The Carer #74 September/October 2024

Contributions are welcome for consideration, however, no responsibility will be accepted for loss or damage Views expressed within this publication are not necessarily those of the publisher or the editorial team Whilst ever y care is taken when compiling this publication to ensure accuracy, the publisher will assume no responsibility for any effects, errors or omissions therefrom All rights reser ved, reproduction is forbidden unless written permission is obtained All material is assumed copyright free unless otherwise advised

VIEWPOINT

The recent report by Lord Darzi (see our lead story) has cast a glaring spotlight on the state of the NHS revealing a system struggling under the weight of austerity neglect low morale and the aftermath of the COVID-19 pandemic

As the report points out hospital care consumes an overwhelming share of NHS funding while staffing shortages and sickness are pushing the NHS to breaking point Yet, amidst these pressing issues the report fails to address one critical factor that could provide much-needed relief: adult social care

For years the adult social care sector has been sounding the alarm repeating a simple but powerful truth “You can’t fix the NHS unless you fix social care This omission in Lord Darzi s otherwise comprehensive report is perplexing, especially when considering the scale of the crisis in social care

Over 1 6 million people in the UK are currently unable to access the care they need and there is a staggering 131 000 vacancies within social care s workforce This shortage exacerbates the pressure on hospitals as many vulnerable individuals remain in medical care settings simply because there are no social care alternatives to support them once discharged

The pandemic has further exposed these vulnerabilities showing that without a robust, well-funded social care system, the NHS cannot function effectively

Chronic underfunding of social care over the past 30 years has left the sector in as the report says “dire straits” Addressing this would not only alleviate hospital overcrowding (bed-blocking)but also prevent many individuals from needing hospital care in the first place

The failure of Lord Darzi s report to recognize the interdependency of health and social care is, I feel, a missed opportunity for meaningful reform

If the government is serious about its 10-year plan for the NHS it must engage the adult social care sector as a full partner in shaping the future Without immediate investment and reform in social care no amount of NHS restructuring will address the root causes of the current crisis

For policymakers, this is the “elephant in the room ” Only by acknowledging and addressing the needs of the social care system can we hope to relieve the burden on the NHS and create a sustainable, compassionate healthcare system for the future The government must take this moment to act working with the social care sector to deliver the reform that both the NHS and the people of the UK desperately need I can also be contacted at any time at editor@thecareruk com

We would also ask our readers to follow us on Twitter @TheCarerUK and also sign up to our digital issues at www thecareruk com/recommends/signup to have all the latest news delivered directly to you weekly

Published by

Editor Peter Adams

Calls for Social Care Reform to Alleviate NHS Pressures

(CONTINUED FROM FRONT COVER)

THREE SHOCKS

“My colleagues in the NHS are working harder than ever but our productivity has fallen

We get caught up frantically trying to find beds that have been axed or using IT that is outdated or trying to work out how to get things done because operational processes are overwhelmed It sucks the joy from our work – we became clinicians to help patients get better not to go into battle with a broken system

We need to rebalance the system towards care in the community rather than adding more and more staff to hospitals And we need a more honest conversation about performance – the NHS is now an open book ”

“In the last 15 years the NHS was hit by three shocks – austerity and starvation of investment, confusion caused by top-down reorganisation, and then the pandemic which came with resilience at an all-time low Two out of three of those shocks were choices made in Westminster ”

“It took more than a decade for the NHS to fall into disrepair so it s going to take time to fix it But we in the NHS have turned things around before and I m confident we will do it again

RADICAL REFORM

Secretary of State Wes Streeting said I asked Lord Darzi to tell hard truths about the state of the NHS He has produced an honest expert comprehensive report on the appalling state our health service is in ”

“The findings will inform our 10-year plan to radically reform the NHS and get patients treated on time again ”

“The damage done to the NHS has been more than a decade in the making We clearly have a long road ahead But while the NHS is broken it’s not beaten We will turn the NHS around so it is there for you when you need it once again

Key findings from Lord Darzi s 142-page report include:

Deterioration: The health of the nation has deteriorated over the past 15 years with a substantial increase in the number of people living with multiple long-term conditions

• Spending: Too great a share of the NHS budget is being spent in hospitals too little in the community and productivity is too low

Waiting times: Waiting lists have swelled and waiting times have surged, with A&E queues more than

doubling from an average of just under 40 people on a typical evening in April 2009 to over 100 in April 2024 1 in 10 patients are now waiting for 12 hours or more

Cancer care: The UK has appreciably higher cancer mortality rates than other countries with no progress whatsoever made in diagnosing cancer at stage one and two between 2013 and 2021

Lasting damage: The Health and Social Care Act of 2012 did lasting damage to the management capacity and capability of the NHS It took 10 years to return to a sensible structure, and the effects continue to be felt to this day

• Productivity: Too many resources have been being poured into hospitals where productivity had substantially fallen while too little has been spent in the community

Prime minister Sir Keir Starmer: The NHS is at a fork in the road and we have a choice about how it should meet these rising demands

“Raise taxes on working people to meet the everhigher costs of an ageing population – or reform to secure its future

We know working people can t afford to pay more so it s reform or die

CRITICAL MOMENT

Professor Martin Green Chief Executive of Care England commented: Ministers must recognise that investing in and reforming social care is not just a separate issue it is integral to the survival and success of the NHS Right now, 13% of NHS beds are occupied by patients awaiting social care support

These delays are not just numbers; they represent people who deserve timely care in the right setting

Until we address this backlog in social care we will continue to see pressure mount on hospitals and the NHS

With around 10% of care home residents receiving NHS-funded Continuing Healthcare and over 76,000 in receipt of Funded Nursing Care, the relationship between social care and the NHS is clear Social care services not only feed into NHS outcomes but they also hold solutions that can prevent hospital admissions and ease discharge processes The current failure to act decisively means that immediate action is needed to address the failing NHS and its impact on social care

We are ready to engage with the government and offer solutions The expertise exists within social care to contribute to reform for both the NHS and social care, and we are ready able and willing

to be part of the solution development and not just participate in a box ticking consultation Now is a critical moment for change ” FIX SOCIAL CARE

Independent Care Group Chair Mike Padgham said: We are pleased that Lord Darzi s report acknowledges the crisis in adult social care due to under-resourcing and the human and economic consequences this has had

“But we are dismayed that adult social care was not included in the remit of the report in the first place That is a serious omission and makes something of a nonsense of the whole process It is like getting a surveyor s report on the crumbling foundations of a house but ignoring the holes in the roof – the building is going to collapse anyway!

You can t fix the NHS unless you fix social care Mr Padgham added We currently have 1 6m people who cannot get the care they need and a shortage within the social care workforce of 131 000 staff

If you address those issues, and the chronic underfunding of social care for the past 30 years, you will begin to take the pressure off the NHS and significantly help its reform ” VITAL SERVICE

National Care Forum chief executive Vic Rayner OBE, said: “As Lord Darzi has highlighted, it will be impossible to fix the broken NHS without high quality social care He rightly points out that social care is a vital service in its own right helping people with disabilities and all of us we age to lead full and independent lives for as long as possible but this value has simply not been recognised nor has it been invested in

“Without high quality adult social care it will be impossible to sustain economic growth, tackle inequalities or deal with wider issues in public services – and ultimately enable people to live their lives to the full We now need to see positive action on adult social care In the past few days we have heard some welcome statements from the government about the need to grapple with the immediate challenges as well as the long-term ones There is time, political capital, and the expertise of a united social care sector to make this happen We urge the government to chart a course with adult social care at its centre and we stand ready to help transform adult social care for the millions who work in it and most vitally draw upon it

How Employers in the Care Sector Can Attract and Retain Gen-Z Talent Without Breaking the Bank

Research by skillsforcare shows that the average age of an employee in the care sector is 45 with only 8% of staff in the sector under the age of 25 It is clear from this that work needs to be done to both attract and retain younger talent to the care sector but how can this be achieved without employers needing to break the bank to offer larger financial incentives?

Below we outline some of the key cost-effective motivators for GenZ employees which may help to attract them to and just as importantly keep them motivated within a role in the care sector:

• Flexible Work: Flexibility is key for Gen-Z workers who typically focus

more on ensuring an even work-life balance than employees from previous generations To highlight just how important flexibility is a recent study from Deloitte concluded that 75% of Gen-Z respondents would prioritise flexibility in a role over a higher salary Although this may be more difficult in the care sector compared to typical office jobs for instance there are still ways in which work can be made flexible such as taking meetings from home being able to do admin remotely or offering more flexible shift patterns that can fit around employees’ lives more easily

• Opportunities to grow and develop: Younger employees especially want the opportunity to try different things in the workplace and will often volunteer to help out on opportunities outside of their role responsibilities in order to try their hand at something new Offering learning and development training that goes beyond work related skills would also be well received by Gen-Z employees

Recognition for achievement: This isn’t a new phenomenon exclusively true of the younger generation; recognition of achievements has always been important for employees But in a sector where staff are often busy working independently or in smaller groups it can be harder to get in the moment’ recognition in front of a wider team in the care sector Employers should consider putting social recognition programmes and initiatives in place where team meetings are used to acknowledge achievements

Meaningful work: Gen-Zs are heavily motivated by knowing that what they do at work is making a positive impact on the wider success of their team and the business Therefore it s important to ensure younger employees are kept informed of how their work is contributing to the

overall goals of their employer They generally enjoy having some degree of autonomy over their work too without needing to be micromanaged so employers should consider training programmes for managers that focus on coaching and mentoring

• Happy and inclusive workplace: Employees of any age want to join a company and be greeted by friendly welcoming energy from their new colleagues However, for younger employees, who may live alone for example, the relationships they build at work can be long lasting and have a real impact on their lives – so it s important to create a working environment where Gen-Zs can take time to get to know their colleagues and build relationships

• Bringing their whole selves to work: Gen-Z is a generation that places a lot of emphasis on self-expression, which in part is a result of social media giving them the platform to showcase their personalities openly Younger employees are less inclined to leave their personality at the door when it comes to work which is partly the reason why they move jobs more frequently as they try and find somewhere they feel that their whole self aligns with the organisation they work for

• Social Responsibility: Gen-Zs are typically at the forefront of looking to impact social change, so employers embracing diversity, equality and inclusion (DEI) will more than likely see younger employees showing loyalty and greater levels of commitment

The absence of more money as a motivator is not to say that GenZs are not motivated by financial rewards – but those discussed above are all achievable wins that employers can be implementing right now to both attract and keep young talent within their ranks for longer

Stop The Clock Initiative Brings Residents And Our Team Closer At Langdon House Care Home

the entire care home pauses its usual activities for 15 minutes During this time all team members from the catering gardening and maintenance teams to carers admin personnel and the home manager step away from their duties to spend quality time with a resident or a small group of residents While 15 minutes might seem brief it is enough to make a significant impact Residents can engage in a variety of activities, such as singing, chatting strolling through the garden playing games or enjoying a mini massage This dedicated time, often spent with a member of the team they don t usually interact with fosters personal connections and helps residents feel valued and cared for

Project Support Manager Carolann Hinson emphasized the importance of these brief yet impactful moments Every team member whether they are carers nurses reception staff gardeners or part of the catering team is encouraged to spend 15 minutes with a resident, dedicating a small portion of their day to foster meaningful interactions This could be a chat and a cup of tea a walk in the garden taking part in

an activity together, or providing a mini-massage or pamper treatment whatever the resident prefers

“We understand that the little things often have the biggest impact By committing to just 15 minutes our team members are making a significant difference in the lives of our residents

The “Stop the Clock” initiative at Langdon House is not just a new routine it s a powerful reminder of the profound impact that simple acts of kindness and connection can have on both residents and our teams

These brief interactions provide several vital benefits:

Social interaction: For residents without regular visitors these moments of engagement help alleviate feelings of loneliness and isolation enhancing their mood and overall well-being

• Emotional support: Building relationships through these encounters offers emotional support helping residents feel valued and cared for

Mental stimulation: Conversations, sharing a cup of tea, and reminiscing about the past provide mental stimulation helping to maintain cognitive function and mental acuity

• Improved mood: Interaction with others is a powerful mood booster alleviating feelings of depression and anxiety and replacing them with joy and a sense of connection

• Sense of purpose: When residents see that someone is taking the time to be with them it instils a sense of purpose and

positively contributing to their self-esteem and happiness

physical health too, with studies showing it can lead to better

Care Cost Cap ‘Undeliverable’ Says Labour Peer

Baroness Gillian Merron has ruled out a care cost cap as undeliverable” following a contentious debate in the House of Lords earlier this week

The Department of Health and Social Care (DHSC) parliamentary under-secretary was questioned by Baron George Young of Cookham on Monday in Parliament where he accused Labour of backtracking on a no plans to change pledge in the lead up to the general election on the £86 000 cap on lifetime care costs which the Conservatives had promised to introduce in October this year while still in government

The former Conservative chief whip asked the House of Lords: “My Lords I welcome the proposals to improve pay and conditions for those working in the adult care sector that the noble Baroness just announced But is she aware of the widespread dismay at the cancellation of the proposals for reform, due to come in next year, without anything being put in their place particularly against the background of what Wes Streeting said during the campaign”:

“We don’t have any plans to change that situation and that s the certainty and stability I want to give the system at this stage ?

Former Health Minister Lord Warner said that the Government s announcement was misguided

He went on to say on the plans for reform A Royal Commission and a vague aspiration for a National Care Service is kicking the can along

the road

So should the Government not adopt the proposals put forward unanimously by two Lords Select Committees chaired by the noble Baroness Lady Andrews and the noble Lord Lord Forsyth and make progress straightaway?”

