medical Ltd: T: 01835 864864866 / E: email@example.com W: www.win-health.com See the advert on page 5.
Sustainable & Cost-Effective Hot Water For Care Homes
Care facilities typically exhibit significant, but varied, hot water and heating usage patterns, which contributes to the current 40% tally of UK greenhouse gas emissions generated by the built environment. To help achieve climate-neutral building stock by 2050 the industry is being challenged to reduce operational energy use over all other measures. By increasing the use of renewable energy supply and prioritising on-site renewable energy sources the hope it to reduce both carbon and bills. Sustainability comes with a cost. Whether in the form of new build projects or, and far more likely, the refurbishment of existing, yet ageing facilities understanding the necessary capital investment, operational savings and payback periods is going to be key. Addressing the efficiency of domestic hot water (DHW) systems - whether through the implementa-
tion of heat pumps, solar thermal, direct electric water heating or even simple modernisation of existing gas appliances - helps care facilities meet sustainability goals in a practical and cost-effective manner. It also delivers improved year-round conditions for staff and clients in care, providing access to spaces better suited to delivering medical care and assisted living. For buildings already on gas and that rely on large amounts of DHW - a large proportion of current UK care and nursing home properties - solar preheat is the preferable option. For new build properties, the expectation is for specification to default to a mixture of heat pumps and direct electric afterheat. New system approaches, including prefabricated packaged plant rooms, also provide for better use of the spaces that already exist, without the need to undertake expensive and disruptive building projects. This is especially valid as demands for beds continue to increase, placing new demands on care facilities. Adveco can help achieve emission reduction targets. With more than 50 years of specialised expertise in designing, supplying, and servicing hot water systems to the nursing and care industry, Adveco is the single resource you need for independent expert technical guidance on choosing and developing bespoke sustainable applications today to get you on the right path towards net zero operation. Visit https://adveco.co/sectors/healthcare/ or see the advert on page 15.
Please Please mention mention THE THE CARER CARER when when responding responding to to advertising. advertising.
Yeoman Shield Fire Door Services Taking the Guess Work out of Fire Doors Fire Doors are an imperative part of fire safety and are considerations of the design and maintenance of any building, but especially residential. Article 17 – RRFSO states fire safety provisions (includes fire doors) must be maintained in a suitable condition and working order. If you are the Responsible Person, it’s imperative you appoint a competent person to assist in meeting your duties under the fire safety order to ensure fire safety measures including fire doors are kept in working order. Yeoman Shield’s Fire Door Services can help to take the guess work out of fire door maintenance by providing fire door inspections, condition reports, remedial work and fire door installation all carried out by FDIS and/or FIRAS accredited team members Having a good maintenance routine will dispel some needs of fire door replacement therefore being more cost effective.
The implementation of Yeoman Shield Fire Rated Door Protection products can also be in the long term financially beneficial by halting impact damage from the start eliminating many repairs in the future and again will extend door lifecycles. Installing Yeoman Shield door protection products such as, door protection panels, door edge protectors and PVCu glazing bead units will not affect the integrity of the fire door as all products have been tested, in situ, to the current standard required. Vulnerable frames and architraves can also be protected from impact with Yeoman Shield to prevent dangerous splintering and splitting as well as abolishing the time-consuming, repetitive need for repainting. For a complete repair and protect service contact the team today firstname.lastname@example.org or visit www.yeomanshield.com or see the advert page 10.
Ontex Men’s Pants Range Incontinence experts Ontex's iD for Men Level 4 pants are just one of the solutions available as part of the iD range. Providing extreme comfort and a perfect fit, the all-round stretch, elastified material has a thin and flexible core to ensure that the pants fit like real underwear, perfect for carrying on with day to day activities. The pant has been designed to stay in place, not lose its shape or become bulky even when saturated. Thanks to the cotton-like material used on both the inside and out, it feels soft, all day long, so you won’t know you’re wearing an incontinence pant. This fully breathable material
means a healthy skin and no sweating. Ontex exclusively specialises in products for continence management, including products for light, moderate and heavy incontinence in a range of unisex, female, male and junior styles. The products offer odour control and fast absorption, keeping liquid locked in the pad as well as anti-leakage protection. iD Men Level 4 come in a size Medium and Large and are available from id-direct.com, ASDA pharmacy and local pharmacies priced at £8.99 Ontex iD can be purchased from www.id-direct.com. See the advert on page 13.
Renray Healthcare Renray Healthcare has been producing high quality furniture for over 50 years and is one of the UK’s largest and leading suppliers to the healthcare sector.
Whether you require a fast efficient delivery of quality furniture or a full room installation and fitting service, we have the experience and resources to handle your contract. We manufacture and assemble our products in our own purpose built factories in Cheshire and Europe to British Standards. Hence we are able to ensure your furniture is produced to the highest quality, working with you to plan and meet your projects time schedule and budget. We understand you are purchasing furniture that is fit for purpose, stylish and will continue to perform well into the future, which is why we design and build our furniture with you in mind. Telephone: +44 (0)1606 593456, Email: email@example.com, www.renrayhealthcare.com or see the advert on page 3 for details.
Penile Retraction and Incontinence As you get older, your penis and testicles may get slightly smaller. One reason is the build-up of fatty deposits in your arteries reducing blood flow to your penis. This can cause withering of the tissue cells in the spongy tubes of erectile tissue inside your penis making it awkward to stand at urinal to urinate – but having incontinence on top of this can make matters very difficult to manage. If you suffer from Penile Retraction and Incontinence – Men’s Liberty has you covered: Men’s Liberty is the discreet, dignified, dependable alternative for urinary incontinence that you have been looking for. It is made of a gentle, skinfriendly material called hydrocolloid, a proprietary adhesive that softly stretches and moves with a man as he changes position. Unlike diapers that can cause diaper rash, yeast
infections, and dermatitis, Men’s Liberty attaches to the tip of a man’s anatomy, directing urine to a discreet collection pouch. It’s comfortable, unnoticeable to others, and -best of all secure. Male External Catheter • Designed for everyday use. • Directs urine away from the skin. • A completely external urine collection system. • One size fits most anatomy. One Men’s Liberty keeps you dry and comfortable for up to 24 hours. Available on NHS GP Prescription, we can post you samples to try out – just call us on 01923237795 or email firstname.lastname@example.org or visit www.MyPelvicHealth.co.uk for more information. See the advert on page 17.
