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Content ArticleThe Social Care Institute for Excellence (SCIE) and Think Local Act Personal have been facilitating a Community of Practice (CoP) for commissioners looking to work with co-operatives and community businesses. The CoP brings together nine local councils with a shared ambition to move away from large scale ