Caring UK (December Issue) by Script Media

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December 2008

incorporating The Number One magazine for the care sector

no.151 • £4.75 In association with

Homes forced to ring for ambulances By Dominic Musgrave CARE homes are being forced to ring for an ambulance for routine illnesses for their residents because their local doctor is not available. And some are having to wait days to get death certificates signed off according to Martin Green, chief executive of ECCA. “Increasingly I am hearing of care home managers being forced to ring for an ambulance instead of a GP,” he said. “The resident is then being taken through the emergency services procedure which is distressing for all involved - the resident and their families. “I have also been told of GPs who haven’t turned up to sign a death certificate and who won’t visit care homes after Friday lunchtime and then again before Tuesday, which is again very distressing and can spark a coroner’s inquest being required.” The association produced a report recently entitled Can We Afford the Doctor? which says that the amount that care homes pay GPs in retainers can vary from anything between £900 and £24,000 annually, with the

average being approximately £7,000. “I am furious about this because it appears to me that some GPs are taking the money but are not delivering the service,” added Martin. “What people don’t realise is that GPs are effectively being paid twice because they are also getting money from that taxpayer as well as the care home.” ECCA is now calling on the Government to put together a standard contract between the care provider and the GP, and to make sure there is some consistency to the system to avoid the huge difference in fees being paid. “We keep being told how GPs are there to serve everybody in the community, yet there are care homes having to pay huge amounts for this,” he added. “It is scandalous and I am calling on ministers to put pressure on Primary Care Trusts to take control because GPs are not being called to account in any way for the service they provide.” Do you pay huge amounts in retainers for GPs? If so let Dominic Musgrave know by ringing 01226 734407 or email dm@whpl.net

Rich list place for owner

Sir Alan Sugar was guest speaker at a charity dinner sponsored by Maria Mallaband care group. The Apprentice supremo was joined by this year’s runner-up Claire Young and top comedian Lea Roberts for the Make A Dream event at Leeds United’s Elland Road stadium. He answered questions on a variety of subjects ranging from the credit crunch, prime minister Gordon Brown, life after The Apprentice and appearing on the Chris Moyles show on BBC Radio One. Make A Dream is a Leeds-based charity making “dreams” come true for Yorkshire’s sick and terminally ill children. “I have supported the charity for many years as all the money goes straight to the children,” said Maria Mallaband chairman Phil Burgan, who received a framed picture from the charity for sponsoring the event for the last three years.

A LEADING care home owner has been named in the top 10 in the UK’s Asian Rich List. Ramesh Sachdev and his wife Pratibha came in at joint sixth, with their healthcare and hotel business estimated to be worth £375million. They formed Life Style Care plc in 1987, but sold the operating business to Southern Cross in February 2007 for an undisclosed sum. But the freehold asset portfolio, valued at £250million, was not part of the sale, and since then Ramesh has been involved in the set up of 632 more beds with an additional 260 beds planned. The family has also diversified into hotels, a decision led by son Rishi, and a 350-bed Hilton at Heathrow’s Terminal 5 is under construction. The company has also recently secured the only preferred development agreement with Hilton Hotels for development of 3,000 beds in five years.

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Care worker is sacked over alleged picture By Dominic Musgrave A DUNDEE care home worker accused of taking an indecent photograph of an elderly resident has been sacked. The female worker, who has not been named, was removed from her post following a disciplinary hearing at Lochleven Care Home, which is owned by Thistle Healthcare and provides care for up to 100 elderly people. It is understood the alleged indecent picture was taken by the worker with a mobile phone camera. The worker at the centre of the allegation was initially suspended after another employee informed a manager about the alleged incident last week. The company’s operations director Brian Padaruth said: “The staff member at the centre of the allegation was immediately suspended by management, and we also informed the police and the Care Commission. At the hearing the decision has been taken to terminate employment forthwith.” Lorne Findlay, Care Commission

regional manager, said he believed bosses at Lochleven had dealt with the matter appropriately. “We can confirm we have been notified, as is required practice, that a member of staff at Lochleven Care Home has been suspended following allegations of inappropriate behaviour. “We are satisfied that the managers of this service have taken appropriate steps to deal with this matter.” Following the incident, staff at the care home have been banned from using personal mobile phones while on duty in an attempt to prevent future incidents. Brian added: “We have now introduced a policy that means members of staff cannot use a mobile phone on the premises, because a lot of phones have cameras. “If people do, then they will be disciplined accordingly. If a camera is required at any of our homes they will be provided by the company.” Have you banned mobile phones or cameras from your care home? Let Dominic Musgrave know your thoughts by emailing dm@whpl.net or by ringing 01226 734407.

www.caring-uk.co.uk Advertising Sales and Marketing Director:

Tony Barry Sales Manager: Jackie Brook National Sales Executives: Mandy Edwards Ellen Sharp Tel: 01226 734333 Fax: 01226 734477

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

Editorial Group Editor: Andrew Harrod Tel: 01226 734639 Fax: 01226 734478 Healthcare Editor: Dominic Musgrave Tel: 01226 734407

A dog is providing pet therapy to the residents of a Bolton care home. Fen, a 13-year-old Springer Spaniel, paid a visit to St Catherine’s Care Home in Queen Street, Horwich, where she helped to cheer up the elderly residents. Care home company Four Seasons works with the charity, Dogs Trust, to encourage pet therapy as a way of stimulating elderly and frail residents, and those suffering from dementia. Paul Brennan, marketing director of Four Seasons, said: “It can really cheer up some of our residents and is a simple way of adding to their lives.” Fen is pictured with Phil Smith and resident Iris Clark

Reporters: Nicola Hyde Christina Eccles Mary Ferguson Louise Cordell Lyndsey Smith Group Deputy Editor: Judith Halkerston Tel: 01226 734458 Database enquiries to Tel: 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.

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‘Dying man forced to wait in karaoke lounge’ CARE home staff made a dying man wait for a doctor in a lounge where residents were having a karaoke night. The 78-year-old resident at Kerrvale Home in Glasgow drifted in and out of consciousness as music blared around him it has been revealed in a report by the Care Commission. Despite protests from his family, the pensioner was left in the lounge until a doctor arrived and told staff to move him. The watchdog’s report also

revealed that it was clear the man, who had dementia, had fallen desperately ill. Yet staff refused to call in medical help until relatives intervened. He died in Glasgow Royal Infirmary three days after seeing the doctor. The Care Commission upheld six serious complaints from the pensioner's family about the Southern Cross home. Their report said the man was normally mobile and chatty, but on February 22 this year he became

“extremely unwell, distressed and unable to walk unsupported”. The report added: "The family relayed their concern to the staff nurse on duty in strong terms, including their fear for his life, but no medical attention was sought." The next day, the man's condition got worse, his blood sugar was dangerously high and he was struggling to breathe. But staff waited until late afternoon to call NHS 24. Three calls were made but "only basic information" was given by a nurse at the home.

The report said: "Karaoke was being played until the doctor arrived. The resident remained in the lounge throughout this." A spokesperson for Kerrvale Care Home said: “Whilst initial reporting has been inaccurate, management at Kerrvale have studied the recommendations from the Care Commission and have now implemented new guidelines to ensure there is no repeat of such a regrettable incident. We are now concentrating on delivering a high level of quality care.”

Lowest rating for Borders care home By Mary Ferguson The phone box and general store shop window

Thanks for the memories ... RESIDENTS at a Merseyside care home have stepped back in time with a mocked-up shop front stocked with products from a bygone era. The windows at Knowsley Manor Care Centre’s general store are bursting with traditional sweets, retro tins, household accessories, vintage toys and cleaning products. The home has also added a mural of a traditional red telephone box and has a reminiscence room called Memory Lane, which is decorated and furnished with memorabilia. Residents can use the room on their own or with friends to spend time looking back and enjoying the

memories. The home’s manager Amanda Williams said: “We are always looking for new reminiscence therapy ideas for our residents and we have old fashioned things dotted all over the house. “The windows have brightened up what was otherwise a dull corridor and the residents and their families have all said how much they really like it.” Knowsley Manor provides nursing, residential and respite care for elderly people with physical frailty, dementia and confusion, mental health needs and physical disability.

A BORDERS care home has received the lowest possible rating from the Care Commission following an unannounced inspection. The report by Jan McIntosh and Jan Ferguson revealed serious shortcomings in the level of care delivered at Whim Hall Care Home near Peebles, which had already been told to improve its performance after two earlier inspections this year. And the watchdog has now given the home an "unsatisfactory" rating for the quality of care and support, and the quality of the environment at the facility, which has 40 residents. On the other two statutory criteria – quality of staff, and quality of management and leadership – Whim Hall is assessed as "weak": the second-lowest grading of the six available to the commission. The findings of the inspectors are in contrast to the mission statement which the home's owner, Guardian Care Homes (UK) Ltd, proclaims on its website. "We want everyone to feel they are able to retain their independence, privacy, dignity and way of life in an environment that provides them with the safety, security and specialist care that they need to live their lives to the full," states the company. The surprise probe on September 3 came seven weeks after Whim Hall agreed to implement an action plan to address weaknesses uncovered during a planned inspection in July. Inspectors found that most of these

commitments had not been met. "The practice we observed indicated staff on duty had a poor understanding of the principles of dignity, respect and choice," said the inspectors in their new report. "Observations included residents not being offered choice of food or drinks ... residents' clothing stained with food but not changed ... and several residents having their hair attended to in a lounge area while breakfast was being served. "We also observed that residents in their armchairs had meals placed on tables some distance from them, making it difficult to eat without spilling food. "In one situation staff did not, without prompting, assist a resident into a comfortable position to enable them to eat. "Food was served which had been left on the table for some time and was cold. This occurred at both breakfast and lunchtime, despite staff being spoken to about this practice ... following the first instance." Despite having been told to review its cleaning routines, the inspectors discovered cleanliness was poor in public areas and some bedrooms. "This included kitchen areas where flooring was sticky and skirting boards covered in accumulated dirt and dust," the inspectors said. "There was dust gathered behind furnishings in bedrooms and malodours in several areas.” Nobody from Guardian, which owns 30 care homes in Scotland and England, was available for comment.

New manager appointed at care home COVERAGE Care has appointed Sindy Evans as new manager at Stone House care home in Bishops Castle. She will be managing the 40 bed care home which provides respite beds, an EMI unit, private respite, a day centre and meals on wheels with a total of 60 staff. Sindy moved to Shropshire 19 years ago after working in North London as

a care assistant and a home help before moving to Morda, Oswestry and continuing her career in care. “I have now worked in the care industry for 25 years, with six years for Coverage Care,” she said. “Moving into the Stone House manager’s position is a natural progression for my career.”

