Care homes and Social Services

An Introduction:

Care homes and social services are a lifeline for many families and vulnerable residents. The care system is facing its fair share of challenges and with an ageing population, this is unlikely to be resolved. The industry like any other has obstacles to overcome and the question I aim to seek the answers to are what these obstacles are and how do we overcome them.

The Challenges:

So first of all what are the challenges facing the care sector; finding staff to fill its vacancies, financial penalties, changes to regulation and increasing care needs.

Antonia’s Law:

What can be done to resolve some of these issues and where are the changes needed most we need to recognise the barriers creating by these challenges and think of workable solutions. On top of this, we do not just have to be made aware of the challenges facing the care system but its residents as well. It is crucial that we take the approach to but resident care and well being at the forefront of any improvements or changes made. It is at this point that I want to address the campaign by Tony Stowell “Antonia’s Law” his campaign has gained so much traction not only because of the abuse it is attempting to curtail. This campaign does not place an additional burden on the institutions with the cost it merely allows families to be able to place additional measures into care home facilities to offer protection for their family this can be nanny cams, additional CCTV provisions or the likes of smart home devices such as google home or Alexa units. This is the least we can do and the nature of the campaign has no consequences for staff unless they are committing abuse of residents as with other areas of the public sector where this could be applied should make the environment safer for staff and residents. It will allow the families to know the challenges befalling the staff looking after their relative which would then allow staff to highlight challenges for them. So why is it necessary we have seen a rise in care home abuse over the past number of years Tony’s own accounts ranged from neglect where residents leave the facility which put them at a greater risk of harm befalling them whether through lack of resources, staff or time. He has also highlighted deliberate abuse in care homes by staff which do not convey the hard work and effort put in by so many staff members they do their sector a disservice. So what signs can you look out for in your relative’s sudden changes or gains in weight, your relative may become reclusive or avoiding social interaction, and is unable to do activities that are related to what they enjoy. Some other clear signs may be a generally unhygienic environment, malnutrition or dehydration and recognisable lack of independent aids provided such as sensory needs, that do not relate to their needs. This is also reflective outside of the care sector in other areas such as education.

The Challenge:

So what factors have added to pressures for the sector now although councils have increased funding for the sector, the level of need for residents is continuing to increase and although the ambition is to allow residents to stay at home for as long as possible this is not always an option. We must ensure that all organisations public or private that are receiving contracts to care for residents or generally serving the community are providing the needed care. Now whilst social care is funded by a council precept the challenge here for residents of care homes and their families is that cost for care homes are also likely to increase as staffing costs grow. Now care homes should not use loopholes in current systems to avoid paying staff full wages for their complete shifts. In the news recently we have seen the employer gain in favour of staff for workers that work overnight shifts. Now in this particular example, it will lend to staff either arguably working a full shift for no pay or to cut the quality of care they provide. This could likely lead to staff leaving the sector to seek better pay conditions. Now the employers are then faced with the challenge to increase bills for relatives or increase the cost for the taxpayer. Now we can ensure that staff are deployed to the areas of greatest need and investing in keeping residents at home for as long as possible to provide them with the comfort of their household will ensure resources can be more sustainably spent. One particular area is technology wearable sensors, activity trackers with features that trigger an alert if activated this is something that is already being invested in and likely will support the sector. With this investment in technology, we can consolidate our resources to work to prevent the level of care needs being necessary at an early stage.

Conclusion:

The issues facing care home staff and residents are an area that we all must safeguard, support and scrutinise. To ensure staff have suitable resources and facilities as well residents get quality care and independence. A follow up piece will be issued with proposed solutions and opportunities for the sector.

https://www.caitlin-morgan.com/the-current-challenges-facing-nursing-homes/

https://www.nice.org.uk/news/article/be-aware-of-the-signs-of-abuse-and-neglect-in-adult-care-homes-says-nice

https://www.suffolk.gov.uk/assets/council-and-democracy/our-aims-and-transformation-programmes/suffolk-county-council-business-plan-2021-2022.pdf

https://www.accessandmobilityprofessional.com/tech-to-revolutionise-new-normal-of-social-care/

http://www.iproscube.com/images/pdf/Tackling_the_Challenges_Facing_Care_Homes_Release.pdf

https://www.dlapiper.com/en/uk/insights/publications/2017/02/an-age-old-problem-the-collapse-of-care-homes/

https://www.weforum.org/agenda/2020/08/care-sector-challenges-covid-19-oecd-report/

https://pureadmin.qub.ac.uk/ws/portalfiles/portal/141504509/NOP_Care_Home_Challenges_Context_Accepted_Manuscipt.pdf

https://www.youtube.com/watch?v=IgNDNg-0iZg video following conversations with Tony Stowell.