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NEWS AND INTELLIGENCE FOR CARE HOME OWNERS AND OPERATIONS DIRECTORS

JULY 2019/ISSUE 45 www.carehomeprofessional.com

SAFETY MONITORING RESEARCH & DATA


CALLS GROW FOR CCTV COUNCILS FACE SOCIAL CARE
IN CARE HOMES FUNDING CRISIS
DEMENTIA CARE TECH TALK
HALLMARK ON PERSON CENTRED SOFTWARE
RELATIONSHIP INTEGRATES FOOD SAFETY
CENTRED CARE STANDARDS
BEST PRACTICE ASK THE EXPERT
HORIZON HEALTHCARE HEALTHCARE MANAGEMENT
BOSS TALKS OUTSTANDING SOLUTIONS’ TONY STEIN ON
END OF LIFE CARE THE BROKEN FUNDING SYSTEM

AIMING FOR
THE TOP
LIFECARE RESIDENCES CEO, NIGEL SIBLEY, TARGETS
THE TOP END OF THE LUXURY RETIREMENT AND
NURSING HOME MARKET
LEADERS
IN CARE
AWARDS
in association with

9 OCTOBER 2019
HILTON BIRMINGHAM METROPOLE

For more information contact Josh Waddell


020 3176 5458 | josh.waddell@itppromedia.com

CATEGORY SPONSOR
Navigate
ISSUE 045

6-12 | NEWS ROUND-UP 22-27 | THE BIG


Bupa’s Queensmount care INTERVIEW
home is rated ‘outstanding’ Nigel Sibley, CEO of
in all categories LifeCare Residences,
targets the top end of the
luxury retirement and nurs-
Knight Frank says ing home market
‘lacklustre’ care market is
failing to keep up with rising 28-32 | TECHNOLOGY
demand FOCUS
We look at the arguments
14-15 | ASK THE EXPERT for and against CCTV in-
Recruitment specialist
Florence advises on steps to 21 stallation in care homes

minimise Brexit impact and 33-36 | BEST


HCMS calls for action on PRACTICE
the ‘bewildering’ social care April Dobson explains how
funding system Hallmark provides relation-
ship centred care
16-17| RESEARCH &
DATA 37-38 | ENERGY &
IFS warns of mounting so- SUSTAINABILITY
cial care funding pressures
and Responsible Life reveals
22
22 28 Suppliers showcase their
latest care home energy
postcode lottery of care and sustainability
home bed provision innovations

18 | STAFF MATTERS
33 33 39-40 | CARE MAN-
Interim CEO of Skills for AGEMENT SOFTWARE
Care Andy Tilden discusses Person Centred Software
the rewarding career op- and CoolCare explain how
tions on offer in social care they make life easier for
care home providers
20 | TECH TALK
Person Centred Software 41 | MANAGER OF THE
integrates new food safety MONTH
standards Josi George of Larchwood
Care’s Mundy House

40 41
41
Check out
Russell Leese of Healthcare
Homes on providing
‘outstanding’ end of life care
Page 21

July 2019 | CARE HOME PROFESSIONAL 3


RECEPTION WELCOME

Panorama exposes care crisis


Last month’s Panorama graphically laid bare a social
care system in crisis.
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meet the costs of escalating social care demand.


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councils face a £1bn social care funding gap in 2019/20 lee.peart@itppromedia.com

as tax rises fail to cover the cost of running services.


EDITORIAL DIRECTOR Andrew Seymour
In its latest analysis, the Institute of Fiscal Studies, Tel: +44 (0)20 3176 4234
revealed that overall spending on local councils fell andrew.seymour@itppromedia.com

by 21% between 2009-10 and 2017-18. Spending on COMMERCIAL

adult social care fell by 5% over the same period. GROUP COMMERCIAL MANAGER
Josh Waddell
In a time of rapidly rising demand with the ageing population putting ever greater strain Tel: + 44 203 176 5458
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on services the consequences of cuts of this scale have been disastrous. Panorama graphi-
cally revealed how cuts to services and funding enforced on local authorities have heart- SALES EXECUTIVE
breaking consequences for the most vulnerable people in the community. Ben Gopal
Tel: + 44 203 176 4233
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The documentaries also highlighted how care home providers, in this case Somerset Care,
are forced to end domiciliary and residential services due to inadequate funding which DIGITAL

fails to cover their costs. Database Management


Vinod Alath, vinod.alath@itp.com
The programme also illustrated the confusing labyrinth faced by vulnerable people and
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Group Production & Distribution Director
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While the social care crisis demands a whole new approach to funding in the long term,
Production & Systems Manager
which must surely mean people paying more for their care through taxation or insurance, Danny Corder, danny.corder@itppromedia.com
Outsourcing Manager
the immediate broken system can be only be mended by an end to local authority cuts
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and a new spending injection from government. There is, furthermore, a clear need for a
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4 CARE HOME PROFESSIONAL | July 2019


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NEWS UPDATE

Update
NEWS ROUND-UP
ESSENTIAL NEWS FOR CARE
HOME PROFESSIONALS

BUPA CARE HOME IN BOURNEMOUTH IS


‘OUTSTANDING’ IN ALL AREAS

B
upa Queensmount in and results like this show that it’s re- residents could still tend to plants and
Bournemouth has achieved ally paying off. As soon as you step foot also made individual cheese boards to
the rare feat of being rat- inside Queensmount you can feel that take into people’s rooms during a wine
ed ‘outstanding’ in all areas by you’re somewhere special. The team and cheese event. The home was also
the CQC. are nothing short of heroes, constantly commended for its involvement in
The care home joined the handful going the extra mile for the residents, #NeverTooLate – Bupa’s nationwide
of services with the best possible CQC their families and guests. While I’m not wish granting campaign for residents
rating following an inspection surprised to see it achieve this faultless – arranging outings for residents,
in March. rating, I know just how difficult it is to including a ride in a sports car and a
Managing Director for Bupa Care achieve. The team should be hugely boat trip to Brownsea Island.
Homes, Joan Elliott, said: “2019 has proud of this achievement.” Home manager, Nicola Soulsby, said:
got off to an absolutely flying start for Inspectors highlighted how staff “I keep having to pinch myself! We
us, and I’m absolutely thrilled by this made sure that everyone could take have a fantastic team at the home and
latest result. We’ve put a lot of energy part in activities, citing how they every single person pulls together to
into driving quality within our homes made a mobile garden so bed-bound deliver the best for residents.”

‘LACKLUSTRE’ CARE HOME MARKET FAILING TO MATCH RISING


DEMAND, KNIGHT FRANK SAYS
L
‘ acklustre’ growth has meant already short of 100,000 market-
the UK care home market is standard beds and this will worsen
failing to keep up with rising de- over the next two decades unless exist-
mand, according to Knight Frank. ing stock is upgraded and the rate of
In its annual UK Healthcare De- new builds increases,” Julian said.
velopment Opportunities research “Owing to the scarcity of stock and
report, the leading global property ongoing demand, the investment
adviser said the past year had seen a appetite for new care home schemes
net gain of just 43 beds combined with remains strong and opportunities ex-
a net loss of 86 care homes. ists for both investors and developers,
Julian Evans
Knight Frank said while the number with our Hotspots Index highlighting
of new homes was counteracted by the the range of opportunities nationally.”
number of home closures, the number clear that more care homes need to be South Glamorgan is identified as
of available beds had still grown as built. Though there was a marginal net this year’s hotspot for investment and
smaller homes were being replaced by gain of beds over the past year, this is development in England and Wales
larger, more efficient operators. still not enough to address the crisis due to its strong economic growth and
Julian Evans, Head of Healthcare in provision and is likely to be further limited levels of new supply despite
at Knight Frank, said: “With much of exacerbated as the next generation the relatively cheap cost of land.
the UK’s existing care home stock out- requirements for care grows at a faster Knight Frank’s top five investment
dated and elderly population growth rate than new care homes can areas are: South Glamorgan, Greater
expected to drive unprecedented levels be developed. London, Buckinghamshire, Wiltshire
of bed demand going forward, it is “Our analysis shows that the UK is and Berkshire.

6 CARE HOME PROFESSIONAL | July 2019


UPDATE NEWS

NEWS ROUND-UP

SHAW HEALTHCARE AGREES CARE HOME


LEASE WITH POWYS COUNTY COUNCIL
an integrated care facility with Powys intended to be included in a takeover
Teaching Health Board at Glan Irfon. deal with HC-One but the plans were
Commercial & development direc- dropped after the council threatened
tor, Geraint Evans, said: “We are to block the transfer. Taking over the
extremely proud to be working with facilities will lead to a 20% increase in
Powys County Council and look for- Shaw’s beds, boosting its number of
ward to delivering care to the residents care homes across the UK to 75, and
of the homes. We have developed a will see more than 400 employees
number of local authority agreements transfer over to the firm.
over recent years, meaning we can Cillr Stephen Hayes, said: “We are
provide the high standard of train- very pleased to partner with Shaw

S
haw healthcare has agreed ing for staff, as well the investment healthcare, a Welsh-based company
a lease with Powys Coun- in facilities that Shaw prides itself on which is largely staff-owned. As a
ty Council for over 300 resi- across the UK.” council our priority is to ensure safe,
dential beds at 13 care homes across Shaw’s LA deals include develop- high quality care and support for the
mid-Wales. The provider will operate ments in Poole and Liverpool. It was residents of these homes and we are
12 local authority care homes cover- appointed after a competitive tender confident that Shaw healthcare will be
ing the Newtown, Machynlleth and process following the conclusion of a positive partner for Powys County
Ystradgynlais areas from June 2019 to a contract between the council and Council and the Powys Teaching
June 2022. Shaw will also jointly run Bupa. The homes were originally Health Board.”

July 2019 | CARE HOME PROFESSIONAL 7


NEWS UPDATE

NEWS ROUND-UP

INQUEST HEARS HOW 86-YEAR-OLD


WOMAN PLUNGED TO HER DEATH FROM
CARE HOME ROOF

A
n inquest has heard how an Carers mounted a search for Mrs Police were called to The Grosvenor
86-year-old woman plunged Herring when she was discovered to investigate an incident and we con-
to her death from a care home missing at around 8pm but she was firm that a resident of our home was
roof after gaining access through a dis- not found until four hours later, sadly found deceased.
used fire door with a faulty alarm. shortly before the police were called. “At this sad time, we would like to
Jean Herring was found on the The hearing was told the fire door’s offer our thoughts and condolences
ground outside Grosvenor Court in alarm failure may have been due to to the family and friends of the de-
Margate, Kent shortly before midnight a power cut earlier in the day, with ceased.”
on January 28, the Mirror reported. managers being reportedly aware of A post-mortem examination
The inquest heard Mrs Herring, an issue which was waiting to be fixed. revealed Mrs Herring had suffered
who had Alzheimer’s, gained access Speaking in January, a spokesper- a serious head wound and died from
to an upper ground floor through a son for the home’s operator, Premiere multiple injuries.
fire door with an automatic alarm Care, told CHP: “We regrettably can The inquest has been adjourned to a
that failed to sound. confirm that on 28 January 2019, Kent date to be confirmed.

