The Carer Digital - Issue #219

Government Launches Crackdown on Overseas Worker Exploitation

EDITOR'S VIEWPOINT

Welcome to the latest edition of The Carer Digital!

CRACKING DOWN ON EXPLOITATION IN THE CARE SECTOR

down on

The news that the government is to

employers who abuse and exploit overseas workers is both timely and necessary Any form of exploitation, whether involving overseas workers or domestic employees is utterly unacceptable and must be eradicated The sector has a proud reputation and the actions of just a few rogue employers tarnishes its well deserved reputation of dedication and hard work

Recent revelations highlight a concerning rise in exploitation cases within the care sector According to the Gangmasters and Labour Abuse Authority (GLAA) modern slavery cases in the industry have more than doubled in the past year Agencies have been found charging overseas workers exorbitant fees often exceeding £10 000 for employment and accommodation only for these workers to find themselves underpaid housed in substandard conditions and denied basic rights These practices are unconscionable and undermine the efforts of the countless dedicated and ethical professionals who work tirelessly to provide quality care

While the government’s crackdown is a welcome step, it is vital that the sector also takes responsibility Awareness campaigns encouraging workers to report instances of exploitation must be a priority Workers need to know their rights and have confidence that their complaints will be taken seriously and acted upon Furthermore better support systems including access to legal advice, counselling, and advocacy services should be made available to those who have suffered exploitation

The impact of these abuses extends beyond the individuals directly affected The UK care sector relies heavily on overseas recruitment to meet workforce demands However stories of exploitation are likely to deter potential recruits compounding an already critical staffing shortage The latest figures reveal a staggering 65% annual fall in Health and Care Worker visas granted compared to 2023 This drop coincides with the government s decision to prohibit direct care workers from bringing dependents on their visas, adding further barriers to international recruitment

This comes at a time when the domestic workforce is also in crisis Over the past two years the sector has lost 70 000 British workers Skills for Care projects that an additional 540 000 posts will be required by 2040 to meet the growing demand for services as the UK’s population ages Addressing this challenge requires a dual approach: increasing domestic recruitment and ensuring overseas workers are treated fairly and respectfully

In January, the then Conservative government announced plans to enhance career prospects for domestic care workers through improved training qualifications and clearer career pathways These initiatives are crucial The care sector must be promoted as a rewarding profession offering long-term growth and development opportunities By investing in its workforce the industry can attract and retain the skilled professionals it so desperately needs

The media will undoubtedly continue to spotlight instances of bad practice; however it is equally important to highlight the positive steps being taken to address these issues and to celebrate the achievements of the dedicated individuals who form the backbone of the care sector Together, through vigilance, support, and investment, we can ensure that the UK care industry is not only free from exploitation but also a beacon of excellence and compassion

Please do share with us your Christmas and New Year celebrations (along with any other celebrations) always delighted to share your stories and there will be a £100 Marks & Spencer Voucher draw for our special Christmas and New Year digital issues!

I would also like to encourage our readers to sign up for our bi-weekly digital newsletter at www thecareruk com and follow us on social media for all the latest news

At THE CARER, we are calling on our readers for help

As you may have seen in our appeal for support The CARER has always been delivered in print and online free of charge since 2004 including the sector's only weekly digital issue

We are committed to keeping you informed with the latest news, views, products, and services on the sector s most popular adult social care website www thecareruk com , which receives almost 4,000 visits and 26,000 page reads every day

However, with costs rising significantly, we recently put out an appeal for support

We extend our heartfelt thanks to readers who have responded and pledged their support with a £10 donation covering the next two years, and thank you also for your very kind words of support too!

Your contributions are invaluable and if you haven't yet pledged please do consider supporting us so we can continue delivering quality content

For details on how to contribute please visit www.thecareruk.com/subscriptions/

Editor Peter Adams

Government Launches Crackdown on Overseas Worker Exploitation

(CONTINUED FROM FRONT COVER)

Currently employers who flagrantly flout visa rules can only be sanctioned for a maximum of 12 months Under our changes we intend the period for repeat offences to be at least 2 years double the current length with final cooling off periods announced in due course however the government says it will not wait until employers have committed serious breaches of the law before taking action when there are already signs of rule breaking ACTION PLANS

The new rules will also expand the duration of "action plans" for businesses that commit minor visa violations These plans which require businesses to take corrective actions to improve their compliance will now be enforced for up to 12 months four times longer than the current limit

The measures are part of wider efforts to tackle the root causes behind the UK s long-term reliance on international workers and action to link migration policy with skills and wider labour market policy

The wide-ranging crackdown will also protect vulnerable workers from exploitation prohibiting unprincipled companies from engaging in the unethical practice of charging skilled workers for the cost of sponsorship These costs, which can be passed onto workers at grossly inflated levels, has led to the exploitation and unfair treatment of staff particularly within the care sector in some cases burdened with unsustainable levels of debt to their employers CONSEQUENCES

Minister for Migration and Citizenship Seema Malhotra MP said: We committed in our manifesto to do everything in our power to ensure those who abuse our immigration system face the strongest possible consequences

“No longer will employers be able to flout the rules with little consequence or exploit international workers for costs they were always supposed to pay if they choose not to recruit domestically

“Worker exploitation is completely unacceptable Shamefully, these practices have been seen particularly in our care sector where workers coming to the UK to support our health and social care service have all too often found themselves plunged into unjustifiable insecurity and debt This can, and must, end ”

The new powers will ensure employers who recruit internationally will be required to pay associated costs themselves, which is fair and reasonable for employers that do not recruit from the domestic workforce

While the longer action plans are in place, employers will face restrictions on their ability to bring in overseas workers Failure to comply or make the necessary improvements will see their visa sponsor licence revoked

These changes will be made alongside the government s new Employments Rights Bill which is currently going through Parliament Under the bill the newly-established Fair Work Agency will bring together existing state enforcement functions including regulations for employment agencies and employment businesses enforcement of the National Minimum Wage Statutory Sick Pay and the licensing regime for businesses operating as ‘gangmasters’ in certain sectors

ROGUE EMPLOYERS

Minister for Care Stephen Kinnock said: Migrant workers are a valuable part of our social care workforce supporting vulnerable people across the country every day Many have travelled to the UK with the promise of a rewarding and fulfilling career ”

However there has been an unacceptable rise in the exploitation and abuse of overseas social care workers from rogue operators ”

“Cracking down on these unethical employers will protect migrant workers from unacceptable and shameful exploitation

“This new crackdown also forms part of the government’s wider action to target rogue employers who abuse the immigration system by exploiting vulnerable migrants who are working in the UK illegally This government is determined to clamp down on illegal working and the exploitative treatment of illegal workers and we have rapidly expanded the action we are taking ”

A range of sanctions will be taken against those employing illegal workers, including:

financial penalty notices

• business closure orders

potential prosecution

TARGETED

VISITS

The care minister added “We have delivered a major surge in Immigration Enforcement’s targeted visits to rogue businesses suspected of employing illegal workers with 856 visits in October alone – a 55% increase on the same month last year Between January and October this year more than 6 600 visits have been made, and 22% increase on the same period last year, with over 4,600 arrests being made, up 21% on last year

“International care workers are particularly vulnerable to abuse with widespread concerns of exploitation in the sector The Department of Health and Social Care has already been working closely with the Home Office to share concerns and intelligence on bad practices in the recruitment and employment of overseas care workers and the measures announced today will further bolster the government s action against exploitation ”

Since July 2022 the government has revoked approximately 450 sponsor licences in the care sector as the government continues to clamp down on abuse Significant work is ongoing across government in collaboration with the care sector, to ensure high standards across the immigration system, and to support care workers into alternative jobs when their sponsor has had their licence removed

SUPPORT FUNDING

Fifteen regional partnerships in England have received £16 million worth of funding to support them to prevent and respond to unethical international recruitment practices in the sector This includes funding support for international care workers to understand their rights and establishing operational processes with regional partnerships to support individuals to switch employers and remain working in the care sector when they have been impacted by their sponsor’s licence being revoked

Demonstrating Leadership in Care

Demonstrating leadership in today’s care sector is essential for organisations looking to prioritise culture, workplace wellbeing and vitally, provide a service to their As we navigate care demands mediation budget pressure, talent challenges and compliance requirements compassionate but purposeful leadership can transform the service your care home delivers

LEADERSHIP OVER MANAGEMENT

While many leaders will have come into the role of leadership from a management background it’s essential to embrace behaviours that set out the direction and vision you have for your organisation As a leader your role is to inspire and motivate your people build trust and confidence in your management team while complying with industry standards and governance

This is why a growth mindset is key as much as you re constantly looking for new ways to improve the service your organisation delivers as well as the skills and capabilities of your staff you’re looking to expand your own abilities Invest in leadership training - stay agile and open to opportunities and adaptable to challenges to best support the growth of your team your organisation

This will require that often overlooked leadership skill of delegation With such broad responsibilities as a leader in care this is how you will be able to manage workloads develop core team members and collectively achieve your organisational goals

FOSTERING A PEOPLE-FIRST

CULTURE

In a sector increasingly defined by recruitment challenges and high staff turnover rates - the turnover rate within social care is 31% double the UK average of 15% - effective leaders need to prioritise a positive workplace culture This means a culture underpinned by principles of openness and belonging, where team members feel trusted valued and ultimately more engaged in their roles This is essential to supporting

productivity and performance Key here is how you as a leader set out your organisational vision establish clear expectations, and foster a collective purpose This will help cultivate cohesion and a shared sense of purpose among your employees

EFFECTIVE COMMUNICATION SKILLS

In the social care sector effective leadership hinges on good communication It feels obvious but so many issues arising on a day-today basis in care homes – from people issues to mediation to internal comms and crisis management – require strong communication skills Together with collaborative approaches and problem solving, you’ll be handling a range of different personalities and relationships, looking to you for inspiration, resolution, guidance, recognition, empowerment You will need to communicate through your actions too – responding to employees needs and effectively supporting them through challenges

This is where compassionate leadership comes in Compassionate leadership goes beyond directing your people – it’s about taking time to listen to and understand staff members offering the necessary support they need You don’t need me to tell you that stress and emotional strain are often part of the job in care making compassionate leadership more essential Recognising and responding to the emotions of others is a vital skill ensuring that staff feel valued and equipped to thrive in a demanding and often high-pressure

profession

BUILDING YOUR TALENT PIPELINE

Overcoming the recruitment and retention challenges in the industry demands a proactive approach to building a talent pipeline for your care home 1 in 5 staff working in adult social care in England have a nonBritish nationality so careful consideration also needs to be given to issues relating to immigration integration and inclusion – factoring in complying with Visa and immigration requirements including right to work checks sponsorship licences and Skilled Worker Visas

From a retention perspective leaders need to work closely with their HR teams to ensure employee wellbeing career pathways and recognition and reward strategies are also in place Multi-national teams will also benefit from workplace integration programmes to promote a sense of belonging and inclusion

Demonstrating effective leadership in care management means just that – leading by example showing your people how you foster your values your organisational standards how you embrace transparency In this way both staff and residents will feel valued and supported and held to the highest level of care

Royal Appointment Shines Light On Disability Advocacy

A disability charity has welcomed Her Royal Highness

The Duchess of Edinburgh as its new Royal patron continuing a longstanding connection with the Royal Family

The Duchess of Edinburgh’s appointment comes as a significant moment for Capability Scotland, which has been at the forefront of supporting disabled people for over 75 years The announcement aligns with International Day of People with Disabilities a fitting moment to highlight the charity s commitment to empowering disabled people and promoting inclusivity

Former Royal patron Prince Philip The late Duke of Edinburgh supported the charity for over six decades which included visits to Capability Scotland s facilities, such as the opening of Upper Springland in Perth and the 60th-anniversary celebrations in 2006

The Duchess of Edinburgh has already demonstrated her interest in the charity’s work with recent visits to its Riccarton campus and Craigmillar Hub

During her visit to Craigmillar earlier this year Her Royal Highness engaged with service users and staff toured the sensory and art spaces and received a heartfelt gift created by those supported at the hub As Royal Patron The Duchess will lend her support to Capability Scotland s mission attending key

events such as its 80thanniversary celebrations and engaging with the charity’s transformative work

Her role will also include recognising and celebrating the efforts of the charity’s staff and volunteers

Brian Logan Chief Executive of Capability Scotland, welcomed the news highlighting the importance of the ongoing Royal support

“We are incredibly honoured to welcome The Duchess of Edinburgh as our new Royal Patron Her passion for championing the rights of disabled people and her connection to our cause is inspiring

The Duchess has already shown great interest in our work through her visits engaging with the people we support and learning about the wide range of services we provide Her involvement will undoubtedly help us shine a spotlight on the challenges faced by disabled people in Scotland while also celebrating their achievements

“This appointment continues a remarkable legacy of Royal support for Capability Scotland which began with The late Duke of Edinburgh more than 60 years ago Her Royal Highness s patronage is a testament to the importance of our mission and we look forward to working together to create a more inclusive and equitable society for disabled people

By Chris Harber, Head of Immigration, Boyes Turner (www boyesturner com)

CPA Report A “Stark Warning” Says Anchor Chief

Rob Martin managing director of Care Services for Anchor England’s largest not-for-profit provider of care and housing for people in later life has shared his deep concern following the release of the Care Providers Alliance Report earlier this week

The comprehensive survey of over 1,180 care and support providers revealed the social care sector faces potential collapse due to the combined impact of National Insurance changes and National Living Wage increases announced in the recent Budget Mr martin said: “The findings of the Care Providers Alliance report are a stark warning to Government that the planned increase in National Insurance contributions will have a hugely detrimental impact on the vulnerable people served by the social care sector

This increase in National Insurance contributions will place an additional financial burden on social care providers already under pressure due to rising costs staff shortages and increasing demand for services and even more so on smaller organisations which make up almost 90% of social care providers

“The change in the National Insurance threshold will also disproportionately impact organizations paying the real living wage as the threshold adjustment makes a larger portion of salaries subject to National Insurance contributions

“At a time when delays in the number of people discharging from hospital has increased by 43% this latest announcement will add further pressures to the NHS

“As a large not-for-profit national care provider, we will work to ensure the impact of these additional costs are not felt by society’s most vulnerable and will remain committed to paying real living wage to our valued colleagues

“We urge Government to review its position and exempt care providers from the changes in employers’ National Insurance contributions and create a sustainable long-term funding settlement for social care ” June 2023 versus June 2024 discharges reported

“While we appreciate the government’s intention to raise funds for the National Health Service and social care it risks impacting the very people it aims to protect

Hospice Staff Hit The Streets With Festive

‘Bed Push’

Manager at Beaumond House Hospice Care said:

“We re so excited for our Bed Push challenge – this will be a fantastic way to raise awareness of the match funding opportunity for Beaumond House at the same time as having some great fun!

It s all part of The Big Give s Christmas Challenge and this year our project is called ‘Embracing Precious Moments’

This is because the funds raised will be used to purchase an ‘Embrace’ bed for the hospice

Big enough for two these beds allow patients to lie next to their loved ones and be close during those final days and hours together This will transform how patients are cared for in our In-patient unit as so many express a desire to remain close to a loved one and a shared bed allows this to happen “We would be so appreciative of any donations and for every £1 donated through The Big Give platform another £1 will be added to our fundraising pot – helping us to make a real difference to our patients and ensure that every moment matters

We would like to say a special thanks to our generous match funders Abbott & Co Norwood Park Golf Club, The Southwell Lions and The Reed Foundation who have all pledged to support our 2024 campaign ” The Bed Push journey will finish at the Beaumond House stall at Newark Christmas Market, located in Newark Market Place

In Loving Memor y of Sylvia Mawson

It is with the deepest sadness that we share the news of the passing of our dear colleague and friend Sylvia Mawson Sales Manager of The Carer Sylvia’s loss has left an indelible void in our publication and in the hearts of all who had the privilege of knowing her

For me personally this loss feels immense My connection with Sylvia spans over three decades beginning when we worked together at another publishing house Even then, her energy, professionalism, and warmth shone through Sylvia later embarked on an inspiring journey to run a successful care home alongside her sister Anne a venture that showcased her determination, compassion, and commitment to excellence After Anne’s passing in 2008 Sylvia joined RBC Publishing embracing a new chapter as Sales Manager for our newly launched The Carer

Sylvia quickly became an irreplaceable part of our team Her dedication and expertise helped The Carer flourish but it was her personal

touch that truly set her apart She built enduring relationships with clients earning their trust and admiration Her integrity and positivity were hallmarks of her approach and she became not only a respected professional but also a cherished friend to so many

On a personal level I am incredibly proud to have called Sylvia one of my most valued friends Her kindness, warmth, sense of humour, and unwavering support enriched my life and the lives of all who worked alongside her She wasn’t just a colleague; she was family to us at The Carer

Sylvia’s passing leaves a void that words cannot fully capture Her legacy however lives on in the countless lives she touched in the success of The Carer, and in the fond memories we will always hold dear We will miss her more than words can express

Rest peacefully Sylvia You will forever remain in our hearts

Peter Adams Editor

Tallis House And Alexandra House Residents

Enjoy Dream Tour Of Arsenal Emirates Stadium

Residents from Tallis House care home extended a warm invitation to their sister home Alexandra House both part of the Runwood Homes group, for an unforgettable day out a tour of the iconic Arsenal Emirates Stadium

The trip was organised by Lifestyle Coordinators Clare and Rachel from Tallis House and made possible with the assistance of Glen s son Damien who works at the stadium

The idea for the visit originated with Glen, a resident at Tallis

Frank Foster House Care Home Highly

Commended At The Great British Care Awards

Social Care TV

Plummeting Visa Numbers Leave Social Care Sector in Crisis

There has been a substantial decrease in the number of Health and Care Worker visas granted in the UK over the past year, leading to fresh concerns over a social care workforce ‘crisis’

Latest figures reveal an 65% annual fall in visa grants when compared with data from 2023 and follows the conservative government s decision last year to ban direct care workers arriving from overseas from bringing dependents on their visa

Government data reveals that there were just 13 131 Health and Care Worker visa grants between April to September 2024 – down from 80,541 grants in the same period the year before (-84%)

In total 50 591 such visas were awarded in the year ending September 2024 – a 65% decrease when compared to 2023

The number of Health and Care Worker visas had previously increased by 114 023 between 2021 and 2023 hit the highest point at 145 823 in the year ending December 2023

However the volume of visas issued to care workers and home carers has fallen since the latter part of 2023

The decrease follows increased inspection from the Home Office to employers in the health and social care sector and comes after measures were introduced to prevent social care workers from bringing dependents when they migrate to the UK

Since March of this year care workers have been unable to bring dependents with them to the UK

Care England has expressed grave concerns at the new figures This stark decrease with grants falling by 84% between April and September 2024 compared to the same period in 2023 highlights the devastating impact of immigration policy changes on the adult social care workforce

Professor Martin Green OBE, Chief Executive of Care England, said “Behind these numbers are real peo-

ple; compassionate and skilled individuals who want to care for others but are being shut out The decision to ban health and care workers from bringing their partners and children to the UK last December was short-sighted and profoundly damaging It sent a message that these workers are welcome only for their labour not as whole people with families and aspirations

We are already battling a domestic workforce crisis with 70 000 fewer British workers in the sector over the past two years The pipeline of international recruits was keeping services afloat but now even that lifeline is being cut off, and care providers are left scrambling to fill shortages, unable to deliver the amount of care they once could How can

We

Restoring

The

Care Providers Back Councils’ Call Over NIC Rise

This Budget Threatens Social Care

Ser vices, Our Workforce and Our Future

By Dr Nichola Stefanou, Chief Executive Officer of Healthcare Management

Since the announcement of the Labour Government s budget in October 2024 there has been widespread concern across the social care sector The impact of this budget is significant and will undoubtedly reduce the sector s ability to continue safely and sustainably

The challenges facing social care are not new however, the sector is vital to ensuring millions of people live life the best way they can as well as contributing more than £60 billion to the economy The fact of the matter is that without social care there is no healthcare

However, with rising costs and growing demand, alongside inadequate funding from the budget the sector is at a breaking point The Government must reconsider how it funds social care to prevent services from closing and a reduction in the quality of patient care ECONOMIC PRESSURES ARE TOO MUCH

The introduction of increased National Insurance Contributions (NIC) adds approximately £1 000 in costs per employee This is significant challenge for my own organisation which is of a significant size however for small providers with one or two facilities or less than 100 staff members, this increase in costs could be fatal Many smaller providers which are already operating on thin margins cannot absorb these additional expenses and without confirmed funding from local authorities through contract uplifts, these providers could face closure

The impact of this will result in a reduced number of providers being viable meaning fewer beds and services in community settings leaving vulnerable individuals without care For the NHS this creates disruption to patient flow Patients who could be cared for in the community remain in hospital occupying muchneeded space and not receiving the vital community care they require NHS patient care will be compromised delays will get longer and outcomes will worsen

REBALANCE THE SYSTEM

Social care and the NHS rely on each other But the latest budget is a stark imbalance in funding between the two which creates a system that works against itself Investing in acute care without the same funding

in social care will not allow the NHS to operate efficiently The lack of funding in social care leads to a lack of resources Social care organisations will only be able to provide basic care provision This care will be safe but it won t be able to offer patients reablement or rehabilitation that will actually improve health outcomes or quality of life Instead patients in the community are likely to deteriorate more rapidly leading to hospital admissions when with the right support they could have remained at home or in a community setting

Breaking this frustrating cycle needs a shift in perspective Investing in social care before the NHS may seem controversial but it is a practical solution By increasing the capacity and quality of social care patients can remain in their communities reducing hospital admissions and freeing up NHS resources for critical care Seeing the two systems as of equal value is the first step towards transformational change

WIDENING HEALTH INEQUALITIES AND AN UNDERVALUED WORKFORCE

The underfunding of social care also exacerbates health inequalities Families who can afford it can access high-quality services, while those who cannot are left with struggling providers and reduced options This creates a two-tiered system that goes against the government s goal of equitable patient-centred care While the underfunding of social care will hit patient care it also hits our workforce According to Skills for Care the sector needs an additional 540 000 workers by 2040 To attract and retain people in this sector for the long term we must remove the financial pressure and barriers and see the sector as a worthy partner to acute healthcare Without urgent investment, the sector will fail to attract and retain the talent needed to meet growing demand and instead perpetuate a growing feeling that social care workers are undervalued THE ROLE OF ETHICAL PRIVATE PROVIDERS

Not-for-profit social care providers have a vital role in improving the sector and enabling it to grow

Through the right funding the Government could incentivise them to take on small organisations that cannot absorb the rising costs we are facing They have the ethical mission to reinvest any surplus into their services, whereas completely private organisations will

Funding

Investing

works for everyone

CQC Chair Ian Dilks Will Not Seek Reappointment

CQC s

Ian Dilks Chair of the Care Quality Commission (CQC) has confirmed that he will not be seeking reappointment when his three-year term ends on 31 March 2025 This means that the recruitment process for a new Chair will begin shortly

The CQC Chair is appointed by the Secretary of State for Health and Social Care in accordance with the Cabinet Office s Code of Governance for Public Appointments

Ian said It has been a privilege to serve as CQC s Chair Although the last three years have at times been intensely challenging, I am confident that the organisation is on the path to recovery and can make the changes needed to become the strong effective regulator that people who use and work in health and social

The pobroll® is the invention of Pat O’Brien a physiotherapist

Moving and Handling trainer and Conflict Management tutor with over two decades of experience in care homes and nursing homes

Care home managers often face challenges in delivering intimate care while balancing efficiency and managing costs particularly when these essential tasks provoke behaviours that can be challenging to safely manage Traditional methods especially for bed-bound residents often lead to lengthy processes and frequent linen changes driving up costs and consuming valuable staff time The pobroll® provides a transformative solution that supports dignified care achieves significant cost savings, and reduces the need for additional staffing

The pobroll® is an innovative bed-bathing wrap specifically designed to enhance comfort and dignity during personal washing for individuals who require in-bed care Centred on the resident s experience, it minimizes distress by providing sensory comfort Crafted with two layers of high-quality cotton-terry toweling and a waterproof layer in between, it delivers a soothing, calming experience while keeping the bed completely dry Sized for a standard single bed the pobroll® s dual-layer design offers warmth and a sense of security and privacy, allowing residents to maintain comfort and dignity during bed-based bathing routines

BOOSTING COST SAVINGS AND OPERATIONAL EFFICIENCY

The pobroll®'s waterproof design enables caregivers to provide a complete wet wash without the risk of soaking the bed minimising the need for frequent linen changes This leads to fewer laundry loads, reducing labour and utility costs as well as wear on linens By reducing logistical tasks, caregivers have more time to focus on direct resident care enhancing productivity overall Additionally reduced reliance on disposable wipes results in further cost savings and supports environmentally sustainable practices

With its durable, reusable design, the pobroll® maintains hygiene standards and allows for extended use across multiple residents As care homes face increased pressure to adopt sustainable practices, the pobroll® provides an effective solution that supports both economic and environmental goals

Board and Executive Team are all fully committed to achieving this “I have decided not to seek reappointment primarily for personal reasons but it will also give new leadership a chance to approach the challenges we face with a fresh perspective I have indicated to the Secretary of State that I am committed to remaining in post and fully engaged until my successor has been identified and is able to take up the reins ” Sir Julian Hartley will be joining CQC as Chief Executive next week and I look forward to working with him in the months ahead, and to ensuing that my successor has a smooth transition when it is time for them to take up this demanding but hugely rewarding role ”

REDUCING STAFFING COSTS AND TRAINING REQUIREMENTS

Managing resident agitation particularly for those with dementia often requires specialised training in restraint techniques The pobroll® significantly reduces the need for physical intervention by providing a warm, secure covering that alleviates resident distress This gentle approach minimizes aggressive or defensive reactions reducing the number of staff needed for these interactions As a result facilities can potentially lower staffing levels without compromising care quality, yielding substantial cost savings

Additionally reduced dependence on physical intervention decreases training costs associated with restraint techniques By simplifying the process of intimate care, the pobroll® reduces the need for specialised training making onboarding smoother and lowering turnoverrelated training expenses

ENHANCING SAFETY, COMPLIANCE, AND RESIDENT SATISFACTION

The pobroll® supports compliance with restraint reduction guidelines helping facilities minimise documentation burdens and regulatory liabilities linked to physical interventions This non-invasive solution

improves safety for both residents and caregivers fostering a culture of dignity and respect that boosts satisfaction among residents and their families

CONCLUSION: A VALUABLE ASSET FOR QUALITY CARE AND COST MANAGEMENT

For care homes the pobroll® represents a strategic investment offering measurable savings by reducing reliance on disposable products lowering laundry and training costs and enabling efficient staffing Most importantly it prioritises resident dignity and comfort, setting a high standard for compassionate person-centred care For facilities seeking to enhance financial performance and care quality, the pobroll® is an invaluable addition to their resources

WHO CREATED THE POBROLL®?

The pobroll® is the invention of Pat O’Brien a physiotherapist Moving and Handling trainer and Conflict Management tutor with over two decades of experience in care homes and nursing homes Pat s focus has been on individuals who are frail receiving end-of-life care and often grappling with dementia-related challenges

Throughout her experience of working alongside carers in Nursing and Care homes Pat identified a common issue during personal care routines particularly bed baths where individuals with dementia would frequently experience distress, agitation, and discomfort leading to compromised hygiene standards and heightened caregiver stress

Recognising the fundamental right to cleanliness and comfort, Pat embarked on a mission to devise a solution that could mitigate these challenges and enhance the overall care experience for all concerned

The result is the pobroll® hailed as a game-changer for those requiring care in bed

Selected as one of their 2023 Accelerator partners the Alzheimer s Society recognised the potential of the pobroll® to transform the bed bathing experience for individuals living with dementia and their families Pat is currently being supported by the Alzheimer’s Society Innovation team as she moves forward with getting this new innovation to market

Care Homes Reminded About Clarity Of Contracts Following Ombudsman Investigation

A

Derbyshire Home Unveils Memorial Tree To Remember Those They Have Lost In 2024

“We still get some relatives of former residents come to visit and they have been very happy with what we have done

“The feedback has been very positive and we often get people walking past stopping and taking in the names

During this time of the year it s a good time to remember those who are no longer with us and reflect on the memories we have with them

“The staff have been looking back and remembering things from the residents that are no longer with us, and it’s been a great conversation starter

“Based on how well received the memorial tree has been I am planning on utilising it in different ways going forward ”

Nurse Nicholas Mensah: Finding

Fulfilment in Care at Avocet Court

At Avocet Court Care Home Nurse Nicholas Mensah has discovered a new world of opportunity and connection that he hadn t expected when he first arrived in the UK

Originally from Ghana where he trained and worked as a nurse in hospitals and infectious disease centres Nicholas has embraced life at Avocet Court in Ipswich with passion enthusiasm, and a deep commitment to those he cares for Nicholas s nursing journey began in Ghana where he trained as a nurse and worked in challenging healthcare environments

His early career included stints in tuberculosis and rabies centres and during the COVID-19 pandemic he became a member of Ghana s National Infection Team From testing individuals arriving at airports to working in critical care and isolation units he saw firsthand the impact of infectious diseases and provided essential care to those in need When the pandemic began to ease, Nicholas set his sights on furthering his career internationally eventually leading him to the UK

In Ghana, care homes are rare, as families typically care for elderly loved ones at home or with the help of live-in carers So when Nicholas began working in a care home it was a new experience

Originally starting as a Care Associate in Ipswich he worked diligently to gain his UK nursing PIN envisioning a possible path within the NHS But as time passed Nicholas found himself drawn to the close-knit and fulfilling environment at Avocet Court

The sense of community and family at Avocet Court quickly won Nicholas s heart It s a real family feel he shared “The residents become an extension of your family, and you get to know them and their stories deeply This level of personal connection he realised was something he might not find in the hospital settings he was accustomed to Nicholas highlights how supportive the team at Avocet Court has been both professionally and personally The care home encourages growth and development providing plenty of learning opportunities Nicholas

has had the chance to broaden his skills in areas like end-of-life care diabetes management and tissue viability and he s now considering specialising in one of these fields There s a stable team here and I feel valued by my colleagues, by the management and by the residents and their families,” he said

One of the most rewarding aspects of working at Avocet Court, Nicholas explains, is that he is able to truly engage with the residents not just see them come as go as you might with a patient in a hospital setting

You can be a real help and support to them and their families he reflected This is particularly meaningful in end-of-life care an area where Nicholas feels he can offer comfort and compassion during difficult times The relationships he builds with residents and their loved ones make a lasting impact and offer him a sense of fulfilment he finds rewarding

