Caring UK October 2010 by Script Media

21/9/10

16:24

Page 1

October 2010

incorporating The Number One magazine for the care sector

no.173 • £4.75 In association with

Call for new approach to inspections By Dominic Musgrave CARE services should be inspected when necessary but at least once a year, the leader of an association has claimed. John Burton, head of The Association of Care Managers, has called for a new approach to regulation and inspection of adult social care, which would include inspectors working directly with residents, relatives, staff and managers of individual homes. He told Caring UK this would involve a total reorganisation of the CQC and a return to the local inspection of care homes: “We believe all of this can be achieved without increasing inspection fees. However, it will mean a total reorganisation of the CQC, dismantling the centralised bureaucracy and grandiose management structure, and setting up local Healthwatch inspection teams employing independent inspectors who will be judged by – and paid by – results.” John also claimed the CQC is ‘staggering through the bureaucratic motions’ as no regular inspections are now taking place. He added: “The reality is that the regulator inspects the home only after some serious incident has taken place

... they shut the stable door after the horse has bolted. “This isn’t inspection; it’s just staggering through the bureaucratic motions. What has all this got to do with “making sure people get better care”, the CQC’s stated aim? Why aren’t the CQC’s inspectors out there in care homes, recognising and encouraging good practice, identifying poor practice and requiring improvement, and informing the public?” John also criticised the inspectorate’s recent announcements about its consultations about quality ratings, labelling them ‘inconclusive’, and said ‘empty promises’ had been made about changing the system of assessment by May next year. He added: “Some homes will have old star-ratings and some will have no ratings. Some information will be at least three years out of date. “If you were buying a second-hand car, would you be happy with a threeyear-old MOT certificate? If you had paid for a comprehensive report on the vehicle you were buying, would you be happy with the company which sent you a three-year-old inspection report declaring the car to be in excellent condition? The answer is a resounding “no” to each question, and choosing a care home is a much more

Residents entertained in birthday celebration

Television presenter and author John Suchet hosted a dementia awareness morning at Colten Care’s Fernhill care home in Ferndown. He gave a first hand account of his experiences of his struggle when his wife was diagnosed with the condition, which was the subject of his book ‘My Bonnie’. John also gave advice to those members of the public who have recently had a friend or relative diagnosed with dementia.

RESIDENTS were treated to a variety of entertainment at a Lancashire care home’s anniversary celebrations. The event, at Kepplegate care home in Preesall to mark Steven and Karen Shaw’s 10 years’ ownership, was opened by the town’s gala queen Kathryn Naylor, while visitors included the mayor Dorothy Ramsden and mayor and mayoress of Wyre, Coun Russell and Christine Forsyth. The day included performances from Pilling band, the Over Wyre Cloggers, a Punch and Judy magic show and various dancers. Money raised during the festivities, which also included the releasing of 16 balloons carrying the name of a resident, with a request for whoever found it to write a letter to the person named, was divided between Pilling band, Kepplegate’s sponsored child in Zambia and an orphanage in Mombasa which the home also supports.

02 Activeion

21/9/10

16:25

Page 1

21/9/10

16:29

Page 1

CARINGNEWS

TV location fee boosts soldier memorial trust

Sales and Marketing Director: Tony Barry Group Sales Manager: Jackie Brook Tel: 01226 734479 Email: jb@whpl.net National Sales Executives: Rebecca Hazell Tel: 01226 734685 Email: rh@whpl.net Mandy Edwards Tel: 01226 734333 Email: mandye@caring-uk.co.uk Fax: 01226 734477

By Dominic Musgrave THE memorial trust of a soldier killed in Afghanistan has received a boost from a retirement village after the country house was used as a television set. Thamesfield’s Victorian building on the banks of the river in Henley-on-Thames was chosen to double as a riverside nursing home for the new series of police drama Midsomer Murders. A crew from the ITV show spent a day filming in the landscaped gardens and outside the main entrance. They also used an apartment, owned by Dawn Turner, which will feature as the crime scene. Dawn’s grandson Dougie Dalzell was killed earlier this year, on his 27th birthday, while serving with the Coldstream Guards in Afghanistan. And the owner of Thamesfield – Retirement Villages Ltd – is donating its fee from the television company to the memorial trust set up in his name to support injured soldiers from the regiment. Manager Rhona Price said: “The staff and the residents were all very excited to have a TV crew here for the day. “The most surprising thing was how long it took them to film each scene – hours sometimes for just a few seconds

www.caring-uk.co.uk Advertising

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 Reporter: Christina Eccles Tel: 01226 734463

Dawn Turner (sitting) and Thamesfield staff welcome the charity crewmen during their 100 mile journey along the Thames. on screen. “Mrs Turner’s apartment was used by the television crew. She, and the rest of her family, were devastated when Lt Dalzell was killed in February. It seemed fitting that we should donate the fee we got to the memorial trust in his name.” The episode featuring the retirement village will be screened next year, and

Rhona said a special ‘Thamesfield’s on the television’ party will be held. Thamesfield was also one of the stop off points for a team of three oarsmen rowing 100 miles along the Thames in a 100 year old skiff called Success to raise money for the memorial trust. The money raised will pay for a crew of amputees from Lt Dalzell’s regiment to

Group Deputy Editor: Judith Halkerston Tel: 01226 734458 Database enquiries to: 01226 734695 E-mail: circulation@ wharncliffepublishing.co.uk Whilst every effort is made to ensure the accuracy of all content, the publishers do not accept liability for error, printed or otherwise, that may occur. You can now follow us on Twitter at caringuk

21/9/10

16:30

Page 1

CARINGNEWS

Elderly care may suffer under cuts By Dominic Musgrave PROVIDING adequate elderly care may fall victim to local authority cuts when councils try to balance their books, it has been claimed. Tony Banks, chairman of the Balhousie Care Group – the fastest growing provider of residential care for the elderly in Scotland, said there is a huge amount of overlap of funding and money was being wasted between different agencies. He also believes the coalition government should create a new ministerial role have overall responsibility for the situation. Tony added: “Caring correctly for our ageing population is an issue that will affect everyone at some time. “The funding for elderly care comes from several different pots, mainly NHS, social services, housing and government benefits. The coalition government has to ensure that funding is not diluted by departmental and council spending cuts. “There is no real discussion between the different bodies and no individual with overall responsibility. Despite the financial situation money needs to be ring fenced for elderly care, and the coalition should designate a government minister.” He said savings would be made if local authorities were not the providers of residential care while they are also the major funders, adding that the current relationship can be “incestuous”. “Local authorities are the ‘gatekeepers’ who assess individuals for care,” Tony added. “They then

Tony Banks dictate the fee regardless of the provider's costs. “They also directly provide care at a higher cost than other providers, taking all the funding required for their own facilities out of the pot on day one of the financial year – even if their beds are not full. “This leaves other providers having to compensate for the unjust distribution of funds, which is not reflecting the true cost of care provided by the private sector. Do you agree with Tony’s views? Let Dominic Musgrave know by emailing dm@whpl.net or ring 01226

A Lytham St Annes care home’s garden party has raised more then £400 for the Alzheimer's Society. The event at Rosewood Lodge for families, friends and staff included stalls selling cakes, tea and coffee, books and second hand clothing, with a tombola proving to be the most lucrative.

21/9/10

16:31

Page 1

CARINGNEWS

Industry ‘in danger of imploding’ THE care industry is in danger of imploding within the next 12 months if immigration rules are not changed, the owner of a care group claims. And Sandra Joyce, who runs three homes in the South West, says the ‘double whammy’ of cuts in fees being paid and shortage of competent staff will impact hugely on those facilities which rely on social services to fund their beds because they will not be able to attract staff with the pay rates they can afford. She told Caring UK this will lead to homes like hers that provide mainly to self funding residents taking the best staff. Sandra added: “The best will get better and more expensive in order to pay for higher wages that the few good staff will be able to demand, and the worst will close and none of the best will want or be able to provide beds to social service funded residents. Where will they go? Is that what the government wants? “On a human level, I also feel that for the existing hard working, taxpaying migrants who have nearly completed their five years here and made a life for themselves with plans to

settle here, it is inhuman to leave them in limbo until March 31 2011 as they are unable to plan their futures. “I support the government in restricting the intake of migrants, but only those who do not contribute to the national economy. What is wrong with encouraging migrant workers who are competent care workers who pay their taxes and fill the vacancies which we cannot fill with UK staff?” Sandra has called on all operators to petition their local MP about the Home Office proposals which have already seen a six-month ban on care homes employing tier two staff such as RGNs and shift leaders from overseas. She added: “We all need to petition our MPs to put pressure on the government to relook at their proposals for after April 1 2011, but also to change the situation at the moment. Some form of work permit system which is tightly regulated for the care sector would be by far the best option moving forward. We can be a very apathetic group at times but this will affect almost every care provider in the land and we need to be aware of the consequences.”

Oxfordshire residents entertained at western-themed event COMEDY musicians The Fatman and the Tenor gave a performance of arias and classic show tunes to more than 200 Oxfordshire care home residents. A western-themed event was organised by The Orders of St John Care Trust at The Kings Centre in Osney Mead for residents and staff at their 18 homes in Oxfordshire, who dressed as cowboys and Indians and also sang along and toe-tapped to Donna Chalcraft. As part of the celebrations, the annual county gardening awards

were given out to homes to celebrate the work that green-fingered residents and staff have been doing over the past year. Categories included best hanging basket or container, most unusual container and best overall garden, which was won by Lake House in Adderbury. The judge’s special award was presented again to last year’s winner, Alf Keen from St Edburg’s House, Bicester, for his enthusiasm and dedication to the vegetable garden which he still tends at the age of 93.

21/9/10

16:32

Page 1

CARINGNEWS

Kitchenette serves up memories for residents By Dominic Musgrave RESIDENTS at a Bromsgrove care home are cooking up some memories with the help of a new 1950s-style kitchenette in their activities room. The equipment manager Karen Hancox found to get the retro look at Regents Court includes a cooker with an eye level grill, a Belfast sink and old-fashioned kitchen utensils. She told Caring UK she spent more than six months scouring charity shops and the internet to find authentic appliances and utensils to kit out the kitchen. Karen added: “We specialise in caring for people with dementia and keeping them active is a key part of that. “Bingo is all very well but bringing back memories in this way is much more effective. “Previously some of the residents were peeling potatoes in the lounge, which isn’t suitable, so we decided to create a specific area in the dining room. “The residents love going into the kitchenette to use equipment that’s familiar from their earlier lives. “It makes them feel they are being

useful, as well as sparking their memories.” The new area was paid for with a £7,000 donation from the local county council following an inspection at the home to ensure it met its 50 standards. Karen added: “The inspection looked at which of the points we were meeting, and gave us six months to raise our dementia standards to take the home to the next level. “With the remainder of the money we plan to replace a large window in the dining room with French doors so we can bring the outside in for the residents. “That will give the residents better access to the garden, and we have got a greenhouse and a shed that we plan to put up and will encourage them to use. “One of our residents is a former carpenter so in the shed we will put some wood, paintbrushes and tools that he will be safe to use and it will give him a sense of doing something worthwhile.” Have you created a new area at your care home? Let Dominic Musgrave know by emailing dm@whpl.net or ring 01226 734407.

Residents Doris Raitley and Bill Sly in the new kitchenette at Regents Court.

Residents get internet training through new partnership MERIDIAN Healthcare has joined forces with Age UK Training in Ashton to provide computer and internet training to residents and users of its facilities. The scheme was launched at Fir Trees Care Centre in Dukinfield, which has recently been provided with a computer workstation and wifi internet access. Course co-ordinator Lesley Read and volunteer Jeffrey Dudley carried out the training with users of the facility by introducing them to programmes such as Word and

www.myguide.gov.uk, a website developed by UK Online Centre, which introduces users to internet services such as email, banking, shopping and news sites. After piloting the training scheme at Fir Trees, the two are looking at the possibility of visiting other Meridian care centres in the Tameside area, starting with Greatwood House in Denton and Daisy Nook House in Ashton, where there are also computer and internet facilities.

07 Apetito

21/9/10

16:33

Page 1

21/9/10

16:34

Page 1

CARINGNEWS

Japanese therapy comes to Tyneside care home residents STAFF at a Tyneside care home have successfully learned the art of Japanese therapy reiki. The eight care assistants and one nurse at Willowdene in Hebburn were taught by reiki master Pamela Devlin, who has been nominated in the innovator category in the North East Care Awards. She said complementary therapy can help medical science. Pamela added: “Reiki provides a gentle, healing therapy, promoting wellbeing and a more positive ‘experiencing’ and coping with life's daily challenges. “I've never had the privilege of coming into a residential setting and improving the lives of the residents. I think it's a first. “If someone is having a bad day, it's absolutely wonderful to be able to do this. The people who have gone through this training have done well. I'm really excited about it.

Reiki, or hand healing, is a complementary therapy said to reduce stress by “laying on hands”, like massage. It can be administered in virtually any location, with the subject sitting, standing or lying down fullyclothed. The practitioner places their hands on or near the recipient’s body in a series of positions, including around the head and shoulders, the stomach and feet. The effects are said to be very positive. Mandy Bennett, area manager for New Century Care, who own the 52-bed facility, said she is delighted with the treatment the residents are receiving. She added: “Pamela has made a considerable difference to the quality of life of our residents. “We are now planning for another eight members of staff to undertake the training, which can only benefit our residents even more.”

Resident Trevor Bellamy in the office area

Pub, sweet shop and beach gives occupancy boost A PUB complete with snooker table and dart board, traditional sweet shop and a beach in the garden are some of the innovative ideas enriching the lives of residents at a Hertfordshire care home. Hatfield Nursing Home, which has around 90 residents with a range of conditions, is using the objects, projects and techniques to make its residents feel more comfortable, happy and secure. Len Merton, head of care for Sanctuary, who own the home, said the initiatives have led to a massive change of atmosphere at the home. He added: “The staff no longer wear uniforms which has removed the authoritative barrier between the staff and the residents, and has led to a more relaxed, homely atmosphere. “Creating these areas around the home has provided the staff with the tools of the trade to help them to engage with the residents more. “We have had a lot of favourable comments too from industry professionals including the CQC, doctors, and the bottom line is that this has led to a massive increase in occupancy across the homes from below 90 per cent last year to above 95 per cent.” All of Sanctuary’s homes have been

challenged to create eight different nostalgia areas for the residents to discourage them from watching television all day. Len added: “At Hatfield we started off in the garden to get more residents wanting and willing to go outside more, and we did this by creating an attraction to make it more interesting. “The beach, complete with a boat donated by a sailing club down the road, as well as a Punch and Judy and ice cream made by the home’s handyman, reminds the residents of happy times, and we regularly have events out there. “Inside the home we have installed warm fires in all of the lounges and have created areas for the residents to visit including a pub which regularly hosts events but doesn’t serve alcohol, an office area for those residents who perhaps worked as secretaries and a sweet shop.” Quiet rooms which were rarely used have also been transformed, with one becoming a cinema and another a sports themed area. Have you done something similar at your care home? Let Dominic Musgrave know by ringing 01226 734407 or email dm@whpl.net

09 Beaucare

21/9/10

16:35

Page 1

21/9/10

16:36

Page 1

CARINGNEWS

New chief executive sought COUNSEL and Care is seeking a new chief executive to replace Stephen Burke, who will be leaving later this year after almost six years in post. The charity is seeking a dynamic leader who can help meet its key aims of doubling the number of people served by its specialist advice service and influencing the future funding of care at a critical time. Chair Sushil Radia said: “We have set six key objectives for the next three years – from growing our advice service and winning more contracts to shaping the future of care and marking the charity's 60th anniversary. “Stephen Burke has led the growth and development of Counsel and Care. “Our unique advice service now helps many more older people and their families get the care and support they need, and the charity has been influential in the debate about how we pay for care.” Stephen leaves the charity in midNovember when he moves home from London to the Norfolk coast. He and his wife, Denise, plan to set up a social enterprise working for all ages. Deputy chief executive Caroline Bernard will replace him in an acting role until a permanent appointment is made.

Inchmarlo staff with bulldog puppy Humphrey

You can’t lick some canine therapy RESIDENTS at a retirement village in Scotland have been given a boost after being presented with their own exclusive therapy pet. The Inchmarlo Continuing Care Retirement Community, near Banchory, has unveiled a bulldog puppy called Humphrey as its new therapy assistant, allowing residents to experience the positive benefits of a pet without the hassle of owning an animal. Humphrey has been given the title therapy assistant (canine) in training and will provide all residents in the care home and in the community with a calming presence and friendly face during regular visits.

The puppy also has his own online blog, where web users can read about his adventures and follow his work progress. Professor Charles Skene, chairman of the Skene Group which owns and operates the site, said: “Humphrey’s already proving popular with residents and staff and I think he will be a great addition to the community. It’s important that people who are living in care have access to animals, as that is very therapeutic. However, as many older people aren’t able to keep pets themselves, having a therapy assistant like Humphrey is a great way of bringing animals into their lives.

“His job will be to visit residents across the Inchmarlo estate, providing comfort and cheering them up. For those who are feeling lonely or vulnerable, this can be important contact for them. Judging by the response from residents so far, it’s clear that Humphrey is a big hit.” The concept of the Inchmarlo community is that independent people over 55 purchase homes and as their health patterns change, make use of the medical and social support services as and when needed. The Georgian mansion house at the centre of the estate is a 52-bed care home, to which homeowners get priority entry if and when required.

11 Safelincs

21/9/10

16:37

Page 1

12 Care show

21/9/10

16:38

Page 1

21/9/10

16:41

Page 1

CARINGNEWS

Wrexham AM’s Lesley Griffiths with proprietor Mario Kreft and his wife Gill

Revelry marks silver jubilee AN award-winning care organisation celebrated its silver jubilee in style with a little help from a couple of local dignitaries. The mayor of Wrexham, councillor Jim Kelly, and AM’s Lesley Griffiths joined in the festivities at Pendine Park, with fun days organised at both sites so that all the residents and staff could be part of the revelry. Adding to the carnival atmosphere were Filipino members of staff who entertained the crowds with a traditional dance from their native country – before upping the tempo with some energetic disco dancing. The day also featured a wet sponge throwing game and a pet safari with all manner of creatures, including exotic lizards. The anniversary was made even more special earlier this year when

proprietor Mario Kreft was awarded an MBE in recognition of his services to social care. He said: “The fun days have been a fitting way to mark this important anniversary in our history. We have a wonderful group of staff around us, a great management team and far from resting on our laurels, we’re very much looking to the future. “You’ve just got to keep trying, and if you keep working at it hard enough, hopefully you get most things right.” The events also raised money for two good causes, the British Heart Foundation and a solar power project to provide hot water and light for 300 children in Kenya . Pendine Park is also opening a new centre of excellence to care for people with dementia in the near future.

21/9/10

16:41

Page 1

CARINGNEWS

A family-run North East care ‘hotel’ which was flooded three years ago is celebrating its 30th anniversary. Dominic Musgrave found out more.

Why Phyllis nurtures her ‘care hotel’ THE 16-bed Hampton House EMI unit in the grounds of Wentworth Grange in the village of Riding Mill was destroyed in July 2007 after flash floods caused more than two feet of water to pour into the building. But, following a £500,000 redevelopment, which included all furniture and carpets being replaced, the facility, which is owned by Phyllis Lee and run by her son Jeff, is now fully operating again and ready to celebrate the landmark. Phyllis, who has an extensive nursing background, told Caring UK the ‘hotel’ concept was a dream of her late husband Ronald. She added: “When we opened here we wanted to look after people how we would want to be,

but moving away from the institution feel that you get with a lot of care homes. “A few of our residents’ relatives commented that coming in here was just like visiting a hotel, and people were happy to have a week’s respite here as if they were on holiday so the name stuck. “Treating it this way creates a totally different culture to care, and all of our staff do a lot of customer care training, which I believe makes us the only home to do that, but that is what we are offering.” Planning permission for the home, which has 35 beds, took more than five years to obtain because of issues with it being in a green belt. But Phyllis has further plans to create independent living

units at the home. She added: “We have a huge roof and loft space in the main building, and in it I am looking at creating areas for couples to live where they can keep their independence. We have several residents whose partners still live at home but spend all day here, so it would make sense for us to create somewhere where they can be together. “The residents we have here are a lot older and frailer than they were when we first opened the home, but we are now capturing the private market because we cannot rely on local authorities placing people any more.” The three-star rated home became the first Northumberland

facility to be awarded gold status from Investors in People, having held the status for 15 years. The hotel-feel is also borne out in the food choices offered to residents at Wentworth Grange. Choices on the menu include beef bourguignon, peppered pork loin medallions and herby lamb cobbler, although all tastes can be catered for. Phyllis added: “It is five-star hotel food that we aim to serve here, and residents are asked what they would like an hour beforehand, as is often the case when staying in a hotel. There is a residents’ group which regularly meets with staff to discuss the running of the home, which includes the catering and the activities we run here.”

21/9/10

16:42

Page 1

CARINGNEWS

The award-winning manager of a new £8m care home in Kent says she is looking forward to the new challenge. Dominic Musgrave found out more.

Why Fiona is striving for excellence ... FIONA Lydon will run Tunbridge Wells Care Centre, Canford Healthcare Group's first specialist dementia facility. The 70-bed home is the group's fourth home, and its interior design and facilities are akin to a five-star hotel. Fiona, who joined the company after turning around the fortunes of a 50-bed dementia care nursing home in South London, told Caring UK she aims to turn the new facility into a centre of excellence for the region. She added: “I felt I achieved all I set out to achieve in my previous job, and was going to come here as a commissioning manager until I found out the general manager’s role was available. “Since joining I have been busy setting up contacts with GPs and recruiting staff ready for the opening, and in time hope we are seen as a centre of excellence for London and the South East. “I am looking to incorporate quite a lot of reminiscence therapy into the home, either individually or in groups, using everything from household items and photos as prompts.” Fiona, who was awarded a commendation from Care Aware in recognition of her significant contribution to raising public awareness about care issues, particularly mental health, has also come up with several innovative ideas. She added: “We are incorporating the Sonas approach in the home, which encourages people to engage with their senses

Fiona Lydon through touch, sight, sounds, taste and smells. “We have a sensory room that we can adapt to an individual’s needs using different lighting and smells, and will also be offering a lot of complementary therapies to make the residents feel good. “I want to encourage social interaction and don’t want the residents sitting around. “We will have a market stall in one of the corridors and a table with some brass on that they can polish if they want like they would at home.” The new home also boasts the latest intelligent supportive nursecall system specifically designed for people with dementia and other cognitive impairments. Families will be able to remotely access live information about a resident – such as when they were last attended or checked on by a staff member.

21/9/10

16:43

Page 1

CARINGNEWS

The opening of a 16-bed extension marked the completion of the first phase of a £5m project at an Accrington care home. Dominic Musgrave found out more.

Ken follows in his mum’s footsteps ... PHASE two of the work at Springhill is due to start shortly, and will see the creation of a 46-bed specialist dementia care home at the site, which is owned by Ken Nolan. The former nurse also owns Birch Green Care Centre in nearby Skelmersdale and Riversway Nursing Home Bristol, which he plans to expand in the future. Once complete, Springhill will be able to accommodate 110 residents. Ken, has transformed the site since he bought the Victorian house in 1983,which he originally opened after redeveloping it for 23 residents. He added: “My earliest memory of care was at the age of 15 when we lived in a nice Victorian home as a family but were then moved up into the attic and a load of old people moved in. “My mum had a long career in nursing and it was very much a family business, hands-on, and as a kid I loved it.

“I learned a lot from my parents, not just in terms of values, but also approaches which are fundamentally focused on best quality. It is a term that is often bandied around and means different things to different people, but we focus on finding out about the individual rather than a one size fits all policy.” The home, which was the first in East Lancashire and one of only 29 in the UK to achieve Beacon status from the NHS and Age UK Gold Standards Framework Centre, is also working with the renowned Helen Sanderson Associates on a 12-month project. Ken added: “Person-centred care is a key phrase a lot of care providers use, but we wanted to have actual evidence to prove we are doing what we are claiming. Our staff are doing the same training course as the CQC inspectors, while a steering group meets regularly and a consultant actively comes into the home and provides support at the sharp end.

‘My earliest memory of care was at the age of 15 when we lived in a nice Victorian home as a family but were then moved up into the attic and a load of old people moved in’

Springhill’s managing director Donna Briggs, chairman Ken Nolan and Gary Swift from RBS being successful in 20 years’ time,” “They carry out some training at he added. the home and review our systems and processes to support staff and “People are a lot more discerning make sure we are all working now and will be even more so in together in a person-centred way.” future. Rather than the old adage of The home has also recently developing a home that I would be retained its Investors in People status happy to put my mum in, I am for a 15th consecutive year, and Ken creating ones that I would be happy says he may look for further to move into. I am always looking for acquisitions in future. other opportunities to grow the business, but we don’t want to get “RBS have been very supportive of too big. I would only consider top our expansion and development quality acquisitions and have strict plans from the outset, and the criteria they must meet.” services we are creating I can see

21/9/10

16:44

Page 1

CARINGNEWS

Film storyline explores living with dementia IT was lights, camera, action at a newly-opened Malvern care home when a film crew moved in alongside the residents to shoot a groundbreaking new independent film. Filming for the movie, called Ten Glorious Seconds, took place at The Springs Nursing and Residential Home. It tells the story of an elderly man living in a care home who explores his memories to rediscover and reconnect with his wife – the loving woman who cares for him every day. The film's director, Simon Pitts, said: “Ten Glorious Seconds aims to highlight the importance of care and the moments of happiness that are possible when living with dementia. We hope it will be entertaining, moving and thought-provoking. “Distributing this short film for free on the web will ensure a very wide audience for a topic that many experience and few are able to discuss. “The Springs is specially-designed to care for people living with dementia and was an ideal location for us. We are grateful to the home manager and her team for letting us film here and sharing their expert knowledge

with us.” The film, written by co-producer Carol Younghusband, is being distributed through its own website, and the producers have received support and interest from private individuals in the UK and in the USA. Home manager Alison Ough, added: “Dementia is one of the biggest issues facing us as society ages. While this is a challenge, we know that through good care from people with the right expertise, individuals with dementia can live well. I hope this film will help to show this often-overlooked side.” The Springs is a purpose-built nursing home that can care for up to 65 residents. It has been designed to meet the needs of people living with dementia and specialist facilities include memory triggers, such as corridors decorated with neutral colours and eye catching pictures, reminiscence activity areas and sensory gardens. To get your special event in the next issue of Caring UK email Dominic Musgrave at dm@whpl.net or telephone 01226 734407.

21/9/10

16:45

Page 1

CARINGNEWS

Old spectacles are donated to overseas charity

A host of farmyard friends spread a little animal magic when they visited a Balcombe care home fete. Educational service Cuddle-me-do Mobile Farm, which operates throughout southern England, let elderly residents at Russettings experience the sights, sounds and feel of the farm in the safety of the care home environment. Staff and residents welcomed a range of animals during the event,

including goats, piglets, rabbits, chicks, owls and guinea pigs. The summer fete also included a barbecue, cream teas in the garden and a host of other attractions including a tombola, bric-a-brac, raffle, books, and clothing stalls. All money raised will go towards the residents’ fund, which pays for special day trips. Picture: Resident Richard Walker with an owl.

A LONDON care home has donated 250 pairs of unused spectacles to charity. Ashbrook Court staff, residents and their relatives as well as members of the public dropped their unwanted glasses into the home for a four-week period, and they will be sent by charity Vision Aid Overseas to people in Africa. Manager Glenda Barker said it proved so popular they are planning to host a similar collection in the near future. She added: “We are a big home with 70 residents, and a large majority of them do have to wear spectacles and have spare pairs lying around. “I was talking with a representative from Healthcall Optical, who regularly come into the home to test our residents’ eyes, and we felt it would be a good idea to do this for charity. “We put up posters and banners advertising what we were doing, and it was a good way of getting the community to come into the home. They were happy to have a tour around if they so wished.”

A local opticians and church also got involved in the collection, and Glenda said that she has already had 50 pairs donated for when they decide to run it again. She added that the glasses collected are sent to the charity to be graded and checked before they are distributed. “They could got to various parts of the world but we chose Africa because we have several staff working here from there, and I also sent a pair of my own recently,” Glenda said. “I received feedback saying they had gone to a lady who was over the moon because she can now read the hymn books at her church and get involved with the singing. We will involve the residents in deciding where the next lot go. Some of them may have a tale to tell about a country they have visited which is special to them. We try to involve them in decision making as much as possible.” Have you hosted an event for charity? Let Dominic Musgrave know by ringing 01226 734407 or email dm@whpl.net

19 Aidcall

21/9/10

16:46

Page 1

21/9/10

16:47

Page 1

CARINGNEWS

Patricia gets poetic ... A RESIDENT at a Lincolnshire care home has had her first book of poems published, aged 79. Patricia Pacy, who has been a resident at Homer Lodge in Lincoln for the last years, has self funded the book Nine to SeventyNine, which includes 36 of her favourite poems she has penned over the last 70 years. The former school secretary decided to publish her work after discussing the idea with the home’s activities co-ordinator Julie Jackson. She said: “We asked the residents if they had any unfulfilled wishes they would like us to make happen and Pat said she had always wanted to have a book of her poems published. “Pat has been writing them since she was nine, and subjects include her experiences of World War II, when her father was made redundant and general everyday life. She even wrote one for the Queen’s 80th birthday a few years ago, which she received recognition for, so we decided to get them published.” The front cover represents Patricia’s love of dogs and poems, with canine subjects including My Raffie, A Dog And What He Does For You and Tom, a tribute to a border collie. It is available from the Halcyon Care owned home, priced £5.95.

Residents at a Dorset nursing home are regularly taken on outings to local attractions. Dominic Musgrave found out more.

Activities flourish at Dorset nursing home GOING on holiday, swimming, sailing and on tractor rides are just some of the activities the residents at The Wimborne enjoy. Managed by Helene Dunbar for the last 12 years, the 28-bed facility also held a barbecue recently which was attended by local MP Christopher Chope. She told Caring UK ideas for activities are generated by both the staff and the residents. She added: “We have two activity coordinators here, but all of the staff are encouraged to get involved with everything we do. “Some have even held garden parties at their own homes for the residents to attend and either have a picnic or a cream tea. “Many of the residents and their families tell us that it is the small homely feel and atmosphere that attracts them here, and the residents are encouraged to tell us if there is anything they particularly want to do.” The Four Seasons owned three-star home has 65 staff, many of whom have been there for many years, with

Claire Moss and Jackie Dacomde celebrating their 15th anniversaries. Helene, who joined The Wimborne from another home in Birmingham, added: “The staff seem to like working here and getting involved with the residents, whom they treat like their own family. “They go the extra mile, and by spending a lot of time with them they find out their interests and then go away and see if we can implement them here. “From these chats we now have a gardening club, a cooking club and have taken a resident swimming. We are currently trying to forge closer links with the local community and churches, with some of the residents go and play bingo in the local centre.” The Wimborne has undergone a lot of development over the past few years, which has included the building of a new conservatory and a computer room for the residents. A single respite room has also been developed for those elderly people who are cared for in their own home but may need short-term care.

One of the residents tries his hand at sailing

21 Bond

21/9/10

16:47

Page 1

21/9/10

16:48

Page 1

CARINGNEWS

New regime for health and adult social care By Tabitha Cave OCTOBER 1 heralds a new regime for health and adult social care in England, governed by the Health and Social Care Act 2008. Under the new system, people who use these services are entitled to expect all providers to meet the same essential standards of quality and safety, as well as respect for their dignity and rights. The Act introduces a change from regulation that has become increasingly bureaucratic to a more flexible, outcome-based approach. The new system focuses on a quality experience for those affected and aims to drive improvement in care standards and in ’joined-up thinking’ as a result. Ten thousand current providers of regulated services in the adult social care sector must be registered with the CQC from October 1. It is a criminal offence to fail to do so, punishable by a fine or imprisonment. Regulated activity is defined in Schedule 1 of

the Health and Social Care Act 2008. The old Care Standards Act 2000, together with the National Minimum Standards for providers of adult social care, have been replaced by 28 new essential standards of quality and safety. These are set out in Part 4 of the Regulations. The CQC have issued Guidance on Compliance, the ‘Judgement Framework’ which focuses on the 16 regulations directly relating to the quality and safety of care which providers must have regard to. These relate to information and involvement, personalised care, treatment and support, safeguarding and safety, suitability of staffing and quality and management. The new system requires not only the provision of safe and quality care, but also to the empirical measurement of it and the recording of the information collated. Following registration, the CQC issue quality and risk profiles to

providers which can assist with transitional compliance as they map elements of the previous regulatory framework to the new one and highlight those measures which have been met. By linking the outcome measures to the NMS, it is difficult to see how the CQC are encouraging a less bureaucratic approach. It is of course open to providers to move away from the NMS requirements after October 1 but they will need to demonstrate compliance in the new regime in some other way if they do so. Providers will be required to selfdeclare compliance and will be inspected by the CQC – routinely and as a consequence of reported concerns. The CQC will update their quality and risk profiles and intend to make at least some of that information publicly available. This will initially be used by them to target improvement in those services rated as ‘poor’ or ‘adequate’ and will undoubtedly affect competition in the marketplace as this will be at least

Tabitha Cave one measure that people will use when choosing care provision. Tabitha Cave is a partner at Veale Wasbrough Vizards.

21/9/10

16:49

Page 1

Operator adds three East Midlands homes to portfolio By Dominic Musgrave AN EXPERIENCED care operator has expanded his portfolio with the purchase of a Nottinghamshire group of three homes. Paul Hearn, who runs My Care, four homes across Derbyshire and Nottinghamshire which comprise 157 beds, has acquired Ruddington Homes Ltd – Balmore Country House, Orchard House and St Peter’s Rest Home off an asking price of £4m. He told Caring UK the homes, which have 103 beds in total, were an ‘obvious purchase’. Paul added: “I realised we needed a bigger presence in the East Midlands and they ticked the boxes because they are all within a three-mile radius on a

side of Nottingham that I don’t have anything, close to the M1. “All of the acquisitions I have made in the past have added value to the business, whether it be through staff, location, the potential for growth or the way they appear, and I actively look for certain things. “With one of the earlier homes it was the management, which has been helpful for expansion later down the line.” Paul, who bought his first care home 12 years ago, says he is already planning developments at the three new sites, although financing them has not been easy. He added: “One of the homes had the head office based there, which we have moved to one of our existing sites. “I have spent the last few weeks look-

ing at various things so haven’t had the chance to focus on the staff yet, but there may be some duplication and others may decide they want to leave. “It has taken me 18 months to get the finances in place, and has been incredibly difficult. This has resulted in me having to switch banks because the one I was with simply weren’t lending.” Funding was secured by Christie Finance via Santander Corporate Banking, with Christie’s also selling the homes. Paul says he is actively looking at further acquisitions once he has got approval to develop the three new homes, and has already earmarked areas that he is targeting.

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

In this issue: Norfolk owners

look to create dementia unit Page 24

‘Fundamentals

for the sector remain positive’ Page 26

New builds

for ‘retired’ care owner Ian Page 28

21/9/10

16:49

Page 1

CARINGCOMMERCE

Norfolk owners look to create dementia unit

Resident Lily Barrett enjoys the new garden with daughter Debra.

Lily declares Lilian garden open LILIAN Faithfull Homes has completed a £200,000 refurbishment of the exterior and front garden at its St Faith’s care home in Cheltenham – and asked resident Lily Barrett to declare it open. The facelift included renovating windows to reduce draughts and improve insulation, cleaning and

painting the stone work and replacing stone lintels. The garden also benefited from the generosity of the local bowling club’s men’s team, captained last year by Ralph Crisp. Some of the money raised went towards large decorative stones in the garden.

THE owners of a Norfolk care home hope to double its size with the creation of a new dementia unit in the grounds. Family-run Swan and Cygnet Care brought its portfolio of homes to four with the purchase of the 20-bed Manor House in Blofeld at the end of last year. Robert Blackham, who runs the company with his father Malcolm and sister Sally Crawford, told Caring UK the planned facility is much needed in the county. He added: “There is a real need for dementia services in the area, and we felt the creation of the dementia unit would complement the home as it is at the moment which doesn’t have a registration to look after people with the condition. “We have been in close consultation with the council’s planning department about what we are wanting to create here, and at this stage don’t foresee any problems when we do forward our plans. We are want to create a U-shaped building with a sensory garden in the middle and all 20 bedrooms looking into it.” As well as The Manor, Swan and Cygnet also own The Moorings in Earsham, where its headquarters is based, Cresta Lodge in Poringland, and Chevington Lodge in Bungay. Robert added: “Since purchasing The Manor we have undertaken a major refurbishment programme of

Manor House in Blofeld the fabric of the building, which has included completely refitting the kitchen, redecorating all of the corridors and replacing all of the carpets. “We have also put in a new bathroom and refreshed the old one, and rebuilt the front porch area because we were worried that the old one might crumble because it was in a poor state. “Seven of the bedrooms have also been done up at the moment, and we plan to continue decorating the others. I’m sure when it is finished the home will look lovely for it.” Let Dominic Musgrave know of any plans you have for your care home by emailing dm@whpl.net or telephone 01226 734407.

Preston care home bought by London-based operator BANKSFIELD Nursing Home in Preston has been acquired by new operators in a sale handled by specialist healthcare property consultants HPC. The purpose-built facility provides 42 places for residents requiring

nursing care, some of whom may have dementia, and also provides beds contracted with the local PCT. The home has been bought by London-based operator Esteem Care for an undisclosed sum.

25 DC Care

21/9/10

16:49

Page 1

21/9/10

16:51

Page 1

CARINGCOMMERCE

‘Fundamentals for the sector remain positive’ By Paul Birley

A 55-bed care home is set to be built on the site of a former Guisborough church after it was unanimously approved by the local planning committee. North East-based Helen McArdle Care will begin work on the fire-ravaged and now demolished historic former St Paulinus Church site shortly, and expect it to take approximately 12 months to complete. The multi-million pound scheme, which will included 11 associated car parking spaces, new vehicle and pedestrian accesses and landscaping, is predicted to create 60 jobs for the area.

Four Seasons changes hands LANCASHIRE advisers have helped secure the sale of Burnley-based care providers Four Seasons Homecare (Holdings) Ltd, and its subsidiary Four Seasons Home Care Ltd. Four Seasons has provided home care services to individuals in the region for more than 15 years. The company was recently recognised by the CQC as an ‘excellent’ service. Owner Anita Ingham has sold her shares in the companies to Brightonbased Carewatch Care Services Ltd, a

national care agency providing home care services, backed by Lyceum Capital, for an undisclosed sum. She will, however, remain with the business on a consultancy business. Anita was advised by Andrew Clare, partner, and Victoria Bromiley, solicitor, of Napthens’ corporate department, along with David Sharpe, director of Pierce Corporate Finance. Farrer and Co of London acted for the buyer.

OCTOBER sees the publication of the coalition Government's comprehensive spending review, hopefully ending months of uncertainty for many, including residential care home providers. Operators have already started to see cutbacks in admissions from local authorities and pressure on fee levels in preparation for the review and the short-term outlook is likely to remain challenging. However, the fundamentals for the sector remain positive. Care is a vital social provision and the need for good quality care will only increase as Britain’s ageing population continues to grow and we see increasing demands and expectations from the residents. According to Government statistics, by 2034 there will be two and a half times more people in Britain over the age of 85 than there are today. Therefore, opportunities for expansion and investment should not be passed by. Private operators represent value for money for the taxpayer, a good quality of care for those who need it and a good credit risk for the banks. British banks are open for business and focussed on supporting clients. Those businesses which are able to demonstrate strong financial performance and a history of acceptable account behaviour should continue to be in a position to secure funding on competitive terms from their lender. Care home operators have proved over time to be both

Paul Birley flexible in approach and able to adapt quickly to changing conditions and we see no reason why this should not continue. The current economic environment and the perceived recovery is expected to be fragile so residential care home operators should have an increased level of focus around risk management when planning for growth. The best approach will depend on the relative benefits and costs of raising capital though various sources, as well as an operator’s risk appetite and current balance sheet position. However, we have consistently said this is a good time to lend to the sector, in circumstances where the commercial and risk terms make sense to our clients and shareholders. Paul Birley is head of healthcare at Barclays Corporate.

21/9/10

16:52

Page 1

CARINGCOMMERCE

Facilities offer ‘self-contained households’ A CHARITABLE care home provider has invested in the development of three new specialist dementia units. Opened this summer at CLS care homes, Wealstone (Chester), The Laurels (Winsford) and Greenacres (Wigan), the new facilities have been designed as self-contained ‘households’, and occupy separate wings within wider residential care homes. Each household has its own kitchen-dining area and lounge, and accommodates between 10 and 12 residents. Carers work on a ratio of 1:5 residents, compared to 1:10 in the main part of home, and have all received specialist training in dementia care.

Managing director Robert Black said: “Loss of memory can be a very disorientating and isolating experience. “The nature of a household environment compensates for this by providing a homely and reassuring atmosphere where residents can engage in familiar tasks such as making a cup of tea – and share time with visitors in privacy – as they would in their own homes.” Households also support easy orientation through the use of visual clues, such as pictures and familiar objects, to personalise and identify the function of individual rooms. Memory boxes are also used to encourage reminiscence.

Chantview Ltd has completed the sale of Vauxhall Court care home in Boston, Lincolnshire. Housed in a bungalow styled property, the home has a flexible registration covering dementia, learning disability, mental disorder and standard elderly for 33 people.

Listed building to form heart of new retirement village RETIREMENT villages developer and operator Audley has acquired Binswood Hall in Royal Leamington Spa. The village will boast 90 units, comprising of one, two and three bedroom apartments. The Grade II listed building will form the heart of the village, with facilities including a health and

wellbeing suite, restaurant, bar and library. Nick Sanderson, chief executive,said: “Audley Binswood will offer potential purchasers the chance to live in close proximity of the beautiful town centre with its fine regency buildings, pump rooms and parks, but with plenty to do on your doorstep.”

Lazenby home changes hands JONES Lang LaSalle, acting on behalf of Baker Tilly recovery agents, has completed the sale of Nessfield care home in Lazenby, near Middlesbrough to an existing

operator. The residential home, which is registered for 29, was placed into administration in 2009 has been sold for an undisclosed sum.

21/9/10

16:56

Page 1

CARINGCOMMERCE

Ian Watson celebrates the opening of The Manor House in Gosforth with David Bellamy OBE

New builds for ‘retired’ care owner Ian By Dominic Musgrave THE owner of a North East care group plans several new builds across the region over the next few months, despite retiring from the industry four years ago. Hadrian Healthcare owner and chairman Ian Watson sold his business, which he had built up to 500 beds, to spend more time with his family. But after six months they told him to get back to work, which he has duly done, with the luxurious The Manor House in Gosforth the latest home to open at a cost of £4m. Ian added: “With my previous business someone came along and made ma an offer that I couldn’t really refuse. “The market was strong and I wanted to spend more time with the family. “But they were soon telling me to go and do something, which is what I have done. I have no aspirations to be too big, but my passion is to be the best we can and my focus is on quality. “We are expanding with very

‘I have no aspirations to be too big, but my passion is to be the best we can and my focus is on quality’

solid foundations, and we strive to ensure that we recruit and retain the best people in the industry – we motivated and fully resourced so they can deliver the standards of care we aspire to.” The new Gosforth facility, which has 46 beds, is the second care home to be launched by Hadrian Healthcare this year and is part of its ‘Manor House Living’ brand. It boasts its own hair salon, cinema, restaurant, shop and bar area named in memory of the former Royal George pub which previously stood in the home’s place. Outdoor facilities include bowls and croquet greens. Ian, a former corporate banker, added: “I spent a lot of time lending money to the care sector, but thought I could offer something different in the market place and wanted to create something at the top end of the market that was totally different from the ordinary care home. “Location is crucial for us, and within 50 yards of here there is a post office, general store, community centre and church. “Residents moving her can continue to be at the heart of the community if they wish, and it is very much about people continuing to live their lives and not feel excluded.” Ian also has other homes planned for Hull, Scunthorpe and Bradford in the near future under the Hadrian Lifestyles banner, which are not quite as exclusive but still in the top category of homes in the UK.

21/9/10

16:59

Page 1

CARINGNEWS

Eversleigh Care Centre

Operator expands business AN EXPERIENCED Midlands care home operator has expanded her business with the purchase of two additional homes. And Kulbir Kandola is also planning a major extension to her original facility, The Conifers in Walsall, which has a three-star rating. The complex major funding arrangements for the new purchases, Eversleigh Care Centre in

Wolverhampton and The Old Vicarage in Stoke-on-Trent, the extension and the refinancing of previous loans was organised by specialist care home broker GRP Finance. Both new homes, as well as The Conifers and the Eversleigh Nursing Home in Leamington Spa, are all operated by separate limited companies.

21/9/10

17:00

Page 1

CARINGDEMENTIA CARE

Dementia centre opens in Wrexham By Dominic Musgrave A PIONEERING centre of excellence to look after people with dementia has opened in North Wales. The Pendine Park care organisation is creating 100 new jobs at the £4m Bodlondeb centre in Wrexham. Along with the Alzheimer’s Society, professor Bob Woods, who leads the Dementia Services Development Centre at Bangor University, helped develop a new model of care at the centre, which will look after 64 people with dementia who need day care, respite care or residential services. It is divided into eight small, family-like units so that the residents receive as much individual attention as possible while benefiting from the back-up of a larger organisation. Bob said: “We’re seeing an increase of roughly a third in the number of people with dementia over the next decade so there is going to be a need for more support and care for people with dementia and their families. “I think that compared with the situation even 10 years ago we’re now expecting a much higher standard from our care homes, which is a good thing, and care homes like this one continue to raise the bar. “We’re keen to see as many high quality care facilities in North Wales as possible, and I think anybody coming here would go away with lots of ideas they might incorporate into other units and other facilities.” The arts will have a big role to play at Bodlondeb, with Pendine Park’s artist in residence Sarah Edwards holding classes and

Mario Kreft outside Bodlondeb in Wrexham one to one session with patients. They are also working with Professor Woods and his team to see how a ground-breaking musical collaboration can be adapted to enrich the care of people with dementia. The sessions will be conducted by Hallé musicians, including the new musician in

residence at Pendine Park, Janet Simpson, who plays the piano and celeste, and cellist David Petri. The new centre is dedicated to owner Mario Kreft’s grandmother Rene Warburton, who suffered from Alzheimer’s disease in later life, and Bodlondeb is named after his grandparents’ home in Rhyl.

Work begins on ‘UK's most advanced dementia care facility’ WORK has started on phase two of what has been labelled the UK's most advanced new dementia care facility. Just weeks after the new £5 million Birch Abbey opened in Southport, Dan Lingard, chief executive of the centre’s owner, iPersonally, gave the go-ahead to demolish the original building, which will be replaced by a further extension. He told Caring UK the response and level of local interest has been ‘phenomenal’. “We are having to ramp up and bring forward our recruitment campaign because phase one has been so successful,” he added. “The beauty of 'new' Birch Abbey is that not only is it considered to be at least the best dementia care centre in the region from our clients’ perspective, it is also a fabulous place to work. “In supporting and caring for our clients, the Birch Abbey team

themselves are supported by cutting edge technology and features and facilities never combined together anywhere else in the dementia care sector.” Facilities include a dance studio, pub and bistro and a whole series of movements and interaction between clients and families, including a unique home-style family kitchen and dining room which can be reserved for family events and occasions. There are also three types of assisted bathrooms, centre-wide and in-room technology, and bedrooms which can be configured in a number of formats depending upon the needs and mobility of the individual. Dan added: “We also have a training and education facility and a technology suite which enables us to train and develop carers, care professionals and families to assist both in Birch Abbey and at home.”

Students help at nursing home STUDENTS have helped out at a Bury St Edmunds nursing home which provides specialist care for people suffering from dementia. The students from West Suffolk College visited St Peter's House to carry out activities including art therapy, music workshops and cake making. The event was part of the students' work towards a Prince's Trust award, and it culminated with a

cup cake competition and tea party. Naomi Taylor, deputy manger at the County Care Homes owned facility, said: “It went really well and the residents enjoyed having the youngsters around. “They helped with a variety of activities around the home, and we advised them on what we can and cannot do with the residents as they have dementia.”

21/9/10

17:01

Page 1

CARINGDEMENTIA CARE

How to use social activities as a way of stimulation By Paul Wilson ENHANCING and developing a greater understanding of social activities within a dementia care setting helps to create a stimulated environment for both residents and staff. It is very important to know how to use social activities as a way of stimulation, and to realise that each resident has different social therapeutic needs. Using this as the basis of social activates will help to enhance the lives of people who are experiencing dementia. Activities co-ordinatiors need to utilise different techniques to improve and stimulate the day of people with dementia, but sadly this is lacking in some care homes. Staff need to have a greater understanding of what is a meaningful activity, as the long-term benefits of therapeutic activities are well documented. It’s not just about bingo and reminiscence sessions, it’s about the person’s life history. ‘’Meaningful Activities Equals Meaningful Life’’ is about activities that are meaningful to the person, that will offer stimula-

tion that is planned around the individual and is person centred. What are their past, present and future hobbies and interests? As in everyday living, hobbies and interests can change but it is important that these changes are acted upon and documented in care plans. By offering activities that are relevant to one may not be relevant to others. Quite often activities are structured around group work and not based upon individual needs. Activities are not all about big group but individual and one to one. This can include doll/soft toy therapy, activity in your pocket, sensory bubbles, you me today work, reading a poem, hand massage, or simply just giving a hug and words of comfort. It is important that small pockets of activities are carried out thought the day that are spontaneous but have meaning to the person. Active living skills like gentle housework have meaning to a person and should be giving encouragement to ‘do’ this part of everyday life that we take for granted. Care homes should encourage people experiencing dementia to have an active daily

Software could help quality of care THE quality of care for people with dementia could be improved by new software being developed at City University London, which is designed to foster creative problem-solving and collaboration among care workers. A team at the Centre for Creativity in Professional Practice is working with the RNHA as part of MIRROR – a €6.45m research and development project sponsored by the European Union (EU) Seventh Framework Programme. It aims to empower employees to reflect on their performance, share their experiences, solve problems more creatively, and work together to develop best practice.

Professor Neil Maiden, head of the centre, who will lead the research, said: “Caring for people with dementia is incredibly difficult, because each case is unique and can change quickly. We hope to make it easier for carers to deal with the problems they encounter, by helping them learn from previous situations, and apply their own and their colleagues’ knowledge in new ways.” Over the course of the four-year project, Neil’s team will work closely with two care homes to evaluate their needs and design a set of smart applications and accompanying hardware that can be readily incorporated into their working environment.

Company provides support to care staff HAPPI Hands, a new, national British company has been set up to provide support to care staff. Happi Hands is the first company to specialise in providing massage therapy, manicures and hand treatments for the elderly in care. Their therapists, who are all fully-qualified, CRB approved and fully-insured, provide the gentle contact that we all crave but that, so often, the elderly do not get. More than that, Happi Hands provides a fun, happy and pleasurable experience. Founder Jane Lightfoot said: “We offer a completely new approach to the care of the elderly. When you’ve got kids you’re touching them all the time, you stroke them when they’re upset, you stroke them to make them feel better. “That’s even more important to the elderly in care – and that’s when people need that touch most.” Enquiries: Visit www.happihands.net or call Jeremy Novick on 0207 993 4993 / 07930 400798.

structure, with the benefits of daily living skills and adapt areas to accommodate this. What matters to people in terms of their quality of life is being able to maintain relationships with relatives and friends, to receive visits from them in private and have the opportunity to make tea for their visitors. Being able to do such normal, every day activities are as important to people as the planed activities and the care they receive. Who is responsible for delivering this? The activities team, well actually no it’s the responsibility of every employee who works in care. The emphasis is often placed on the activities team but by using ‘the whole home approach’ where everyone is responsible for delivering activities and stimulation, you are able to achieve happy, fulfilled and stimulated service users. It’s about knowing and understanding of what a meaningful activity really is and how it is delivered that is the key in having stimulated and happy residents. Paul Wilson is director of First Choice Training in Edinburgh.

Paul Wilson

21/9/10

17:01

Page 1

CARINGDEMENTIA CARE

Group determined to bring change for dementia sufferers

Operations manager Chris Sowerby welcomes Ian Mathias to the Simplicare team

One-stop shop brings significant savings SIMPLICARE has seen significant interest in its one-stop shop approach since its launch earlier in the year. Care homes are seeing a real advantage to dealing with one organisation to supply all their needs. A new office manager, Ian Mathias, has been appointed to deal with the ever-growing enquiries to make sure that the client continues to come first.

Strong supplier relationships have also been key, allowing real savings to be offered – especially welcome when trying to reduce costs in these difficult financial times.

BRADFORD Dementia Group is an academic division within the School of Health Studies at the University of Bradford. Its mission is to bring about real world change for people with dementia and those who provide care. We are internationally recognised for our excellence in a broad portfolio of research, education, training and practice development. The group has been at the forefront of offering professional and vocational education and training in dementia care for the last 15 years, including study days, short course, distance learning, under graduate and post graduate awards in dementia studies (with specialist pathways in person-centred care, training in dementia care, leadership and management and dementia care mapping).

A good example of our place in the field is our work on person-centred dementia care and dementia care mapping. Most recently our work was highlighted in the BBC2 documentary Can Gerry Robinson fix dementia care homes? which demonstrated significant social and economic benefits following its use by the University’s Paul Edwards in a ‘failing’ care home. We have also developed a British Standards Institute publication PAS 800 Use of Dementia Care Mapping for improved person-centred care in a care provider organization – Guide. This is the first ever BSI standards publication in dementia care and offers guidance to care organisations in how they can use mapping to improve the quality of care they provide.

Negotiations with well-known manufacturers have produced significant savings on such diverse items as medical bed hire. Simplicare will be exhibiting at the Care Show in London on October 6 and 7.

Simple labelling clothing WITH autumn approaching many residents will put away summer clothes and need their warmer jumpers and clothes labelling properly. This is such a time consuming task that often clothing is left inadequately named and consequently it can easily get mislaid. Attach-a-Tag is a simple, cost effective method of labelling clothing and soft objects, and is an ideal way to quickly label short term and respite residents’ clothing as well as normal laundry.

Replicating a button, it attaches in seconds to the garment seam or laundry label, making it discreet and comfortable to the wearer. The patented design is easy to attach but difficult to remove, and cannot be taken off by accident or come off during the laundry process. Each tag has the owner’s name etched onto it, which is guaranteed not to wear off in the wash. This combined with the unique fixing method of Attach-a-Tag means the owner is identified every time.

Company develops wide product range for dementia sufferers SJB ASSOCIATES are driven by a passion for enhancing, enriching and personalising lives of people with dementia by transforming their environment. They have developed a wide product range enabling everyone to benefit from the customer led product base and expertise. SJB Associates spend hours trawling the internet researching dementia products and searching for specific items requested by their constantly growing customer base. Their products are available through the online shop and include signage, memory boxes, life story books, doll therapy tools, murals, placemats, menu boards and much more. SJB Associates recently launched full and pick and mix CST kits along with personalised pictorial menu Books at their Inaugural Dementia Conference last month held near Darlington. Enquiries: To request a catalogue call Samantha on 01325 464562, email info@sjbassociates.org.uk or visit www.sjbassociates.org.uk

Lyn McCulloch

Care group appoints dedicated dementia nurse BALHOUSIE Care Group and Alzheimer Scotland have appointed a dedicated dementia nurse to work across the group’s 20 care homes. Lyn McCulloch, who previously worked at the Princess Royal Trust Carers Centre in Perth, where she was a carers co-ordinator, will provide support and specialist dementia training for staff in her new role. By increasing understanding and ensuring consistency in training, the partnership, believed to be the first of its kind, aims to achieve a 30 per cent reduction in the number of residents with dementia who have to be admitted to hospital, with an extra reduction in the volume of medication prescribed. Lyn added: “I am very excited about starting with Balhousie

Care Group and I am looking forward to working very closely with Alzheimer Scotland to enhance standards of dementia care. As well as supporting residents and their families I will be working with the staff at each of the homes to share knowledge and best practice and ultimately ensure that we continue to provide the best possible care for the people we look after.” Lyn previously worked as a clinical nurse educator for Melbourne Health in Australia, which included delivering training on behaviour management and falls minimisations. The joint venture comes in the wake of the Scottish Government’s first dementia strategy, which will help to shape future provision of care.

21/9/10

17:02

Page 1

Expertise set to go Down Under By Dominic Musgrave

government body set up to promote export, which has led to the link with AHCS.

A NORFOLK live-in care company is set to export its expertise to Australia to help establish a similar service. Norwich-based Able Community Care has secured an 18-month contract with Australian Home Care Service (AHCS) to facilitate the launch of the service, the first of its kind in the country. The country does not have specialist live-in care providers, a niche which not-for-profit firm AHCS intends to fill in response to an ageing population and a growing number people wanting to live in their own homes. Able, established in 1980 by Angela Gifford, offers an alternative to residential care by caring for people across the UK and Channel Islands in their homes. She said: “This has all come about following a chance conversation I was having with someone in 2008 about looking into a system for ex-pats living in Spain who are now in their 80s or 90s because there is no system out there for them. “This then got repeated to someone else and resulted in a representative from the East of England Development Agency coming to see me to see whether I thought we could export what we do here to other countries. “I then looked at the state of care in Australia and unlike the UK where 90 per cent of care is run by for profit organisations, it is only four per cent, with the rest being run by charitable organisations, and there is no company offering anything like mine.” Angela spent three weeks in the country visiting 20 different organisations on a research visit that was funded by UK Trade and Investment, a

She added: “Live-in care manager Anthony Hennessey spent two weeks working with us to find out more about what we do, and gain an understanding of how the company operates. “I plan to go over there in November ahead of the planned launch in January, and envisage the next 12 months to involve a lot of phone calls and possible visits to ensure the expansion goes to plan.” Angela has also been appointed special counsel, ageing and disability care, for Aegis Consulting, an international care consultancy located in four Australian cities. ABLE Community Care has compiled a cookbook of recipes submitted by celebrities to raise money for two Norfolk charities. All proceeds from Able to Cook, which costs £8 including postage and packaging within the UK, features recipes from celebrities with links to the county, including Sir Michael Caine, Joanna Lumley and Joan Collins. Alongside those submitted by celebrities, the book also features recipes that have been passed down by staff over the company’s 30year history. Angela said: “Over the years many recipes have been passed down to us from both care workers and clients, and when we were thinking about how we could celebrate our pearl anniversary a cook book sprang to mind. “We researched famous people had links with Norfolk and wrote letters to them asking for their favourite recipes and reasons why they liked to cook them, and we are pleased to say they came flooding in.”

Angela Gifford with Anthony Hennessey

23/9/10

16:01

Page 1

CARINGHOMECARE

Paul and Lisa Tarsey

Record growth for leading care provider ONE of the UK’s leading care-athome providers has reported record growth – with each month’s performance outstripping the last. Every single month, Bluebird Care has reported an increase of between 10 to 15 per cent – with group turnover now approaching £20m and the company making over one million care visits a year. Managing director Paul Tarsey said this has been achieved despite the country being in ‘economic turmoil’. He added: “Every single month, our monthly figures are better than ever before, which demonstrates our outstanding performance in challenging economic conditions. “Despite our rapid and sustained growth, we are not complacent and have retained our commitment to good, old-

fashioned service at all times, while at the same time becoming a modern, forward-thinking company of the 21st Century. “We attribute our success to the depth of experience in our board room, which is second to none within the industry. We have firstclass business systems and a proven track record and this is reflected in our performance.” The Bluebird Care success story started in 2006, when the company started to franchise its services, hoping to open 12 new offices in 12 months. In reality, they opened double in the first year, and now have 90 offices across the UK. Prior to that, husband-and-wife team Paul and Lisa Tarsey operated the first Bluebird Care office from premises in Petersfield.

Homecare operator unveils management team details HOMECARE provider London Care has announced details of the management team it has developed to lead its ambitious growth plans over the coming years. Operations director Claire O’Donovan has been with the company since it was established in 1996, starting as training and development manager before moving into an operational management role seven years ago. In her new role, Claire, who joined London Care’s board in 2002, is responsible for all service delivery and the senior management team from an operational perspective. New chief executive Craig Rushton

has experience of building companies in the private sector, one of which (Healthcare Australia) was a major private equity-backed healthcare business in Australia. And Mark Harrison, who trained as a chartered accountant with Arthur Andersen before holding senior executive positions at companies including Vauxhall, has been named financial director. At London Care he will be in charge of ensuring the finance is in place for the company’s future plans, as well as helping to develop in response to the increasing demands within the sector for personalised, individual budgets, where clients choose their own care.

21/9/10

17:04

Page 1

CARINGHOMECARE

Social care cuts could hit businesses By Dominic Musgrave SAVAGE cuts in spending on social care could lead to business closures, the head of a leading sector body has warned. At a meeting with care commissioners, members of the Independent Care Group (York and North Yorkshire) heard from chair Mike Padgham that providers were already suffering. And he told delegates there had already been business failures in the social care sector. Mike added: “Spending cuts are already in place and there is little doubt that social care will be hit and hit hard. “Funding isn’t ring fenced – as we all feel it should be – and therefore commissioners will doubtless cut their spending. “Already we have seen some providers go to the wall, unable to stay in business as margins become ever tighter. 106 health and social care providers went under in the first six months of 2010 compared with 71 in the same period of 2009. I fear there may be more to come if, between Government, commissioners and care providers, we can’t

get it right.” Mike said there was a need for commissioners to work more closely with independent providers, and for those providers to deliver more services on behalf of the commissioners. He added: “Providers are not even getting an inflation rise in fees this year, and yet the costs they face continue to rise – fuel bills, utility bills, the costs of meeting new regulation and of course a rise in the national minimum wage are all piling on the pressure. “And just round the corner an increase in VAT and as we all know that is a cost which, unlike other businesses, we are unable to reclaim or offset. “We all recognise that the UK has to tighten its belt and deal with the budget deficit to get the country into a better economic position, and every sector will be pleading its case. “But social care has never been properly funded – a fair price has never been paid for care, so when the hard times hit, as they are doing now, this sector will come out worse than ever.”

Mike Padgham He said a new Government – and with it a new minister for care – did offer a hope of a fresh approach, and the coalition’s spirit of co-operation should be an example to everyone.

Tenants help charity develop its services A SOUTH West charity is changing the way it designs and develops services for sheltered housing, and is involving its tenants in the process. ‘Tenants’ Voice’ is a group which was originally set up in February 2009 for a consultation project during a large-scale service review. However, thanks to the enthusiasm of the tenants and Brunelcare staff involved, the committee has grown and now addresses a number of issues. There are currently 20 tenants in the group, which is run, funded and facilitated by the charity. Service development manager Matthew Firstbrook, who has been involved from the start, said he hopes it will evolve to become an integral part of the service development process. He added: “While the relationship was initially very much about solving tenants’ grievances, the group now works with Brunelcare to shape the policies and processes at the housing sites. “They have more of a say in the running of their housing sites and the development of services. We hope they will become increasingly involved in helping to shape the services we provide.” Tenants’ Voice is group of volunteers from across Brunelcare’s sheltered housing schemes and bungalows. They bring skills from their own careers and backgrounds to contribute to discussion and decision making. Meetings are held monthly in rotation across the sites, where non-members are encouraged to get involved.

21/9/10

17:06

Page 1

CARINGNEWS

A care home may be the last place you would expect to find an interior designer, but a Newcastlebased company has injected glamour and style into a group’s new builds. Dominic Musgrave found out more.

Glamour and luxury living ... JENNIFER Bernard and Rebecca Hartley have secured a two-year contract with Hadrian Healthcare to provide a new concept in luxury healthcare accommodation. The pair set up the firm in 2008 and work with architects on the layout of the buildings themselves before adding a bespoke finishing touch to the decoration. Jennifer told Caring UK they get their inspiration from their interior designs from the local surroundings. She added: “We have worked on three care homes so far for Hadrian, and each one has been very different depending on its location. “The first one at Barnard Castle is very much in the country and the interiors we used there very much reflect that. “We used hunting pictures, high backed chairs and tartan carpets, with the dining rooms more like tearooms. The home in Leeds is huge, over three floors, and in the centre of the city. There we went more for the wow factor. “In the latest one at Gosforth it is in a very affluent area and they are expecting high end residents there, so we treated it more like a five-star

Jennifer Bernard and Rebecca Hartley in a lounge at The Manor House, Gosforth hotel with traditional fittings to suit the age group down to the very last small detail.” The designs also incorporate a sense of community including village shops, libraries, hairdressers, cafes,

cinemas and a pub so that residents can still enjoy part of a daily routine. Jennifer added: “We wanted the residents to be able to enjoy an elegant living environment, something that is perhaps not perceived to be associated with care homes, which can often be very institutionalised. We tend to stay clear of traditional fabrics, opting instead to use products that look as domestic as possible. “At the Gosforth home there are images in The Gallery suite of when

the Tyne Bridge was being built, because that is a landmark a lot of the residents are familiar with. For us, an interior must reflect the personalities of those using the space. I never thought we would be inspired by designing a care home, but we have given it a whole new lease of life.” The pair, who have more than 18 years’ experience in the industry between them, are now working on a fourth site for the group – an 85-bed home in Whickham.

Owners should think about design OPERATORS need to think more about their residents and what they did before moving into a care home, according to Jennifer. She said: “Owners need to think more about the space they have available and the age of the residents they are caring for. They should also consider what people are leaving behind when they move into a care home. “This can include their jobs and

hobbies, and that is why at the homes we have designed we have included hair salons, a pub and a shop so that residents can continue to do something as simple as going for a drink or collect a newspaper. “We have moved away from the lounges with chairs set out around the edge. In their previous life residents may have stayed at luxury hotels, so why should they give that up just because they are getting old?”

Infection control expert appointed SCOTLAND’S care regulator has appointed an infection prevention and control expert to help service providers reduce the chances of infections among people using care services. Margaret Tannahill has taken up the appointment of consultant infection control with the Care Commission – a role that will see her work in partnership with key stakeholders to improve overall quality of care and safety by reducing the risk of infection for those using services across the country. She has joined the inspectorate on secondment from Health Protection Scotland (HPS), where she worked as lead consultant nurse infection control. Margaret said there are four key

areas of work for this year across care homes for older people and early years’ services. She added: “The areas include working with key stakeholders to develop strategic networks for infection prevention and control, developing educational initiatives, progressing surveillance of infection and implementing and raising awareness of national hand hygiene campaign materials where suitable. Our focus is to bring key players and stakeholders together to facilitate, promote, and sustain best practice in infection pr evention and control with the aim of reducing the risk of transmission of avoidable infections in order to improve overall quality of care and safety.”

37 Miele

21/9/10

17:09

Page 1

21/9/10

17:09

Page 1

CARINGNEWS

A South Yorkshire care home has celebrated its 20th anniversary with a summer fair. Dominic Musgrave found out more.

Summer fair marks Barnsley home’s 20th anniversary THE event in the grounds of Guardian Homes’ Burntwood Hall in Barnsley was opened by the town’s mayor Margaret Sheard, and featured cheerleaders, the local fire brigade and a dog show. Manager Angela Lowrey, who has been at the home since last October, said the event attracted many people from the local community. She added: “We want to get the community back to Burntwood because we are sat proudly on the top of a hill with nothing around us. “When I came here the staff hadn’t had a manager for a few months for one reason or another, and so I have tried to build up team spirit and encourage them. “They have told me the fair was the first event they had held here for a long time, and I think it really paid off because it went fantastically well.” The 37-bed home, a former 18th Century manor which still boasts many of its original features, also opened its doors recently as part of heritage week.

It has been a busy few months for Angela, who previously worked as a regional manager for Sue Ryder Care’s domiciliary section. She added: “We had a one-star ‘adequate’ rating when I arrived, but after a couple of months of hard work that was upgraded to a ‘good’. The inspector told us we were borderline ‘excellent’. “There is still a lot of work to be done here, and none of us are resting on our laurels, but we are getting there slowly but surely. “The staff are a lot more relaxed and the residents seem happier. We now operate an open door policy here for relatives to come and go as they please. We are not a jail so residents can go with relatives as they please.” Angela has also made changes to the layout of the home, moving a noticeboard that was hardly ever read from a corridor to the reception area. She has also created a quiet area in part of one of the home lounges that previously had two

Burntwood Hall conflicting televisions in. “We have also purchased a greenhouse for the residents, and are currently growing tomatoes, chillis, peppers and courgettes in it,” she added. “Next year we want to grow more vegetables outside as well. We will never be self sufficient but it gets the residents in the garden back to what they used to do.

“We are working up to taking the residents to the seaside next year, and as part of that are going to take them to the local market and for a pub lunch because they all did it before. “Barnsley has changed so much over the years that it will be a good talking point as part of their reminiscence therapy.”

Roof appeal event gives residents ‘Stars in their Eyes’ RESIDENTS at a Stoke-on-Trent care home were left star-struck after they hosted a special competition to raise funds for the city’s Minster Roof Appeal and Action on Elder Abuse. Staff and relatives at Amberley House, part of the Priory Group, dressed up as their favourite singers and performed for the residents as part of the ‘Stars in their Eyes’ event. Guests were treated to a Judy

Garland act and songs from Val Doonican, Celine Dion and American songstress Connie Francis. A local entertainer introduced each act and kept the audience amused with his singing and jokes during the breaks. The event raised £130 for the fund. Peter Leather has recently taken over as manager at the home from Kerry Smith, who has taken over at Buckingham Lodge in Norfolk.

21/9/10

17:10

Page 1

CARINGNEWS

Non-uniform day raises cash for nearby care home A NON-UNIFORM day at a Northamptonshire college has raised £1,700 for a nearby care home. Students from Brooke Weston in Corby have the money to Sandalwood Court care home after the two recently linked up as part of the school’s adult health and social care module. Staff from the home give lectures on the effects of dementia, with pupils visiting and helping residents in the home.

Hazelbrook staff celebrate the Beacon status

Home celebrates its Beacon status A BOLTON care home is one of 30 nationwide to be given the Beacon status for its quality of end-of-life care. All 50 staff including cleaners and domestics as well as carers at Hazelbrook Christian Nursing Home took part in the training for the Gold Standards Framework, which was then implemented in the home. The programme tries to ensure residents are allowed to spend their final moments at a home rather than being admitted to hospital. Manager Alison Harvey said the home has close links with its GPs and advanced care plans have been created. She added: “Everything a resident wants can now happen here because there is nothing worse for a frail, confused elderly person to have to go to hospital. “I pushed for it to the home's owners because I am passionate about end of life issues, but it was only when we started the programme that I realised that what we were doing previously could have been a lot better. “We now have a better relationship with families and have regular meetings with our GPs to discuss any worries we may have about any resident.” The home, which celebrated its 20th anniversary last year, was given

Appointments AN East Anglia care provider has strengthened its management teams with two new appointments. Lauren Cahill, 23, has been promoted from senior carer to care manager at Healthcare Homes’ Hillcroft House in Stowmarket. She has been in the caring profession all her working life, with previous experience in dementia care and two years’ nursing training under her belt. And Christina Mihai has joined as clinical manager at Home Close in Fulbourn, Cambridge, a move which sees her reunited with her previous colleague, home manager George Catanescu, whom she recently worked alongside at a care home in Borehamwood.

the highest possible rating after submitting a portfolio of evidence to support what has been implemented in the home when it is inspected. Alison has worked at the home, which was formerly a methodist church, for 20 years, and has been the manager for the last two-and-ahalf. She said the aim now is to maintain the status and build upon it. She added: "The home has come on in leaps and bounds since we signed up to the programme, but there is no point in us working towards this for 18 months if we are then going to lose it when we are next inspected, which is likely to be in a couple of years. "As part of it we now run memorial services every six to eight weeks to allow the relatives of former residents to come back and remember them, which has been really well received. "It also allows the staff to remember that person because they form close relationships with them, and they cannot always make it to the funeral because of work commitments." Hazelbrook is home to 35 residents and is owned by Paramjit and Kav Dev as Pindy Enterprises, who also have a second home in Grimsby. A party was recently held at the home to celebrate the success and the home's three-star rating from the CQC at its latest inspection.

Jane Harris, regional marketing manager for Shaw healthcare, who own the home, said: “There is a good relationship building up between the home and the school. “The residents don’t get much contact with younger people so some of the pupils came into the home and Paula Dutton, the home manager, went to Brooke Weston and gave a lecture.”

21/9/10

17:13

Page 1

Tax reclaims for commercial property owners CAPITAL allowances are among the most valuable and least exploited methods of reducing property owners’ income tax or corporation tax liabilities. Capital allowances arise from capital expenditure on purchasing or constructing a new property along with extensions and refurbishments. We carry out retrospective, current year, and new build capital allowance claims, both for individuals and companies in relation to commercial properties right across the commercial sector. Most retrospective capital allowance claims that we handle lead to a significant tax refund for the client. We will quickly identify the validity of a claim without obligation. If a claim does not proceed, there will be no fee. We comprehensively survey the property which allows us to identify any qualifying items that, for numerous reasons, have previously not been claimed. Enquiries: Telephone 01246 293011 or visit www.salmon-business.com

Pembroke Care Group launches new website and sponsorship deal with media THE Pembroke Care Group, which owns three hotels for the retired in Hove, has launched its first ever website to showcase it’s properties to prospective residents. It has also become the first official sponsor of the carer of the year category for The Argus 2010 achievement awards, Sussex’s premier awards programme for the local community. Sue Brand, director of Pembroke, said: “The new category is perfect for us to sponsor, and we look forward to helping to judge all the worthy entrants. To support this activity with a new website also allows people who are interested in our homes to find out more and to keep up to date with our news.” Pembroke caters for retired people who wish to maintain an independent lifestyle and to carry on living their lives to maximum potential, for as long as possible, with dignity and respect. Enquiries: Visit www.pembrokecaregroup.com

PATBags ensure safety of electrical appliances

C-TEC’s Quantec call system safeguards new medical centre

A NEW PATBag test-kit concept from Seaward enables care home owners and operators to meet their electrical safety responsibilities in a safe, simple and effective manner. To prevent personal injury and fire hazards caused by faulty electrical equipment, workplaces and public facilities are required to maintain electrical equipment in safe working order. In the majority of cases this can be achieved by simple, regular in-house checks and tests of appliances by a competent person at a frequency which is appropriate to the risk. Specially designed to support fast and efficient electrical safety checking and testing routines, each PATBag comprises an easy to operate portable appliance tester with a test guide and training DVD alongside, a test reference card, a log book for test results and a supply of ready-made pass/fail labels. In addition, for those operators that prefer to keep computerised test records, one of the Seaward. Enquiries; Visit www.seaward.co.uk/patkits or telephone 0191 586 3511.

C-TEC’S pioneering Quantec addressable call system has been installed at a new high-tech medical centre in Huyton, Merseyside. One of many state-of-the-art NHS lift facilities springing up all over the UK, Bluebell Lane Medical Centre cost £5.7m to build, and is home to four GP practices, a pharmacy and many other health services. Now with a host of new features including Attack Tracking and User ID, C-TECs Quantec system was the ideal choice for the site. Primarily used as a staff-attack system, Quantec provides maximum security and safety for personnel at the centre. All at-risk staff carry a panic attack/radio transmitter that can be activated in the event of an assault. The exact location of an incident shows on all relevant displays and a discreet alarm will sound throughout the building. Enquiries: Telephone Liam Ogden on 07920 596697 or email liam.ogden@solidstatesecurity.co.uk

Embroidery service on contract linens for care homes

Barnetson Court care home selects Girbau laundry

TOWELSDIRECT has been supplying the care sector for the last 20 years and provides premium Turkish quality towels that last up to 150 washes. Most towels that you see in a retailer will only last 60 washes. We also provide minimum iron bedlinen that is constructed of easy care polycotton, again designed to last longer than your average bedsheet and save your staff time. Bespoke embroidery designs are available along with matching bedlinen and curtains. Since Towelsdirect’s inception, we have always tried to focus on our uniqueness. Customers are reminded that we offer free delivery on orders over £150, operate a no minimum order policy and next day delivery from stock. We recognise that our customers’ needs are ever changing and it is with this in mind that we are updating our website daily. Enquiries: Telephone 0800 018 6935 or visit www.towelsdirect.co.uk

Countrywide Contract Interiors – From concept to completion FITTING out your care home? Do you want to save time and money? Choose a supply partner you can trust. Countrywide Contract Interiors approach each job, no matter how large or small, with individual care and attention. Experience and understanding of the healthcare market allows the company to source an extensive range of specialist equipment and furniture fit for purpose to any specific client group. Right product, right price, right time. Our experience and buying power allows us to source and manufacture on very competitive terms. Our purpose built 80,000 sq ft warehouse will accommodate all your requirements for a full turnkey package. Supported by our dedicated team, Countrywide Contract Interiors will deliver, install and fit on sites throughout the UK. And more than 90 per cent of our business is repeat / referrals from our very satisfied customers.. Enquiries: Telephone the projects team on 01226 719090 or email projects@countrywidecontractinteriors.co.uk

STAFF at Essex-based care home Barnetson Court are delighted with the quality, reliability, versatility and outstanding cleaning performance of Girbau’s new high-speed HS-6008 washer and an accompanying tumble dryer. A popular and successful care home which caters for up to 16 residents, Barnetson Court is owned by the NewstrAid Benevolent Fund. The home has an enviable reputation as one of the preferred choices for elderly people in the region. Effective, energy efficient and reliable laundry equipment plays an essential part in helping it to maintain the highest standards of overall care, while tackling a daily flow of soiled sheets, towels and residents’ clothing. Strong and durable, Girbau’s 6 Series washer range offer spin speeds of up to 1,000rpm and is designed to provide excellent washing performance with reduced cycle times. The HS-6008 model chosen by Barnetson Court has been named the most energy-efficient in its class by US body Energy Star. . Enquiries: Telephone 01462 427780 or visit www.girbau.co.uk

Secure drug cabinets from Beaucare Medical BEAUCARE Medical Ltd, the UK’s premier supplier of hygiene medical supplies and equipment to private care homes, hospitals and individuals, showcases its range of highly secure and affordable drug cabinets, ideal for use in care and nursing homes. Maintaining the security and safe dispensing of drugs within care and nursing home environments continues to be a priority for staff and managers, so a specifically designed secure cabinet provides a reliable way of controlling the dispense, loss and potential theft of medicines. Beaucare has a wide range of controlled drug cabinets, self medicating cabinets and pharmacy fridges to meet both standard and bespoke requirements. Controlled drug cabinets offer the highest level of security, with the locks complying to the Misuse of Drugs (Safe Custody) Regulations 1973 and 2007 amendment requirements (in the UK). Enquiries: Telephone 01423 816000, email sales@beaucare.com or visit www.beaucare.com

21/9/10

17:11

Page 1

CARINGNEWS

Care home retains ‘excellent’ status in random inspection By Emma Spencer RESIDENTS and staff at a Workington care home have celebrated keeping its ‘excellent’ status after a recent inspection. Westwinds Residential Home was randomly inspected by the CQC in May and has maintained its three-star rating from its last inspection in 2007. The report gave particular praise to the home’s care plans and delivery, systems for ordering, storing and disposing of medicines and the staff training. Manager of the P and C Residential Services Ltd owned home, Maud Wilson, said: “We have just kept going from our previous inspection really to ensure that we keep the standards up. “The staff have had some extra training and we have made changes to our medication systems, which didn’t really need doing but we did it anyway to improve things. “We have also redecorated the parts of the interior and exterior of the home, replacing carpets and windows, and have introduced new activities for the residents.” Westwinds is home to 14 residents, aged 73 to 104, and has 21 members of staff,

which the inspector said in her report had: “A polite and respectful approach but also managed to be friendly and affectionate without being over familiar. It added: “We judged that the person-centred care approach to care was working very well.”

Resident Mary Taylor and carer Pam Night enjoy some of the delights of the new tearoom

Maud added: “If we get any advice we act on it straight away, and we work together as a team of staff.

Tearooms named after Olive

“If there is ever a breakdown in communication of if anyone ever has a problem with something we work together to make sure it doesn’t happen again .

A WOOTTON Bassett care home has named its new tearoom after a centenarian who loved a cuppa. Olive’s Tea Room at Ridgeway House was named after 102-year-old Olive Woodward, and was officially opened by her granddaughter, Jennifer. Olive was just three months away from her 103rd birthday when she died in January this year. To say thank you for the care she received, her son Roger donated £1,000 to the amenities fund. Manager Ellie told Caring UK the staff used to bribe

“We are lucky that we have a good relationship with the GPs and the families, who regularly attend the resident’s meetings. “This is the residents’ home and we run it that way so they can get up when they want and eat when they would prefer to. We hold regular meetings to find out what activities they would like to do, either in a group or on a one-to-one basis. It is all about the person-centred care, and that was one of the main topics the inspector focused on.” The home was also awarded a five-star food safety performance rating by Environmental Health on its last two

Olive with cups of tea to stop her from venturing out into the town. She added: “The residents use the tea room anytime they want a cuppa and a chat, but it is also good when families come to visit because it is something they can do together. “It is a lovely room with glass internal walls, brass curtain rods, cream half net curtains and an old oak floor. “We bought antique-style furniture and an old Welsh dresser with old fashioned tea sets and tea tins that you see in the TV adverts.”

21/9/10

17:11

Page 1

CARINGNEWS

Claire takes supplies to Ghana A CARER from Scotland has flown back to Ghana with donations and supplies for a small village where she stayed on her gap year placement. Claire Robb, 20, who works at the 40-bed Balhousie Willowbank Care Home in Carnoustie, has collected small items like toys, pencils, pens, clothing and basic first aid supplies which she has taken to the village of Twifu Mampong. She first visited Ghana in 2008 when she spent a year in the village teaching the local youngsters. Claire said she has kept in touch with the the school's proprietor since. She added: “The school there is called Ama Benewa International School and we taught maths to pupils aged between four and 14. “We were fortunate enough to have raised sufficient sponsor money before we left home to buy new desks and chairs for the school before we left the village. "I have been collecting donations from my colleagues at the care home, as well as local businesses and individuals. Because of limited luggage allowance we are hoping to give a monetary donation to the school so that they can buy more supplies or give school lunches.”

Jazzing it up for anniversary RESIDENTS at The Shelbourne at Sway celebrated the senior living community's second anniversary. More than 100 people attended the indoor garden party, and were treated to music from jazz band, the Chris Walker Swingtet. The senior living community is now more than 70 per cent occupied, with just half of the self-contained cottages still available. Facilities include a cinema, tea salon, private dining room, Ella’s Bar, library, IT facilities and a hairdressing salon.

Chefs add flavour to new food book

Resident Kitty Cooley enjoys her cruise

Themed week takes Leicestershire residents on a ‘world cruise’ SERVICE users at a Leicestershire care home enjoyed a world cruise from the comfort and security of their nursing home. Organised by Berrystead activities leader Julie Hilton, they visited the Caribbean, Australia, India, Egypt and Greece, and over the week the daily activities were themed to each of the ports of call of the cruise ship. There was a quiz in the Caribbean which included identifying and

Healthcare cleaning specialist exhibits at Care Show CLEANING technology and chemicals specialist Prochem Europe is exhibiting a range of solutions designed specifically for the healthcare sector at the Birmingham Care Show in November. The company boasts over 30 years’ experience of supplying cleaning products in addition to training professional cleaners at its dedicated centre in Chessington, Surrey. Prochem’s stand at the show (E46) will focus on powerful yet lightweight carpet and upholstery cleaning machines like the new Comet and Polaris 500, offering unrivalled portability, ease of operation and performance. A selection of solutions from Prochem’s chemicals ranges – unrivalled for their diversity and specialism – include detergents, stain removers, rinses, urine neutralisers, odour neutralisers, deodorisers and in its award-winning Microsan, an EC registered, anti-microbial multi-surface sanitiser and cleaner, effective against bacteria including MRSA and viruses including Hepatitis B, HIV, bird flu and swine flu. Further advice is available from healthcare technical advisors on the company’s stand.. Enquiries: Email sales@prochem.co.uk or call 020 8974 1515.

tasting a selection of tropical fruits, a teatime barbecue in Australia, captain’s cocktail party in India, a special concert ‘Lipstick On Your Collar’ in the ship’s Regency Show Lounge while in Egypt and bingo with the captain in Greece. The home was decorated with a six-foot cardboard cruise ship, cruise deck wall mountings, music, flags and artefacts from each country.

CELEBRITY chefs Nick Nairn and Phil Vickery have contributed to a new cookery book raising money for an Aberdeen care home. Earlier this year staff at Edenholme collected recipes from residents, relatives, and friends of the home, as well as prominent figures including Aberdeenshire council’s chief executive Colin Mackenzie and MSPs Nicol Stephen and First Minister Alex Salmond. All money raised from the Edenholme Cookery Book will go towards the home’s activity and entertainment fund, and relief assistant manager Shona Omand-Smith said it has already been well received locally. She added: “The cookery books are selling very well and are popular as they’re slightly different to the usual style of recipe books. “A lot of hard work has gone into creating the book and we are delighted with how popular it is. A lot of people have contributed their recipes from around Aberdeenshire so it provides an interesting mix of dishes from around the northeast.”

A grand affair A VICTORIAN tea party at a Southport care home raised more than £350. The event for Benridge House residents, friends, family and healthcare professionals was a grand affair, complete with China tea sets, smoked salmon sandwiches and cake tiers full of goodies. An old time music hall entertainer, music from Al Bowly and Glen Miller and the visit of a vintage car completed the occasion. £200 was donated to the Alzheimer’s Society and £150 to the home’s minibus fund.

Biodrier® - the first hygienic, environmentally aware hand drier BIODRIER, the most environmentally friendly, hygienic and cost effective range of high-speed hand driers is now available throughout the UK. The national launch follows 18 months’ extensive customer trials in a wide range of premises. The range, comprising four products – the Executive, the Business, the Junior, and Eco models - have been introduced to fill a gap in the away-from-home market by combining extreme energy efficiency, personal hygiene and fast hand drying with the lowest cost in use. Biodriers are 90 per cent more power efficient than traditional hand driers by using heat from its own motors to warm the air, and by blowing it through a series of ducts to build resistance that heats it. A Biodrier, used 200 times per day, costs only £20.56 per year in energy against £251.53 for a conventional hand drier - a saving of 1380Kw at £0.1994/ Kw. Enquiries: Contact Biodrier on 01392 444080, email sales@biodrier.com or visit www.biodrier.com

43 Badgemater

21/9/10

17:12

Page 1

44 A-Z

23/9/10

15:55

Page 1

Caring UK A-Z Directory Art Print and Framing Easy Art Unit 1-4 Tylers Business Park Lewis Road Blackboys Uckfield PN22 5LF Tel 0845 1662 732 customercare@easyart.com www.easyart.com

Bathrooms/ Hygiene Cistermiser Unit 1 Woodley Park Estate 59-69 Reading RG5 3AN pr@wardturner.co.uk www.cistermiser.co.uk 0118 9691611

Business Services Network Care 15-16 Queen Square Leeds LS2 8AJ Tel:0113 281 6772 info@networkcareuk.com www.networkcare.com

Care Monitoring Systems CM2000 4 Oakhouse 160 Lychfield road Sutton Coalfield B74 2TZ Tel: 0121 3083010 www.cm2000.co.uk

Catering Fowler UK Unit 9 Link 59 Business Park Deanfield Drive Clitheroe BB7 1QJ 0800 6199337 david@fowleruk.com www.fowleruk.com

Catering Equipment

Construction

Laundry

Jab Enterprises 1 Bickenhall Mansions Bickenhall Street London W1U 6BP Tel: 0800 0141 366 jon@jabenterprises.com www.jabenterprises.co.uk

Electrolux Laundry Systems 99 Oakley Road Luton Bedfordshire LU4 9GE Tel: 08444 631 260 info.elsuk@electrolux.co.uk www.laundrysystems.electrolux.co.uk

Corporate Badges Big Badge 111 Waldegrave Road Teddington TW11 8B Tel 020 8614 8880 sales@big.co.uk www.biggroup.com

Furniture Specialists Care Chair Enterprise House Cranswick Industrial Estate Driffield YO25 9PF Tel 01377 271700 sales@carechair.uk.com www.carechair.uk.com

Health Care products Beaucare Medical Ltd Crimple Court, Hornbeam Square North, Hornbeam Park, Harrogate North Yorkshire HG2 8PB Tel: 01423 873666 Fax: 01423 873444 sales@beaucare.com www.beaucare.com

Holidays/ Excursions The Bond Hotel 120 Bond Street Blackpool 01253 341218 karen-dixon@bondhotel.co.uk www.bondhotel.co.uk

Home Care Providers

Alfamax ltd. Watchmoor Trade Centre Watchmoor Road Camberley Surrey GU15 3AJ Tel: 0844 357 4030 Fax 01276 62696 www.alfamax.info

Caremark Domiciliary Care Providers Unit 4 The Colonnades 17 London Road Pulborough West Sussex RH20 1AS Tel 01798 873770 info@caremarkuk.com www.caremarkuk.com

Clothing

Infection Control

Boyd Cooper 3 Long Acre Willow Farm business park Castle Donington DE74 2UG Tel: 01332856566 catalogue@boydcooper.com www.dimensions.co.uk/Boyd_Cooper

Environmental Hygiene Solutions 65 Riverside 3 Medway city estate Rochester Kent ME2 4BH Tel: 08000 434270 www.enhys.com

Miele Fairacres Marcham Rd Abingdon OX14 1TW 0845 3650555 slawrenson@themediashop.co.uk www.miele.co.uk

Legionella Testing Aquacert Sentinel House 11 High street Long Buckby Northants NN6 7RE Tel: 0800 7835226 info@aquacert.co.uk www.aquacert.co.uk

Nurse call/Patient Safety Systems Safety Systems Distribution Ltd Unit 11B Hobson Industrial Estate Newcastle NE16 6EA neilrobson@safetysystemsdistribution.co.uk www.safetysystemsdistribution.co.uk 0800 3282951 Sensorcare Systems TP House Prince Of Wales Business Park Vulcan Street Oldham OL1 4ER 0870 4214288 Paula.matsikidze@tpgroup.co.uk www.sensorcare.co.uk

Safety & Security Universal Hardware Direct UK Ltd Unit 202 Kingspark Business Centre 152 178 Kingston Rd New Malden Surrey KT3 3ST Fireco 31-32 High Street Brighton BN2 1RP 01273 696007 Alan.buckle@b3partnership.co.uk www.firecoltd.com

Solicitors/ Legal Services Bates Wells & Braithwaite 2-6 Cannon St London EC4M 6YH 020 7551 7652 020 7551 7741 s.marchant@bwbllp.com d.tuck@bwbllp.com www.bwbllp.com

Training Healthcare Training College 7200 the Quorum Oxford Business Park North Oxford 6X4 2JZ 0844 8006801 info@healthcaretrainingcollege.com

45 Classi

21/9/10

17:13

Page 1

CARINGNEWS

Seminar theatre features ideas on improving your care home business THE UK’s largest display of care home products and services will be launching a new seminar theatre at the NEC, hosting sessions that focus on the business aspects of running a care home. Responding directly to recent changes in regulations and in the economic climate, the MyBusiness Seminar Theatre will feature ideas on how to improve your care home business such as cost saving measures, viable opportunities for expanding your portfolio and legislation advice. The programme contains content for those already in the industry and those looking to start out in the care sector for the first time. Day one speakers include: Nigel

Newton- Taylor from HealthCare Property Consultants with sessions on ‘Local Authority Fees – The National Trends and Impact’ and Justin Crowther from Catalyst Corporate Finance on ‘Merger and Acquisition Prospects in the Care Sector’, while Ian Hardcastle from the Royal Bank of Scotland will be giving an economic overview of the care sector. On day two the opening address is from Anita Allen from DC Care and she will present a session on ‘Acquiring your first care home – The Process and Timescales’, while later in the day Tabitha Cave is speaking about ‘Applications, Interviews and Obtaining Registration from the CQC’. Several exhibitors will also be on hand to offer sound advice for

your business including The Smith Partnership, Natwest Mentor Services, SGW Payroll, The Co-operative Financial Services, Veale Wasbrough Vizards and many more. The Care Show Birmingham will also be launching a new QCF training pavilion to help care home managers negotiate the new Qualifications and Credit Framework (QCF), which will be replacing the old NVQ Levels 2 and 3. This pavilion will cover the reasons for the changes being made, how it will affect care workers and there will be a series of taster sessions on eight topics that feature in both the Common Induction Standards (recently revised) and the mandato-

ry units that form the basis of the new diplomas. There is also a return of popular features such as the Keynote Seminar Theatre and, following the success of Gardening for Therapy at Care Show London, care home owners with an outdoor space will be interested to see the Secret Garden bought to you by Living Leaves. The sensory garden display will show care home owners how to build a garden that has multiple therapeutic benefits for residents and stimulates the senses. And, for the first time at a Care Show, the Bowls Development Alliance will be on hand to demonstrate the benefits of short mat bowling for care home residents.

Homeless transform gardens Tailoring packages to suit each client THE gardens of two nursing and residential homes in Norfolk have become hives of activity thanks to the hard work of young people from a homeless centre in the county. A group from Aspire Young Person’s Centre in Great Yarmouth has been paying weekly visits to Claremont House and Claremont Lodge in Caister-on-Sea, which are both run by East Anglian independent care provider Healthcare Homes. They were asked by the homes’ inspiring better lives’ development worker Sue Campbell-Bannerman to help rejuvenate the gardens. She said: “The young people have been working alongside the residents to plant flowers and paint plant pots. They’ve also been making mosaics to put on the walls and cutting large flowers out of wood. The garden was a blank canvas which has been totally transformed – it looks wonderful.” Claremont House offers specialised nursing care for the elderly, while Claremont Lodge caters for residents with dementia.

Signs

FALCON Swift Environmental Ltd’s unique approach is based around removal of pathogens from an environment, either as a preventative programme or as a reactionary measure should a site be experiencing an outbreak. The approach combines the best aspects of air sanitation,

high quality hygiene products and fast professional decontamination services to provide our clients with the highest level of protection available. Tried and tested products and services supplied by the company are used in confidence by private and council run care

homes, Harley Street medical practices and the NHS. Our expert technicians have experience in the industry and will tailor packages to suit each client’s needs, whether it is to help raise CQC ratings, deal with an outbreak or provide protection from future outbreaks.

If you would like to advertise in Caring UK please contact: 01226 734479 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

21/9/10

17:27

Page 1

CARINGINDUSTRY NEWS

New brochure packed with breaks BOND Holidays has launched its new brochure packed with special breaks for everyone from weekends with the stars to North West tours. The Bond Hotel Blackpool again welcomes a host of stars from Coronation Street in January before a mix of tributes and tours in March and April featuring Take That, Michael Jackson and Abba plus many more. They will also welcome stars from hit soap Emmerdale, and new for 2011 a Strictly Come Dancing themed break with a chance to meet a celebrity dancing star and visit the famous Tower Ballroom and the new Bond Beatles tour. St Annes will also play host to its own range of events in 2011 from northern shopping tours and sensory weekends to the glamour of Las Vegas.

New programme of HSE booklet seminars rolled out offers useful NETWORK Care UK has teamed up with law firm Beachcroft LLP to devise a programme of seminars designed to provide insight into the future of inspection and regulation in the health and social care sector. The events will feature speakers from a number of high profile organisations, including the CQC and Natwest Royal Bank of Scotland Group, and are in response to an increasing concern among care providers about the complex process of re-registration under the new Health and Social Care Act. The seminars will operate as part of a national rolling programme and will be tailored to respond to market

Range provides warmth and vibrancy DANFLOOR UK are one of the leading manufacturers of carpets for the healthcare industry, annually supplying in excess of one million square metres of carpet into care homes, dementia units, extra care apartments and sheltered accommodation. The New Generation range has a tonal palette that provides both warmth and vibrancy, stimulating the concept of design without compromising functionality and purpose. Manufactured using Aquafil Alto

Chroma, it performs exceptionally in the most demanding environments. Its special crush resist filament cross section and yarn provide superior elasticity, minimising carpet pile compression and deformation. These properties also limit changes in light reflection guaranteeing long term appearance retention. ÆGIS™, an antimicrobial coating which is applied to the New Generation carpet fibre, is designed to deactivate microorganisms and provide active hygiene and freshness.

trends and legislative changes in the sector. The first will take place at Beachcroft's Manchester office on November 23 and the guest speakers will be Sue McMillan, north west regional director for the CQC, Paul Spencer a barrister from 3 Serjeants Inn Chambers London and an expert in regulatory law, and a speaker from the Natwest Royal Bank of Scotland Group. It will explore the regulatory, legal and financial implications of the legislative changes for providers of health and social care and also provide essential information for those institutions who provide financial support in this sector.

Tynetec acquisition TYNETEC Limited, one of the UK’s leading suppliers of telecare and remote health equipment, has bought the Aid Call healthcare division. Aid Call is a well-established market leader in the design, manufacture, installation and maintenance of radio based nurse call systems for care homes and hospitals with 30 years’ experience in the sector. Aid Call offers safe, quality, professional solutions for customers and can provide individually tailored, wireless solutions to meet individual requirements and budget.

information

LEGIONELLA bacteria are common in natural water courses such as rivers and ponds. Since Legionella are common in the environment they may contaminate and grow in other water systems such as cooling towers and hot and cold water services. They survive low temperatures and thrive at temperatures between 20°C and 45°C if the conditions are right. A useful source of information on these matters is found in the HSE booklet “Legionnaires’ disease – A guide for Employers available free of charge from: HSE Books, PO Box 1999, Sudbury, Suffolk, CO10 2WA. It is important to identify the responsible person and to ensure they are aware of their duties. The responsible person must make sure the written scheme of management of the risks of Legionella in domestic water systems is conducted properly. To help a competent water treatment/hygiene specialist should be appointed. This does not remove the responsibility but it sure gives peace of mind.

47 Eric Howard

21/9/10

17:26

Page 1

48 NEW

27/9/10

11:38

Page 1