PAGE 28 | THE CARER | NOV/DEC 2022
With Care Home Providers Facing Soaring Energy Costs, Forbes Professional Advises On How To Optimise Laundry Room Efficiency Facing unprecedented energy costs and an increasingly pressing climate crisis, care home operators are all aiming to minimise energy consumption. According to the Carbon Trust, the care sector spends over £400 million on energy each year and after heating and lighting, it is irrefutable that appliances are a main contributor to this figure. For any care home, laundry is a key service area and one that is absolutely critical to maintaining infection control. Thankfully, whereas you can’t turn down the heating in a care environment, or turn off the lighting, there are ways in which you can significantly reduce the energy consumed by your laundry function. Forbes Professional helps care home operators source the most energy, water and user efficient laundry solutions whilst advising on all relevant WRAS and industry requirements. When choosing dryers, it is notable that care homes are increasingly turning away from gas appliances due to increasing running costs and safety concerns. This is all the more notable now that changes to industry requirements are necessitating considerable investment in order for gas appliances to meet the current standards. Forbes would generally recommend that electrical appliances should be the product of choice, with heat pump dryers enabling astounding cost and energy savings. Miele’s new heat pump commercial dryers are particularly highly rated for their safety, functionality and energy efficiency. They employ a highly efficient and economical filter system and heat exchanger to keep run times low and enable an energy saving of up to 60% when compared to vented dryers. Additionally, these heat pump dryers do not require any make-up air,
which enables the laundry function to be installed in the basement or in a central location within the care-home and saves on costly vent-ducting. Due to the effective interaction of the Miele filter system and the maintenance-free heat exchanger, fluff cannot clog the heat exchanger or adversely affect the exceptional drying efficiency. With regards to washing machines, only a commercial washing machine will suffice in a care environment as only these machines will meet the WRAS requirements for Fluid Category 5. Forbes recommends using Miele commercial washing machines as they are highly energy and water efficient whilst delivering both thermal and sluice disinfection. As an illustrative example, based on an electricity cost of £0.34/kWh and three machines being used four times/ day for five years, Miele machines can realise a running cost saving of £9,529 when compared to another industry brand. Auto-dosing equipment also provides a great solution for ensuring that the right amount of detergent is dispensed for each cycle; minimising waste, optimising the wash cycle and saving both money and time. Forbes Professional provides a range of options for commercial laundry equipment, including auto-dosing equipment as well as Miele commercial laundry machines. All of their products are available on a purchase, rental or lease basis, with access to a comprehensive service that includes installation, commissioning, usertraining and a multi award-winning repair and maintenance response.
Southern Contracts for Industrial Laundry, Catering and Commercial Cleaning Equipment Southern Contracts is one of the UK’s leading suppliers of industrial laundry, catering and commercial cleaning equipment. Working closely with care homes, both national and family run, we also supply and maintain appliances for the NHS, the leisure and marine industries, local authorities, and schools and colleges. We are very proud of our heritage and are a third generation family run business, founded in 1964. Today we are honoured to also boast global clients to whom we deliver and maintain the very latest products and service, being ever mindful of sustainability and keeping our carbon footprints down.
We understand the importance of keeping disruption to a minimum, not only in relation to installation, but by also understanding the importance of providing in depth training on how to use the equipment effectively to ensure its longevity. We also provide and carry out maintenance service and repair. For more information regarding our services for : - Laundry equipment - Kitchen appliances - Commercial cleaning equipment Contact us now on 03301 222888 Find and follow us on : Facebook, Twitter, LinkedIn. Instagram
Cash’s Labels- “The Name Behind the Name” For 10% discou nt on all woven an d iron-on nametapes, ad d CARE2022 at the checkout ! Valid to 31/10/20 22
At Cash's, we aim to capture, reinforce and communicate our clients’ brand equity through quality and innovation, from design to distribution. Our product range fully caters for the needs of both small and large retailers and brand owners alike comprising of woven and printed labels, woven badges, care labels, branded and promotional swing tags, garment accessories, packaging and barcoding. Our ground breaking labelling and security technologies are also able to provide an unrivalled level of protection to our customers' brand by assisting to
combat counterfeiting and grey market activity. Our industry leading eCommerce system is designed to reduce cost, improve efficiency and streamline supply chain management and will fully protect the integrity and accuracy of critical business data. The order entry process is very simple meaning suppliers and vendors can spend their valuable time on tasks other than ordering apparel labelling and accessories. Visit www.cashslabels.com or see the advert on this page.
PAGE 30 | THE CARER | NOV/DEC 2022
NURSE CALL AND FALLS MONITORING 4 Reflections on Technology in Care: The Past, Present and the Exciting Future By Laurence Geller CBE, founder, Chairman, and Chief Executive Officer of both Geller Capital Partners and Innovative Aged Care We stand at a crossroads for the future of care. The sector has been in the spotlight much over the last few years, and not often for positive reasons. Social care has become an increasingly political subject, and there is much discussion around the sector, pertaining to Covid rules, funding, staffing levels, and its uncertain future. One certainty is that our people are our most important asset. It is they who set the tone and direction of the industry and are the beating pulse of its workings. However, they have seen great challenges over the past 2 years, and as a result, we need to look to new ways to protect, support and empower them. As we look at the next 5, and 10 years for the industry, we should look to face the problems of the sector head-on. Whilst funding and policy are integral parts of the solution, we must also look to generate solutions from within the industry itself. Increasingly, technology has become an accessible and widespread tool in care, and something that should be embraced
as part of care’s future.
vidual with records to match.
Over the past few years, staff across the industry have provided outstanding care, amidst highly challenging circumstances. However, as demand for care increases, the pressure on staff does too. We need to look to means to support staff in their work, and to enable them to focus on delivering hands on, high-quality, human care. New technology can allow for remote monitoring, analysis and diagnosis of key needs. Audible cues can detect signs and symptoms of a possible fall, and mattress management technology can pick up possible incontinence. AI-enabled ‘pain-check’ facial analysis can assist in analysing patient condition and comfort. These tools can help ease the workload of staff, and provide them with digestible and accessible realtime information, allowing them to focus on what matters most.