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Linda in charity boost By Dominic Musgrave THE manager of a Tuxford care home spent the day as a resident to raise money for Children in Need. Linda Sumner decided to become a resident at Tuxford Manor for the day because she wanted to experience life in her care home through the eyes of a resident. She decided to combine it with a fundraiser for Children in Need to add more value to the exercise and was sponsored by staff, family and friends. Linda said: “I really wanted to see what it was like to be a resident in our home. I know my team go out of their way to make life as enjoyable as possible for the people we look after, but we are always looking for ways to further improve the lives of our residents. “This is an opportunity to gain greater insight and understanding of life here at Tuxford. I wanted to be able to empathise with the residents so I could understand how it feels to rely on the assistance of someone else to feed you, bathe you, dress you and sometimes get you out of bed in the morning.” During the exercise Linda took on the role of a resident who had had a stroke and a result had difficulty communicating with staff and

Home manager Linda Sumner and activities coordinator Hazel Webster

other residents. Her character was also hard of hearing and had difficulty seeing due to cataracts on her eyes. She relied on her team of staff to attend to her every need throughout the day, she had to attract their attention through the use of a push

Improvements notices for homes visited in ‘blitz’ TWENTY Somerset care homes have been told they can improve health and safety standards after a series of unannounced inspections. The Health Safety Executive (HSE) visited the homes during a two-week "blitz", looking at areas such as hot water, hot surfaces, window restrictors, Legionella and bed rails. A dozen of the homes visited were served with improvement notices, mostly over a lack of controls to combat Legionella bacteria. HSE inspector Trudi Smyth said: "Most of the homes we inspected had good controls in place where hot water and hot surface risks were concerned. Bed rail management was another area where most homes visited were aware of the risks, but

many were not aware of the British Standard and not carrying out sufficient checks. "Most of the homes did have some sort of restrictor in place on windows but there were problems with old windows which were not adequately restricted or robust and with new windows which had restrictors which could be easily overcome.” She added: "On the issue of Legionella, many of the homes we visited lacked a specific risk assessment, management system or knowledge of the controls required." The HSE is holding a series of safety awareness days with local authorities nationwide early in the new year. To find out more visit the HSE website.

Parky helps launch award SIR Michael Parkinson and care services minister Phil Hope have launched a new award which recognises people who treat patients with dignity and respect and who provide outstanding care. The People's Award for Dignity in Care is open to everyone. Anyone can nominate individuals or teams who have gone above and beyond the call of duty to improve patient dignity in care. Local nominees will be put forward for a regional award and one

overall winner will then be chosen by panel of national judges. Michael said: “I'm delighted that there will now be a people's award for Dignity in Care. “It is important that we celebrate the people who are dedicated to raising standards of care all across the country. “The award is a great way to recognise the dedication of health and care staff to treating people with the dignity and respect they deserve.”

button alarm system. Linda had her breakfast, lunch and dinner with the residents and took part in the activities planned for the day. She was also accompanied by care assistant Hayley Swan, who took part in the exercise as a resident with dementia.

Following on from the exercise, the pair gave the rest of the team feedback on their experience as a resident at Tuxford Manor. The home is part of the Hallmark Healthcare Group, which has 25 care homes across Wales and the UK.

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Best homes to get share of £2.5m Beaumont Park administrator Annette Lenton feeds some of the rescued battery hens.

By Nicola Hyde

Home’s fowl move proves egg-citing for residents

THE best performing care homes in Nottinghamshire will receive a slice of almost £2.5million to meet rising costs under a new pricing structure. The county council’s ‘Local Fair Price’ will mean more financial support for residential and nursing care homes in the county. Once the scheme has been implemented in full, the highest quality care homes will receive an extra £117 per week per resident and middle-ranking facilities will receive an extra £67 per week. Alan Rhodes, the county council’s cabinet member for adult health and social care, said: “This increase in funding will help bridge the gap for care homes with older residents that are struggling to find the money for increasing costs. “The council strives for top-quality care for its older people and the new pay scheme will also offer substantial incentives to care homes below the top standard to improve their facilities for the benefit of their residents.” The new scheme has been worked on by the County Council,

RESIDENTS at a Bedfordshire care home have acquired an unusual set of companions. Eight battery chickens are enjoying life in the garden at Healthcare Homes group’s Beaumont Park in Biggleswade after staff at the home contacted the Battery Hen Welfare Trust after the plight of intensively farmed fowl was highlighted by TV chefs Jamie Oliver and Hugh Fearnley-Whittingstall. Battery hens are kept in cramped conditions throughout their working lives and then culled after 15 months. The Trust rescues the doomed birds and sends them to people willing to give the hens a new home. Beaumont

Park has taken eight of the estimated 100,000 birds rescued by the Trust. “Although our birds came to us the worse for wear from their long captivity, it is surprising how quickly they found out how to peck, scratch around and sunbathe,” said home manager James Sewards. “The hens have wonderful characters if you show them a little care and affection. They’re friendly and inquisitive and it’s very easy to while away hours watching their behaviour. They’ll even accompany residents for walks in the garden.” Generating more than eight eggs a day, the chickens pay for their keep through private eggs sales to staff.

Nottingham City Council and Nottinghamshire Care Home Association (NCHA) in response to concerns from independent sector care providers that the county council’s payments for older residents are not covering their increasing costs, including rises in the national minimum wage and inflationary costs. Around three quarters of care homes that have older residents who are financially supported by the county council will receive a quality award under the new scheme. NCHA chairman Keith Dobb added: “Under funding of care has been a national issue, but at last in Nottinghamshire we have agreed proposals that have not been developed in other parts of the county and reward good quality of care. “This is only the first stage, we hope money will be found in further years to implement the proposals fully.” It is hoped that giving financial incentives to higher quality homes will encourage care providers to carry out improvements to lower quality facilities.

Actor Richard Briers helped to launch a new book entitled ‘Find The Right Care Home’ sponsored by Four Seasons. The event enabled many relatives, residents and carers talk to MPs and other senior policy makers to discuss the complexity of finding a good choice of home for a loved ones and the challenges of caring for family members as they become older and more frail. The book by Rosemary Hurtley and Julia Burton aims to ensure the availability of clear information, enabling families as much choice as possible when making complex decisions about loved ones.

Tea and nostalgia is served ... OLDER people in West London have stepped back in time with a special tea dance. The annual event, previously a concert but now a tea dance with added entertainment, is organised by housing provider Central and Cecil, for residents from a number of its homes, including Homemead and Colville Court, both in Teddington, Cecil Court in Kew and Chesterton Court in Ealing. It saw The Avenue

Club – a community day centre for older people in The Avenue, Kew – going back to the 1930s and 1940s with music from a live band. The afternoon was kicked off by the Cecil Court singing group running through some old favourites, with musicians from Music in Hospi-tals picking up the beat from them. “Our residents really enjoy the concerts,” said arts and education coordinator Alison Teader.

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CARINGRETIREMENT VILLAGES Richmond Villages managing director Keith Cockell believes that wherever there is a large supermarket there is scope to build a retirement village. Dominic Musgrave found out more.

Keith Cockell and, right, a Richmond Village

Keith’s important change of direction KEITH spent 20 years as a designer in the motor industry and worked with the likes of Ford, Chrysler and finally Peugeot Citroen. But in 1996 he turned his attention to retirement villages, and many believe that he bought the concept to the UK. His first village was in Nantwich, Cheshire, which originally opened as a nursing home with 70 beds and 26 independent living units. This has changed over the years and now has 39 care beds, 19 serviced suites and 53 units. New villages have since opened in Coventry, Painswick in Gloucestershire and, with another currently being built in Letcombe Regis in Oxfordshire. He said: “We are currently busy ensuring that the two newest villages at Painswick and

Stylish new apartments SURFING and style will be major features when 40 new extra care apartments near Dartford are finished. Building work is under way at Emily Court, which is being built on the former Stanley Morgan residential care home in Wilmington through the £72 million Better Homes Active Lives partnership. The new development is part of a Private Finance Initiative (PFI) project to deliver more homes across the county for older and disabled people. The rented extra care apartments will provide an alternative to residential care, giving tenants their own home in a communal scheme with 24 hour care and support services for those who need them. The site is being developed by Housing 21 in partnership with Kent County Council, Dartford Borough Council and Sevenoaks District Council and will include a communal residents’ lounge, restaurant, bar, gymnasium, hairdressing salon, shop, internet cafe and landscaped gardens. Each apartment has been designed for wheelchair access and will have its own sitting room, fully fitted kitchen, walk-in shower or bath and non-slip flooring to the kitchen and bathroom. An on-site team will provide care and support, tailored to meet individual needs. The scheme will be made up of 26 one bedroom and 14 two bedroom apartments, while a separate nine bedroom unit, Adam Court, will provide supported homes for adults aged 16 years and over with learning disabilities. Both are being built by United House Construction.

Northampton are running well, working well, services are good and most of all that our customers are happy. We are also focussing on the new village at Lectombe Regis, which is a very ambitious project that I am glad we started in January because in today’s current financial climate I suspect we probably wouldn’t have gone ahead with it.” Keith added that there is a lot of pressure to get it right at the new development as there are no restrictions to adhere to. “The type of environment decided what we could do at both Northampton and Painswick,” he said. “But at Letcombe there is nothing stopping us and we have no excuses, so we have put both mine and the company’s experience and knowledge together and hope to build the perfect

village.” He added: “Usually when I do a site visit I find things that are slightly wrong such as rooms that are a bit small or are in the wrong place, but I am glad to say that from my first visit to Letcombe I think we have got everything right, which makes me immensely proud.” Keith believes that the choices Richmond offer on the type of accommodation is what an elderly person will want in the future, but still sees a place for care homes as well. “You only have to look at the car industry to see that what people want is choice,” he added. “I am a firm believer that the future of the care industry lies in villages and companies like ourselves need to make people aware of them and what they can offer because I think

at the moment there is a lack of understanding. “Once people see that a village is a better offer than waiting until it is too late living in your own home or being forced to move into a care home it is an easy sell and everybody is a winner.” And as the demographics of the UK change, he said that more operators should look at building villages as opposed to care homes. “As a nation we only seem to think about the latter quarter of our life when it is too late,” he added. “We need to start thinking about it sooner because it has been proven that if you are looked after and happy you live longer.” Keith is one of the founders of the Association of Retirement Village Operators UK, a trade association for operators of retirement villages.

Company strengthens its portfolio RETIREMENT Villages Ltd has strengthened its portfolio with the acquisition of two businesses. The company has bought Continuity in Care – a wellestablished domiciliary care agency based in Bath - after the company’s vendors, Marlene and Sam Anning, decided to retire. Continuity in Care will become the fourth branch of Red Hat Services, the domiciliary care arm of Retirement Villages, which already operates in Surrey, Buckinghamshire and Cornwall. The company has also acquired Independence at Home which supplies a wide range of mobility and support aids for the frail and disabled. The shop, in Bear Flat, Bath, will continue to serve the local

community but will also now be able to offer its products to the group’s customers and clients throughout the south of England and the midlands. “We are delighted to welcome the teams at Continuity in Care and Independence at Home to Retirement Villages,” said chief executive Jon Gooding. “This will strengthen Red Hat Services and allow us to achieve our objective of extending the choice and service that we can offer to existing and new clients and residents.” Retirement Villages Ltd, based in Epsom, has a dozen sites across the country offering a range of accommodation for the over 55s, from independent living to nursing homes.

Jon Gooding

£5m retirement village opens in Cheshire A NEW retirement village costing almost £5m has opened its doors in Cheshire. The Mill House project has been developed in collaboration with Wulvern Housing and Arena Housing Partnership and will provide 43 state-of-the-art apartments, together with extensive communal facilities. This includes: a bistro/restaurant, library and IT suite, a wellbeing suite and hair and beauty salon, together with a landscaped communal garden for use by all residents, their families and the wider community.

John Cooke, partner at Pozzoni, the architects behind the development, said: “Wulvern Housing had a very clear objective – to create a vibrant environment where older people would choose to live, while incorporating excellent facilities for the wider community to use as well. “This is the first of several extracare schemes we’re developing with Wulvern Housing and the team has explored and established a ‘standard’ extracare unit type and design, which will be reused on future projects.”

