The Carer Digital - Issue #220

Calls For 10-Year Plan for Adult Social Care to Match NHS Strategy

EDITOR'S VIEWPOINT

Welcome to the latest edition of The Carer Digital!

A DECISIVE MOMENT FOR ADULT SOCIAL CARE

As the Local Government Association (LGA) calls on the Government to co-create a 10-year plan for adult social care alongside the upcoming NHS long-term plan the urgency for a unified approach has never been clearer This is a critical juncture one that care providers warn could have far-reaching consequences if overlooked especially in light of recent changes to National Insurance and the National Minimum Wage which have sent ripples of concern across the sector

The LGA’s vision for three fundamental shifts in healthcare prioritizing prevention delivering care closer to home and embracing better use of technology is both ambitious and essential Councils with their unique expertise in supporting local communities are well-positioned to make these shifts a reality But achieving these goals demands proper funding and collaboration between all stakeholders something that the care sector has been denied for far too long

Chancellor Rachel Reeves’ recent budget has provoked outrage across multiple sectors with care providers councils and advocacy groups warning of catastrophic unintended consequences ” In Wales, Care Forum Wales (CFW) has sounded the alarm with its new campaign Save Social Care Save the NHS arguing that the budget could spell disaster for hospitals already under immense pressure

The care sector is particularly vulnerable to the cascading effects of underfunding Revenue-raising industries such as retail and hospitality which also face grim prospects under the current economic climate, play a vital role in supporting the broader economy If these sectors falter the resulting economic downturn will inevitably compound the challenges faced by adult social care providers who are already grappling with decades of chronic underfunding

In another story on page 5 I was dismayed to see that dementia remains the UK s leading cause of death with over 75 000 lives lost to the condition in 2023 a staggering one in ten of all recorded deaths Regular readers of THE CARER will know that I have experienced firsthand the devastating impact of this illness When my mother passed away from an aggressive form of dementia in the 1980s the condition was still shrouded in misunderstanding

Since then awareness and diagnosis have improved significantly yet the number of people affected continues to rise at an alarming rate While better diagnostic practices partially explain this increase it is clear that we are facing a crisis that demands urgent attention From research to care provision much more needs to be done to support indi-

viduals and families grappling with this relentless condition

We are without a clear change of course heading for stormy waters Without immediate and meaningful action, the pressure on care providers, hospitals, and families will become insurmountable The LGA s call for a long-term plan is a step in the right direction but plans alone won’t suffice The Government must listen to the voices of those on the front lines care workers councils and advocacy groups and ensure that funding and resources match the scale of the challenge

Chancellor Reeves and policymakers must also heed the warnings of Save Social Care, Save the NHS and recognize the interdependence of sectors An economic strategy that undermines care retail, and hospitality is not just a failure of one sector but a systemic failure that will reverberate across society

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Editor Peter Adams

Calls For 10-Year Plan for Adult Social Care to Match NHS Strategy

(CONTINUED FROM FRONT COVER)

THREE SHIFTS

The three shifts that the Government wants to achieve through the NHS plan include a focus more on prevention care closer to home and better use of technology, and with their expertise and experience in supporting communities councils play a vital role in bringing these shifts to life

The LGA is urging the Government to make adult social care a key part of its plans so that both the NHS and social care can deliver the best possible outcomes for people

Councils say that reforms should focus on prevention, early support, and making sure care is centred around individuals needs Investing in early help like supporting working-age adults with disabilities or children with special needs can save money in the long run and improve outcomes for people

In its submission the LGA also highlights the need for closer working between the NHS councils and charities to reduce health inequalities These inequalities are linked to issues such as poor housing low incomes and lack of access to community facilities Councils are already making a difference in these areas but need more funding and resources to do so effectively

By fully integrating adult social care into the wider health and care system councils can ensure that prevention community-based care and digital transformation are successful helping to improve lives and outcomes for people across the country

10-YEAR PLAN

Cllr David Fothergill, Chair of the LGA’s Community Wellbeing Board, said It s good to see the NHS getting a long-term plan but adult social care needs the same level of focus and commitment at the top of government A 10-year plan for adult social care is vital to making sure the NHS and social care best work together to improve people’s lives and life chances

“A plan for adult social care reform isn’t just about funding it’s about thinking through how the Government works with the public private and voluntary sectors, the workforce and – crucially – people drawing on care and support to codesign a new system that helps people live independent, fulfilling lives ” Councils are ready to play their part in creating a healthier and more independent society, but this won t happen without proper funding and support for adult social care An equivalent 10-year plan for adult social care is essential to make sure health and social care services work together to help people and communities thrive

“CATASTROPHIC CONSEQUENCES”

The Care Forum Wales (CFW) has also issued a dire warning of “catastrophic unintended consequences of the Budget which they say will

be a disaster for hospitals in Wales as it launched a new campaign Save Social Care, Save the NHS

According to CFW the combination of employers National Insurance Contribution (NIC) increases and the rise in the Real Living Wage will lead to a £150 million black hole in funding in Wales as a whole and a £40 million gap just in North Wales

Unless social care received an NHS-style exemption from the increases or emergency financial support there was a very real danger that care homes and domiciliary care companies will go bust

The inevitable result of that would be vulnerable people left high and dry, piling even more pressure on beleaguered hospitals already struggling to cope and create even longer waiting lists

LETTER TO MP’S

CFW Wales chair Mario Kreft MBE has outlined the organisation s stark warning in a letter to Welsh MPs, Senedd members along with First Minister Eluned Morgan and Health Minister Jeremy Miles

A similar letter has gone to Prime Minister Kier Starmer and Chancellor Rachel Reeves

The campaign is being supported by the Five Nations Group which represents care organisations from across the UK and Eire

They all agree that third sector providers including charities and hospices will also be put at risk by the “ruinous measures” contained in the Budget

In the letter Mr Kreft said: “We have more than 400 members across the private and third sectors and they have reached out to us in alarm about the measures contained in the Budget

We have calculated that taken together this would amount to a £150 million funding gap across the sector Wales without an NHS-style exemption or additional financial support

“Since 2020 40 Welsh care homes have closed and if more of them are forced out of business this will also place an additional burden on our hospitals which are already struggling to cope even before the onslaught of the added winter pressures

SAVE SOCIAL CARE

We are therefore urging you to support our campaign: Save Social Care, Save the NHS”

The increase in employer National Insurance Contributions (NICs) by 1 2% to 15% and the reduction in the earnings threshold from £9 100 to £5 000 would impose a significant extra costs on providers

It represents a 37% increase in employer NIC for a member of staff earning £25,000 a year which equates to the Real Living wage

The combination of changes to NICs and increases in National Minimum and National Living Wages in the UK Budget represents a huge amount of unfunded extra cost that will affect all providers in a sector where staffing costs make up between 65% and 80% of total expenditure

Average size care homes tell us that they are facing extra costs of tens of thousands of pounds with larger care homes facing even heftier bills amounting to hundreds of thousands One of our third sector members has calculated that the changes will cost them over £1 million

“This comes on top of years of underfunding that combined with the lack of a fair, standardised toolkit for calculating care fees, left the sector in Wales fragile even before the havoc wreaked by the Covid pandemic

Since then the gap between commissioned fees and the actual cost of care has grown ever wider with many commissioners failing to follow the principles of the Welsh Government s “Let s Agree to Agree” guidelines

COLLAPSING MARKET

The respected think tank the Nuffield Trust say the measures contained in the UK Budget could see swathes of the social care market collapsing under these extra cost pressures”

“They have warned that many businesses – especially smaller ones – are at risk of going out of business disrupting or ending vital care for many older and disabled people

“Another concern that’s been flagged up to us by members is the potential impact of the changes in Inheritance Tax on the care home market in view of the large number of family run SMEs and how this could affect continuity in the sector especially in the rural Welshspeaking heartlands of Wales where these businesses enable people to remain in their own communities

Their assets are not accumulated private wealth they are working capital assets – or tools of the trade – that provide for the continuance of the business and the jobs they provide

“TAX ON CARE”

“The former First Minister Mark Drakeford described social care as the ‘scaffold that holds up the NHS’ and losing care settings would be a disaster not just for the vulnerable individuals for whom we care and our dedicated workforce but also for hospitals across Wales

“The changes which amount to a tax on care threaten to become a national emergency which is why our campaign, Save Social Care, Save the NHS

Mr Kreft added: During the Covid pandemic the Welsh Government provided better emergency financial support than any other part of the UK and we need to see a similar level of support to overcome this potential national emergency

Local authorities and health boards need to be directed to play their part in ensuring this financial support reaches the frontline to ensure this tax on care does not cause a collapse of social care and create a hammer blow for the NHS

Energy Saving Measures for Care Homes

&

The care home sector is facing unprecedented financial pressures

Soaring energy bills coupled with the rising cost of living have put a significant strains on operational budgets Amidst these challenges, care home providers are tasked with maintaining the high quality of delivery their residents rely on - a service which is appreciated by millions To achieve this introducing a robust energy strategy is not only a smart move but a necessity Energy efficiency measures can help reduce costs, minimise your environmental impact, and improve the public s perception of your care home So how

in

manner? Before implementing any changes it s

An

will

uses

your

inefficiencies and find areas for

looking at

patterns heating systems insulation lighting and more Heating accounts for a significant portion of energy consumption in care homes Consider these measures to improve efficiency Upgrading your boiler enables you to use less fuel and produce consistent heat That can be expensive so look to implement smart thermostats which allow for more precise temperate control and adapt to usage patterns therefore reducing waste In addition proper insulation in walls roofs and windows prevents heat loss - an investment well worth considering LED lighting is a no-brainer LEDs consume up to 80% less energy than traditional bulbs, significantly reducing electricity costs On top of that the lights themselves last longer - meaning fewer replacements and lower maintenance costs whilst

By Fred Lowe, Director,

delivering a more natural light We have worked with a

The

Enfield Mayor And King’s Representative Attend

Dementia Emerges as Leading Cause of Death in the UK

Dementia remains the leading cause of death across the UK according to a comprehensive analysis based on data from national statistics agencies

Over 75 000 deaths were attributed to the condition in 2023 more than one in ten of all recorded deaths

With nearly one million people in the UK currently living with dementia experts predict this figure will rise dramatically to over 1 4 million by 2040 underscoring the scale of the challenge for health and social care systems

Hilary Evans-Newton Chief Executive of Dementia Research UK, highlighted the alarming findings: “This data paints a stark picture of the devastating toll dementia continues to take on individuals, families, and society Without decisive government action this crisis will deepen as our population ages ”

Ms Evans-Newton further noted the immense strain dementia places on public services stating:

“Dementia accounts for a quarter of hospital beds occupied by patients over 65 with costs to the NHS doubling in the last decade, driven by emergency admissions that are often avoidable The societal impact of dementia cannot be ignored ”

Dementia UK has proposed a series of actionable measures to alleviate the burden on families and improve care for those living with the condition

KEY RECOMMENDATIONS INCLUDE:

Enhancing hospital care for dementia patients to improve outcomes and reduce strain on NHS resources

• Addressing the financial strain on families by reforming the NHS continuing healthcare funding process to better reflect the unique challenges of dementia

Supporting younger individuals living with earlyonset dementia through age-appropriate services and targeted diagnosis initiatives

Strengthening primary care to ensure timely diag-

noses and adequate post-diagnostic support for all affected individuals

Jayne Connory, spokesperson for Care Campaign for the Vulnerable echoed these calls emphasizing the profound impact on caregivers and the care sector:

Dementia not only robs individuals of their independence but also places immense emotional and physical strain on families and carers The need for improved transparency safety and quality in dementia care is more pressing than ever

Ms Connory added that many families experience feelings of guilt and uncertainty when placing loved ones into care homes She urged policymakers to prioritize dementia research and support to alleviate this widespread concern

The burden of dementia is disproportionately borne by women who account for nearly two-thirds of dementia-related deaths In 2023 alone, over 48 000 women succumbed to the disease compared to 27 000 men

Across the UK, Northern Ireland recorded the highest proportion of deaths from dementia (11 7%) followed by England (11 6%) Wales (10 6%) and Scotland (10 2%)

Looking ahead Ms Evans-Newton described the government s forthcoming 10-Year Health Plan as a pivotal chance to transform dementia care and capitalize on advances in research and treatment She emphasized the importance of integrating new diagnostic tools and therapeutics to help mitigate the impact of dementia

This plan must prioritize future-proofing NHS dementia services and ensuring every person affected by this condition has access to the compassionate care they deserve ” she said

Care Minister Stephen Kinnock acknowledged the far-reaching impact of dementia on families including his own, and reiterated the government s commitment to supporting those affected: With our Plan for Change we aim to put the NHS on a stronger footing and create a society where individuals with dementia receive compassionate high-quality care from diagnosis to end of life By investing in research and ensuring timely access to innovative treatments, we can make meaningful progress in addressing this devastating condition

Care Home Welcomes

New General Manager

Sustainability Champions at Care UK

Celebrate Success of Wildlife Gardens

This year Care UK homes have been prioritising their outdoor spaces and celebrating biodiversity as part of a new initiative

As part of the Wildlife Garden project homes as southerly as Frome in Somerset and as northerly as Milltimber near Aberdeen set to work to make their outdoor environments more appealing to birds and pollinators

Homes had the choice to create a haven for birds – including the separate option of implementing a feeding station sew wildflower seeds for insects and pollinators or make their own bug hotel

They were then entered into an internal competition which saw overall winners Tor-Na-Dee take home a wildlife camera so that residents can continue to enjoy the results of their hard work

Colleagues at Tor-Na-Dee are no strangers to growing a great garden and encouraging sustainability Being in the rural area of Milltimber, near Aberdeen in Scotland they have taken full advantage of the greenery surrounding them Prior to the Wildlife Garden project Tor-Na-Dee’s garden already boasted plum and apple trees as well as raspberry plants They even have a pet chicken and most impressively three working bee hives which produce their own honey

For the Wildlife Garden initiative the home was keen to get as many people involved as possible Residents helped to research flowers which would attract bees and butterflies and helped colleagues to shop for these at local garden centres, with the green-fingered among them getting to work and helping to sow seeds Maintenance colleagues and local school children assisted some residents in installing bird boxes and the bug hotel whilst relatives also got behind the project by donating bird feeders, plants and benches for the memorial garden In addition colleagues set up a water butt and upcycled old unused palettes to build a compost heap

Maureen Barrett, Home Manager at Tor Na Dee said: “The project has been wonderful for residents relatives and colleagues alike – it s been a chance to work outside together and enjoy the special space we have here, led ably by our lead beekeeper and Sustainability Champion, Rathnayake Rathnayake Our gardens are filled with so much colour now and you can see the combination of shrubs plants and wildflowers are attracting bees and butterflies We are hoping to be able to spot some red squirrels on our new camera!”

Four other homes received recognition for their efforts in the project Appleby House in Epsom, Surrey, won the battle of the wildflower patches The home used the initiative to create a Forget-Me-Not allotment which has become an oasis for gardening activities and relaxation par-

ticularly for residents living with dementia Thanks to the dedication of colleagues residents and their relatives a total 1 200 of their 3 000 planted seeds were wildflowers This has led to a noticeable increase in bees in the garden

Invicta Court in Weavering, Kent, received a special gift which helped them win the bird-feeding category Having worked closely with a local college previously the home was thrilled when carpentry students donated them a bespoke bird box and bird feeder, which had been handcrafted during their course The intergenerational work didn t stop there and the home partnered with local primary school Bearsted Primary Academy, to create bird feeders Children and residents then filled and placed the feeders around the garden together As a result of this project residents have spotted a green woodpecker in the garden and their new bird boxes were home to a successful nest of blue tits

Another nesting success story came from Silversprings in Thorrington, Essex The home has acres of grounds which lent itself to residents supporting with bird feeders and bird boxes throughout the Wildlife Garden project – this is in addition to the flock of ducks that live in their garden Over in Sevenoaks Kent the Weald Heights care home impressed with their bug hotel As a result the team saw an increase in ants woodlice stag beetles lady birds and snails in their garden

The Wildlife Garden project is one of the first initiatives supported by Care UK s Sustainability Champions There of which there are now more than 80 Sustainability Champions across their care homes in England Scotland and Wales

Tony Weedon Strategic Programme Director at Care UK, said: “At Care UK, we recognise that sustainability is not just an option –

close to 100% of our general waste diverted from landfill last year

We re excited about initiatives like our Sustainability Champions programme which empowers our colleagues to drive change Beyond environmental efforts, we're investing in our teams through mental health support apprenticeships and financial well-being initiatives This holistic approach ensures we re creating a resilient responsible organisation that cares for both people and the planet "

Valued Newton Aycliffe Care Home Staff

Member Celebrates 25 Years Of Ser vice

A much-loved Care Assistant at HC-One’s Defoe Court Care Home, in Newton Aycliffe, County Durham, has received a prestigious Long Service Award in celebration of 25 years of service

Tracy Story a Care Assistant joined the team at Defoe Court Care Home on November 24 1999 as a Kitchen Assistant Tracy is a dedicated well-respected and much-loved colleague among residents and their relatives

Tracy has worked hard over the years to ensure residents needs are met and that residents receive the kindest possible care Tracy has developed and progressed in her career through a variety of roles

These roles include Tracy starting as a Kitchen Assistant upon first joining Defoe Court in 1999, before progressing to the role of Chef in 2003 which she did for ten years Tracy subsequently became a Housekeeper in 2013 before progressing to the role of Care Assistant, which she has been doing since 2018 which has been doing for six years

Tracy was presented with a £125 gift voucher to spend at a retailer of her

Social Care TV

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

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

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

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

Their feature-rich Manager platform has further been enhanced this year with the introduction of several new Manager tools designed to aid with compliance, reporting and trainee management Features now available include: Compliance Dashboard with Traffic Light System

Downloadable Trainee Matrix Custom Bundles

Trainee Groups Bulk Uploads Bulk Enrolment Onto Custom Bundles • Course Enrolment Notifications • Course Reminders

choice, two days additional annual leave to use in their anniversary year, a certificate and a badge by Sarah Davies, Home Manager of Defoe Court Care Home

Tracy Story Care Assistant at HC-One s Defoe Court Care Home commented: I have loved working at Defoe Court over the years and all the people I have met I love my role and the difference that we make It is a privilege to care for residents living at Defoe Court Care Home ”

Sarah Davies, Home Manager at HC-One’s Defoe Court Care Home, said:

“Well done to Tracy on reaching her 25 years of loyal service at Defoe Court Care Home I am delighted that Tracy has achieved this milestone It s great to see the loyalty and dedication Tracy shows every day to ensure our residents are provided with a happy place to live Tracy is amazing and puts her hands to anything she shares her knowledge and experience with the team to ensure all round kind care is delivered ”

SCTV regularly release new and updated high-quality courses Previews for all courses can be viewed at Courses - Social Care TV (www social-care tv/courses/course-details)

To enhance their learners' experience further they have created free, comprehensive subject-specific workbooks which were rolled out across all courses this year This unique addition provides excellent value and a fully robust training package

SCTV are delighted to have won several awards over the last 12 months including:

Best Online Health and Social Care Learning Platform – Global Health & Pharma Social Care Awards 2024

• CPD Provider of the Year’ – The CPD Awards

• Social Care Training Provider of the Year’ - Corporate Livewire Innovation & Excellence Awards Gold standard customer service remains a core staple of the business, with expert support and guidance provided via telephone, email and live chat They place great importance on the training and development of their customer services team to ensure

social care workers

SCTV believe that high quality training should be accessible to all and offer regular, free courses which include a digital certificate accessible via their website

The company stands behind a clear mission and set of values which define their ethos and their dedication to both the Care Sector and those within it These

social care community and the environment

Above all SCTV consistently strive to make a meaningful contribution to the wellbeing of those being cared for

For more information please see: Homepage - Social Care TV (www social-care tv) and see advert on the facing page

Social Care Sector Will Be Forced To Take Action Unless “Change Comes”

They

This

“If those things happen as the survey predicts, more and more people will end up going without the care they need adding to the 2m who currently can t access care Mr Padgham added ” We have been waiting more than 30 years for reform to social care seeing government after government kick the issue down the road time and time again This Government seems intent on doing the same avoiding facing up to reforming social care

“Central to the Government’s plans for the NHS

Local Care Home Residents Are Transported To Dickensian London

The Transformative Power Of Ethical Technologies In Mental Healthcare Ser vices

By Colm Dowling, Industrial Fellow of the Royal Commission

for

is knowing when they are likely to occur Care staff carry the immense responsibility of protecting residents and themselves from harm or abuse but they frequently have to make quick judgements about a person's level of risk, often with very little data There is a significant lack of readily available data to support these critical decisions, as we rely heavily on care staff to manually gather and record information a process that is both time-consuming and prone to gaps Staff can t be everywhere at once and therefore need better tools to support them in their roles

We ve seen the transformative potential of technology in physical healthcare - we now have wearable devices that monitor heart rate in real-time and scanning technologies that can detect early signs of cancer However we ve yet to see the same level of investment or innovation in mental health or other areas of care Furthermore when technology is introduced in these settings it is often intrusive and may adversely affect recovery For example cameras or body-worn devices may provide some level of additional monitoring capability, but they can make service users feel they are being surveilled or mistrusted, often exacerbating feelings of isolation or distress

There are better technology alternatives that already exist today Radar technology can identify a person s location and detect signs of life without identifying the person or requiring them to wear any kind of tag Imagine a resident waking in the night agitated and pacing their

room A non-visual radar sensor detects the unusual activity and alerts the care team who are able to intervene promptly to provide support preventing the situation from escalating Over time the resident and their family can access data that helps them understand patterns and triggers, empowering them to take a more active role in managing their care and ultimately reducing their risk of harm

The power of these technologies can be leveraged to create a holistic platform that can address this challenge in healthcare settings The adoption of these new technologies will require forward-thinking leadership and a commitment to evaluating their impact on both staff and service users Crucially, any new technologies should lighten the burden on staff, not add to their workload They should integrate seamlessly into existing practices allowing care workers to focus on what they do best building meaningful human connections with those in their care At the same time these tools must deliver meaningful benefits to service users empowering them with insights into their own care and fostering a sense of collaboration and agency

This is what ethical technology can achieve - supporting staff in their role while fostering collaboration understanding and dignity for service users By embracing ethical technologies tools that are respectful of privacy and designed with care in mind we can create safer more supportive environments that respect and enhance the well-being of everyone involved

Charity Fashion Show Raises £502 for Mayor’s Chosen Charities

Bagshot Gardens Care Home successfully raised £502 for the Mayor’s chosen charities during a recent fashion show providing vital funds to support the local community

The event held at the 94-bed care home brought together residents staff and members of the local community for an evening of stylish items refreshments and community spirit Guests enjoyed a welcome drink and canapés before the show began The Mayor of Surrey Heath Councillor Sarbie Kang and Deputy Mayor Councillor Louise Ashbery attended the fashion show and expressed their sincere gratitude for such a successful and enjoyable event

Natahsa Van Marle Well-being Co-ordinator at Bagshot Gardens Care Home who organised the event said: We re incredibly grateful for the generosity of everyone who attended purchased tickets and contributed to this wonderful evening Events like this not only support important causes but also brings our community closer together

Several of the staff from the care home modelled during the event showcasing the clothing provided by Travelling Trends a fundraising fashion show company The collection featured seasonal pieces from well-known high street brands and attendees were able to purchase items from the show All proceeds from the evening were donated to support the Mayor’s chosen charities – Camberley Care Trust and the South East Coast Ambulance Service Fund

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

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

Lords Science And Technology Committee Warns Of UK’s Capacity To Manufacture Vaccines For Future Threats

AN influential cross-party Lords Committee has written to the Government to raise concerns about its preparedness for future pandemics, describing the current situation as “troubling”

In a letter to Pat McFadden Chancellor of the Duchy of Lancaster Baroness Brown of Cambridge, chair of the House of Lords Science and Technology Committee said experts had raised troubling concerns about (the UK’s) capacity to manufacture vaccines for future biological threats”

She said a resilient domestic vaccine research and development and manufacturing sector was a “critically important sovereign capability for security against the next pandemic

“Recent developments raise concerns, and the sector needs renewed focus and Government support to ensure that lessons are learned from the Covid-19 pandemic and capacity retained ” she said

The committee’s letter cites concerns that while the UK was wellplaced to develop a world-leading vaccine research and manufacturing sector, it had failed to capitalise on its advantages while other countries had been increasing their investment

While the committee was told the EU had introduced a scheme to place contracts with four contract manufacturing organisations for example, to provide a variety of vaccine options, in the UK, some vaccine work had been mothballed and there were concerns that an agreement with Moderna may only cover mRNA solutions

The committee’s letter also refers to evidence heard by peers that the US and Japan were researching oral and intranasal vaccines which

might be easier to distribute and may induce stronger immunity in mildly infected people which might stop a virus transmission

Among those who gave evidence to the committee were several experts who played prominent roles in developing the OxfordAstraZeneca COVID vaccine, including Professor Catherine Green OBE, co-author with Dame Sarah Gilbert of the book Vaxxers The Committee heard that Prof Green’s facility one of the few in the country that can manufacture the first batch of vaccine doses for clinical trials still relied on inconsistent grant funding for its continued operations The experts warned that the UK could not take for granted the ability to manufacture vaccines for future pandemics and expressed concern about its preparedness to do so for future outbreaks THE LORDS SCIENCE AND TECHNOLOGY COMMITTEE MAKES FOUR RECOMMENDATIONS:

The UK’s vaccine manufacturing and R&D sector must be kept active to ensure skilled teams and supply chains are ready to scale-up in a crisis This could be achieved it says by establishing a peacetime vaccines taskforce which would procure vaccines to address outbreaks across the world and maintain the UK’s vaccine production capacit

The Government should provide regular updates on the UK Biological Security Strategy’s work and conduct regular pandemic preparedness exercises

• The UK must support a portfolio of difference vaccine technologies as there are concerns that the Government may end up being over-reliant on one partnership with Moderna and

Newton House Makes Resident’s Dream Come True

The

It also sets

Guarding Healthcare: The Imperative of Effective Data Management

By Hervé Chapron, SVP & General Manager

Safeguarding sensitive data and cybersecurity in the care sector remains a major concern calling for a high degree of data integrity

Yet a recent report revealed that 30% of CQC registered care provider locations lack up-to-date security measures

This alarming statistic highlights the urgent need for a robust data management system to protect devices resident confidentiality clinical outcomes and financial resources

PREVALENCE OF CYBERSECURITY THREATS

Recent statistics on cyber-attacks targeting healthcare and care providers are worrying The European Repository of Cyber Incidents has recorded a significant increase globally with the number of events rising from 32 in 2022 to 121 in 2023 This rise exposes the critical vulnerabilities that care providers face

Care England outlines several specific threats including data breaches that involve unauthorised access to resident or staff records, leading to identity theft, fraud, and privacy violations Ransomware attacks are another major threat where malicious software can encrypt critical files rendering them inaccessible until a ransom is paid

Phishing scams are a further concern as fraudulent emails or messages may trick staff or residents into sharing sensitive information or clicking on malicious links

Cybercriminals can also exploit network vulnerabilities due to weak infrastructure or outdated software and hardware to infiltrate systems Therefore healthcare providers must understand and address these vulnerabilities to prioritise cybersecurity measures and stay vigilant against evolving threats

Equally outdated or insufficient security measures can place some healthcare providers at significant risk of digital exclusion, impacting the care homes future As the world increasingly relies on technology, those who lag in adopting sufficient cyber defences may find themselves left behind PREVENTING DISRUPTIONS

Ransomware attacks and data breaches can incapacitate care facilities Recently in the UK a blood testing centre for the NHS was targeted in a ransomware attack Personal patient data was compromised and there were significant delays in patient care Attacks like these These attacks not only compromise care resident s confidentiality but can also disrupt essential healthcare services Such disruptions create a domino effect potentially placing numerous lives at risk

Operational efficiency also suffers Care facilities may face hefty fines for not protecting their resident’s

information plus the costs of restoring data and systems

Ensuring seamless and uninterrupted care services is essential for the well-being of care residents, and the protection of carers as well Secure data systems play a crucial role in maintaining high service quality by enabling continuous healthcare delivery

PROTECTING RESIDENT CONFIDENTIALITY

Respecting care resident s privacy rights isn t just an ethical requirement but also a legal obligation

Implementing the following three actions will ensure care facilities comply with both: Multi-factor authentication (MFA)

Implementing MFA to your internal system introduces additional security layers requiring external verification for login access This measure significantly diminishes the risk of unauthorised access as a potential intruder might breach the first security layer but will be stalled at subsequent ones

• Employee Training

Educating staff on data security and best practices, such as recognising phishing attempts and crafting secure passwords is crucial This boosts their awareness and minimises human errors that compromise the system

• Data Encryption

Care providers can add a critical layer of security by encrypting resident data both during transmission (in transit) and while stored (at rest) Encryption renders the data unreadable to unauthorised people protecting sensitive information from potential breaches

ENHANCING CARING OUTCOMES

Care providers who manage multiple facilities can find it challenging to keep up with increasing data volume and complexity from a multitude of sources Knowledge transfer can also be problematic with highsecurity risks There is both the data from the business and the data of care residents that needs to be protected

However with a comprehensive data management system care providers can leverage the power of all data regardless of source to ensure data integrity When data is correct and readily available decisionmakers can rely on it to make well-informed choices that enhance operational efficiency and strategic objectives

Data management systems are indispensable in healthcare for protecting devices securing patient confidentiality enhancing clinical outcomes and safeguarding financial resources As cyber threats evolve the care industry must remain vigilant and consistently update its cybersecurity practices to stay ahead of risks and ensure optimal protection for all stakeholders but most importantly, the people they care for

Anchor and Cognitive Books Hold Special Event to Reminisce About Classic Coronation Street

“The photoshoot was good fun and I enjoyed speeding up the scooter to make sure Sarah had to keep up with me!”

Betty 92 a former primary school teacher said I don t normally like having my photograph taken but I was very pleased with how they turned out

Kirstie Hercules, director of SureCare Central Cheshire, which is based in Nantwich said: We wanted to take some photographs to show the real lives of our residents We knew it would be uplifting but we didn’t realise just how moving it would be as the people we cared for opened up and shared their memories

Tina Jones, co-director of SureCare Central Cheshire, said: Everyone got so much out of the day that we want to repeat it to bring more smiles and to showcase some of our superb carers who provide incredible care to the people we look after All clients and carers have been presented with printed copies of their photographs which were taken by Paul Elliot Photography

EMEA, Semarchy (www semarchy com)

These Festivities Can Help Over 65s Stay Healthy Over Christmas

As Christmas approaches, many people across the UK will be celebrating with their older family members The festive season brings with it darker nights, cold weather and seasonal illnesses, so it’s important that extra care is taken to help the over-65s stay fit and well

Experts at care provider Ideal Carehomes (www idealcarehomes co uk) now part of the HC-One family of care homes have shared their

the winter months when seasonal coughs colds and flu are more prevalent

Over-65s should ensure they eat plenty of nutrient-rich foods, such as fruit and vegetables whole grains meat fish and pulses to keep their immune systems boosted over the winter and their body functioning well Sprouts which are a staple over the Christmas period are a great source of vitamin C which boosts immunity and vitamin K which helps to keep bones strong

keeps the heart healthy which can improve blood flow and circulation, helping areas of the body that people often feel the cold in like hands and feet, to heat up

For those that have trouble moving too much activities such as seated yoga can be a great way to stay active without overexerting themselves Fitness sessions that can help improve balance and strength can also prevent falling or unsteadiness these are all classes that we offer within our homes ”

BRING OUT THE CHRISTMAS JUMPERS

As we age our bodies begin to lose muscle mass which means they have to work harder to regulate our temperature

When the temperatures drop seniors need to wrap up well using multiple layers of clothing including a waterproof coat if they are going outside to ensure they stay warm and dry – it’s the perfect time to dig out those Christmas Jumpers!

Karen Williams, Care Home Manager

Deborah Watkinson-Pope, Kitchen Manager at Brize Meadow Lodge explained Winter is a great time to enjoy seasonal produce like carrots kale sprouts and cauliflower which are all packed with vitamins a source of fibre and at their most nutritious during these months Vegetables work well in soups making them the perfect warming meal for a chilly day

“It’s also important to stay hydrated in the cold months as dehydration can cause body temperature to drop Ensure older family members are drinking regularly Hot drinks will warm up the body quickly mulled juice is a tasty festive option, but a glass of water works just fine if they’d prefer a cold beverage ”

KEEP ACTIVE

Whilst the dark evenings and icy conditions outside may make it harder to get out and about this doesn’t mean exercise is off the cards Instead physical activities that can be done indoors such as putting up Christmas decorations, dancing to festive songs or at-home workouts can be used to stay active

Lyndsay Sard Home Manager at Millcroft Care Home said We all know that keeping active is important throughout the year, but in winter, it brings the added benefit of helping us stay warm too Regular exercise

Generations Unite in Joyful Playtime at Rotherham Care Home

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

Average Private Care Home Fees Up 9% Year-On-Year Underpinned By A Shortage Of Beds

Occupancy levels across private care homes in the UK have returned to and in some cases exceeded the pre-pandemic long-term average to reach 88% according to Knight Frank s 2024 Healthcare Trading Performance Report The figure represents a 2% increase on 2023 and is the highest average occupancy rate since 2019 as structural trends continue to fuel requirements Occupancy levels fell

with the sector now having witnessed a

recovery having seen steady annualised increases in line with growing demand from an ageing population across all regions

The global property consultancy surveyed 80% of the UK s corporate care market, which comprises over 100,000 care beds across 781 towns and cities Higher occupancy levels have seen average weekly care homes fees grow 11% year-on-year and is currently £1,182 per week As a result earnings before interest taxes depreciation amortization

Millard House Hosts James Cleverly

MP to Discuss Social Care Challenges

Care Home Provider Champions Intergenerational Activities

Cromwell Care, a North Yorkshire-based care home provider with homes in Whitby and Scarborough has highlighted the importance of intergenerational activities

The provider behind The Mayfield Care Home soon-to-open Cayton View Care Home and part of Danforth Care hosts monthly visits from local nursery children, where residents are encouraged to chat and play with their young visitors

Tobyn Dickinson, CEO of Cromwell Care explains, “At The Mayfield, we enjoy frequent visits from our friends at Little Rainbows Nursery Our residents adore seeing the children and it s always a heartwarming experience bringing with it so many benefits for all involved

We ve seen first-hand the instant mood lift this can bring to residents with their storytelling often sending laughter echoing around the room The opportunity to chat and explore fond memories with the youngsters offers great cognitive stimulation, something that is important at any age

“The visiting children are always full of energy and activities like dancing and games such as throw and catch are firm favourites These games actively encourage residents to get moving helping them stay physically fit and improving their mobility and balance

“I think the most important benefit of encouraging these intergenerational activities is the involvement with the local area and the sense of belonging this brings with it Moving into a care home can wrongly be viewed as isolating Across our homes we never want this to be the case, so intergenerational activities are just one of the ways we ensure our residents feel part of their community and are a fantastic way to bring us

all together

After the success of intergenerational activities at The Mayfield in Whitby we are looking forward to introducing this initiative at our brand-new home in Scarborough Cayton View which opens in December

Lydia Sythes owner of Little Rainbows Nursery also comments, “The children take such enjoyment from their visits to The Mayfield one of our regular curriculum enrichment opportunities, and are always looking forward to their next visit

“In the last year we’ve shared stories with the residents for World Book Day sang songs danced got creative with our colouring pens and even celebrated with them at their spooky Halloween party which was a firm favourite for many of the children Our Christmas visit is coming up and the children can t wait to sing carols with the residents

“The children get just as many benefits from these visits as the residents do Improved communication skills an increased ability to empathise, and the development of intergenerational understanding are just a few examples all of which are so important to developing children of this age

Tobyn concludes “For us at Cromwell Care championing intergenerational activities within the care sector comes naturally because the benefits are so obvious Not only do we improve the well-being of our residents but we also help set the foundations for the younger generation to thrive

“In the long term, we hope this will lead to an even more positive relationship between the different generations as the children grow up and begin to replicate the skills learned with their own juniors

Trio Of New Appointments For Scottish Care Home Group

Sarah said She is passionate about challenging any stigma surrounding care homes by showcasing the hardworking and committed people who work in the homes – who go the extra mile and make each day matter for the people they care for At a senior level Tracey McMillan has joined Renaissance Care as Quality Manager for North

Anchor Ipswich Care Home Brings Community Together Through Knitting and Gardening

Lynne Rennie

Sarah Gray

Tracey McMillan

Investors Urged To Tackle Exploitation and Improve Labour Rights In English Care Sector

New research from the University of Nottingham and funded by Friends Provident Foundation, highlights the role investors and government can play in helping to improve labour standards throughout the English care sector

The research reveals that while the adult social care sector in England is both important and troubled socially and financially there is evidence of a wide spectrum of abuse including illegal payments below the level of the national living wage and more serious forms of exploitation such as debt bondage and threats of the withdrawal of sponsorship leading to the risk of deportation

Around 1 79 million people, predominantly female were employed in social care in England in 2022-23 with forecasts predicting this to increase by a further 490 000 by 2035

But low wages and a lack of career progression have led to difficulty recruiting new workers in the sector with around 152 000 vacancies reported in 2022-23

The previous government turned to transnational migrant workers to address this shortfall with 146 477 visas issued to main applicants in 2023 under a ‘Health and Care Visa’ sponsorship This, however, was coupled with a spike in the number of labour exploitation cases reported by care workers to the UK s Modern Slavery helpline with 918 potential victims identified in 2023

In 2017 the Competition & Markets Authority (CMA) valued the care home sector as worth around £15 9 billion a year and raised serious concerns about its long-term financial sustainability, particularly among

those providers of care for local authority-funded placements

The vast majority of care in England is now delivered by private, forprofit providers Investors have a key role to play in ensuring the care sector s financial and social sustainability Given this influential position they can also demand higher labour standards in the companies they finance This would be in-keeping with investors commitments to be responsible actors

The team behind this research, led by Dr Caroline Emberson and Coinvestigator Dr Subhan Ullah from the University of Nottingham have made a number of recommendations to investors and the UK government based on this work to improve standards in the sector

1 Investors with direct links to care operators and properties (e g private equity firms and real estate investors) should adopt measures to set and monitor labour standards and conduct labour-related due diligence on the companies in which they invest

2 Investors with indirect links to care operators and properties (e g pension funds) should explicitly expect private equity firms and real estate investors to follow recommendation 1

3 The UK Government should legislate to ensure that care workers have the right to organise and engage in collective bargaining

4 The UK Government should ensure that any funding improvements are tied to care quality and minimum safe staffing levels

5 The UK Government should mandate the disclosure of legal ownership structures and human capital metrics within annual statements prepared in response to section 54 of the UKs (2015) Modern Slavery Act

6 The UK Government should launch a public inquiry into working conditions within the care sector

Dr Caroline Emberson Assistant Professor in Operations Management said of the findings: Our research reveals the complex financial ownership structures which underpin the provision of social care in England Our interviews which included representatives from pension funds and private equity investors highlight a range of possible interventions through which these actors could help to address labour rights abuses within the English care sector

Dame Sara Thornton CCLA Investment Management and Rights Lab Professor of Practice, said “There are significant concerns about the exploitation of workers recruited into the social care sector As investors we believe that active stewardship of the assets in which we invest can make a difference This briefing is an important exploration of how investor influence can be brought to bear to protect vulnerable workers in social care ” Charlie Crossley Investment Engagement Manager at Friends Provident Foundation said Investing in the care sector is a crucial underpinning to a fair and sustainable economy This research highlights serious challenges and risks to workers It also provides actionable strategies to drive improvement Leading investors are already showing how more responsible practices can reshape the sector With demographic trends pointing to growth investors and government have an unprecedented opportunity to create a more ethical sustainable care system ”

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

and

Whether

Next Steps On Addressing Carer’s Allowance Overpayments Announced

The government has announced the next steps with a major review of the Carer s Allowance as it aims to put an end to the controversy of carer benefit overpayments that have landed hundreds of thousands of people in debt

In October, Work and Pensions Secretary Liz Kendall announced that a review would take place into issues with the Carer s Allowance following increasing reports of carers unknowingly accruing large amounts of overpayments of the allowance and finding themselves in crippling levels of debt

• Review terms of reference published marks an important next step to help unpaid carers across the country

An independent review to investigate earnings related Carer’s Allowance overpayments was announced in mid-October

Publication of Terms of Reference follows changes to the earnings threshold announced in the Budget which will benefit more than 60 000 carers by 2029/30

The Independent Review of Carer’s Allowance takes its next step to supporting unpaid carers by publishing its terms of reference today [Monday 9 December]

The review – announced by Work and Pensions Secretary Liz Kendall earlier this year and led by Liz Sayce OBE – was established to investigate the reasons why overpayments have occurred for some carers as part of our mission to rebuild Britain and support working people

It follows concerns over reports of carers unknowingly accruing large amounts of overpayments of Carer s Allowance signalling the Government s commitment to learn lessons and get to grips with the issues

Now the scale and scope of the review has been confirmed with the publication of its terms of reference IT WILL EXPLORE:

How overpayments of Carer s Allowance linked to earnings accrued and why this has happened

What changes can be made to reduce the risk of such overpayments accruing in future

What DWP can best do to support those who have already accrued overpayments

Minister for Social Security and Disability, Sir Stephen Timms MP, said “Carers wishing to pursue more financial independence should be encouraged to do so and not be unknowingly punished

“We need to get to the bottom of what has been going on Publication of the terms of reference is the next step in this important work The Review also builds on the action we ve already taken to boost the earnings threshold which will benefit more than 60 000 carers

The review is expected to deliver its findings and recommendations to ministers by Summer 2025

Chair of the independent review, Liz Sayce OBE, said: “I’m pleased my important work on this review is now starting in earnest I have already started to hear from carers about the impact overpayments have had on them in a context in which people face multiple pressures in their lives I will be collecting views and evidence as I review the issues and develop recommendations

In doing so I will be able to advise the Government on ways to minimise overpayments of Carer s Allowance related to earnings accruing in future and how it can best support those already affected

“Action has already been taken by the Government by boosting the Carer s Allowance earnings threshold by £45 a week to £196 benefitting more than 60,000 carers by 2029/30 This is the biggest ever cash increase in the earnings threshold for Carer s Allowance

Helen Walker Chief Executive of Carers UK said: “We are delighted to hear that this important review into the Carer’s Allowance overpayments scandal will now be getting underway quickly and we will be a step closer to changing a broken system which has seen more than 134 000 unpaid carers paying off debts and many experiencing emotional distress and hardship as a result

We know many carers who have been impacted are keen to share their story with the chair of the independent review, Liz Sayce OBE, and we look forward to submitting the evidence we have gathered on the issue from over 160 carers affected by overpayments

“It is vital that we see clear recommendations and changes implemented quickly so we can prevent as many overpayments as possible from happening in the first place as well as reducing the size of the debt for unpaid carers who are often living in very challenging financial circumstances

“We hope that the independent review will look carefully at the harsh ‘cliff-edge’ nature of the earnings limit in Carer s Allowance whereby exceeding the limit by a tiny amount means having to pay back the whole benefit, as well as considering what could be done to reduce the burden on carers who have existing large debts and could have been notified sooner by DWP We look forward to seeing its conclusions early next summer

While not within the scope of this review we would like to see further work by the Government to assess the adequacy of Carer s Allowance and other financial support for unpaid carers to ensure they are properly supported whatever their circumstances whilst they provide vital care for others ”

Havering Care Home Make Resident’s Wish

Come True With ‘Posh’ Afternoon Tea

Premier Community Unveils New Tech-Enabled Care Ser vices

Premier Community, a leading provider of home care services across Nottinghamshire and Derbyshire has officially announced the integration of Access TEC (Technology Enabled Care) into its community care services This strategic initiative reflects the organisation’s commitment to delivering a more holistic outcome-based care model that adapts to the evolving needs of its clients aligning with Labour s vision for a healthcare system focused on digital integration workforce expansion, and preventative care that keeps people independent in their home, rather than in hospital Dan Isterling, Managing Director of Premier Community said: "At Premier Community, our mission has always been to provide exceptional care that enhances the lives of our clients and their families As we continue to uphold this commitment we recognise that the care landscape is evolving We are excited to announce our strategic initiative to integrate assistive technology alongside our traditional home care services to remain at the forefront of this change

In line with Labour's integration of care approach the introduction of Access Assure powered by Access TEC enhances Premier Community s services with advanced features These include

complements

As

Hospice UK Warns Of ‘300 Closed

Beds’

In English Hospices

Around 300 hospice inpatient beds are currently closed or out of use in England Hospice UK has warned Lack of funding and staff are the primary reason why many of England’s 170 hospices have had to close beds permanently or take them out of use The hospice sector’s maximum bed capacity in England is around 2,200 inpatient beds meaning 14% are currently closed

The new data shows that around 300 beds are not available for patients in England’s hospices having either been fully de-registered or taken out of operation The figure accounts for around 110 000 days and nights of care unavailable – before even accounting for further pressures in hospices community services where most care is delivered

Hospice UK, which represents the UK’s 200+ hospice sector, has been warning for months of significant pressure as around a fifth of hospices warned of service cuts earlier in the year

It has called on the Department of Health and Social Care to provide £110 million in urgent funding for England s hospices to prevent further cuts This funding would stabilise the hospice sector and prevent further cutbacks to hospice capacity, both in terms of inpatient beds and community services for patients at home

Annette Alcock, Hospice UK’s Director of Programmes, said: “This worrying survey lays bare just how much more hospices could do if the long-term systemic challenges they face like funding and staffing were resolved This situation is getting worse not better and in light of last week’s vote on assisted dying it feels even more of a pressing challenge to resolve

Hospice care is not only fantastic for patients and families it relieves huge pressure on the NHS too The government is rightly intent on shifting more care out of hospital into the community, and hospices are here to do exactly that for patients approaching the end of their life

“But the reality is that the way that hospices are currently funded and commissioned by the NHS is acting as a huge cap on what they can do along with underlying pressures like staff shortages If the government

can act in both the short and long term to resolve these problems, these figures are clear evidence that hospices can do a lot more for patients and a lot more for the NHS

That s true out in the community too where most of hospice care is actually delivered With better funding and commissioning, hospices could provide so much more care where people most want it – at home

Elinor Eustace Chief Executive Officer at St Giles Hospice in Lichfield

said: “It’s been a profoundly difficult time for St Giles recently and we’ve had no choice but to consolidate our services reducing our Inpatient Unit beds from 23 to 15 and saying goodbye to a number of valued colleagues

The decision to reduce our workforce and bed capacity has been agonising, but the long-term future of St Giles is at its heart Like many hospices across the UK we re grappling with a real-terms reduction in statutory funding while simultaneously managing significant increases in operational costs

“We strongly support Hospice UK and advocate for urgent reform of hospice funding to enable us to continue to provide outstanding end of life care to local people and their loved ones where and when they need it Hospices, like ours, are a critical part of our health and social care system and more must be done, for the sake of our local communities to make the sector sustainable

The data is released following consistent comments made by the Health and Social Care Secretary Wes Streeting and Prime Minister Keir Starmer that more support for hospice care is on the way with an announcement due before Christmas

Hospice UK has warned that the recent increase in Employer National Insurance is a “kick in the teeth for a sector already on its knees and requested £110m in urgent recurring funding until long-term reform is put in place

The charity says that support for the sector must go beyond simply compensating for the tax rise given much broader and longer-standing financial pressures, most notably the need to match NHS salaries for which hospices receive no additional funding

Bingham Care Home Knitters Donate Blankets To Children

At Nottingham Hospital’s Sexual Assault Referral Centre

Launch of UK’s 1st

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

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

HMS Prince Of Wales Crew Make ‘Inspiring’

Visit To Broughton House Veterans

Care Home Sends Christmas Cards to Schoolchildren and Orphans in Kenya

Sea is run by care providers Diagrama Foundation who support vulnerable children, young people, and adults to live their best life Earlier this year the Foundation opened a Go Fund Me page to raise £5 000 to provide the basics for the 300 orphans and schoolchildren who attend the Friends Spotlight School in Homa Bay

Care Home Waste Management Specialist

Business Development Manager

Brought

As

This

Connaught Care &Bluecrest Wellness Lead The Charge On

Men’s Health Through Ambitious ‘Movember’ Campaign

To

Organised as a joint fundraising effort across both companies all funds will go to supporting Prostate Cancer UK s research, education, and support programs Their efforts were led by Connaught Care s CEO Andrew Winstanley and Finance Director Iain Gordon – who’s formidable moustaches inspired dozens of staff to join the fun!

Commenting on the success of the campaign Andrew Winstanley said:

Movember is a fantastic initiative which we are really proud to be taking part in with Bluecrest Wellness! This year our mission was to help shine a spotlight on this terrible disease, which we know disproportionately affects older men in the UK Unfortunately for many people there is still

a very real stigma around discussing these kinds of personal health issues; which can make recognising

early symptoms and getting timely treatment difficult Dominique Kent, CEO of Bluecrest Wellness, said: “At Bluecrest we re passionate about making a difference Until recently more women than men booked annual health checks But thanks to awareness efforts October and November saw more men stepping up for health checks than ever before

A huge thank you to everyone who donated supported, and shared the message Together, we’re breaking barriers and changing lives

Led by the senior leadership teams at both companies this collaboration was a passion project for staff who see the impact of prostate cancer every day

Despite recent advances in the treatment of prostate cancer it remains one of the most common forms of the disease amongst men It accounts for about 28% of all male cancer cases from 2017–2019 and causes around 12,000 deaths each year in the UK Sadly, incidence of the disease also seems to increase with age with the highest rates in the 75–79 age group

Colleagues At Derby Home Celebrate Combined Long Ser vice Of 20 Years

Rebecca Becky Roe and Rachael Simpson both started working at MHA Willowcroft in 2014

Two colleagues from a Derby home celebrated their combined long service at the home which came to 20 years

Rachael Simpson and Rebecca ‘Becky Roe both work at MHA Willowcroft and have been doing so for the last 10 years

Their combined service of 10 years was recognised by the home as they received a bouquet of flowers and a certificate MHA Willowcroft provides residential and residential dementia care for 60 residents

Rachael Simpson, who works as a Deputy Home Manager said: “I had a work colleague who persuaded me to apply for a job as senior carer at Willowcroft back in 2014 we worked together she had left to join Willowcroft it was the best decision I have ever made and have had 10 enjoyable years with MHA I have had the pleasure of meeting lots of wonderful residents who keep me coming to work each day

I have been part of some fabulous teams who make coming to work easy and it’s like being part of one big happy family

We have experienced so much together good times some really awful times through covid but it just makes us stronger resilient and to keep on smiling It feels great to still be here 10 years later and I am very grateful to be given the opportunity to progress, I have had wonderful supportive managers, that makes a massive difference

“For me working in care, the clue is in the job title, care, if you’re a caring person this is the job for you

Becky, who works as a care assistant added: “I still very much enjoy my job 10 years on “I did think I would be here for a long time as the place I worked in prior to this role I started when I was 18 and worked there for 11 years

MHA Willowcroft is a lovely place to work I have made some great friends and I have a great relationship with residents

•

Middlesbrough Home Raises Over £1100 From Christmas Fayre Which Attracts Over 100 Visitors

A Middlesbrough care home welcomed the festive season by hosting a Christmas fayre and managed to raise over £1100

MHA Montpellier

“We

“The

A Christmas Fete Wrapped With Joy

Mansfield Care Home Hosts Successful Christmas Craft Market Event

of staff and volunteers from Abbeyfield were honoured to attend the Together at Christmas Royal Carol Service at Westminster Abbey on Friday 6th December

Hosted by HRH the Princess of Wales and supported by the Royal Foundation the event brought together and recognised those who have gone above and beyond to help others in their communities throughout the year Abbeyfield a charity that manages a range of housing and care services for older people nationwide were invited to nominate four people to attend the event the purpose of which was to ‘thank those who have been there for others during life s challenging times showing empathy love and kindness

Being granted places at the Abbey continues a longstanding tradition of royal support for Abbeyfield which has enjoyed the patronage of His Majesty King Charles for 45 years The King maintains a keen interest in Abbeyfield s work and has in the past lent his name to their Royal Patron s Awards, presented to those who have made an outstanding contribution to the organisation

Valerie Bird a resident at Hope Bank View independent living complex in Sunderland, was nominated to attend the Carol Service for her work in founding and running a weekly Knit and Natter group for her fellow residents at which they make blankets for a local hospice and baby care unit On top of this Valerie organises a weekly bingo session which is always popular and well-attended She has also been a volunteer for Age UK for many years and was a councillor for MIND

Caroline Edis who has volunteered for over two years at Pratt House care home in Amersham, Buckinghamshire was also nominated to attend the Carol Service Whenever she visits Caroline takes the time to talk to each individual resident, lifting the mood with her positive attitude and great sense of humour and as a result is counted as a friend by many of them She also gives invaluable support to the staff team so that they can provide an array of events and activities that ensure the residents remain stimulated and have the opportunity to socialise with their fellow residents and others from the local area

Alongside Caroline and Valerie who give their time for free two members of staff were also chosen to attend the Carol Service

Geraldine Maguire is the House Manager at St Finnian s sheltered housing scheme, part of Abbeyfield Belfast, and has recently surpassed 30 years of working there having started as a carer in her twenties She focuses much of her effort not only on the day-to-day running of the house but also in establishing it as a focal point of the city by championing and raising awareness of the crucial services it provides In doing so Geraldine manages to realise one of Abbeyfield s founding principles: that all residents should feel connected to and a valued part of their local community

The final nominee to attend the Carol Service was Jay Ward, the Activities Coordinator at Abbeyfield House care home in New Malden Surrey Aside from organising a

and I was proud to be there representing Abbeyfield; I felt like I was flying the flag for my fellow colleagues and the volunteers who support us all who go above and beyond to support our residents continuously, especially at this time of year It was a truly unforgettable occasion a highlight in my career and one I ll never forget Abbeyfield Living Society CEO Paul Tennant said “It is a great honour for Abbeyfield to be represented at this special event

Our staff are tremendous in their dedication to our residents and we are grateful to the team of volunteers whose support enables us to enhance the services we provide

We also have a proud tradition of empowering residents to use their invaluable skills expertise and experience within their Abbeyfield community, take ownership of the activities they enjoy and maintain a sense of purpose in later life

“We look forward to continuing to celebrate the contributions of our residents staff and volunteers and our Patronage with His Majesty

The service will be broadcast on Christmas Eve on ITV1

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

Barton Manor Hosts Christmas Dinners for Wisbech Rotar

Club, Celebrating Community Spirit This Holiday Season

Barton Manor Care Home is proud to have been hosting Christmas dinners for the Wisbech Rotary Club one of the world’s largest humanitarian service organisations With over 1 4 million members across 200 countries and 1 500 clubs in the United Kingdom the Rotary Club plays a vital role in supporting communities locally and globally The collaboration between Barton Manor and the Wisbech Rotary Club began in November when Andrea General Manager at Barton Manor had a conversation with a Rotary Club member during one of the home s

As the festive season approached the two discussed the challenges of organising Christmas dinners for a

and Andrea offered a generous solution She proposed hosting a weekly Christmas lunch for the

free of charge over the course of three weeks as a heartfelt thank you for everything the Rotary

for the local community and beyond This week, Barton Manor hosted its second

and the team provided impeccable service for the Rotary Club members ensuring a memorable experience

The members were treated to a delicious three-course dinner prepared by Barton Manor’s talented chefs Following the meal the Rotary Club hosted a charity raffle adding an element of fun and generosity to the event To add to the festive atmosphere one of the Rotary Club members dressed as Santa and handed out Christmas gifts to each of the members The celebrations continued with a live performance by Alysha a local singer and carer at Barton Manor who had everyone dancing and singing along to classic Christmas tunes The event was further enhanced by a thoughtful donation from the local Wisbech Tesco, who provided a small houseplant for each Rotary member to welcome

These

tions

Residents Enjoy Some Festive ‘Animal Magic’

Care South Spreads Festive Cheer at

care provider which operates across the south of England brought festive magic to its homes and Care at Home offices with creative events to entertain the residents while raising awareness of Alzheimer’s Society, which runs the national awareness campaign Elf Day each year All of Care South’s care homes and Care at Home offices take part in the event each year donning elf outfits Christmas jumpers and Santa suits for the occasion

In a heartwarming display of generosity and community spirit Care South raised a remarkable total amount of £1,000 for the Alzheimer's Society through a series of festive and engaging activities across its care homes and offices

Alzheimer’s Society reports that one in three people born in the UK today will be diagnosed with dementia in their lifetime It also reports that an estimated 1 4 million people are expected to be living with dementia by 2040 All of Care South’s care homes cater for residents living with dementia – some more specialist than others All have specialist dementia trained staff and each home has dementia coaches ensuring that each home continues to provide the latest best practices around dementia care through practical on-location leadership and guidance from those coaches Care South s homes also benefit from specifically adapted dementia friendly environments and activities

Care South was recently awarded a Hennell Award by Worcester University celebrating innovation and

excellence in dementia care

At Fairlawn Care Home in Ferndown a highlight of the Elf Day celebrations was a specially constructed Christmas sleigh which had been purpose-built by local Poole based building contractor Parsons & Joyce The sleigh has been illuminated with festive lights and has become the centrepiece of the home s outdoor Christmas lights display for the local community to enjoy The care home’s residents also held a competition where a prize would be handed to the best-dressed member of staff

Hilda who lives at Fairlawn said: I think all the elf outfits and activities were lovely The staff all work so hard for us Nothing is too much trouble for them They really look after the residents so well My great-grandchildren always enjoy visiting me at the home ”

Enid who also lives at Fairlawn said: All of the staff looked lovely in their elf outfits There s a very nice atmosphere at the home I’m so comfortable and the care they provide is superb ”

Over at Elizabeth House care home in Poole the residents and care home team welcomed little children from Muddy Boots

Soldier Recalls Cooking Christmas Dinner for 200 Men In South Korea

An Army veteran has remembered the difficulties he faced cooking Christmas dinner for hundreds of soldiers in a challenging environment while serving in South Korea exactly 70 years ago

Bob Sewell was in charge of a two-man team feeding 200 men breakfast lunch and dinner daily while stationed in East Asia with the Army Catering Corps

He is now 89 and a resident at Royal Star & Garter in Surbiton The charity provides loving, compassionate care to veterans and their partners living with disability or dementia and also has Homes in Solihull and High Wycombe It has also launched new services reaching into the community Bob said he was faced with many daily challenges cooking with basic equipment and limited ingredients but his toughest came during his first Christmas in South Korea in 1954 He was on his first posting and attached to the Northamptonshire Regiment where he prepared meals for the troops three times a day despite his relatively limited culinary experience

Food for the soldiers consisted mostly of items including ham chicken corned beef eggs dried mash and tinned milk

But on Christmas Day things took a surprising turn when Bob was approached by

Westwood Create Homemade Hand Wreaths in Festive Activity

Coordinators

their thoughts on the event: This was such a special and joyful moment We believe it is important for everyone to have the opportunity to be involved in these activities creating cherished moments and connections that foster community and togetherness ” This event reflects the heart of the Westwood care home’s commitment to creating opportunities that bring residents families and staff together for shared experiences Through crafts like this the team continues to foster connection creativity and joy

PRODUCTS AND SERVICES

Activities to Share

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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!

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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

BOOSTING EFFICIENCY AND PROMOTING INDEPENDENCE

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

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

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