Tag Archives: Care Quality Commission

Camberley autism care home staff were ‘rude and some were bullies’ to residents, say CQC inspectors – Surrey Live

By the reports it is clear that this care home is not a care home, for care appears to be non-existent and as to home, it is far from.

Any staff who have been or found to be abusive need to be fully investigated and reported to safeguarding and suspended from working while doing so.

The lack of management is beyond belief, so responsible managers have to be placed in the establishment as a matter of urgency.

As to a revisit in 6 months, well in a place so severely inadequate as this, that is a very long time and much could occur to make matters worse before getting better, if ever.

Ideally, unannounced visits should be taking place on a weekly basis.

 

 

Source: Camberley autism care home staff were ‘rude and some were bullies’ to residents, say CQC inspectors – Surrey Live

CQC joins call for care staff pay boost to prevent ‘tsunami of unmet need’ – Community Care

Funding from the Government, much more than the paltry amounts already announced, which are way too little, way too late, needs to be made available immediately, but this is never going to materialise from this Government.

Staffing will continue to diminish and then that will be the end of social care and the demise of many in need of social care and then the wishes of this Government and many before them will have come through.

If this Government wishes to see Social Care survive then substantial investment is require of at least £12 billion and the alteration of the UK Immigration Policy to encourage persons from out of the UK to come and work in Social Care.

To make Social Care a more attractive prospect the rate of pay for care workers is required to increase to at least £14/15 per hour and a sick pay arrangement be introduced.

Many other improvements are required but the above are very essential.

 

Source: CQC joins call for care staff pay boost to prevent ‘tsunami of unmet need’ – Community Care

People with learning disabilities ‘failed again’ as CQC closes unit over abuse | Nursing Times

Yet again persons with Learning Disabilities and/or Autism are being let down by the system, a system that due to many years of underfunding is far from ‘fit for purpose’. But underfunding should not be used as an excuse for cruelty and abuse, for this is purely down to management and the standard of carers employed.

However, as the article states if Social Care was sufficiently funded persons could live in their own communities and not be locked away in these , so called, hospitals, for that is a disgrace for they are not hospitals, but more like . But, it is also wrong to say prisons, for prisons would not be allowed to cause suffering in these ways.

What needs to occur is for this Government make good their promises and promises of many previous Governments to once and for all put Social Care on a very secure financial footing. For it is my belief that Social Care has never been sufficiently funded, but 10 years of austerity cuts and then going on 2 years of COVID have caused many more problems for social care, when one would have expected it could not get worse. But much worse is has become, due to many years of Government inactivity with regards to social care.

Unfortunately social care does not receive a good press, for many in the population feel that spending on social care is a waste of money, just because they fail to see the need for social care. This is compounded by government actions in many areas, including the benefits system and how the majority of the media view social care and the persons in need of social care. That is, until a scandal is uncovered, but it is the lead to the scandal which is also of concern. So decrying social care at every opportunity leads to the scandals in the first place.

A ‘White Paper’ on Social care has been promised by many UK governments, but to date not one has delivered. Even when a White Paper is published it may not be the solution, for it will be coming from a Government which has shown many times it cares nothing for social care and the persons who are in need of receiving social care.

So the attitudes of many within the UK, or just England have to improve. For until they do the Human Rights of Persons with Learning Disabilities and/or Autism will not be adhered to.

 

Source: People with learning disabilities ‘failed again’ as CQC closes unit over abuse | Nursing Times

Flintshire County Council’s Decision On Care Home Fees- A kick in the teeth! 

This is disgraceful and furthers the continuation of low pay in the Social Care sector, which has been low for far too long and in no way recognises the skills of care workers.

For to be a good care worker you do have to have skills for in care it is not just about feeding and providing forms of Personal Care, such as, toileting, washing, etc., as there are many other skills needed.

Such as, emotional support, providing care as each individual person wishes, (Person-centred Care),.

Unfortunately Social Care has never been sufficiently funded, which as led to many aspects of poor quality care being provided, as the times allowed to perform the various tasks have never been sufficient.

While sufficient funding is a major consideration, it is not the only one, for the whole aspect of social care needs to be looked at, so that it is based on person-centred care and not systems.

For a person should not have to fit a system, but the system be flexible enough to fit the person. As what is right for one person, will, most likely, not be for the next.

The whole model of social care needs to be drastically reorganised, but with the attitude of Councils, such as, Flintshire Council, this will be difficult to achieve, but a way to achieve has to be found, for then and only then, will the quality of all social care being improved.