This person-centred approach to healthcare has reshaped Nicholas’s perspective on nursing He’s come to appreciate the stability and sense of belonging that comes with being part of a care home community a contrast to the often high-pressured and impersonal settings of a hospital ward

Outside of work Nicholas has embraced life in the UK particularly the natural beauty of Suffolk’s coast and countryside He enjoys exploring his surroundings and plans to visit Manchester, home of his favourite football team Manchester United

Adjusting to life in a new country hasn t been without challenges but Nicholas has found support and friendship through his colleagues now sharing a house with another nurse from Avocet Court

As the festive season approaches Nicholas is looking forward to celebrating Christmas with

Avocet family “Christmas is different here,” he laughed “Back home, it s very much a religious celebration, but

everyone gets involved in their own way ” One new tradition he’s embraced is wearing a

something he d never experienced before coming to

Reflecting

For

Crawley And Horsham Veterans Visit The Chelsea Pensioners

Employment Law in the Care Sector

Paul Ball, employment par tner at Gateley Legal (https://gateleyplc com/gateley-legal), takes a look at the key areas that employers in the care sector need to be aware of when it comes to employment law

PRE-EMPLOYMENT

An employer’s responsibility to adhere to employment law begins before they even meet a candidate including the right to work’ ensuring that candidates are UK residents or have the relevant visas to work in the UK Migrant workers make up a significant proportion of those employed in the care sector so it s important to ensure that they have visas in place to legally work here If these checks are not done and employers are found to be employing illegal workers, sanctions include unlimited fines and criminal charges CONTRACTS

Employment contracts need to be in place from day one of employment for all employees Not only is this a legal requirement but it governs the working relationship and avoids the possibility of disagreements arising such as pay or working patterns

The care sector makes use of many different employment types, including full or part-time employees agency staff and temporary employees Employers need to be aware of the different rights associated with each type of engagement and tailor the contracts accordingly All contracts should comply with section 1 of the Employment Rights Act 1996 which requires details such as hours of work paid leave training and benefits

HEALTH AND SAFETY

Under the Health and Safety at Work Act 1974 employers are responsible for the safety of their employees In the care sector, important areas to consider when it comes to health and safety are:

Shift length and rest breaks - employees are entitled to:

• One 20-minute break per period of working time where that period is at least six hours

A daily rest period of not less than 11 consecutive hours in each 24hour period and a weekly rest period of not less than 24 hours uninterrupted rest in a 7-day period, which can be either two uninterrupted periods of not less than 24 hours in 14 days or one uninterrupted period of not less than 48 hours in 14 days If employers are unable to provide the above rest breaks the employer must offer compensatory rest

Working time – employees should not work more than 48 hours per week on average in a 17-week period unless they have specifically opted out of the Working Time Regulations 1998

Safety at work – employers should ensure that there are policies and procedures in place to protect employees from experiencing bullying and harassment in the workplace, from other employees or patients

It s important that employers conduct regular risk assessments as well as providing health and safety training for employees

WITH EMPLOYMENT ISSUES AND MANAGING EMPLOYEES

DEALING

Below are some of the key areas that employers face when managing employees:

Poor employee performance – if performance or capability issues are identified employers should try to deal with them informally with the employee first identifying the areas of concern providing training where possible setting clear goals and giving regular feedback If performance doesn t improve employers should have in place a capability policy determining how the company deals with underperforming employees

Managing sickness absence – an employer should try to understand the reasons for absence with the employee in a return to work meet-

ing If an absence lasts for seven or more days a copy of a GP Fit for Work note should be obtained If sickness absence becomes more regular or long term an employee should be advised to attend an Occupational Health appointment, so that the employer can understand more details about their absence and how it affects them in the workplace If an employee is considered disabled within the Equality Act 2010 an employer has a duty to make reasonable adjustments and not to subject that employee to any less favourable treatment because of their disability (directly or indirectly)

Harassment – employees should not be subjected to bullying and harassment in the workplace Specifically in relation to sexual harassment a new duty comes into force in October 2024 for employers to take reasonable steps to prevent sexual harassment in the workplace Flexible working – the right for employees to request flexible working (whether that be flexible hours or location of work) is now a day one right under the Flexible Working (Amendment) Regulations 2023 Employees can also now make two requests in a 12-month period • Whistleblowing – if an employee has a concern there should be a clear reporting line for the employee to raise that concern They should also not be subjected to detriment in any way as a result of raising a concern An effective whistleblowing policy should be in place PAY

The National Minimum Wage (NMW) must be paid Increasing in April each year the current NMW is £11 44 which is a 10% increase on the previous year Eventually the 18-20 NMW category is going to be phased out meaning employers who employ individuals in this age group are going to have a bigger pay liability

Shift working is common in the care sector, and employers must be aware that additional payments such as overtime or shift allowances should be included in the calculation of holiday pay

It s essential that employers have policies and procedures in place on these matters discussed in the article, and expert advice should be sought to ensure you are compliant

Eilean Dubh Residents Strike A Pose For ‘Black Isle Style’ Fundraiser

Residents at Eilean Dubh Care Home in Fortrose swapped their slippers for stilettos and their recliners for a runway as they rolled out the red carpet for Black Isle Style a fundraising auction and fashion show

The afternoon began with residents being treated to a touch of glamour enjoying pampering sessions that included hair and nail makeovers They then strutted their stuff on the catwalk modelling outfits donated by Highland Hospice – all of which were available for purchase, with proceeds supporting the charity

The auction also saw enthusiastic bidding for a variety of prizes, including a lunch date with resident Billy Mackintosh and a stunning canvas of Glenelg donated by local artist Liz Peck, the daughter of one of Eilean Dubh s residents

Alexis Le Neven manager of Eilean Dubh Manager said: We ve never seen

anything like it in a care home! The turnout was incredible and the energy was infectious It was a wonderful way to bring everyone together while raising money for the residents and Highland Hospice

One resident told me that she never imagined being on a catwalk at 95 It was such a joyful and uplifting experience

“We are grateful to Blossoms Balloon and Gift Boutique for their decorations Poppy Baker-Spink of The Cake Shop for her delicious cakes Highland Hospice for their generous clothing donation, and the local community for their enthusiastic support and attendance

The event raised over £3 000 for the residents’ comfort fund, which funds activities and entertainment alongside £230 for Highland Hospice through the sale of donated clothing

Mattress-Turning System Could Prevent Pressure Ulcers Occurring For Those In Social Care While Offering Major Cost Savings

A White Paper commissioned by Care England has suggested that an innovative mattress-turning system has the potential to prevent pressure ulcers occurring for people in adult social care while improving their comfort and promoting healing – all while delivering significant cost and resource savings to care providers and the NHS

The paper called Preventing Pressure Ulcers: The Role of Automatic Lateral Turning Systems for Innovative Approaches to Pressure Ulcer Prevention in Care Homes examines and summarises a 12-week trial of the Levabo Turn All automatic lateral turning system (ALTS) developed in partnership with Algeos Ltd (UK)

The White Paper says that pressure ulcers are one of the most painful and preventable conditions faced by some of the most vulnerable individuals in adult social care

Care England the voice of care is a registered charity is the leading representative body for small medium and large providers in England

The report stated pressure ulcers affect 700 000 people a year in the UK at a cost to the NHS of £1 4 to £2 1 billion a year

It added that the realities of staff shortages increasing demand and the need for manual repositioning often place an undue burden on both caregivers and residents so residents did not always receive the attention they needed to ease the pain caused by their ulcers

Furthermore Professor Martin Green OBE Chief Executive of Care England said “technological solutions like this would not only ease the workload of the caregiver but it would also offer a more dignified care solution to the individual as well as an improved quality of life

The trial took place in three care homes in the UK and involved 24 residents across 12 weeks addressing manual repositioning for pressure ulcer prevention using the Levabo Turn All solution which is an automatic tilting system (ALTS) that helps prevent and treat pressure ulcers by positioning a person in a 30-degree side position alternating between the right and left side The system can be used in any healthcare bed with a removable mattress where it is placed under the mattress

The trial focused on residents with dementia with multiple and complex comorbidities, and those receiving palliative end-of-life care who are particularly vulnerable to pressure ulcers due to immobility and frailty

The primary aims were to assess the effectiveness of the system in reducing pressure ulcer incidence its impact on caregiver workload resident comfort and overall cost-effectiveness

During the trial the system was successful for residents with both dementia or dementia with challenging behaviours; existing pressure ulcers/vulnerable at-risk skin; limited or no mobility; pressure ulcer prevention and treatment; end of life/palliative care; critical illness and spinal/neurological conditions

Key findings from the trial included that using ALTS in a care setting has several key benefits particularly for residents at risk of developing pressure ulcers and those in end-of-life palliative care

The system was effective in preventing and managing pressure ulcers by automatically repositioning residents thus reducing prolonged pressure on vulnerable areas, significantly lowering the risk of further breakdown of skin without unnecessarily disrupting residents leading to improved sleep and quality of care by automating the manual task of turning residents which can be every 4 to 6 hours day and night requiring two caregivers’ time and effort to reposition The system freed up caregivers time to focus on other critical tasks and areas of care – often up to two hours a day per person

The White Paper also found that use of the system delivered cost savings in preventing the occurrence of pressure ulcers and the need to treat them

In addition residents using ALTS generally showed fewer signs of discomfort or agitation during repositioning, an important factor for those with dementia The report stated for residents in palliative care

ALTS provided a gentler less invasive approach to repositioning supporting their comfort and dignity during end-of-life care

One of the homes taking part in the trial the Taylor and Taylor group, said that each caregiver would save two hours a day through not having to manually turn an individual during a 24-hour period Given 11 people needing this facility, that would save 22 hours a week which in monetary terms based on an average salary equates to circa £1 600 a week and roughly the same cost of one system itself

Professor Green said “The trials have shown that a system of this type can in many cases provide big benefits in pain reduction and healing for the individual, while easing the burden of care to the caregiver and doing so at a net saving of cost to the care provider or allowing them time to support other aspects of their care plan”

The trial has shown that once again technology can work hand-inhand with excellent care provision to offer dignity pain reduction and enhanced healing to those most in need of it

Beth Mercer Commercial Manager at Algeos Ltd (UK) said: The trials have shown exactly what we hoped – that the Levabo Turn All system not only makes life more bearable and dignified for the individual by reducing their risk of pressure damage, pain and discomfort; it eases the workload and burden of repositioning to staff freeing up time to focus on other aspects of care, and demonstrated time cost savings and efficiencies thus providing benefits to caregiver and care receiver alike

