Care Homes and Monitoring

Introduction:

Continuing on from my conversation with Tony Stowell the recognition of the service that our care home staff provide to all ranges of residents from the young, the sick or the older individual their dedication has been deeply valued by the communities they work in. However, as I said in the previous article we do not want those who are not showing the strength of character of their peers reflecting purely on the sector.

Monitoring:

In terms of monitoring, both Tony and I spoke at length about the need for monitoring changes to reflect a tougher framework for investigation. We acknowledged that organisations will never be able to address stressors in the sector if they do not see this and the current framework will only put extra pressures on staff. Improving what monitoring and inspections teams are looking for will not address the issue if there are methods in place whereby management can demonstrate one area which may not be the true reflection of the organisation. This would easily be remedied by surprise visits and yes as with any inspection this would cause short term stress but when these visits are known about in advance it places additional pressures on staff and management to meet these needs. The second element needs to ensure that reports point out flaws but give a road map for improvement as with no clear areas for improvement that must be met. Now abstract targets are often difficult for organisations to make changes in, why is this? Because current systems of grading will remove public confidence, reduce funding which increases pressure which then promotes a vicious circle of a challenge for organisations and businesses and impacts the residents and staff the most.

Funding:

Once we solve the funding challenges for a care home we will be able to provide a more suitable method of retaining staff by allowing those within and joining the sector to have a solid and long term prospect of fair employment. That way we can ensure our vulnerable residents are getting the care they deserve and need as well as making sure that staff are provided with the correct resources to be able to do high quality of service for years to come. We want to ensure that the sector is able to deliver this and will do so in a way that allows it to develop into the future. Now part of the solution has to be in ensuring that we use our resources to the best of our ability and we can do this by making sure that as many individuals as possible can get the treatment in the right places and in the right way. This can be at home care where they receive the support of professionals who can either help repurpose the relatives home and offers provisions to ensure that the relatives are able to not only safeguard their family members but make sure that they can maximise their independence. If they are able to have their independence this will reduce the number of individuals in care homes reducing the pressure on the organisations. Thereby having a lower staff to resident ratio which then allows for a more specialised care regardless of the individuals circumstances the reduced financial pressure can also then allow for more training and development of staff. We can do more by restructuring how we see care as a supported service offering reviews of the individual’s profile and looking at what support can be provided to the individual to prevent an escalation of the provisions necessary without solely resulting in increasing the funding. Although as we see a rise in the ageing population we must ensure this sector sees all forms of support and measures established.

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.