2. SAFETY & ADMINISTRATION The safety of our patients must be paramount, and technology is certainly a great tool to aid that. Electronic patient care records are becoming more commonplace in healthcare settings, and should be embraced in care settings too. Software can monitor medication dosing, help track a patient’s condition over time, and flag things requiring immediate attention. Digitally enabled mattresses can detect and alert to changes in physiology, such as abnormal vital signs. These technologies can also allow for better continuation of care, throughout the care pathways, ensuring that a patient is not a nameless, folded sheet of paper, but instead a holistic indi-
Medpage Falls Management Products Care technologies have advanced at an amazing rate over the past decade. The digital age is a place where we all live and all use technology as a familiar part of our daily lives. At Medpage we have harnessed these advancing technologies into products to support Social Care and Independent Living. Medpage brand products are designed to provide affordable, user-friendly, care support products for domestic and professional care. Our new wristband activated door egress alarm is a perfect example of how advanced technologies are transformed into a system to safeguard people prone to wandering. Simple to install, suitable for single or multiple residents, the system allows residents to remain mobile, while providing an alert to carers if they attempt to leave the building through a monitored door. Further details available at www.easylinkuk.co.uk search Doorwatcher.
Medpage have supplied Care, Residential Homes, and Hospitals with fall prevention and detection alarms for more than 25 years. From basic bed and chair exit detection alarms to more complex cordless sensor pad systems with nurse call integration, we supply quality systems that deliver cost effective performance. Our new sensor pad controller the MPCSA11 has been included into numerous falls management projects, in Hospitals and professional care establishments. The system, already proven to reduce care costs, allows a patient with mobility to transfer from their bed to their chair or to visit their washroom, without alarm notifications to carers, providing the transfer is completed within a selectable time. Failure to return within the selected time will result in alarm notification to carers, either by pager, nurse call trigger, or ward wall mounted alarm receiver.
Care needs are becoming both more complex, and more understood. Technology can, and has, enabled a breadth of new therapies for some of the more complex conditions. For those suffering with dementia, it has unlocked a new realm of possibility in memory care, such as the use of virtual reality, sensory enhancement chambers and movement/motion therapy chairs.
4. DIGNITY Arguably, dignity is one of the most important, and most overlooked aspects in developing the future of the care industry. Dignity in care goes beyond how we direct interactions with patients – but must be at the core of their experience, through every aspect of their day-to-day. Technology, when used correctly, is a greater enabler of a proud, holistic patient care experience. Direct care alarms, linking individual residents to portable devices held by staff can make alerts discreet. Applications can keep family members abreast of a resident’s routine and day from afar. Medication can be dispensed personally, and in privacy. All these developments allow ‘patients’ to reclaim their sense of ‘person’ and to have their care be a subtle addition, as opposed to an overt fact. Times are changing, and we as a sector must change with them. Care has sat in the shadows for too, and it is time, with the help of the blossoming care technology field, to bring it to the light.
Fall Savers - Affordable Fall Monitoring Solutions Fall Savers®, are an experienced market leading healthcare provider of resident safety solutions for over 15 years.
FALL SAVERS ® WIRELESS MONITOR
Eliminate all cables with our new generation falls management solutions! Upgrade your falls programme with the latest technology from Fall Savers®. The NEW Fall Savers® Wireless eliminates the cord between the monitor and sensor pad. This results in less work for nursing staff, improved safety for patients and reduced wear and tear on sensor pads. Wireless advantages include the ability to use one monitor with two sensor pads simultaneously and support for many new wireless devices.
Safer for patients; less work for staff Bed and chair pads available One monitor works with two sensor pads Integrates with most nurse call systems A variety of options, including: Call button Pager
Floor sensor mat Wireless door/window exit alerts
TREADNOUGHT ®FLOOR SENSOR PAD The TreadNought® Floor Sensor Pad is built to last with a durable construction that far out lasts the competition. Our anti-bacterial floor sensor pad is compatible with most nurse call systems or can be used with a portable pager to sound an alert when a person steps on to the sensor pad. Caregivers typically place the sensor pad at the bedside, in a doorway or other locations to monitor persons at risk for falls or wandering. An optional anti-slip mesh reduces the potential for slippage on hard surface floors.
Connects directly to most nurse call systems High Quality anti-bacterial Floor Sensor Pad Large Size Pad: Measures (L) 91cm x (H) 61cm Options (sold separately): Anti-slip mesh for hard surface floors See the advert on this page for further details or visit www.fallsavers.co.uk.