Also the checking processes of both the Care Quality Commission, (CQC) and Local Authorities have also to be improved, so that there is more checking on actual care delivery, rather than currently, record keeping. For while record keeping is important, anything can be recorded and who guarantees this is an accurate record, especially with regards to actual care delivery.

People have a right to receive, at least, good quality care, whether they have capacity to understand what is happening to them or not.

But one of the first areas is for the Government and Local Authorities to taken on board the aspect of sufficient funding to ensure good quality care is being provided.

This is why I support the petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care.

 

Source: Flintshire County Council’s Decision On Care Home Fees- A kick in the teeth! | #site_titleFlintshire County Council’s Decision On Care Home Fees- A kick in the teeth!

Woman went 19 months without care after council wrongly stopped direct payments, says report | Community Care

You would hope this is an isolated incident, but, unfortunately it is not, for actions of this nature will be happening throughout the UK on a regular basis, so what is going wrong.

Social Care is an essential service, which, although administered through Local Authorities, (LAs), includes elements of health care within the banner of Social Care.

Social Care is funded from LA budgets, and the LAs receive a bulk of their own funding from Central Government under the LA grant. But due to 10 years of Tory austerity cuts to all LAs, where going on at least 50% of LA funding has been withdrawn and this has been further compounded by additional costs incurred due to the COVID-19 pandemic. While, to some extent Social Care was shielded from cuts, the size of the cuts, meant that sooner or later, Social Care had to take on its share of reduced funding.

This is coupled, by the fact that Social Care has never been sufficiently funded, thereby the provision of Social Care has never been fully provided, leaving many persons with care needs with insufficient care, or none at all. With all the Government cuts, this has only made the insufficiency of Social Care even greater. but, any aspect of under provision of Social Care, will, eventually, have some bearing on increased demand for health care.

Due to an increasing aging UK population,  increasing numbers of persons coming through with longer term or life long disabilities and also living longer, but not as long as persons without disabilities, see LeDeR and other, the need for Social Care is forever increasing, while the funding has been reducing. A situation which is not feasible on a long-term basis, and also not on a short-term basis also.

LAs are therefore looking continually to minimise the need and provision of Social Care to those in need. For some years ago moderate needs would have been covered, but now, moderate needs may not be, as in many instances only significant and complex needs are considered. This process can and does mean, that at times significant and complex needs are missed, which could have been so, in the case of Calderdale, whether by design or error, this is against the requirements of the Care Act 2014. However, due to the complexities around Social Care, not every situation may come to light, initially, meaning referrals to the Local Government and Social Care Ombudsman, or Judicial Reviews may not be proceeded with in the short-term, thereby creating a substantial time to correct any issues. Also, before taking these actions a Formal Complaint has to be made to the respected authority.

However, lack of or insufficient Social Care, is but one problem of many, foreven where Social Care is agreed, there could well be problems, around its quality, its consistency and other aspects. For there are good and not so good Service providers and also carers.

While problems with quality, consistency and other aspects are monitored by the Care Quality Commission and also in-house Local Government monitoring departments, not all are monitored sufficiently and in many instances the persons receiving care, the persons family and others, may not always come forward to complain for numerous reasons. Some of which could be, unawareness or understanding of complaints procedures, poor past experience on making complaints, even threats by Care Providers to withdraw care should a complaint be made, or even mentioned, and many others.

Other problems within Social Care will include, the insufficiency of persons prepared to undertake work in Social Care, especially when the rate of pay is taken into account, some of which may be only the National Living Wage, although some may receive a rate near or above the Real Living Wage.

These are just some of the problems relating to Social Care and its provision, but there are many others.

This UK Government and many previous UK Governments have promised reviews into Social Care, but to date nothing has been undertaken to any degree if at all.

In no way can Social Care be allowed to continue in its present form and especially with regards to its funding, so we all need to do what we can to expedite these issues. One way could be to support the petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care.

Should further information be required this can be found here.

 

 

 

Source: Woman went 19 months without care after council wrongly stopped direct payments, says report | Community Care

Thousands of vulnerable people held unlawfully in care homes – report | Dementia | The Guardian

So, another problem relating to social care,  but is it another problem for it is relating to an existing problem and that is the insufficiencies in Social Care.

For in Social Care there is a capacity problem, in that there are insufficient care workers to provide care to all the persons in need of care in the location they wish to be in.