PERSON CENTRED SOFTWARE PROVIDES DIGITAL BOOST FOR


HEALTH AND SOCIAL CARE INTEGRATION
A
pioneering partnership ambulance crew, emergency depart-
between Person Centred ment, ward teams and physiothera-
Software and Sutton Council pists. It incorporates the CARES
is helping improve health and social (Concerns Action Response Ex-
care integration. amination Shared Information) form
The project, which is part of the based on the red bag documentation
South West London Sustainability and pioneered by Sutton CCG in order to
Transformation Plan (STP), aims to aid with hospital admissions.
digitise the transfer of documentation Arthur Tanare, Manager at Bel-
between care homes and hospitals. mont House, said: “Person Centred
Person Centred Software’s Head of Software’s digitalisation of the
Product Management, Andrew Coles, red bag scheme improves the lives
said: “When a resident is transferred of residents and staff at Belmont
to hospital, most care homes give a House. With the electronic transfer
printed ‘Hospital Pack’ to the ambu- of information, the hospital has all
lance driver for A&E staff, but it’s not The project saw the successful the personal information they need
shared with the ward, pharmacy, or digital transfer of care records of a to care for the resident in front of
physiotherapist. resident being transferred from Bel- them, not just the emergency clinical
“This means healthcare profession- mont House in Sutton, part of Caring information, so doctors and nurses
als are often unaware of a patient’s Homes Group, to St Helier Hospital in no longer need to call us to find out
personal preferences and care needs. Carshalton. more information. This saves a lot of
Sharing information is especially Person Centred Software has time and means that residents receive
important with vulnerable residents extended its ‘Hospital Pack’ into an smooth transfers to hospital and
as they may be unable to voice their admission process and includes infor- holistic, person-centred care at every
individual needs.” mation communicated to stage of hospitalisation.”

8 CARE HOME PROFESSIONAL | July 2019


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NEWS UPDATE

NEWS ROUND-UP

CARER SAVES CARE HOME RESIDENT’S LIFE WITH


ANTI-CHOKING DEVICE
A
carer has saved a resi- “They are a fantastic piece of equip- “We found Dechoker UK, and spoke
dent’s life with an an- ment and I am very thankful this was with Matt Oakley their CEO, he came
ti-choking device after in place here.” and demonstrated his product and
they choked on food and became Jonathan Garton, Operations Di- we decided to put a few in each of our
unconscious. rector for Yorkare Homes, added: “Af- care homes. Everybody at Magdalen
Jodie Smith, of Yorkare’s CQC ‘out- ter a choking incident earlier in the Park is very proud of how Jodie stayed
standing’ rated Magdalen Park Care year, when a member of the team was calm under pressure and managed
Home in Hedon, Yorkshire, saved luckily able to save a resident’s life to use the piece of equipment to save
Ivy’s life by using the Dechoker device using traditional first aid techniques, Ivy’s life.”
to dislodge food from her throat that we decided to look into how we could Matt commented: “We are always
had caused her to choke. better protect our residents if another thrilled when Dechoker saves a life,
Jodie said: “I would not of known choking incident occurred. and this is no exception. We con-
what to do if this equipment was not “Swallowing difficulties are com- gratulate both Jodie and the team at
in use and I believe all care settings mon in the elderly and traditional Yorkare for their continuing efforts to
such as care homes, nurseries and first aid techniques are not always provide the highest level of care and
schools need one. successful. safety for their residents.”

SKILLS FOR CARE LAUNCHES NEW FUND


FOR INNOVATIVE PROJECTS
can really help in developing new and
innovative ways of working collabo-
ratively by developing the skills and
knowledge of the workforce.”
In order to meet the criteria for
funding, employers must meet one of
four priorities.
The first of these is to test an ap-
proach to develop capacity for regis-
tered nurses to support and supervise
pre-registration nursing associates
and return to practice nurses within an
ethical and safe learning culture.
The other three priorities are: to
enhance the impact of a registered

S
kills For Care has launched Andy Tilden, said the fund was in- manager network; to develop future
a new fund which aims to aid tended to modernise the workforce in registered managers; and to improve
employers that are offering in- the face of new challenges and needs the working practices between social
novative projects to increase their brought about by an ageing population. care and health workforces in support
workforce’s skills. “Adult social care is an ever- of integrated working.
The Workforce Development Inno- changing landscape and as our popula- The fund is open to applicants until
vation Fund (WDIF) is open now and tion gets older and lives longer differ- 1pm on Friday 28 June 2019.
will offer financial support to employ- ent needs are emerging almost daily,” To find out more information
ers who are “looking to change the way he said. and to apply, please go to our web-
they offer their services”. “That means the way services work site at: www.skillsforcare.org.uk/
Interim CEO of Skills for Care, will need to change, too, so this fund WDIF2019.

10 CARE HOME PROFESSIONAL | July 2019


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NEWS UPDATE

NEWS ROUND-UP

ENGLAND LAGGING BEHIND SCOTLAND AND


WALES IN SOCIAL CARE SPENDING PER PERSON

N
ew analysis by The Health spending can be explained to some de- 3.6% growth in demand.
Foundation has revealed gree by differences in population and The report also highlights poor pay
that spending on social care care needs, the report notes there is a and conditions in the sector, with
per person in Scotland and Wales is sig- far smaller gap in health care spending staff turnover rising since 2012/13
nificantly above that in England. and that this has narrowed in and 110,000 vacancies. While 40,000
The report shows that England is recent years. Health care spending nurses work in adult social care, a
spending £310 per person on social growth in England has outstripped third have left their posts in the past 12
care, 43% less than Scotland (£445) Scotland and Wales since 2010/11. months. The think-tank said the sector
and 33% below Wales (£414). Scotland now spends 8% more on was finding it increasingly difficult to
The Health Foundation reveals that health care than England and Wales compete with the NHS where salaries
England has fallen further behind just 3% more. The Health Foundation are rising. Brexit uncertainties are also
Scotland and Wales since 2010/11 when also projects a £4.4bn social care fund- adding to workforce recruitment and
it spent £345 per person compared ing gap in England in 2023/24. retention challenges with the govern-
with £457 in Scotland (32% more) and Funding is projected to rise by an ment having proposed a £30,000 mini-
£445 in Wales (29% more). average of 1.4% a year, below the 3.4% mum salary threshold for obtaining a
While the differences in commitment for the NHS, and the visa for EU nationals.

SPRINGHILL CARE GROUP SCOOPS INVESTORS


IN PEOPLE PLATINUM AWARD
S
pringhill Care Group has
been awarded the prestig-
ious Platinum award from com-
munity interest company, Investors in
People (IIP).
The award, which is IIP’s highest
accolade, is held by just 2% of organi-
sations assessed.
Donna Briggs, managing director
of Springhill Care Group, (pictured
centre) said: “This is great news for all
staff because they help to make us the
organisation we are. I’d like to thank
our staff team for creating the culture
of excellence we have which ultimately framework sets out what it takes to de- and overall IIP average is 724.
ensures that the quality of care for our liver a people management system that Chris Jones, Director of Operations
residents is second-to-none.” enables organisations to succeed by at IIP, said: “Platinum is our highest
Assessors highlighted how the realising the potential of their people. award and recognises high perfor-
‘high performing’ group had further As part of the IIP online assess- mance achieved through integrated
strengthened its organisation since ment process, the care group exceeded people practices. Springhill Care
it was awarded a Gold standard three both the IIP average and care sector Group first achieved Investors in
years ago. benchmarks with an organisational People in 1995 and since then we have
Built on the three pillars of leading, benchmark score of 799 out of 900, seen the group go from strength
supporting and improving, the IIP where the care sector average is 765 to strength.”

12 CARE HOME PROFESSIONAL | July 2019


ASK THE EXPERT CHARLES ARMITAGE, CEO, FLORENCE

BREXIT AND THE SOCIAL CARE


STAFFING CRISIS
CHARLES ARMITAGE, CEO OF RECRUITMENT MARKETPLACE FLORENCE SHARES
WHAT STEPS NURSING AND CARE HOME MANAGERS CAN TAKE TO MITIGATE THE
IMPACT OF BREXIT

estimated 95,000 (7%) of the 1.3 million workers in England’s


adult care sector - hail from other EU countries. It’s easy to
see how the possible end of free movement altogether could
put the recruitment and retention of skilled staff under
immense strain.
Thankfully, many EU nationals currently living and
working in the UK are eligible for indefinite leave to remain.
However, it could be argued that the health and social care
profession should be given special status so that nurses and
carers will still be allowed to come to the country. This would
give nursing and care home managers a bigger talent pool to
dip into when looking to fill the ever-widening gaps in the
social care workforce.
Despite Brexit taking up much of its time, the government’s
recruitment campaign shows it is clearly aware that
more needs to be done to attract and retain people to the
profession. Care home managers have a special role to play
here too. Creating an environment in which nursing and
care professionals feel valued and respected and providing
opportunities for life-long learning go a long way to making
people feel supported, and restoring a sense of passion for
and pride in the sector.
Charles Armitage
Given that most care home managers see their profession
as a calling, they are truly the best advocates for working in

I
t’s July 2019 and as yet we are none the the sector. They are also at the heart of creating the right
wiser on how Brexit will truly unfold. conditions to encourage those who choose to work in social
But regardless of the eventual outcome, there care to stay, succeed and progress. With people looking for
is plenty to consider in the here and now when security during these uncertain times, a long and fulfilling
it comes to staffing for the care sector. Recruiting career in the care sector is a safe bet given the projections
and retaining quality staff to tight budgets is one around our ageing population in the years to come.
of the most challenging issues nursing and care With the nation at sea, care is one sector that can’t afford
home managers face and Brexit has added a new to get drawn into the drama. By getting behind calls for the
dimension to this. So, what steps can managers sector to have special status when it comes to recruiting
take to mitigate the fallout? skilled nurses and carers, as well as embracing new ways of
The UK’s population is ageing yet more nurses working and being a passionate promoter of careers in care,
are leaving the profession than joining. Alongside managers have the opportunity to rise above the chaos and
these worrying facts, many of the country’s lead the way in terms of effective workforce management –
existing health and social care professionals – an deal, no deal or otherwise.

