So,
inspections come and go, often homes will be passed at the shock of staff that
really know what goes on and relatives that are too scared to talk for fear of
eviction of loved ones.
Care
Providers congratulate themselves on a “job well done” and increase prices while
the standard of Care is reduced and food quality is lowered.
Of
course, Directors get their bonuses, managers get their new cars and those off
the “shop floor” get a pay rise while those on the “shop floor” see nothing!
So, what needs to change?
For
starters, forget chandeliers and posh furnishings, services users would prefer
the money went on adequate staff numbers so they can get their bell answered
quickly, get to the loo etc.
Staff
are not being retained for a reason, and surprisingly it's not pay as they know
this before the job starts. It is in fact the lack of support and training, not
being given the time to care properly etc.
Computer
e learning should be banned, it doesn’t teach how to be caring and unlike a
trainer it isn’t perceptive enough to understand or see how learners are reacting.
Training should be on the job, have a
scenario and see what staff pick up on that patients care plan etc and what is
done wrong. Have the staff themselves
identify concerns and how they need to be addressed in the safest possible way.
Stop
putting untrained workers in situations they are ill equipped to cope
with. Training, should be ideally where
possible off site and for a minimum of 3days intensive. Then an additional 12 weeks on the floor where
training is assessed, skill, knowledge and understanding is signed off against
criteria set. The full 13-week program
could be the probation period, the incentive a pay increase on satisfactory completion.
Nutrition,
food should be plentiful and often, and of right textures. Jugs filled with fresh drink twice a day.
Each
Service Users is paying a lot of money per week (more than the average monthly
rental* of a 4-bedroom house) to be supported and to maintain the routine they
had at home, and yes if they are used to a shower at midnight, then why not?
How
many patients are on sedating medication, when was this last reviewed?
How
many of these things do inspectors look at?
Do
inspectors look at call bell time answered history?
Homes
should have a manager or deputy on 7 days a week, receptionist 7 days a week
and all day so Nursing and care staff don't take this on.
Cleaners,
what is wrong with having just 1 around doing quiet things at night such
ironing or sorting clothes out for respective service users, whilst being there
if needed for little cleaning incidents.
For
money paid and service received wouldn't a breakdown of cost per patient to
profit made be interesting?
How
many people can be taken for a short walk in the fresh air, or the posh gardens
seen in the brochure with loads of people out there with cakes and lemonade,
just for show again of course. What an
excellent ploy…
Think
Advertising Standards Agency should be looking in to brochure promises and care
delivered. Care home reviews filtered to show only good ones as well, nothing
changes.
*Just for comparison and clarity
Care/Residential Home
|
Privately Rented
4-Bedroom House
|
The difference
|
“Rent” per
week £631
= £32,812per
52 weeks
|
Rent per
week £200.77
= £10,440per
52 weeks
|
£430.23
per week
£22,372
per 52 weeks
|
Number of resident’s
average at 28 per home
|
Number of resident’s
average at 4 per home
|
That’s 24
more people in the Care/Residential home
But that
is also 27 more people paying £631 per week
|
£631 per
week x 28 residents’
= £17,668
per week
|
The rent
would still be the same no matter how many people live here
|
With a “rental”
income of £17,668 per week this equals £918,736 per 52 weeks for the care
home
|
Bills are inclusive
|
You need
to find the extra to pay bills
|
|
All your
belongings need to fit into one small room
|
Though your
home hasn’t got elastic walls you can spread your personal belongings around
a few rooms
|
|
Toileting has
a timetable – you pee when the care staff decide you pee
|
You can
get up and use your bathroom as you need
|
In a
private home, no one dictates to you your toileting habits
In care if
you’re not scheduled to toilet then your unlucky and may have to soil
yourself
|
Hydration is
on a set timetable
|
Thirsty? How
about a cuppa
|
Ditto to
the above
|
Nutrition –
its barely palatable but you get 3 meals a day
|
Hungry? Fancy
a biscuit with your cuppa?
|
Ditto to
the above
|
Bathing timetable
– you can bath on Mondays at 5pm and Fridays at 8am if we have the staff
available
|
Feeling dirty
grab a quick shower, fancy a soak at 10pm why not
|
Ditto to
the above
|
Its inclusive
in the weekly fee
|
Need care?
The average pay is about £30,000 per year for full time
|
Its more
cost effective go into a care home but the pro’s and cons far out weigh this
|
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