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Found 287 results
  1. Content Article
    Safety is a key concern in older adult care homes. However, it is a less developed concept in older adult care homes than in healthcare settings. As part of a study of the collection and application of safety data in the care home sector in England, a scoping review of the international literature was conducted by Rand et al. The findings indicate that there are a range of available safety measures used for quality monitoring and improvement in older adult care homes. These cover all five domains of safety in the Safety Measurement and Monitoring Framework. However, there are potential gaps. These include user experience, psychological harm related to the care home environment, abusive or neglectful care practice and the processes for integrated learning. Some of these gaps may relate to challenges and feasibility of measurement in the care home context.
  2. News Article
    Thousands of hospital patients were allowed to return to their care homes without a Covid test despite a direct plea to the government from major care providers not to allow the practice, the Observer has been told. As the crisis began to unfold in early March 2020, providers held an emergency meeting with department of health officials in which they urged the government not to force them to accept untested residents. However, weeks later, official advice remained that tests were not mandatory and thousands of residents are thought to have returned to their homes without a negative Covid result. The revelation will heap further pressure on the health secretary, Matt Hancock, who has admitted some care residents returned from hospital without a test. It comes after Dominic Cummings, the prime minister’s former senior adviser, last week accused Hancock of misleading the prime minister over the policy, during his unprecedented evidence in parliament. Some 25,000 people were discharged to care homes between 17 March and 15 April, and there is widespread belief among social care workers and leaders that this allowed the virus to get into the homes. Read full story Source: The Guardian, 29 May 2021
  3. News Article
    The refusal of an arm of the Scottish Government to release information about deaths in individual care homes during the pandemic has been branded “shameful” and “shocking” by opposition parties. National Records of Scotland, which is responsible for the official recording of deaths in Scotland, breached Freedom of Information legislation by refusing to release the number of confirmed and suspected COVID-19 related deaths in each of Scotland’s care homes, the Scottish Information Commissioner has ruled. While care home death figures have been published, the NRS refused to break these down by care home, citing “speculative” arguments about this release impacting care workers and the commercial interests of care home operators, the commissioner said. “This is another devastating blow for the care home residents and families who have been denied justice,” he said. “Those responsible must be held accountable and lessons must be learned. “We need a Scottish public inquiry without delay.” Read full story Source: The Scotsman, 21 May 2021
  4. Content Article
    Back in February, the team at Patient Safety Learning highlighted how the number of antipsychotic medication prescriptions for people living with dementia had increased in care settings.  What’s worrying, is these prescriptions can be administered inappropriately and cause tremendous harm. This is one family's pandemic story. 
  5. News Article
    More than 60 care homes have been investigated by the care regulator for preventing families from visiting their vulnerable elderly relatives. The Care Quality Commission (CQC) said it had conducted 1,282 inspections since 8 March and had taken action against 5% of care providers about which it had “outstanding concerns” relating to visiting, and had taken further steps against 37 cases of blanket bans on visiting. The CQC was responding to criticism from the Relatives and Residents Association (R&RA) which said the regulator had failed to act to ensure that families can check whether their parents, grandparents or spouses are receiving appropriate care. The R&RA has campaigned throughout the pandemic to allow families to see their relatives, amid concerns that depriving older people of contact with loved ones led to cognitive and physical decline. Families have also been concerned that their older relatives are more likely to suffer abuse or neglect without oversight, and even in high-quality care settings relatives can be more likely to spot signs of distress or ill-health. Read full story Source: The Guardian, 16 May 2021
  6. Content Article
    The Care Inspectorate’s chief executive Peter Macleod has written to providers of care home services for adults and older people. Peter’s letter outlines key findings from our inspections between April 2020 and March this year. This includes the positive practice and improvements found as well as general areas for improvement identified.