14 CARE HOME PROFESSIONAL | July 2019


TONY STEIN, CEO, HEALTHCARE MANAGEMENT SOLUTIONS ASK THE EXPERT

A broken system
TONY STEIN, CEO OF HEALTHCARE MANAGEMENT SOLUTIONS, CALLS FOR THE
GOVERNMENT’S GREEN PAPER TO ADDRESS THE ‘BEWILDERING’ SOCIAL CARE
FUNDING SYSTEM

I
t’s almost impossible to write any article on the
funding of social care without referring to the
seemingly endless succession of green papers and can-
kicking that this issue has been subject to over the past
decades. Indeed, for those of us dealing with the delivery of
social care it seems that we’re being expected to keep working
at the coal face without any tools, any plan or any sign of
relief. Whilst social care isn’t only about care of the elderly,
this forms the lion’s share of the problem and it’s growing. In
2016, 2% of the population were aged 85 or over (1.6 million
people) but by 2066 this will rise to 7% of the population
(more than 5 million).
There are a few givens:
1. The world has changed and what the public demands
from government in terms of care has changed.
People no longer just accept the creaks and pains as
an inevitable consequence of getting older, they want
them to be ‘fixed’ so that they can enjoy life for longer.
2. As medical science advances, we are capable of treating
conditions that we couldn’t imagine treating 50 years
ago. It doesn’t mean that conditions are cheap to fix
but simply that if they can be fixed then, at whatever
cost, there is an expectation that they should be fixed.
3. There are more of us in the older age groups and that Tony Stein
means more of us living with chronic conditions that
need care and treatment support and observation, long hospital stays and
4. There will be proportionately less of working age worry over personal and family finances. At the
people to support the cost of looking after those time in your life when you are least able to deal
needing care in their old age with this kind of uncertainty and most need help
The reality is that everyone knows that any solution needs and guidance, you’re pushed from bureaucratic
greater funding. For me, however, the problem that eclipses pillar to administrative post. Anyone thinking that
that of the quantum of funding is the opacity of the system. If I’m over egging this particular pudding has yet to
you break a leg you attend A&E and someone ‘sorts it out’. No deal with sourcing care for an elderly relative!
question, no fuss. We in the UK don’t panic about insurance My hope is that any Green Paper will deal as
or filling in forms, we simply rock up and hope that the queue much with this latter issue as it will with the
isn’t too long. If we are old, however, then when we need care funding problem. If we can get to a position
we’re suddenly thrown into a bewildering maze of forms, where the only problem anyone has to deal with
means-testing and assessments with those parties that when an elderly person presents with care needs
should be delivering care spending most of their time trying is ‘what is the best solution?’ rather than ‘how do
to avoid accepting financial responsibility. we pass the responsibility for paying for this to
This manifests itself in unmet need, often inadequate and someone else?’, then I believe we’ll have won a
inappropriate home visits standing in the place of continuous significant victory.

July 2019 | CARE HOME PROFESSIONAL 15


RESEARCH & DATA IFS

Councils will need 60% of tax revenues


for adult social care, warns thinktank
COUNCILS IN ENGLAND WILL NEED TO SPEND 60% OF THEIR REVENUES ON ADULT
SOCIAL CARE BY 2025 UNLESS THEY ARE BAILED OUT FOR THE GOVERNMENT, AN
ECONOMICS THINKTANK HAS WARNED.

T
he Institute of Fiscal
Studies (IFS) said that the
amount of funding available
to councils looks like it will
become “increasingly inadequate”,
despite an end to overall budget cuts.
This is because current government
plans envisage councils relying on
council tax and business rates for
the vast bulk of their funding – and
revenues from these taxes are “unlikely
to keep a pace” with rising costs and
demands, the thinktank said.
IFS warned that with annual
increases to council tax of 3% – the a year – the average increase this year, 21% between 2009-10 and 2017-18.
maximum councils can increase it including the extra increases ring-fenced Some services have seen much
without a referendum if powers for for social care – adult social care could deeper cuts though; spending on
extra increase for social care lapse – amount to 50% of local tax revenues. planning & development and housing
rising costs and demand mean that David Phillips, an associate director services fell by more than 50%.
adult social care could require 60% of at the IFS and an author of the report, This has allowed councils to protect
local tax revenue within 15 years, up said: “Current plans for councils to rely social care services from the full force
from 38% now. Without additional on council tax and business rates for of budget cuts. Spending on adult
funding, this would mean cuts to other the vast bulk of their funding don’t look social care fell by 5% between 2009–10
services, many of which have already compatible with our expectations of and 2017–18 – although the numbers
seen cuts of more than 40%. what councils should provide.” receiving care fell by much more.
Analysis by the thinktank found that The report shows overall spending on The thinktank said ministers were
even if council tax was increased by 4.7% local services by English councils fell by presented with a big choice: either
authorities are given additional money
to enable them to continue providing
existing services, or the government
should be upfront with voters that
councils cannot afford to maintain the
same services they currently provide.
“A proper national debate on how
much we are willing to pay and what
we expect of councils is therefore
needed,” said David.
“Without it, we will default to a
situation where the services councils
can provide are gradually eroded
without an explicit decision being
taken – until ad hoc funding is found as
a response to political pressure.”

16 CARE HOME PROFESSIONAL | July 2019


RESPONSIBLE LIFE RESEARCH & DATA

ALMOST 10,000 CARE HOME BEDS LOST


ACROSS HALF OF ENGLAND’S LAS
ALMOST 10,000 CARE HOME BEDS HAVE BEEN LOST IN FIVE YEARS ACROSS
HALF OF ENGLAND’S LOCAL AUTHORITIES, RETIREMENT MORTGAGE SPECIALIST,
RESPONSIBLE LIFE, HAS REVEALED.

T
he analysis of CQC data Local authorities with the biggest increases in care home bed numbers,
found 9,772 beds have including London
been lost in 75 local authority
areas, while the number Care home bed
Care home beds Care home beds
of overall beds rose from 401,322 to Local authority percentage
- 2014 - 2019
407,058. change
Steve Wilkie, Managing Director of Kingston upon
Responsible Life, said: “The number 933 1073 15.01%
Thames
of beds country-wide has actually gone
up, so we know a drop in the number of Solihull 1342 1558 16.10%
beds in half of authorities is not part of
Portsmouth 953 1115 17.00%
a wider change in how people want to
access care in later life. Birmingham 5514 6495 17.79%
“In fact, what we are seeing is a postcode
lottery unfold. If this trend isn’t reversed, Wokingham 986 1170 18.66%
it is going to get even tougher to access
Buckinghamshire 3444 4189 21.63%
care in certain areas in the coming years.
“For some it will mean lack of availability 22.222
Central
and subsequently higher costs forcing 1135 1392 22.64%
Bedfordshire
them to delay accessing the right care at the 22264%
right time, while others may feel they are Peterborough 928 1191 28.34%
better off financially paying for assistance
at home. West Berkshire 547 7 757 757 38.39%
“The danger is that some retirees will
Bexley 1083 1510 39.43%

Local authorities with the sharpest declines in care home bed numbers inevitably choose to remain in homes
outside of London that do not meet their requirements.
It is imperative that people consider
Care home beds Care home Percentage all their options and make informed
Place
in 2014 beds in 2019 change
choices well in advance.”
Sunderland 2,428 2,056 -15.3% Sunderland saw the greatest decline
in care home bed numbers outside of
Bracknell Forest 444 377 -15.1%
London, losing 15.3% of them in the past
Hartlepool 947 812 -14.3% five years (see table below). Bracknell
Forest and Hartlepool have seen similar
Darlington 1,250 1,077 -13.8%
falls, at 15.1% and 14.3%, respectively.
Devon 8,198 7,189 -12.3% Of the 150 local authorities in England,
only 74 have more care home beds
Halton 809 713 -11.9%
than they did in 2014, while two —
Isle of Wight 2,114 1,882 -11% Hammersmith and Fulham and Newham
— have stayed the same.
Slough 403 359 -10.9%
Overall, the number of care homes in
North Somerset 2,961 2,641 -10.8% England has fallen from 11,113 in 2014 to
10,878 in 2019, declining in 86 of the 150
Salford 1,578 1,409 -10.7% authority areas.

July 2019 | CARE HOME PROFESSIONAL 17


STAFF MATTERS ANDY TILDEN, INTERIM CEO, SKILLS FOR CARE

STAFF MATTERS
SKILLS FOR CARE INTERIM CEO, ANDY TILDEN, SAYS THERE ARE MANY REWARDING
CAREER OPPORTUNITIES IN SOCIAL CARE

T
here are many challenges as our sector ‘Social care: a rewarding career for you’, which
looks to fill the 110,000 vacancies we have highlights the range of job opportunities and how
every single day but one of the most frustrating to progress within a career in care. It can be found
ones is potential recruits not seeing the rewarding career at: www.skillsforcare.org.uk/rewardingcareer
opportunities we offer. What really struck me when I watched the
It’s frustrating because I am living proof of that as I began two recent Panorama programmes focused
my social care career as a residential care worker before on Somerset County Council was the massive
becoming a qualified social worker and then created my impact that employing skilled and knowledgeable
own career pathway by taking on lots of other jobs in a wide workers has at all levels. I am also intensely aware
variety of settings before becoming Interim CEO of Skills for that in the present tough operating environment
Care. I’m by no means unique as our sector is full of people for the 21,200 or so adult social care organisations
who have taken full advantage of learning and development is that we need to do everything we can to help
opportunities to progress their careers. them upskill their people.
Yes, some people don’t seek career progression, but I also Our research shows that all too often new
know from talking to employers there are plenty of options registered managers haven’t planned to become
when it comes to developing your career in adult social care. a manager. Instead as they enter an exciting,
Sometimes it can be moving sideways into a different type of but busy and challenging role, they are forced
job or setting to support your career progression or gaining to ‘learn on the job’. This is why Skills for Care
qualifications, completing an apprenticeship, or additional recently launched our recommendations for
training to develop new skills. ‘Developing and supporting managers and
To help potential recruits and care workers see how their deputies’. The aspiring and new managers in
careers can progress, we developed an interactive toolkit called our sector need their employers to provide the
support, opportunities and time to complete a
clear programme of development.
With around 10,000 registered managers
due to retire over the next 15 years, succession
planning is critical. Our ‘Lead to succeed’
programme, delivered by our endorsed providers,
helps aspiring leaders and managers to develop
their leadership and management potential. As
importantly, it builds confidence as people prepare
to lead. In 2019 we are supporting employers
to give their aspiring and deputy managers the
opportunity to access Lead to succeed with a £500
funding contribution available via the Workforce
Development Fund (WDF).
For existing managers, our successful Well-
led programme will be available from endorsed
providers from October and again, in recognition
of the importance of this programme, funding will
be available via the WDF.
The fact is that social care has a great story to
tell, but the reality is we need to do much more
to get that message out to all those people who
Andy Tilden would make great care workers and the leaders
of the future.