Unpaid Carers Supported By £22.6 Million Investment In Innovation

New technology and innovations in care will improve the lives of unpaid carers and care users following a funding boost announced by the Minister of State for Care

The Minister of State for Care Stephen Kinnock announced a £22 6 million boost for initiatives that will improve support for unpaid carers in England, including projects to help give carers much-needed breaks and greater flexibility as well as technology to make their lives easier at the National Children and Adult Services Conference on Thursday 28 November

Money will be released next week through the Accelerating Reform Fund (ARF) to support successful schemes run by local authorities

They include:

• new ways to identify and recognise unpaid carers to ensure nobody is left behind digitising carers’ assessments so that they are easier to access setting up carers support services in hospitals

Minister of State for Care, Stephen Kinnock said: “Unpaid carers are the country s unsung heroes They provide invaluable support to vulnerable people every day

“It is vital they too have the support they need so they can look after their own health and wellbeing This funding will allow local authorities to harness the full potential of technology to give carers more flexibility and help with these crucial roles

Kathryn Smith, Chief Executive at Social Care Institute for Excellence (SCIE) said SCIE is excited to be delivering the ARF support programme to participating local authorities Nearly 70% of the local proj-

ects address the needs of unpaid carers Others are using innovation to drive greater productivity and to improve people s care experiences

We expect the learnings from the programme to generate insights about how to scale and spread innovation within social care

Initiatives that are being rolled out across the country include:

in Bath and North East Somerset Swindon and Wiltshire local authorities are rolling out technology to enable remote monitoring of people with care needs at night This helps provide greater flexibility for unpaid carers and more independence for people with care needs

Worcestershire is deploying video technology to support carers when people are discharged from hospital to allow remote monitoring from healthcare workers reducing the risk of re-admission

in Lincolnshire local authorities are developing a workshop programme of arts heritage and nature activities for unpaid carers and people with care needs namely sessions in painting floral art and printing

They work with unpaid carers to shape the programme with activities of their choice and they are supported with respite care and transport to ensure that unpaid carers can attend the sessions to have a break

• in London local authorities have set up a Think Carer campaignto help people to recognise themselves as carers and provide additional support through introducing health and lifestyle checks and carers counselling services

Medway Council and Kent County Council are in the early stages of digitising self-assessments so unpaid carers can easily find the information advice and guidance that they need to make their lives easier They have also published an employer carers toolkitfor local businesses supporting carers in their workforce

Professor Martin Green OBE Chief Executive of Care England, commented: “While we welcome any recognition of the challenges faced by unpaid carers this announcement addresses the symptom rather than the root cause of the issue

Decades of chronic underfunding and neglect have driven the adult social care sector into crisis leaving providers struggling to survive Without meaningful investment many are being forced to scale back services or shut their doors entirely pushing families into impossible situations where unpaid care becomes their only option ”

The Government s current policies have led to a situation where 73% of care providers expect to refuse new care packages from local authorities or the NHS 57% anticipate handing back existing contracts and 22% are contemplating closing their businesses entirely ”

These stark figures highlight the inadequacy of the recent Budget which failed to extend protections like the National Insurance Contribution threshold freeze to social care providers while offering them to the NHS This oversight pushes the sector further into crisis and places an ever-increasing burden on unpaid carers who are being left to fill the gaps in a system on the brink of collapse

While the £22 6 million investment is well-meaning it is no substitute for addressing the root causes of this crisis Without a properly funded and functioning care system, the reliance on unpaid carers will only deepen leaving families and communities to pick up the pieces

Council-Paid Care Home Fee Shortfalls Remain Concentrated In The North

LaingBuisson has released its latest thirteenth edition of Care Cost Benchmarks (CCB) covering 2024/25 financial data Refined over two decades of use care home operators and commissioners rely on the CCB model as the definitive guide to the ‘Fair Cost’ of sustainable care home services for older people about half of whom have their fees paid by councils

The former Conservative government recognised in its final years that public sector austerity had led to significant shortfalls in council-paid fees

This new edition of CCB quantifies the current position for each of 151 councils with adult social services responsibilities in England showing:

• ‘Fair Costs’ of sustainable delivery of nursing and residential care of older people in 2024/25

Average fees reported by each council for the first months of financial year 2024/25

The difference between council-paid fees and operators’ costs (shortfalls or excesses)

Fee shortfalls are currently most frequent for residential care One hundred and seven of the 151 councils reporting data for the first months of 2024/25 are paying less than care homes’ full costs The remaining 45 councils report that they pay as much or more than the full costs of residential care

For nursing care, councils are more evenly split, between the 73 paying less than full costs and 78 reporting that they pay as much or more though CCB highlights a health warning that reported nursing care fees may not be reliable for some councils

Overall on the basis of reported average fee levels LaingBuisson calculates that local authorities in England are underpaying operators of care homes for older people in England by £223 million a year in 2024/25

Shortfalls are concentrated in the less affluent northern regions of England Thirty-five out of the 51 local authorities with adult social services responsibilities in the North East, North West and Yorkshire & the Humber pay less than the Fair Cost of nursing care for older people while 43 out of 51 pay less than the

Shaw

Shortfalls may be as little as a few

Healthcare Wins Employee Owned Business Of The Year Award

Athena Care Homes Launches Winter Warmer Scheme to Support Local Community

Government Publishes The Older People’s Housing Taskforce Report

The Government has today published the report of the Older People’s Housing Taskforce ‘Our future homes: housing that promotes wellbeing and community for an ageing population

Chaired by Professor Julienne Meyer CBE, the Taskforce undertook an assessment of the market for specialised and supported older people s housing and explored options for the provision of greater choice and quality of housing to better meet older people’s needs

THE TASKFORCE HAS MADE SEVERAL RECOMMENDATIONS TO GOVERNMENT, INCLUDING:

• Introducing a National Development Management Policy for older people s housing

Protecting consumers from hidden event fees

• Exploring how new tenure models used overseas have helped improve customer affordability

Providing certainty over long-term rental and service charge settlements for social and affordable providers

Victoria Thourgood Head of Corporate Real Estate who heads up the later living practice at UK and Ireland law firm Browne Jacobson, said: “Tackling the acute shortage in appropriate housing for older people is an urgent priority which will not only ensure we have sufficient affordable age-friendly accommodation but should have the knock-on positive effect of freeing up other housing stock helping people to get on to and climb the property ladder

“This report therefore offers a tantalising opportunity to begin building the foundations of a housing strategy that addresses the needs of all our population

“In particular, the taskforce s recommendation to set a target of 10% of affordable housing being earmarked for later living is a crucial intervention given that currently 3% of new homes are developed as senior housing at a time when we’re hurtling towards a quarter of the UK population will be aged 65-plus by 2040

“Tweaks to the planning system can also help to ramp up development at the necessary scale while helping to keep town and city centres vibrant with footfall as retail use wanes ”

“A sharpened focus on bringing senior housing to market at lower price points by exploring more flexible designs and construction methods, expanding shared ownership schemes into later living, and offering financial incentives such as a capped stamp duty for ‘rightsizing’ reflects the innovative thinking that will be required to move this forward

Nine in 10 of retirement housing residents are previous homeowners yet age-friendly accommodation must also be accessible to those who don t have property capital

“Adequate funding for support and care provision also needs addressing While these recommendations may help to address the structural issues that prevent large-scale integrated retirement communities from being developed, we also need to balance this with challenges at the other end of the scale to develop a skilled workforce of carers ”

“More thinking is also needed on the cultural barriers to the concept of downsizing and rightsizing’ in the UK which lags behind countries like the US and Canada in normalising this practice A wider conversation must take place within the social care sector in collaboration with others about how we improve the attractiveness of the integrated retirement community offer so that it becomes a no-brainer for people entering their later years ”

Sam Monaghan, Chief Executive at MHA said “Older people want and need access to the kind of specialist housing that meets their hopes and wishes for later life, but the nation is not developing at the rate people need us to ”

“This week the older people’s housing taskforce warns us that continuing the current state of affairs is not an option

We welcome the Government s ambitions for housing and support the taskforce s call for long-term

National Housing Strategy for an Ageing Population More than this to do everything we can to meet older people’s needs we urgently need stability in social care funding ”

Free Recreo VR Headsets Available to All Care Homes

This winter Recreo VR is offering care homes an exciting opportunity to enhance resident wellbeing through the power of Virtual Reality (VR) By signing up for one of our 24-month Recreo Theatres packages you ll receive a free VR headset and staff training

Our platform provides person-centred budget-friendly activities that are fun engaging and accessible especially for residents who are bedbound or socially isolated Co-created with Alzheimer’s Society and individuals with dementia, our service empowers staff to deliver personalised reminiscence and one-to-one sessions that promote memory recall and connection

Our VR headsets have been recognised as good practice by the Care Quality

Commission (CQC) further

a

01482 526940

Technology Trends Shaping the Public Sector in 2025

As we look ahead to 2025 the public sector faces a unique set of challenges and opportunities With service demands rising and budgets tightening finding the right balance has never been more crucial This is where innovation steps in it s not just a nice-to-have; it s essential When harnessed effectively, technology can help ease these pressures, making it possible to deliver services more efficiently improve transparency and even boost employee morale Embracing these advancements could transform how we serve communities and meet the needs of the public

1

PERSISTENT BUDGET PRESSURES

Budgetary constraints will remain a significant issue throughout 2025 Despite a change in government financial pressures on local authorities are unlikely to ease in the immediate term as much of the budget planning for the next fiscal year is already in place This makes efficiency and innovation critical

A noticeable trend is the growing appetite for a more strategic approach to technology adoption There is increasing recognition that traditional methods of working are no longer viable Organisations are exploring how to consolidate tools and systems creating streamlined integrated approaches that reduce costs while maintaining and often enhancing service quality

2 DIGITAL TRANSFORMATION IN SOCIAL CARE

Social care stands out as an area where digital solutions can drive meaningful change Many services still operate without fully embracing the potential of technology For example dynamic scheduling and realtime monitoring tools can maximise the use of existing resources enabling care services to adapt rapidly to changing needs