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CARINGFIRE FEATURE

Brave staff praised after nursing home blaze By Dominic Musgrave

safety by firefighters, staff, police and paramedics. Commenting on a local newspaper website, Angela Teasdale said: “I wish to express a huge thank you to all my heroic staff who worked at Freshfields and were involved in the evacuation of the residents. It was conducted in an orderly, calm and professional way and is a testament to your skill and commitment to the residents you care for. All you could think of was our residents’ safety. “One particular member of staff returned several times venturing into thick smoke to evacuate

A MANAGER has praised the bravery of her staff after a blaze at a Plymouth nursing home believed to have been caused by a television. Approximately 50 staff and residents were evacuated from Freshfields in St Budeaux, with two residents with mobility problems having to be rescued by firefighters who used a thermal imaging camera to locate the source of the blaze in a first floor bedroom. Other residents, some believed to be in their 80s and 90s and many in wheelchairs, had to be helped to

residents from the lounge. He was taken to hospital to be thoroughly checked over but he came straight back to the home again to see if all the residents were alright.” She added: “Ten staff heard the news about the fire and came in voluntarily to help and four extra staff spent the night with the residents to provide extra support for the night shift. I always knew that I had a special team of staff and you really proved yourselves on the day.” One resident and one member of staff were taken to Derriford Hospital suffering from the effects

of smoke inhalation. They were not believed to be seriously hurt. Other staff and senior citizens were given oxygen by 29 paramedics. Angela also thanked residents from nearby houses for helping residents by providing hot tea in flasks and blankets. “They also voluntarily followed our residents into the home when we returned safely and helped the residents to settle. “This expression of kindness warms my heart and demonstrated a real community spirit.”

Operators must ensure right fire prevention measures are in place By Ian Purkis

intumescent strips or smoke seals.

nursing homes.

FIRE safety is an increasingly important issue for care home operators.

Fire safety is one of many important safety issues for management, the reason being that fire and smoke has the potential to injure or kill large numbers of people very quickly.

The reason is that they divide a building up into separate compartments that are made up of individual building components that together prevent the spread of fire.

A fire risk assessment must be carried out by a competent person, who keeps it up to date to ensure that all the fire precautions in the premises remain current and adequate.

The aim is to keep the fire isolated in the area where it started, allowing the occupants safe, “fire protected” means of escape.

When the Fire Safety Order was introduced in October 2006, it placed responsibility very much on the shoulders of accommodation owners and operators for fire safety. For these individuals, it is therefore vitally important to ensure that the right fire prevention measures are in place and that they are being used correctly. Recent research carried out by the British Woodworking Federation’s BWF-CERTIFIRE Fire Door and Doorset Scheme revealed that a high percentage of residential establishments were using fire doors incorrectly. This ranged from fire doors being wedged or even strapped open, and often these were in very vulnerable areas, such as between a kitchen and communal area, to fire doors being fitted without

The fire risk assessment must pay particular attention to those at high risk, such as disabled people, the elderly and infirm or those with special needs. If adequate fire prevention measures are not taken, then whoever carries out the risk assessment will be liable for anything that is found to be incorrect, with the possibility of large fines being awarded. Building regulations state that passive fire protection systems, such as fire doors, are required in all internal situations for care and

Sometimes, it is very easy to prop a door open to give easier or quicker access to the kitchen for staff or not to replace a broken self closer on a bedroom door, however by doing so, it could result in loss of life. When you consider that there are 12,000 people killed or injured in building fires ever year, it becomes clear to see why it is so important that care and nursing home operators ensure that all their fire protection systems are in place and operating correctly. Ian Purkis is the technical director at JELD-WEN.

Ian Purkis

Care sector consultant launches e-learning fire safety awareness course By Mary Ferguson CARE sector fire consultants Fireco has launched an e-learning fire safety awareness course that is designed to meet the legal requirement to deliver fire safety training to care staff. The e-learning course involves the user by using a mixture of

workplace simulations such as interactive activities, audio, images and text. It is designed to maintain the user's involvement throughout, ensuring that they regularly interact with and apply the material being learnt. “The solution offered by online elearning has a real contribution to make to the problem of training

care home staff effectively,” said Counsel and Care chief executive Stephen Burke at the launch. “e-learning courses are also very cost effective as they allow staff to be trained at times that fit in with their workload – eliminating the costs of low productive times and replacement staff.”

Residents take shelter at local leisure centre ELDERLY people had to take shelter in a local leisure centre after their care home had to be evacuated following a fire at a nearby hotel. The 19 residents of Bridge Street House in Ebbw Vale were forced to leave the home after the blaze at the four-storey derelict County Hotel.

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Audrey Griffin receiving her award

Susan Cruse receives her Chairman’s Commendation Award from Peter Loyd

Two members of staff at Orders of St John Care Trust homes in Wiltshire have been recognised after clocking up almost 70 years in care between them. Dominic Musgrave chatted to them about their careers.

Audrey and Susan honoured for their caring ways AUDREY Griffin and Susan Cruse were honoured at separate ceremonies held at County Hall in Trowbridge and Lincoln Cathedral for their service to The Cedars in Swindon and Stratford Court in Salisbury respectively. Audrey joined the home when it was run by Wiltshire County Council as a carer in 1978, doing two nights a week, and she said at first she did not like it. “I remember going home after the first night and saying to my husband that I didn’t think it was for me,” she said. “He told me to give it a try, which I did, and I have been here ever since.” The original building that Audrey worked in was pulled down in the mid 1980s, and was rebuilt several years later. She worked two days and two nights a week for 23-anda-half years before being put in charge of day care three years ago. “I have met some wonderful people over the years and I love looking after them,” Audrey added. “I think I have a good rapport with them, and if I can make somebody a bit happier then that is what I want to do. “I have always said that when I get old I would not be scared to come through these doors and live here.” The 65-year-old said she felt very proud to be recognised with a long service award. “It was a wonderful feeling and a very special event for me,” she added. “It was an honour and a privilege and came totally out of the blue. How this company has treated me over the years has been excellent.” Susan Cruse received the company’s chairman’s commendation award at a special ceremony at Lincoln Cathedral. The award is given to people nominated by their county

director for services above and beyond the call of duty. “I was shaking like a leaf when I went to pick up my award,” she said. “I felt very proud and it was nice to be recognised for my work.” Susan joined Stratford Court as a domestic 39 years ago, and for the last 30 years she has been a carer who has been heavily involved in the home’s activities. “I get on really well with the residents and their families, and always have done,” she said. “I love getting involved with the activities for the people, everything from making hanging baskets and the gardens look nice to going out for the days to various local attractions.” Susan says that one of the biggest changes she has seen over the years has been to the training and the equipment now used in care homes. “The Trust are always very supportive to us and provide so much training,” she added. “I have learned such a lot over the years, and the courses are always interesting. The equipment we now use in the homes is wonderful. It makes life so much easier for carers when you have such technology available to you.” Also receiving long service awards from the Wiltshire county director Diane Bowden were Thelma Bolter, Patricia Hemmings and Elizabeth Gould. Other winners: Young carer of the year – Samantha Smith (Bartlett House); Carer of the year – Gerry Thompson (Hungerford House); Leader of the year – Jackie Litwin (Watersmead); Learner of the year Lorraine Pocock (Coombe End Court); Unsung hero – Caroline Smith (Buckland Court); Hospitality award – Lesley Tysom (Ridgeway House).

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‘I want to see services in place which meet the individual needs of users’ By Dominic Musgrave THE Government’s focus on personalised care tailored to individual needs should be “a driver for developing services in more innovative ways” according to Phil Hope MP. And he added that the Government’s Putting People First strategy “encouraged more choice, control and independence for recipients of care”. “The strategy is a great opportunity for care providers to work closely with those who want and use services,” he added. “People nowadays have different and higher expectations to what they did in the past and care providers, both large and small, should engage with this transformative process.” Giving his first speech to the independent sector at the National Care Association’s annual conference at Brighton, the new minister for adult social care admitted there was a current funding “pinch” and that things needed to change. “If we had kept things as they are there would be an annual funding gap of around £6billion,” he added.

Phil Hope MP speaking at the NCA conference size fits all,” he added. “There would be some people’s care He asked for further information needs that simply wouldn’t be met so from NCA members regarding the we have got to have a radical rethink funding gap to allow his department of the system if we are going to take to evaluate the situation. this forward.” In her summing up, chairman He went on to reassure the conferNadra Ahmed added: “The National ence that personalisation was key to Care Association’s message to the developing a care strategy for the Government and the UK’s regulatory next 30 years for a demography in bodies is clear; listen to care which over a quarter of the populaproviders and end the never-ending tion would be over 65. uncertainty that plagues the sector so “I want to see services in place that they can continue to deliver care which meet the individual needs of to the highest standards.” the users and not a system where one

Wirral care home closure is brought forward THE closure of a Wirral care home has been brought forward to December. Wirral Council originally planned to close Feltree House, which offers respite and day care and has two permanent residents, in 2010. It later changed the closure date to next summer – but councillors have now approved a plan to bring the date further forward to save £170,000 this financial year. Councillor Moira McLaughlin, Wirral’s cabinet member for social care and inclusion, said: “There has been a great reduction in the use of Feltree House, brought about by the changing shape of the market and the drive to help more people be able to live, and be cared for, at home. “This reduced usage has led to the council’s decision to close the centre earlier than originally planned and offer the two people living permanently at the centre alternative accommodation in any other centre in Wirral, which better suits their needs. “Respite and day care services will be transferred to other centres in the borough.”

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Melbury Court in Durham opened its doors in March this year. Dominic Musgrave took a look around the Helen McArdle home.

Home with the feeling of a hotel ... THE 87-bed purpose-built facility is a typical example of a newlybuilt home and has the feeling of a hotel about it. It provides residential and EMI care and boasts three floors of spacious living accommodation which include en suites, with several premium rooms available that include flat screen televisions and showers. The home’s manager Cath Winning has worked with the group for several years, and joined the current home from a similar one in Newcastle. “The philosophy here is the same as with all of the group’s homes in that we adopt a ‘small group living’,” she said. “I hope that we have created a warm and friendly home from home atmosphere, and we have been very busy since we opened.” There are a range of activities available for the residents at Melbury, including film showings, sing-a-longs, chairobics classes and trips to local sites and the theatre. Unlimited internet access, a beauty salon and the latest bathing facilities are also available. “Like many homes we are very

keen on making sure all of our 30 staff are trained to the highest standard,” added Cath. “It is an ongoing process but the minimum qualification we ask for is NVQ level two or preferably level three. Food also plays a key part in the daily routine of the home, and all of the home’s dining rooms have a veranda for residents to sit outside should they wish and if the weather is suitable. “Food and meals are an important part of a resident’s day and we make a big deal of it here,” Cath added. “We aim to provide meals that are nutritional and balanced to suit all diets, and we cater for a variety of different dietary needs.”

FACT FILE Melbury Court Owner: Helen McArdle Care Number of rooms: 87 Manager: Cath Winning

A ‘voice for the elderly’ BROADCASTER and writer Dame Joan Bakewell has been made Britain’s official ‘voice for the elderly’. She will be an "independent and informed advocate" for older people, giving her views on policies. Her appointment was announced by Harriet Harman, the minister for women, and has been welcomed by leading figures in the industry. Counsel and Care’s chief executive Stephen Burke describe the decision as “an inspired appointment”. “Joan Bakewell has a strong history

of speaking up on issues affecting older people and particularly the blight of ageism,” he added. “She will attract media interest in our ageing population and the impact on older people and carers as well as across all generations. “She will approach daily living from a very practical perspective to help create places that are good to grow old in. “And she will promote the active participation in our society of the growing number of older people.”