18 CARE HOME PROFESSIONAL | July 2019


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TECH TALK: Technology Enhances Resident Safety


CO-FOUNDER AND DIRECTOR, JONATHAN PAPWORTH, EXPLAINS HOW PERSON
CENTRED SOFTWARE IS HELPING ENHANCE RESIDENT SAFETY THROUGH THE
INTEGRATION OF NEW FOOD SAFETY STANDARDS

C
are homes are now being diet textures or drink consistencies.
encouraged to move IDDSI is already mandatory for care
to using the International providers in Bedfordshire. We have
Dysphagia Diet Standardisation adopted the IDDSI categorisation
Initiative (IDDSI), a new global of food and fluid into our electronic
framework for texture modified foods evidence of care planning system so
and fluids. The aim of the framework is that care staff can see what type of diet a
for all healthcare professionals to use resident requires and quickly evidence
the same terminology to describe food the food texture along with what the
and fluids to improve patient safety. resident ate. Jonathan Papworth
For residents that are at risk of Additionally, food allergies and food
choking or asphyxiation, having a textures are clearly displayed as risks people with complex needs in relation
global language is a fantastic step for the carer at the point of care on the to their eating and drinking. Working
forward in best practice and reduction mobile app, and it updates the MUST together, the new IDDSI framework
of risk. While food and fluid could seem weight loss assessment. available in digital care planning
quite benign, residents with dysphagia This functionality relates to CQC’s software prioritises patient safety,
have been ill or died as a result of E3.5 key line of enquiry, helping care reducing the risk of harm to residents
confusion or miscommunication about staff to identify and manage risks to and keeping them safer.

A soft diet could mean many different textures, whereas


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and fluids using Mobile Care Monitoring and can reduce the risk
of choking and asphyxiation. Agency staff and hospitals are also
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20 CARE HOME PROFESSIONAL | July 2019


RUSSELL LEASE, HEALTHCARE HOMES BEST PRACTICE

CELEBRATING THE LIVES OF PEOPLE WITH


LEARNING DISABILITIES
RUSSELL LEESE, DIRECTOR OF HORIZON
HEALTHCARE HOMES LTD AND THE
OUTSTANDING SOCIETY, SHARES HIS THOUGHTS
ON PROVIDING ‘OUTSTANDING’ END OF LIFE
CARE TO PEOPLE WITH LEARNING DISABILITIES.
Russell Leese

I
f, like me, you have dedicated much of your life to and their teams have responded
supporting younger adults with learning disabilities and positively and worked incredibly hard
complex behavioural needs, the thought of someone to develop individually focused end of
you support coming to the end of their life is almost nightmarish life plans that have been so effective.
and perhaps the most awful experience you could imagine as a provider, There are wonderful resources
a manager, or a support worker. out there to support care homes to
I have had many conversations with ‘good’ and ‘outstanding’ prepare and develop end of life plans
providers of older adult services about ‘having a good death’ and ‘living for people. There are fabulous support
well, dying well’, amongst other phrases used commonly by my peers systems embedded within local
in the older adult care world. This type of terminology always sounded services that providers may not be
horrific and something that felt non-applicable to the type of services aware of – though with some searching
that I have managed for over 20 years. I have always been adamant that they are out there. We found that
the type of support that ‘we’ (in the learning disability sector) provide, is local hospices are a fabulous source
about enhancing quality of life and enriching people’s experiences – not of information and very generous in
supporting someone for a period of time until their life comes to an end. their support to other providers.
The concept of supporting someone to ‘have a good death’ has always Having attended each of the funerals,
been totally alien and counterintuitive to my value base. I have been touched by the quality
Up until now, I have been ‘fortunate’ enough to be able to put my of lives that each person led – from
head in the sand and deny what is almost inevitable in a career spanning being actively engaged within their
decades and ignore the most certain thing that will occur in all of our communities through to winning
lives. Sadly, four of the people that we support in my organisation have medals in the Olympics in Athens.
passed away following illnesses, including dementia and cancer. These The funerals were each a celebration
deaths occurred over a matter of months and if I was asked how I would of those people’s lives which would
feel before any of these occurred, I am confident my response would leave many people without a
have been: “devastated”. learning disability envious of their
However, this is simply not the case. I have witnessed humanity achievements. I am now confident
at its very best and observed person centred practice in a way that I that within my organisation, the
could not imagine possible. I have seen people supported at the end outstanding quality of life will remain
of their lives, enjoying themselves, celebrating with their families and right up until death and I would urge
friends and being content in the company of those people that care all providers of services for people
passionately about them, in their own homes and in a way that I did with learning disabilities to prepare,
not feel was possible. regardless of the age group, so that
I am very proud to operate an ‘outstanding’ rated care home and have when the inevitable happens, people
been responsible for developing five other CQC rated outstanding care experience a ‘good death’ as well as a
homes in a previous role. We are all capable of earning the outstanding ‘good life’.
accolade if we work hard to go the extra mile in our practice. I would not Russell is Director of Horizon
have imagined that supporting someone at the end of their life could Healthcare Homes, a privately owned
be perceived as outstanding but contradictory to all of my previous specialist provider of residential
thoughts, I have observed practice from my staff teams that I would now care homes for people with Learning
describe as beyond outstanding. Disabilities in West Yorkshire, visit
It has been a very steep learning curve and the registered managers https://horizoncareservices.co.uk

July 2019 | CARE HOME PROFESSIONAL 21


THE BIG INTERVIEW NIGEL SIBLEY, CEO, LIFECARE RESIDENCES

22 CARE HOME PROFESSIONAL | July 2019


NIGEL SIBLEY, CEO, LIFECARE RESIDENCES THE BIG INTERVIEW

AIMING FOR
THE TOP
WITH APARTMENTS AVERAGING £1.5M AND WEEKLY NURSING
HOME FEES RANGING FROM £2,500 TO £3,500, LIFECARE
RESIDENCE’S BATTERSEA PLACE AND ALBERT SUITES IS
TARGETED FIRMLY AT THE TOP END OF THE LUXURY RETIREMENT
AND NURSING HOME MARKET. CHP MET WITH CHIEF EXECUTIVE,
NIGEL SIBLEY, TO FIND OUT MORE.

A
fter founding LifeCare “He thought it would be a great about LifeCare having established
Residences in New Zealand opportunity to bring his concept here. a reputation in the UK for market
35 years ago, it was not until “Cliff wanted to create something leading fee levels in order to provide
2002 that owner Cliff Cook began that had a broad spectrum of high net worth residents with the
looking at bringing his retirement accommodation for people who are luxury lifestyle they seek.
village model to the UK. moving for a lifestyle reason and “The market is crying out for more
“It took us 16 years to enter the UK managing their early retirement accommodation of this type to enable
market in a considered way,” Nigel through to the need for some support people to sustain their independence
told CHP. and care and nursing and end of life, in later life and access healthcare
LifeCare finally entered the UK with the belief that the retiree wanted services in a very seamless way,”
market when Cliff bought a small to make a final move,” Nigel said. Nigel said.
retirement village in Dorset in 2006. In order to meet demand from a “The problems we have seen here
“Cliff wanted to come to the UK as generation of retirees who were asset with care providers recently have been
he had family here,” Nigel said. rich but who also sought financial due to people playing around with very
“He could never understand certainty in their later years, Cliff thin margins that have not offered a
why the provision of retirement developed the LifeCare deferred very strong commercial basis.
accommodation in the UK was not payment model, which provides “We are quite clear that we have a
as advanced as he saw it was in New subsidised care and luxury amenities strong commercial basis from which
Zealand and Australia and parts of and services at a fixed rate for life. we can make sure we can do everything
the US. Nigel said he was unapologetic for our residents and have an adequate

July 2019 | CARE HOME PROFESSIONAL 23


THE BIG INTERVIEW NIGEL SIBLEY, CEO, LIFECARE RESIDENCES

Battersea Park’s lounge

return for us as a company so that what it is. We are very proud of what nursing floor.
we can operate sustainably in the we have done and believe this is a The retirement living service
long term.” successful formula.” and nursing home are managed
Luxury services, including a Having set up retirement villages in as a ‘cohesive entity’ with both
restaurant, concierge, chauffeur Dorset and Hampshire, establishing communities overseen by LifeCare’s
service, pool and cinema, are financed a community targeting London’s head of care, Paul Lowe.
by LifeCare taking up to 30% of the wealthy elderly population was the “Part of the joy of the model is you
resale value of residents’ apartments next logical move for LifeCare. have a lot of flexibility to deploy staff
when the property is sold after they “Coming to London was always our depending on the needs of residents,”
leave the village. objective,” Nigel told CHP. Nigel said.
“We are offering an awful lot more “London was always the target “It’s a very integrated facility. Our
than your typical concierge service at because it is the worst served apartment residents love to know the
a market rate,” Nigel noted. retirement living area within the nursing home is there. It’s the engine
“The real cost of the village services country. You have 8m people who have of the village and offers high standards
is roughly double the amount that our no real choice in terms of retirement of care and nursing on a very flexible
residents pay through their service living. People might have retired and basis. Generally, to have people
charge. They are aware that they gone to the seaside years ago but these clustered together where the delivery
are enjoying all the benefits here for days they want to stay local and that’s of services is more efficient must be in
around half the cost because of their good for your independence because everyone’s interests.”
deferred membership fee. you have your own network. There’s With apartments ranging from
“Our buyers are clearly affluent and a massive concentration of property £650,000 to £3m and nursing home
well-advised. The fact we have sold wealth as well.” weekly fees ranging from £2,500
out at Battersea very quickly and have Launched in 2016, the £108m to £3,500, Battersea Place is firmly
resold and have a waiting list does Battersea Place retirement village positioned at the top end of London’s
show that people see to the heart of and Albert Suites nursing home private pay market.
what we are offering and the value of includes 103 apartments and a 28 suite Residents in Battersea Place enjoy

24 CARE HOME PROFESSIONAL | July 2019


NIGEL SIBLEY, CEO, LIFECARE RESIDENCES THE BIG INTERVIEW

a fine dining restaurant, concierge, of high net worth individuals used to purchased a second site in London
chauffeur service, pool and cinema. exemplary service. at West Hampstead, a redundant
Albert Suites boasts a restaurant, Having a high margin business reservoir site set amidst a densely
two lounges, a hairdressing salon and model means LifeCare is able to offer populated residential area. The site
self-contained facilities. an attractive salary and career package would accommodate a retirement
The home offers 24-7, specialist care to its workforce. village of a similar scaled to
including nursing, residential, respite, “We offer a delightful working Battersea Place.
palliative and end of life care. environment compared to other Having bought the site almost
Traditional nursing care can be environments that our nursing staff three years ago, the business has
complemented by a range of healthcare might have had to endure,” Nigel said. fallen foul of the capital’s planning
from physiotherapists, occupational “If we have to pay a little bit more requirements, however.
therapists, speech therapists, dentists, we can accommodate that. We are “Unfortunately, it’s been challenging
opticians and audiologists. Holistic privately owned, we are here to create to convince planners that this is an
therapies, such as aromatherapy, long term value, not short term profit. application that they should support,”
acupuncture, massage and reflexology, Our ownership structure means we Nigel reflected.
can also be arranged. are able to do the right thing to make Having been refused planning
“It’s a very boutique style offering,” sure we have a long term, sustainable, permission by the council on the
Nigel stressed. quality offering and a business grounds that the development failed
“There are no set mealtimes expanding in value. It’s hard to get care to provided affordable housing,
and no medication trolleys going staff so we have to play to the strengths LifeCare’s appeal was recently
down the corridor. This is a hotel we have.” unsuccessful.
inspired environment with full acute Having established a foothold in LifeCare is now considering the
nursing care.” the key London market, Nigel said the reasons for this refusal to determine
Staffing ratios (of four residents capital would be LifeCare’s main focus the best way forward.
to one carer) are particularly high in as it seeks to grow in the years ahead. Nigel was scathing in his opinions
order to meet the exacting demands The luxury care provider has of current planning regulations in the

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www.snappytags.co.uk
Tel: 0344 5611994

July 2019 | CARE HOME PROFESSIONAL 25


THE BIG INTERVIEW NIGEL SIBLEY, CEO, LIFECARE RESIDENCES

Albert Suites’ cafe area

capital, however. unrealistic to demand that retirement the problems and we believe we
Unlike other parts of the country, developers, who are seeking to provide should be welcomed because we are
retirement developments are given a a safe and reassuring environment for providing much needed specialist
C3 ‘Residential Market’ classification residents, include an element of mixed accommodation for elderly often
meaning developers are required tenure on their sites. vulnerable people. We are creating
to include an element of affordable “It’s just the reality of a resident jobs. We are lessening the burdening
housing in their proposals. wanting to know they are safe and on social care and the health service.”
“We have been arguing very strongly secure and independent, which The impasse facing London
with Camden and with representations means they have to have a cohesive retirement developers was further
to the GLA that the desire to see a community,” Nigel said. highlighted in April when the Mayor’s
large growth in affordable housing is “Other forms of tenure don’t mix office refused planning permission
absolutely laudable,” Nigel stressed. very well with that.” for a luxury retirement complex
“We don’t have a problem with The CEO said LifeCare had gone in Kensington and Chelsea on the
that at all but there’s also a chronic as far as offering to pay Camden grounds that it included just five
shortage of specialist accommodation Council a contribution for offsite affordable homes, or 3.3% of the total
for older people. affordable housing. properties. London Mayor Sadiq Khan
“If the delivery of retirement “We would accept a formula where wants affordable housing to account
villages is going to be hampered by the we were required to pay a fair amount for 35% of new housing developments.
need to have onsite affordable housing that goes to the council to refurbish Nigel said LifeCare continued to
which is really not compatible – you another extra care facility or build lobby the Mayor’s office, in partnership
are going to lose both.” some new affordable housing,” he said. with ARCO, for a change to the current
The LifeCare CEO argued it was “Regrettably, we can’t solve all planning system.

26 CARE HOME PROFESSIONAL | July 2019


NIGEL SIBLEY, CEO, LIFECARE RESIDENCES THE BIG INTERVIEW

“Surely it is everyone’s interest that efficiency.” or with a local partner.”


you see more of these developments The fact that LifeCare is the only While challenges remain for the
happening?” he said. international retirement community retirement village sector, the relatively
“Planning is the biggest obstacle to operator to have so far come to the immature nature of the market and
the growth of this sector. There’s lot of UK reflects the relative immaturity degree of untapped wealth amongst
financial institutions wanting to back of the market and the combination of the elderly population makes the UK
companies like us because they see the short term and longer term obstacles market a prize well worth fighting for.
long term value in our proposition.” operators face. Around just 0.5% of the “Living in a purpose-built,
Despite planning obstacles, over 65s in the UK live in retirement supported, community environment
however, Nigel said LifeCare developments, compared with more offers people a number of benefits
remained committed to pursuing than 5% in the US, Australia and New to their own independence in later
further growth in the capital and its Zealand, respectively. retirement years and their well-
surrounding areas. “A lot of the others are looking at being and reduces their demand on
The business is close to securing the sector but have not done anything, the public healthcare and social care
further sites in London and hopes to which surprises me because the system, so there is a virtuous circle
have two or three more developments market potential is enormous,” Nigel of benefits in creating these new
completed over the next four or observed. retirement communities,” Nigel said.
five years. “Some of them have strategic “The emerging retirement sector
“We would like to have one being alliances with UK based organisations with a broad spectrum of lifestyle,
built and one going through the but there’s not a lot of evidence of care and nursing services, to go
planning process at any one time,” change yet. Brexit is definitely a factor, with the ability for people to own
Nigel said. as well as exchange rates and other their own property and retain their
“We would like to get a small cluster short term factors. Once the mist independence in later years, is a great
of these types of developments within clears on that I will be surprised if formula for meeting the needs of
a few miles of each other because international operators don’t start to retirees and also creating a sustainable
that brings marketing and staffing come here either directly themselves sector that will grow over time.”

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July 2019 | CARE HOME PROFESSIONAL 27


TECHNOLOGY CCTV IN CARE HOMES

THE GREAT
CCTV DEBATE
FEW TOPICS IN SOCIAL CARE ARE MORE EMOTIVE OR INSPIRE MORE DEBATE
THAN THE ISSUE OF CCTVS IN CARE HOMES. WITH CAMPAIGNERS CALLING FOR
ITS MANDATORY ADOPTION IN ORDER TO HELP AVERT CARE HOME ABUSE AND
INCREASE CARE TRANSPARENCY, CHP TAKES A LOOK AT THE ARGUMENTS ON
BOTH SIDES OF THE DEBATE.

28 CARE HOME PROFESSIONAL | July 2019


CCTV IN CARE HOMES TECHNOLOGY

V
iews on both sides of of failings which she brought to the
the CCTV debate are attention of the home’s managers.
powerfully expressed Within a few weeks her mother was
with those campaigning for then given notice to leave the home on
legislation to make their use mandatory the pretext that it could no longer cater
in care homes arguing it is essential to for her needs.
provide reassurance for families and Jayne, who stressed she advocated
avoid the worst cases of abuse that overt and not covert cameras, said
dominate news headlines. her campaign was focused on the
On the other side of the debate mandatory introduction of CCTV
many leaders of government and safety monitoring in communal areas
sector organisations argue that of the care home only.
compulsory adoption should be an “For us the benchmark to start in
exception to the rule. communal areas is a good one,” Jayne
Head of the Campaign for the told CHP.
Vulnerable, Jayne Connery, has been The campaign director said she
a high profile leader of the campaign would also like to see cameras in
for the mandatory introduction residents’ rooms as well, however,
of safety monitoring in care home provided they had been given consent.
communal areas. “We do not live in a police state
Jayne launched her campaign after and obviously we do have to protect
her mother, who lives with dementia, the privacy and dignity of residents,”
suffered abuse at her first care home. Jayne added.
Because of this precedent, Jayne then She stressed that her campaign was
placed a covert camera in her mother’s not about berating care home providers
care home after noticing irregularities but was a positive opportunity for them
with some of the night care. to increase trust and offer reassurance
Within 24 hours of installing the to families by raising transparency.
camera, Jayne discovered evidence The safety monitoring advocate