In areas like reablement real-time data offers the potential for a more tailored approach to care Monitoring patient progress dynamically can ensure that care packages evolve to reflect the individual’s progress in real-time For example a person who initially requires intensive daily visits may need less frequent support as they recover These adjustments not only improve outcomes for individuals but also free up capacity to support more people in need of community care

3 THE ROLE OF MOBILE TECHNOLOGY IN HEALTHCARE

Mobile technology continues to play a transformative role in healthcare delivery Access to real-time information allows professionals to provide more targeted and effective care However, infrastructure remains a challenge in some regions particularly in rural and remote areas Ensuring mobile solutions include offline functionality is crucial for overcoming coverage gaps and maintaining consistent service

By Chris Hornung,

delivery

4 PREPARING FOR REGULATORY AND POLICY CHANGES

Policy and regulatory shifts will also influence the public sector landscape in 2025 New housing regulations such as AWAAB s Law will require local authorities to improve the management of housing stock and address issues like damp and mould This demand will place pressure on housing providers to better use of data and technology to monitor conditions and ensure compliance with new standards This will prove critical in meeting these requirements

In healthcare and social care, the drive for greater integration of services is expected to gain momentum By aligning acute community and local authority care organisations can create more coordinated geographically focused services that deliver better outcomes for communities

5. ENHANCING TRANSPARENCY AND EFFICIENCY THROUGH DATA

Data-driven decision-making will remain central to improving public sector efficiency and transparency Digital tools can reduce the administrative burden on frontline workers allowing them to focus on delivering services rather than managing paperwork burdens

Transparency can also be significantly improved by making data available to service users Sharing realtime updates on service delivery, such as care schedules or housing maintenance progress, builds trust and accountability This kind of visibility while still emerging is likely to become a key expectation for public sector organisations in 2025 and beyond

6 SUPPORTING THE WORKFORCE THROUGH DIGITAL TRANSFORMATION

The success of these technological advancements ultimately hinges on the people who deliver public services Far from replacing jobs technology can empower employees by reducing administrative workloads improving efficiency and enabling a better work-life balance

For example mobile tools that allow employees to capture and share information in real-time reduce the need for end-of-day reporting and repetitive tasks This not only enhances productivity but also makes roles more fulfilling by allowing key workers to focus on the meaningful aspects of their work

Organisations must prioritise user-friendly technology designed with employees in mind to ensure high adoption rates and maximise the benefits of digital transformation Employee engagement in the design and implementation of new systems is critical to achieving this goal and ultimately delivering better services to communities

LOOKING AHEAD

2025 will be a pivotal year for the public sector with technology at the forefront of change From improving social care delivery to tackling housing challenges and enhancing transparency the opportunities for real transformative change are immense However, success will require strategic investments, careful planning and a commitment to keeping both communities and employees at the heart of every decision

The public sector has the potential to emerge stronger, more efficient, and more innovative than ever before if it fully embraces the possibilities that technology offers

Wisbech Care Home Teams Up With Nurseplus

To Support Philippines Charity School

Staff

Managing Director for Public Sector at Totalmobile

The Fields Becomes First Social Care

Ser vice to Benefit from a ‘Social Hub’

fun and interest Ange always had a smile on her face She was very person centred in her approach and was a hugely popular member of staff

“It was a great loss to all of us when Ange passed away We wanted to remember her and what she brought to the team and residents through her activities Having her name in lights means she will be forever with us ”

The Social Hubs have been designed and installed across more than 15 Cygnet Health Care services so far and all have been co-produced between staff and patients

The ambition is for every Cygnet service to have a social hub in due course and The Fields represents the first hub to be installed at a social care site

Tom Beasley is the Expert by Experience at the hospital who helped kit out the social hub

Explaining what made this social hub unique he said: As this was the first time we had kitted out a hub

for a social care service we made a consideration to have a heavy sensory aspect in this one

A lot of the residents have different needs and we were really keen and focused to ensure everybody had their various needs met A lot of the residents have physical disabilities and in wheelchairs so it was important to make sure the different facilities in the hub are accessible to all

One of the residents is a trained hairdresser so we made sure he had a space where he could continue his passion We also purchased crash mats in order for residents to sit comfortably on the floor if they wished

He added: It has been a pleasure to work

“Most

away earlier this year

She was a passionate member of the activities team spreading happiness and joy to all of the residents within the service

“It was great to see the residents and staff engaging with the space following our opening ceremony and I look forward to hearing the incredible feedback

Amenities in the social hubs also typically include arcade games, sensory lighting, music facilities, TV screens electronic goods inspirational artwork board games comfortable seating and much more to ensure service users and residents have a safe space where they can relax and socialise together

Raf Hamaizia Cygnet Expert by Experience Lead explained This co-produced project

how quickly the hubs are growing and the amazing feedback we are getting from both service users and staff alike

Pen Pals Meet Up For The First Time

Care home resident Pat Herd (90 years old) who lives at RMBI Care Co Home Cornwallis Court, in Bury St Edmunds, was overjoyed when she finally got to meet her pen pal Lucy Allum (18 years old) a local student from Culford School

The pen pal friendship started during the pandemic when Lucy was 14 years old She has now recently completed her A-levels For over four years Pat and Lucy exchanged letters birthday cards and postcards from places that Lucy has travelled to including Spain and America

Pat has really enjoyed reading about Lucy s journey through school, completing her GCSE s, and A-Levels, and her plans to continue her studies at university Pat says: I agreed to a pen pal thinking that it wouldn’t last This time was different and it has lasted to the great enjoyment of us both Lucy is a lovely girl! She was everything I had hoped for and I really enjoyed our chats Meeting Pat at Cornwallis Court for the first Lucy mentions: “As soon as I saw Pat she held out her arms

On 7th November, whilst the tectonic political plates were shifting, here and in the USA another event of national significance was happening – launch of the UK’s first national urgent acute medical service by pioneering digital health company Virtue We re pleased to provide a sneak preview of their launch which will be covered by national press in January explaining what this means for your patients together with your businesses both of which stand to benefit by this transformational service that brings together acute and social care in a novel way

For the first time in the history, the people of Great Britain can access urgent acute medical treatment nationally by an organisation other than the NHS Not only this, but care can be received instantly in the comfort and convenience of home simply by calling Virtue This offers patients an alternative to attending NHS A&E or suffering the impact of a hospital admission

and said come here baby! We instantly hit it off and chatted for over an hour Pat has a great sense of humour so we had quite a few laughs

Research has shown that intergenerational activities can have a positive impact on participants for example in reducing loneliness and exclusion for both older and younger people improving mental health increasing mutual understanding and addressing important issues such as ageism and care Emma Gibson, the Home’s Activities Coordinator, says: “I started working at Cornwallis Court during the first COVID lockdown and I knew that our residents would not be able to meet up with their families and friends I asked a friend who works at Culford School to see if any of the school children would like to be pen pals with the residents so they would feel included and part of the community It is lovely that Pat and Lucy have kept writing to each other after all this time and an initiative I am quite proud of!” she adds

This appears a momentous step change in the evolution of our national healthcare infrastructure which could be a vital component in ensuring members of the public, can access acute care quickly, in spite of the rising pressures on the NHS system

For just £14 99 per month anyone over the age of 18 can become a Virtue Member Virtue Members receive a Welcome Pack which includes a range of smart medical devices that enable Virtue s remote team of nurses and consultant specialists to respond to an urgent medical need immediately Their clinical team then

Before you think it’s too good to be true, Virtue do also charge a fee of £125 per night for treatment which given the average length of stay’ of 7 nights, can add up to £875 So overall, it’s not cheap So, is it worth it?

We asked Dr Andrew Barlow Chief Medical Officer of Virtue his view and justification

Dance Music Therapy Introduced At Glastonbur y Dementia Care Home

Albany Care Home Residents Enjoy Exciting Visit From Local Fire Department

75% Of Care Providers Will “Reduce Or

Stop Digital Transformation” Sur vey Reveals

Honouring Staff For Their Outstanding Ser vice

Signature Senior Lifestyle Named Care Home Group of the Year at LaingBuisson Awards 2024

Longlands Care Home Leads An OSJCT Collection

For Oxford Community Emergency Foodbank

Lighting: A Key to Wellness in Care Home Settings

Lighting plays a vital role in ever y aspect of our daily lives. As nursing and care homes continue to navigate rising energy costs, lighting has emerged as a critical area for improving energy ef ficiency with the potential to reduce lighting costs by as much as 85 to 90%1 by using ef ficient solutions. The type of light bulb used can impact the time and cost spent on maintenance which is par ticularly impor tant in care settings where costs saving measures are prevalent2.

By adopting smar ter lighting solutions, nursing and care homes can reduce energy consumption while enhancing the overall environment for occupants In this ar ticle, Dyson shares how the sector can adopt smar ter lighting solutions that not only help to cut costs but also suppor t inhabitants’ wellbeing

Motion activated lighting

Many nursing and care homes across the countr y are now equipped with motion activated lighting, reducing costs, improving energy ef ficiency and avoiding unnecessar y usage By investing in lighting that is also controllable by an app, care managers have the flexibility to turn of f lights remotely at the touch of a button adding an additional level of peace of mind

Time-saving measures

Changing light bulbs regularly takes time, investment and organisation Fluorescent lighting can be inef ficient, waste light and use costly-to-replace bulbs Without proper cooling, LED bulbs can quickly overheat, causing fading, discolouring and them to work ef ficiently Lights such as the Dyson Solarcycle task light that use Heat Pipe technology can ef fectively cool the LED and protect the light quality for 60 years3 In turn, this allows the user to reliably adjust its colour and brightness without flickering bulbs and outages

Wellness, neurodiversity and circadian rhythm

Recognising the impor tance of fostering a happy, healthy, and suppor tive care environment, care home settings are placing increased emphasis on these aspects While lighting may seem inconspicuous, it profoundly impacts the wellness of residents and caregivers alike

In many nursing and care homes, lighting can feel clinical with a ‘ one size fits all’ approach to lighting which creates strain on the eyes Acknowledging that individuals have diverse needs and perceptions regarding wellness and mental health, these spaces must remain adaptable to meet these varied requirements ef fectively By creating bespoke lighting options in individual rooms, a user can adjust the lighting to suit their specific needs

Low quality light can cause negative side ef fects such as migraines, headaches and eyestrain By giving occupants the option to adapt something as simple as lighting to suit their needs will have positive ef fects on their wellbeing and comfor t