Labour had proposed to fulfil this plan but have since abandoned the idea when chancellor Rachel Reeves announced the “£20 billion black hole” in public finances she claimed to have uncovered, but is disputed

In response Baroness Merron said: I understand that whenever there is a change in direction there is concern I take the noble Lord s point The inherited commitment to implement the adult social care charging reforms which would have been on course for next month was undeliverable because the previous Government did not guarantee the money to do that

It would have cost nearly £1 billion next year rising to £4 billion by the end of the decade There were many false dawns in respect of this long and repeatedly promised change It is also the case that there was not adequate preparation to implement the charging reforms Councils warned that they were impossible to deliver in full in the previously announced timeframe ”

“With all that in mind, I am sorry to say that we, as the new Government had little alternative but to say that these were not funded or on course to be delivered We will have to ensure that we offer a national care service along with a new deal for care workers We will continue to consult and listen to those with lived experience in order to get it right

Baroness Merron as well as Labour s Baroness Kay Andrews went on to restate plans for a National Care Service emphasising that reform

of the care sector will not happen overnight

Baroness Andrews said There is no quick fix This is a hugely complex problem and the fair pay agreement is a very important first step I have great ambitions for a coherent and systemic change in the aspirations that we hold for social care, as well as the practical delivery ”

Baroness Merron added “The National Care Service, for example, is a 10-year vision, which will mean long-term reform of the sector, underpinned by national standards, making sure that locally delivered care will be of a high quality and consistent across the country

That is what people will want We will continue to consult those with lived experience as well as engaging with workers trade unions and the sector to make sure that we offer a new deal for care workers

She concluded: I think it is very important that we make progress on the National Care Service in the short term because we have to build the foundations by working with the sector and those with lived experience to develop those new national standards It will be work in progress and I hope that noble lords will be patient but also press me about what progress we are making ”

Baroness Howarth of Breckland said: “I congratulate the Government on the long-term care planning that they have, and the vision As a long-term sufferer of cancer and therefore a consumer of both health and social care services over a period of time, I encourage the Minister to take a shorter-term view Many of us do not have that long to wait for the 10-year plans and thereafter ”

Something needs to happen quickly not only to reform social care but to have that integration of health and social care because most of us with complex needs need them to work together and be on one spectrum

Outsourcing Care Homes In England Disproportionately Disadvantages Poorer Areas

Outsourcing care homes has compromised the accessibility and quality of care for the most vulnerable particularly in areas of greatest deprivation according to new research led by the Department of Social Policy and Intervention at Oxford University and funded by the Nuffield Foundation

The results published in BMJ Public Health raise questions about the role of the private for-profit sector in exacerbating the care sector s ongoing crisis

The impact of the outsourcing of vital care services to the private sector on the growth and survival of care homes was previously unclear The research is the first longitudinal study of care home closures in England that uses complete data on all care home closures, including inspection ratings

The analysis shows that the shift towards for-profit provision is not explained by care quality The results suggest that third sector and

local authority homes are consistently rated better than for-profit homes by the industry regulator (the CQC) but are 1 6 and 1 8 times more likely to have closed compared to for-profit provision

Lead author Dr Anders Bach-Mortensen (Associate Professor at Roskilde University and Senior Researcher at the Department of Social Policy and Intervention at the University of Oxford) said Good third sector and local authority homes are closing, especially in the poorest areas of the country This is problematic because for-profit care homes do not consistently provide high-quality care in deprived areas which raises serious questions about whether outsourcing care services has inadvertently compromised the equity and accessibility of care for vulnerable people ’

Co-author Dr Benjamin Goodair (Department of Social Policy and Intervention at the University of Oxford) said: ‘This study aims to contribute to the growing body of work relating to the number of social

care services being outsourced to for-profit and non-profit sector providers over the past 30 years The data suggest that the competitive environment created by outsourcing does not prioritise quality or equity in care provision

The challenges highlighted by the CQC interest groups and other regulators underscore the need for a comprehensive approach to support these essential services ensuring they can continue to provide high-quality care especially in the most deprived areas

Addressing these challenges will require coordinated efforts from policymakers funding bodies and the care sector to create a more resilient and equitable system the report concluded

Read the full article in the journal BMJ Public Health at https //bmjpublichealth bmj com/content/2/2/e001227

Employment Law and the Care Industr y

Where we

are

now, and what challenges does the future hold?

Hannah Strawbridge is an experienced Employment Solicitor and Tribunal advocate She is also the founder and owner of the award-winning Han Law Co (www hanlawco com)

Employment law in the UK is a huge and complex area of legislation regulations and case law which constantly changes It s not an exaggeration to say that I could write a book about how employment law impacts the care industry in both a strategic sense and on a daily operational basis Here we cover the key areas making the most impact both now and following the changes soon to be introduced under the Labour government

I previously worked in-house as an employment solicitor for one of the largest care home providers in the UK During that time it became obvious that there was a constant battle between safeguarding legislation and employment law and that it was difficult for care home managers and HR personnel to navigate through both sets of laws and principles which often clashed In particular employment law often asks an employer to act reasonably’ (which is not defined), and it can be challenging for care managers to balance this with safeguarding as well as their moral and common law duty of care towards their employees Arguably changes proposed by the new Labour government may add to these challenges for employers whilst providing employees more employment protection

Some specific issues are relevant to daily operations and centre around minimum wage compliance, working hours regulations, zerohour contracts the rights of part-time and agency workers and gender

pay gap reporting

MINIMUM WAGE

One of the most contentious issues in the care industry revolves around minimum wage compliance particularly concerning the payment for travel time between appointments for home care workers

The law is clear: travel time must be paid if it forms part of the worker s duties However reports indicate that many care workers are still not compensated adequately effectively reducing their income below the National Minimum Wage This not only violates the law but also exacerbates staff turnover, as low wages fail to reflect the demands and responsibilities of the job

WORKING HOURS AND BREAKS

The Working Time Regulations state that workers should not exceed on average 48 hours per week unless they voluntarily opt out However, care workers often find themselves working long hours due to staffing shortages and the demands of providing continuous care

The law also mandates rest breaks and daily rest periods but these can be difficult to implement in a sector where the urgency of care often overrides legal entitlements Ensuring compliance while maintaining high standards of care is a delicate balancing act for care providers

ZERO-HOUR CONTRACTS

Zero-hour contracts are prevalent in the care sector offering flexibility but at the same time creating insecurity for workers These contracts mean that workers are not guaranteed any hours, which can leave them vulnerable to fluctuations in demand And whilst some workers appreciate the flexibility, others experience financial instability and a lack of job security Under current UK employment law workers on zero-hour contracts have fewer rights compared to their full-time counterparts particularly in areas such as sick pay and holiday entitlement

PART-TIME AND AGENCY WORKERS

Part-time and agency workers form a significant part of the care workforce The Part-time Workers (Prevention of Less Favourable Treatment) Regulations (2000) require that part-time workers receive the same contractual terms (pro rata) as full-time workers but enforcement can be challenging Similarly, agency workers have specific rights under the Agency Workers Regulations (2010) such as equal treatment after 12 weeks of work in the same role However, the reliance on agency staff can lead to inconsistencies in care and complications in managing worker rights across different employment statuses

GENDER PAY GAP REPORTING

Employers with 250 or more employees must report their gender

pay gap data and publish it on their website The gender pay gap is a measure of the percentage difference in pay between all male and female workers

An article in the King s Fund reported that in the social care sector in 2022-23, 31% of senior management were male, but overall, the workforce was only 19% male Although from 2018 to 2023 the gender pay gap fell across all health and social care roles the gender pay gap is persisting For example ‘health professionals who are male were still paid 10 2% more than female workers in 2023 The gender pay gap remains an issue within the sector and many of the more forwardthinking organisations are looking at ways to tackle the issue

So that’s a snapshot of how employment law affects the care sector now How will this change under our new Labour government?

One of Labour s most weighty proposals for the sector is the abolition of zero-hour contracts Instead, the party has suggested introducing a new legal framework where workers would be entitled to a contract with guaranteed hours after 12 weeks of continuous service

This change could provide stability for care workers However it would also mean care providers would have to rethink staffing models probably increasing costs and administrative work

Labour has pledged to enhance workers rights across the board which shouldn’t come as a shock (the clue is in the name), however, this needs looking at Promises include all workers receiving holiday pay sick pay and protection against unfair dismissal from day one of employment These changes would mark a significant shift from the current law which states that unfair dismissal rights only attract from 2 years’ service This will increase risk and litigation for care providers and will mean they need to review contracts and recruitment procedures to ensure the probationary clauses in particular are watertight

Finally Labour also proposes a National Care Service (NCS) which includes plans to ensure fair wages for care workers potentially setting sector-specific minimum wages above the National Minimum Wage

The creation of an NCS could standardise pay and conditions across the sector addressing the pay gaps that currently exist However implementing this system would be complex and costly needing careful consideration of funding and resources

The changes outlined above are likely to bring in challenges for all employers within the sector and will certainly require careful thought planning, and resource, to make sure risk is minimised without jeopardising organisational strategy and growth For some these changes will be positive and for others not so My advice would be to always seek guidance from an expert employment lawyer if you have any concerns about implementing any of the above changes

CQC Inspections Fall To Second Lowest

Level Since 2016 – New Data Shows

Care Quality Commission (CQC) inspections have fallen to their second lowest level in almost 10 years as the day-to-day regulatory function of the public body continues to lag behind pre-pandemic activity

According to new data, physical inspections by the CQC have dropped from a peak of almost 23 000 in 2016 to just less than 8 000 in 2023 – a marginal increase on 2020 figures which showed that 7,711 inspections were carried out during the height of the COVID-19 pandemic

Of the 107 inspections with an overall rating of ‘Requires Improvement’ or Inadequate only four have resulted in completed and published full Quality Statement reviews

The fall in inspections also coincides with the commencement of the CQC s new operating model which may account for some of the reduction Bill Dunkerley, regulatory associate partner at Pannone Corporate, which conducted the annual research under the Freedom of Information Act, commented “Despite the fanfare and extensive publications to promote its introduction the CQC s new regulatory model has had something of an inauspicious start

“The regulator was hopeful that its new approach would enable it to be more dynamic in its assessment of services and permit more contemporaneous data collection to take place Far from becoming a more proactive, dynamic and responsive agency, as the data shows the CQC is becoming more sedentary in its approach

The research shows that despite an increase in the number of concerns being received by the CQC, the

total number of regulatory actions taken by the Commission has fallen year-on-year and currently sits at around half of pre-lockdown levels (10 618 in 2019; 5 783 in 2023) Although there was a clear drop-off in the number of regulatory actions in 2020, figures have remained consistently low since then compared with upwards of 15 000 each year in the period following the CQC’s receipt of enhanced powers in 2015

In addition the use of warning notices has dropped significantly from a peak figure of just over 1,500 during 2015 to less than 600 in 2023 Despite a flurry of prosecutions over the last few years the annual figures also show that prosecutions are decreasing rapidly There are currently 121 open criminal investigations concerning specific incidents or unregistered providers

Dunkerley added: “To be an effective regulator going forwards, and one with real teeth the CQC has to combine its new inspection and assessment framework with meaningful regulatory activity Whilst to date, the CQC could have been seen to be relatively proactive – undertaking inspections of providers at fairly reasonable intervals – an inherent danger within its ‘data-driven’ approach is that this may result in it becoming reactive as recent data perhaps tends to indicate

At the end of the day the CQC s new regulatory model does not change its investigatory and enforcement powers

The latest figures suggest that either the CQC is becoming less active or is achieving compliance by providers without the need to resort to use of its enforcement powers ”

Join The Carer at The Care Show 2024 at Birmingham’s NEC!

The Benefits of Assistive Technology in Care

By Andrew Kendall, Chief Commercial Officer at Alternative Futures Group

Rapid advances in technology are in the news every day - but how will this technology impact on the lives of people with learning disabilities and mental health conditions? At AFG, as the North West s leading charitable provider of support for those with learning disabilities and mental health conditions we

know that the right assistive technology can transform lives It offers new-found independence and control and improves the lives of people supported and their support teams in ways that cannot be ignored

With a new government in power now is the time to realise its potential and ensure that those with learning disabilities or mental health conditions are at the forefront of technological advances

We can look at assistive technology across four main categories:

Consumer technology solutions: day-to-day devices like smartphones, tablets, smartwatches, VR headsets and apps, designed to support daily living and improve communication

Telecare models: offering remote monitoring and support through emergency response systems health monitoring devices and wearable sensors that track vital signs and activity to ensure safety

Standalone bespoke solutions: tailored to meet the unique needs of individuals or organisations providing specialised software or hardware like custom communication devices or personalised mobility aids

Full ecosystem approach: seamlessly integrates technologies and services into a unified system, combining advanced tech with human support to create a holistic environment that enhances care and user independence This includes automated systems such as heating systems or sensors built into environments which can activate automated prompts voice alerts if someone stays in the shower for too long They also facilitate early detection and proactive condition management to reduce hospital readmissions BENEFITS OF ASSISTIVE TECH

Combining the right technology with appropriate human support and in the right environment can deliver transformational outcomes for people supported and offer long-term savings for

commissioners and the wider health and care system

It can also prove invaluable in helping support workers maintain high service levels amid staff shortages By streamlining processes, and providing precise monitoring, caregivers can concentrate on delivering quality care over routine physical checks

Tools like remote monitoring, emergency response systems and wearable sensors that monitor vital signs create safer environments and reduce risks - all while respecting users' privacy

To deliver the best outcomes commissioners and providers should take a systematic approach to assistive technology The right approach can deliver life-changing results and long-term savings and cost-avoidance

This systematic approach starts with a detailed personalised assessment to identify goals needs and risks After that step technology solutions that match these needs and the individual s living environment can be specified

To realise the full benefits of technology we need to tackle two main hurdles: information and funding

Information Sharing There’s a pressing need for better insight sharing and rigorous evaluations We d like to see more sharing of knowledge for LD & MH and a long-term integrated approach to investment that doesn t view assistive technology as a short-term cash saver Integrating national and regional centres of excellence would be crucial in setting standards and sharing knowledge to ensure tech-investments are well-informed and aligned with people s needs

Lack of Funding: Improved understanding would address funding challenges With tight local authority budgets informed decisions can fund effective, long-term tech investments rather than cashable short-term solutions that may not meet needs INVESTING IN TECH

We embrace the potential that assisted technology can make to those we support and we are investing in our skills potential new roles knowledge and partnerships We have a tech lending library which enables those we support users to trial devices - like tablets and smartwatches -before deciding whether to buy one

For people with more complex needs we advocate the ecosystem approach described above By integrating advanced technology with human support, we empower individuals to take control of their lives and enhance their independence INVESTING IN THE TEAM

Investing in technology needs to involve upskilling teams ensuring they have a deep understanding of how the people they support can benefit from technology As assistive technology advances and becomes more embedded the sector needs to explore opportunities to create specialist roles

What In the World is Happening?

It will come as a surprise to no one that care is approached differently in different parts of the world Cultural differences make an enormous difference In France

By Lori

there are dementia villages without boundaries to the surrounding town but, through design, the residents stay put and people from town come in to enjoy shared experiences with them In Japan where there are simply not enough younger people to look after the elderly, they have devised clever design strategies which allow them to operate with lower staff ratios than we generally employ in the West The concept of an information hub related specifically to care retirement and dementia interiors led to the development of the ThirdAge Design podcast and website with listeners in 63 countries Why was this necessary?

UNLOCKING RESEARCH

able from other countries which we might adapt to suit UK needs Generally, this must be accessed via individual academic portals to which you must subscribe which can be both time consuming and expensive Simply put the research tends not go to the people who can implement the work

INTERNATIONAL INSIGHTS

The breadth of this topic is enormous, and operators, designers and architects are generally time-poor

The Universities of Sterling, Newcastle and Hertfordshire are wellrespected in conducting research but a wider breadth of information avail-

Supported by Wissner-Bosserhoff The Third Age Design (TAD) provides an interactive international community hub for care retirement and dementia design with transcripts translated into 12 languages in addition to English The hub subscription is free by signing-up at www thirdage design where the podcast can also be accessed in addition to all usual podcast platforms Topics include: the impact of AI on care settings elegant bariatric design, and ‘Design Rules and How to Break Them Each episode also has ‘Innovation Spotlight’ focused on cutting-edge global innovations in the sector Available through www thirdage

Local Authorities Spent Additional £1.5bn On Adult

Social Care In 2023-24 Than In Previous 12 Months

Albany Care Home Raises £200 for Oxford United Walking Football Club

Albany Care Home in Headington proudly announced the success of their recent Summer Fete, where they raised £200 in support of Oxford United Walking Football Club The funds will be used to sponsor the club s upcoming Walkathon a 24hour walking challenge in aid of children with Down s Syndrome

The Summer Fete was a vibrant and well-attended event with residents, staff, and the local community coming together to support a cause close to their hearts The £200 raised will directly contribute to the Walking Football Club s efforts to make a positive impact in the lives of children with Down s Syndrome while also helping to promote the benefits of walking football Oxford United Walking Football Club offers a slower-paced version of the beautiful game specifically designed for men over 50 and women aged over 18 This inclusive sport provides an opportunity for participants to stay active socialise and enjoy the game they love in a supportive environment Albany Care Home expressed its heartfelt thanks to everyone who contributed to the fundraising effort emphasising that their generosity will help keep the spirit of football alive and kicking The home looks forward to continuing its support for local initiatives and fostering strong connections within the community

of easy-clean, wall and door protection

Our attractive, maintenance free, hygienic products protect healthcare environments from costly impact damage, making repainting and repair a thing of the past

Blending with decors, and available in primar y dementia-friendly colours, our designs can include signage, to promote the well-being of patients and aid wayfinding

But we don’t stop at walls Our Fire Door Ser vices are specially designed to offer an extra layer of safety in care settings From regular inspections and repairs to complete replacements, Yeoman Shield’s fire door ser vices help you meet all relevant safety regulations, giving you peace of mind

Celebrating the Outdoors-Enhancing Wellbeing and Happiness for Care Home Residents

By

The summer months are a brilliant opportunity for care homes to make the most of their outdoor spaces whilst simultaneously offering a varied host of enriching experiences for residents to enjoy in the warmer weather

Spending time in nature has proven benefits for mental and physical health and at Sanctuary Care

we like to offer the opportunity for our staff and residents to spend as much time outdoors as they can during the warmer months providing a range of activities which have been met with rave reviews!

ENRICHING EXPERIENCES

We’ve been delivering trusted care for 25 years, so we like to get creative when it comes to experiences to keep things fresh and interesting for our resident community!

Whilst spending time in the garden and listening to birdsong is enjoyable for some residents others prefer physical exercise or organised group experiences that offer the opportunity for social interaction or mental stimulation

To ensure that we cater to every resident s unique interests hobbies and abilities we strive to provide wide-ranging opportunities for all:

Gardening: Gardening is a popular pastime in many of our care homes throughout the summer offering the opportunity for residents to connect with nature and exercise gently It’s incredibly satisfying for residents to see their seedlings flourish! At Bartley Green Lodge Care Home in Birmingham the team run a year-round Grow Your Own Way’ initiative This sees residents with a passion for gardening and cooking harvesting their own home-grown produce such as

Campaigner’s Open Letter To Prime Minister

when and where it is needed the NHS will stay on its knees

“There are 1 6m people who cannot get the care they need and many thousands in hospital because

there is no social care available for them This is our mothers and fathers our aunts and uncles brothers sisters and friends This is a scandal that shames us as a country For too long those who benefit from social care and those who provide it have waited patiently in the queue for our turn but that turn never comes

“We must switch resources from the NHS into social care to pay staff properly and fill the 131 000 staff vacancies to give care to those who can t access it and to free up hospital beds This would eventually save the NHS money ”

Mr Padgham says the social care sector was disappointed that Labour went back on a pre-election promise to introduce the cap on social care costs but was still prepared to give the new administration the benefit of

Aedifica Secures Four UK Care Homes In £61m Acquisition

Funding Shortfall of £4bn Leaves Councils on a Precipice

Councils across England Scotland and Wales have a collective hole in their finances amounting to more than £4bn for the coming financial year way beyond any previous estimates says UNISON research published earlier this month New figures based on information from local authorities show council funding is in a dire state with massive cuts likely to essential services and jobs says the union

The report Councils on the Brink warns that failure to rectify the growing problem soon risks the widespread collapse of local government

Many authorities could be forced to sell land buildings and other capital assets as well as cut back vital community services like rubbish collection and recycling libraries public toilets and leisure centres even further UNISON warns

According to UNISON s research the five councils with the biggest predicted shortfalls for 2025/26 account for a half-billion pound funding gap These are Hampshire County Council (£132m) Bradford City Council (£126m) Birmingham City Council (£119m) Somerset Council (£104m) and Leicester City Council (£90m)

The funding gap measures the difference between each council s income and the amount needed to maintain promised service levels But as the shortfall grows between the cash local authorities need and what they actually have to spend crucial services and jobs are being slashed This is having a potentially catastrophic and far-reaching effect upon communities says UNISON

Without urgent government support the union is warning that the combined funding shortfall could balloon to £8 5bn by 2026/27 leaving many councils struggling to provide essential local services and protect jobs

UNISON s figures based on freedom of information requests and councils own financial forecasts paint a far bleaker picture than other estimates

In England alone the gap is expected to reach £3 4bn by 2025/26 significantly surpassing the £2 3bn projection published by the Local Government Association for English councils in June

Many local authorities are now on the brink of financial collapse and the union says this new data suggests many more could soon follow suit

Since 2018 eight councils – including Birmingham – have issued section 114 notices meaning they risk failing to meet the legal requirement to balance their books

UNISON s data also reveals the local authorities facing the biggest predicted funding gaps relative to their annual budgets While unitary or county councils delivering vital adult care and children s services remain under enormous pressure the huge financial strain on many districts is even more apparent when measured this way

UNISON general secretary Christina McAnea said: Councils are teetering on the brink of financial disaster Countless essential services and very many vital jobs are at risk with terrible consequences for communities across Britain

After 14 years of ruthless austerity the very fabric of local society is under threat Councils are quite simply the linchpin of local areas so when services go many people are left vulnerable with no one to pick up the pieces

Local authorities were clobbered by the previous government whose harsh financial settlements left councils with no option but to sell off the family silver auction off green spaces close key community facilities and let thousands of workers go Only swift and decisive action to stabilise local finances will do

The new government understands the value of healthy public services and the role they can play in generating economic growth in a way its predecessors simply didn t So as tough as the financial situation may be ministers cannot ignore the terrible plight of authorities of every political persuasion

Navigating Legal Responsibilities as A Care Manager Amid Increasing CQC Prosecutions

The role of a care manager holds immense responsibility

From ensuring high-quality care to maintaining compliance with regulatory standards the demands are significant In recent months there has been an uptick in prosecutions by the Care Quality Commission (CQC) against care providers

This escalation underscores the importance of understanding the legal responsibilities and potential consequences for breaches as well as adhering to best practices

Here, Gareth Martin, partner and regulatory expert at leading criminal defence firm Olliers Solicitors

(www olliers com) explores potential areas of concern that could result in prosecution a care provider’s legal responsibilities and the consequences of breaches while offering advice on best practice

THE ROLE OF THE CQC

The Care Quality Commission (CQC) is the regulatory body responsible for monitoring and inspecting England's health and social care services Its remit includes care homes dental and GP surgeries NHS Trusts and aesthetic clinics The CQC oversees various elements, such as registration inspection, and criminal enforcement

The CQC's power to prosecute stems from several legisla-

tive acts most notably the Health and Social Care Act 2008 and the Health and Social Care Act (Regulated Activities) Regulations 2014

Within the Acts several critical provisions could lead to criminal investigation and potential prosecution including:

Health and Social Care Act 2008

Section 10 – Carrying on regulated activity without registration

Section 33 – Failure to comply with the condition of registration

Section 34 – Carrying on regulated activity while suspended

Section 76 – Disclosure of confidential information

Section 91 – Offences by bodies corporate (consent connivance neglect)

HEALTH AND SOCIAL CARE ACT (REGULATED ACTIVITIES) REGULATIONS 2014

These regulations set out various offences that a registered person can commit Notably Regulation 22(2) deals with avoidable harm whether physical or psychological to a service user, which tends to attract significant media attention such as the recent case of sexual assault in Warwickshire

Other common breaches that may result in enforcement action include

Regulation 12 – Safe care and treatment

Regulation 13 – Safeguarding service users from abuse and improper treatment

• Regulation 14 – Meeting service users nutritional and hydration needs

Regulation 16 – Receiving and acting on complaints – The Warwickshire case also involved the manager

receiving complaints about what was happening but failing to take appropriate action to address them • Regulation 17 – Good governance WHEN MIGHT THE CQC PROSECUTE?

The CQC's enforcement policy aims to ensure consistency in prosecution decisions It states that they will consider prosecution where there is evidence of factors such as avoidable harm to a person using a service, a care receiver being exposed to a significant risk of harm or a case of theft misuse or misappropriation of money or property

In addition to evidence of the above, the CQC will also consider the gravity of the incident, whether there has been a disregard for the requirements of a registered person and if there have been repeated or multiple breaches that give rise to significant risk or persistent and significant poor compliance Other factors that come into play include whether the service is breaching fundamental standards of care and whether enforcement sends a broader message to a sector and encourages improvement

ALTERNATIVES TO PROSECUTION

Whilst the number of prosecutions may be said to have been creeping slowly up in recent times, prosecutions should really be reserved for the most severe cases That is why most prosecuted cases relate to safe care and treatment or lack thereof

There are alternatives to prosecution including a simple caution where the CQC has sufficient evidence to prosecute but decides that considering the limited impact of the alleged offending on service users and the likelihood of achieving improvements by working with the provider and individuals involved this is a proportionate and effective way to address the issues They also have the power to issue financial penalty notices

Of course, holding any registered person accountable for breaches of what may best be termed fundamental principles of care is essential Still, it is crucial to work with providers where such breaches can be remedied and presented as learning opportunities

BEST PRACTICE FOR CARE MANAGERS

To minimise risk and maintain high standards care managers should consider the following:

1 Be familiar with CQC Fundamental Standards – These set the minimum level of care required

2 Implement and Adhere to Policies and Procedures – Regularly review and update policies, especially after adverse incidents

3 Conduct Regular Quality and Compliance Meetings – Ensure preparedness for CQC inspections

4 Invite and Act on Feedback – Engage with service users and their families to continually improve

5 Swiftly Address Complaints – Take immediate action on complaints to prevent escalation

6 Stay Updated on Sector Changes – Keep abreast of trends and regulatory updates

7 Understand Consequences – Ensure all staff are aware of the implications of falling short in care standards

8 Foster a Positive Working Environment – High staff morale improves care and lowers turnover Navigating the legal responsibilities as a care manager is critical, especially given the increasing scrutiny and potential for prosecution by the CQC By adhering to best practices and maintaining a proactive approach to compliance care managers can ensure they provide the highest quality of care while mitigating legal risks By prioritising quality care and compliance we can create safer more effective healthcare environments that benefit both providers and service users

Steep Fall in Overseas Visa Applications Sparks Fears of Care Staff Shortage

Adult social care providers are calling on the Government to urgently bring forward its workforce plan for the sector amidst fears of a dire shortage of staff

Detailed Home Office data shows that it approved 89 085 visas for the health and care sector in the year to June 2024 – more than 80% down on April to June of the year before

The number of grants for health and care worker main applicants stood at 6 564 for that period down from 35 470 for the same threemonth spell the previous year

The fall has been attributed to a ban on international care workers bringing dependants to the UK which came into effect in April this year under the Conservative government, and which has been branded brutal and blamed for cutting a lifeline of overseas staff

Other restrictions gradually introduced by the previous government amid pressure to cut the record number of people legally arriving included a drastically increased salary threshold for skilled workers to £29 000 from April and £38 700 by next year

Figures published by Skills for Care earlier this year revealed that there were 131 000 vacancies on any given day with a rate of 8 3% for the social care sector around three times the average for other sectors

That report also revealed that domestic recruitment remains a problem, with the number of posts filled by people with a British nationality having fallen by 30 000 – a drop of 70 000 over the last two years

Mike Padgham Chair of the care provider organisation The Independent Care Group (ICG) said: A fall in the number of overseas staff is the last thing social care needs at the moment as we are struggling to fill shifts as it is The last government s brutal measures are working and the lifeline of overseas staff to help staff homecare and care and nursing homes has been cut

“The question is, what do we do now? As we warned at the time, no

serious measures have been put in place to replace those overseas workers who have played such a key role in helping us to keep delivering care

We desperately need to see the new Government s promised care workforce strategy and with it some funding measures that will help us to properly reward care workers and enable us to recruit at home otherwise we will be in dire straits

“Skills for Care reports that there are 131 000 vacancies in social care – with the availability of overseas staff dwindling we are going to be very very short

And as we approach winter when staffing levels in health and social care are always placed under the greatest demand, will we be able to cope?

“With 1 6m people unable to get the care they need and demand for care growing every day we are struggling to maintain services In December when the former Home Secretary announced restrictions on foreign workers Care England warned about the impact this would have on our sector but these warnings they say were ignored In May Care England drew attention to the decrease in number of overseas care worker applications with a reduction of over 50% between October 2023 and April 2024

Professor Martin Green OBE Chief Executive of Care England said: “The Government is running out of time to listen While the decision to restrict applicants was made by the previous Government it is incumbent on those now in power to take ownership of their inherited situation They must make the changes needed to ensure the social care sector remains sustainable

“Our dedicated workforce is social care’s biggest asset and without the proper measures in place to draw in domestic recruits the gap left by international recruits will reach an untenable level Adult social care needs a fully funded workforce plan with boosted pay terms and conditions, the change for career progression, parity of esteem

with NHS colleagues Without this our sector risks not having enough staff to deliver the care and support this country s needs now or in the future

Migrant charity the Work Rights Centre called for the Labour Government to scrap the ban on dependents saying it isolates workers from their families

Its chief executive Dr Dora-Olivia Vicol said: The ban on migrant care workers bringing dependent family members may have acted as a deterrent to people seeking a career in care in the UK

“This has come at the cost of isolating skilled workers from their families We urge the new Labour Government to reverse this cruel policy decision ”

The charity also called for more protections for migrant workers amid a welcome crackdown on unscrupulous employers

Dr Vicol said the current system which ties a person s immigration status to their employer and can see them lose their visa if an employer has action taken against them is grossly unfair

She added “Work visas should give migrant workers the freedom to change employers and the ability to report exploitation and access remedy, on the same terms as their British colleagues ”

Earlier this year a report written by former independent chief inspector of borders and immigration David Neal criticised the “inappropriateness of the sponsor licensing regime for low-skilled roles” saying it had created a system that invited large numbers of lowskilled workers to this country who are at risk from exploitation

An inspection of the immigration system relating to the social care sector revealed that 275 certificates of sponsorship were granted to a care home that did not exist the report added

Figures suggest social care will need to recruit an extra 540 000 care workers to cope with rising demand, by 2040

Is a Cure for Alzheimer’s on the Government’s Checklist?

By Julia Senah, Clinical Director, Almond Care (www almondcare co uk)

As a complex care provider, I m no stranger to the finding a cure approach to progressive and disabling medical conditions such as Alzheimer's and dementia more widely – of which Alzheimer s disease causes around 70 per cent of all cases

Alzheimer s disease is one of the most challenging conditions facing the UK s ageing population 982 000 people are currently living with some form of dementia in the UK predicted by the Alzheimer s Society to rise to 1 4 million by 2040

I work with individuals and loved ones dealing with conditions and injuries which have, for many years, been the subject of curative research, so the question of whether the Government is prioritising one for Alzheimer s disease is a natural one

However I ve also seen the incredible value of the right complex care for individuals with disabilities or long-term health conditions – which begs the question whether the Government is opting for this route instead IS DEMENTIA A PRIORITY FOR THE GOVERNMENT?

Successive Governments have asserted the dangers of dementia to public health and wellbeing for patients but what is being done about it?

In the Labour Party’s 2024 Election manifesto the Government pledged to put “Britain at the forefront of transforming treatment for dementia”

It is not yet fully clear how it will achieve this – we may see funding announced in the forthcoming Autumn Budget – but this key area of research is likely to figure into the Government’s pledge to “drive innovation in pharmaceuticals and medicine and support faster approvals for new technologies and medicines

In the realm of care the Government had a lot more to say in its manifesto – citing the need to address the challenges facing public healthcare with regard to patient demand an ageing population and ongoing

staff shortages

It pledged to ensure that everyone lives an independent prosperous life in its social care reform manifesto efforts which will eventually create the National Care Service for a home-first approach to care

It seems likely then that the Government’s priority is transforming care for those with progressive dementia, rather than solely finding a cure

WHAT CAN CARE DO?

Whether the Government is aiming for an Alzheimer's cure or not it will doubtless be a long process that is occasionally stalled by funding or force majeure

In short it doesn t address the complex and shifting needs of those with dementia in the here and now Care including complex care for more advanced cases of dementia (Alzheimer s-related or otherwise) is looking like the order of the day for living a full and independent life with dementia

Care in the home is often viewed through a narrow lens, but it can achieve a significant amount, with support including:

Daily tasks such as cooking and cleaning

Hygiene and personal care

• Social support and transport

24-hour or live-in care

Night care

Complex medical support such as ventilation

In other words care is a spectrum Dementia is an individual condition which progresses at different rates and intensities, with care available and tailored to each stage

The progressive of the condition is one of the most frightening aspects of the condition, particularly as memory and mobility issues arise more frequently and severely Individualised care can be there to step in when new challenges arise and ease the transition at every step

Care that fits into a person s life and individual needs looks to be the way forward backed by the Government’s social care-led approach to supporting those with dementia

While a cure doesn’t seem to be priority number one, it is certainly supported by forthcoming pledges to enhance the availability of cutting-edge treatments and therapies for the wider population

While we wait care is there to help individuals and loved ones in the fight with Alzheimer s disease

WWII 85th Anniversar y: WAAF Veteran Recalls Churchill ‘Wreathed In Smoke’

Dozens of kind-hearted residents at 21 care homes across the south have helped gather food items to support families in need

All Colten Care homes in Hampshire Dorset West Sussex and Salisbury plus the provider’s Colten House head office in Ringwood took part in collections and other activities to mark National Food Bank Day on Friday 6 September

As he helped sort through and pack items at Avon Cliff in Bournemouth resident Derek Parker said: “I’m so pleased to be able to support a very worthy cause I m hoping all will go well and our contribution will make a difference Avon Cliff’s Companionship Team Leader Elise Woolnough said: “We spent the morning putting together food parcels to be dropped off at the Bournemouth Food Bank round the corner from us at Citygate Church “Our residents enjoyed doing these parcels and feel happy they are helping others in need

At Abbotts Barton in Winchester, team members were invited to take part in a non-uniform day in return for gathering items the home could hand over to Winchester Basics Food Bank Vanda Baker, Home Manager of fellow Winchester home St Catherines View, personally dropped off donations of food items at the Carroll Centre community hub along with Companionship Team Leader Laura Sheldrake They learned from Jessica Giles Community Development Officer that the hub’s food bank is used by 60 to 70 people every week

Laura said “Jessica was thankful for our donation as she said supplies run down very fast It was great to catch up with her and learn all about what the Centre has been doing to help

sible

of

items and funds under the provider’s policy of enabling residents to

The Power of Language: Restoring Choice in Alzheimer’s Care

By Patrick Wallace, Director and Co -Founder of Curam (www curamcare com)

World Alzheimer’s Day is a chance to reflect on how we care for those facing one of the greatest challenges among the UK’s ageing population and how we as the care community can improve the quality of life of those affected by the disease

As anyone close to someone experiencing Alzheimer s will know one of the hardest battles as the disease progresses is the deterioration of language and therefore communication This is particularly problematic for Alzheimer’s patients who live in a country where their native tongue is not spoken as they may lose the ability to use their second language

In England and Wales 5 1 million people have a foreign first language That s 9% of the population Language loss as a result of Alzheimer’s creates a significant barrier between healthcare providers and clients as people can no longer communicate their wants and needs in a way that can be understood by the person looking after them

As cognitive abilities decline it is vital we prioritise ways to work around this and this includes giving clients and their families the ability to choose a Care Professional who can meet language needs This is key for assuring dignity as the condition progresses and providing the standard of care all Alzheimer s patients deserve GOOD FOR

THE CLIENT, GOOD FOR THE SYSTEM

Communication is key to any strong relationship and a Care Professional who can speak their client s first language is a huge benefit, as they understand the nuances of the situation Living with a neurological condition like Alzheimer s and dementia is highly isolating with one-third of individuals living with dementia reporting feelings of loneliness Social isolation can worsen Alzheimer’s symptoms and sometimes a Care Professional is the most contact a patient has so fostering a strong connection through shared language is an important aspect of care The benefits of this go beyond communication and help to connect a client to their community through the familiarity of the language and shared cultural values which helps reduce feelings of isolation

But it’s not just the client who benefits from providing clients with Care Professionals who speak their language Translation services cost the NHS £113 million from 2019-20 to 2021-22 demonstrating how much

more efficient and cost-effective it is to deploy Care Professionals with the necessary language skills THE TRADITIONAL AGENCY MODEL FALLS SHORT

The issue with the UK’s current care agency model is that it is almost impossible to guarantee who will be providing care each day let alone whether they are a language match Clients and families have little choice in Care Professional selection and may struggle to find one with the right language skills As agencies are often short-staffed even if they employ Care Professionals with the right language skills they may not be available to every client who needs their support

Consistency of care is vital for Alzheimer’s patients The condition is highly disorientating, so anchor points of familiarity are key to maintaining a client s comfort With a disease that deteriorates a patient s ability to communicate a strong understanding between the client and Care Professional ensures that non-verbal communication or other behaviours a client may use aren t missed Giving Care Professionals the time to understand the clients better through consistent visits is therefore essential for providing high-quality care

RESTORING CHOICE AND CONTROL WITH TECHNOLOGY

The care sector has historically lagged behind with technology, but online care providers are becoming an increasingly accessible alternative to agencies that make tailored care easier to find

Using these platforms, clients can filter by a Care Professional’s specific skillset, including Alzheimer's care and language proficiency which streamlines the process of choosing the best Care Professional for a person’s needs Clients and families can meet prospective Care Professionals virtually before hiring to ensure they are the right fit restoring confidence that the highest quality of care will be provided

Curam’s roster for example consists of over 7 000 Care Professionals with dementia experience and nearly 5 000 who speak multiple languages Polish Spanish Urdu Romanian and French are the most commonly spoken but across the platform there is a choice of 30 international languages that searches can be refined against Digital solutions can therefore restore choice and control to the care process and improve the quality of care available to Alzheimer s patients

CULTURE AND CARE

This World Alzheimer’s Day the social care sector must acknowledge that culturally sensitive care is just as important as having the right clinical skills when it comes to working with those living with Alzheimer s Giving clients the control to find a consistent Care Professional with a shared language goes a long way to relieving clients’ isolation and makes communicating their needs simpler

Harnessing digital tools restores choice and control for Care Professionals and clients improving the efficiency of the care system and affording the dignity and humanisation that all Alzheimer's patients deserve, regardless of their background

Somerset Care Home Fete Brings

Super woman and a Surprising End!

Catherine House Care Home in Frome recently hosted a carnival-themed fete that brought the community together for a day packed with fun local crafts and activities for all ages

As members of the public began to arrive one lady was quick to comment it is amazing to see so many local crafters together their stalls look great and there is so much choice at reasonable prices

Sandra the care home s very own Superwoman and fantastic cleaner added a special touch to the event with her superhero costume This light-hearted appearance

Food Procurement Specialist Allmanhall Turns 18

'No Current Plans' to Scrap Single Word Ratings For Council Adult Social

Following on calls for reform of the social care rating system the Local Government Association (LGA) has added its voice and is calling for the scrapping of single word ratings in Care Quality Commission (CQC) assessments of councils adult social care services completely following an earlier decision to end single word ratings in Ofsted inspections

However the government has said it is “not currently considering a change”

The LGA which represents 350 councils across England said CQC’s existing assessment reports which provide helpful narrative summaries and more detailed analysis by different themes is sufficient and provide a useful and balanced picture of the quality of services

This call comes in light of the recent decision to end single word ratings in Ofsted inspections including for children’s social care teams and settings with immediate effect The LGA believes this judgement is relevant and should extend to CQC’s assessment of councils adult social care services

Adult social care has faced over a decade of underfunding and unmet and under-met need has grown as a consequence Councils believe single word ratings do not do justice to the complex and difficult state that adult social care is in

The LGA said government needs to provide immediate investment to end this crisis, address unmet and under-met need and urgently agree a long-term funding and reform plan to allow all people to access the care and support services they need to live an equal life

Adult social care has faced over a decade of underfunding and unmet and under-met need has grown as a consequence Councils believe single word ratings do not do justice to the complex and difficult state that adult social care is in Cllr David Fothergill, Chairman of the LGA’s Community Wellbeing Board said “Local government fully supports transparency and accountability But while assessment and regulation are both important and helpful in driving improvements to services, single word or phrase judgements cannot

Care Ser vices

ever adequately capture the complexity of adult social care and the work councils do to meet their legal obligations

“The Government must ensure that the assurance process is and remains productive and supportive for councils Sufficient time must be given to learn the lessons from councils’ experiences as more go through the assessment process

”Working with people who draw on care and support councils and care providers the Government also needs to urgently develop and implement a fully costed long-term sustainable plan to fund social care Investment and reform are critical for bringing about real change and better outcomes for people ”

A CQC spokesperson said “Our assessments were developed alongside the sector to help drive improvement by highlighting good practice and areas for further development

“Local authorities have told us of the value of sharing findings to help make immediate improvements, by identifying their strengths and where gaps may exist The narrative assessments and conversations they spark are central to this

“The precise methodology for our local authority assessments, including if assessments result in a rating, is subject to ministerial approval Any changes to this methodology would be a matter for the Department of Health and Social Care (DHSC) ”

The Government said it is not considering scrapping one-word ratings

A Department of Health and Social spokesperson said: “We recognise the scale and depth of the reforms needed in social care

“That’s why we will engage widely with the sector as well as people with lived experience on the longer-term reforms needed to build a National Care Service

“We are thoroughly reviewing the Care Quality Commission (CQC) and as part of that work we have asked the CQC to improve the transparency of their ratings

“We are not currently considering a change to the single-word ratings system ”

REM have been manufacturing furniture for the Hair & Beauty Sector for over 100 years and are now considered to be one of the largest manufacturers in both the UK & Europe Understanding the growing requirement for Care & Residential Home Salons, REM’s Design Team have produced the Pendle Care Range for the Small, Compact Care Home Salon

The Crisis In Care: Navigating

The Impact Of Visa Restrictions On Ser vices In The Care Sector

The care sector in the UK is facing an unprecedented crisis with an 82% drop in visa applications for health and social care roles since July 2023

according to the latest figures from the Home Office This sharp decline is a direct result of the government s recent policy changes notably the ban on overseas care workers bringing family dependents For many potential applicants this restriction makes the UK a less attractive destination, especially for those unwilling to face prolonged separation from their families

However, the decline in overseas care workers is not solely due to this policy The cost-of-living crisis in the UK has further compounded the problem

Many care workers who are often paid at the lower end of the salary scale struggle to make ends meet on a single income The inability to bring a second household income from a spouse or partner makes the financial realities of living in the UK even more daunting, discouraging many from applying This situation is exacerbated by rising costs for essentials such as housing utilities and food which significantly erode the disposable income of lower-wage workers

Also contributing to the reduction in visa applications is the increased scrutiny and compliance demands placed on employers by government Since late 2023 the Home Office has intensified its oversight of sponsorships in the care sector resulting in lengthy processing delays and burdensome evidentiary requirements Employers are now required to submit extensive documentation including rotas contracts and staff details, often with very little notice These demands have overwhelmed many care providers, leading to delays in hiring and in some cases the suspension or revocation of sponsor licences The increased frequency of compliance visits has further strained employers who are already struggling to maintain adequate staffing levels Home Office visits can lead to significant disruptions in business operations especially if they result in the suspension of a licence which halts all further sponsorship and delays pending visa

applications

The impact of these issues on the care sector is profound With a large number of vacancies remaining unfilled the sector is struggling to provide essential services to vulnerable people Despite some arguments that the drop in visa applications could reflect a “natural correction” following the initial surge in demand when the sponsorship system first opened to care workers, the persistent high vacancy rates suggest that the need for overseas workers remains critical The combination of restrictive immigration policies, economic challenges and increased regulatory burdens has created a perfect storm which threatens the ability of care providers to meet the growing demand for services

To navigate these challenges care providers must take proactive steps Employers need to ensure they have adequate resources to manage their sponsorship and Home Office interactions and it is crucial they remain vigilant of any abuse or mismanagement of the system and workers Engaging legal representatives to assist with visa applications compliance visits and licence management can help mitigate risks and ensure businesses remain in good standing with the Home Office

Additionally adopting robust recruitment practices and providing comprehensive support to overseas workers such as assistance with accommodation training and relocation expenses can help enhance retention and attract talent Despite the recent increase in visa salary thresholds, care workers still benefit from discounted rates under the Immigration Salary List

Looking to the future while the government is planning to build a domestic workforce such as through Labour s Fair Pay Agreement and the launch of Skills England these initiatives are unlikely to have immediate results It could take years to train and recruit enough domestic workers to fill the current gaps in the care sector, so the reliance on foreign workers will likely continue To ensure that care providers can maintain services during this transitional period, it is crucial that the visa system is adapted to better support the sector s needs

It is clear that the care sector in the UK is at a critical juncture The combined pressures of restrictive immigration policies economic challenges and regulatory burdens have led to a significant reduction in the number of overseas care workers jeopardising the sector’s ability to meet demand By taking proactive measures and advocating for supportive policy changes, care providers can navigate these challenges and continue to provide essential services to those in need

Redbond Lodge’s Knitting Project Brings Joy to Ukrainian Orphanage

The residents of Redbond Lodge care home part of the Runwood Homes group have been making a heartwarming impact through their weekly Knitting Club The club primarily attended by the ladies of the home, has taken on a meaningful project with the support of the Lifestyle Coordinators Over the past weeks, they have been diligently knitting a variety of items hats matinee

Triton Showers Presented with King’s Award For Enterprise

Triton Showers has been presented with a King’s Award for Enterprise recognising the brand s commitment to sustainable development and integrating sustainability into its long-term business strategy and Net Zero goals

The Nuneaton-based shower manufacturer was presented with the achievement by the Warwickshire Lord Lieutenant Tim Cox on Wednesday 4 September at its Shepperton Business Park head office

The King’s Award for Enterprise celebrates Triton’s ongoing efforts to reduce its carbon footprint and environmental impact Triton is one of only 29 select organisations to be recognised nationally for its contribution to sustainable development having received the news earlier this year

Lord Lieutenant Tim Cox praised Triton s achievement It has been an honour to meet with this year s winners of the King s Awards for Enterprise These Awards are a great boost to the local economy and show our ability to attract and sustain successful companies which in turn support our local communities I am delighted to present this award to a company that truly embodies the spirit of the King s Award for Enterprise

As we look towards

businesses as possible to consider applying These awards are the highest accolade available to UK businesses and offer unparalleled prestige, exposure and credibility to successful companies ” David Tutton Managing Director at Triton Showers said We are incredibly honoured to receive the King’s Award for Enterprise being one of only 29 select businesses across the UK to be recognised by His Majesty this year in the Sustainable Development category This prestigious award underscores our commitment to placing sustainability at the heart of our business strategy and our determination to achieve our ambitious ‘Net Zero by 2035’ target

At Triton we re proud to be the market leader for showers in the UK and Ireland With that leadership comes the responsibility to actively reduce our impact on the planet and we are proud to lead the way in creating a more sustainable future

For more information about how Triton is moving the dial on sustainability visit www tritonshowers co uk/sustainability

For further details about the application process for the King’s Awards for Enterprise 2025 visit: www gov uk/kings-awards-for-

Article by Fozia Iqbal, Senior Business Immigration Solicitor at law firm Harper James (www harperjames co uk)

New Research Reveals Six Ways That Care Homes Support Older People To Thrive

Research from City St George s, University of London (My Home Life England initiative) reveals the breadth of experiences of older people living in care homes across the UK

The new study one of the largest ever qualitative research studies on older people’s experiences of living in residential care identifies some challenges but reveals proportionally many more benefits of living in a care home

The insights and stories heard directly from older people themselves, as well as care teams and families shine a light on six key ways that older people can thrive in a care home, if the conditions are right The findings cluster into six emerging themes: Thrive Relationally Thrive Actively, Thrive Inclusively, Thrive Securely, Thrive with Dignity, and Thrive Healthily KEY FINDINGS INCLUDE:

THRIVE RELATIONALLY

Being around others was a lifeline for many older people who had felt isolated living on their own Many had formed friendships with others and relationships with their care team Moving to a care home had also helped restore strained family relationships Families felt welcomed, reassured, and able to stay actively involved in their older relative s life

THRIVE ACTIVELY

Whilst living at home some older people had not been able to do the things they enjoyed Care home activities and connections with the community enriched lives and helped older people to find purpose and feel valued

THRIVE INCLUSIVELY

Care homes can be inclusive environments where diversity is valued and respected The report shares examples of older people being supported to embrace their faith culture ethnicity sexuality and gender identity This also helped families feel confident that their older relative would be well-supported

THRIVE SECURELY

Before moving into a care home some of the older people spoken to were living difficult lives experiencing poor housing insecurity and even violence Others felt anxious about being alone in their own homes especially at night Care homes can offer the reassurance and safety that some older people might need

and also alleviate the strain and worry for families

THRIVE WITH DIGNITY

Many older people found it increasingly difficult to keep on top of household chores such as laundry before they moved to a care home They really valued that these things were now taken care of Others had previously struggled with personal care but now had support from care staff with things like bathing and using the toilet

THRIVE HEALTHILY

Care homes support with healthcare including managing medications and noticing when things aren’t right Through care teams recognising changes and responding quickly many older people felt that their health had improved since moving in They also put this down to regular mealtimes and good quality food

My Home Life England spoke to 125 people across 16 care homes in England, Scotland and Wales The older people who took part had an average age of 85 and had spent an average of two years living in a care home The research reveals that although there can be challenges to living in a care home, when the conditions are right, residential care can support older people to really thrive

Vic Rayner OBE who authored the report Foreword said: “This research reveals the richness of ways that care homes are enabling many older people to flourish in their last chapter of life It has shone a light on how the provision of high quality proactive relationship-centred care inclusion in a social environment with meaningful activities and nutritious meals, and fostering a strong sense of safety and

under which older people can thrive These findings make a valuable contribution to better understanding what matters to older people living in care homes and will have significant implications for the ways in which long term residential care is perceived ”

Chester’s Intergenerational Community

Creates Ver y Own ‘The Repair Shop’

residents wheelchairs

Their ambitions have also led to diversifying into upcycling goods for use within the village’s integrated nursery operated by national charity Ready Generations Ruth Sandbach nursery manager at The Nursery in Belong at Belong Chester shares more: We started off small sewing missing buttons restuffing teddy bears and gluing broken toys and as our children and grandfriends became more confident they requested tools so they could try some bigger builds and the results have been staggering ” For the workshop s most recent success the village s visiting storyteller and author Richard O’Neill has led the upcycle of pallets to create a special chair and stool to inspire the older residents to become storytellers themselves by sharing a tale or two with the nursery children

Grandfriend and Belong Chester resident Bill 83 said: “I enjoy fixing things I always have In school it used to be woodwork and metalwork but I’m not sure they teach it anymore I like showing the children how to use the tools – someone needs to show them ”

Championing the green agenda, the workshops form part of The Nursery in Belong’s support for the United Nations Sustainable Development Goals, helping children and residents to actively participate in helping to make the world a better place

The project also incorporates the principles of Sankofa leadership, acknowledging the wisdom in learning from the past to ensure a strong, successful future, as exemplified by Belong Chester’s residents and apartment tenants taking on the role of nurturing the children by offering their time, patience and teaching to bring ideas to fruition

Ruth continues “Our children learn so much from their grandfriends: how to collaborate, communicate ideas, problem solve and evaluate, as well as reflect on their achievements for a job well done

Our repair shop also teaches them about sustainability, working safely and it gives them an authentic experience using real tools

“Equally, our older friends benefit from rekindling former hobbies and having the chance to impart their years of experience and expertise It’s one of many popular intergenerational experiences at the village "

Curam to Expand Offering with CQC-Regulated Care Packages

Dulux Unveils True Joy™

As Its Colour of the Year 2025

For 2025, Dulux is asking architects, specifiers and designers to embrace yellow and infuse a sense of optimism, pride and imagination into their projects As a guiding light to introduce these bold, positive shades to clients, the paint manufacturer has announced True Joy as its Colour of the Year for 2025, which is complemented by three versatile ColourFutures™ palettes

Over that last two decades, the Dulux Colour of the Year has been chosen through extensive trend research by Dulux colour experts and international design professionals The 2025 selection, True Joy™, is a bright and positive yellow that reflects people’s desire to break free, reset, and create something new and exciting As well as embracing True Joy™, Dulux is also encouraging designers to share the joy of yellow and help clients to leap out of their comfort zone - and feel confident in doing so

Yellow shades like True Joy™ can be used as a bold statement colour or an accent hue However, to help designers advise their clients on the best colour pairings, Dulux has created three supporting ColourFutures™ palettes

● Bold Colour Story: Inspired by the thrill of adventure, these bold colours bring spontaneity and energy to any space Bright blues and oranges contrast beautifully with accent yellow, making them ideal for educational and office environments where inspiration and creativity are key

● Human Colour Story: Celebrating artisanal craftsmanship, these shades of wood and clay reflect the raw materials used in handmade processes Perfect for educational and healthcare settings, these colours add a touch of authenticity and warmth

● Proud Colour Story: Drawing inspiration from diverse cultures around the world, these deep, rich and earthy browns and greens celebrate the rich heritages that make us unique Ideal for hospitality and residential spaces, they create a welcoming atmosphere where everyone feels at home

Dawn Scott, Dulux Trade Senior Colour Designer, said: “True Joy™ and its accompanying palettes offer a fresh perspective on colour's role in shaping our built environment These colours are not just trends but tools for architects and specifiers to craft spaces that resonate with the values and visions of their clients, improving our experience within the spaces we inhabit

“One of the most impactful applications of True Joy™ is within healthcare environments Paired with the earthy, natural shades of our Human Colour Story, True Joy can transform waiting rooms, corridors, and communal areas into uplifting and calming spaces This combination not only brightens the atmosphere but also connects patients and staff to a sense of warmth, creativity, and well-being ”

Marianne Shillingford, Creative Director and Colour Expert at Dulux, explains: “It may be difficult to

immediately picture where yellow paint could seamlessly slot into your home, but it’s actually much more versatile than you may first think The decision to choose the most uplifting hue in the spectrum is to spark inspiration and instil confidence to leap into the unknown and endless possibilities of what could be Whilst yellow is one of the bolder colours on the spectrum, True Joy™ is complementary to a vast range of palettes, it brings out the positivity in even the most neutral of shades and is the figurative glue that binds more daring colour stories together ”

To support specifiers and provide additional guidance on the use of True Joy™, Dulux has created the Dulux Trade Colour of the Year 2025 Specifier Guide which includes mood boards that can be used to help create the perfect space across any sector Architects, specifiers, and designers can also use the Dulux Trade Colour Schemer for colour inspiration or to create specifications for projects They can also speak with the Dulux Commercial Colour Services team for additional advice on how to use the Colour of the Year 2025

Dulux is proud of its ongoing efforts to produce durable solutions in a more sustainable manner By focusing on reducing carbon emissions and increasing the circular use of materials, Dulux ensures that products like True Joy not only enhance spaces aesthetically but also contribute to a greener future With initiatives such as using up to 70% recycled content in packaging and developing water-based paints with lower VOC content, Dulux is dedicated to helping professionals create beautiful, sustainable environments

Dulux Colour of the Year 2025 True Joy™ and the accompanying palettes will be available for purchase from10 September 2024

For more information, visit duluxtrade.co.uk/cf25 and follow #CF25 on social media

Social Care Problems - Is a Celebrity Champion Needed?

By Simon Spiller, co-owner and Registered Provider

After almost three decades of Government reviews and Uturns on commitments to overhaul the system adult social care reform has remained a better-avoided subject for those in power Celebrity campaigners like Markus Rashford and Joanna Lumley might offer a template for achieving reform through galvanising public opinion so Government can no longer turn its back on the problems

The success of the Liberal Democrats in the 2024 general election suggests that the English electorate are aware of the need for social care reform Care leaders must urgently harness this public concern to put pressure on the Government and prevent the issue being left in the long grass while focus is placed on other public services with a higher profile and overt public support Labour s plan to implement yet another cross-party review of social care is already a backward step, when the crisis is well understood with solutions costed While dropping their manifesto pledge to implement the cap on social care costs for individuals inherited from the last Government demonstrates it is just too easy for a government to side-step much needed reforms

After decades of under-investment aging baby boomers can t access care homes because there aren t enough According to Age UK 2 6 million people over 50 are unable to have their care needs assessed or are on waiting lists for home-care packages which can t be delivered due to staff shortages and Local Authority funding gaps Chronic staffing shortfalls are being papered over by importing foreign workers, while most care workers are living in poverty on minimum wage pay The system is being propped up by almost 5 million unpaid carers, many of whom have to work part-time, or give up work altogether, to care for vulnerable loved ones These unpaid carers often feel ill-equipped to deal with the complex care needs of those they support Meanwhile a small number of large private equity-backed care home providers reap significant profits from the minority of self-funded people who can afford as much as £1 500 per week for their care in gleaming purpose-built homes And all of this is happening while working families see the financial legacies of their parents run down to cover care costs

With persistent and high profile issues like bed blocking in NHS hospitals due to insufficient social care provision (almost 14,000 people are currently medically fit to leave hospital but “blocked”), it may seem surprising that adult social care sector leaders have failed to persuade successive Governments to implement reforms The problem sits in a lack of joined-up and compelling advocacy by the sector enabling Governments to sidestep the issues or buckle under media-fanned hysteria over proposed reforms like Theresa May s Dementia Tax A highly fragmented sector composed of thousands of small social care

providers with numerous regional and national representative bodies, like Care England, the National Care Association and CareRights UK has been unable to engage the public mood and provoke the political will required to tackle the problems

While the large highly profitable providers have an incentive to maintain the status quo Those who have been passionately advocating about the precarious state of adult social care in England (including myself), should consider the lessons from the successes of celebrities like Markus Rashford and Joanna Lumley in arousing public support so the government of the day couldn t ignore their calls for free school lunches and Gurkha rights

They offer a road map for social care leaders Savvy use of social media to showcase heart wrenching care failure stories or inspiring struggles against adversity can capture the hearts of the nation - especially when mainstream media TV radio and print are susceptible to picking up stories from Influencers and magnifying their reach and impact

Whether or not a single celebrity is needed for the role to highlight the need for change is debatable Any candidate would certainly need to be very passionate about the cause and have some major staying power

At the very least social care leaders should join up urgently to implement a plan to engage public opinion It wouldn t be hard to find public relations and social media experts who understand how to create a campaign aimed at opening the door to Government coffers before it gets bolted shut again Wes Streeting Health and Social Care Secretary has already said he knows social care needs more money and Stephen Kinnock Social Care Minister has a number of social care priorities he can’t avoid which present opportunities to influence the debate Labour has promised in the King s Speech to deliver better pay for care workers The Government also must decide how much money to give to struggling Local Authorities to keep the current social care system afloat These pressing decisions are clear opportunities for social care leaders to motivate the public to put pressure on the Government to make the right decisions

After three decades of being fobbed off by successive governments the social care sector needs a step change in its approach to a Government which says the reforms are not affordable at the moment Prior to becoming Chancellor in the last Government Jeremy Hunt was Chair of the Health and Social Care Select Committee which concluded that the sector needed £7 Billion of extra funding per year as a starting point to address the crisis and meet future care demands from an aging population This represents a similar amount needed for the Labour Government to reach its 2 5% of GDP goal for defence spending up from 2 1% If the Government can commit to finding or generating through growth the funds for defence - perhaps it can be cajoled to do something similar to protect our vulnerable elderly

Only by harnessing public opinion to its cause will social care leaders ever break the cycle of reviews and U-turns With a public service-minded Government now in place and expressing its long-term commitment to creating a National Care Service there is no time like the present!