CCTV safety monitoring user Andrew Geach with Jayne Connery

July 2019 | CARE HOME PROFESSIONAL 29


TECHNOLOGY CCTV IN CARE HOMES

champions the technology as a way of CCTV had resulted in an 80% drop in the providers to have taken up the
providing vital support to care workers emergency call outs at his home. technology.
who may have been unfairly accused Shedfield Lodge has installed 21 Speaking to CHP last year following
of abuse, while also acting as a useful cameras in all of its communal areas, the launch of a pilot in two homes,
training tool. including exits and outside areas. CEO Tom Brookes said the systems
“Many carers contact our campaign Research by the Express found last had been instrumental in bringing the
telling us they have been accused of month that CCTV in care homes could homes out of embargo and had been
poor care when in fact that’s not the save the NHS £370m each year on key to evidencing allegations of poor
case,” Jayne noted. avoided ambulance call-outs. practice in homes that were no longer
“Care providers are now coming to Jayne also cited how adopting CCTV part of the group.
me and saying we want to know more safety monitoring can be used as a “We were able to evidence base that
about this. positive marketing tool by care home there was good practice going on and if
“We have had many care providers providers. there were any allegations we could go
coming in and saying this has been a “We get reports from providers back and examine them,” Tom said.
huge plus. Carers can look back and see saying their occupancy has increased, The CEO said that while staff had
if they have lifted a resident wrongly, families have trust and carers are been initially suspicious of being under
for example.” more content because they know surveillance, they were now fully on
Jayne also highlighted how camera that if anything should happen it can board with the system.
technology can help care home be picked up and offer them some “You can’t do it in isolation, it has to
providers and the NHS to avoid protection,” she said. be a multi-agency decision involving
the drain on resources caused by Having spent years on spreading her the CQC, local authority, residents and
unnecessary ambulance call outs. message, Jayne said she had begun to their families,” he noted.
“There’s been some so many examples sense a clear shift amongst care home The Orchard boss said use of the
of when a carer has found a resident on providers towards the technology. technology was focused on compliance
the floor and the first thing they have “I do see a positive shift from five issues as well as falls monitoring.
done is call an ambulance because it has years ago when you could see the “It’s a tool in the tool box for turning
been unwitnessed and they may have a nervousness in the sector,” Jayne said. our challenged homes around,”
head injury,” Jayne noted. The care campaign director predicted Tom noted.
“When they look back at the footage change in the industry would be led Cameras have been deployed in
they can sometimes see that the resident by the big providers coming on board communal areas and in the rooms of
placed themselves on the floor.” with the technology. There is evidence residents who have provided consent,
Andrew Geach, CEO of Shedfield that this is beginning to happen with with the system able to be adapted to
Lodge in Hampshire, said installing Orchard Care Homes notable amongst each individual.
While Orchard has begun use of
CARE PROTECT the technology, the UK’s largest care
Care Protect provides independent residents, if they have mental home provider, HC-One, is currently
monitoring CCTV services to capacity, also required for private exploring possible deployment.
health and social care providers. bedroom installations. If residents do A spokesperson told CHP the provider
Random and retrospective care not have mental capacity, consent
was taking a “keen interest” in how
home surveillance is carried out will be sought from health and social
by a team of social workers and professionals and family members. other providers had incorporated the
registered nurses at its secure hub in Consent can also be made through technology into their services.
Northern Ireland. Following review, a Deprivation of Liberty Safeguards “Any future decision regarding the
any safeguarding issues are taken (DoLS) application. use of safety monitoring will follow
up with the care home provider and Ben Wilson, UK Business consultation with the people living
may be referred to the regulatory Development Director, told CHP: “It’s and working in our homes,” the
body if not acted upon. The business important to recognise that bedroom
spokesperson said.
has installed 4,000 cameras at cameras are only ever activated
around 50 UK sites. Clients include on the consent of the resident. It’s “If they support the use of safety
Orchard Care Homes and Priory not a blanket approach. The public monitoring, then like all major
Group’s mental health services. The support the use of this.” Ben added technology investments, we will
surveillance business has a further that areas of a room can be redacted complete several pilot projects, review
2,000 cameras installed through a out for the purposes of privacy and the benefits, and make an informed
deal with the government of South dignity and surveillance may only be decision ahead of any estate-wide
Australia. Nine in ten installations required at certain parts of the day
roll out.”
cover all areas of the home, with or could be triggered by motion if
the consent of the provider and the resident is at risk of falls. As well as gaining significant
traction with care home providers,

30 CARE HOME PROFESSIONAL | July 2019


CCTV IN CARE HOMES TECHNOLOGY

safety monitoring has also won some (DHSC) remained primarily focused Care England CEO, Martin Green,
heavyweight backing from the Daily on preventing abuse from happening told us: “CCTV can give assurance to
Express. In the political sphere, former through a “tough inspection regime” families and residents but it should only
Attorney General Dominic Grieve has and closing down poor quality homes. be installed after a full consultation
called for legislation to make CCTV The DHSC highlighted CQC with residents and families.”
compulsory in all care homes and guidance focused on the importance Martin said CCTV required a
Health and Social Care Secretary, Matt of privacy, dignity and consent issues “significant capital investment”, adding
Hancock, has signalled his backing when considering CCTV installation. there was a lack of consistency from the
for the adoption of the technology in Recently appointed CQC Chief CQC on the issue.
communal areas. Inspector of Adult Social Care, Kate The Care England chief said there
While the movement has its backers Terroni, has also come out against was an urgent need for “clarity” from
in Parliament, ministers and MPs, as a blanket adoption of the technology the CQC.
whole, remain divided, however. arguing it should be an “exception Nadra Ahmed, executive chairman of
Minister of State for Care for Health and rather than a rule”. the National Care Association, added:
Social Care Caroline Dinenage has been The chief inspector highlighted the “The overriding factor in all debates on
amongst those opposed to mandatory risk of breaching the individual’s rights surveillance has to be the preservation
legislation, arguing installation should to dignity, privacy and respect through of the privacy and dignity of the people
be at the discretion of individual care CCTV adoption. we care for whilst keeping them safe in
providers. “What is key here is that those who their chosen environment.
The official government line on are in charge of running care homes “With that in mind we
the issue, moreover, stops short of have enough staff who are suitably need to be responsible in our
sanctioning safety monitoring in skilled, trained, supported and valued representations whichever path
care homes. to do their job well and to always meet we favour.
A spokesperson told CHP the the needs of those who rely on good, “I do not believe that there is need for
Department of Health and Social Care safe care,” Kate said. compulsion or dictates in this debate,
we must be measured in the approach
we take and a lot will depend not only
READERS HAVE THEIR SAY
on the quality of the staff and their
While government, care leaders 81% were in favour of mandatory training in the service but on their
and providers remain divided on adoption. Only 5% disagreed, with leaders - I believe there is no substitute
CCTV installation, CHP readers 10% arguing CCTV should only be
for good leadership and management to
are overwhelming in favour of required in communal areas and 4%
deliver safe care to vulnerable citizens
adoption. A survey with over 400 saying they should only be used in
respondents last month found that exceptional circumstances. in our country.”
Jonathan Papworth, Co-Founder and
Should CCTV be mandatory in care homes % Director of Person Centred Software,
said CCTV cameras offered no “panacea”
Yes 81 to ending abuse in care homes.
No 5 The tech director said sharing care
Yes but only in communal areas 10 information through online portals
Only in exceptional circumstances 4 was a far more “inclusive” solution to
increasing visibility and transparency,
90 while also noting the “significant”
80 expense of camera installation.
70 Jonathan argued mobile evidence of
60 care systems offered more affordable
and much better visibility of the care
50
environment while providing real time
40
accountability.
30 He highlighted acoustic care
20 monitoring as another alternative to
10 CCTV that retained people’s dignity.
0 Judy Downey, Chair and CEO of The
Yes No Yes but only in Only in exceptional
Relatives & Residents Association, also
communal areas circumstances argues that CCTV is ‘no magic bullet’
for the sector (see next page).

July 2019 | CARE HOME PROFESSIONAL 31


OPINION JUDY DOWNEY, CHAIR AND CEO, RELATIVES & RESIDENTS ASSOCIATION

CCTV IS NO
Cameras are no substitute for better
training and rewards for hard-pressed
care staff. It is not good enough that

MAGIC BULLET
there were only five prosecutions
by CQC in 2017-2018 out of 17,000
inspections. The powers exist to take
urgent enforcement action to close a
home or make improvements, which
need to be used far more speedily
JUDY DOWNEY, CHAIR AND CEO OF THE and effectively. The regulator should
RELATIVES & RESIDENTS ASSOCIATION (R&RA), once again become open to receiving
SAID CCTV SHOULD ONLY BE USED AS A LAST and acting promptly on complaints.
It should stop deflecting them to
RESORT IN CARE HOMES.
the source of the complaint or to
safeguarding, which has no regulatory
powers.

W
e in the Relatives & Residents Association (the We cannot rely on undercover
R&RA) completely understand the calls for CCTV surveillance by those with the energy
in care homes. But our daily contact with relatives and knowledge to install it. If the
worried about poor care has convinced us that the use of secret cameras provider installs it, the footage is
by providers is certainly not the answer. We think it’s inappropriate as a their property. There is no evidence
simplistic substitute for individual care and proper supervision. that forcing poor providers to install
We have made two Panorama programmes about the unforgivable CCTV will have a positive effect on
abuse of residents revealed by their relatives’ undercover filming. But the quality of care. Why are care
this happened when they had no response or action from the provider, homes subject to less scrutiny than
the regulator or the local authority - and sometimes all three - when children’s homes? What about those
they suspected or reported abuse and neglect. residents who have no one to watch
over them or speak up for them? Our
research1 showed that this could
amount to 30,000-40,000 older
people in care homes who have no
kith or kin or any outside support.
What about the effects of
‘undercover’ scrutiny on what is
already a poorly paid and undervalued
workforce? Care workers already
feel disaffected and vulnerable and
turnover is higher in this sector than
in any other. A better approach would
be a plan to train, pay and support
care workers. We agree with the
RCN2 that there should be national
guidance on staffing levels and ratios
for care homes.
CCTV can be used, as is too often
seen in the media, as a last resort
because those who should be listening
were not. But, unfortunately, it is not
Judy Downey the magic bullet to cure the ills of this
fractured and fragile sector.

1
Together but Alone, 2010, The Relatives & Residents Association
2
Persistent challenges to providing quality care: An RCN report on the views and experiences of frontline nursing
staff in care homes in England, 2012 RCN

32 CARE HOME PROFESSIONAL | July 2019


APRIL DOBSON, HEAD OF RELATIONSHIP CENTRED CARE, HALLMARK CARE HOMES BEST PRACTICE

RELATIONSHIP
CENTRED CARE
HEAD OF RELATIONSHIP CENTRED CARE, APRIL DOBSON, TELLS CHP THERE IS
NO BLANKET APPROACH TO DEMENTIA CARE AT HALLMARK, WITH EVERYTHING
FOCUSED ON THE NEEDS OF THE INDIVIDUAL

A
pril has been involved in
health and social care in a
variety of capacities since the
1980s with roles in nursing, medical
sales and housing.
“I really became interested in
dementia when I was working in the
housing sector,” April told me.
“I was struck by how little support
there was and how people weren’t
being recognised as having a condition
like dementia.”
Having attended a seminar led by
Professor Dawn Brooker, April went
on to study at the Association of
Dementia Studies before qualifying
as a Dementia Practice Development
Coach at the University of Worcester.
She then went on to lead Abbeyfield
Society’s national dementia strategy
before joining Hallmark last year.
“I had been aware of Hallmark
because of their focus on design
but not so much for their focus on
relationship centred and dementia
care,” April said.
“I met with Avnish Goyal and
Cheryl Wanklyn our group operations
director and I was really impressed
by what they were aiming to achieve.
April Dobson The whole ethos around relationship
centred care made such sense to me.”

