Caring Uk April 2012 by Script Media

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April 2012

incorporating The Number One magazine for the care sector

no.191 • £4.75 In association with

Operator calls for the return of star ratings By Dominic Musgrave ONE of the South’s biggest private care providers is calling for a return to a star rating system to help people choose between care homes. Ian Hudson, managing director of Colten Care, which operates 18 care and dementia homes in Dorset, Wiltshire and Hampshire, believes the industry regulator made the wrong decision to axe what were widely understood star ratings. He made the call as a coalition of politicians, professional bodies, charities and the CQC itself are advocating a new Dignity Code involving a common set of standards for care and stated guarantees that elderly people will be treated with respect. “A straightforward, easy to understand star rating would give the public very useful information on the assessment of individual homes and drive up care quality,” added Ian. “As care operators pay such substantial amounts to have inspections, we should be able to expect the CQC to have the tools and impartiality to provide some form of rating mechanism to sort the wheat from the chaff.” “There is a danger that we may become overly reliant on consumer observations. The CQC is ideally placed as the industry regulator to

take a lead in making external guidance available for using care homes. He added that the group currently pays approximately £100,000 in registration fees to the CQC a year across its 18 homes. “A robust, consistent rating system would complement referrals, word of mouth, inspection reports and visiting as ways to decide on a choice of care home,” said Ian. “The ‘Trip advisor’ route relies on individuals posting comments online when they may not be familiar with either industry standards or the regulatory environment.” “We of course endorse the principle of a set of standards regarding the care of the elderly but it needs to be properly benchmarked in the marketplace. “The CQC should take the opportunity to reinstate what was generally accepted as working well. A rating system driven by the industry regulator would not only benefit people choosing care homes for their relatives. “It would also help PCTs and social services when they are looking to place residents from the NHS and local authority sectors.” What do you think? Let Dominic Musgrave know by emailing dm@whpl.net or call 01226 734407.

MP backs call for elderly minister

Head of strategic development Lynne Gray was presented with a special recognition award by local television presenter Steve Walls at North East provider Helen McArdle Care’s annual awards ceremony. The event at the Newcastle Gateshead Hilton brought together more than 200 of the group’s staff, with the awards covering care, catering, housekeeping, nursing, activities and management. Greenways Court in Consett was named the group’s care home of the year. For more from the awards see next month’s magazine.

ED Balls, shadow chancellor and MP for Morley and Outwood, gave his backing to the Grey Pride campaign during a visit to a care home in his constituency. During his visit to Schofield Court in Morley, a retirement housing property in Morley which is home to 40 customers, he said: “I’m really pleased that Anchor has taken the initiative to create the Grey Pride campaign. “Talking to residents it’s really important there is a strong voice for older people in Parliament and Government. “Whether it’s on issues like social care, the radical changes being proposed to our NHS or cuts in police numbers, older people deserve a strong voice to stand up for the issues that matter most to them.” Liz Kendall was appointed shadow minister for older people last year after a petition collected more than 137,000 signatures.

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www.caring-uk.co.uk Advertising Sales and Marketing Director: Tony Barry Tel: 01226 734605 Email: tb@whpl.net Assistant Sales Manager: Heather Welsh Tel: 01226 734480 Email: hw@whpl.net National Sales Executive: Mandy Edwards Tel: 01226 734692 Email: mandye@caring-uk.co.uk Fax: 01226 734477

Anchor staff at Westminster.

Residents of Jewish Care's Rubens House in Finchley with some of the management team and actor and campaigner Tony Robinson.

Providers join mass lobby By Dominic Musgrave STAFF from some of the country’s leading care providers joined the Care and Support Alliance’s Care in Crisis mass lobby on Westminster. The organisation made up of more than 50 charities were meeting with more than two-thirds of English MPs to call for an end to the crisis in care. Among the campaigners at the London event were representatives from both Anchor and Jewish Care. The former has led calls for a dedicated Minister for Older People as part of its Grey Pride campaign, and representatives from eight regions attended to try and persuade MPs to add their support. The managers also handed them letters of support from older people living in Anchor properties in the MPs’ constituencies.

Chief executive Jane Ashcroft said: “A Minister for Older People is needed to look after the many issues impacting on the quality of life for older people today – not just social care but also housing, transport, pensions and age discrimination. “Setting in stone the amount that older people will need to pay for their social care will make it easier to plan for later life. Our representatives have helped by making sure MPs understand that these are changes that need to be made. “We hope that the coalition listens to the 137,000 people who backed Anchor’s call for a dedicated Minister for Older People last year. “Without a dedicated Minister to take responsibility for reform, any changes may well come too late for the estimated 800,000 older people currently left without basic care who are lonely, vulnerable

and at risk.” Hundreds more people targeted their MPs online using Facebook and Twitter in the world’s first inter-active ‘twobby’. Simon Morris, chief executive of Jewish Care, added: “With many people in our community facing difficulty in accessing care due to financial constraints we wanted to draw attention of the plight of older people by attending the mass lobby at the Houses of Parliament. “Much of the cost of providing support to our Jewish community comes from the local authorities but we have to make up the shortfall through fundraising. “By bringing this to the attention of the decision makers in Westminster, we hope that the government commits to closing the funding gap in social care and ensures funding continues to increase with future growing demand.”

Publishers Script Media. 47 Church Street, Barnsley, South Yorkshire S70 2AS. Email: info@caring-uk.co.uk

Editorial Group Editor: Judith Halkerston Tel: 01226 734639 jhalkerston@scriptmedia.co.uk Healthcare Editor: Dominic Musgrave Tel: 01226 734407 dm@whpl.net Reporter: Helen Williams Tel: 01226 734694 Studio Manager: Stewart Holt Tel: 01226 734414 Database enquiries to: 01226 734695 E-mail: circulation@ wharncliffepublishing.co.uk Whilst every effort is made to ensure the accuracy of all content, the publishers do not accept liability for error, printed or otherwise, that may occur. You can now follow us on Twitter at caringuk

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Valentine’s event extra special at care home STAFF at a care home in Newcastle put up decorations and created a special menu to help residents celebrate both Valentine’s Day and its 24th anniversary. Amber House in Brunswick Village originally opened on Valentine’s Day in 1988 and, as it goes into its 25th year of operation, it has a bright future to look forward to. The home was looking for an experienced and passionate management team that would put care at the heart of its business. Care Homes UK Ltd now run the facility with Anna Blakey at the helm, and with the support of care consultants Wright Care Solutions Ltd. Anna, who has worked at the Amber House for 20 years, said: “We offer a high standard of care to all who come and stay with us.” A team member’s husband provided the wine for the event, made with bespoke Amber House labels, to help raise money for the residents’ fund.

Sue helps recruit new caretaker Dominic By Dominic Musgrave RESIDENTS have been involved in the recruitment of the latest member of staff at Radbrook Nursing Home in Shrewsbury. Sue Anthony, a resident at the Morris Care run facility, was invited to become a part of the interview process when the care home began looking for a new caretaker. Dominic Morgan has been recruited and is proving an invaluable member of staff at the care home. Nurse manager Sue Austin said: “Many of those living at Radbrook have gained skills and experiences throughout their lives which qualify them perfectly to take part in the interview process. “We felt that it would be very valuable to involve residents in our recruitment process, as it is so important that all staff are able to relate to our residents. This is their home, and we strongly believe that they should be part of these decisions.” After six candidates were selected for interview, Sue, a retired nurse, talked to each candidate before their formal interview to learn more about them, including their interests and hobbies. Following their interview, she gave feedback on each applicant,

Dominic Morgan with resident Sue Anthony and Radbrook Nursing Home nurse manager Sue Austin. and the unanimous decision was reached that Dominic was the best candidate for the role. Margaret Maudsley, chief executive of the group, added: “At Morris Care we believe that the personality of staff, and the empathy they have with our residents, is just as important as technical skills and qualifications, and this is reflected in our recruitment process. “We have always maintained it is

most important that our residents express their opinion and influence the running of the home, and we are delighted that this issue has been brought to the forefront of the nation’s attention in a new report for the NHS and Age UK.” Do you involve the residents in the recruitment process at your care home? Let Dominic Musgrave know your experiences by emailing dm@whpl.net

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Home takes part in infection trial By Dominic Musgrave FLORENCE House near Glasgow has taken part in a national evaluation of a new education initiative to support infection prevention and control in care homes and the home environment across Scotland. The scheme was developed by NHS Education for Scotland in partnership with the Care Inspectorate, and staff at the Lambhill Court Ltd owned home has been working with local care home education facilitator Karyn Hamilton to implement it. The home’s infection control champion Linda Conachan worked closely with 30 staff over the course of three months to complete the Preventing Infection in Care Programme. As part of an evaluation of the impact of this programme within the pilot sites, Linda and a team of five care assistants attended focus group meetings with other local care homes. Joan Sands, home manager at Florence House, which has 55 ensuite bedrooms and three self-contained flats within a converted school building, said: “We were delighted to have been chosen by

NES to be involved in the pilot study and evaluation and reported no seasonal outbreaks of influenza this winter. “Staff are very keen to participate in focus groups and training and are therefore encouraged and supported to achieve a higher standard in order to ensure the home continues to provide the best possible care. “In addition to our infection control group we also have a nutrition group and nurturing dementia group and soon to be continence focus group.” The Programme addresses the national and local priorities for infection prevention and control and extends throughout healthcare, health protection and health promotion. It offers education to support infection control committees and teams co-ordinate and monitor all the detailed work of preventing and controlling infection through effective communication, education, and risk assessment. Teams can then consider quality improvement approaches through audit or surveillance, and review local policies and procedures to support their local practice.

Staff and residents at a Merseyside care home will be taking part in Wear a Hat Day to help Brain Tumour Research at the end of the month. The charity is particularly poignant for Parr Care Home in St Helens because a member of staff’s relation Tom Langley died last November from a brain tumour at the age of 21. Matron Colleen Blaney is pictured with staff at the home ahead of the big day.

Residents spend day with Army A DETACHMENT of British officers more used to dangerous frontline manoeuvres brought a taste of army service to a Bournemouth nursing home. Members of the Royal Corps of Signals Troop Commanders Course took over the Avon Cliff home, dispensing afternoon tea and cakes, joining residents on a seafront outing and sharing supper. The exercise, planned with typical military precision, followed a request from the regiment to offer serving soldiers the experience of helping elderly people in the community.

In all, 20 uniformed servicemen and women spent time with nearly 50 residents, talking about army life and comparing wartime stories from past and present. Residents’ collective military experience included World War Two service with the Royal Fusiliers, RAF, Land Army and Royal Army Service Corps. Jan Wilson, Colten Care’s director of operations, said: “We have many old soldiers in our homes and the chance to spend a few hours face-to-face with their modern day equivalents proved to be a really joyful occasion.”

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Operator calls for chancellor to cut VAT rate By Helen Williams

Springfield House manager Lisa Hall with Anna Kirk from Marie Curie Cancer Care and participants in the dance event.

Daffodil dance raises funds A NORTH East care home held a Zumba style daffodil dance and a coffee morning to raise money for Marie Curie Cancer Care’s annual Great Daffodil Appeal. Funds raised during the day at Helen McArdle Care’s Springfield House will be spent in the region, allowing the charity to continue providing specialist end-of-life care to patients with terminal illnesses, in

addition to emotional and respite support to their families, completely free of charge. The home’s manager Lisa Hall said: “It is important for Springfield House to support Marie Curie Cancer Care because we believe it is vital to provide people, young or old, with the dignity, care and comfort that they deserve, while offering choices at every stage of their care.”

Group installs aviaries in grounds A MIDLANDS care group has installed aviaries at its homes for the residents. Among the birds at the Langdale Group homes are quails, canaries and

budgerigars, and Michelle Howe, manager of Langdale Lodge in Chesterfield, said they have proved to be ‘a big hit’ with both the residents and their families.

ONE of the UK’s leading care home professionals has called on the chancellor to cut the rate of VAT on refurbishment of health sector properties. Robert Kilgour, chairman of Renaissance Care Scotland, which operates seven care homes around Scotland, has urged George Osborne to temporarily reduce VAT to five per cent on health sector property refurbishments, renovations and improvements in his forthcoming Budget. By cutting the VAT rate from 20 per cent, Robert argues the Chancellor could signal the green light for dozens of refurbishment programmes around the country, driving up standards in the care home industry and providing a boost to struggling construction companies. He said: “Across the industry, I know of dozens of refurbishment programmes which simply can’t get off the starting blocks due to the costs involved. “Twenty per cent is too high a price to pay and finance when we’re talking

about improvement works on healthcare properties that can run into hundreds of thousands of pounds at a time. “By cutting the VAT rate for companies and partnerships in the healthcare sector, the Chancellor could at a stroke give the green light for dozens of projects across the UK, protect jobs and potentially create hundreds of new ones in the construction industry. “As it is, these projects are not happening. Standards in the care home industry are improving. However, cutting the rate of VAT on capital refurbishment projects now will lead to a step change in the quality of care these facilities can offer now and for years into the future.” Robert founded Four Seasons Healthcare in 1989, leaving in 1999 having successfully spearheaded the public-private takeover of Crestacare Plc in a deal worth £127m. But the serial entrepreneur has maintained his involvement in the healthcare sector and last year took over the running of four former Southern Cross homes in Scotland.

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Resident Stella Harding with her family and the 1911 Napier.

Residents make journey to new care home in style THE residents of a care home in Watford made the journey to their new home in style when they were given a lift in a vintage car. Tremona Care Home is due to be demolished and replaced by a new 44-bed facility later this year so its elderly residents have been moved to Montrose Care Home, which sits just around the corner. Bill Hughes, the chairman of B&M Care, who own the homes, brought his 1911 Napier down on moving day to take people between the two centres – a tradition that began several years ago when residents in St Albans moved from Clare Lodge to Tara’s Retreat a mile away. He said: “Tremona has served the

elderly community well over the past 32 years and has built up a reputation for providing outstanding care for the elderly and for those who live with dementia. “It has an enviable reputation in the community amongst health professionals like GPs and district nurses. But although the home had always received good star ratings from the CQC, we felt that the building could no longer meet the high standards of environment and facilities that our other homes offer. “When the site at Montrose became available it was purchased with a view to build a new 50-bed care home that the Tremona residents could move into.”

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Scottish homes trial dance therapy class By Helen Williams

A care home on the Isle of Wight held a karaoke session for its residents. They also enjoyed cocktails and a fish and chip supper at Trent House in Cowes. Manager Jane Goddard said: “We pride ourselves in using local businesses so it wasn't just us who benefited from the event. Days like this ensure that families have full involvement and an opportunity to get to know the staff in a slightly different light.” A team of volunteers at the home also co-ordinated a cake decorating competition, with all residents winning a prize. Activities co-ordinator Georgina Woodburn is pictured with resident Jim Whitewood.

Residents learn Viking ways RESIDENTS at Manor Care Centre in Nairn were transported back in time as they learned about Viking life. The idea came from Patsy Mathewson, who works in administration at the home. She went to the Viking Fire Festival ‘Up Helly Aa’ with her husband in Shetland. The fire festival is held on the Shetland Islands every year and started in the 1880s.

People all over the island dress up in traditional Viking gear and march through the town to celebrate their Norse heritage. Patsy took in a threeand-a-half stone Viking suit worn by her husband during the festival. She said: “Some of the residents were eager to hear about the festival and after telling them about it we decided to have a Viking day at the Manor.”

DANCE movement psychotherapy students from Queen Margaret University have been using their skills to support care home residents. A pilot scheme carried out in various care homes by first year students aimed to help participants improve their ability as well as benefiting elderly residents. Trainee dance movement psychotherapists from Queen Margaret spent one or two days a week in care homes where they applied the psychotherapeutic use of movement and dance to encourage residents to engage emotionally, cognitively and physically. Partner organisations NHS Education for Scotland and the Care Inspectorate are now looking into new ways to use the practise placement model to help prepare Allied Health Professions students for the changing health and social care environment. Dr Vicky Karkou, programme leader for the course, said: “The collaboration presented a wonderful opportunity to introduce dance movement psychotherapy to care homes and residents who previously had no experience of this type of therapy.

“Students and residents very quickly developed meaningful relationships. This allowed residents, some, for the first time, to explore their emotional difficulties through movement. “The students were also able to make valuable connections with other residents and care staff by addressing issues around isolation, loneliness, bereavement and loss, as well as joy. “We know from this initial experience that there is a need to provide ways of educating people about what dance movement psychotherapy is and how it can support the emotional well-being of older people through non-verbal communication. “However, the reactions of residents spoke volumes and it was rewarding for both students and care home providers to witness the benefits of the student interaction.” Care Inspectorate rehabilitation consultant Edith Macintosh is looking into the use of care homes as a learning environment, along with other NES AHP education providers. Is your home currently working with students for a project or study? Let Dominic Musgrave know by emailing dm@whpl.net or telephone 01226 734407.

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Inspectorate’s report ‘misses the point’ says ECCA chief By Dominic Musgrave THE inspectorate has been accused of missing the point with its recent report into how the healthcare needs of care home residents are being met. The accusation came from ECCA chief executive Martin Green in his comments on the fact that CQC has released data from its special review which he claims was originally conceived three years ago. Inspection teams visited 81 care homes for the study, examining issues such as continence and GP access. Martin said: “The CQC report on healthcare in care homes completely misses the point. This thematic review was called for in the wake of two reports published by ECCA. “These identified that many people in care homes were being denied access to healthcare, or were being forced to pay significant amounts of money for services such as GPs that should have been free at the point of need. “It is disappointing that the CQC, as an integrated regulator, has not understood that their reports should identify any systemic issues that detract from delivering integrated services.” The review found good practice in areas such as care planning, with 77 per cent of homes inspected taking the views of the person into account and 96 per cent identifying the changing healthcare needs of residents through informal or responsive monitoring. However, the review found that access to some services appeared to be too variable. Despite care home residents having higher levels of dependence on services than the rest of the population, basic health needs

Martin Green were unmet in some areas. In just under 40 per cent of homes for older people, those who needed an initial continence assessment waited more than two weeks for it, which is considered too long and is likely to have an impact on their welfare. More than a third of homes said they sometimes had problems getting medicines to residents on time and 10 per cent said they paid for their GP surgeries to visit. CQC director of operations Amanda Sherlock said: “All staff and relevant agencies, including the emerging commissioning cluster groups, have a role in improving the quality of and access to healthcare services for care home residents. This is a responsibility which needs to be taken seriously. “While we have identified good practice in areas, this review suggests some providers have fallen short of delivering effective care by considering the healthcare needs of residents as a secondary requirement.”

Residents at an Edinburgh care home are to become even closer knit friends after being donated specially made knee blankets and shawls. The ‘Anything Goes Knitting Group’ has given the covers to the council owned Marionville Court. The circle of knitters hit the headlines last year when they knitted 700 colourful squares to cover the trees at Leith Links for the “cool wool” part of the Leith Festival. Those squares have now been recycled and turned into a series of blankets and other knitted items for various good causes across the city.

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An increasing number of care homes are installing computers for the use of their residents. Dominic Musgrave reports.

Tech savvy residents get online

A not-for-profit care organisation has been successful in its application for 15 laptops as part of a community project. The laptops will allow residents living in Coverage Care’s homes to get online, surf the internet, SKYPE their relatives or even use it to write a novel. They were provided by Telford based consulting, technology and outsourcing services provider Capgemini as part of its ‘Kit in the Community’ project. Coverage Care Services’ business development officer Grace Dyke and chief executive David Coull are pictured with Aspire internal communications manager Dean Smith, Martin Jones from Capgemini and resident Lucy Aldridge.

RESIDENTS at a Shropshire nursing home will be able to instantly contact relatives abroad after being trained to use the latest technology. The Lady Forrester, in Much Wenlock, has installed internet communication tools Skype and WiFi to give residents more independence. Skype enables people to conduct video phone calls through a computer free of charge, while WiFi allows internet connection without wires. An IT grant from the Social Care Institute for Excellence, under the Get Connected Grant Scheme, will enable three computers to be set up at the home. David English, director of English Care which runs the home, said: “We have already installed the system at our other home, Bowbrook House in Shrewsbury, and saw how one resident could contact her daughter in Australia. “At the Lady Forrester people live even more independently, so we’ve also introduced Wi-Fi and encourage people to do their shopping over the internet. We’ve turned the old craft room into an IT room, which local people will be able to use too. “We’re hoping to have two or three computers running in the New Year. The inspectorate has said it’s impressed with what we have done.”

One 91-year-old resident was planning to contact her two sons via Skype while another, aged 77, said that until now, her main experience of technology was electric typewriters being introduced when she was working in Leeds Crown Court. She was looking forward to speaking to her son and daughter in Stuttgart, Germany. A Larkfield care home hosted a Facebook training session to demonstrate to residents the benefits of the social networking site. Noticing an increasing amount of residents becoming interested in computing, St Martins home manager Jan Moulton organised the training event so residents could better get to grips with social networking. After being talked through the basics by two media savvy volunteers, four residents volunteered to have their own Facebook profiles created, and were soon searching for friends and family to keep in touch with. Jan said: “It offers a great way for our residents to keep in touch with their friends and family and I can’t wait to see them get more and more into it, and we’ll support them along the way. “The Facebook training was a great day, and all the residents who took part really enjoyed it.”

How to pay less tax IF YOU own, have bought or are selling a care home or nursing home then you need to talk with a tax expert. For a building purchased for £650,000, tax savings in the region of £90,000 are common, while for larger establishments worth maybe £2m, savings of £360,000 are not unusual. Even the most common of items can be worth substantial money to you: door handles, plugs, lights, and computer terminals can all add up to pounds in your pocket. Refits, refurbishments, extensions and new builds are common in your industry and, while you would expect to claim for new carpets, would you claim for water pipes and electrical wiring? Typical claims take just 10 weeks. Enquiries: For a copy of ‘The Property Owners guide to Capital Allowances’ contact Howard Givney on 01233 640985, email info@tax-ideas.co.uk or complete an online form at www.tax-ideas.co.uk

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The must-have elements of a care home’s website By Rahul Katrak DWINDLING occupancy levels, a decline in Government funding and increased running costs have put pressure on many a care home’s bottom line. Having gained an awareness of the challenges and opportunities many care home owners like yourself face, I remain convinced that in these tough times, an intelligently branded and effectively marketed website is one of the most powerful tools at your disposal. They can generate enquiries, reduce costs and ensure that occupancy levels are at their highest. A fresh sense of branding – why should they choose your home? A website will often be a prospective client’s first contact with your care home; first impressions are crucial and your website design needs to go beyond simply being “nice”. It needs to stand out, be memorable and grab attention with a distinctive brand personality that communicates what makes your care home unique. Say goodbye to bog standard logos, imagery and out-dated layouts and invest in a fresh and unique “branding solution” that conveys your core values effectively.

Effective and persuasive copywriting – talk to the client, not at them Content is king and an effective website should be filled with content that is psychologically compelling and which will assure prospective clients of the superior level of care that you can provide. Write your website copy as if you are having a one to one conversation with them, provide information which will address their questions and concerns. Communicate effectively and with empathy and you will see a dramatic increase in the number of enquiries that your website generates. Search engine optimisation – how are they going to find you? It often surprises me just how many care home websites have been built with no thought given to gaining high search engine rankings, sitting passively on the internet and awaiting a flood of prospective clients. Your website must be optimised so it achieves a dominant presence in Google and other search engines, otherwise frankly you have failed to grasp the internet marketing opportunity for your care home. Social proof – the power of testimonials Entrusting the care of a loved one to a

Eric Dean at his laptop.

Rahul Katrak care home is not an easy decision. One of the simplest ways to allay a prospective client’s fears and doubts is to give them an abundance of ‘social proof’, feedback from other clients who have benefited from using your services. These should be highly credible, either in the form of testimonial letters on your website or better still, small video clips from residents and their families, speaking favourably about your home, the staff and level of care provided. Rahul Katrak is an ebusiness consultant who runs Futura Internet Services.

IT course helps Eric email son AN 89-year-old care home resident has mastered sending emails after attending a basic computer course at a nearby school. Eric Dean, who lives at The Elms in Crewe, took part in the free, weekly sessions at a local community centre, said: “I took up the course to learn how to send emails as I wanted to be able to email my son. “It’s been very interesting and I’ve learnt so much more than I thought I would.”

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Group to give closed home new lease of life A WEST Sussex care home that was once owned by Southern Cross will be given a new start this summer after Care UK agreed to buy and re-open it. Managers at the company are promising a ‘new beginning’ for Orchid View, which is currently closed. Richard Pearman, Care UK’s director of business development, said: “This empty building has the potential to be a really fantastic, high quality home providing compassionate care for older people including those living with dementia. “We won’t be reopening until the summer because we are absolutely committed to recruiting and training the finest team to deliver the high quality care that we are known for.” All recruits to the new home team will undergo an intensive training programme regardless of how much experience they bring from previous roles. The company is also opening new homes in Halstead, East Grinstead, Orpington and Hailsham.

Residents get messy for arts and crafts sessions ELDERLY residents at a Redcar care facility have been rolling up their sleeves and getting messy in a bespoke arts and crafts session designed to ease the effects of dementia. Yew Tree Care Centre welcomed specialist creative practitioner Claire Ford to host a workshop as part of their commitment to roll out the very best in elderly healthcare. From sculpture and painting, through to poetry reading and storytelling, residents sampled a range of sensory-based activities all designed to enhance their health and wellbeing in a relaxed atmosphere. Sam Jones, activity co-ordinator at the Executive Care Group owned site, which has 76 en-suite bedrooms, said: “We like to offer all our residents a wide variety of activities and when we heard about Claire’s workshops we knew that they would provide a valuable therapeutic and fun experience to all our residents. “Whether its arts and crafts, cooking, gardening in our greenhouse and allotment, or simply socialising and watching a good film, we aim to provide an environment which is socially stimulating, keeping the minds of our residents active.” Claire has recently returned to the North East following a lengthy research mission throughout

Claire Ford with resident Lilly Barwick. America. It was during her travels that she decided to concentrate her energies on conducting the sessions for the elderly and people suffering with dementia. She said: “My focus is to use art as a tool to stimulate and empower people with dementia. One of the key outcomes of the workshops is to encourage self expression and promote self understanding. The residents at Yew Tree responded really

well to the workshop many used it as a vehicle to reminisce which is often the case when they are provided with a creative setting. “Forward thinking care homes like Yew Tree are ensuring that our elderly population is being well cared for, by making it their priority to provide an inspiring and caring environment in which to express themselves. I am looking forward to working closely with them in the future.”

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Ideal Care Homes chairman Lawrence Tomlinson.

Industry responds to Commission’s new dignity report By Dominic Musgrave SOME of the leading names in the care industry have been giving their reaction to the publication of a new report which investigated the treatment of older people. Delivering Dignity produced jointly by the Commission on Improving Dignity in Care for Older People, made up of representatives from Age UK, the NHS Confederation and the Local Government Association, makes practical recommendations for fundamental change to “stamp out undignified care”. In total, the commission published 48 draft recommendations which included making dignity a priority at board level, encouraging staff at all levels to challenge bad practice and ensuring patronising language, such as ‘old dear’, is not used. These will be consulted on over the next month before a final action plan is published in the summer. National Care Forum executive director Des Kelly welcomed the ‘well balanced report’. He added: “I am sure that the Commission?s conclusion that undignified care is rooted in discrimination in our society and our care system will be instantly recognisable to many. “But it needs to be matched by a determination to consign any lack of respect and kindness and compassion in care services to history.” These comments were echoed by Oliver Thomas, UK director for Bupa Care Homes. He added: “The report recognises there is some great care being provided across the sector by thousands of dedicated staff who work extremely hard to ensure that dignity of all the older people in their care is their top priority. “We welcome and support the Commission’s call for best practice to

Oliver Thomas be celebrated and shared better across the social care sector.” Lawrence Tomlinson, chairman of Ideal Care Homes, welcomed the report but said it was ‘truly appalling’ that an investigation was necessary to improve dignity in care for older people. He called for a fee structure to be put in place that rewarded quality of care, adding: “I give my full support to the investigation and would love to see it have an impact nationwide ensuring the elderly are afforded the basic human rights that the rest of us would expect. “Sadly, I am doubtful that without a full overhaul of the system, putting quality at the heart of care structures, that this investigation will have full effect. “Whilst price continues to play the fundamental role in commissioning, costs of staff and training will remain an issue for many providers. “A strong national fee structure that rewards quality would ensure that these sickening abuses are fully disincentivised and providers focus on what matters - the quality of care the residents receive.”

Caring for the elderly should start with dignity By Leon Smith THE Commission on Improving Dignity in Care for Older People recently urged the medical establishment to treat older people with dignity. The very process of aging, no longer being able to do the most elementary tasks and becoming increasingly dependent on others is in itself intrinsically important to how people feel. Many older people are too frail to go to the toilet by themselves. Even bathing involves in many cases for legal reasons, being hoisted on a chair into a bath – a process which cannot be considered as dignified under any circumstances. Notwithstanding this, there are simple but vital things which we should expect from all carers to maximise the sense of dignity of older people and boost their selfesteem. For instance, in the care home I run, I would not expect a staff member to address a resident by their first name without previously seeking their permission. Similarly, I would expect a resident who was a doctor to be addressed as “Doctor” unless specified differently. I would always expect staff to knock on the door of a resident’s room before entering; not to speak in a patronising tone of voice; and never dismiss anything they may say. At Nightingale, we have gone even further and have made dignity a priority in caring for our residents by developing and implementing, a completely tailored person centred care model in partnership with the University of Bradford’s internationally recognised centre for excellence, Bradford Dementia Group. Since January 2011, we have done our very best to tailor care according to the history, personality and preferences of every person. I am particularly eager to ensure that the staff members get to know each resident on an individual level, ensuring that they are respected for what makes them unique. This is a big change from the one-size-fits all approach that is so common in the health and social care sector. Some of the biggest changes so far have been around mealtimes. These may sound small but they have had an incredible impact.

Leon Smith Staff sit down to eat with the residents, helping to develop friendship and mutual respect, and residents can choose to eat their meals at any time of day, giving them more freedom to lead their lives as they please. This approach is improving the lives of all of our residents, but it is particularly important for those residents with dementia, who are often less able to express their views. We sit down with family members regularly so that we get to know each resident further, ultimately ensuring that it is the person we treat, not the dementia. We have a full-time project manager who is leading on this programme to ensure that every member of staff, from the cleaners and cooks to the carers, fundraisers and managers alike are extensively retrained. She works closely with experts from the Bradford Dementia Group who visit Nightingale once a week to meet with team leaders and care staff, and to identify where further training is needed. Nightingale is the living proof that dignity in care is not just a fancy concept or an abstract philosophy; it can be a reality if only care homes gave themselves the means to implement it, ultimately making a huge difference to the well-being of so many older people. Leon Smith is chief executive of Nightingale care home.

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Event held to mark director’s 20 years’ work THE director of nursing for a Leeds care home group has been recognised by colleagues and residents at an event to mark her 20th anniversary with the company. At the event for Bronwyn Gregory held at Westward Care Ltd’s Headingley Hall facility, group managing director Peter Hodkinson said: “At a time when standards of elderly care in the UK are increasingly being called into question, it’s a constant reassurance to me that we have Bronwyn at the helm of the care side of our organisation. “Her pioneering approach and ultimate professionalism have helped us achieve an impressive collection of awards and accreditations such as Investors in People, Beacon status accreditation for Gold Standards Framework End of Life Care and Excellent status with the Care Quality Commission. “ Bronwyn started her nursing career at Leeds General Infirmary in 1975, moving on to a post at the Women’s Hospital in Roundhay, Leeds before being appointed senior sister specialising in older people’s services at Ida

and Robert Arthington Hospital in Cookridge, Leeds – a post she held for 13 years. She was approached by Westward Care in 1992 to become matron of the company’s first care home, Southlands in Roundhay. The home quickly gained a creditable reputation with the Health Authority, Social Services and the independent sector. Bronwyn was promoted to her current role shortly before transferring to South Leeds in 1995 to set up the company’s next venture, Pennington Court in Beeston – a 62-bed nursing home. Since then she has helped pioneer a new kind of care home at Westward Care’s Headingley Hall which offers a choice of care rooms and privatelyowned apartments with support plus launching ‘At Home’, a new outreach service for those older people who choose to stay in their own homes. Is a member of staff at your care home celebrating a landmark anniversary? Let Dominic Musgrave know by emailing dm@whpl.net or telephone 01226 734407.

Residents join members from Campbell Dancing School on the dance floor.

Residents take to the floor RESIDENTS at a Newcastle care home took to the dance floor to show the younger generation how they Waltzed, Quickstepped and Cha Cha Cha’d in their day. Residents at the Craghall home in Jesmond were treated to a performance by youngsters at the Wallsendbased Campbell Dancing School. And it didn’t take long for the residents to also take to the floor to share some steps with the young dancers. The home’s manager Christine Barbrook said: “The residents always

enjoy when groups like this come into the care home and they have a special affinity with dancing because when they were young this is what they did. “Many met their husbands and wives in the local dance hall, so to see the younger generation performing dances from their day really makes them happy. “They didn’t take much encouragement to get on the dance floor to join the children and everyone had a great time.”

Cinema opens with fancy dress day STAFF dressed as famous film characters to help celebrate the opening of an Essex care home’s new cinema room. The new facility at Windle Court will be open three days a week and

was designed to offer residents the cinema experience, as well as creating a room for them to reminisce. Popcorn and other treats will also be served to give a further sense of authenticity.

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Sarah Edwards makes Diamond Jubilee postcards with resident Emma Locker.

Artistic residents start Jubilee festivities early By Dominic Musgrave CARE home residents in North Wales are starting the Diamond Jubilee celebrations early. As a result, the Queen can expect a special delivery from the artistic residents of Pendine Park. They are producing colourful postcards to mark the monarch's momentous 60 years on the throne in a project that has been masterminded by the group’s artistin-residence Sarah Edwards. All the residents who want to take part will be able to hang the laminated postcards on a ‘jubilee tree’ outside each of the organisation's seven care homes in Wrexham. Sixty of the postcards will also be sent to the Queen in Buckingham Palace – one to represent each year of her reign. Sarah said that parties will be held in all the homes on the big day. She added: “We wanted a special Diamond Jubilee project that could involve every single resident across the homes. The residents can make the cards themselves or the activities team can do it for them. It can be a collage, a drawing or a photograph on

the theme of the jubilee, with a message to the Queen or memories associated with the Queen. “The project will have a Commonwealth flavour as it is such an important institution to the Queen and will form a central part of the Diamond Jubilee celebrations.” Residents’ links with the Queen have been discovered while taking part in the project, with one being awarded the MBE, another meeting her when she visited the hospital ward where she was matron and a third seeing her when she came to visit the North Wales town. Sarah added: “The Jubilee Message Tree will also be festooned with the flags of the Commonwealth which is close to the Queen's heart and a big part of the Diamond Jubilee celebrations. “It’s a huge team effort and everybody’s going to get involved, we want all the staff to participate and family and friends. “There is a great deal of enthusiasm and I think everybody is happy to participate so we’re also utilising the art classes, the photography classes and the calligraphy classes to produce the postcards.”

Two prams donated for home’s dementia unit STAFF at a South Tyneside care home are overjoyed at the donation of two prams for its dementia unit. People living with the condition at Palmersdene residential home in Jarrow use dolls and a pram as part of their therapy. The home had a Silver Cross pram but, when a wheel was damaged, staff appealed for someone to replace it. Manager Maureen Patterson said she was delighted the appeal had been so successful. She added: “The prams will be central to the therapy sessions we

hold with residents living with dementia. “As the dementia experienced by an older person progresses, it will become more difficult for them to express their underlying emotions, and they can use a doll in a pram to explain how they are feeling by transferring their emotional state onto it. “The dolls and the prams are also used to help people with dementia to talk about what it was like when their children were growing up and bring back happy memories.”

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The industry has been giving its views on the TripAdvisor style websites that have been set up for care homes in England. Dominic Musgrave reports.

Online rating sites receive mixed reaction THE Caring UK newsdesk has been inundated with calls and emails from care home owners nationwide following our March story on the launch of the Good Care Guide. The new site allows individuals to rate care home and homecare providers for their quality of care, facilities and value for money, as well as make positive or negative comments. Care home proprietor Myles Cullen agrees with the concerns raised by NCA chief executive Sheila Scott in the last issue. “The scope for malicious comment is immense,” he said. “These sites only benefit the ego and pockets of site developers. Innocent industrious carers will suffer.” On Twitter, Jenny Twigg commented: “In two minds about @CaringUK article on care home ‘Trip Advisor’ style reviews. Good tool, but is it too open to individuals' misuse?” Margaret Lee, manager of Darenth Grange care home in Dartford, Kent, told Caring UK she can see both sides of the argument when it comes to this type of website. She added: “The only thing elderly people or their families hear or read about care homes are the cases of abuse, and when it comes to choosing one it is a nightmare for the family and the person – almost like Russian roulette. “I think they should be able to read about people’s experience in a care home. I am fed up with the negative. “What about the good home that considers its residents and regularly

Last month’s front cover. takes them out on trips to the zoo, theatre or on a boat, provides activities and entertainment and has great staff? “I think our residents’ families would love to write a review. Yes I take the point that you can’t please everyone, but I am sure that if you have lots of good comments and the odd one you can work that one out for yourself – the same with TripAdvisor. When I review a hotel I take the majority not the minority view. I think it would put people’s mind at rest if they can read an independent report not written by officials but residents or relatives of people who actually live at the home.”

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An artist’s impression of the new home.

Home’s £1.4m refurb set for May completion A BRISTOL care home is undergoing a major refurbishment costing £1.4m. Brunelcare, who own Robinson House, say they are making improvements to provide a positive living experience and promote well being in the accommodation, which is provided for older people and those living with dementia. The home was originally built in 1993 and offered accommodation for 64 residents, including double rooms for partners to share. However, in order to accommodate changing needs of residents, all rooms will be single with en suite facilities, providing a total of 70 rooms. Home manager Sandra Payne said “The positive benefits the rebuild will have for the residents are numerous. “Once completed, we will all benefit from a fantastic living and working environment. The staff have an increased sense of pride, they are proud of the wonderful facilities provided for the residents

and the enhancement it brings to their daily lives.” The communal areas will also be improved, offering residents greater flexibility and larger areas in which to enjoy. Once the work is completed there will be three lounges and three dining rooms on each floor, as opposed to just one floor providing these currently. This allows the residents greater flexibility and choice, of where they wish to sit, and with whom. In addition to their own shower rooms, residents will also be able to enjoy new spa baths in the bathrooms. The courtyard area has also been reconfigured and allows open access in a safe environment. The garden will be landscaped by volunteers and residents, later in the year, with new large rooftop terrace being created to provide an area from which to enjoy the garden. The refurbishment is due to be completed in May.

Dignity award for Wellfield A MANCHESTER care home has been recognised by the city council for treating its residents with dignity and respect. Wellfield House picked up a daisy

chain award following several visits from an inspector, who assessed everything from the personal care, dining experience and activities that the home provides.

Shaw Healthcare chief executive Jeremy Nixey.

Cardiff provider receives global recognition By Dominic Musgrave ONE of the UK’s leading health and social care providers has achieved two industry accolades, including a global award which recognises the most outstanding practice in the over 50s housing sector. Shaw Healthcare, headquartered in Cardiff, beat off competition from 1,200 claimants across 37 countries to win the most outstanding extra care facility manager award at the inaugural Global Over 50s Housing Awards, which recognise the best performed individuals, companies and contributors in the elderly housing industry worldwide. The awards were created to celebrate the rapid growth of the over 50s’ housing sector worldwide and the capacity of individuals to influence and set new performance standards across different countries and regions. Shaw also achieved an award for best employer at the UK Over 50’s Housing Awards, which celebrated the best individual and company per-

formance across the UK. Chief executive Jeremy Nixey said: “The fact we’ve achieved a global accolade for our housing provision for over 50s in the UK is fantastic recognition for the hard work and excellent service that our staff deliver every day. “Equally, as a business which operates under a shared-ownership model where our staff own 70 per cent of the business, our national award for best employer is particularly pleasing and a great reward for the management standards and professionalism that we strive to achieve. “We’re particularly keen to ensure that our staff are equipped with all the tools they need to provide the best standard of care possible for all of our patients across the UK.” Cardiff-based Shaw employs approximately 4,500 staff to provide care to individuals in nursing and residential homes, hospitals, supported living arrangements, extra care schemes and domiciliary care settings.

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Residents raise a glass to home’s new pub By Dominic Musgrave RESIDENTS are toasting a new ‘local’ attraction at their Bromsgrove care home – their own private pub. Regents Court has raised the bar for service by transforming one of the dining rooms into a traditional tavern – complete with full bar, optics, mini jukebox and pub-style table and chairs. The Albert Arms was officially opened during an old-fashioned pubthemed day, with staff dressing in traditional costumes. Residents will now be able to take a trip down memory lane with traditional pub grub on selected days such as a ploughman's lunch or pie, and to enjoy their favourite tipple with a chat on pub nights – all without leaving the comfort and safety of their home. The Albert Arms – named after the home's ground floor Albert Unit – has been made possible thanks to a £3,750 grant from Worcester Dementia Standard. Home administrator Claire Cardus said: “Many of our residents are no longer able to get out to the pub like they used to when they were younger – so we thought we would bring the pub to them.

Care home administrator Claire Cardus with resident Judy Harrison. “We have a cassette jukebox loaded with songs from the 40s and 50s and, for the opening night, female staff were dressed as old-style serving wenches with the men in flat caps and waistcoats. “The pub is all about helping residents reminisce and socialise in a different environment.” The rest of the grant has been used for improvements to a snoozle room

at the specialist dementia care home run by Redditch-based Alpha Care Homes. The room has been decorated and equipped to resemble a beach scene, with mood lighting, soothing sounds, fish tank, giant bean bags for relaxing and clouds painted on the ceiling. An upstairs corridor has also been decorated as "Nature's Way" with forest-scene wallpaper.

Japanese students spend day at scheme A GROUP of students from Japan enjoyed tea and cakes with residents at a Cheshunt retirement scheme. The students, aged 17 and 18, are all in an interim period between school and university and are staying with families in the area. The visit to Emmanuel Lodge was organised by Cultural Home-Stay in Europe – a non profit organisation specialising in home-stay based education study programmes for groups and individual students visiting the UK and Ireland. During their stay the students experience the culture, lifestyle and language of the country. Jill Andrews, senior retirement housing co-ordinator, said: “The students played games, did origami and wrote tenants’ names in Japanese lettering. The residents enjoyed the games and visit and were particularly proud that Emmanuel Lodge was chosen by the students to visit. This is now a yearly event for the residents to look forward to.”

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Mayor cuts ribbon on home’s new tuck shop STAFF and residents at Sunrise of Beaconsfield welcomed the town’s mayor to celebrate the opening of a new tuck shop. Richard Keith cut the ribbon alongside Sunrise residents Cara Pealing and John Morris and the company’s head Guy Geller. The shop will sell old world sweets to provide a taste of days gone by, as well as toiletries and magazines for the convenience of residents. “The tuck shop will be a great new facility for the residents,” said Guy. “Not only will it further enhance their independence, but it will give greater choice for those who are less able to participate in our trips to town.” The not-for-profit shop has been opened in response to residents’ requests, and has transformed a redundant former smoking room. The project has been overseen by community manager Mark Bird and activities co-ordinator Jo Weeden. If you are opening a new facility at your care home email dm@whpl.net

Manager lives as resident By Dominic Musgrave A NORTH East care group’s area manager spent the day as a pensioner to experience life in a care home. Wellburn Care Homes’ Suzanne Hughes experienced a resident’s typical day at the company’s St Georges nursing and residential home in Harraton, Washington. It is part of an ongoing drive by the company to keep standards high throughout the 14 residential homes it operates, as well as ensuring managers continue to understand the human side of its business. When she arrived Suzanne was given the ‘role’ of an elderly woman who had recently had a stroke, which meant all feeling down her right hand side had gone. This meant she had her arm in a sling and was wholly dependent on staff to help her. She said: “It’s very interesting to see life in a care home through the eyes of a resident and how as an able bodied person you take very simple things like being able to get up unaided from a chair for granted. “This is something that all managers at Wellburn will now do as part of their ongoing development and if we can learn from this and further improve the service and quality of life for our residents, then it is very worthwhile.” During the day Suzanne followed the same routine as the other residents in the home, including taking part in the daily activities,

Wellburn Care Homes’ Suzanne Hughes with nurse Joyce Swainston having meals at the same time and, if necessary, even being escorted to the toilet and bed. The idea came from the company’s managing director Karl Beckett. He added: “As a family run business we understand just how important it is to know that if you put an elderly relative in our care, this care is second to none and that the home they live in is of the highest possible standard. “This is the responsibility of all our staff across the North East and Yorkshire but as the people running

the business we feel it is vital that our senior managers spend as much time as possible in our homes so they can see what goes on day-to-day. “By spending a full day living as a resident, the managers will learn what it feels like to be old, and in the majority of cases infirm, and more importantly what the standard of care is that people receive in one of our homes. It may be embarrassing for them to ask to be helped to the toilet but this is exactly the sort of situation our residents go through every day of their lives.”

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Shortage in quality care home provision predicted By Dominic Musgrave THERE will be a ‘chronic shortfall’ in quality care accommodation if the UK population’s life expectancy continues to increase, it has been claimed. Kames Capital and Target Advisers’ prediction follows the publication by the Office of National Statistics of its latest ‘Focus on Older People: Population Ageing in the United Kingdom and Europe,’ in which it highlights the increasing longevity of the UK’s population. The report reveals that the UK population is ageing dramatically over the next few decades, with the fastest population increase set to be within what it terms the ‘oldest old’ or those aged 85 and

over. Its figures suggest that between 1985 and 2010 the percentage of the population aged 85 and over increased from one per cent to two per cent, with the number aged 85 or over doubling from 0.7 million to over 1.4 million. By 2035 it is projecting this to be 2.5 times larger still, reaching 3.5 million and representing five per cent of the total population. Kames Capital and Target Advisers believe the demographic change will put increasing pressure on the existing elderly care sector facilities, leading to greater demand and a chronic shortage of suitable accommodation in the mid to longer term. Managing partner Kenneth MacKenzie said: “The elderly care home sector

Ros Lund lays a roof tile overseen by Steve Walker from Act Roofing and Newfield site manager Mark Hornsey.

Mayor Ros lays first roof tile MAYOR of Wakefield, councillor Ros Lund, laid the first roof tile as part of a ‘topping out’ ceremony at a new care home in nearby Castleford. Newfield Lodge is being constructed by LNT Construction on the site of a former local authority facility and, once completed in August, will create approximately 50 jobs. The home has been designed for sister company Ideal Care Homes and will offer residential and special-

ist dementia care for 64 older people. The home is the group’s first to have an additional range of energy efficiencies and, as a result, will have a 21 per cent reduction in carbon emissions. A combination of ground source heat pumps and solar thermal panels will ensure at least 15 per cent of the operating home’s total predicted energy requirements will come from renewable sources.

needs to invest in good quality purpose built facilities to ensure it can meet this expected demand in the coming years. “The growth in numbers of the elderly are to be welcomed, and is a wonderful testament to modern medicine and better nutrition, but we all know that as we age there comes increasing levels of frailty and often loneliness. “A comfortable modern, warm and friendly community environment, such as the care homes in which we invest, is a wonderful antidote to some of the consequences of the ageing process.” The ONS data also reveals that although life expectancy, healthy life expectancy and disability-free life expectancy are all increasing, the latter two still lag behind the former.

Caring UK Commerce section brings you all the latest property, business and training news every month.

In this issue: Is fee setting the

answer? Page 24

Developers’

change of direction could create 300 new jobs Page 26

Innovation and

efficiency: the marriage between charity and care Page 27

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Is fee setting the answer? By Graham Hallows

Littlecoates House in Grimsby.

Vertere sells former home on behalf of administrators ACTING on the instructions of the joint administrators N. Cropper, S. Wilson and A. O’ Keefe of Zolfo Cooper, Vertere has unveiled the sale of a former care home in Grimsby. Vertere is the redevelopment agency division of the national specialist property agent DC Care. The new division was established last year as DC Care recognised that there was not the same requirement for confidentiality when selling a vacant property. DC Care director Anita Allen said: “We can increase the exposure given to non-trading care home properties and increase advertising; it’s a slightly different approach than our standard discreet, confidential way of marketing.”

Littlecoates House was previously registered for 46 residents requiring residential and dementia care. The building provides fully en-suite ground floor accommodation. Zolfo Cooper instructed Alison Taylor of Vertere/DC Care to market the care facility alongside other trading units within the same administration. Interest was gained from various parties, and the end purchaser was introduced within two weeks of the home being offered to the market. The care home property has been sold for an undisclosed sale price to a private limited company who plan to redevelop the building and re-open it as a home specialising in dementia care for the elderly.

ACROSS England and Wales, local authorities are turning to the contentious issue of fee setting, particularly in relation to care homes for the elderly. Their quest is to develop a methodology to understand care costs and subsequently set fees. At the heart of this debate is an inherent tension between provider and commissioner. As commissioners, councils have been placed on the back foot concerning the methodology and rationale supporting fee levels by a series of events: most significantly the High Court ruling regarding Pembrokeshire council and the fees it pays to care homes and, to a lesser extent, Stafford and Sefton councils. These cases are symbolic of a fracture line in relations between commissioners and providers. The provider sector often feels aggrieved at a lack of discussion and consultation with commissioners. This sense of grievance is translated into the use of a methodology such as Laing and Buisson that furthers the private sector’s case and promotes their market control. In turn, commissioners are driven by government initiatives to ‘defend’ or provide a rationale for the tariff rates paid. The outcome of this work becomes the football that both services then kick around, sometimes with devastating consequences like the case in Pembrokeshire. Critical in this is the day-to-day reality of not losing sight of the current market. Commissioners usually have good local knowledge of the provider market and understand if there is sufficient capacity,

Graham Hallows capability and quality. In many cases, the drive to develop and apply a methodology is due more to pressure from provider forums and recent legal judgments rather than commercial need. A key step in developing a mature relationship with providers is the development of robust commissioning strategies, practices and processes, which engage the sector in open dialogue about current and future commissioning needs and intentions. And through this process of engagement providers can in turn inform councils of their commercial needs. It is the commissioning strategy that should set out the context and provide a ‘rationale’ for fee setting rather than applying blanket cuts or using a toolkit in isolation. Such an approach will help to ensure that a council’s engagement with the market is robust and defensible. Graham Hallows is chief executive officer for Commercial and Clinical Solutions.

An artist’s impression of the new home.

Firms join forces for new site TWO established Hampshire businesses have been brought together by business adviser Christie and Co and combined forces in a joint venture to open a new elderly care home in the heart of the New Forest. Highwood Group, experienced care developers with many major projects currently under construction, acquired Hill House in Lyndhurst, Hampshire, and immediately saw the unique opportunity created by both the quality of its location and the potential to convert and sympathetically extend the existing

building to create a new 50-bed care home. Traditionally, Highwood Group has built care homes for others to operate. However, in the case of Hill House, director Nigel Meek felt the company should become directly involved and instructed Christie to find an operating partner with a shared vision and established track record. They introduced them to Hartford Care, a family-owned business with eight care homes in the region. Building work on the new care home has started and it is due to open in early 2013.

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An artist’s impression of the new home.

NorthStar directors Danny Sharpe (left) and Ian Holmes present a cheque for £500 to Jodie Vaughan of nominated charity Alzheimer’s Research UK.

Developers’ change of direction could create 300 new jobs By Dominic Musgrave A DEVELOPMENT and project management duo formerly affiliated with a major care provider has launched as an independent company. Having already secured contracts with other care providers, the move is set to bring work to other organisations across the country. NorthStar, working out of offices in Newcastle and South Oxfordshire, is confident it will create more than 300 jobs across the UK in its first year of operations through the execution of contracts to build and refurbish a number of residential care homes. Ian Holmes, director of the company along with business partner Danny Sharpe, said: “We already hold a strong reputation within the industry for offering an award winning approach to developing and project managing care homes across the country, and now that we have launched ourselves independently we can offer our specialist expertise to other care home providers. “The NorthStar supply chain of architects, lawyers and other

construction professionals have worked hand in hand for many years and offer a comprehensive service comprising of the best consultants in the healthcare sector, all under NorthStar’s lead.” The firm is already celebrating its first boost with news that a care home they developed in Newmarket, Kentford Manor, has been chosen as one of three finalists in the Best Larger Home for Elderly Care category at this year’s national Pinders Healthcare Design Awards. Ian added: “This is a particularly exciting time for us at NorthStar as we branch out independently. To be shortlisted for such a prestigious award as we start our journey is a welcome boost to morale and serves to strengthen our already impressive portfolio of award winning care homes which we have developed.” And, the team at NorthStar have kick started their new era of independent operations by nominating Alzheimer’s Research UK as their designated charity, after being presented with a cheque by Pinders as part of the short listing process.

Green light for £9m state-of-the-art home CASTLEMEAD Care has been granted planning approval for a state-of-the-art 50,000 sq. ft. facility in Bradford on Avon, near Bath. The £9m development will be built on the former Berryfield House hospital site and will comprise of a 63 bed elderly nursing home and 14 two bedroom assisted living units. It will provide nursing and dementia care for residents and will be operated by Porthaven Care Homes. The home will also provide services to residents in the assisted living units, which Castlemead will develop for retirement housing specialists Beechcroft. Castlemead business development director Tony Cole

said: “There is already shortage of beds available for those suffering with dementia, and with more than one million additional people expected to be diagnosed by 2051, it is more important than ever that these facilities are made available in areas such as Bradford On Avon. “Our integrated offering and high quality design ensures that all our facilities are ‘future proofed’ and adaptable to the different types of care needed in the area. This approach not only secured support with our funders but the planning officers as well.” The development has been designed by DWA architects and construction will commence in May, with completion in the summer of 2013.

Owners expand business FIFTEEN jobs have been created at a Wolverhampton care home after its owners purchased a building next door to the existing facility. Following increased demand for places at Essington Manor, partners Caroline Cox and Dr Robert Powell decided to purchase the new property after securing a £835,000 loan from Lloyds TSB Commercial. They have converted it into a 20-bed residential facility, expanding capacity to 43 beds.

Registered manager Caroline Cox said: “For a long time the care home has been consistently at full capacity, but the purchase of the property next door has allowed us to welcome new residents and employ new staff members. All the rooms in the new building are en-suite, which offers residents privacy and independence, and they are quickly being reserved. Our residents join us from the local area, as does our staff, which creates fantastic relationships between all.”

Tax reclaims for care home owners... CAPITAL allowances are among the most valuable and least exploited methods of reducing property owners’ income tax or corporation tax liabilities. Capital allowances arise from capital expenditure on purchasing or constructing a new property along with extensions and refurbishments. We comprehensively survey the property which allows us to identify any qualifying items that, for numerous reasons, have previously not been claimed. Don’t delay as the government are considering closing this opportunity for retrospective claims. Call now for your free appraisal. Have you made a Vat reclaim? If you were operating between 1993 and 2002 call now to start making your claim. We will quickly identify the validity of a claim without obligation. If it does not proceed there will be no fee. Enquiries: Telephone 01246 293011 or visit www.salmon-business.com

Construction work has begun on Hadrian Healthcare Group’s new residential nursing care home in Wetherby which is expected to create approximately 60 jobs. Completion of the £6m 59-bed development, which will also include a dementia suite and eight selfcontained independent living suites for residents who need minimal care but benefit from living in a supported environment, is expected in January. The new home will be one of the group’s Manor House Living developments and will have a library, garden, cinema, hair salon, ballroom, bistro, newspaper and sweet shop, residents’ bar and bowling green.

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CARINGCOMMERCE

Innovation and efficiency: the marriage between charity and care By Linda Convery THE decline of Southern Cross last summer brought to the fore the risk of large private care home operators providing for those in need as the age of austerity bites. There has since been warnings that there will be a repeat of the Southern Cross crisis unless local authorities recognise the true cost of care. Some have said that more should be done to monitor the financial health of companies that house the elderly. Others have gone as far as to say that social services should no longer outsource care provision. The latter would be a regressive step. If you compare the current quality and diversity of care accommodation with the old style care homes and institutional care that was around prior to the introduction of the Community Care Act 1990, there can be no doubt that, generally, there has been an improvement in what is available for those in need. Much of this has come about due to the willingness of the charitable sector to innovate and work in partner-

ship with local authorities. In particular housing associations have, over the years, developed effective social businesses providing care, accommodation and support for the elderly. National organisations such as Anchor Trust, Housing 21 and MHA, as well as many locally based associations, work well in partnership with local care providers. Like Southern Cross, many of these providers supply the majority of their accommodation and care to residents who are financed by local authorities. It has always been the case that the amount a local authority is willing to pay is generally less than the private market rate and yet somehow these organisations have managed to survive and even flourish. Why is this? One could argue it is simply because they do not have the same fiscal pressures as private businesses, but is it more than that? Do these organisations have a different approach to the way they operate, which creates efficiencies without sacrificing standards? Certainly very often the quality of the care is more individual-centric.

There is a constant drive to maintain standards, avoiding the cycle of low quality leading to low occupancy leading to less income leading to even lower quality and on and on. Extra care facilities are becoming very popular as an alternative to living in a care home. They are supported by local authorities as well as the private sector and many private developers are looking at ways in which to meet older people’s aspirations. However, it is important to ensure that the care and support is not just an ‘add on’. It should form an integral part of the scheme as a good marriage between the developer and care provider is paramount in achieving efficient operation. Some developers may be looking to partners outside their organisations to provide the care, including the pioneering social businesses in this sector. It will be interesting to see if there is an increase in the number of joint ventures as the market matures and developers and providers come together to supply the perfect package.

Linda Convery Ultimately it is important to remember that, in the rush to redress the collapse of Southern Cross and reform healthcare in the UK, there is much good to be gleaned from the contributions of the charitable sector to the quality and efficiency of care. Linda Convery is a partner specialising in care and retirement housing in the real estate and development department at Lewis Silkin LLP.

Work begins on group’s new home WORK has begun on Care UK’s latest ground-breaking nursing home in Edinburgh, which will provide residential and dementia care for 90 residents. The home will create approximately 80 new jobs to the area, and residents will also benefit from a woodland area near the development which the group has donated to the city council. The home has been designed by Richard Pollock, of local practice Burnett Pollock Associates, who is also the dementia services development centre's director of architecture at the University of Stirling. He has worked with his wife Annie, a landscape architect who creates gardens designed for people with dementia, to create a home and grounds that are functional and homely. Care UK’s new homes director Colin Reynell said: “Our dementia specialists have carried out a great deal of research into helping older people maintain their independence within our homes.

“We have found that by making homes as ‘homely’ as possible, providing lots of natural light and letting residents choose the lifestyles and activities they want, we can improve levels of well-being by up to 40 per cent. This has led to residents enjoying greater levels of mobility, increased socialising with other residents and developing and pursuing their own interests and hobbies.” The 90 bedrooms will be separated into nine self-contained ‘flats’, each with a kitchen and dining room rather than one large communal canteen. The ground will be kept intimate by the use of trellises, sheds and gazebos to break up the space. Washing lines have also been incorporated into the designs to make the grounds feel like home. As well as retro features, the home will include modern facilities such as a spa, cinema and hairdressers as well as space for crafts, activities and fitness programmes.

Firms instructed to sell Centre COLLIERS International Healthcare and Christie and Co have been instructed by joint LPA receivers to sell Adderley Green Care Centre in Stoke. Two purpose built self-sufficient care homes are available to purchase or lease as a pair. In addition, there are 24 residential apartments in two blocks on the

same site which are also available either as part of the care complex or by separate negotiation. Construction of the care homes was completed in December 2011, and the homes provide accommodation in 90 and 60 single bedrooms respectively. All bedrooms have full en-suite wetroom style shower and WC.

Avery Healthcare has opened its doors to a new £3.3m, 65-bed nursing home in Hertfordshire, creating approximately 80 full and part time jobs. Acacia Mews has been built on the site of Hatfield’s old police station and has been designed to complement the architecture of the adjacent court buildings. The three-floor development features seven premium rooms with double bed and living area, with the option to include a kitchenette for independent living. Further facilities include a hair salon, therapy room, activity lounges, reminiscence area and a courtyard garden.

Saving made easy with Gompels’ new cost control service GOMPELS HealthCare Ltd is offering a new cost analysis service to assist care home managers maintain tighter budgetary control on every day disposables. Through using the service, which takes just a few minutes to access online, buyers may save up to seven per cent on annual expenditure on items such as paper towels, incontinence products and janitorial supplies. The cost analysis service, which is free to Gompels customers, allows buyers to view a detailed purchasing report on their group or individual care home accounts which shows quantity, category, expenditure and region. Each purchase can be double clicked for even more detail so issues such as overspend on a particular product can be easily and quickly identified. The service is one of a number offered to care home managers. Others include an extended cut-off time of 5pm to place orders for next day delivery and conversion charts which allow you to compare the cost of the brand you normally buy to that of other brands. Enquiries: Call 0845 450 2420 or visit www.gompels.co.uk for online ordering.

Eric Howard

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Which? report finds examples of poor care AN undercover investigation into the homecare system has found examples of poor care of older people, including missed visits and vulnerable people left with soiled bedclothes, with food left out of reach, and with vital medication missed. Which? asked 30 people and/or their carers to record every detail of homecare visits they received for a week during January. Using voice recorders, paper diaries and computers, they logged 287 visits showing the impact of good and bad care. One lady was left alone in the dark for hours unable to find food or drink, another was left without a walking frame so she was unable to get to the bathroom, and one man was not given vital diabetic medication. Which? executive director Richard Lloyd said: “Our undercover investigation found some disgraceful examples of care with elderly people being given little time or respect. “The Government can no longer claim to be shocked as report after report highlights the pitiful state of care for older people. “If they are serious about ensuring vulnerable people are treated with dignity, then we must see real action

because every day they delay is another day older people risk being neglected.” Some people did report carers going the extra mile to give excellent service, especially those with regular careworkers. However, in a separate Which? survey, one of the most common complaints reported was missed and rushed visits, with relatives often left to step in. Nearly half (47 per cent) of respondents reported at least one visit had been missed in the past six months, with 62 per cent claiming they had had had no advanced warning. In many cases, the diarists said a good service was provided only after complaining, with some family members being forced to make continuous phone calls and to have a constant battle with agencies. Cllr David Rogers, chairman of the LGA's Wellbeing Board, added: “This research highlights the very real crisis this country is facing in providing care for the elderly and vulnerable. “We know there isn't enough money in the system and without fundamental reform the situation is only going to get worse and stories like this will sadly become increasingly common.”

Caremark (Bromley) won the ‘Achievement Award’ at the company’s fifth annual conference at the Hellidon Lakes Hotel in Northamptonshire. The accolade presented to Sharon Dhillon was one of three top awards among a total of 10 presented in recognition of a franchisee who has made significant, broad achievements over the last year under challenging circumstances. The firm’s international development director Sean Cragg said: “Delays with the CQC meant that Sharon had to wait 12 weeks to get an interview date. However, she used this time wisely and her patience and tenacity has paid off.” This year’s conference focused on making a difference through the provision of the highest standards of care. Sharon Dhillon is pictured receiving her award from Caremark Limited’s national support manager Anne O’Rourke and international development director Sean Cragg.

New boss for Suffolk company MANORCOURT Homecare in Thetford has appointed a new manager with more than 30 years’ experience in the care profession. Jenny Daynes has taken the reins at the office at the Keystone Innovation Centre, overseeing domiciliary care in Thetford, surrounding villages and

parts of Suffolk. She returns to the care sector after a number of years working as a project manager at the Diocese of Norwich. In addition to management skills, Jenny brings a vast knowledge of residential, hospital and home care to her new role.

Pictured with the award are Laura Windross, assistive technology services assistant, warden Carol West, relief customer adviser Nicola Brown and Joanna Caton, Independent Living Services co-ordinator.

Top accolade for firm’s emergency monitoring COAST & Country has been awarded the highest industry standard for the quality of its HomeCall service – a 24hour emergency monitoring and response service for elderly and vulnerable residents. As the industry watchdog for assistive technology service providers, the Telecare Services Association gives its prestigious Code of Practice award to only the best organisations, with HomeCall securing the validation for the third year running. The HomeCall service allows older people to live safety and independently in their own homes. In order to gain the quality standard, HomeCall had to pass a series of rigorous inspections which included: Monitoring and installing equipment. How well staff respond to customers.

How well customers fully understand the service they are being offered. How well the service meets the needs of its customers. Jason Lowe, head of independent living services, said: “The accreditation endorses the quality of our HomeCall service and also recognises Coast & Country as a leader in the field of providing support for elderly and vulnerable people across the Tees Valley. “The welfare of our residents is core to Coast & Country’s values and we strive to support them as their needs change as their lives progress. “It is important for our residents, staff and partnership agencies to know that Coast & Country’s HomeCall has been officially acknowledged for the high level of service and support we provide to our customers.”

Provider launches alternative service AN award-winning regional care provider has launched At Home – a homecare service for older people in Leeds which will provide an alternative to moving into a care home. Westward Care operates three care homes in the West Yorkshire city, and the new venture is designed to leverage the company’s professional approach to care and customer service and recreate this for clients who wish to be looked after in their own homes. “There was a time when things were black and white,” said managing director Peter Hodkinson. “You were either able to lead an independent life at home or you weren’t, in which case a care home was often the only solution.

“We are working towards building a portfolio of services and facilities that means every individual can access the kind of care that suits them best –we don’t believe in a one size fits all approach.” The new company will provide as much or as little care as each customer requires, with services ranging from help with personal care and hygiene, getting up or going to bed, shopping and trips away from home, housework and laundry, paying bills, home repairs and collecting pensions and prescriptions. Westward Care was the winner of the ‘Best Small Care Employer Award’ for Yorkshire and the Humber last year and was a finalist in three categories this year.

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CARINGDEMENTIA

Care homes nationwide have been holding events for Dementia UK’s Time for a Cuppa campaign. Dominic Musgrave reports.

Homes brew up for charity

Bill Dempsey with his wife Joyce.

Residents Rose Hudson and Phyl Cranage.

THE event, which brings people together over a cuppa and a piece of cake, is the charity’s annual fundraiser. The money raised from donations will be used to support the development of Admiral Nurses, specialist dementia nurses who offer practical and emotional support to people affected by dementia. Members of Oxford United Football Club’s first team squad and chairman Kelvin Thomas dropped in at Yarnton Residential and Nursing Home in the county. They were joined by 32 choristers of William Fletcher Primary School’s ‘Glee Club’ for the event, which was particularly special for 85-year-old resident Bill Dempsey, who played football for the club when it was called Headington United in the 1950s. The home’s manager Sarah Rawcliffe said: “It was such a special day for our residents and particularly Bill. They were so excited to meet stars from their beloved Oxford United and there was a huge buzz around the home. “The residents enjoyed the Glee Club – they performed for us at Christmas and our residents’ faces light up when they see them.” A South East and East Anglia group

of homes supported the campaign for the third year raising £575. All 12 of the group’s homes invited their local communities to take part in ‘Time for a cuppa’ with tea parties organised for everyone to enjoy. Several of the homes put on tea parties from the 40s, 60s and 70s and the staff dressed up in costumes. Many of the homes also put on entertainment and held raffles to try and raise as much money as possible. Managing director Nicola Coveney said: “We are very pleased that the local communities were keen to get involved and come along for a cuppa. “The day is not just about raising money. It is also about giving people affected by dementia, including carers, care home residents, families and friends, something to look forward to after the busy festive season.” Twenty Care UK homes also put on events to mark the day. As well as tea parties and cake sales, many of the homes also arranged other events to mark the day. These included rocking and rolling with an Elvis lookalike at Paisley Court in Liverpool, a raffle and tombola at Mitchell House in Poole and helpful talks about dementia at Whitby Dene in Middlesex.

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CARINGDEMENTIA

Speakers at Script Events’ regional conferences will be, from the left: Paul Edwards, Damian Utton, Sheila Scott and Barbara Pointon.

Distinguished line-up of speakers confirmed for regional conferences DEMENTIA Care: The Way Forward is the title of a series of must-attend conferences being held nationwide by Caring UK’s sister company Script Events. The first of the events, which are being held at St Mellion Hotel in Cornwall on May 15 and the following day at Bristol Zoo Conference Centre, feature a distinguished line-up of speakers. Further conferences are planned for Hilton Avisford Park Hotel and Hilton Maidstone Hotel on June 13 and 14 respectively. Chaired by Caring UK editor Dominic Musgrave, heading the speakers will be Alzheimer’s Society and Dementia UK ambassador Barbara Pointon MBE, who shares the

story of her husband Malcolm’s 11year battle with the condition in her talk ‘Caring for Malcolm’. Dominic said: “We are really excited about how the conference programmes are shaping up, and we hope many care home operators and managers will spare a day from their busy schedules to join us to hear from some of the leading names in the sector. “The facts and figures about dementia are well documented and will impact on everyone working in the industry in future, which is why we believe our conferences are a must-attend. “The events are also an excellent opportunity for networking, while the

extensive exhibition which will run alongside the seminars will feature some of the latest products available on the market.” Joining Barbara at the events will be popular NCA chief executive Sheila Scott, who will ask ‘What next for Dementia?’ in her seminar. Paul Edwards, head of training and practice from the specialist Bradford Dementia Group based within the University’s School of Health Studies, will talk about how dementia care could be improved using evidence from research, policy and practice to drive change. And Damian Utton, a partner at leading specialist dementia architects and designers Pozzoni LLP, will dis-

Initiative aims to end use of drugs By Dominic Musgrave A NEW initiative has been launched in Wales to save people with dementia being subdued under the chemical cosh. The ground-breaking guide has been devised by Steve Ford, the dementia advisor of Care Forum Wales which represents more than 500 independent care providers in Wales. The easy-to-use guide helps identify what might be triggering behavioural problems and ways to handle it without drugs. The document ‘Assessment of Challenging and Management Problems Initiating Options for New Solutions’ can be downloaded from the Forum’s website and helps identify what might cause inappropriate behaviour. Steve, managing director of Pembroke Nursing Homes Ltd, which provides dementia nursing care for 45 clients at two Colwyn Bay homes, said: “There is a national impetus to move away from inappropriate antipsychotic medications for use in challenging behaviours and this piece of work helps to achieve solutions for some of those care management difficulties without necessarily picking up the phone to request a GP visit. “The document is comprehensive in that it identifies the problematic

Steve Ford with the new document. behaviour and gives ideas for the solutions, but it’s very easy to complete. Switched on care providers should know when anti-psychotic medication is of little therapeutic value. In exceptional circumstances their use should be time limited and never the first choice for managing difficult behaviour.” Steve consulted with user groups, families, care providers, including nurses within the NHS and representatives of local health boards and social services and drafted his document seven times before he was satisfied.

The guide comes as new findings are released by University of Manchester, who have carried out the first study of its kind looking into the care and treatment of 994 elderly patients with dementia registered with 53 GP practices in the NorthWest. They found that 259 – just over a quarter – were on antipsychotics and on average they had been taking them for nearly two years. Experts recommend that the drugs should be used for a maximum of three months and only then as a last resort for the treatment of hallucinations.

cuss how the design of a home can have an impact on the quality of life for a person suffering from dementia. Also among the day’s speakers will be Kingsley Healthcare operations director, dementia care and specialist services, Mandy Masters, who will speak about how the group overhauled its approach to dementia care using David Sheard’s methods to find a way to meet emotional as well as practical needs. To book your place at the special rate of £25 for a single delegate or £37.50 for two, call the hotline on 01226 734475. This offer closes on April 15 and places are strictly limited.

Residents and college students make DVD DEMENTIA sufferers living in a Hertfordshire retirement scheme have joined forces with students from a local college to record their memories for a DVD about their lives. Hertford Regional College’s creative media production students recorded the DVD as part of Broxbourne Housing Association’s ‘Making Memories Last’ project for its residents. The company made a donation to the course to thank the students for their work and invited the star of the DVD, Caroline Emily Pickering, to present the cheque at an event held at their Wormley Court facility. Deborah Fenton of housing services said: “ When we asked the college if they would like to be involved, we hoped we may get one or two students interested in working with our residents. “We were absolutely delighted when we had 30 students on the day of filming. The ‘Making Memories Last’ project is a first for us and we hope we will do many more in the future.”

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Council fined after resident suffers burns in shower THE Isle of Wight Council has been fined £12,000 after an elderly resident staying in respite care was scalded at a care home in Freshwater. The Health and Safety Executive prosecuted the local authority for failing to have the correct shower fitting at a resource centre, which led to the incident. Portsmouth Magistrates’ Court heard that on October 30, 2009, Brian Leek 76, was staying at the respite residential care facility at The Gouldings. On the day of the incident he entered the bathroom, undressed, turned on the shower and sat on the bath's hoist seat below the shower unit. Very hot water from the shower sprayed onto his lower back, scalding him severely and causing 13 per cent burns. After the hearing, HSE's inspector Joanna Woodcock said: “Where there is a risk of scalding for vulnerable patients, it is vital that operators fit adequate control measures to ensure that water temperatures are restricted, particularly where people can be almost completely immersed in baths and showers. “Vulnerable people may be unable

to react quickly to avoid the danger. They may also be more liable to serious injury from very hot water. The consequences of scalding can, in addition to causing excruciating pain, be fatal, although thankfully did not happen in this case. “Everyone involved with the care of vulnerable service users must ensure that they have the necessary safeguards in place. Cases like this are completely avoidable if the correct guidance is followed.” Mr Leek was hospitalised on the Isle of Wight and then transferred to a burns unit in Salisbury. Following this incident, he now lives in a care home and has not been able to return to live with his wife. The HSE investigation found the shower fitting was not suitable for use in a healthcare facility and was not installed with a thermostatic mixing valve, which would have limited the temperature to 41°C. Two other local authority homes on the island also had showers available for use with no TMV protection. The council pleaded guilty to Section 3(1) of the Health and Safety at Work etc. Act 1974. It was fined £12,000 and ordered to pay costs of £5,133.

Scarlett, her father, Chris, and great grandmother Rose Hare with activity organiser Janey Lloyd and musician and storyteller Tim Laycock.

Home celebrates Australia Day AN Australian day at Amberwood House care home was made extra special when the 18-month-old great grand-daughter of a resident flew in from Sydney. Scarlett Young, and her dad Chris, were guests of honour at the event at the home where Rose Hare, 98, is a resident. Rose and her fellow residents enjoyed a variety of Australianthemed activities with musician and storyteller Tim Laycock proving par-

ticularly popular. Home manager Angela Bennett said: “It was lovely to also welcome the families and friends of our residents to join us. The visit of Chris and his young daughter, who happened to be visiting the UK from Australia, was a particular highlight.” The 54-bed nursing and residential care home was decked out in Australian flags as well as traditional artefacts including boomerangs and a didgeridoo instrument.

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Vitamins in meals worry authority’s investigators VITAMIN levels were a concern in the majority of care home meals tested by trading standards officers in Warwickshire. The county council representatives sampled the lunch menu at 10 homes in the county, which included puddings, and samples were sent to the public analyst for examination. They found that vitamin C levels were a concern in eight out of 10 meals sampled, with vitamin D levels also inconsistent County councillor Richard Hobbs, portfolio holder for community safety, said size of portions and the number of calories were also issues highlighted by the tests. He added: “The homes were very welcoming and appreciated the work we were able to do to identify problems and offer solutions.” “All the homes that took part were provided with advice and assistance to improve the nutritional standards and portion sizes of the meals they served.” The meals were analysed against the Caroline Walker Trust and National Association of Care Caterers guidelines.

Party and art exhibition marks home’s birthday By Dominic Musgrave STAFF and residents at an Epsom care home held a party and art exhibition to celebrate its 10th anniversary. Residents at Appleby House worked with activity coordinators to create works of art for the exhibition as well as preparing decorations for the big day. Home manager Jeni Rushton said: “The residents have been creative and used different mediums to capture their favourite things. “One resident has painted his childhood home; another man, who was a sailor, has painted ships and there are pictures of pets, flowers and loved ones. “When people move into a home they often fear they will lose all their hobbies and interests, as well as their friends and family. Nothing could be further from the truth. Our activities coordinators work with residents to find out what they enjoy and help them to carry on while others come to new hobbies. Some of our residents hadn’t painted since they were at school but they had a wonderful time with the canvas and have discovered a new pastime.” As well as the art show, the residents and their relatives also joined staff for a party with local entertainer Karen

Appleby House deputy manager Lynne Rogers and manager Jeni Rushton celebrate the home’s 10th anniversary with Elaine Carruthers, manager of Orchard Day Centre, which is situated next door. Frances, who performed favourite songs for everyone to sing-along to. Jeni added: “Everyone at Appleby House has worked very hard at making this every resident’s home. We encourage all our residents to

take an active part in the day-to-day life of the home because it helps everyone to keep up their life skills and gives people the sense of peace and control they would have had before joining us.”

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What the inspector wants to see when they arrive By Mark Baker MANY care home managers start to panic or have a sense of dread when they get a call from reception to say that there is an environmental health officer at the door but there is not usually any need for hysteria. The inspector should have checked the file held on your care home in the local authority’s premises file and so may well know the names of the manager and other senior staff and some of the history of the premises. Although, if your home is seen as low risk, it may be a couple of years or more between inspections so the information held in the file might not be completely up to date. The inspector will show you their identification card and if they don’t show it to you they will not mind being asked for it. Environmental health officers recognise the need for procedures to be followed so they generally have no problem following your procedures regarding visitors. Officially they have no right of entry if they do not clearly state who they are and the purpose of

the visit. Personally, I like to be asked for my identification, as it indicates to me that the business takes safety and security seriously. The inspector should tell you the reason for the visit; i.e. whether it is for a routine inspection, food complaint or other reason. The inspector has a right to enter at a reasonable time and talk to anyone in the business and to take photographs and examine documents and watch work activities and indeed anything that is required as part of the inspection or investigation. Furthermore to refuse to give reasonable help or support to the inspector could be seen as obstructing the officer in carrying out his work and would make you liable for a prosecution. The inspector may want to speak to a number of people at the home but it is generally best for you and the inspector to have a brief chat to establish the particular issues that the inspector wants to look at during the visit. You can then explain if the right people are around or when they may be available. The inspector

Study reveals homes’ continued struggles CARE homes are struggling to provide high quality care for residents with complex medical conditions, against a backdrop of a severe funding, equipment and staff shortages, it has been claimed. A survey by the Royal College of Nursing of almost 600 of its members found that nurses working in care homes are facing huge challenges in providing care. A new report, Persistent Challenges to Providing Quality Care, identifies a lack of training for staff, inappropriate admissions and extreme pressure on the workforce leading to poor staff morale The report also highlights the key issue of funding and admissions. RCN chief executive and general secretary Dr Peter Carter said: “This report paints a hugely concerning picture about the many daily challenges that so many nurses in care

homes face in delivering high quality care. “Many of these challenges are not new, but following years of underinvestment these issues have now significantly worsened.” The College says that getting health and social care funding right is crucial for the sustainability of the social care system and the NHS. It recommends: Re-evaluation of how funding is allocated to cover the needs of residents in care homes. National guidance on staffing levels and ratios for care home. A Government review of care home workforce planning and to ensure that this workforce is appropriately supported, trained, qualified and valued. Regulation of all health care assistants.

Donation to upgrade garden RESIDENTS at a Leigh care home are looking forward to spending more time in the garden thanks to a donation from a local community group. Hazel Jackson, home manager at Hourigan House, accepted a cheque for £590 from Sandra Latchford and Karen McDonald of the Wigan and Leigh tenants and residents group The Trees Forum to spend on a gar-

den makeover. Hazel said: “We’re very grateful to The Trees Forum for their generous donation, which will be put to good use improving our back garden. “We are planning to make the grassy area more accessible for all residents, and introduce some multi-sensory features for everyone to enjoy.”

Mark Baker will then usually agree a plan of action for the inspection. During my inspections I like to: Talk to people working at the site. Watch some of the practices taking place while I am there. Look through policy statements and records. Mark is an independent environmental health consultant and has been involved in advising care homes on health and safety and food hygiene and environmental management for more than 20 years.

Employees start to nominate for awards A CARE group’s employees around the UK have started to nominate colleagues for the sixth Barchester Care Awards, which continue to recognise the dedication of the national care provider’s staff. Staff members from all of the group’s homes are encouraged to nominate fellow workmates for their contribution and commitment in the delivery of high quality services. Entries are assessed by the senior management and finalists will be announced at a glittering award ceremony where winners will be announced in May. The 12 categories have been created to reflect excellence in a whole variety of roles across the company ranging from ‘Diverse Services Champion’ and ‘Registered Nurse of the Year’ to ‘Maintenance Champion’ and ‘Chef of the Year’. Jim Marr, director of care and quality, said: “These awards centre on celebrating the calibre of skills and talent we have and it is a joy to learn about the achievements of the people who make a special difference to the lives of those we look after.”

36 c-seps

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Blanca Press halves ironing time - prove it with a free trial IRONING need no longer be a chore – and the results will amaze you. Try it for yourself with a free trial of the Blanca Press, which irons everything from sheets to shirts in half the time. If you like it, keep it. If you aren’t completely happy, return it. The finish is superb and clothes will last longer because there is no rubbing. Sheets can be ironed up to four layers at a time – and you can even use the press while sitting down. Once you have tried it you will wonder how you ever did without it. The Blanca Press retails at £595 plus VAT and delivery and comes with a full instruction video, one-year guarantee and excellent after-sales service Enquiries: For information or a free trial contact: Fast Systems Ltd, Dalton House, Newtown Road, Henley-on-Thames, Oxon, RG9 1HG, telephone 01491 419200 or e-mail sales@blancpress.co.uk and see www.blancapress.co.uk

Grahame Gardner - to meet all your uniform needs WITH a wide selection of both contemporary and traditional workwear, Grahame Gardner have garments to suit every taste. Their range of tunics and trousers are extensive, all designed to be both practical and comfortable, with a number of alternative trouser styles, including hipster and boot cut. Urbane Scrubs on the other hand is the perfect range for those looking for something a little out of the ordinary – with a bold colour palette and flattering tailoring, Urbane is a scrub range a cut above the rest. Grahame Gardner also offer an embroidery service so that care homes can personalise their garments with the addition of logos or name badges. This enables managers to cost effectively create a bespoke identity to enhance the image of the surgery. For added convenience, Grahame Gardner has also selected a range of clogs and shoes perfect for the staff. Enquiries: Telephone 0116 255 6326 or visit www.grahamegardner.co.uk

Beaucare’s mattress disinfection wipes BEAUCARE® Medical Ltd is the UK’s premier supplier of hygiene, medical supplies and equipment to individual care homes, care home groups, hospitals and NHS Trusts. We have developed a mattress disinfection wipe to compliment our hygiene and janitorial range. These wipes are specifically formulated to control infection and disinfect in one solution, with healthcare professionals in mind. The wipe contains a complex mix of biocides formulated to target a broad spectrum of microorganisms found in health care environments, such as bactericidal, mycobactericidal, fungicidal, virucidal and sporistatic disinfection. Our mattress disinfection wipes are ready to use and disposable, eliminating the risk of cross contamination. A cost saving alternative to multiple product solutions, supplied in a tub with resealable fastening for easier and quick dispensing. Ideal for cleaning our waterproof covered pressure relief mattresses or doubles up as a multi-purpose surface wipe.

Stylish additions to Knightsbridge care portfolio on display STYLISH new collections of seating for bedrooms, dining and social areas within care homes and residential facilities were revealed by Knightsbridge Furniture at the recent Care Show. Inspired by the powerful style of artist Pieter Mondrian, Knightsbridge Furniture’s new Mondrian series of easy chairs, settees and dining chairs is characterised by the artist’s idiosyncratic geometry and simple, uncluttered lines. Upholstery is in either fabric or vinyl, with show-wood in six standard finishes. Another newcomer to the Knightsbridge Care portfolio this season is Slide, a range of practical upright chairs for dining and activity rooms. With sturdy skids incorporated into the frame in the place of legs to facilitate stability and manoeuvrability, Slide chairs include both armed and armless models. Also on display were Knightsbridge Furniture’s graceful Lugano upright armchairs, Lucia dining chairs, a high-back version of the classic Monaco chair and the versatile Jasmine range of seating, created to meet demand for a budget collection which conforms to the company’s customary superior quality. Enquiries: Contact the sales team on 01274 731442, email enquiries@knightsbridgefurniture.co.uk or visit www.knightsbridge-furniture.co.uk

New dryers from Armstrong cut costs A NEW range of Huebsch tumble dryers has been announced by Armstrong, incorporating Over-drying Prevention Technology. This not only cuts energy costs but also reduces drying time, so improving productivity. The final moisture content for each cycle is fixed by the operator and the OPT system delivers it with the optimum balance of heat input and cycle time. The outcome is a win-win combination of lower energy costs and shorter drying times. The new dryers are available in a full range of sizes to suit every application. Enquiries: Telephone 01635 263410, fax 01635 32434 or visit www.armstrong-laundry.co.uk

Can you prove your water is free from legionella bacteria?

ARE you aware that should one of your clients contract Legionnaires Disease and subsequently die, the care provider can be prosecuted under The Corporate Manslaughter and Corporate Homocide Act 2007? Scary but true nevertheless. AquaCert can assist with legionella control from providing an L8 Risk Assessment (each care/nursing home must possess one by law) through to water screening via our postal/courier service (please see our main advert). Testing costs as little as £44.50 + VAT for a 20 bed home – all you have to do is fill the bottle and Aquacert does the rest. Enquiries: Ring Freephone 0800 048 1737 or visit www.aquacert.co.uk

Enquiries: Telephone 01423 878899, email sales@beaucare.com or visit www.beaucare.com

Simple solutions

Leading risk management software supplier

SINCE 1982, Colne (Lancs) based, Richards Residential Supplies have concentrated upon supplying simple solutions to common nursing home problems. The new WACMAT® adheres strongly to this tradition. With its ultra absorbent cotton pile and 100 per cent waterproof backing, the remarkable WACMAT® is an ideal accessory where spills may occur. Used as a commode mat, in bedrooms or bathrooms, the WACMAT® ensures full carpet protection. Then, after use, simply machine wash and tumble dry! It’s that simple... The WACMAT® will then be clean and odour-free, ready to perform time and time again. Alternatively the flat-laying WACMAT® can be used as an entrance mat, saving you hundreds of pounds in rental costs alone. Enquiries: Telephone 0800 074 3749

DATIX is the leading supplier of patient and resident safety software for health and social care risk management, incident reporting and adverse events. Datix gives care home managers the information they need to build a complete picture of risk in their organisation. Datix can help to improve safety for residents and staff, while reducing administrative overheads. From small care homes to large groups, Datix plays a key part in the corporate governance of the organisation. Key features of Datix for social care include: Management dashboards which display information on the organisation’s risks in a clear, simple format. Sophisticated alerting mechanisms that give care home managers early warning of potential trouble spots. Flexible views of risk management information, allowing risks to be shown by particular care home, department or even an individual resident. Security of access to information, restricting managers to viewing only data that is relevant to their care home or area of interest. Enquiries: Contact 020 8971 1971 or email info@datix.co.uk

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CARINGPRODUCTNEWS

Companies must act to cut utility costs OPERATORS can save thousands on energy by taking action now to get the best deals on utilities, buying specialist Lynx Purchasing has urged. By not switching to better deals, businesses risk facing steep increases in the cost of gas and electricity later this year. With oil prices still at relatively low levels, but increasing as tensions in the Middle East and Africa continue, Lynx believes that businesses should be looking at signing up to multi-

year contracts to guard against volatility in the utilities market. The warning comes in the newlypublished ‘Lynx Purchasing Market Forecast’, an overview of market and pricing trends for hospitality operators. John Pinder, managing director, said: “Utility prices are driven by events, and predicting how they will behave is never simple. “While the continued downturn in the European economy and falling in demand in China have kept the

price of oil steady, the renewed tension in the Middle East is likely to cause another price spike. “With utility prices currently as low as they’ve been for a couple of years, but expected to rise, we believe is the time for operators to look at longer term, two to three year utility deals. “The savings on existing deals can run into thousands, even for a single site, and increase significantly for multiple operators.”

John Pinder.

Specialist property agent Firm’s new orders boost celebrates anniversary SPECIALIST care home agency DC Care is celebrating its 10th anniversary in 2012. The privately owned firm has gained an excellent reputation for providing vendors with a professional, ethical and friendly service. They have sold over 300 care businesses worth in excess of £440m since their formation in 2002. Director Anita Allen said; “By the end of 2012, and given our sales pipeline, we hope to report that we have sold several more care facilities. “The transactions we have managed vary from small boutique style residential elderly care homes to large purpose-built units and numerous specialist care facilities, single units

and groups located throughout the UK. “In the current economic climate the sales process can often be protracted and requires tenacity, teamwork and an in-depth understanding of the sector. We are pleased to say that we have maintained our position in the marketplace as one of the most active agents during the last couple of years. “Of late we have also been engaged by banks and administrators selling distressed facilities and, while the sales and marketing approach for these vendors is slightly different, we are achieving the maximum sector exposure and full sales prices for these care homes.”

Badges meet criteria SINCE 2010 healthcare practices regulated by the CQC must meet service delivery criteria including the clear identification of individual staff members. The guidance publication entitled ‘Essential standards of quality and safety’ specifies that, for providers to achieve the required standard of care and welfare of people who use their healthcare services, their users “can be confident that, wherever possible, they will know the names and job titles of the people who provide their care, treatment and support” (part of Outcome 4C). Compliance with this standard is simple according to Badgemaster, the UK’s leading supplier of name badges. “Providing name badges to customer-facing staff is a proven and

very cost-effective solution to the CQC regulations,” said MD John Bancroft. Nottinghamshire-based for 20 years, Badgemaster designs and manufactures ready-to-wear employee name badges for thousands of hospitals, surgeries and care homes and well understands the needs of healthcare professionals.

New addition proves popular EQUINOX Stripe, the newest addition to Danfloor UK’s healthcare collection, is proving very popular within the care sector. The Stripe range consists of nine tonal shades produced in a slightly heavier weight making it suitable for a variety of applications from bedrooms to corridors. This versatile carpet is designed to suit a number of environments from nursing homes to retirement villages and sheltered accommodation. Many care groups are engaging with the Stripe collection and Danfloor

has seen it installed within lounges and circulation areas to create an impressive and stylish atmosphere which complements the rest of the interior design schemes. In addition to the outstanding performance characteristics the new Stripe also includes mædical™ a permanent antimicrobial coating on the carpet fibres. mædical™ provides a permanent barrier against microbes and inhibits bacterial and fungal growth, which are the major causes of cross contamination and odour.

HEALTHCARE furniture and equipment manufacturer and supplier James Spencer & Co Ltd has a strong order book after clinching new care sector orders worth over £200,000. Cumbria Care has placed a £62,000plus order for bedroom chairs, dining chairs and commodes for the refurbishment of 30 homes run by Cumbria county council’s adult and local services directorate. In Calderdale, Halifax-based Pennine Housing 2000, now part of the Together Housing Group, has ordered dining, lounge, lobby and conservatory furniture with a com-

bined contract value of £20,000 as part of its refurbishment of Clement Court. And North of England-based Tees, Esk and Wear Valleys NHS Foundation Trust has placed a £19,000 order for specialist challenging environment beds for a new unit at its award-winning, multi-million pound mental health and learning disability development, Roseberry Park in Middlesbrough. They are in addition to 318 existing inpatient beds, which is made up of self-contained ward units, clustered around closed landscaped courtyards.

Castleoak complete care scheme CASTLEOAK, the specialist care sector development and construction group, has completed Newman Court, a 64-apartment extra care project with day centre in

Basingstoke. This was the group’s fifth extra care scheme for Saxon Weald, and comprises two-bedroom apartments which will be offered for shared equity purchase and rent.

Washer-extractors vital for contamination control HYGIENIC processing of laundry is particularly important in retirement and care homes, as well as hospitals. In such establishments, laundry can be the source of the spread of infection and potentially pathogenic microorganisms. Many nosocomial infections can be traced back to poor hygiene standards in the processing of contaminated laundry. Miele’s PW 6163, PW 6243 and PW 6323 barrier machines provide the ideal solution for processing soiled and potentially infected laundry with their safe disinfection programmes and controlled process parameters set new standards for laundries. How does the barrier system work? These new high-throughput barrier machines from Miele with drum

capacities from 160 to 320 litres offer care and retirement homes and hospitals optimum physical separation between the unclean and clean sides as stipulated in the Prevention of Accidents Regulation BGR500 and are also suitable for other situations were the hygienic processing of laundry is paramount. Disinfection The Profitronic M controls on the new Miele washer-extractors control the temperature and holding times precisely to comply with the required standards. Miele Professional barrier washers have special hygiene packages; thermal disinfection, chemo-thermal disinfection and incontinence/soiled laundry.

New additions at Naidex GAINSBOROUGH Specialist Bathing, will showcase a host of further baths from its extensive range at Naidex. Designed for those that need full carer assistance in either a hospital or care home setting, the Malvern is available with further options including nursing arms, detachable transfer seat, child seat and leg raising unit. New for this year, the hi-lo powered

bath has additional optional features including a sound system which is designed to help lower blood pressure and relieve pain as well as ease anxiety; a spa system for relaxation and relief and there is the option of Chromotherapy, which is a colour and light therapy, that can enhance the users’ mood which is proven to have a positive effect on the body.

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Buyers are often unaware just how much global events can change the price of producing every day consumable products. Sam Gompels, managing director of Gompels HealthCare Ltd, takes a look at how your purchasing costs might be affected.

How global events can affect you WHAT do Greece and Iran have to do with the price of your everyday care home supplies? Just as storms that spread across the oceans can buffet the country and bring some unwelcome side effects, political and economic activities that occur many miles away may affect us too. We live now in a world that is truly global. If you stand in your stockroom, the chances are you will be next to a box of gloves from China, black refuse sacks from India, hand towels from Italy and a toilet cleaner made in Coventry. Here we look briefly at some key core product categories: oil/plastic and tissue/paper pulp and predict

Signs

what is happening to them in the market and why. Oil/plastic: prices are likely to go up. Oil prices are at a high of USD 120 per barrel, a substantial increase of 20 per cent in the last few months from USD 100 per barrel. Freight rates from the Far East have also gone up dramatically this month as the shipping cartels try to recover from a loss making year in 2011. The net result is that disposable gloves, as an end product, are likely to go slightly up in price. Tissue/paper pulp: prices are likely to come down. There has been a recovery from the economic damage caused by earthquakes in Chile and strikes in Finland, two of our

supplying countries. So tissue prices have lowered a little and this will slowly feed through to the end users. It has also been helped by cheaper imports from Europe. So what does all that have to do with Iran and Greece? The sanctions on Iran have been responsible for most of the increase in the oil price and the loss of confidence in Greece and the Euro zone generally has reduced the value of the Euro. A lower Euro means cheaper imports from Europe and the potential for lower prices. A mixed outlook is forecast and a watchful eye is crucial to your business success.

Sam Gompels

Have you got a story for Caring UK? Let Dominic Musgrave know by calling 01226 734407 or email dm@whpl.net Business

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