10 Million Being Let Down By Mental Health Prevention Plans

A new report by the Mental Health Foundation Planning for Prevention, has highlighted that an estimated 10 million people across England – almost 1 in 5 of the country s population – are living in areas where local plans for improving the public’s mental health are insufficient The charity points to a failure of the UK government to properly support the bodies responsible for these plans over the last two years

Set up in their current form in 2022 as part of the Health and Care Act, Integrated Care Systems (ICSs) are designed to enable a more joined-up approach between different parts of England s health system, such as the NHS and the voluntary sector However, following an evaluation of England s 42 ICSs the Mental Health Foundation has concluded that around 18% of the population of the country is being let down by their local ICS s plans to address poor mental health Despite strong evidence for taking a preventative approach to mental health problems which cost the UK more than £118 billion a year most plans put forward by ICSs (known formally as Joint Forward Plans) require significant work on addressing mental health prevention Only six plans across the entirety of England were evaluated to be “excellent” by the Mental Health Foundation, 28 had “good features but lacked detail and eight were poor

The report highlights that where plans are weaker it is often not due to a lack of desire on the part of ICSs themselves ICSs are tasked with tackling complex public health problems but are often under resourced and do not have the wider infrastructure to act effectively The vast majority of problems with their plans can only be resolved through action from the UK government to give ICSs the resources and structure necessary to unlock their potential in addressing poor mental health

In light of its findings, the Mental Health Foundation has made a series of recommendations to improve how ICSs approach mental health prevention These include suggestions for how ICSs can produce effective plans for public mental health improvement and share best practice, and calling on the UK government to create a national infrastructure for mental health and wellbeing and provide better funding for prevention

Mark Rowland CEO of the Mental Health Foundation said: “At a time when our mental health services are under huge strain England’s Integrated Care Systems can play a revolutionary role in addressing the mental health crisis through prevention While our report has highlighted positive planning among some ICSs, almost one in five people in England are living in areas where very limited

planning exists for protecting and improving the public s mental health Given the huge social and economic costs of mental ill health, it must be a priority of every ICS to have adequate plans in place to address its causes ”

“However responsibility cannot be placed solely at the feet of ICSs which are all too often being let down themselves by both a lack of resources and the wider infrastructure they are a part of There are many hardworking healthcare professionals doing their best in tough circumstances, and it should be lauded that some have managed to deliver good plans despite poor support from the centre to do so

“The new UK government needs to undertake work urgently to unlock the potential of ICSs in this space Our report lays out exactly how ICSs can improve mental health in their areas, and how central government can support them to do so We recognise this structure for the health sector is in its infancy and so we hope the findings we put forward are used constructively by both ICSs themselves and decision makers in government Ultimately a greater focus on mental health prevention will deliver better value for money and better outcomes for individuals at risk of poor mental health

Read the full report and recommendations on the Mental Health Foundation s website at www mentalhealth org uk

Parkstone Care Home Resident Experiences Her Special Horse and Carriage Ride Wish

of The Croft Residential Home (www thecroftdevon co uk) in Newton Abbot, Devon, and an advocate for the social care sector in South West England

New Whitepaper From Social Care Leaders Presents Blueprint For Labour To Support The Sector

A new whitepaper entitled Ready to Care: The First Steps to Fixing Social Care has been released with recommendations from 20 leading UK social care experts across various sectors, including providers, local authorities NHS trusts and policy organisation and provides a practical blueprint for the new government to address social care challenges with recommendations that can be implemented in the Autumn budget and take effect by the end of the year

The whitepaper published by homecare technology company Birdie comes in the wake of the Darzi report which focuses on NHS reforms and acknowledges the need now to shift to care in the community and the role of social care

The whitepaper outlines seven key recommendations to guide the focus and reforms needed in social care:

New legislation to amend the 2022 Health and Care Act, mandating Director of Adult Social Care representatives are on all NHS ICB boards nationwide – removing silos improving coordination reducing hospital admissions, and streamlining discharges

NHS England to delegate healthcare tasks to trained care workers for three acute conditions (UTI pneumonia cellulitis) and three chronic conditions (diabetes, dementia, hypertension) Research shows enhanced community care could have prevented 855 000 emergency admissions in 2019/20; a delegation framework would expand community care and keep thousands of patients out of hospital

Establish a national online support service for the 5 million unpaid carers, whose care is valued at £162 billion nearly the NHS budget This would provide essential information and resources identify previously unrecognised carers and collect valuable data to inform future policy

Reduce the hidden burden of travel time for homecare workers

Currently homecare workers are sent to scattered areas spending nearly 20% of their time travelling according to the Home Care Association and 75% aren’t receiving proper compensation The paper

recommends the Department of Health and Social Care implement neighbourhood-based models where local authorities divide regions to form consortiums to streamline service delivery and reduce travel time

The CQC to undergo a rapid overhaul using digital tools Reform care assessments by focusing on a few core quality indicators tracked in real-time streamlining inspections, allowing for mock evaluations, and shortening lengthy inspection times

• Mandate real-time data sharing between hospitals and care providers by integrating social care software with the NHS Capacity Tracker This will improve patient discharge processes resource planning and collaboration between the NHS and social care sectors

Seed a Teach First style programme for Social Care Leaders: DHSC should reallocate existing funding to provide start-up capital to establish a leadership development programme This would be modelled on the success of Teach First but applicable to career changers and promising care workers as well as graduates

The whitepaper shines a light on the disconnect between the NHS and social care sectors which contributes to 1 1 million blocked beds and 64% of medically fit patients having to wait for social care as of April 2024 While Wes Streeting, Secretary of State for Health and Social Care has indicated a shift towards community services over hospitals following the Darzi report more can be done to connect the NHS and social care

The whitepaper also calls for integration to tackle these issues proposing a unified “village of care” model that brings together both health and social care systems into a patient-centred system This includes legislation to ensure the Director of Adult Social Care leaders sit on NHS boards and to transfer more acute and chronic conditions to community care

The paper also exposes often overlooked issues in social care such as the long travel times endured by home care workers, who make up

43% of the workforce It highlights how extended travel between clients reduces their overall pay as local authorities only compensate for a few minutes of travel per visit The paper suggests a new framework where providers form local consortiums to cut travel times and improve staff retention with potential for nationwide implementation Finally, the paper suggests solutions for the often-hidden 5 million unpaid carers in society

Max Parmentier CEO and Co-Founder of Birdie said: “Social care is one of the most important pillars of our society and economy Although the sector has come a long way we still face severe challenges with over 400 000 people awaiting assessment to start being cared for and a significant funding gap to sustain the level of current care delivery in the community The Darzi report highlights the role of social care in transforming our health and care system Every day, I meet social care leaders expressing their deep commitment to improving our system –they re ready to help This whitepaper reflects their dedication shaped by extensive input from sector leaders, and presents a range of lowcost high-impact reforms that the new government can implement before the end of the year We hope these recommendations will drive meaningful progress and result in visible changes in the Autumn budget alongside Darzi report recommendations so we can ensure ongoing sector progress in the NHS and in social care ”

Rachael Crook CEO and Co-founder of Lifted said: “In social care we are used to solving problems The social care leaders we interviewed are committed resilient, and passionate about supporting carers and families across the country And yet we know we must do more with less We have brought together the best of the sector to present innovative practical low-cost solutions that can be implemented by the Labour Government now They have already indicated they are open to change and are prioritising this sector to establish a care system we can all be proud of ”

New Guide For Care Homes To Support Inclusive Care Practice For Older LGBTQ+ People

Researchers from Kent in collaboration with the University of Surrey and the University of Hertfordshire, have developed a free guide to support care homes to provide care that is inclusive for older lesbian gay bisexual trans and queer (LGBTQ+) people

The guide was co-designed by a group of older LGBTQ+ people and care home staff who were involved in all aspects from the outset The guide offers practical tips about positive actions care staff can take to make their care practice more inclusive for LGBTQ+ residents It can for example be used in day-to-day

it comes to care homes many older LGBTQ+ people fear having to go back into the closet to be safe At the same

time previous research has found that many care staff do not have the knowledge and confidence to provide inclusive and affirmative care for older LGBTQ+ people

The care home guide was produced as part of a larger research study examining LGBTQ+ inclusion in care homes called CIRCLE (Creating Inclusive Residential Care for LGBTQ+ Elders) led by Dr Jolie Keemink from Kent’s Centre for Health Services Studies

Dr Keemink said: Research shows that the older LGBTQ+ population is expected to rely more heavily on social care than their cis-gender, heterosexual counterparts because they are less likely to have children and more likely to experience a lack of social support Older LGBTQ+ people may also have unique health risks that increase their likelihood of needing care There is an urgent need for improvements with regards to LGBTQ+ inclusion within care homes and we hope that this guide can play a useful role in this

‘Passionate’ Head of Specialist Ser vices at HC-One Named as a Finalist for

Outstanding Care at the National Dementia Care Awards 2024

A passionate committed and insightful Head of Specialist Services at HC-One has been shortlisted as a finalist for the Most Inspiring Leader in Dementia Care Award’ category at the inaugural National Dementia Care Awards 2024 Katy Jenks Head of Specialist Services at HC-One was nominated for the Most Inspiring Leader in Dementia Care Award’ by Professor Graham Stokes, Director of Dementia and Specialist Services at HC-One

The award recognises Katy’s inspirational skills when it comes to caring for individuals living with dementia Katy inspires her fellow colleagues by teaching them and by being a role model Katy is an exceptional leader and champion for dementia care She always goes the extra mile providing outstanding care to those living in a dementia-focused environment

The National Dementia Care Awards celebrate the outstanding practice and excellence in dementia care services across 10 different award categories The award ceremony highlights the hard work of individuals, who work across the social care sector and their commitment to delivering person-centred care for those living with dementia

As Head of Specialist Services Katy is responsible for leading reviews of specialist care settings supporting people with complex needs enabling services to see possibilities and opportunities to give people better lives Her role includes being the Lead Nurse Practitioner shaping and implementing Specialist Dementia Care Communities, which are therapeutic settings caring for people who are distressed and present with behaviours that others find concerning Katy places the person at the heart of all that services do to improve wellbeing and give people the care they need and the lives they want She is determined to

deliver what is best and achieves this by leading by example

Katy was recently promoted to the position of Head of Specialist Services from her previous position at HC-One as a Dementia Care Manager for Scotland across c 50 care homes As a Dementia Care Manager Katy advised and supported dementia care homes across Scotland, engaging with services caring for people living with dementia who are experiencing distress and

Research Study Reveals Patchy And Inconsistent End Of Life Care

A major research study has found that one in three dying people in England and Wales were severely or overwhelmingly affected by pain in the last week of life with bereaved people reporting how difficult it was to get joined-up support from health and care professionals at home

Funded by end of life charity Marie Curie Time to Care: findings from a nationally representative survey of experiences at the end of life in England and Wales was produced by King s College London s Cicely Saunders Institute Hull York Medical School at University of Hull and the University of Cambridge

Time to Care aims to describe the outcomes experiences and use of care services by people affected by dying, death, and bereavement in England and Wales It is the final report from the Marie Curie Better End of life programme

The report found one in five dying people had no contact with their GP in the last three months of life

Half of people surveyed (49%) said their dying loved one visited A&E at least once in their final three months of life and one in eight people who died in hospital had been there less than 24 hours

Half of respondents (49%) in the study were also unhappy with at least one aspect of the care the person who died received and of those one in eight people made a formal complaint Fewer than half of respondents said they had a key contact person to co-ordinate their care This meant responsibility for care fell on informal carers (family and friends) who often felt unprepared and unsupported

Professor Katherine Sleeman, from King’s College London and lead researcher on the project, said: “This study reveals patchy and inconsistent provision of care for people approaching the end of life While there

were examples of excellent care – including in the community in care homes and in hospitals – the overall picture is of services that are overstretched and of health and care staff lacking the time they need to consistently provide high-quality care This means that dying people miss out on treatment and care for their symptoms, and families are left feeling unprepared and unsupported which has lasting emotional repercussions into bereavement ”

These findings are highly concerning considering the ageing population and the expected increase in palliative care needs across the UK By 2048 there will be an additional 147 000 people in the UK who need palliative care before they die a 25% increase Without a corresponding increase in capacity of primary and community care teams to support these people as they approach the end of life the quality of care is likely to further suffer It has never been more important to ensure high-quality palliative care for all who need it

Weatherley Marie Curie Chief

CLEANING AND HYGIENE

CHSA Puts The Focus On Regulations

The Cleaning & Hygiene Suppliers Association has launched a campaign designed to spread the word about the importance of regulations when buying cleaning and hygiene chemicals

Compliance with formal UK Government European Union and industry-standard regulations is essential if buyers are to be certain product claims are legitimate and proven Adherence to regulations guarantee safety They underpin transparency and ensure consistency They support buyers informed decision making by providing a framework for comparison so a buyer really knows if they are getting the product or solution they need They also provide accountability giving buyers a route to recourse if needed In short they underwrite an ethical

approach

Buyers and end users can also turn to regulations to be certain they are not misled by environmental claims in the rush toward sustainable solutions

Lorcan Mekitarian Chair of the Cleaning & Hygiene Suppliers Association said: Buyers and end users need to be able to trust the product and sales and marketing claims They need to be certain of the balance between efficacy and sustainability and they need to make sure they are using the right product for the job in hand They are not chemists however so may be misled by seductive sales and marketing messaging

“Our advice is to talk to your manufacturer and ask for evidence to support their claims This will come in the form of their technical data sheets, third party verifications and certifications and, importantly, proof of regulatory compliance ” Gobble-de-gook or undefined phrases to be wary of include: ‘non-renewable chemicals’ ‘chemical-free’ ‘natural’ ‘five times filtered water’ and ‘non-toxic’ ‘Biodegradable’ is also a confusing term As applied to cleaning products it is defined in current legislation (Detergent Regulation (EC) No 648/2004 and corresponding UK post Brexit legislation)

Something claiming to be organic should be certified by for example the Soil Association Net-zero claims should be based on the international net-zero standard (https://sciencebasedtargets org/net-zero) or another reliable third party verified certification

Every member of the CHSA has signed our rigorous Code of Practice, which demands our members trade ethically Amongst other stipulations it requires members to: conduct business dealings in an open honest fair and proper manner and in accordance with the laws rules and regulations of the UK and EU ensure all public statements made by and on behalf of the Member are decent honest and truthful ensure no false or exaggerated claims are made verbally in literature electronically or in any other way • hold and provide evidence on request for product and service claims particularly with reference to legislation certifications and accreditations

The CHSA Code of Practice also includes the Competition & Market’s Authority’s Green Claims Code Its principles are summarised as:

Claims must be truthful and accurate

Claims must be clear and unambiguous

Claims must not omit or hide important relevant information

Comparisons must be fair and meaningful

Claims must consider the full life cycle of the product or service

Claims must be substantiated

Finally every member of the CHSA s Accreditation Scheme for manufacturers of cleaning chemicals has signed the CHSA s own ethical marketing code