THE CARER | NOV/DEC 2022 | PAGE 31
NURSE CALL AND FALLS MONITORING
Silent Running - Tranquility in Care Homes Quiet and calm care homes ensure that residents are able to live in a more relaxing and pleasant home environment. Similarly, carers and staff find that they too benefit from reduced stress when working in a home where noise levels are kept to a minimum. There are many environmental factors that can affect those sensitive to their surroundings, particularly those suffering from dementia, these can be fluctuations in ambient temperature, light, and of course noise. Repetitive and high levels of noise can originate from a number of internal and external sources, for example, telephones ringing, loud conversations in corridors, and call bells sounding, often one of the largest contributors to increasing the levels of stress and discomfort in residents. A published study by the University of Stirling stated that unanswered Nurse Call (Call Bell) alarms can be one of the most common causes of stress in dementia sufferers. The University recommends “fitting call alarms which alert nurses but do not resonate throughout the whole building. Alarms can be particularly disconcerting as they may encourage the person with dementia to respond or investigate what the matter is. At the very least the loss of sleep will compromise a per-
stressed also, this creates a happier workplace where morale is greatly son’s ability to concentrate. It can affect their attention levels and improved, staff are retained and CQC ratings improve. Clearly, the posicapacity to cope, as well as being detrimental to their overall state of tive ramifications of a quiet Care Home run deep. Get in touch today to wellbeing. Personal paging systems are preferable to bells and find out how we can help your home become a quieter, calmer, and buzzers.” Modern Nurse Call systems can incorporate a number of more tranquil environment. methods to reduce their impact in a care home. These include zoning For more information email us at: email@example.com whereby there are separate alarm types used depending upon the location of the call. In these circumstances, dementia sufferers and those vulnerable to noise can be located in one • Nurse Call “zone” whist less vulnerable residents live in an alternative Systems “zone”. Each “zone” can operate different call tones, warning lights or other methods to alert when help is required • Fire Alarm Reducing noise levels is essential to create a tranquil enviSystems ronment for residents. Pagers have been around for many • Door Access years, are a relatively simple and cost-effective measure in reducing the levels of noise, and can be added to most Nurse • Staff Attack Call systems. Smart Mobile Devices are now becoming more • CCTV Designed to combat the problem of residents commonplace for care home staff and hold a variety of apps who are inclined to walk undetected, the Nurse for care planning, e-medication, etc. Many Courtney Thorne • Infection Alert Mat can help protect residents especially at clients are now utilising the “Go” app with their Nurse Call sysControl night that are at risk of falls and accidents. tem. With the “Go” app, nurse call alarms are delivered immeDementia Care • When connected to a Nurse Call system or the diately and silently straight to the handsets, alerting the mobile Floor Sentry Monitor it will then alert individual carers to all Nurse call alarms without creating any • Electrical staff, sounding the alarm with a small amount of general alarm sound and rarely disturbing the rest of the resiContracting pressure thus enabling staff to investigate. dents in the home. Calmer residents ultimately means that staff are less
Nurse Alert Mats
Lotus Care Technology The NurseAlert pressure mat has been one of the most successful floor pressure mats due to it being non slip and carpeted which makes it feel very natural under a residents foot. Lotus Care Technology Ltd have many other fall saving devices that can give you peace of mind whilst caring for this at risk of falls. Having many years of experience in fitting and maintaining
Nurse Call Systems helps the guys at Lotus Care Technology understand that every home is different and has different needs. They can specify not only the best system for the environmental factors in the home but also take into consideration the best products that will make your carers and nurses jobs that little bit easier. Visit www.lctuk.com for details.
In addition The Floor Pressure Mat has a heavy non slip backing, It comes professionally sealed so can easily be cleaned for liquid spills and is fully serviceable.
INCLUDES A 12 MONTH GUARANTEE
firstname.lastname@example.org 0800 8499 121 www.LCTUK.com
PAGE 32 | THE CARER | NOV/DEC 2022
TECHNOLOGY AND SOFTWARE
How Data is Transforming Social Care: The Roundtable The UK is embracing a new era of data-driven social care reform. Digitisation and datafication are enabling enhanced visibility, unlocking a new paradigm of proactive, person-centred care. How is data enabling this transformation, what are the stumbling blocks and what strategies are necessary to create a new digital roadmap that leads to better outcomes? Stuart Barclay, UK sales director of fall detection and remote monitoring supplier Vayyar Care, recently chaired a live roundtable discussion with key players in the social care sector to explore the power and potential of technologyenabled care. Four of the field’s leading providers and thought leaders explored the key factors driving change in social care. The conversation brought together Alyson Scurfield, CEO at TSA, Paul Berney, CMO at Anthropos, Claire Aldridge, Strategic Contract Manager at Millbrook Healthcare Group and Tim Barclay, CEO at Appello to share their visions for the future and how they are leveraging data to truly transform care.
STUART BARCLAY: Thank you all for being here. Alyson, can you tell us about the need, demand, and market readiness for data-driven social care and digital transformation?
ALYSON SCURFIELD, TSA CEO: First, I’d like to thank Vayyar Care for bringing us together for this important discussion. I’m delighted to be here. As part of the advisory body for technology-enabled care in the UK, I’m passionate about the power of data to transform care, enhance lives and deliver better outcomes for people and communities. Using data to provide better care is at the heart of what we do at TSA. We’ve been talking about this since early 2019, pre-COVID, and identified three cornerstones – data, people, and partnerships – as the key drivers of transformation to enable true preventative care. We’ve had a bird’s eye view of the process of change that’s impacting services and communities across the UK. We learned that we’re data-rich but intelligence-poor. We need to give people relevant data insights that they can use to make more informed decisions and carry out better care planning, not only for family members and frontline workers, but also to allow care recipients themselves to play an active role in managing their own self-care. Technology is delivering better outcomes for people. It’s the glue of transformation and we’re starting to prove it. Data can drive better outcomes, enabling people to live longer independently in the place of their choosing. The scene is set for true health and social care reform.
STUART: Let’s talk about the journey from analogue to digital. How are reactive legacy solutions and devices falling short when it comes to falls management? We recently conducted a survey of social care providers that identified falls management as the primary drain on resources. 69% of respondents said that falls are the most common reason for responder visits. But more than a quarter of those callouts turn out to be false alarms, putting a huge strain on staff. A big part of the problem is that the vast majority of fall detection solutions on the market aren’t practical. Take cameras, for example. Most care users do not feel comfortable with video cameras invading their privacy at home.
CLAIRE ALDRIDGE, STRATEGIC CONTRACT MANAGER, MILLBROOK HEALTHCARE GROUP: In the past, caregivers had to deal with so many false alarms, especially when it comes to fall detection. Reactive legacy solutions like buttons and cords are useful only if they’re within reach and the resi-
dent is conscious, mats are often unreliable and break frequently, and wearables have to be charged, while the care user must remember to put them on. At Millbrook we’ve recognised that historically, the sector hasn’t been using data as smartly as we could, and that’s something we’re keen to address. That’s why we’re partnering with companies like Vayyar and Anthropos, who share our vision, so that we can start leveraging data to get the best outcomes for our service users and help them feel secure about using the technology. We’ve adopted a digital-first approach, meaning that we’re phasing out all analogue devices. Our goal is to start leveraging data to get the best outcomes for our service users. We want to capture the full benefits of technology to overcome the problem of false alarms and use it to predict and prevent crises. It’s an exciting time right now and there’s plenty of new tech coming on board. We want to be sure that Millbrook is at the forefront of change and innovation in the sector.
action. Then you can make a real difference to someone’s life, no matter stage of the care journey they’re at.
STUART: You touched there on the importance of the joined-up care journey. Ultimately, it’s collaboration that enables the delivery of person-centred, predictive care. According to our survey, almost 80% of service providers agreed that sharing behavioural data is critical to unlocking personalised outcomes. We need to change the norm so that we can start working together cohesively as suppliers to support service providers in collaboration with TSA. But let’s get more specific. What insights have been unlocked by the behavioural data you gather and how do you share them with key stakeholders?
False alarms have made people weary – and wary – of technology that wastes valuable time and resources. With all new technologies, we need to give people confidence that they meet rigorous standards and have fully proven themselves.
We’re good at integration and that’s because we understand the importance of working together. I’ll give you an example. We got an alert that showed that a resident hadn’t started her morning routine within half hour of her regular pattern, and then the data revealed she had been up several times to go to the bathroom. This is a person with long history of UTIs, so the platform could identify this wasn’t the norm for her and sent an alert. It’s then up to the care provider to decide if it’s necessary to take action or just to keep an eye on them.
TIM BARCLAY, APPELLO CEO:
The transition from analogue to digital has been going on for the past seven years. One of the good that the TSA and the industry’s momentum have helped us to understand is that this isn’t just about replacing a device that signals analogue with a device that signals digital. It’s an opportunity for a step change to business models, service models, and the outcomes you deliver because there is so much more power and capability in a digital environment. We have more digitally connected customers than anyone out there and proven solutions to choose from. We’ve put digital infrastructure into more than 25,000 apartments and scores of case studies of people who were considering the journey and now have accessed proven innovative solutions. We’ve gone out of our way to make ensure that we are as interoperable as possible. We have transition models, both commercial and technical, to help the transition from analogue to digital. We’re not just moving from one box to another – that would be missing the point. The transition to digital can deliver services in a more effective, personalised, and meaningful way for the end user, and that doesn’t mean at a higher cost. You can deliver better services at a lower cost through more intelligent use of the digital capabilities that technology-enabled care has to offer.
You’re absolutely right. Data sharing is the key to cohesive, meaningful and fruitful partnerships between technology suppliers, platform providers and frontline caregivers. Sharing behavioural data that reveals mobility, physical and mental health, and potential medical conditions is critical to unlocking personalised care and optimising outcomes. That applies both to overall care management and to the risk factors of falls.
STUART: Our survey also revealed that 90% of service providers acknowledge that frontline staff are spending too much time on administrative tasks. More data should really mean less paperwork for staff. What’s more, 88% of providers agree that more data about how long users spend at home and their activity would help deliver more personalised care. And that leads to our next topic: outcomes. How can we use data smartly to reduce the burden on overworked caregivers and ensure better care?
TIM: It’s worth contextualizing the word data. It’s not reams of information that need to be analysed. It’s data delivered simply and sensibly. Data is machine-driven pieces of insight that can be easily shared in a digital form. We must be able to deliver single nuggets of information that care providers can act on. Simple messages like, “I’m OK”, clearly delivered on a dashboard, can make an enormous difference to the productivity of frontline staff.
PAUL BERNEY, CMO AT ANTHROPOS: It’s the job of the connected care platforms, like Anthropos and others, to process, manage and analyse the data. Ultimately, care providers are only interested in the intelligence that will allow them to make better-informed care decisions. They’re only interested in the end product – the insights. That’s our job and we do it best when we know the desired care outcomes. Then we know what insights we need to identify. We take the data and divide it into four basic categories: environment, daily routine and behaviour patterns, physiological wellbeing, and safety and security. Then we take all that data and turn it into intelligence. But we can only do that when we know what the goals are, what insights we need to provide and what actions are required. When you have a platform can reveal behavioural changes, you can step in and take preventative
PAUL: Exactly, and that’s why our customers want Vayyar Care. Managing falls more effectively through better communication is at the top of our priority list when it comes to care management. Passive falls monitoring is so important because we all understand the drawbacks of wearables. We want to give people confidence that they’re buying into a system that’s gone through exhaustive evaluation and testing, because if you’re going to make a care decision based on data, you need complete confidence in the quality of that intelligence.
ALYSON: Achieving the best results through focused insights and intelligent data sharing is all about partnering with the right people. Collaboration is paramount in terms of providing better outcomes. We want to help people feel secure about using technology as a reliable resource and that’s a team effort. We’re partnering with leading tech and platform providers like Vayyar Care and Anthropos, who share our vision, and want start to using smart tech much more wisely. We need to guarantee that our partners deliver the best quality, adhere to the highest safety standards and like us, are committed to putting the service user at the heart of everything they do. Above all, we’re committed to the quality standards framework which includes ethics and continuous quality of care. Come visit the TSA website. We’ll put you in touch with organisations that have loads of case studies to show how we’re making this possible. We also have a list of certified members that we can guarantee are delivering this partnership approach and are delivering quality service.
STUART: Well, that brings us to the end of our roundtable on how data is transforming social care. I’d like to thank you all for being here and sharing your insights and experience. As the social care sector expands, it’s clear that local authorities across the UK need to embrace new sensor technologies, leading-edge platforms and, above all, fresh best practices if they’re going to continue to put people at the heart of care. If you’d like to discuss any of the issues raised in this roundtable or connect with any of the contributors, please email Stuart Barclay directly: email@example.com
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TECHNOLOGY AND SOFTWARE 10 Reasons To Go Digital With Electronic Care Planning and Medication (eMAR) Systems TIME More time to care Carers never have enough time to care but going digital can provide more. There are so many time-consuming tasks such as writing care notes, completing paper assessments, filling in charts, preparing handovers, and countless other administrative tasks. Going digital can automate many of these tasks and enable recording care interactions in real-time, ensuring nothing is left undocumented and saving time that can be better spent providing care.
CONTROL Better Control Digital care systems are safe and accessible, maintaining the security and confidentiality of your data. This is difficult to achieve with paper because sensitive information must be locked away when not in use per GDPR. Furthermore, digital allows you to determine who can access and what via permission controls. Staff only see what they need to see based on their role.
PROTECTION Protect your business
Going digital makes it easy and efficient to evidence the quality of care you provide. In addition, as a digital system has a complete audit trail, you can be assured the information you are providing is accurate and complete.
COSTS Costs and environment The most considerable cost saving that going digital can provide is time. While the amount of time saved will vary between service types and roles, this alone makes going digital worthwhile.
RISK Reduced risk Using inbuilt alerts ensures that nothing is missed, whether that’s a care plan change or a fall report. Using an eMAR will help reduce medication errors and ensure that the 6 Rs are always met. Going digital also allows the collection of data at the point of care, which can be analysed to identify trends and risks, and demonstrate corrective action.
RETENTION Improve staff retention Using electronic care systems to change the focus from the administration to the delivery of care helps
stage engage more with service users. Additionally, providing smart tools like care planning and eMAR software to reduce the administrative burden will decrease staff stress.
QUALITY Improved quality of care With pre-built assessments covering all aspects of health, you can get to know your service users intimately. But it’s not just health; other characteristics such as emotion, likes/dislikes and how they correspond to a wide range of activities can be recorded.
EVIDENCE Demonstrate quality of care delivery While the delivery of person-centred care is paramount, care providers must also provide evidence of the care they deliver, and regulatory bodies actively encourage the use of technology. Digital care plans are the best way to achieve this!
VISIBILITY Improved visibility Electronic care systems ensure that managers have real-time access to notes and information to instantly understand the care provided and help identify
changes that need to be made to improve the quality of care. AutumnCare contains a customisable Dashboard to provide Managers with a snapshot of what is occurring across the care service at any point in time.
WONDERING HOW TO GO DIGITAL? AutumnCare provides specialist digital care planning and eMAR software, enabling providers to migrate to a digital system and providing the foundations for outstanding care. We can walk you through what is required step by step, as well as provide training and support every step of the way. To realise all of the benefits above, plus many more, get in touch with us today. Contact Chris Sharman Email firstname.lastname@example.org Call 0800 009 2121 Website uk.autumn.care
Virtual Reality Technology Helps Residents Take a Trip To Some Of The World’s Most Beautiful Places From sky diving in Dubai to a tour of the Grand Canyon in Arizona, Care Home Residents in the UK are living their travel dreams. Residents in Advinia Health Care homes, Newcarron Court, Longwood, Braemount, Hillview, Netherton Green and Parklands, have been travelling around the world from the comfort of their armchairs thanks to Oculus, a virtual reality technology. The VR headset offers Residents the opportunity to visit renowned tourist sites whilst sitting comfortably in their Homes. The headsets track head movements, allowing the wearer to explore a 360-degree representation of an environment just by looking around. The view experienced by the headset wearer is also displayed on a tablet, so Carers and family can share and chat about the content, which might include places familiar to the resident or parts of the world they’ve never encountered before. Advinia Health Care (www.advinia.co.uk) says the introduction of virtual reality technology is in response to the impact the pandemic has had on residents who have expressed their
desire to travel around the world. In response, Advinia introduced Oculus to enhance the life of the residents, especially those living with dementia. Dr Sanjeev Kanoria Founder and Chairman of Advinia Healthcare noted that “It is wonderful to hear how these experiences have allowed the Residents to reminisce with their families and each other, and enabled them to become more engaged and involved, particularly during these challenging last couple of years.” Reminiscence therapy is proving to be particularly effective for people living with dementia, and this is a fantastic example of how we can utilise modern technology to help them to unlock treasured memories and engage with others.,” he further explains. Advinia is one of the UK's largest care providers and has for some time now been engaging in groundbreaking technological advancements to provide the best care for residents. With a vision to create a better everyday life for its residents, Advinia continues to explore the ever-present opportunities that technology provides to make life for the elderly more enjoyable.
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TECHNOLOGY AND SOFTWARE Intelligent Care Software (ICS) If you are looking for a care management system which answers all of your quality, monitoring and compliance needs, then looks no further than Care is. Care is provides the intelligent software solution for care home and domiciliary care managers and owners looking to roll all of their care and management functions into one electronic platform. We know this to be true because unlike some other CMS’s
G-Touch Wireless Care Home Solution Genee is a UK leading manufacturer of innovative technological solutions. Genee plays an integral role across all major industries, including health care, to support patients, residents, and staff. Having supported Care Homes through the pandemic The G-Touch Wireless Care Home Solution is one of Genee’s most impactful solutions yet. The solution includes; the G-Touch Interactive Screen, Electric Mobile Trolley, and a Wireless Battery Pack. Its portability, specially designed and simple to use interface, as well as its multitude of applications, are specifically built for residents and staff in mind. The G-Touch Interactive Screen is an engaging resource for residents and staff. Available in 55’’, 65’’ and 75’’, the touchscreen itself has durable and toughened safety glass that can be easily cleaned. The large screen provides for spectacular viewings of videos, TV shows and movies. In addition, the size of the screen encourages residents to participate in interactive activities. With built-in 2x15w front facing speakers and an HD video conferencing camera provides the perfect communication tool to video call families, friends, and other care homes. With the builtin PC and Android 8.0 operating system, the user interface software is easy to use. As soon as the touchscreen is turned on, the system loads into a tablet style of multiple icons containing
The CAREAudits System CAREAudits apps and systems evolved via an associated company Kern Systems were Ken Newlove director and founding member had been developing and deploying paperless systems for EPoS and Finance in the private and public sectors since 1999. Back in 2014 the team had more than 50 years experience in IT and software development as well as having been heavily involved in the third sector, with a trustee of three charities, a director of a business directly involved in the care market and a consultant in a £10 million turnover charity and interim CEO and Chair at an adult hospice. Working in the Care Sector the team recognised in 2014 the sector was becoming overwhelmed with
administration driven by ever increasing legislative compliance requirements and controls and pressurised by ever increasing costs. The CAREAudits apps evolved from their desire to give something back to the Care Sector; to develop systems that genuinely reduce costs and increase efficiency as well as improving accountability and quality. And above all a system that would be easy to install and use by everyone.
THE CAREAUDITS SYSTEM The CAREAudits app and Web Portal Auditing Tool is now being used throughout the UK and Ireland by all care service providers. in numerous locations. There are thousands of carers checking everything from CQC Compliance and Safety, to Medication Audits, Training and Maintenance as well as service users quality and wellbeing and now Corona Virus. Steve Smith regional manager at Care Homes UK
Care is was conceived, designed, built and is managed by nurses, registered managers and care home owners. The ‘CARE is’ suite includes care and support, care planning platform, our policy app with over 200 high quality policies which are updated regularly and which also includes our supervision, appraisals and training record apps and our audit app which templates all the essential audits and includes a record of inspection visits. At Care is we can get you started on your journey from paper or another care management system with minimum fuss, plenty of support and all for what we believe to be good value for money. With eMAR, mandatory training and a complementary care certificate coming in 2022, there has never been a better time to get on board. https://careis.net the software and Apps used daily without the need for a PC-style login. The included software also helps residents with health issues, including Dementia and Alzheimer’s. A solution that benefits all! The Electric Mobile Trolley is better suited than a traditional wall mount or trolley. The mobile trolley can be electronically adjusted by height and offers 90-degree angle adjustment from horizontal to vertical, ensuring easy accessibility at different chairs and wheelchair height. The four lightweight and strong steel integrated castors include locking brakes for safety. The Wireless Battery Pack removes trip hazards and provides a helpful portable solution. Simply add the lightweight battery pack to the trolley and easily move the touchscreen from room to room. The G-Touch Wireless Care Home Solution comes with 5 years’ on-site warranty as standard with no additional costs. Our dedicated team will bring the equipment to the care home, assemble, and install the solution and test everything on site. We will also support you with free online training to ensure your Care Home gets maximum use of this incredible solution. Get in touch via: +44 (0)1902 390 862 email@example.com www.genee-group.com says “We were able to implement the system ourselves and are now benefitting from management having all the information we need at our fingertips in real time wherever we are”. The system allows care providers to audit or check just about everything and manage areas requiring actions (or non-compliances) in it’s Web Portal. Encrypted date and time stamped evidence including photos is seamlessly auto attached and recorded in the system. Natalie Lawrence at Yorkare Homes says “It’s a paperless system that runs alongside our existing client records system helping to make our whole operation paperless.” CAREAudits ensures management and staff are aware at all times of what needs checking, that it’s been checked, actions required by whom, by when including full resolution management. Each CAREAudit also scores the answers so manage-
ment can monitor improvement. Steven Tegart from Talbot Group likes reporting and says “I wish all my other systems were as easy to extract data for management reports as the CAREAudits’ Excel links.” The system has over 120 example audits to select from. CAREAudits apps are extremely easy to use and care providers can easily add or edit their own audits in minutes ensuring simple management of ever-changing requirements. App auditors can use CAREAudits with virtually no training, it’s that simple. The Care Auditor’s Hands Free Operation guides the user through each audit, each question and answer with it’s own help text, standard answers and standard actions required, ensuring that the least skilled operative becomes the care provider’s expert. Users can download the app for a free trial and be up and running with the full system in minutes.
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TECHNOLOGY AND SOFTWARE
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PAGE 38 | THE CARER | NOV/DEC 2022
PROFESSIONAL, TRAINING & RECRUITMENT
Christie & Co Analyses Transactional Healthcare Market In Inaugural ‘Care Market Review’ Report Specialist business property adviser, Christie & Co, has today launched its first Care Market Review 2022 report, which analyses the transactional healthcare market in the UK: looking at buyer appetite, transactional activity and investor demand, local authority fee increases, and the funding landscape. It also includes an operator survey which gives an insider view on occupancy and agency staff usage from some of healthcare’s leading operators.
TRANSACTIONAL ACTIVITY Christie & Co reports strong demand for care home opportunities throughout the UK, with a 78 per cent increase in completions from 2020 to 2022, and deal numbers significantly ahead of pre-pandemic levels. This year, offers sat at an average of 101 per cent of asking price, underlining that strong investor appetite with competitive bidding is commonplace. Christie & Co noted, however, that, with the changing macro-economic landscape, the trend moving forward will be driven by a number of factors including the availability of capital and the alignment of vendors pricing expectations relative to prevailing market conditions. New instruction levels increased by around 30 per cent from 2020 to 2021 and they continue to grow as operators capitalise on the buoyant market conditions and strong values achieved. The company notes that its most active buyer type over the past five years has been independent operators with one or two homes which, on average, transacted on 41 per cent of deals in the sector. So far in 2022, corporate operators and investors have made up 33 per cent of deals while first-time buyers made up just 7 per cent – a fall of 9 per cent since 2018 which is reflective of the increasing funding challenges for first-time buyers, the regulatory burden of the CQC, and the increase in quality, higher value stock on the market. Thanks to a competitive marketplace and the increased use of technology in care homes which can allow for some operational work to be conducted remotely, buyers are increasingly looking further afield, with almost half (48 per cent) of deals in 2022 concluded to buyers who live over 100 miles from their target business. A large number of deals were concluded in and around urban centres, yet there has been an increase in the number of care homes transacting in rural and coastal areas.
CLOSED CARE HOMES
Over 1,500 care homes ceased trading between 2015 and 2020. This was not solely linked to CQC ratings, as over 40 per cent of care home closures in 2020 had ‘Good’ ratings and were closed for a range of reasons, including margins and cost pressures. A record 31 per cent of the care homes Christie & Co sold in 2021 were on a closed basis – 56 per cent of these were sold for ongoing healthcare use, whilst 26 per cent were sold for residential conversion. The number of closed care homes sold dropped to just 13 per cent in 2022, however, an increasing proportion (80 per cent) of these closed homes were sold to care home providers.
LOCAL AUTHORITY FEE RATE INCREASES When analysing local authority fee rate rises across the UK in the fiscal year 2022/23, Christie & Co found that fee increases fall short of inflationary cost pressures in the sector. There was a large disparity between fee increases throughout the UK, from 3.1 per cent to 12.8 per cent, with an average residential fee increase in England of 5.4 per cent, and nursing fees rising by 6.8 per cent. Going forward, the company expects the burden on the self-funded client base to increase.