July 2019 | CARE HOME PROFESSIONAL 33


BEST PRACTICE APRIL DOBSON, HEAD OF RELATIONSHIP CENTRED CARE, HALLMARK CARE HOMES

Hallmark’s Tree of Life strategy

It was Hallmark’s distinctive Tree of Life lifestyles strategy (see someone to use the abilities they have
approach to providing relationship graphic above) which wholly supports and to learn new skills; and create a
centred care that really drew April to our vision of relationship centred care. sense of home and normality.
the organisation. “Through the strategy we want “As with everything we do at
“I think that everyone at Hallmark to help others understand that Hallmark, the focus is on meeting the
understands what relationship our lifestyles provision aims to be needs of the individual, which means
centred care is, regardless of their empowering, to help people remain a shift away from the group-based
role, and how they can work together independent, connected and happy, activities programme.
to achieve it,” April noted. and to feel a sense of community, “Group activities are great. We have
“There’s a family feel that travels achievement and belonging. This lots of clubs and activities for people
all the way down to people working in is a move away from traditional to choose from, but one-on-one time
the homes.” ‘activities’ provision in care homes is really important and it’s that that
Since joining the business, April’s where residents may sometimes really supports somebody’s identity,
focus has been on dementia care and become spectators of entertainment particularly somebody who may be
developing Hallmark’s relationship and where activities are contrived to living with dementia.”
centred care approach. fill in time. Although special outings, “This means that we need to have
“Relationship- centred care is at the in-house performances and other an in-depth understanding of each
heart of Hallmark’s ethos,” April said. ‘events’ are nice, we need to work person. Life story work helps us to
“It means that we respect and harder to create meaningful activity do this. When people come in, their
support all of the relationships that for each and every person. families help us to understand as
help make every one of us what we are, “We prefer to adopt a more creative much as we possibly can about them
and treat them with the importance and thoughtful approach where and what makes a good day for them
they deserve. activities are viewed as ways that we so we can start to make sure that we
“To me, that means that if we support can all: establish relationships do everything we can to make each day
people’s relationships with others, and give attention; spend time with enjoyable.”
then we are absolutely supporting the someone enjoyably; strengthen and Hallmark has recently implemented
individual. Recently we launched our support someone’s identity; stimulate a programme where all team members,

34 CARE HOME PROFESSIONAL | July 2019


APRIL DOBSON, HEAD OF RELATIONSHIP CENTRED CARE, HALLMARK CARE HOMES BEST PRACTICE

Bucklesham Grange Care Home resident Bernard Cope, 89, with Jared Mullett

from any role within the home, are One of the main themes of our Tree “In some instances strong
matched with residents through their of Life strategy is ‘giving back’. friendships are being made across
shared interests so that they can spend “Many residents will have been three generations. The residents really
time each month with each other volunteers throughout their lives and look forward to the children coming.
doing something they love. This could may value opportunities to continue We have also heard from mums who
include something as simple as talking to do that if they want to,” April said. have felt quite isolated, and who
about or going to watch their favourite Volunteering could include listening would never have dreamt about going
football team. to children read or sharing a skill a into a care home, making friends and
“That’s really important in terms of resident may have learnt. feeling less isolated. For the children
dementia care because it strengthens Hallmark is also rolling out an it’s an opportunity to play with other
and supports somebody’s identity; intergenerational programme with children and it has helped them build
what makes a good day for me makes community interest company, The their social skills.”
me, me,” April explained. Together Project. Hallmark’s homes are being
Residents are invited to join in The programme entails holding challenged to meet all 11 outcomes
housekeeping, cooking, gardening weekly intergenerational activities of the provider’s dementia strategy,
and many other normal daily activities in every home with mums, babies Together, by 2020 in order to gain
within the homes and this can often and toddlers recruited from the local the Hallmark ORCHID (outstanding
provide a sense of purpose. community to take part in music and relationship-centred care home in
“It doesn’t even have to be actually social activities. dementia) award.
doing an activity,” April added. “We are seeing some fabulous The outcomes include making
“It could just be talking about relationships developing between mealtimes a more engaging and shared
it because it’s normal to have residents brought about by their experience through understanding
conversations about stuff you love.” shared love of children,” April noted. what each person needs to make it a

July 2019 | CARE HOME PROFESSIONAL 35


BEST PRACTICE APRIL DOBSON, HEAD OF RELATIONSHIP CENTRED CARE, HALLMARK CARE HOMES

really enjoyable experience. WE PREFER NOT The provider has also introduced
“For example, we may provide the Interactive Me app which collects
individual support such as different
TO ADOPT A life story information about residents
cutlery, menus in an alternative BLANKET APPROACH such as family photos, favourite music
format, or a more familiar TO ANYTHING” and films and TV clips.
environment,” April said. Family members are also able to
Hallmark has developed farmhouse lifestyle programme as well as offering record personal greetings which can
style kitchens that provide a more a stronger focus on music. be replayed on the app.
family type of dining experience “There are some lovely projects Further innovations include the
for those not comfortable with a such as Playlist for Life which use of circadian lighting, although
restaurant environment. is about building meaningful residents are encouraged to make
“We are good at making sure there playlists for people that can be used regular use of the outdoor space.
are different choices and different therapeutically,” April said. The provider is adapting its activities
types of environment,” April noted. Choirs have been formed in homes so that most can be done outside to
“If it’s too noisy for someone we may with the provider’s Welsh services, maximise daylight hours, which are
set up a quiet area somewhere else.” perhaps not surprisingly, excelling in monitored on its iCare electronic care
Team members sit and eat with the area. planning system.
residents where appropriate, which April leads a 12-month, dementia In another innovation, team
can encourage them to eat. coaching programme at Hallmark members have made a short film for a
Offering an environment that called FITS which stands for focused resident who is cared for in bed of the
merges the look of a high quality hotel intervention training and support. gardens that she used to love walking
with a homely feel and compensates The programme was developed by in. The film also includes greetings
for cognitive difficulties is another the Association for Dementia Studies form other residents in the home.
ORCHID target. at Worcester University and is based April she said she remained
“For people living with dementia, on some robust research. Hallmark “cautious” about the use of Virtual
it’s vital that we make the environment team members from every home Reality headsets to offer new
enabling rather than disabling,” April meet each month to expand their experiences to residents, however.
stressed. knowledge of dementia and to share “I have heard anecdotal evidence
“We are lucky that we have the most good practice. that VR can be really great but also
beautiful settings for people to live in Employees who go the extra mile that it sometimes has quite a negative
but that in itself would be of no use if it for residents are recognised through effect,” she noted.
didn’t work for the individual.” Hallmark’s local and national awards “It’s something we would need to
“We’ve learnt more from adopting schemes. look at on an individual basis.”
some of the techniques from the In terms of technology, Hallmark is “Pet therapy is used widely in
Montessori approach to ensure that willing to try anything that may bring Hallmark homes, and many of our
signage provides the right prompts a benefit to residents. teams bring in their dogs on a daily
and invitations for the individual. Tovertafel ‘Magic Tables’ are used in basis – they have become part of
“Through the use of a reading homes as well as the Mobii projection the team.
screening tool we are able to ascertain system and the mobile, interactive “I think we have just about every
the type of signage that people need touchscreen Tiny Tables, providing animal you can think of coming into
– that could be pictures, words or games and therapeutic activities. our homes and they are a great source
objects. We prefer not to adopt a A member of Hallmark’s estates of comfort and enjoyment.”
blanket approach to anything. team is exploring using projectors for April has some positive and negative
“Because every person is an people who are cared for in bed and thoughts about the use of pet robotics.
individual we need to equip our team unable to sit up, which can be used to “I have seen some of the robot pets
members with as many different display images such as family photos in action and I worry that sometimes
tools as possible to help them make onto the ceiling. they could be used as a pacifier rather
connection with each person and “What’s so impressive is that these than as a way to make connections,”
support them in the best way possible. ideas are coming from the people who she said.
We will use anything that gives work with the residents every single “However, if it works for an
comfort to a person whether it’s a doll, day,” April said. individual then of course we wouldn’t
cushion or a cuddly toy.” “That’s the kind of approach I want discount it.
April and her team are also currently to encourage so that whatever we do “We are testing things all the
considering the introduction of a comes from the bottom up rather than time and want to see how they work
horticultural programme within their the top down.” with people.”

36 CARE HOME PROFESSIONAL | July 2019


ENERGY & SUSTAINABILITY

WRAPMASTER COVERS YOUR SUSTAINABILITY NEEDS


ADRIAN BROWN, MANAGING DIRECTOR, COFRESCO FOODSERVICE,
EXPLAINS HOW THE WRAPMASTER 3000 IS THE SUSTAINABLE CHOICE
FOR CARE HOME FOOD PREPARATION

We’ve all experienced the frustrations it reduces waste,


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INTELLIGENT ENERGY SAVING


JOHN SHEPHERD, UK & IRELAND COUNTRY
MANAGER, EXPLAINS HOW WEXIÖDISK
WAREWASHERS’ INTELLIGENT CONTROL
SYSTEMS HELP CARE HOMES SAVE ON
THEIR ENERGY BILLS.

At Wexiödisk, the environment is at


the heart of everything we do, with
each machine striving to become as
green as the landscape of Wexiödisk’s
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Thanks to this dedication to
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such as the ICS+ (Intelligent
Control System) and Duplus which hugely reduce the
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When using Wexioidisk’s ICS+ alongside the WD-153
Rack Conveyor, for example, care home operators can
make a potential 70% energy saving compared with other
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For further information on the Wexiödisk
range of warewashing equipment, please visit
www.wexiodisk.com/en or call 0845 643 0421.

July 2019 | CARE HOME PROFESSIONAL 37


ENERGY & SUSTAINABILITY

ENERGY EFFICIENT WASTE BUSTER


REFRIGERATION EQUIPMENT RICHARD EBBS, COMMERCIAL & MARKETING
DIRECTOR SAYS CARE HOMES PURCHASING
ROZ SCOURFIELD, NATIONAL SALES THE SYNERGY GRILL ACHIEVE A RETURN ON
MANAGER AT HOSHIZAKI UK, EXPLAINS THE INVESTMENT WITHIN A MATTER OF MONTHS.
ENERGY SAVING BENEFITS OF SNOWFLAKE
GII HC REFRIGERATION UNITS.
At Synergy Grill
As some of the few Technology, the objective is
appliances used 24hrs a simple – to help operators
day, 7-days a week, care deliver a better quality of
home caterers must food, using less gas, in a
prioritise energy efficient cleaner manner. Synergy
refrigeration equipment Grill’s innovative, patented
if they wish to minimise technology ensures that caterers can deliver better food
their energy spend at textures and tastes.
the same time as reduce This is achieved by Synergy’s unique process whereby fat
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Designed to efficiently perform in the most demanding be vacuumed or brushed away the morning after service,
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Available in a host of sizes and styles, the units within the for the Synergy Grill is between £10,000 and £13,500 over a
Snowflake GII HC series not only allow care home operators five year period. Taking into account the initial cost of the
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38 CARE HOME PROFESSIONAL | July 2019


PERSON CENTRED SOFTWARE CARE MANAGEMENT SYSTEMS

A CARE MANAGEMENT
increased care staff retention by 40%
and nursing staff retention by a third.
Mobile Care Monitoring also
highlights areas where additional

ECO SYSTEM
PERSON CENTRED SOFTWARE EXPLAINS
training may be needed to enable
managers to operate in an environment
of continuous improvement and team
empowerment.
HOW MOBILE CARE MONITORING HELPS Ernie Graham, owner of Cornford
CARE HOME PROVIDERS BECOME MORE House near Tunbridge Wells, said
EFFICIENT AND IMPROVES STAFF RETENTION, Person Centred Software had enabled
COMPLIANCE AND CQC RATINGS. him to create a care management
ecosystem.
“Providing care is complex and
multi-faceted,” Ernie told CHP.
“We have learnt that the best
technology is provided by companies
who are specialists in a specific aspect
of care. We have a specialist staff
rostering system, a different call bell
system and a different medication
management system. We moved to
Person Centred Software’s Mobile
Care Monitoring system due to its
modern mobile handheld system and
its technical and open architecture.
The Mobile Care Monitoring system
uses mobile devices to prompt care
and record events. It is very visual,
easy to use and it saves a lot of time.
“We want to share the data we have,
for instance with relatives to create
closer relationships. Person Centred
Software’s Relatives Gateway means we
can be transparent with family members
and we’ve found that, rather than
creating additional legal cases, being

C
are homes using Mobile Care Monitoring save time more open actually defuses things.”
on paperwork and can improve the quality of care Care providers are moving away
for residents through automatically reported insights drawn from simply replicating paper to
from real-time information. Used well, these insights can improve electronic processes and now using
compliance and care home ratings, staff retention and occupancy. For care management systems to provide
instance, monitoring fluid intake using Mobile Care Monitoring leads effective insights.
up to a 33% reduction in falls and UTIs. “We see a strong case for integration
More than nine in ten (94%) of over 1,200 care homes using Mobile and inter-operability,” Eddie said.
Care Monitoring are rated CQC ‘good’ or ‘outstanding’. Over 100 care “We have been marketed with ‘one stop
homes so far have improved their overall rating since using the system. solutions’ but don’t want to be limited
Mobile Care Monitoring is the only icon-based electronic evidence of as to the technology. We want to work
care system, which means that the software can be used by 100% of staff, with real in-depth specialists, with the
even if they are dyslexic, non-native English speakers, or not IT-literate. analytics undertaken by each provider.
The ease of use saves every member of care staff the equivalent of three We want to work with the ‘best in class’
days per month compared to evidencing care on paper. in each specialism of care and then apply
Care staff spend more time with residents and evidence care more the analytics from each to combine
easily, which increases staff retention. Rishi Sodha, Care Director at outcomes and mitigate risk, with all the
Handasle Care Homes, said using Person Centred Software’s system had data available in one place.”

July 2019 | CARE HOME PROFESSIONAL 39


CARE MANAGEMENT SYSTEMS COOLCARE

MAKING LIFE EASIER


COOLCARE SAYS ITS CARE MANAGEMENT SOFTWARE IS DESIGNED
TO HELP CARERS SPEND MORE TIME WITH RESIDENTS AND MAKE EVERYONE’S
WORKING LIFE EASIER.

T
he principle behind all really aids users in feeling confident in features. To start with, they brought
our product releases is: using the system and encourages them their staff and resident records online
reduce the amount of to input the data. The design decisions and have been implementing new
time care homes spend entering data throughout the software consider how features with the support of CoolCare’s
and clicking around the system, so to reduce the number of ‘clicks’ it takes training team, as and when their team
they can spend more time with their to complete a process. It also shows are ready for the next step.
residents. The cross benefit to Head users what they need to see upfront Andrea Wyllie, Chief Executive,
Office teams is that they can then rely so they can prioritise their work. If Greenock Medical Aid Society, said:
on data being entered correctly and information is missing or inaccurate, “CoolCare4 has so far been a fantastic
on time so everyone’s working life is the system will warn you and bring that tool for GMAS with regard to both
easier. If something needs bringing to to your attention. Any issues in the residents and staff functions. We haven’t
your attention, CoolCare displays that care home’s admin can then be found started using it to its full potential as yet
information in a way that will prompt and fixed before it becomes a problem. but already we are seeing the benefits.
you to act. Greenock Medical Aid Society, or Information for staff and residents is
Having digital records is a more GMAS for short, is a care provider based available at the click of a button. Our
efficient way to manage data. You can in Scotland with two care homes. They internal processes are being streamlined
review all information centrally and it previously had no digital system in place as a result of our changeover to it, giving
can be accessed by multiple people at and chose CoolCare4 as the platform us accurate information without having
the same time. Once you’ve completed to help them increase efficiency and to put a lot of work in to get it! We are
checking, changing or adding a data reduce costs across their administration still finding our feet with all functions
record, you don’t have to worry about systems. They have now had the system of the system but the staff who are using
filing it – it takes that whole process out. in place for a couple of months and have it are enjoying the learning process
Our system is designed to be been gradually getting used to digitising and are pleased when they see the
exceptionally user-friendly, which their records before adding new end results.”

40 CARE HOME PROFESSIONAL | July 2019


XXXXXXXXXXX XXXXXXXXXXXX

MANAGER OF THE MONTH


JOSI GEORGE OF LARCHWOOD CARE’S ‘GOOD’ RATED MUNDY HOUSE REVEALS HIS
PROUDEST MOMENT.

What do you find most rewarding about


your job?
The most rewarding part about my job is our
residents. Seeing their happy faces can brighten
any day and I’m proud to know I’m making a
difference to people’s lives. The satisfaction you get
from working in the care industry is tremendous
and I’m glad that I get to spend special moments
with our fantastic residents such as milestone
birthdays and anniversaries.

What has been your proudest moment?


My proudest moment throughout my time as
home manager would definitely be receiving the
Outstanding Leadership Award at The Prospers
2018 Essex Care Sector Awards. It is an absolute
honour to win this award because I was nominated
by my own team. Mundy House is a lovely place
with a family feel, but I have a lot of people to
thank for that.

What has been your greatest challenge


and how did you overcome it?
The greatest challenge throughout my career
would have to be improving the staff culture
Christmas spirit: Josi brings a smile to a resident dressed as within our home. Sometimes it can be difficult to
the ‘Mundy House Turkey’
change people’s mindsets, especially when they
feel like they’re in a rut with their daily routine.
I’m pleased to say that Mundy House is a positive

H
ow did you join Larchwood Care? environment for both our staff and residents, and
I have been with Mundy House since 2009 and everyone shows 100% commitment to their role.
have followed the home’s progression through
different management companies. Larchwood Tell us three things you need to provide
took over the home in 2016 and both the company and I have great care?
been committed to providing excellent service. I started my Amongst many other factors, my top three things
journey in the care sector with my first role as a carer and would be: ensuring that you have a kind and
I’ve not looked back. I feel honoured to have been given the compassionate heart; that you are patient with
opportunity to care for elderly people and it’s an experience both your staff and your residents; and having a
that I hold close to my heart. strong organisational culture behind you.

What is special about Larchwood Care? How do you relax?


Larchwood Care is an incredibly supportive organisation to I enjoy many things in my spare time to allow myself
work for, whether this be work related or personal. I find that to relax but my favourite things are cooking, food and
each and every one of the members of staff at Mundy House travel. I was born in India, so I have been brought up
are fully committed to providing excellent levels of care to around some amazing traditional Indian dishes and
our residents and I’m confident that the same can be said for I would definitely say that Indian food would be my
other homes managed by Larchwood Care. go-to dish if I had to pick a favourite!

41 CARE HOME PROFESSIONAL | July 2019


CARE HOME PROFESSIONAL FINAL WORD

CALENDAR OF EVENTS
BEST OF THE WEB
Care Roadshows
Date: 2 July
Top stories on Carehomeprofessional.com Location: Villa Park Stadium, Birmingham
About: Care Roadshows are a series of free regional
care events throughout the UK that inform and

01
inspire care home owners, care managers and all
Care home given one star food rating those within the healthcare sector.
following food inspection Care Sector Fundraising Ball
Date: 28 September
Location: Grosvenor House Hotel, Park Lane

02
About: The new must attend fundraising event
Serious concerns found at ‘inadequate’ Four returns following its successful launch last year in
Seasons home which it raised £140,000 for Alzheimer’s Society
and The Care Worker’s Charity.

03
The Care Show
Man jailed for 12 years for sickening attack Date: 9-10 Oct
on elderly care home resident Location: NEC Birmingham
About: The Care Show is the UK’s largest care
home event dedicated to providing industry

04
professionals with the tools to better care for older
Carer saves resident’s life with anti- people. The show will attract over 2,500 attendees
choking device looking to source new products and services, share
best practice and extend their network.

05 Social worker removed from register for Leaders in Care Awards


Date: 9 Oct
sleeping on duty Location: Hilton Birmingham Metropole
About: The inaugural 2019 Leaders in Care Awards

06
will celebrate the achievements of care providers
Nursing home provider fined £24,000 in the UK and the suppliers that serve them.
Brought to you by CHP and sister title, Home Care
following resident’s death Insight, the awards will take place on Wednesday
9 October at the Hilton Birmingham Metropole, on

07
the first night of The Care Show.
Care worker struck-off for causing
physical and emotional harm

NEXT MONTH IN CARE


08 Care home fined £270,000 after resident
died from eating cleaning tablets HOME PROFESSIONAL
09 ‘Near perfect’ care home rated THE BIG INTERVIEW:
PAUL NEWMAN, CEO OF OUTSTANDING CARE HOME PROVIDER
‘outstanding ’ by the CQC GREENSLEEVES CARE, TALKS TO US

REGULATION:
10 Carer who dragged elderly woman by
wrists and armpits struck-off
CQCCHIEFINSPECTOROFADULTSOCIALCARESERVICES,KATE
TERRONI, RETURNS WITH HER COLUMN

DESIGN:
WEVISITCAREUK’SLATESTCAREHOMEINWITNEY,OXFORDSHIRE
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90,315 page views in the month to June 13, 2019
(Google Analytics)
TECHNOLOGY & INNOVATION:
WE LOOK AT THE LATEST INNOVATIONS IN THE WORLD
OF CARE HOME TECHNOLOGY
Unique users to Carehomeprofessional.com
80,470 unique users in the month to June 13, 2019
TECH TALK:
PERSON CENTRED SOFTWARE SHOWCASES ITS LATEST
(Google Analytics) INNOVATIONS

42 CARE HOME PROFESSIONAL | July 2019


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WITHOUT QCS WE
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‘OUTSTANDING
SERVICE’ Rupert Stocks
Registered Manager, Guyatt House

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