@CHSACleaning www CHSA co uk

Angloplas Dispensers Help Reduce the Risk of Cross Infection

PRODUCTS AND SERVICES

REM Care Range

Temporar y Catering Facilities For Events & Kitchen Refurbishments

Seating Ltd

mk-hire co uk See the advert on page 17

MOWOOT II for Constipation Free Life

MOWOOT II – proven solution to chronic constipation without medication

Developed by a team of doctors and other healthcare professionals, MOWOOT II performs gentle abdominal massage to speed up intestinal passage in people experiencing chronic constipation

Clinically proven safe and effective relaxing and sideeffects free MOWOOT II

Abdominal Massage Therapy System combats constipation and provides soothing relief to affected people

Easy to use and comfortable the MOWOOT II treats and manages constipation in people with spinal cord injuries multiple sclerosis sufferers Parkinson’s Disease patients and people with constipation related to prescription medication MOWOOT II also helps to relieve idiopathic constipation experienced by menopausal and post-menopausal women

Ways to Avoid

and older and elderly people In clinical studies

MOWOOT II increased evacuation frequency softened stools, improved regularity, reduced gasses relieved bloating and eased off abdominal discomfort 10 to 20 minutes daily of relaxing abdominal massage with MOWOOT II rapidly reduces symptoms of constipation Evident results are experienced only a few days after the first treatment Regular abdominal massage with MOOWOOT II ensures lasting health benefits and better quality of life

MOWOOT II – effective solution to chronic constipation for better quality of life! Supplied

PRODUCTS AND SERVICES

The First Step To Decarbonising Care Homes

Protect and Enhance Care Environments with Yeoman Shield

Sumed: Protect and Prevent

Our Integrity Static Cushions crafted with high-quality materials and innovative design are effective in preventing and managing pressure ulcers by redistributing pressure and minimising skin damage They feature a larger surface area that spreads the user's weight reducing pressure on specific points EasyGo patient lift and transfer chair addresses common issues found in traditional hoists which are often cumbersome and difficult to manoeuvre especially in tight spaces and require multiple staff members EasyGo simplifies the lifting and transferring process enhancing patient dignity and comfort It is designed to move between beds wheelchairs toilets and cars Additionally we have developed a patient transfer seat that can incorporate any Integrity Static Cushion providing optimal pressure relief during transfers

Pressure ulcers are largely preventable with the right approach Our goal is to make your job easier, allowing you to focus on exceptional care and improving residents' quality of life We offer comprehensive product training and support including inperson and online sessions detailed manuals quick-start guides and access to our support team for advice and updates on best practices in pressure ulcer prevention 01457 890 980 | sales@sumed co uk | www sumedinternational com See the advert on the back cover for further information

Mr Trax Curtain & Blind Solutions

service

as well as curtains and offers a comprehensive range of shutters

Doug says: “We stock two ranges of silent gliss corded curtain tracks and two ranges of silent gliss uncorded curtain tracks the fitted prices for which are available on this website All of the aluminium silent gliss tracks stock can be shaped and fitted into bay windows, as can some of the poles We also have ready access to many more ranges of both tracks and poles, most of which we can get in one working day “To read more of what our customers say about us please do look us up on Checkatrade checkatrade com/mrtrax

Call now to speak to one of our team on 0800 3345114 or 07968 242004 email us at doug@mrtrax co uk or see the advert on page 8

Introducing Task Manager: Revolutionizing Food Safety and Efficiency in Senior Living and Care Centers

NCCO International announces the launch of Task Manager an innovative food safety task management and temperature monitoring solution designed for the senior living and residential care home sector Task Manager addresses critical pain points in food safety compliance operational efficiency and resident satisfaction

Task Manager is a game-changer for the senior living industry said Karl Rose Managing Director of NCCO International, "Our system not only ensures compliance with food safety regulations but also enhances the quality of life for residents by guaranteeing safe and nutritious meals

Task Manager assists senior care facilities in adhering to local state, and federal food safety regulations aiming to reduce the risk of foodborne illnesses among elderly residents By providing detailed record-keeping and log management Task Manager supports facilities in maintaining audit readiness facilitating health inspections and compliance checks

Task Manager automates temperature monitoring for refrigerators freezers and food storage areas to help maintain safe limits without manual checks The system organizes food safety-related tasks, such as cleaning schedules equipment maintenance and staff training to help ensure thoroughness With consistent monitoring Task Manager helps maintain the nutritional value and quality of stored and prepared food Real-time alerts for temperature deviations enable quick corrective actions, potentially preventing spoilage and ensuring residents receive high-quality meals For more information about Task Manager please visit www ncco eu or contact David Webster at dwebster@ncco com

CATERING FOR CARE

Guarding Against Malnutrition in Care Homes: Spotting Early Signs and Using Nutrition to Combat Frailty

By

Malnutrition remains a significant issue in care homes where the elderly are particularly vulnerable As a registered dietitian working in the community and in hospital wards often with elderly people who have experienced fall, I wish more people knew about the prevalence of malnutrition and how to combat it before they ended up in hospital

Recent statistics paint a stark picture: Around one in 10 people over the age of 65 are malnourished or at risk of malnutrition and this figure rises alarmingly to 45% among those in their 90s According to the British Association for Parenteral and Enteral Nutrition (BAPEN) malnutrition costs the UK approximately £23 5 billion annually with older adults being disproportionately affected

As the population ages addressing malnutrition and its associated complications, such as frailty and sarcopenia, becomes ever more critical By focusing on early detection and strategic nutritional interventions, including the use of protein, care homes can play a vital role in safeguarding the health of their residents

SPOTTING THE EARLY SIGNS OF MALNUTRITION

The first step in combating malnutrition is recognizing its early signs

The Malnutrition Universal Screening Tool (MUST) is a valuable resource for this purpose enabling caregivers to systematically assess the risk of malnutrition in residents by considering factors such as Body Mass Index (BMI) unintentional weight loss and the impact of acute illness on nutritional intake

KEY EARLY SIGNS TO MONITOR:

1 Unintentional Weight Loss: A significant early indicator of malnutrition is unintentional weight loss Regularly monitoring residents' weight and comparing it to previous measurements is essential A loss of even 5% of body weight over a few months can signal malnutrition and warrants immediate attention

2 Decreased Appetite: A reduced appetite is often a precursor to malnutrition Residents may skip meals, eat smaller portions, or show a lack of interest in food It s important to understand the reasons behind these changes which could be linked to dental issues depression or medication side effects

3 Physical Changes: Signs such as muscle wasting thinning hair dry skin or dental problems may indicate nutritional deficiencies These physical symptoms are often subtle but crucial indicators of potential malnutrition

4 Fatigue and Weakness: Increased tiredness or difficulty performing daily activities can be related to inadequate nutrition This could also signal the onset of sarcopenia where the loss of muscle mass and strength makes everyday tasks increasingly challenging THE ROLE OF NUTRITION IN PREVENTING AND MANAGING FRAILTY

Frailty a condition characterized by decreased strength endurance and physiological function is closely linked to malnutrition and is a major concern in care homes Proper nutrition is key to preventing and managing frailty particularly through the adequate intake of protein which is essential for maintaining muscle mass and function STRATEGIES FOR NUTRITIONAL INTERVENTIONS:

1 Prioritize Whole Foods: Ensuring a diet rich in whole foods is foundational Protein-rich foods like eggs lean meats, fish, dairy products, and legumes should be emphasized as they not only support muscle

health but also provide essential vitamins and minerals that contribute to overall well-being

2 Incorporate Protein Supplements When Necessary: In cases where residents struggle to meet their protein needs through diet alone perhaps due to a lack of appetite or difficulty chewing protein powders or fortified drinks can be effective These supplements can be easily added to meals snacks or beverages ensuring that residents receive the protein they need without overwhelming them with large portions of food

3 Distribute Protein Throughout the Day: Research shows that distributing protein intake evenly across all meals is more effective for muscle protein synthesis than consuming large amounts at a single meal Caregivers should ensure that residents receive adequate protein at breakfast lunch and dinner to maximize the benefits for muscle maintenance and frailty prevention

ADDRESSING BARRIERS TO ADEQUATE NUTRITION

While boosting protein intake is essential we should also address the barriers that may prevent residents from consuming enough nutrients Factors such as taste preferences difficulties with swallowing, or digestive issues can all impact nutritional intake Caregivers should work closely with dietitians to develop personalized nutrition plans that accommodate these challenges potentially incorporating protein powders and other supplements in palatable and easy-to-digest forms NUTRITION IS KEY TO INCREASING HEALTHSPAN

Malnutrition in care homes is a pressing issue that requires vigilant monitoring and proactive management While the numbers alone tell us the stakes are high intervention is more than about reducing costs The ability to stand up from a chair unaided allows our elderly residents independence By spotting the early signs of malnutrition and implementing strategic nutritional interventions, caregivers can help prevent and manage frailty significantly improving the quality of life for residents By addressing malnutrition and frailty head-on care homes can help residents not only avoid the adverse effects of these conditions but also thrive in their later years

Catering for Residents with Dysphagia

WHAT IS DYSPHAGIA?

Dysphagia is a medical condition that makes swallowing food and drink more difficult Depending on the severity some textures may be more difficult to swallow or somebody may have lost the ability to swallow at all Regardless this can make mealtimes much more difficult, which is why care home caterers must know about this condition and how to support those who have it

A few conditions can cause dysphagia including cancer head injuries a stroke or dementia Age can also play a role in developing this condition meaning there could be a higher likelihood of some residents suffering from this EFFECTS OF DYSPHAGIA

Dysphagia doesn’t just affect mealtimes – it can also: Impact on quality of life: If somebody is no longer able to eat and drink as they ve been able to they may become withdrawn and develop a low mood The change can be difficult to get to grips with which is why supporting residents through their dietary transition and making sure they’re properly catered for is so important

Lead to malnutrition and dehydration: A lack of food and drink due to not being able to swallow or chew properly can mean that residents aren’t properly hydrated or receiving enough nutrition This can result in lower energy levels and in more extreme cases can also lead to further health complications

• Cause choking: Without specialist catering somebody with dysphagia may not be able to swallow their food which can be a choking hazard

FRAMEWORK?

By Rob Henry,

Head of Culinary Solutions and Compliance at EF Group (www ef- group co uk)

dysphagia who have trouble chewing and swallowing Using this framework caterers in the care industry can determine which foods and drinks would be easiest for people with this condition to consume IDDSI consists of eight levels ranging from 0 to 7 with drinks ranging from 0 (thin) to 4 (extremely thick) and foods ranging from 3 (liquidised) to 7 (regular and easy to chew) These indicate the texture and thickness of foods and drinks and give some steer as to which ones would be safest for somebody with dysphagia to consume

ADDITIONAL CONSIDERATIONS FOR CATERING TO

RESIDENTS WITH

DYSPHAGIA

When you’re preparing to cater for residents with dysphagia there are a few extra things you might need to consider These include:

Training your staff on the IDDSI framework: Ensuring your staff understand the framework what it means and how to apply it is crucial Holding training sessions on this can make sure everybody is on the same page when it comes to catering to the needs of residents with dysphagia

Knowing when to modify the menu to resident needs: Once your team are trained on the IDDSI framework, this must be implemented into your catering practices This should involve assessing each resident’s dietary needs to see if they require modifications and monitoring this over time in case further changes are needed

Getting in the correct nutrients and fluids Alongside modifying diets based on what is easiest for residents to consume you should be ensuring all residents are properly hydrated and receiving a balanced and nutritious diet Whether their food is liquidised, regular or somewhere in between hydration and nutrition must never be reduced even though you might need to alter the way these are offered to residents

Making mealtimes more enjoyable: If somebody has been living with dysphagia without a modified diet they may need some extra encouragement at mealtimes once the modifications have been made Try making mealtimes social introducing different flavours or recipes and regularly rotating menu options to keep them interested and more likely to finish their food

Supporting residents with dysphagia is a key duty of caterers in the care industry and can have a huge impact on their wellbeing, health and quality of life Therefore, it’s vital that your catering team are aware of the signs of the condition and how the IDDSI framework can be used to prescribe a better approach to their mealtimes

Zoe Cottrell, registered dietitian, member of the British Dietetic Association and registered with the Health and Care Professions Council

The Importance of Nutrition and Hydration in Care Homes

Food procurement specialists allmanhall, explore the importance of nutrition and hydration in older people specifically considered for a dignified and person-centric dining experience

Proper nutrition and hydration are critical in care homes directly impacting the health wellbeing and overall quality of life for residents Research by BAPEN reveals that malnutrition affects 35% of care home residents in the UK leading to a variety of health issues including increased infections, poor wound healing mental health decline social isolation and increased frailty This underlines the need for a comprehensive person-centric approach to food and drink in these environments

As people age the risks of malnutrition and dehydration increase compounded by the natural decline in thirst reflex and in some cases cognitive impairments such as dementia These factors make it challenging for older individuals to maintain adequate nutrition and hydration Therefore it s crucial that care home staff adopt a dignified approach to meals, recognising that the involvement in making choices about food remains important even when other capacities are diminished

At a recent National Association of Care Catering (NACC) Seminar care professionals emphasised the significance of creating a positive mealtime experience Engaging residents in conversations about their food preferences understanding their personal histories and ensuring that texture-modified meals are both nutritious and appealing are vital steps in enhancing mealtime satisfaction

Hydration is equally important playing a key role in bodily functions and the prevention of conditions like urinary tract infections and chronic renal disease Strategies to encourage fluid intake include offering a

Flavour Creations and Albany Products

variety of beverages, promoting "hydration hour" with mocktails, and providing high-fluid-content foods like soups and yogurts It s also important to educate care home staff on recognising signs of dehydration which can manifest as tiredness headaches and poor concentration

Nutritionally care homes should focus on nutrient-dense foods rather than calorie-dense ones Incorporating ingredients like eggs seeds, and Greek yogurt can help ensure that residents receive essential nutrients Additionally increasing dietary fibre through foods like whole grains, legumes, and unpeeled fruits can support digestive health and reduce the risk of conditions such as diabetes and heart disease It's important however to introduce fibre gradually to avoid digestive discomfort

For residents with dysphagia a condition that impairs swallowing care homes must offer texture-modified diets that are both safe and nutritious Providing adequate training for staff on preparing these meals, ensuring that they are nutritionally fortified, and enhancing flavours with herbs and spices can make these meals more enjoyable for residents

In conclusion providing a holistic person-centric dining experience in care homes is essential for maintaining the health and dignity of residents By focusing on nutrition hydration and individual preferences care homes can significantly enhance the quality of life for their residents