In addition, we spend about 90% of our time indoors4, exposing ourselves to ar tificial lighting more often than not, with many neglecting to think about how this can af fect their sleep cycle Light is a primar y external factor influencing sleep patterns While the notion that darkness aids sleep is commonly understood, the relationship between light and sleep is far more intricate

Light plays a pivotal role in regulating the body's circadian rhythm, the internal clock dictating periods of wakefulness and rest Moreover, it impacts the production of melatonin, a hormone crucial for promoting sleep The daily exposure to light, including its quality, timing, and duration, significantly impacts sleep quality Understanding the intricate connections between light and sleep empowers individuals to optimise their residing environment for consistent and restorative sleep

In conclusion, strategic lighting design and innovation go beyond energy savings By adopting human-centric lighting solutions, nursing and care homes can create environments that not only enhance their residents’ wellbeing and prioritise their health but also suppor t the productivity and comfor t of their caregivers Lighting, when done right, can be a power ful tool in fostering a happier, and healthier nursing and care home

Care Homes Bring Festive Cheer with Tree Decorating and Light Switch on Events

Care Home’s Christmas Fete

Brings Local Community Together

a well-known Hollywood Baker the teams wasted no time once they heard the word ‘Bake’ “It got rather competitive ” added Chelsey The Fancy Chefs used their special secret ingredient in their mincemeat and wouldn t tell anyone the recipe The Perfect Chefs decided upon a traditional

The Holly and The Ivy - Residents Enjoy Christmas-Themed Floristr y Workshop

Stockton on Tees Home Raises More Than £500 Following Christmas Fayre

Care Home Residents Enjoy A Christmas Trip To The Bright Lights Of Blackpool

PRODUCTS AND SERVICES

Activities to Share

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

C&S Seating Ltd

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 by Win Health Medical Ltd - 01835 864866 - www win-health com

See page 3 of this issue for other Win Health products

of care home suited vinyls and waterproof fabrics across numerous fabric bands

• We have options for all timescales with dining sets lounge chairs and bedroom furniture sets available within 10 working days

Our vast range isn t the end of what we re able to offer, so if you are looking for something specific

our helpful

CATERING FOR CARE

Procurement Planning And Food Trends For The Festive Season

Planning and preparation by catering teams in the build-up to Christmas are crucial to ensure smooth operations and a successful festive period Tess Warnes, Dietician at independent food procurement specialist allmanhall (allmanhall co uk), offers her tips on preparing for one of the busiest times of the year START EARLY: ORDERS AND DELIVERIES

From the start of November, the demand for festive products surges, leading to limited stock availability across the market It is important to forecast and place orders as early as possible, enabling suppliers to allocate stock more effectively, thereby reducing the risk of short deliveries and out of stocks

By placing orders early, catering teams can also take advantage of supplier promotions and manage budgets more efficiently, but still allow for small adjustments closer to the delivery date when more exact operational requirements are known

While placing forward orders helps suppliers allocate products it does not guarantee stock The closer the delivery is to Christmas the higher the likelihood of shortages Where there is feasible storage place orders for non-perishable and long-shelf-life items several months in advance to secure the stock This also allows more time for contingency plans should there be any stock issues on any products

For fresh produce work with suppliers or through your procurement partner to schedule advance orders with delivery dates

Double-check order details quantities and delivery dates to avoid

last-minute surprises SUPPLIER ENGAGEMENT AND COMMUNICATION

During the busy festive season, maintaining communication within the supply chain is crucial Regularly engage with suppliers to stay informed about market conditions, commodity challenges, and product availability

Shortages can arise from limited availability further down the supply chain, such as failed deliveries Suppliers will attempt to recover stock and, where feasible, source alternative supply chain routes, but it s essential to understand these challenges early so contingency plans can be made

Currently there are challenges within the potato and cocoa markets, impacting products which are normally high on the requirements for festive menus so securing stock as early as possible is vital Once the availability of these products becomes limited finding any routes to market will be challenging with associated cost implications

PRICING

With surges in demand and limited supply prices can be volatile during the festive period Without any prior negotiation or supplier management costs for products can quickly escalate often resulting in a budgetary overspend and overuse of resources reviewing the market for the most cost-effective options

By regularly conducting market analysis and monitoring key commodities catering teams can identify trends and anticipate challenges

This enables early negotiation with suppliers ensuring fixed favourable pricing for the festive period

TECHNOLOGY

The effective use of technology significantly enhances efficiency and accuracy While these benefits are evident year-round, they become even more crucial during the busy festive period, further aiding operations

Implementing a catering controls platform can be particularly beneficial, aiding in budget management through recipe building, costings, invoice management, and stock reporting

Inventory management can be particularly challenging during the festive season, but by using a catering controls platform, catering teams can significantly simplify stock management and have more accurate reports optimising stock levels

Catering control platforms provide a comprehensive audit trail from orders to invoices ensuring complete accuracy in ordering processes

This feature allows catering leads to verify all placed orders minimising errors and ensuring smooth operations during the frenetic festive season

Proper planning and preparation from a procurement perspective are essential for catering establishments to navigate the season successfully comments Warnes By starting early managing supplier relationships monitoring market conditions managing inventory and incorporating technology catering teams can ensure a smooth costeffective and successful festive period

Albany Products and Flavour Creations Work Closely to Bring Dysphagia Products to the UK

Albany Products are working closely with Flavour Creations to bring their market leading and award-winning dysphagia products to the UK market

This has started with Screamies no-melt Ice-Scream Shape It food moulds and Powder and initial trials of their extensive pre-thickened drinks range that are available in their award-winning dysphagia cup

Screamies won the best texture modified food award at IDDSI in 2023 They are supplied ambient and can be frozen prior to eating Screamies have a specialised no-melt formula resulting in shelf-stable ice-cream products that never get softer than IDDSI Level 4 making it the perfect treat for those with dysphagia

Screamies are available in Chocolate, Strawberry and Vanilla flavours along with two added Protein variants, Chocolate and Salted Caramel Take up in the care sector is already pleasing and products are already available through Birchall s Food Service

Feedback through Exemplar and other care homes is that patients love them It has been possible for Ice-Cream Fridays to include all patients for the first time Even staff can’t resist Shape It moulds offer more units per mould than others and their quality and durability is also exceptional The Shape It moulding powder is Agar Agar based and works at all IDDSI levels making a differ-

ence to food presentation at level 5-6 particularly Care homes and NHS hospitals have already started using the Shape It range Flavour Creations pre-thickened ready to drink products are making a real difference in trials within care homes and the NHS With hand thickening resulting in inconsistency and risk to patients along with being time consuming and training intensive FC s RTD products offer a solution

The drinks have assisted in the comprehensive evaluation of patients needs with more patients

The award-winning cup that is used for all RTD’s makes it

Of Old, Breaking-Down Dr yers?

Forbes’ Laundr y Solutions Help Care Homes Navigate Rising Costs

Fall Savers - Affordable Fall Monitoring Solutions

NURSE CALL AND FALLS MONITORING

Stay Safe with Smart Wireless Nurse Call

Blaucomm Ltd - Telecommunications &

Crash Mats Designed to Reduce Injuries from Bed Falls

TECHNOLOGY AND SOFTWARE

How Loopeli is Transforming Life at Windlesham Manor

more

residents it has been heartwarming to see their loved ones more often even those living abroad Watching a resident light up while chatting with a grandchild across the world is truly priceless

A GAME-CHANGER FOR DOCTORS’ VISITS

One of the most useful aspects of Loopeli has been during doctors visits and meetings with clinical professionals Families can join via video call in real time staying informed and involved without staff having to relay information afterward This not only prevents misunderstandings but also helps families feel like they re part of the process of ensuring their loved ones receives the best possible care

INSTANT HELP FOR BEST INTEREST MEETINGS

We have also used Loopeli during best interest meetings and care discussions When decisions need to be made it’s easy to bring a family member into the conversation straight away This has saved time and made these discussions more collaborative

BREAKING DOWN LANGUAGE BARRIERS

Loopeli has helped with translation needs If there is ever a language barrier family members can join the call and assist making communication smoother for everyone

BOOSTING WELL-BEING AND REDUCING MEDICATION

One of the most surprising benefits has been how Loopeli has improved emotional well-being For some residents, being able to connect with their family more often has reduced the need for calming PRN medication especially during the late afternoons when anxiety levels tend to be higher

FROM APPREHENSION TO ENTHUSIASM

When we first introduced Loopeli a few staff were hesitant thinking it might just be another tech gimmick But it didn’t take long for them to see how much easier it made their day-to-day work They now see it as a tool and we have since purchased extra tablets so more residents can benefit

SUPPORTING OUR CQC REPORTING

Loopeli has also given me confidence as a manager when completing CQC’s annual provider information return (PIR) especially question 2 7, 2 7a and 2 13 in the PIR which involves Communication preferences and Access to Information Standard (AIS)

THE BIGGER PICTURE

At the heart of it

TECHNOLOGY AND SOFTWARE

Pass by ever yLIFE

INTEGRATED HEALTH AND

GP records It makes medical information available when and where it is needed, leading to improvements in both care safety and outcomes:

• 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

Transforming Domiciliar y Care with TV-Based Video Calling and Wellbeing Monitoring

of Things (IoT) devices such as motion

a different approach

We believe the solution lies in the most common, and most familiar technology: the TV SIMPLIFYING COMMUNICATION

Many elderly individuals find smart-screen gadgets intimidating but TVs are familiar By delivering video calls through the TV, care providers can offer simple accessible communication Routine check-ins can be conducted virtually reducing the need for some physical visits while maintaining personal connection Family members can be more involved offering reassurance and better support PROACTIVE MONITORING WITH SENSORS AND CONNECTED DEVICES

BOOSTING EFFICIENCY AND PROMOTING INDEPENDENCE

Video calling reduces the need for unnecessary travel enabling carers to focus on urgent or high-priority cases IoT alerts further optimise resource allocation helping providers manage workloads effectively At the same time, this technology empowers clients to live safely and independently at home aligning with the UK s focus on “aging in place” and person-centred care HOMESIGHT IS THE WAY FORWARD

It ensures accessibility for all ages and technical abilities while maintaining the familiarity of using a TV

Our HomeSight system is the first to use the TV for health and wellbeing support It s an incredibly simple system easily connecting to any TV with an HDMI port (which almost all TVs have), blending seamlessly into the home With an ergonomically designed remote control and a user-friendly TV interface it s intuitive enough to require almost no training With two presses clients can connect with carers or family members effortlessly