Words of the month “The Government has made it clear that future services for older people should not only be of high quality and affordable but also promote independence and choice – giving individuals more control over what’s available. “SheffCare’s board of trustees is currently looking at ways to ensure that we can provide the type of care services that will be wanted and Sir Hugh’s wealth of experience – both in the private and public sectors – will be invaluable to us during this time of profound change in social care.” David Roulston, chief executive of SheffCare, welcoming Sir Hugh Sykes, one of South Yorkshire’s leading industrialists and regeneration champions, to the board. “Providing a choice of activities for our residents is a vital part of the Healthcare Homes’ ethos. We offer an extensive programme and regard them

as essential to our residents’ wellbeing. “We encourage people to live their lives to the fullest potential and we are committed to constantly monitoring and refining our activities programme. The creation of the regional activities co-ordinators’ roles will support and help us in this ideal.” Healthcare Homes chief executive Richard Clough commenting on the appointments of three regional activities co-ordinators. “This is such a kind gesture and we are grateful to Sainsbury’s for thinking of us. Our residents appreciate and enjoy the sight and smell of fresh flowers.” Catherine House manager Ann Dawes speaking about Sainsbury’s delivery driver Brian Buckland who gives flowers after their sell by date to the home on a weekly basis.

Melbury Court in Durham

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CARINGCARE SHOW REVIEW

Cherie lined up for legal challenge By Dominic Musgrave

A furniture company came up with a novel way of showing off their new range of soft furnishings. New sales executive Yvonne Roberts came up with the idea for Pontefract based YTM Furniture’s staff to wear the curtain fabric as dresses. Marketing executive Jessica McKenzie said: “It seemed to work as it certainly had people talking and coming to the stand.”

CHERIE Blair has been lined up to lead a legal challenge to all local authorities and PCTs in Britain over the level of fees paid to care homes. The challenge to how much is paid for council-funded residents in private homes is being brought by Aston Brooke solicitors on behalf of the English Community Care Association (ECCA). ECCA hopes to be supported by all providers of UK care home services because it believes that, if it wins the case, all providers – and their residents – will benefit from what it expects will be at least inflationary rises in fee levels from all authorities. Speaking at the Care Show in Birmingham, Kashif Majeed, principal solicitor at Aston Brooke, said: “Going to court will be the final straw and it is a decision that we have not taken lightly. “It takes time and costs a lot of money so we would hope to settle something without having to go that far, but if that is what we have to do then we are prepared to do so. “If it does end up in court then I

would imagine it would take between six and 12 months to come to a conclusion. “If it doesn’t then hopefully we can have some answers in three months or so. “But if we don’t do something then many care homes are going to be forced to close. “The current system is extremely one-sided and we want local authorities to start acting more responsibly.” The Fairer Fees Forum Ltd is calling on all care providers to get in touch with copies of all contracts, the percentage increase they have seen over the last three years, any communication they may have had with local authorities and internal costs for any care analysis. “Local authorities are getting a lot more from Government than they’re spending on care and are subsidising their own homes rather than paying private providers their due,” he added. “We need as many people as possible to contact our office and tell us of their experiences with their local authority.”

Personalisation may be difficult concept for elderly PERSONALISATION is potentially the most significant change to happen in the care sector according to the head of a leading industry association. Des Kelly, executive director of the National Care Forum, told the audience at the Care Show that evidence has shown that for many groups choosing what services they receive has worked well, but the elderly may find it difficult to engage

with the idea. “The biggest pressures on the personalisation agenda are the demographic challenges that come from an ageing population,” he said. “The number of people over 75 is increasing each year and the average age that people are entering care homes has also gone up by approximately 10 years in the last 10 years.

“I feel that giving people more control of the care and support services they receive can only be a good thing.” Des added that the sector should not be complacent about the new agenda, adding that the resources are already in place to make it work, but need to be used in a different way. “At the heart of the agenda is the

simple idea of the transfer of power from the professional to the individual,” he added. “Not just as consumers but as citizens, and it is a powerful model which challenges so-called ‘traditional’ services and thinking.” And he said that relationships between the carer and the person receiving the care is key to the system working.

Ministers call for new regulator to stay independent MINISTERS have encouraged Baroness Barbara Young to keep the new regulator for the care industry independent. Giving her first speech to the independent sector at the annual National Care Association conference in Brighton, she outlined the plans for the newly formed Care Quality Commission. “Ministers that I have spoken to have told me to be more independent,” she said. “It will be interesting to see whether they want us to be independent when we are up and running and raising issues.

“I have also urged the Government to lay off the regulator for the next few years and let us get on with working with the industry because there has been too much chopping and changing over the last few years.” The new commission, which comes into fruition officially next April, brings together CSCI, the Healthcare Commission and the Mental Health Act Commission, which the Baroness added brings with it its own challenges. “The vision of the Care Quality Commission is to be the regulator for quality in the health and social

sector,” she added. “I want to learn from the three commissions between now and April and bring together the best of three, taking out what doesn’t work. “The issue of care is central to every family in England and touches more than 50 million people in one way or another.” During her speech she also assured care providers that although part of the Commission’s role was to inspect services that they would do all they could to overcome the problem of duplication of documents. “We need to streamline regulation

and reduce regulatory burdens,” she added. “We will put new measures in place to minimise the problem of duplication as well as the amount of data we require from providers. “Our main aim is to work with providers in a positive way,” she added. “In the past there has been too much hitting them with a stick, which we are keen to avoid.” The Baroness added that a new form of registration system similar to CSCI’s star ratings would come into being in April 2010, but the Commission was determined to make it as burden free as possible.

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CARINGCARE SHOW REVIEW

Numbers up over 40% on last year Pawel Kulon runner-up in this year’s Care Cook competition

Winners showcase their skills By Dominic Musgrave THE search for the UK’s next care cook of the year began at the Care Show in Birmingham. The National Association of Care Catering (NACC) launched the 2009 competition at the show, with this year’s winner Gareth Cartledge, runner-up Pawel Kulon and the 2007 winner Patrick Moore all showcasing their skills in the nutrition kitchen during the course of the two-day exhibition. Entries for the competition must be in before the February 14 deadline, after which there will be a series of regional ‘cook-offs’ to select the shortlist of six contestants who will then compete for the final accolade

by preparing a two-course meal in 90 minutes in July. NACC chair Sue Ullmann said: “The competition is an excellent way of highlighting just how talented and versatile our caterers are in the care sector. The judging criteria emulates what the cooks face everyday in terms of juggling the requirements for nutritious, delicious-tasting food while having to meet extremely challenging budgets.” She added: “The competition also underlines just how important it is to provide the right quality and type of food to some of the most vulnerable people in our society, and the preventative role this can play by helping them to remain healthy and well-

nourished.” The competition, which is now in its 10th year, is designed to highlight the wealth of talent and skills within the UK’s care catering sector. Open to all cooks within care homes, day centres, community meals production units and children’s homes, the competition tests entrants by requiring them to meet a number of criteria: Imaginative use of ingredients. Menu cost – under £1.30 for two courses per person. Suitability for the client. Meeting NACC nutritional criteria. Passing a taste test. Creating a balance between main course and dessert.

MORE than 3,000 care home owners, managers and professionals in care-related businesses attended the Care Show at the Birmingham NEC, an increase of over 40 per cent on last year. Visitors packed the aisles to look round a selection of over 150 exhibitor stands and many took advantage of the organised lunches in the networking lounge on both days of the exhibition. They also took the opportunity to meet up with representatives from all the main care associations who were represented. “The show has accommodated the growth in the industry,” said event director Jonny Sullens. “Whilst outside the exhibition hall the economic climate was all doom and gloom, inside by contrast business was brisk. “We look forward to providing both exhibitors and visitors with an equally lively show in Bournemouth in March.” The next Care Show is at the Bournemouth International Centre on March 17 and 18.

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Woman abused eld erly man

Nursing home ilty owner found gu of elder abuse

Care homes in abuse investigation

l il w P A O e il g a Fr never get her ck a stolen cash b

As stories of abuse in care homes hit the newspapers every day, Dominic Musgrave asks CSCI business director of inspection, regulation and review Mike Rourke what care home managers can do to prevent it.

Law firm in abuse division launch

What can managers do?

A LAW firm has launched a nursing home abuse division in response to an Age Concern report which says that half a million elderly people are suffering abuse and neglect. Ralli has put together the team after its website www.nursinghomeabuse. co.uk launched in 2006 for families and friends concerned about their loved ones in care proved so popular. Managing partner Martin Coyne said they are tackling issues such as chemical coshing and malnutrition which are plaguing our ageing population. He added: “It’s important for people to realise abuse covers a wide variety of issues. We have dealt with cases from discrimination and poor treatment through to malnutrition and dehydration. We are an ageing population and we need to take action to stop this abuse now.” The team is made up of Richard Biggs, Geeta Tamber and Timothy Johnson.

WE have all seen and heard the stories about carers abusing residents trusted to their care. But are there any tell tale signs which managers can look out for to stop the problem happening before it has even begun. According to Mike, training and communicating with staff is key for managers. “There a lots of stories in the media about abuse cases in care homes, but I always try and point out that these are exceptional cases,” he said. “Pointing out to staff in a constructive and clear way is vital. It is good practice for managers to be open and transparent, and we urge managers to have a conversation with their staff about this matter.” He added: “Many people say to us that it is a fine line between poor practice and abuse. We always look for strong and clear reporting on this

when we do inspections so that managers and staff are clear about who to call, who to speak to and how to deal with an issue. “We are determined to raise the bar when it comes to abuse in care homes, and a lot of providers I have spoken to are keen to do so also.” A report by Age Concern earlier this year said that human rights are 'an invisible issue' in health and social care. The charity’s report criticised the limited progress made a year after a damning parliamentary report that recommended an ‘entire culture change’ to tackle the human rights abuses experienced by older people in the NHS and care system. Mike added: “Training is critical in tackling this problem head on. Staff need to be aware and be able to speak to someone about abuse should they have any fears.

Mike Rourke “When it comes to abuse in care homes, staff should not be left running around wondering what to do next.”

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Bid to cut help that OAPs need By Dominic Musgrave ELDERLY people will be encouraged to “help themselves” rather than rely on home helps under a new scheme being launched in Edinburgh. The city council hopes the “reablement” scheme can reduce the amount of care old people need in their homes. OAPs leaving hospital will be given six weeks of intensive support to get them as close to selfsufficiency as they can be. The council will then decide what home care they need and who is best placed to provide it. The move is expected to save the council £26million over the next six years at the expense of 30 jobs. The service, which will provide help with washing, dressing and preparing food, is being piloted in the south-east before being launched city wide. Councillor Paul Edie, convener for health, social care and housing said: "Our home care staff deliver an essential service to some of the city's most vulnerable people, enabling them to lead the most independent life possible.

“By switching to the re-ablement model we will be helping clients re-gain their independence by assisting them to relearn life skills and boosting their confidence. “We know this is what older and vulnerable people in the city want and I am confident the new modernised service will make a real difference to the service users.” The scheme is widely used in England and research has indicated that following re-ablement there is between 28 and 50 per cent reduction in care hours for the service. Edinburgh is taking a cautious approach of five per cent each year for four years. “Although re-ablement is an innovative idea in Scotland it has been widely used in England and with much success. It has proven to maximise people's long term independence, choice and quality of life.” Researchers into the scheme in England have found that it maximises people’s long term independence, choice and quality of life and prevents people inappropriately going into hospital or care homes.

National Association of Care Catering chairman Sue Ullmann

Concern over meal access THE UK is far worse than any other developed nation when it comes to providing access to a nutritional community meal service for the elderly who are living at home, according to new figures. According to the research compiled by the Irish National Council for Ageing and Older People (NCAOP), just per cent of people aged 65 or over in the UK have access to meals (which includes meals-on-wheels, luncheon clubs or day care). This compares with 2.4 per cent in Ireland, 3.7 per cent in Sweden and seven per cent in the USA. The study was presented during a NCAOP one-day seminar entitled: ‘Meals on Wheels for older people in Ireland – food for thought’. National Association of Care Catering chairman Sue Ullmann

described the figures as “a shock”, but said that its members must remain positive in the service they provide. “What we do need to do is to look at ways of improving this situation as it is often a postcode lottery in the UK,” she added. “We know there hasn’t been a wholesale collapse in the traditional hot meals-on-wheels provision in the UK, but many local authorities are moving quickly to make significant, frequent changes to their provision. However it seems readily apparent there is little consensus on specific or general best practice within ‘meals on wheels’ although the weight of opinion favours a mixed service model (hot and frozen).” The association plans to hold a summit outlining the most cost-efficient long-term delivery models.

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Homecarenews

‘New rules will stop skilled workers coming to UK’ By Nicola Hyde NEW rules for migrant workers will stop senior skilled care workers from outside of the European Economic Area (EEA) coming to work in the UK. That was the response from the UKHCA on the announcement that the government has accepted the recommendation of the Migration Advisory Committee that the role of senior care worker is a shortage occupation, which justifies recruitment from outside of the EEA. However, new entrants to the UK must be on a salary of £8.80 a hour, as well as meeting other tests, after

tier two of the points based system went live on November 27. The association claims that the continued downward pressure on price exerted by councils who purchase the bulk of homecare makes it unrealistic that employers will be able to pay £8.80 an hour. “We repeatedly draw attention to the worsening conditions for homecare providers,” said UKHCA’s head of policy and communication Colin Angel. “We recently urged the Low Pay Commission to reiterate their advice to government to scrutinise councils’ behaviour towards providers and the impact that this

has on the workforce.” He added: “Limiting recruitment of care staff to the EEA causes further disruption to a sector facing a difficult economic climate and other government initiated costs and agendas. Our own survey on employment of migrant workers suggests that current workers come from all over the world, not just the EEA.” Recent analysis of workforce data held by Skills for Care suggested that experienced homecare workers in England with an NVQ level three qualification receive an average rate of £6.25, 55p more than less well qualified staff.

Colin Angel

Liverpool care workers’ efforts to be recognised By Dominic Musgrave

Claire Tailby (second left) receives her award from BBC Points West presenter Chris Vacher, Skills for Care’s John Nash and a representative from CWDC.

Homecare worker Claire wins award A HOMECARE worker who took up caring when her father was diagnosed with a terminal illness has scooped a top award. Claire Tailby, an initial response worker with Care South, won the outstanding care and support staff category at the Somerset care awards, while homecare assistants Pat Perry and Robert Tyler were runners up in their particular categories. “I can’t believe I have won this award,” said Claire. “I started caring after my father was diagnosed with a terminal illness. He passed away in 2007 and the experience and knowledge I gained through this I am now

able to pass on to the service users I visit.” She added: “I have had many highlights during my career, especially winning this award, and completing my NVQ2 and NVQ3. In 2004 I became a member of the initial response team. “This is a specialist team and through this I am able to ensure our service users receive the appropriate level of care to meet their needs.” The evening was held at the Westlands Leisure Complex in Yeovil and was hosted by BBC Points West presenter Chris Vacher.

CARE workers in Liverpool who provide outstanding service are to have their efforts recognised. The “I care” awards are being organised by Liverpool Social Care Partnership – a forum representing social care employersin collaboration with the People Pool who work with employers in Liverpool to provide a recruitment and staff development service. About 5,000 people work in the social care industry in the city, and they are eligible to be nominated for awards in seven categories, including outstanding support worker working in domiciliary care and best new-

comer to social care. “These awards are a way of recognising those people who work in the social care sector who provide service over and above what their role requires,” said councillor Ron Gould, executive member for social care. “There are many dedicated, hard-working people in this field and it is only right that their efforts should be acknowledged. “I don’t envy my task as a judge as I am sure that we are going to have a really hard job in short listing and choosing who should win each category from what are going to be very worthy nominations.”

Mandy takes the plunge ... A CARE worker from Bridgwater has performed a skydive in aid of Cancer and Leukaemia in Children (CLIC). Mandy Miller works for Somerset Care at Home and provides care and support to people in Bridgwater. Area manager Mandy Curran said: “Everyone at Somerset Care at

Home is so proud of Mandy’s achievement. “People have been very generous with their sponsorship, and we are sure CLIC will be very grateful to receive the money.” Her skydive raised approximately £700 for the charity, and included a donation from her employers.

Council to modernise home care services By Nicola Hyde HIGHLAND Council plans to modernise and extend its home care services to cope with more referrals and provide all day cover. The council plans to increase the number of older people who can be supported in their own homes by providing an additional £1million each year from 2008-9 to 2010-11,

and by investing £4.7m annually in aids, adaptations and telecare. The council which currently provides or secures 600,000 hours of home care per year said it will still be a major provider of services in the Highlands. Councillor Margaret Davidson, chairman of the housing and social work committee, said: “A key priority

of this administration is delivering and securing more home care services to keep people in their homes for as long as possible and to keep more people living independently for as long as possible. “The independent sector is a vital partner in delivering this agenda and, through the tender, we aim to attract providers with a proven track record to deliver high quality services

in Highland which will meet the needs of service users.” The plan is to also increase the availability of home care services through the block purchase contract of an additional 117,000 hours to accommodate new referrals from four identified areas of need. A bidder is expected to be selected in May or June next year.

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The FP3000 scanner may sound like something from a Terminator film, but it is now being used in care homes. Dominic Musgrave found out more.

Finger scanning first for care group HELEN McArdle Care has become the first in the UK to install a finger scanning system for staff to use when they clock in and out of work. The North East group, which currently operates five residential care homes and has plans to open a further five homes in 2009, has turned to the scanner to ensure that the correct balance of qualified staff were on duty at all locations. The FP3000 system recognises minutiae points on the finger and converts them into data which is encrypted and then stored for future comparison. Staff register their finger once at their place of work, then place their finger on the scanner located by the door when arriving at or leaving work. Helen McArdle Care

finance director Nigel Dawson said: “The system is simple for our staff to use since they do not need to write working times in a record book or to remember swipe cards, pins or fobs. “The management reports generated by the FP3000 provide snapshot data with the ability to quickly drill down for detail. In the residential care home business an awareness of staffing levels at all our locations is vital and the solution has provided us with this capability.” Using such a scanner also eliminates the risk of fraud through false or ‘buddy clocking’, and the reports provide the basis for payroll calculations. “With many managers and staff at five locations it is essential we can manage

time and attendance both to ensure we provide a high level of suitably qualified care, and to ensure accuracy of the payroll.” One of the homes which has had the system installed is Melbury Court in Durham. Home manager Cath Winning said it has been welcomed by all of her members of staff. “There was a bit of a feeling of ‘big brother is watching you’ at first, but once they realised how easy the system is there weren’t any problems. The advantage of the scanner is it stays in the same place all of the time. When you have time sheets to fill in they very often go missing and you can spend time looking for them. This is on the wall and is easy to use.” The new system costs £1,500 per installation.

Identification service means residents are New products tackle mixed-up clothes problem wearing own items Two new products have been launched that tackle the age old problem of residents’ clothing getting mixed up after they are washed. Dominic Musgrave found out more.

SCOTT Bridgen came up with the idea for the Retriever after spotting another resident wearing his grandmother’s clothes when he went to visit her in her care home. The partner and channel manager at software company Expolink used solutions already being used for other industries to create the tracking facility, which uses a fastener the size of a button and a scanner the size of a mobile phone. They can also be sewn into clothing, making it ideal for wearing next to the skin. Staff roll the scanner over the fastener and it tells them the name of the resident the item of clothing belongs too, and what room number they are in. The company’s business development manager Andrew Marshall says the new device can make life a lot easier for care homes, and can give relatives peace of mind. “We have worked with the NHS and other companies in the past so it seemed a natural progression to go into the care sector when we thought about it,” he said. “It is distressing for the elderly to see their clothing on someone else, and from a relative’s point of view if the

home cannot look after their clothes then what are you doing with their parents.” He added that the Retriever can also save homes money in the long run. “What you tend to find is that care homes will wash each individual resident’s washing separately or a few rooms at a time, meaning they are only doing half washes,” he said. “With the Retriever you can put in all of the residents’ washing at once and sort it out afterwards using the scanner, which means it is far more efficient. It also frees up more time for the staff to concentrate on care.” The scanners can store up to 6,000 items, and fasteners can also be attached to other items of residents’ property, including large electrical goods. “Missing items is one of the highest litigation issues in care homes,” added Andrew. “The new system is linked to a computer and acts as an inventory. If an item of clothing or a possession is disposed of then a reason for that is put into the system to avoid any confusion should the resident die or move rooms.”

CARE home residents in Nottingham are using new technology to ensure they are wearing the correct clothes. The Radio Frequency Identification (RFID) service from Tunstall securely stores data relating to individual residents, to ensure all clothing can be identified and returned correctly. It is ideal for people with dementia, maintaining their identity and independence and promoting dignity in care. It is being introduced to all 142 residents across five specialist dementia units across Nottingham, which includes residents who visit for short-term care. Seeing another resident in their clothing can cause confusion and distress to people with dementia and their families. RFID technology will be used to securely store data relating to individual residents, to ensure all clothing can be identified and returned correctly. Councillor Dave Liversidge, Nottingham City Council's spokesperson for adult services, housing and health said: “The RFID buttons will help us to ensure that we meet those standards by being able to care for residents’ clothes according to their individual wishes. “It will also assist in ensuring that residents’ clothes are easily identified and with their rightful owner.” The buttons can be programmed to store up to 200 characters, which can include the person’s name, unit, room number and any other information that they may wish to keep private, providing residents with a personalised level of care.

Programming and scanning the buttons is performed by a mobile hand-held reader, which allows staff to quickly identify an individual item of clothing, eliminating the cost of replacing unclaimed garments and allowing more time to focus on caring for residents.

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CARINGNEWS

Over the past few months Caring UK has covered several new innovations in the sector. Dominic Musgrave reports on three care homes who have put some of the ideas into practice.

Graham Gibbens tries his hand at golf on the Nintendo Wii

Wii proves a hit with home visitor THE new cabinet member for social services in Kent got a Wii bit sporty when he visited a care home. Graham Gibbens took turns with residents at the West View Integrated Care Centre in Tenterden to play on one of the computer games consoles – trying his hand at virtual tennis as well as tenpin bowling and golf. The visit was part of a wider programme of induction visits around the county and was also designed to highlight the way West View is using new technology as part of rehabilitation. “I think this is a great use of technology and a lot of fun to play,” said Graham. “It is easy to see how the residents here get a real benefit from it. It is good exercise and it’s very sociable as well.” West View has two

consoles and they are often used as part of occupational therapy care. One is used with residents who are staying long term or are respite visitors. The other is used as part of the rehabilitation process for residents receiving intermediate care, such as those recovering from a stroke and preparing to return home. “The Wii is a great way for our residents to exercise and this can be a crucial part of helping them become independent again,” said centre manager Mandy Brown. “The hand and arm movement is great for strengthening muscles and if playing while standing up can help with balance too. “It’s a really funky piece of technology and it’s great to be able to use it.”

Staff and residents sit by the new bus stop

Bus stop proves just the ticket for residents A LEEDS care home has put a bus stop and bench in its grounds for its residents who suffer from dementia. The idea came when staff at Hopton Court Care Centre held a dementia care training session and discussed how creating an environment with familiar and comforting symbols can influence how someone with dementia behaves. The staff then worked with West Yorkshire Metro and GSM products to install the new facility for the residents who become bewildered and lost when they leave the front door of the home and want to go back to their familiar surroundings. The result is that for some

service users leaving the care home is now less traumatic. They wait at the bus stop and it seems that old skills and behaviours return. Those service users who still have their public service bus pass have even been encouraged to use it and more people now have the opportunity to go out. “Occasionally some service users like to make unannounced departures,” said home manager Craig McDermott. “Rather than leaving the grounds, service users have been known to wait at the bus stop. Our bus stop has increased service user safety without increasing security.” Colin Sheeran, a senior Southern Cross dementia

consultant said: “”We are finding that the Yesterday, Today and Tomorrow training sessions we are holding in all of our homes are an ideal breeding ground for innovative ideas such as the Hopton Court bus stop. “This is just one example of the small but wholly appropriate ideas we are introducing. The result is a greater sense of wellbeing for our service users which, in the end, is the most important thing.” Do you do something similar at your care home? If so why not let healthcare editor Dominic Musgrave know by emailing him at dm@whpl.net or by ringing 01226 734407.

Home makes Wii bid to combat elderly falls A SOUTH Lanarkshire care home has installed three Nintendo Wiis in a bid to combat the problem of elderly falls. Residents at Thistlecare’s Whitehills in East Kilbride have swapped their 15-minute morning exercises in favour of taking turns on the games console which responds to body movements. NHS Scotland figures show that half of those admitted to a nursing home have experienced some kind of fall. The statistic prompted Janice McEwan, manager of Whitehills, to introduce the Wii as part of the home's fall reduction strategy. She said: "We looked at the reduction of falls as part of our risk assessment and have made various improvements such as painting the doors different colours so that the residents recognise where the bathrooms and toilets are. “We also looked at taking it a step

further by reworking our exercise sessions and have installed three of the consoles across our lounges. The Nintendo Wii is beneficial to dementia sufferers mentally and our elderly residents physically.” The home initially borrowed a computer console, but it proved to be so popular the staff and residents held a series of sponsored walks so they could buy their own. And Janice says the number of falls at the home has reduced dramatically since they were installed. “There were probably around 20 minor falls in the dementia unit each month,” she added. “Since the Wiis have been installed they have dropped dramatically to just three or four so the benefits are there to see. “We try and take our residents out as much as possible, but unfortunately with the winter

Residents enjoying a game on the Nintendo Wii approaching we have to think of alternative things to do, and obviously the Wii machine is quite a fun thing and a lot of residents have been getting a lot of use out of it so

far." The residents at Whitehills now plan to do more fundraising so they can buy an exercise mat to go with the machine.

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James geared up for double opening ... MOTO GP star James Toseland performed two opening ceremonies for a care home provider on the same day. The twice world superbike champion and 2007 BBC Yorkshire Sports Personality of the Year also showcased his musical talents by playing the piano and singing at both events. He first opened Maria Mallaband’s new head office in Leeds before heading to the group’s newest home, Cavendish Court in Alderley Edge, Cheshire for an evening performance for residents and invited guests. He was joined on stage by musicians from a local girls’ school before his solo performance. Maria Mallaband’s chairman Phil Burgan, who personally sponsors James in the Moto GP series, said: “James is an ideal ambassador for

our company because of his kindness, warmth and personal skills. He shares many of our values and shows great dignity and respect for the elderly.” And Phil revealed that, despite the current financial crisis, the company is continuing with its expansion plans. “There are some great deals out there to be had at the moment,” he added. “We have two more acquisitions in the pipeline and another couple of new builds, one which will open just before Christmas and another in the spring.” The group owns more than 40 properties throughout the UK, spanning from County Durham to the Channel Islands, including eight in Yorkshire.

Future bright for industry – director THE director of a new chartered surveying company says the future looks bright for the care sector. Amanda Nurse, who has recently launched Carterwood, the first practice dedicated to the industry, says unlike many others it remains buoyant. “It is quite an interesting time at the moment for care,” she added. “Anyone considering selling their home will have to readjust their price during 2009 compared to last summer, meaning there is some business to be done for operators. “Currently we have a number of well funded clients that are looking for a range of opportunities from revival projects through to high quality purpose built specialist facilities.” She also predicted an increase in the number of newly built care homes nationwide, and predicted a growth in the domiciliary care sector. “The demand for beds is large and will only increase,” she added. “I think the number of care home operators seeking planning permission on new sites will rise in 2009, and it will

be interesting to see whether operators begin to build on sites that already have permission. “Care at home will also be very much a growth area following the Government‘s announcement earlier in the year. There is probably no better time to move into this sector.” Amanda has set up the Bristol based company with fellow director Ben Hartley following a 17-year career with GVA Grimley’s. Latterly she worked in the corporate finance team at Hazlewood’s Accountants. “I turned 40 and wanted to have the opportunity to run my own business,” she added. “Between us we feel we have sufficient clients to make a success of it. We know it will be challenging but believe there are still lots of opportunities in the healthcare market.” The group has sent out a survey to 1,500 care operators, asking them their views of the market and how it has changed since last year. The results are expected in early 2009.

James playing the piano at the Leeds opening

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CARINGPROPERTY AND FINANCE

Disappointment leads to £5m plan By Dominic Musgrave A DISAPPOINTING experience when looking for a care home for a relative has led to a mother and daughter creating a new £5m luxury facility. Angela Swift and her daughter Jenna are behind Reuben Manor, which is set in 1.2 acres close to the centre of Yarm in Teesside and will create 60 new jobs. Named after Angela’s father, the home will feature an internet café to provide mental stimulation and enable residents to keep in touch with friends and family; a coffee shop to encourage social interaction, mobility and provide residents with an opportunity to move into a different environment; a beauty salon and a gift shop where residents and visitors can buy gifts, cards and confectionary. There will also be large communal areas and three separate landscaped gardens that provide secluded and open areas for residents. Angela and Jenna worked closely with an interior designer to create a suitable environment such as choosing

colours and textures that aid those with dementia. “We are really very excited about Reuben Manor and it is great to see our vision becoming a reality,” said Angela. “The chosen design and facilities have been selected as a result of our own previous experience and research we conducted on care home design and the facilities and care support people would like to see. “Our aim is to provide the highest standards of care and support on a flexible basis to meet the individual needs of each resident within a caring community whilst also providing facilities that enable them to maintain a level of independence.” Care and support will be provided 24 hours a day and will be tailored to the needs of each individual resident. All care staff will be appropriately trained with recognised qualifications. Reuben Manor is due for completion in spring 2009 thanks to a funding package from the RBS Healthcare team.

Angela and Jenna Swift with RBS senior relationship manager, commercial banking Robert Smith

Extensive redevelopment for Walsall care home A WALSALL care home which was formerly used as a tuberculosis sanatorium has undergone an extensive redevelopment. The original Victorian Pelsall Hall has been retained but substantially refurbished inside, and two new extensions have been added so that the Greensleeves Homes Trust facility will be able to accommodate 41 older residents. The home also now has a purpose built unit for residents with dementia. “We knew when we took over

Pelsall Hall that we would have to invest significant funds to bring the home up to modern day standards,” said chairman Judy Macdonald. “We are now really pleased to have a home which offers the best environment for the residents to go with the existing high quality standards of care we offer. I look forward to Pelsall Hall going from strength to strength.” Greensleeves is a registered charity which owns 15 other care homes across the midlands, the south and east of England.

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CARINGPROPERTY AND FINANCE

Sales of commercial property including care homes cannot complete after October unless a non-domestic energy performance certificate is in place

It is illegal to market a property without an EPC By Anita Allen THE non domestic or Commercial Energy Performance Certificates (EPC) are required for all commercial property over 50m2 (around 500 sq feet) with very few exceptions. This is very much akin to the EPC requirements which have been in place for a little while now for residential properties. There is a lot of turmoil at the moment and very few assessors around who can carry out the work. It is the responsibility of the vendor to make sure the EPC is

available if you intend to sell the home, and it lasts 10 years when you have it. The penalty for not complying is £5,000, and you will find that you cannot proceed to completion through solicitors unless you can provide it. It is also now illegal to market a property without an EPC. Non Domestic Energy Performance Certificates (NDEPC) are now required for all sales or letting of commercial property (including care homes). Sales cannot complete unless a non-domestic energy performance certificate is in place. There is a

guideline issued by the government that would allow exchange and completion before January 4 2009 without a certificate in place, but only when it is already ordered at least 14 days before the anticipated completion date. The completed certificate must be presented to the purchaser in any case by January 4 2009. All properties advertised for sale after October 1 must have the NDEPC in place, irrespective of when they came on the market, as any agent cannot, under the terms of the act, arrange a viewing unless the person viewing can see a copy

of the EPC at or before the time of viewing. Agents must do what we can to assist vendors in arranging these assessments. However, the responsibility of having a certificate in place is with the vendor and the fine for not complying, as mentioned before, is up to £5,000. For further information visit http://www.ndepcregister.com/ or http://www.communities.gov.uk/pl anningandbuilding/the environment/energyperformance/ Anita Allen is a property agent at DC Care specialist property agents.

An illustration showing the frontage of the new care home being constructed for Coverage Care in Whitchurch.

Go-ahead given for £6.5m care home SHROPSHIRE-based Coverage Care has been granted planning permission for a new £6.5million care home in Whitchurch. When complete early in 2010, the care home will employ up to 100 staff and have 75 individual en suite rooms with the latest facilities to support older residents, many with special dementia needs. Welcoming the announcement, the company’s chief executive David Coull said: “The new home in Whitchurch will set new standards of accommodation and care for older people in need of nursing and specialised care in a safe and homely environment. “As a leading not for profit care company, we are proud of our investment record in new care facilities like this new care home in Whitchurch, one of 15 care centres

we operate in Shropshire, enhancing our ability to provide specialist care for older people, in particular for those with dementia.” The domestic ambience of the new two story home will be enhanced by the building façade which is designed to blend-in with the surrounding homes by dividing it into smaller domestic sized modules, using different roof lines, gables and dormer windows to create a complimentary street scene. The design has four residential wings with a central communal area, private courtyard, landscaping and dedicated car parking for staff and visitors. Work will commence on the site later this year under the direction of main contractor Castlemead Developments Ltd from Wrexham, who specialise in construction projects for the healthcare sector.

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CARINGAWARDS ROUND-UP

Stella in the running for top award A SANCTUARY Care employee is in the running for a prestigious national care award. Stella Charman, who works at Ashley House care home in Bordon, Hampshire, is a finalist in the care activities co-ordinator category after being nominated by her manager Margaret Powell for making an exceptional contribution to the lives of the residents. It follows her outstanding work for the NAPA Breath of Fresh Air competition, where the National Association for Providers of Activities for Older People asked homes to think of creative ways to bring fresh air to residents. Stella helped organise a day at the beach with a difference, where residents could experience the seaside in the home’s own garden. She persuaded a builder to donate two tonnes of sand and managed to find a mobile farm which brought

two donkeys along. Residents helped paint a backdrop of the sea and children from a local school built sandcastles. There was also Punch and Judy show and candyfloss and ice cream. Stella said: “We focus on residents’ strengths and what they can do. It’s not just about playing bingo, it’s

about the small things that they used to like doing and bringing these things back into their everyday lives.” Her appointment was been part of a pilot project, but it has been so successful that it will be rolled out across the whole of the group.

Medication programme wins award for Bupa BUPA Care Services has been awarded the 2008 Pharma Award for patient safety initiatives for its medication management programme. The programme has resulted in improvements in all aspects of the medicines management process, from obtaining and receiving medication, to its administration and final disposal. Its success has resulted in praise from CSCI. Paula Keys, one of the company’s two heads of operational compliance collected the award on behalf

of the project team involved. She said: “Our residents’ safety is our top priority, and with thousands of residents taking lots of different medications, it can be very complicated. “This project has brought significant improvements in medicine management within our homes to ensure that our residents’ wellbeing is protected. “I was honoured to receive the award on behalf of the whole project team at Bupa.”

Alyson Williams

Alyson scoops gold prize A MERTHYR Tydfil care home manager scooped the first Dignity in Care gold prize at the annual Wales Care Awards. During her six years at Bargoed House, manager Alyson Williams, who switched from caring for children with challenging behaviour to looking after the elderly, has encouraged staff to improve their qualifications and has recently gained a degree herself. She has established a support group called Friends of Bargoed House, which has raised £30,000 for facilities and services for the residents, including a computer suite. “It was a complete and utter surprise and I am thrilled but stunned,” she said after receiving her award from Welsh Assembly’s deputy minister for health and social affairs, Gwenda Thomas. Alyson also received a silver award in the leadership and management in residential care category after being nominated by several colleagues. The awards were established by Care Forum Wales six years ago to promote and reward good practice throughout the social care sector in Wales.

Sinead Polland receives her award

Double celebration at home STRANGFORD Court Care Home in Downpatrick had two reasons to celebrate at the inaugural Northern Ireland Independent Care Awards. Sinéad Polland won the registered care manager category and Eithne Mooney was named care chef of the year at the ceremony organised by Independent Health and Care Providers (IHCP) and hosted by comedy actress Nuala McKeever. “The evening was a fantastic success and it was great to see individuals who contribute so much to our community receiving the recognition

they deserve,” said IHCP chair Rosemary Armstrong. “The quality of nominations was extremely high and our congratulations go to all the winners and finalists.” Other award winners: Registered nurse – Betty Calvert (Cornfield Care Home, Limavady); Domiciliary carer – Kathleen Colton (Sperrin Caring Services, Omagh); Care home carer – Ruth Downey (Clonlee Nursing Home, Antrim); Support staff – Margaret Davidson (Loughview Care Home, Holywood).

Katy Jenks receives her dementia care manager award from Kaye Adams

TV presenter comperes awards TELEVISION presenter Kaye Adams compered and presented the awards at the annual Scottish Care award ceremony. The dinner at the Thistle Hotel, Glasgow followed the association’s annual conference, where minister for public health Shona Robison MSP announced the Government’s support for an initiative to assist the development of the care workforce. “There is always a very high standard in each category and this year proved to be extremely difficult in selecting a winner from the three finalists,” said Ranald Mair, chief executive of Scottish Care. “The award ceremony is a wonderful way to commend the dedication and outstanding work carried out in the care sector.” Award winners: Care newcomer – Joanna Pietrzak (Luncarty Care Home, Perth); Nutritional achiever – Anne-Marie Ward (Rosepark Care Home, Uddingston); Support worker – Patricia Mathewson (Highview Care Home, Inverness); Activities coordinator – Gavin Stott (Pentland Hill Care Home, Edinburgh); Registered nurse – Alexis Moore (Archview Lodge, Dalkeith); Specialist service provider Anton Watson (Trinity House, Lockerbie); Dementia care manager – Katy Jenks (Braemount Care Home, Paisley); Care home manager – Kathleen Cairns (Kirkhaven Homeless Project, Glasgow); Single care home operator – Colin Corstorphine (Auchtermairnie Care Home, Leven); Multiple care home operator - Ron Taylor(Parklands, Banffshire); Training and staff development – Morag Frances (Braeside House, Edinburgh); Carer – Brian Kane (Newark Care Home, Port Glasgow); Care business development – Rae Murphy, Janette Donnelly and Chris Quinn (European Care / North Ayrshire, Millport, Isle of Cumbrae).

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CARINGTRAINING AND RECRUITMENT

Why it’s good to see residential care leading the way in end-of-life care By Martin Green

Morejoy Saineti

New role for Morejoy MOREJOY Saineti has been appointed end-of-life dementia care nurse for Housing 21 across its dementia services teams in the City of Westminster, London. She joins the company after its successful bid for funding from the King’s Fund for a service delivery project within their ‘Partners for Health in London’ programme. Morejoy brings a wealth of experience to her role, having worked for Oxleas NHS Trust for nine years as a senior charge nurse in the home treatment team and a deputy ward manager for the care of the elderly. At Oxleas she was also involved in setting up a specialist unit for people with dementia. In addition to her RMN and RGN qualifications, Morejoy has an MSc in Health Research and a diploma in business administration. She said: “I am delighted to be working for Housing 21 in this exciting new role. People with dementia are often denied the chance to die at home. This position is about providing people with dementia and their families appropriate end of life support services.”

THE Government has been producing a range of strategies that are designed to improve services to frail and vulnerable people. Many of these have impact on the residential care sector, but perhaps one of the most important is the End of Life Care Strategy. The reason for this is that in this area of work residential care leads the way and is finally being recognised as one of the places where people receive some of the best end of life care. It is great to see residential care as the template for quality, rather than always being presented as the service that has to improve. I say ‘presented’ as opposed to being the service that has to improve because, as we all know, the majority of services are high quality and deliver essential support, but this is seldom recognised, acknowledged or championed by the media or the society as a whole. One of the greatest challenges that any care provider faces is to make the transition between life and death as positive as possible not only for residents, but also for their relatives and carers. This is not an easy task and it is one where traditional health services are often at their most confused and ill at ease. This is because death in healthcare settings is often seen as a failure, rather than a natural part of life. For those of us in the care sector who are providing services to people who are reaching the end of their lives there is an

acknowledgement that our role is about ensuring the dignity and quality of a person’s end of life, as well as working with them to ensure that their life is as independent and their services as personalised as possible. I think this is what marks residential care out from so much other provision. It has understood that death is a natural part of life and that the same meticulous to detail and to quality needs to be applied to every person regardless of their medical condition or their long-term prognosis.

This is the story that is seldom heard, but it’s the story that makes a difference and I sincerely hope that with the End of Life Strategy being rolled out across the health and social care system it will not only be a story that is told more widely, but it will be the experience of many of us who will end our lives in a care home.

I’ve lost count of the number of times that I’ve talked to relatives who have grappled with the loss of

Martin is the chief executive of the English Community Care Association (ECCA).

Staff enjoy course success NIGHTINGALE members of staff celebrated qualifying in a groundbreaking course to improve standards in palliative and end of life care. The home created a work-based learning programme in partnership with Thames Valley University over a four month period which gave the 14 members of staff the opportunity to explore palliative and end of life care. The next phase of the programme is the implementation of the Gold Standards Framework, a nationally recognised framework for support of residents to enable a gold standard of care for all people nearing the end of their lives. “We are pleased that our staff attended and succeeded in this

course and that they found it hugely beneficial and informative,” said Glenda Edwards, deputy director of nursing at Nightingale who specialises in palliative and end of life care. “Nightingale has a longstanding commitment to ensuring that our residents receive the best and most personal care throughout their stay at our home. No matter how their health deteriorates, physically or mentally, we offer our residents a home for life. “This extra training is testament to Nightingale’s commitment to this ethos.” Nightingale trustee Ros Preston OBE presented the certificates and congratulated staff on their hard work and important achievement.

a loved one, but whose pain has been made more bearable by the knowledge that the person they loved was cared for and supported by skilled and compassionate people in residential care homes.

Nightingale staff receive their certificates

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CARINGTRAINING AND RECRUITMENT

Reins tighten on migration to the UK By Kashif Majeed ONE of Phil Woolas MP’s first announcements after being appointed the minister of state for the UK Border Agency (UKBA) was to tighten the reins over migration to the UK. This will ultimately translate to reducing the number of skilled workers recruited outside of the EU. It which calls into question whether there will be any changes to tier two under the Points Based System (PBS) which was introduced on November 27, and the robust checks to be made on Sponsor Licence Applications. However, very small numbers of care providers are aware of their responsibilities under the PBS. Those care providers who have made the move to apply for sponsor licences are under the impression that once the application has been submitted the work is done. However, this is a misconception. The application is the first step towards complying under the PBS. Nearly all care providers fail to realise that by making the application for a licence they are allowing the UKBA to undertake a full compliance audit of their organisations. The compliance audit involves the UKBA completely dissecting care providers’ HR systems, record keeping and compliance with the immigration rules, in addition to proving that they have undertaken the necessary checks before employing overseas staff. The UKBA will also have a complete record of organisations’ previous interaction with them and highlight any breaches which have been recorded in the past.

Kashif Majeed Employers in the healthcare sector must be aware the onus has been pushed firmly on them to comply with all the regulations of the PBS. Failure to comply will result in the downgrading of a rating in conjunction with unlimited fines and up to two years’ imprisonment. Each sponsor has to appoint an authorising officer, who must hold a senior post in the organisation, who will be responsible to ensure compliance under the PBS. If on a compliance audit the UKBA identify breaches, the authorising officer will be the one facing the punishment. Kashif is the director of Aston Brooke solicitors, who specialise in the health sector and have launched an online case management system in response to the new legislation.

If you have a story for our Training and Recruitment section call our healthcare editor Dominic Musgrave on 01226 734407

One in five care services in Scotland has unsafe procedures – report ONE in five care services in Scotland have been found to have unsafe procedures in place for recruiting staff according to the Care Commission. Evidence was found of care staff being employed without proper checks completed on their fitness to do the job, without criminal records being checked and with references going unverified. The findings are revealed in the Safer Recruitment for Safer Services report, which is based on a sample of 60 per cent of the services that employ staff, and provides the first national picture of the recruitment policies, procedures and practices in Scotland’s care sector. The report was undertaken as a result of the shared concerns of the Care Commission and the Scottish Social Services Council about the need for improved systems for recruiting staff in care services. Marcia Ramsay, acting director of adult’s services regulation, said: “Above all, our work is

about improving the quality of care in Scotland and keeping people safe. “It’s therefore vital that recruitment into care services is done carefully and properly. “People who use services, their families and carers want to know that the many organisations that provide care take recruitment seriously. “People using care services can be very vulnerable, so it’s particularly important to be thorough – check references, qualifications and do disclosure checks.” The report – which was carried out after concerns were identified over recruitment practices by both the Care Commission and the Scottish Social Services Council – reviewed 4,434 services over 2006 and 2007. It recommends that all care services have robust recruitment policies and practices and follow national guidelines. It also suggests involving care service users in the recruitment of staff.

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CARINGPRODUCT NEWS

Door manufacturer New website launched launches new product specifically for care home with swing free system SPECIALIST manufacturer and installer of door systems for residential care Holdfire has launched a new product to complement their Carefree swing free door closer. Carefree Plus offers a swing free system that will not allow a door to slam. The door opens as easily as before but the closing direction is very slightly hydraulically damped. If an attempt is made to slam the door, the damping arrests the motion before the door reaches the frame. Mark Batt-Rawden, director of Holdfire, said: “Our Carefree system which removes all the closing forces from doors has been hugely successful. “However talking to care home

proprietors we have found that leaving the door completely free to swing allows the door to be slammed shut either maliciously, accidentally, or simply because an external door has been opened creating a suction or draught.” When installing new systems, Holdfire encourages its staff to spend time talking to the residents. “As they are working in a sensitive environment we give our people an extra half an hour in their appointments to chat with the residents,” added Mark. “We know from talking to them that some people feel a little worried when a new person goes into their home, so we want to put their minds at rest.”

Firm produces unique shoe BETTERFIT comfort footwear has produced a unique shoe as part of its wide fitting comfort range of footwear. Designed specifically for people suffering from lymphodema or heavily bandaged feet due to foot ulcers, the shoe uppers are made from a combination of soft leather and soft pliable mesh, with a spongey lining woven as an integral part of

the shoe, making it fully breathable. The apron front has a bellows tongue which opens out to extra width to allow easy foot entry, and a special fitting service is also available for people suffering from excessive swelling or extra heavily bandaged feet. The shoes can be washed as often as is necessary to eliminate the discomfort of leakage.