The mealtime experience is so much more than just food Care establishments across the UK are partnering with allmanhall to manage their food procurement achieve savings and improvements and to access support to enhance the overall dining experience Get in touch – hello@allmanhall co uk

no-melt formula resulting in shelf-stable ice cream products that can be enjoyed by everyone SCREAMIES ice-scream also never gets softer than IDDSI Level 4 making it the perfect treat for those with dysphagia

market

Launched in 2016 SCREAMIES is a brand with one purpose: to deliver the taste of sumptuous old-fashioned ice cream and make it accessible to everyone Each SCREAMIES product is created with a spe-

As well as the traditional three flavours Screamies offers Chocolate and Salted Caramel with added Protein for those with additional nutritional needs With a long shelf life Screamies can be stored at ambient temperature and frozen when the time suits Flavour Creations also offer a wide range of market leading supporting products for those looking to provide something extra to patients Pre-thickened Ready to Drink ranges include in excess of 20 flavour profiles Advital nutritionally complete powder comes flavoured and neutral and is used in snacks like Advital chocolate mousse and Fruits with Attitude Flavour Creations also supply high quality moulds and Shape It to assist with food preparation at all IDDSI levels

To find out more simply contact Albany Products at enquiries@albanyproducts co uk or call on 01706

ODOUR CONTROL

Transform Air Quality in Your Care Home with Biozone’s Purizone

To Care Home Owners and Managers: Oxy-Gen Powered® Air-Care Range

Oxy-Gen

This

Oxy-Gen

All

Carbon

With

See

LAUNDRY SOLUTIONS

Energy Saving Innovation from Girbau Washers and Dr yers

Washing Machines for Care Homes

Forbes Advises on a Cost and Energy Efficient Choice for Care Homes

When

Environmentally Friendly Industrial Laundr y Equipment

SENSORY STIMULATION

Sensor y Stimulation in Care

By Scott Williamson, Managing Director,

In the ever-changing and often demanding environment of residential and nursing care homes prioritising the well-being of residents is paramount As care providers it is imperative to explore innovative methods to enhance the quality of life for those in care especially individuals living with cognitive impairments such as dementia One highly impactful method embraced in recent years is sensory stimulation a comprehensive approach that enhances physical, emotional, and cognitive well-being With the integration of advanced AI technology, newer technologies such as personalised, relaxing music videos breathe new life into old black-and-white photos by colourising them accompanied by soothing music captivating landscape visuals and cherished family photos or video messages This provides a distinctive way to deliver a holistic, sensory-enriched experience that significantly benefits elderly residents and those with dementia

DIVERSE FORMS OF SENSORY EXPERIENCES

There are many ways to incorporate sensory experiences into daily care each offering unique benefits for residents

1 Visual Stimulation: Personalised relaxing music videos use serene natural landscapes and family memories to captivate residents' visual senses These familiar images, paired with scenic backdrops evoke positive emotions and comfort Advanced technologies such as AI-powered colourisation of old black-and-white photos bring memories of the past to life enriching the experience further by reconnecting residents with their personal history

2 Auditory Stimulation: The choice of music in these videos is key Rather than familiar music that may evoke specific emotions or memories soothing and non-intrusive sounds are purposefully chosen to enhance deep relaxation and open the senses to help immerse themselves in the visuals and relax without the distraction of nostalgia, allowing for a more profound sensory experience

3 Tactile Stimulation: Personalised videos can be paired with tactile activities to further engage residents Watching these calming visuals while interacting with textured objects fidget blankets or engaging in simple activities like handling soft fabrics can provide enhanced comfort and sensory richness

4 Olfactory Stimulation: While videos alone do not engage the sense of smell pairing them with aromatherapy sessions using calming scents like lavender or invigorating fragrances like citrus can amplify the relaxation experience making it more immersive and holistic

5 Gustatory Stimulation: Taste experiences can also complement sensory videos For example, while watching

THE

personalised landscapes or family-themed videos, residents can engage in taste sessions, trying familiar and comforting flavours adding another dimension to the sensory experience

BENEFITS OF SENSORY STIMULATION

The implementation of sensory stimulation has wide-reaching benefits that can positively impact residents' emotional, psychological, and physical health Regular sensory activities offer the following advantages:

- Reduction in Agitation and Restlessness: Especially for residents with dementia, these videos create a sense of familiarity and calm reducing anxiety and behavioural issues

- Improved Cognitive Function: Engaging residents’ brains through visual and auditory stimuli helps maintain and in some cases improve cognitive abilities providing meaningful engagement

- Enhanced Communication: Residents who struggle with verbal communication often respond emotionally or cognitively to visual and auditory cues Personalised videos offer alternative ways for residents to express themselves facilitating greater interaction

- Increased Social Interaction: When shared in group settings, these videos encourage social engagement, helping reduce feelings of isolation and loneliness

SENSORY STIMULATION FOR DEMENTIA PATIENTS

For dementia patients sensory stimulation plays a particularly important role in their care Personalised videos offer structure, evoke memories, and facilitate moments of connection between residents and caregivers or family members Combining these videos with other sensory activities such as memory boxes filled with personal items can deepen the experience, triggering memories and meaningful conversation

CREATING SENSORY ROOMS IN CARE HOMES

Many care homes have found success in creating dedicated sensory rooms Personalised relaxing music videos are ideal for use in these spaces where they can be combined with soft lighting calming scents and tactile objects to offer a fully immersive environment These sensory rooms provide a tranquil retreat for residents allowing them to engage multiple senses in a way that is soothing and beneficial

THE POWER OF VISUAL LANDSCAPES FOR SENSORY STIMULATION

Visual landscapes such as nature scenes are an invaluable tool for sensory stimulation For residents who may no longer be able to experience the outdoors firsthand, these videos offer a powerful connection to the natural world Scenes of oceans forests or mountain views have been shown to reduce anxiety alleviate stress and promote mental well-being The immersive quality of these visuals when combined with soothing music provides a window to the outside world offering comfort and emotional enrichment for residents who may feel disconnected from nature

AI TRANSFORMING RESIDENT CARE

The integration of AI into sensory stimulation is revolutionising how care homes approach resident wellbeing AI technologies such as the colourisation of old photographs help residents reconnect with their past in vivid detail These enhanced visuals combined with calming music and personal video messages from loved ones create a multi-sensory experience that reduces anxiety and promotes emotional well-being This innovative use of AI not only improves the sensory experience but also strengthens cognitive function making it an essential tool in modern care homes

THE VALUE OF PHOTOS AND VIDEO MESSAGES FROM LOVED ONES

Incorporating photos and video messages from loved ones adds an emotional layer to sensory stimulation Seeing familiar faces and hearing the voices of family members triggers emotional recognition which can provide comfort and reduce anxiety especially for those experiencing memory loss This personalised approach creates meaningful connections stimulating both visual and auditory pathways and offering moments of joy and clarity for residents

Moreover video messages combat feelings of loneliness and isolation Residents feel a stronger sense of belonging and connection to their loved ones, even if they cannot be physically present This can significantly enhance their overall well-being contributing to a more enriching care environment

SENSORY

THERAPY ALSO HELPS CAREGIVERS

Sensory therapy particularly 30-minute video experiences serves as a versatile tool for structured activities With the ability to loop the videos for longer experiences caregivers can find moments of respite while enhancing the well-being of residents Creating a calm and engaged environment through sensory videos can improve the caregiving experience and reduce caregiver burnout

CONCLUSION

The integration of sensory stimulation, particularly through personalised AI-enhanced relaxing music videos offers a transformative approach to improving the well-being of residents in care homes By engaging multiple senses including visual, auditory, tactile, olfactory, and even gustatory, these videos provide a holistic and enriching experience that benefits both residents and caregivers For individuals living with cognitive impairments like dementia these sensory experiences evoke memories reduce anxiety and foster emotional connections

The use of advanced AI technologies such as the colourisation of old photos combined with serene landscapes, soothing music, and messages from loved ones, adds a deeply personal and meaningful dimension to the care environment The implementation of sensory rooms and dedicated sensory activities not only enhances residents' physical and emotional health but also offers caregivers a valuable tool for creating a calm structured environment As care homes continue to evolve embracing sensory therapies will remain essential in promoting a higher quality of life for elderly residents and those living with dementia

Enhancing the Care Home Experience

MBS Relaxing Music Video Productions (www mbsrelaxingmv

Music 4 Memories Headsets

The Importance of Snoezelen® and Reminiscence Rooms for Older Adults

TECHNOLOGY AND SOFTWARE

Pass by ever yLIFE

Increase

Improve

Deliver

INTEGRATED HEALTH AND

PASS

Visibility of allergies vaccinations and medications especially useful for clients unable to reliably share their personal information

• Using medical information to inform care planning

Ensuring that the right medication is delivered to the right person in the timeliest manner In one case this allowed the administration of antibiotics on a Friday evening aiding the service user’s swift recovery from infection

Available to all PASS users at no additional cost PASS GP Connect is significantly more efficient than waiting for a GP response It’s also a positive step forward on the path to the DHSC s goal for widespread digitally enabled care and is in full alignment with their ambition for joined up care for everyone

Get in touch: www everylifetechnologies com hello@everylifetechnologies com

Empowering Carers Through Technology

The job of a care worker though immensely rewarding is not without its challenges A growing demand for social care has seen carers placed under greater strain, with a mounting workload and limited resources

Increasingly, carers are also exposed to abusive and even violent behaviour from service users and their relatives Be it deliberate or as often the case unintentional Such aggression can leave a profound mark on diligent and dedicated care staff

The solution to many a modern-day problem is often tech and so too is this the case when dealing with today s care landscape STAFF ALARM SYSTEMS

Tech has proven to be a friend to the care worker automating administrative tasks, enhancing reporting and, in the case of staff alarm systems protecting them from potential harm What was originally a bell to alert colleagues to the need for assistance has become far more sophisticated The modern safety alarm is discreet can be easily attached – if not part of – the wearer’s uniform It is supremely efficient and designed with the accuracy to pinpoint the exact location of an active call in a ward of over 80 rooms

the press of a button is incredibly empowering Be it calling lunchtime cover on a 1-to-1 patient, or requesting urgent assistance with an abusive resident the alarm offers staff a greater deal of control assurance and resources while at work HOW DOES IT WORK?

With the press of a button carers have immediate access to a team of responders able to assist, provide cover, and - where neededintervene to de-escalate high-risk situations This access instils confidence in staff: confidence that the highest quality of care can be delivered and confidence in their safety in the workplace For overwhelmed care workers the ability to summon help with

In Pinpoint s case an integrated staff safety system ensures full site security When activated a personal staff alarm emits infrared signals to receiver units installed throughout the building These, in turn, send vital information to display units and devices such as pagers and desktops detailing the exact location and type of call – assistance or emergency

Within 85 milliseconds of triggering an alarm colleagues are informed that an incident is taking place and, crucially, exactly where it is in the building (CONTINUED OVERLEAF)

TECHNOLOGY AND SOFTWARE

Empowering Carers Through Technology

NURSE CALL AND FALLS MONITORING

Fall Savers - Affordable Fall Monitoring Solutions

CALL AND FALLS

Nursecall Shop Brings You Ever ything from Accessories & Falls Monitors to Complete DIY Systems

EARZZ and CAREVision Join Forces to Enhance

Proactive Care Management and Fall Prevention

a resident from the pre-admission stage through to end of care or discharge The integration can therefore help provide more context to carers about the health and wellbeing of residents, enabling proactive care management

Improved Care Coordination: Integrating EARZZ and CAREVision streamlines workflows within care homes More specifically the integration enables - Digital room check evidencing: Offering an ntegrated approach to ensuring the carer s physical presence in the room to reg ster room checks - Easier staff handover - by enabling direct access to attendance times along with access to digital records of the sounds of

unified

- Centralised Information: Care planning becomes significantly easier when all relevant data is integrated into a single platform The integration enables a unified

“This partnership goes beyond fall prevention ” says Prad Thiruvenkatanathan CEO & Founder of EARZZ By offering a

detection and alerting solution we empower carers to

al person-centred care

Rishi Jawaheer Director of CAREVision adds This integration empowers care homes to be more proactive in preventing falls and delivering the highest quality of

NURSE CALL AND FALLS MONITORING

Stay Safe with Smart Wireless Nurse Call

Blaucomm Ltd - Telecommunications & Networks

Crash Mats Designed to Reduce Injuries from Bed Falls

EDUCATION AND TRAINING

Effective Leaders are Responsible Managers:

Explore the Char ted Manager Degree Apprenticeship (CMDA) with Mar y Seacole at the University of Exeter

Have you ever wondered about advancing your career, but unsure how to gain the qualifications required whist working? There is an ever-increasing demand for skilled managers within the care sector, and having practical experience is just not enough to fill those positions

Gaining a BSc (Hons) in Responsible Business Manager and

3ET - Certified Training Courses

At

EDUCATION AND TRAINING

Social Care TV

SecuriCare was established in 1995 and has been providing training to care providers for over 30 years We help them and their staff to positively support service users who present behaviours that challenge service and care delivery or are hazardous to themselves or others

FRANCHISE OPPORTUNITY!

SecuriCare now offers a franchise programme (UK) to equip the successful franchisee to deliver SecuriCare training programmes in their designated territory

Social Care TV continue to fly the flag for highest quality online training for Health and Social Care after unwavering commitment to excellence within the sector for over 25 years

Their widely-used health and social care specific courses - produced and edited in-house - are expertly designed to make learning engaging informative and therefore highly effective for learners

Accredited by CPD and endorsed by Skills for Care training with Social Care TV is quality assured comprehensive and relevant

As one of the leading online training providers in the health and social care sector in the UK, they supply training for local authorities, recruitment agencies, care home groups and other health and social care organisations

Their feature-rich Manager platform has further been enhanced this year with the introduction of several new Manager tools designed to aid with compliance reporting and trainee management Features now

Change the Way We Train Staff

EDUCATION AND TRAINING

Cyber Security: Defend As One

But

By Daniel O ’Shaughnessy, Programme Manager - Better Security, Better Care, Digital Care Hub

Check

Strengthen

continuity plan: Ensure it covers how you will manage if you were to lose access to data for a period of time Watch out for our new cyber incident response checklist – coming in October for Cyber Security Awareness Month

Create back-ups Identify what data is essential to running your service, and create a backup separate from

Policies and Procedures Within Social Care

FINANCE AND PROFESSIONALS

OakNorth Completes £52m Loan to Support War wick Capital

Partners’ Acquisition of National Care Home Operator, Danforth Care

Founded

Swift Management Ser vices Limited

quality

Mike Whitehead CEO of Danforth Care commented: “Since day one our mission has always been to create a home-like atmosphere for our residents that is safe, secure, and encourages independence We are committed to providing the highest quality of care and services to our elderly residents and we strive to create a place where they can be comfortable while feeling respected and valued The support from Warwick and the financial backing they received from OakNorth will help accelerate our growth highlighted by our expectation to open seven further homes in the coming months ”

Deepesh Thakrar, Senior Director of Debt Finance at OakNorth added: “We were delighted to support Warwick on this project as it emphasises our strong ambitions to do more to

seen them

Care Home Finance from Global Business Finance

Email: