Is it the best we can do, to
close care homes down?
In the Care Industry, one of
the biggest Industries in the UK, bad care is endemic, and from the
considerable research undertaken over many years, has long been known.
All services are duty bound to
cherish the people in their care. Yet Health and Social Care, in its current
configuration, does little to stop leaving people living in care fearful of
facing their own fate, alone and frightened.
The concept that lack of money
and limited resources being the main cause of failing care services, are
disingenuous. Bad care will be found where management leadership systems are
professionally dysfunctional, and disconnected, are not closely linked to the
shared respect, value and support of its staff and where they are not making
the best use of practical hands on training and new research, education and
development.
According to Sir Robert
Francis “the following accumulation into the warning signs of a culture of
abuse and neglect
- A negative culture
- Disengagement and not listening to those being cared for or staff,
- Poor governance
- Lack of nursing and care standards in service
- Lack of openness to criticism
- Lack of consideration for those receiving care
- Defensiveness and secrecy,
- Acceptance of poor standards*
(*
Taken from Sir Robert Francis QC- Summary of The Mid Staffordshire-NHS
Foundation Trust Public Inquiry).
Management cannot guarantee
any good quantified experience and will struggle when systems show all the risk
of safeguarding issues where:
- It has failings at organisational levels
- Hasn’t the presence of an effective staff team,
- Staff struggle to cope without united guidance, support and encouragement
- It does not enable good management and leadership practices to prevent the disregard of the welfare of the people receiving care
- You cannot have good care because not everyone works together.
Such care systems will stifle
innovation; it leads to poor attitudes and approaches that demotivate staff and
leads to staff resigning because they cannot deliver the standard of nursing
and care they would wish.
Therefore, care providers
become reliant on good care from individuals, rather than cohesive team work.
In the Foundation’s opinion,
it is not an acceptable answer to unsafe care, to simply close services and
move people out. Within the Foundation’s own core values, it must stand up to
challenge any philosophy that appears to support care by punishing people who
have been abused, but not the people that have carried out the abuse.
To extract people who have
been abused and neglected out of their care service, and to move them into
others, having no guarantees that these care standards are any safer, is surely
not the right directions for improving the protecting frail and vulnerable
people. Particularly if at a later date that care service too is deemed unsafe
and requires closure.
Neither, in such circumstance,
should good care workers be punished by having their reputations tarnished when
they have done no wrong, and for them to find themselves jobless, when their
services are closed.
In care, today it is not
enough to simply rely on current systems of Legislation and Regulation to
improve care, as they do little to address the many conflicts of interest that
exist, and merely promote systems that are not fit for purpose.
In any industry staff will
struggle to be motivated, and to do what they want to do best, if they don’t
always receive the value, support and training from their own work environment.
They will lose confidence in their own skills, management leadership, and in
the direction of their organisation.
The Foundation believes that
if all care services reflected best practices and high standards of The Edith
Ellen Foundation’s holistic kindness training in care attitudes and approaches,
it would eradicate most of the abuse, neglect, and social isolation still being
ignored, or as yet laying undiscovered in some services.
Prevention not reaction is the
answer to more improved and consistent care. The real alternative to abuse and
neglect in care is through training supporting, nurturing and growing those
caring people who dedicated their care for others.
The Edith Ellen Foundation
exists because we all deserve better care.
Together by looking at care
differently and through involving and supporting everyone delivering and
receiving care, the Foundation’s Purple Butterfly is the signatures for making
safe and improved care happen, for all people.
The bigger the problem
The greater the opportunity to ensure that human warmth, compassion and
kindness is sustainable in all social care services
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