New Ozone laundry system launched GIRBAU UK and its service and installation division JHC Laundry Equipment has launched its highly innovative and advanced new LaundrOzone ozone laundry system that will help laundries to slash energy bills and ensure verified disinfection. Launched after three years of continuous development with Ozone Water Technologies (OWT) of the US, the new Girbau/JHC LaundrOzone washing system offers savings of between 30 and 50 per cent in electricity consumption, 40 and 60 per cent in hot water and 10 and 30 per cent in detergent. An ozone-equipped Girbau/JHC laundry can also provide indirect savings of between 25 and 35 per cent in gas consumption, upwards from 25 per cent in labour costs and 20 to 30 per cent by prolonging the life of linens. “Ozone washing systems have become popular in healthcare applications in the UK in recent years because they provide verified disinfection,” said Richard Neale, director of the Laundry Technology Centre (LTC). Enquiries: Telephone 0844 391 0395.

THE only health, safety and food hygiene solution website developed specifically for care homes was launched at the Care Show.

With over 700 pages of searchable information and form library, carehomesafe.co.uk provides a comprehensive package of guidance, assessment and monitoring tools to help manage food hygiene and health and safety issues associated with running a care or nursing

home.

Tools include model staff handbooks to aid provision of information, instruction and training to staff as well as a food hygiene management system (HACCP) reflective of typical cooking processes found in care homes. The system is also an ideal platform for small groups of homes to develop a consistent approach to risk management across the business.

Colourful inlays lift the mood THE new flooring of the disablement rehabilitation unit at Newcastle’s Freeman Hosiptal features speed limits and stop signs in a variety of colours. These are made from low maintenance, heavy duty sheet vinyl ranges from Polyflor Ltd, and the designs were created via the company’s Expressions Design Service. This uses computerised waterjet cutting techniques to produce precise shapes and styles for inlaid decoration. They were installed by flooring contractor Renwick Flooring using colours from the Polyflor Prestige PUR, 2000 PUR and XL PU ranges. “We wanted to do everything possible to make the unit attractive and welcoming for the children,” said Chris Radcliffe of the hospital’s estates department. “So the flooring is not only functional from a performance point of view but incorporates images to introduce a more light hearted atmosphere.” All three ranges are certified through BRE Certfication Ltd for their environmental profiles. Enquiries: Telephone 0161 767 1111.

Cerrus agree deal to deliver SimplyUnite CERRUS International, the UK-based supplier of the Saturn system to the community health and social care markets, has entered a distribution agreement with Mix360 Ltd for the delivery of the SimplyUnite product. Developed in conjunction with Elizabeth Finn Care, SimplyUnite is based around an easy to use email system developed specifically to benefit older people, people with disabilities of any age and care providers. Using a touch screen, the system gives instant access to messages, photos and videos from family and friends. As demand for internet connectivity continues to increase, the SimplyUnite product will help to reduce social exclusion and avoid the “cut off” atmosphere often experience those living in a residential setting. The product will compliment Cerrus’ Saturn system across the ageing and social care markets and, combined, the two products will bring multiple benefits to services users and their families, care homes and care workers. Enquiries: Telephone 01276 605620.

Trust uses Miele products

Simple solutions

THE Orders of St John Care Trust has specified only Miele Professional when it comes to laundry and dishwashing products for the past three years. Currently, the Trust has Miele machines in many of its locations around the UK. The Orders of St John Care Trust (OSJCT) was established in 1991 as a not for profit charitable trust. It is the second largest not for profit care provider in the UK, currently operating 74 homes in Lincolnshire, Wiltshire, Oxfordshire and Gloucestershire. It is responsible for the care of 3,300 residents and employs around 3,500 staff. OSJCT delivers a broad range of care services, including residential, nursing and dementia care. The Trust also provides intermediate, respite and day care. The washing machines and tumble dryers currently used by OSJCT range from Miele Professional’s popular Little Giants range, up to the larger 13kg machines, dependant on the size of the care home. OSJCT also has several G8072 freshwater dishwashers. Enquiries: Telephone 0845 330 3618.

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 flatlaying WACMAT® can be used as an entrance mat, saving you hundreds of pounds in rental costs alone. Contact: 0800 074 3749.

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Furniture

Radiator Covers

Western Equipment Supplies Ltd REFURBISHED NURSING HOME EQUIPMENT • Beds • Baths • Tables • Trolleys • Hoists • Chair Scales For price list or information:

Tel: 01275 831888

IF YOU ARE INTERESTED IN ADVERTISING PLEASE CALL 01226 734479 Business Solutions

Transport

No.1 in used Wheelchair Accessible Transport ACCESSIBLE TRANSPORT AT AFFORDABLE PRICES • We specialise in the sale and purchase of quality used wheelchair accessible and ambulance vehicles. • They can be bought as seen or refurbished and signwritten to your own requirements. • 12 months MOT Class 5, and 12 months warranty. • Independent engineers report supplied FOC. • Delivery service available. • All buses fitted with seatbelts and comply to seatbelt legislation.

Always wanted late wheelchair accessible vehicles Gardiners Lane North, Crays Hill, Billericay, Essex CM11 2XE Tel: 01268 521033 • Mobile: 07860 894331 • Fax: 01268 284951 • sales@hwpickrell.co.uk

Visit our website for photos of current stock www.hwpickrell.co.uk

Care Alarms

Your clients could be reading this page! Call 01226 734479

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Original sale Don’t let staff training suffer price can change MANY people selling care homes agree a price, value per bed or a multiplier of the company’s EBITDA. When the solicitors begin to draw up the sales agreement, the original sales price will be increased by net assets remaining in the company. This is not always the case as some businesses have a net liability position that reduces the sale price. Mark Smallman, care sector partner at Brearley and Co Accountants, said: “A client appointed our firm to complete financial due diligence into a care home he was proposing to purchase. Our investigations identified a substantial amount of liabilities not disclosed by the seller. This amount reduced the purchase price. Employing our services from the beginning will ensure this does not happen when our clients sell their company.” Brearleys has over 20 years’ experience in the care sector.

Furniture with antibacterial surfaces ... WESSEX Furniture are the only company in the UK offering bedroom furniture with antibacterial surfaces. Silveright is an antibacterial melamine film developed by Coveright, the world’s leading producer of surfacing materials. It has been developed in response to a call from the health care sector, who were keen to secure extra protection against bacteria beside the normal hygiene and cleaning procedures. The antibacterial technology uses inorganic silver-ions, which are environmentally friendly and not harmful to humans and animals – and it is certified non-toxic and food-contact approved. Managing director Andy Fowkes said: “Outbreaks of bacteria, such as MRSA, can destroy reputations. Using our Silveright bedroom furniture will give you peace of mind as well as protecting your reputation. “We have two great ranges of furniture that are protected with Silveright, so your furniture not only looks good but it’s safe.”

Saving money SAFELINCS can help you save money with your fire safety responsibilities. Under The Fire Safety Order legislation there are things that you simply have to do, you have no option. With Safelincs however, you could save a lot of money. Many providers of fire extinguisher servicing do not include basic spare parts in the price they quote. Many customers have shared with us horror stories about being misled about the pricing of servicing and are often amazed when they discover how much money can be saved using Safelincs for all their extinguisher servicing. Always check with your supplier that spare parts are included in the price, otherwise you may end up with a nasty surprise when you get your bill.

AT this crucial time within society of the credit crunch you should not be pushing staff training to the back of your mind and Care Training East Midlands is not either. Through a new partnership with Quantum Training and Acorn Training, Care Training can now

provide a range of provisions to support the people of Derby into work and training in care. With locations in both Derby city centre and Ripley, Care Training provision is now more accessible for everyone. Sessions available range from

advice sessions for people wanting to get a job or training in care, to a surgery where people can get support in writing a care focused CV. All sessions are free for anyone who is over 20 and have been living in the UK for three years or more.

Fantastic Firm continues to provide innovative bathing solutions outcome to GAINSBOROUGH Baths has more than 20 years’ experience in the design and manufacture of baths for the care sector. Operating from their factory in the North Midlands, they are continually developing and providing innovative bathing solutions for use in hospitals, nursing homes and other healthcare organisations, as well as for individuals. As a result of recent investment in state-of-the-art manufacturing processes, Gainsborough are proud to have pioneered the latest

computer controlled systems, making lifting and handling easier and safer. Incorporating the latest technology and built to strict quality standards, their Professional range offers complete reliability and includes height adjustable baths available with integrated seating systems, detachable transfer chairs and bathing platforms. All baths are manufactured to ensure they are in full compliance with current regulatory requirements, including WRAS.

Superbug breakthrough A NEW concept can now be used to eradicate the spores of superbugs in hospitals and care homes. For many years various types of disinfectants have been tried to combat the ever growing problem, which causes suffering to tens of thousands of patients. Many thousands, particularly the elderly, die from these airborne bacteria. Scientist and biochemist in Bury St Edmunds have been working hard to develop a new chemical breakthrough, and the outcome is a new product DIFFICIL-S, which has

recently been awarded a high accreditation by the Department of Health and is now being fast tracked for use in clinical trials throughout the country. The liquid solution is applied to all work surfaces, furniture, floor coverings, instruments and equipment, and is immediately active. Within minutes the area will be left clinically clean. The product is simple to use and with low costs. Unlike some other cleaning agents, it can be safely used in most working environments.

New assisted mobility bed debuts at Care Show APC Healthcare launched a new assisted mobility profiling bed from Muller healthcare direct at the Care Show. The Mobilia enables a resident to go from lying down to seated ready to stand with a swivel top frame and folding leg section. The Mobilia, modelled on the Medial electric profiling bed from the same manufacturer, is available in three different versions to accommodate 135kg and 150kg patient weights and residents whose height falls below 5’ 6”, enabling

them to keep both feet on the floor when in the seated position. General manager Michael Stanton said: “The new bed encourages a person not to give up on that last bit of self-independence by giving the opportunity to stand on their own. “If they were on a normal bed they would have to be manually handled by their carers, which takes time and effort.” The Mobilia will be available from January 2009 to the UK care and nursing home market.

Care Show

OCS Healthcare is celebrating a fantastic outcome from The Care Show in Birmingham. Following many positive discussions with potential customers, the company is delighted that the show went so well. Mark Coppard, head of OCS Healthcare, said: “It’s great to see that we have had such a positive response from The Care Show. It was our first year of exhibiting and it’s really encouraging to see that our stand had so many visitors. “We are already a major player in the healthcare field with many NHS contracts, so with this experience we recognise the value we can add to the care homes sector.” The experience that OCS holds within the healthcare sector means that branching into the care home sector is a natural step.

Show launch for Simplaphone SIMPLA International Limited launched its Simplaphone in the UK at the Care Show. It received a great response from both professionals and consumers alike who, after realising it was not a picture frame, warmed to the idea of their charges being able to make and take telephone calls in an easy, convenient and fun way. “Seeing a photo to dial is an easy way for the older community to be confident in the task and bring some pleasure at the same time to this often neglected but growing segment of our community,” said Simpla CEO David Wilson. “We really focused on making the Simplaphone a product that overcomes one of the tedious tasks that care home operators face – helping their residents make phone calls. It often denies their residents privacy and can take a lot of the carer’s time.”

Company offers complete training package REDCRIER Publications provides distance learning packages to help organisations working within the care sector. Immense pressure has been placed on the industry to comply with ever growing training requirements, and this is becoming more difficult to achieve. Redcrier has a complete package

that offers staff the ease of complete training in-house without the stresses and worries associated with attending training sessions, where there is the potential for the embarrassment of failure. The packages are tailored to meet an organisation’s needs, allowing packages to be incorporated into an existing training programme or

creating a new one. The company can offer a variety of courses, including food hygiene, health and safety, fire safety awareness and risk assessment. With the Redcrier package once an organisation has made an initial purchase it can enjoy free training for the lifetime of your home.

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