Beyond video calls the system keeps everyone in the loop Family members can use dedicated phone apps to stay connected while carers access a secure web portal for real-time updates and communication This integration ensures that clients receive the care and connection they need without disruption to their daily routines It s a practical, stress-free way to enhance support and communication in domiciliary care

For further information see the advert on the facing page or visit www atsolutions uk

TECHNOLOGY AND SOFTWARE

Transforming Lives with Technology

A Systematic Approach to Care

At AFG our aim is simple – to help those we support live more independent lives Technology is becoming more integral to helping people with a learning disability or with autism to be more independent But while the technology exists today the challenge for tomorrow is scaling its adoption across health and social care

THE STATE OF THE MARKET: TECHNOLOGY IN SOCIAL CARE

The potential for technology to enhance lives in the care sector is evident But many people who could benefit lack access to the tools that would make a difference to them

According to a report by Ofcom, people with learning disabilities are less likely to own computers and smartphones or use of the internet than non-disabled people[1]

At AFG we established our Technology Lending Library two years ago This simple idea has had a positive impact on many of the people we support For example borrowing a tablet device enables someone who is non-verbal to communicate with their family and friends Another person was supported to watch videos that gave them the confidence to attend the dentist for the first time in years

SCALING UP: MOVING BEYOND ONE-OFF SOLUTIONS

All this is worthwhile But for real change in social care to happen we need to be able to scale up technology within our sector and integrate it into the way we live work and play

At AFG, we have partnered with assisted living technology experts My Ecosystem to take a holistic approach that combines health, care and housing

Led and funded by Lancashire County Council, several bungalows at our 24-hour supported living housing in Parklands Court in Lancashire have been retrofitted with bespoke industry-first technologies including sensors communication devices and health monitoring tools This set up not only supports residents but also aids those supporting them too in delivering the right care at the right time through real-time monitoring and adjustments

By Andrew Kendall, Chief Commercial Officer at

However, this is one of few examples of such integration To make this approach accessible on a broader scale we need to develop the right model so that the right assistive technology becomes a natural part of someone s support

The impact of personalised integrated technology on both the individuals and the wider health and social care sectors can be transformative By reducing pressure on the NHS and local authorities this approach brings real value to users while creating efficiencies and cost savings across the sector

STEPS TOWARDS A NATIONAL MODEL

So what needs to happen to make this model work on a national level? What do we need to do as a sector to understand how we do this and how it gets funded and paid for?

Firstly, we need clear evidence of what works in what situation (depending on the person, their home and the community) and what doesn’t What are the costs and the benefits (financial and non-financial)?

Secondly there needs to be more education and knowledge sharing of the wide range of assistive technologies that are available for people with a learning disability and autism – this covers consumer technology specialist standalone technology telecare approaches and connected ecosystems And what skills do we need to assess needs and ‘prescribe’ the right technology?

Thirdly we need to be working together across systems and organisational boundaries to make the best use of technology Social care health and housing need to work around the shared goal of achieving better outcomes for people and helping them be more independent

Fourthly we need to build assistive technology into how support is commissioned and provided New homes should come with a base ecosystem in place that can be added to according to the specific needs of the individual living there

There is no doubt that technology is going to change all our lives in the future However as health and social care professionals we have a responsibility to those we support – in our case those with learning disabilities and mental health conditions – to ensure that they are prioritised rather than left behind in this technological evolution By taking a thoughtful, systematic approach to technology in health and social care, we can empower those we support to live more independent, fulfilling lives

GHM Cares Launches New Resident Telephone Ser vice For Care Homes

set up and use as well as the freedom of short-term contracts

Care homes are delighted to finally have a solution where the day-to-day handling and installation doesn t impact their buildings or resources and they re able to offer an even better service to residents

Care homes can find out more at ghmcare co uk/Services/resident-telephones

EDUCATION AND TRAINING

Transforming Care Home Training: Rethinking Restrictive Practice Education

and test alternative solutions in a

environment This approach enhances critical thinking teamwork, and retention of essential knowledge

Peer-to-peer learning further strengthens the training by encouraging staff to share experiences and insights fostering collaboration and practical problem-solving This creates a dynamic learning environment where staff feel supported and empowered to deliver compassionate care By integrating these modern approaches care

Policies and Procedures Within Social Care

EDUCATION AND TRAINING

The Power Of Diplomas In Health And Social Care

Diplomas have the potential to empower individuals and are the best route for most health and social care professionals to progress according to an expert at leading training provider Realise

Lesley O Connor Head of Health and Social Care at Realise said diplomas are a strong option as they are flexible can usually be fully funded and can be tailored to the particular needs of the employer and the learner

Diplomas are also attractive to employers as they require little administration

Lesley said: “I think there is still a lack of awareness and some misconceptions

Paragon Skills: Empowering Careers And Leadership

In The Adult Care Sector Through Apprenticeships

as a

Apprenticeships in the adult care sector provide a vital opportunity for professionals to advance their careers develop leadership skills and contribute to improving care standards These programs, including Level 4 Lead Practitioner and Level 5 Leader in Adult Care offer a structured pathway for care workers to step into higher-responsibility roles By equipping individuals with the knowledge confidence and expertise needed to take on leadership positions apprenticeships play a critical role in fostering both professional growth and better outcomes for service users

These advanced apprenticeships go beyond acquiring qualifications They enable care professionals at foundational levels to build essential skills such as critical thinking problem-solving and effective communication preparing them for senior roles in the sector This emphasis on personal and professional development not only

strengthens

The benefits extend to employers who gain skilled and motivated teams by supporting staff through these programs Investing in leadership development helps organisations improve retention rates and build a robust pipeline of future leaders contributing to stability and high performance within care settings

Apprenticeships also provide clear guidance for newcomers to the sector offering resources to help them understand career pathways and qualification requirements This makes apprenticeships an excellent starting point for those beginning their journey in adult care as well as a powerful tool for existing professionals seeking to advance By focusing on continuous learning and leadership development apprenticeships in adult care empower individuals to unlock their potential while ensuring high standards of care across the sector For employers and care professionals alike these programs are a cornerstone of growth innovation and excellence in the industry Find out more about our apprenticeships on www paragonskills co uk

IT AND CYBER SECURITY

Managing Cyberattacks in Residential Care

By Daniel O ’Shaughnessy, Programme Manager

Cyber Security – A General Best Practice Guide

Many

FINANCE AND PROFESSIONALS

High-Quality Healthcare Needs High-Quality Background Checks

Background checks are vital to the healthcare industry ensuring that only qualified trustworthy and compliant individuals are hired directly influencing both patient safety outcomes and the organisation s credibility It s important to emphasise that these requirements apply to all staff in health and social care services including volunteers and agency workers

However new statistics have revealed that 20% of healthcare candidates in the UK fail a background check, highlighting that the industry at times struggles to find candidates that are a perfect fit

With the stakes so high ensuring that healthcare professionals meet the highest standards of integrity and competency is more important than ever But how can employers take proactive steps to protect vulnerable individuals from harm or exploitation ensuring they hire only candidates with the necessary qualifications and experience?

ENSURING

QUALITY CARE FOR PATIENTS

The first step employers can take is conducting comprehensive background screenings following regulations set by the Care Quality Commission (CQC) The way employers can ensure best practices include establishing clear vetting policies training staff on these protocols and regularly updating screening processes to maintain compliance These

checks typically encompass criminal record reviews identity verification proof of qualifications UK right-to-work assessments and enhanced Disclosure and Barring Service (DBS) checks

However our statistics show less than one-in-ten healthcare businesses check whether a candidate is on a sanctions watchlist or identified in adverse media checks and no organisations are running social media background checks While CQC regulations ensure that candidates have the right skills these additional checks are crucial preventative measures that help ensure the staff being hired are not only qualified but also the right kind of people for the role safeguarding both patients and the safety and happiness of existing staff

By following the strict guidelines laid out by CQC healthcare organisations can protect their staff members and those receiving care from potential harm or exploitation While also ensuring their brand doesn’t face any reputational risk

PROTECTING AGAINST LEGAL AND REPUTATIONAL RISKS

In the UK, healthcare organisations most frequently verify a candidate’s criminal history (66%) references (60%) address (59%) and right to work certification (56%) These checks are essential for ensuring compliance with regulatory requirements helping protect organisations from potential fines or legal action due to non-compliance More importantly maintaining high standards of care and safeguarding patient safety not only helps meet these regulatory requirements but also boosts the organisation’s credibility fostering trust among patients families and the public

Failure to comply with these guidelines can lead to reputational damage eroding trust in the provider’s ability to deliver safe and effective care Additionally non-compliance with CQC requirements can result in severe

By Luke Shipley, CEO and co -founder at Zinc (www zincwork com)

penalties including fines legal action and even the revocation of a healthcare service’s licence This only highlights the importance of verifying candidates thoroughly – ensuring that these checks are done to the highest standard and conducting regular rechecks on existing staff to ensure the safety trust and integrity of the healthcare institution is maintained LEVERAGING TECHNOLOGY FOR EFFECTIVE SCREENING

Technology, specifically automation, plays a critical role in enhancing the speed, accuracy, and compliance of background checks, enabling healthcare providers to safeguard patient welfare more effectively By automating and streamlining the background verification process, technology can provide a helping hand to organisations to meet the CQC standards efficiently, even in a fast-paced and evolving healthcare environment

Automation of background checks can provide real-time data access from one unified dashboard, using this, healthcare providers can quickly identify red flags and assess candidates more accurately Automation tools can also provide candidates with real-time updates on the status of background checks so they have visibility and aren’t left in the lurch wondering where things are at By utilising screening technology businesses can offer a screening process that is efficient and easy to use for both candidates and their hiring teams Moving at pace means businesses can reduce the wait time from offer to start date ensuring they don t lose candidates to competitors throughout the process and bringing forward start dates where possible Ultimately leveraging technology not only improves operational efficiency but also ensures that providers maintain high standards of care protecting both patients and the organisation s reputation for years to come

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 remain-

ing 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

Article by Fozia Iqbal, Senior Business Immigration Solicitor at law firm Harper James

FINANCE AND PROFESSIONALS

LPA Now - Lasting Power of Attorney Advice

Swift Management Ser vices Limited

Care Home Finance from Global Business Finance