OPERATOR SENTIMENT SURVEY Christie & Co interviewed a cross-section of local and regional
providers in the UK to gain insight into some of the operational challenges they’re facing. With resourcing placing a huge strain on care home operators, 52 per cent of respondents said that they have a widespread use of agency staff. Those that have obtained a sponsorship licence to recruit staff from abroad have been able to tap into new markets for their recruitment needs and this has been successful for many. However, with over half of providers still having to use agency staff to fill their rotas, business costs are increasing further. While 43 per cent of operators said occupancy has returned to prepandemic levels, for 57 per cent, occupancy is still recovering. There is a wide variation in occupancy trends across the UK, with many smaller regional operators saying that their homes are largely back to pre-pandemic levels and larger providers generally reporting lower overall average occupancy rates. Positively, though, the majority report good enquiry levels, which suggests that occupancy rates will continue to re-build during 2023.
FUNDING LANDSCAPE The report concludes with a look at the funding landscape written by commercial finance specialist, Christie Finance, which has seen 8.33 per cent fewer funded deals in the sector this year, as operators look to their portfolios to expand or restructure existing debt. The average loan size increased by 5.8 per cent, which suggests that funding in the sector is evolving to provide more refinance to buy or expand. First-time buyers making offers on care businesses fell from 48 per cent in 2021 to 45 per cent in 2022 due to the perceived difficulties in raising finance. This area of the market has been more challenging as the recognised lenders retrench to service existing operators with proven track records. Rob Kinsman, Regional Director – Care at Christie & Co, comments, “The last couple of years have presented the sector with huge operational challenges, but it is heartening to see that investor appetite has fully recovered. We have confidence that the entrepreneurial nature of the sector will ensure the transactional market continues to thrive despite the growing economic headwinds.” To read the full report, visit: www.christie.com/newsresources/publications/care-market-review-2022/
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PROFESSIONAL, TRAINING & RECRUITMENT Care & Nursing Staff Turnover – Eliminated! Commitment – Increased! By hiring overseas staff through the Sponsorship Licences Government Initiative. (We can help you if you don’t have a Sponsorship Licence yet)
percentage will not work out but that is where we come in. Firstly, we preselect the staff that we feel will blend into the culture of your organisation. Secondly, we will supply you with the tips that ensures a better settlement procedure for overseas staff. Finally, we are at hand through the continual coaching and mentoring program to identify ‘sticky areas’ and work with you on getting a mutually beneficial solutions.
WHY WOULD THE STAFF BE COMMITTED AND LOYAL?
WHY WORK WITH US?
from the first day the employee comes to work ready to hit the road
According to the legal arrangement of their visa (right to work in the UK) all these overseas staff are obligated to stay at your organisation for 3-5 years otherwise they lose their immigration status and are liable for deportation to their country of origin. This makes them committed and legally bound to stay and work with you
Purer Health Care Agency has been specially designed to help reduce the high staff turnover and its associated cost and disruptions as well as help overseas candidates obtain a better economically enhanced life. This way we serve a business, social and economic purpose.
We have conducted a robust background screening conducting Criminal Checks, Identity Checks, Work Reference Checks and Family History Checks. Hence all our staff have been prequalified and have
Imagine a situation where you would have little or no worries about staff walking away and having a team that are very committed to your organisation.
HOW IS THAT POSSIBLE?
Someone might say this sounds too good to be true. What happens if the staff is not happy? The reality of the matter is that a very small
HOW WE DO THIS?
the appropriate qualifications and checks that exceed the required UK standard to safely and effectively function as Nurses & Care Assistants. Here are some more advantages of working with us: - No Flights/Travel Obligation. - No Accommodation Obligation. - 1 Week induction and orientation course for all staff (The idea is that
- Free continuous personal development mapping for all staff. What next. Give us the opportunity to help you eliminate your staffing issues by reaching us on: T: 0203 287 5125 E: firstname.lastname@example.org W: purerhealthcareagency.com
Workforce Challenge - The Eden Care Home Finance from Alternative – A Modern, Proven Model Global Business Finance of Care for Staff and Resident Wellbeing WHY DO THIS? The Eden model, is built on what people say they want, in a Home or a workplace, which therefore attracts residents and team members alike. As an Eden Home builds its reputation upon the quality of life it offers to the people that reside there, it follows that occupancy improves. As a programme that empowers staff and focuses on their wellbeing, It follows that staff retention improves. With a positive culture, a motivated and dedicated workforce, It follows that positive innovation becomes more possible, sustainable and continuous. When demand for services increase, it follows that viability improves. As a cohesive cultural progression programme, it follows that innovation, modernisation and positivity increase. The model is efficient, cost effective and the training is delivered by experienced practitioners in Care Homes. Homes are very busy places, and the programme is therefore run on line for 1 hour per week for 6 weeks, and people can do
this at work or at home. The 6 weekly sessions are run online, with a workbook, with links for further optional reading or viewing and should not be a burden to busy Homes, teams and managers. It is however effective. You can try without obligation. It is designed to make business sense to providers. It is designed to enhance viability. It is designed to support recruitment and retention. It is designed to motivate Care teams and is open to any individual to add their CV.
WHAT IS IT. It is a training programme which leads to accreditation and focuses in detail on 7 domains of wellbeing, 10 principles, and is particularly designed to address instances of loneliness, helplessness and boredom. Geoffrey Cox The Eden Alternative Call today on 01626 868192 or visit www.eden-alternative.co.uk
Global assists clients throughout the U.K. who specialise in the healthcare sector to achieve their objectives of purchase, development and refinance. We have organised over £1.8bn for clients in the past 30 years, providing clients with competitively priced funding to refinance existing debt, ease cashflow and develop businesses further. From helping clients make their first purchase through to allowing groups
to grow significantly in size we assist at every stage of your business expansion. Every proposal is individual and deserves to be treated that way, so we hope you will allow us to be of assistance to you and call us to chat through your plans and requirements, I am sure we will be able to tailor a facility to your requirements. Call us on 01242 227172 or e-mail us at email@example.com