  7. News Article
    The vaccination rate for staff at older care homes is below the recommended level set by scientists in more than half of England’s local authorities, analysis of NHS England data has revealed. Data as of 18 April shows that 76 out of 149 LAs had not reached the 80% vaccination threshold for care home staff to provide a minimum level of protection against COVID-19, according to the PA news agency. In 17 areas, less than 70% of staff had received a first jab. Lambeth, where 23 cases of a South African COVID variant have been recently reported in a care home, had the lowest uptake at 52.4%. The government last week announced the launch of a five-week consultation on mandatory staff vaccination as a result of the failure in some areas to reach the designated threshold. Read full story Source: Care Home Professional. 23 April 2021
  8. News Article
    The mother of a man who died after suffering neglect said she felt "extreme distress and anger" at a critical new report into his care home. James Delaney, 37, died while he was a resident at Sapphire House in Bradwell, Norfolk, in July 2018. After an inadequate rating by the Care Quality Commission (CQC), Mr Delaney's mother said she felt lessons had not been learned from her son's death. A spokeswoman for operator Crystal Care said it had "addressed all concerns". Mr Delaney, who died of a diabetes-related illness, was required to take insulin twice a day, but, despite staff noting he had not taken insulin for three days, they failed to take action. Jacqueline Lake, senior coroner for Norfolk, said at his inquest in 2019 there had been "a gross failure" by the care home to provide "basic medical attention". The home, which houses up to five people who have a learning disability or autistic spectrum disorder, was inspected in January and February 2021 after two whistleblowers alleged that abusive practices were taking place - a claim which is being investigated by the local safeguarding team. CQC inspectors found "people were not safe and were at risk of avoidable harm", and while risk assessments for diabetes, medicines and behaviour management existed, information was often "lacking or inaccurate". After reading the report, Mr Delaney's mother, Roberta Conway, said her reaction was one of "extreme distress and anger". She said the coroner had "pointed out what needed to be done, and it hasn't been done". "It cost my son his life and I don't want to see anybody else's life being wasted," she added. Read full story Source: BBC News, 21 April 2021
  9. News Article
    A care home under investigation over a resident's death has been rated inadequate for the second time. Merseyside Police began investigating Prescot's Griffin House after the death of a 90-year-old man in June 2020. The Care Quality Commission (CQC) rated it inadequate in September, highlighting safety concerns and a report from February, released on 9 April, found it had not improved. The inspection on 24 February found management had failed to adequately address the problems previously identified by the CQC and there were new concerns relating to staff recruitment. Inspectors found medicines were not always administered safely, COVID-19 guidance was not always followed and there was not always enough staff on duty. They also noted some staff had not had proper background checks before starting work, but added that since the inspection, a new system had been introduced to ensure checks were carried out. The report said the home's management "refused to follow government guidelines and participate in lateral flow testing for visitors to the home as they did not believe these tests were accurate". Read full story Source: BBC News, 13 April 2021
  10. Content Article
    This guide, from the Social Care Institute for Excellence, aims to support day care managers, social workers, commissioners and providers, to restart or continue activities following the COVID-19 social distancing restrictions. It is focused on community-based day services, day centres (with and without personal care), including specialised day centre environments, and those with outdoor spaces.
  11. News Article
    Campaigners have started legal action against the government over guidance that bans care home residents in England aged 65 and over from taking trips outside the home. John's Campaign, of residents and their loved ones, says the ban is unlawful. They are also challenging the requirement for residents to self-isolate for 14 days after such visits. The government said its guidance provides a "range of opportunities" for visitors to spend time with loved ones. Nearly all residents have now had at least one dose of the vaccine, and care homes have been cautiously reopening, allowing indoor visits with designated family or friends. But the government guidance, updated on 8 March, says trips to see family or friends "should only be considered" for under-65s while national Covid restrictions apply because they increase the risk of bringing Covid into a home. Visits out for residents, whatever their age, "should be supported in exceptional circumstances such as a visit to a friend or relative at the end of their life", it adds - but on returning to the home, the resident must self-isolate for two weeks. The legal letter sent to the Department of Health and Social Care by John's Campaign says the decision whether someone can go on a visit outside a care home should be based on individual risk assessments. Read full story Source: BBC News, 2 April 2021
  12. News Article
    Two nurses whose failures contributed to the death of a disabled woman carried on working at a care home because they "knew residents well". Rachel Johnston died after an operation to remove all her teeth in 2018. Staff at Pirton Grange, near Worcester, failed to spot her decline and did not carry out basic checks. Worcestershire Coroner's Court heard that despite their actions amounting to misconduct, they were "consistent" and it was better if residents knew carers. Senior coroner David Reid concluded last month that neglect contributed to her death. and the 49-year-old would probably have survived if the staff acted sooner. Agency nurses Sheeba George and Gill Bennett failed to carry out routine checks and get emergency medical assistance, the inquest heard. Giving her delayed evidence on Friday, care home manager Jane Colbourn said she accepted their actions amounted to misconduct, but they were allowed to carry on working at the home and other residents were not at risk. "At the time I would say, although what's happened has happened, they were consistent nurses who knew those residents well and it's better to have those nurses rather than nurses that don't know the other 34 residents at all," she said. Read full story Source: BBC News, 27 March 2021
  13. News Article
    An elderly woman died alone in a care home while her daughter was left waiting in a nearby room, an ombudsman says. When the daughter went into her mother's room at the Puttenham Hill House Care Home in Guildford, Surrey, she found she had died. The Local Government and Social Care Ombudsman said the care home had not protected the woman's dignity. Surrey County Council has apologised to the family for the distress caused. The council had arranged and funded the woman's care at the Bupa-run home. A Bupa spokesman said it had apologised to the family and introduced "comprehensive measures" to prevent such a situation happening again. The woman's daughter had complained she had been called too late to the care home when her condition deteriorated in August 2019. When she arrived she was left in a waiting area and not told her mother was seriously ill, the ombudsman said. When she went into her mother's room 15 minutes later it was apparent her mother had died, and she found dried blood on the floor and oxygen pipes in her mother's nose. The agency nurse looking after the woman never spoke to the daughter, the ombudsman said. An inquest found the woman died from a brain haemorrhage, which would have been difficult to spot. Michael King, Local Government and Social Care Ombudsman, said: "The daughter was not able to be with her mother as she died and her mother should not have been alone in the final moments of her life." Read full story Source: BBC News, 23 March 2021
  14. News Article
    Care home workers in England could be legally required to have a COVID-19 vaccination under plans being considered by the government. According to details of a paper submitted to the COVID-19 operations cabinet subcommittee last week and leaked to the Telegraph, the prime minister, Boris Johnson, and the health secretary, Matt Hancock, have agreed to the proposal in order to protect vulnerable residents. The move would prove highly controversial and could result in legal challenges. The cabinet subcommittee paper warned a large number of social care workers may quit if the change is made, and said that lawsuits on human rights grounds could be possible. A government spokesman insisted “no final decisions have been made” but did not rule out jabs being made compulsory for care workers. The government is also reviewing the introduction of vaccination passports. Read full story Source: The Guardian, 22 March 2021
  15. Content Article
    Government guidance on the changes to care home visits.
  16. Content Article
    New research by the Health Foundation shows that the amount of hospital care received by those living in care homes in England rapidly declined in the first three months of the pandemic in 2020 and was substantially lower than in the same period in 2019.   The research, which is due to be peer reviewed, provides the first comprehensive and national analysis of all hospital care provided to care home residents during the first wave of the pandemic. It appears to substantiate concerns that care home residents (including those in nursing homes and residential care) may have faced barriers to accessing hospital treatment as the NHS rapidly reorganised to free up hospital capacity to care for critically ill COVID-19 patients. 
  17. News Article
    Blanket orders not to resuscitate some care home residents at the start of the Covid pandemic have been identified in a report by England’s care regulator. A report published by the Care Quality Commission (CQC) found disturbing variations in people’s experiences of do not attempt cardiopulmonary resuscitation (DNACPR) decisions during the pandemic. Best practice is for proper discussions to be held with the person involved and/or their relatives. While examples of good practice were identified, some people were not properly involved in decisions or were unaware that such an important decision about their care had been made. Poor record-keeping, and a lack of oversight and scrutiny of the decisions being made, was identified. The report, 'Protect, respect, connect – decisions about living and dying well during Covid-19', calls for a ministerial oversight group – working with partners in health and social care, local government and the voluntary sector – to take responsibility for delivering improvements in this area. The report surveyed a range of individuals and organisations, including care providers and members of the public, and identified: Serious concerns about breaches of some individuals’ human rights. Significant increase in DNACPRs put in place in care homes at the beginning of the pandemic, from 16,876 to 26,555. 119 adult social care providers felt they had been subjected to blanket DNACPR decisions since the start of the pandemic. A GP sent DNACPR letters to care homes asking them to put blanket DNACPRs in place. In one care home a blanket DNACPR was applied to everyone over 80 with dementia. Read full story Source: The Guardian. 18 March 2021
  18. Event
    until
    While the pandemic didn’t cause all the shifts happening in healthcare, it had a major hand in accelerating and shaping the changes that will alter the healthcare landscape far into the future. Join Fierce Healthcare as we examine the tectonic transformation across healthcare. We’ll explore changing consumer expectations in access to care, the moves by major tech players and providers to reach their customers and strategies for actually paying for everything. Register
  19. Content Article
    CQC review of ‘do not attempt cardiopulmonary resuscitation’ decisions during the coronavirus (COVID-19) pandemic.
  20. Content Article
    This guidance has been designed to support providers of care homes, premises based support services, school care accommodation, secure care and premises based offender accommodation to ensure they are appropriately assessing and providing staffing levels to meet the needs of people in their care, following the removal of staffing schedules. Inspectors may also refer to this guidance on inspection, for instance where intelligence may lead us to believe that staffing levels are not being appropriately assessed. Examples of this may be evidence of poor outcomes for people, an increase in incidents, number of complaints, staff absence, or a complaint investigation. 
  21. News Article
    The unlawful or inappropriate use of “do not attempt cardiopulmonary resuscitation” (DNACPR) orders by some clinicians risks undermining the care of terminally ill patients, almost 40 leading doctors, nurses and charities have warned. During the coronavirus pandemic repeated examples of unlawful decisions have emerged including widespread blanket orders on care home residents and patients with learning disabilities. Now the charity Compassion in Dying along with Marie Curie, Hospice UK and Sue Ryder, as well as more than 30 GPs, nurses and doctors, are warning more must be done to listen to patients and their families. In a joint statement, signed by more than 30 clinicians, they warn: “There have been examples of poor practice in relation to DNACPR decision-making during the pandemic, and the distressing impact this has had on patients and families cannot be underestimated. It is essential to thoroughly understand and learn from these cases to ensure that they do not happen again." “We are aware that the benefits of DNACPR decisions can be easily undone if they are not accompanied by honest, open and sensitive communication with a person’s healthcare team. To ensure that everybody who encounters a DNACPR discussion has a positive experience, we need to do more to listen to individuals and their families; their wishes must be sought and documented, their questions answered and their feelings acknowledged. “A DNACPR decision must always involve the person, or those close to them, and should be part of a wider conversation about what matters to that individual.” Read full story Source: The Independent, 8 March 2021
  22. Event
    until
    We all need care at some point in our lives. And as many as 8.8 million of us are already carers. Despite that, in just two years, the number of older people living with an unmet care need has risen by 19%. Why is our care system so neglected? Our care system was in crisis before the pandemic and remains in crisis now. It'll continue to be in crisis long after we're vaccinated against COVID-19. A system under stress, carers under pressure and those in need of care facing neglect. This is our new normal. Can nothing be done about this? Join our host, Claret Press publisher Katie Isbester PhD, and our three guests, as they grapple with the big issues that affect us all. They will talk with Professor of Sociology Dr Emma Dowling and the Director of UNICARE at UNI Global Union Mark Bergfeld, as well as acclaimed writer, with lived experience of care, Sarah Gray. Register
  23. News Article
    A man was left in a care home for five months without regard for "basic human rights", an investigation has found. The Nottinghamshire man, who had dementia, was placed in the home for two weeks as respite for his family. But the county council failed to properly assess whether he could return home, leaving his family with a £15,000 care bill, the Local Government and Social Care Ombudsman said. The authority has apologised and said it would make improvements. The ombudsman launched an inquiry after complaints from the man's family. He was placed in the care home by his wife while she struggled to look after her son, who had been diagnosed with terminal cancer. The investigation found that after the first two weeks, the man's wife said she still could not cope with his return. But instead of carrying out a review or assessment to judge what support was needed for him to potentially go home, the council allowed the case to "drift". The ombudsman, Michael King, said: "The man had a right to respect for his family life, and to enjoy his existing home peacefully." "But the council did not have any regard for the man's human rights during those five months he was away from his family." In its report, the watchdog said it found "fault causing injustice". Read full story Source: BBC News, 4 March 2021
  24. News Article
    Care home residents and staff were put at risk of infection because personal protective equipment (PPE) was used wrongly, a health watchdog has said. Croft House, in Ossett, near Wakefield, has been put in special measures after being deemed "inadequate" by Care Quality Commission (CQC) inspectors. The home was "not well-led", according to the inspectors who visited last year. The CQC report, which was published last week, highlighted a number of measures had not been taken, meaning staff and residents were exposed to the risk of infection transmission, according to the Local Democracy Reporting Service. "Staff could not safely put on and take off PPE as this was stored in people's rooms. Staff needed to cross the room to collect the PPE," the report said. Meanwhile, there was no hand sanitiser in the corridors or bins to dispose of PPE and staff "were not effectively wearing PPE", it added. Residents at the home, which provides nursing and residential care for up to 68 people, were at "risk of missing medication or being given incorrect medication" because of how systems were managed, the report said. However, relatives spoke highly of staff at the home, with one family member describing an employee they knew as "accommodating and helpful", according to the report. Countrywide Care Homes, which runs the site, said improvements had been made since the inspection on 18 December. Read full story Source: BBC News, 2 March 2021
  25. Content Article
    In this blog, Steve Turner, a qualified nurse, specialising in clinical educational and patient engagement, offers up four tips for managing medicines in care home settings, under the following headings: Care Homes must have a medicines policy that is regularly reviewed. People must have an accurate listing of their medicines on the day they transfer to the care home. People who live in care homes should have at least 1 multidisciplinary medication review per year. Ensure you have safe systems for administering and recording medicines. To read the full blog and to find out more about each tip, follow the link below.
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