Many of these persons placed in care homes would wish to stay in their own homes, but to do that more care workers would be required in home care.

Also many of these persons in need of care will need 24/7 care, but there are insufficient care worker to provide the minimum care of, say, visits of 15 minutes to 1 hour. Then there is the question of good quality care, which is far from consistent.

But the lack of care workers is but one of the problems, the main being insufficient funding to provide all the care which is needed.

However, if there was a miracle and a Government came that was prepared to fund social care sufficiently, it would not be able to do so.

This being because when Social Workers do Assessments of Need they tend to only record needs which they feel their Local Authorities (LAs) will fund.

Unfortunately Social Care has never been sufficiently funded, due to this current and previous Governments not willing to fund social care sufficiently. With the 10 years of austerity cuts and now the additional costs relating to COVID-19, this insufficiency is even more serious, which could lead to social care fail for everyone.

When this occurs, even more pressured will be placed on health care, which is already under great pressures.

Yes, this current Government has provided some funding to cover some of the costs relating to COVID-19 costs, but nowhere to the extent required.

An immediate amount of £12 billion needs to be provided, but this will only return the funding to 2010 levels, which has previously been stated was insufficient.

As  this should be monitored by the Care Quality Commission (CQC) and(LAs), but again there is an insufficiency of funding for this to be done fully.

So, Social Care is in a very serious crisis, which led me to create the petition, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care.

Some of the issues raised in the petition were mentioned on Boxing day in a Sky News report, Social Care – The Other Health Crisis, https://news.sky.com/video/social-care-the-other-health-crisis-12172633, regarding an investigation they have done into the crisis in social care.

They highlighted many of these issues and called on the Government to abide by the promise made by Boris Johnson in 2019 in his election winning speech outside 10 Downing Street, one promise that is still outstanding.

Unfortunately Social Care is not well thought of by many persons not in need of Social Care, that is until they do need it. Much of this is down to the Media in how they report on care and the attitudes of Governments, both now and previously and this is also reflected in how benefit claimants are treated.

This all has to change and change now.

Supporting the petition could be a start.

Source: Thousands of vulnerable people held unlawfully in care homes – report | Dementia | The Guardian

COVID-19: Do not resuscitate orders might have been put in place without consent, watchdog says | UK News | Sky News

It is being said that ‘An investigation by the CQC has found DNACPRs may have been used inappropriately as care services were under extreme pressure and had misunderstood guidance on their use.’, but is that just not a ‘copout’?

Surely this guidance has been around for sometime and to not know is just incompetence. For this to be took seriously should not issuing DNRs incorrectly be a criminal offence?

Source: COVID-19: Do not resuscitate orders might have been put in place without consent, watchdog says | UK News | Sky News

State of Care | Care Quality Commission

At long last the Care Quality Commission (CQC) is speaking out about the state of care in the UK and especially the crisis in Social Care, which justifies the need for the petition I created, Solve the crisis in Social Care, https://you.38degrees.org.uk/petitions/solve-the-crisis-in-social-care.

By signing and sharing the petition it will add more weight to the CQC report.

I have also put together further information, should you wish to see it, being Solve the crisis in Social Care more information

 

 

 

 

 

 

Source: State of Care | Care Quality Commission

Do-Not-Resuscitate Order: Care Home Use Reviewed | Same Difference

The use of do-not-attempt-resuscitate (DNAR) orders is to be reviewed after a number were wrongly applied in care homes at the start of the pandemic.

The Care Quality Commission (CQC) will investigate concerns that some care homes still have blanket orders in place covering groups of residents.

It became clear that blanket use was in place in some care homes in the early weeks of the pandemic.

But it was widely condemned by the CQC and medical bodies.

The decision about whether or not to attempt resuscitation if a very sick person falls dangerously ill is supposed to be discussed with the individual, or family members if they are too sick.

Doctors can make a decision on the spot without consultation in exceptional circumstances.

However, the decisions are always supposed to be made on an individual case-by-case basis.

The health minister Lord Bethell has asked the CQC to investigate the latest claims. He told the House of Lords that blanket use of DNARs was “unacceptable”.

 

Source: Do-Not-Resuscitate Order: Care Home Use Reviewed | Same Difference

CQC campaign calls on public to shape future of social care : Care Home Professional

The Care Quality Commission and Healthwatch England have launched a new campaign that calls on the public to help shape the future of health and social care.

Source: CQC campaign calls on public to shape future of social care : Care Home Professional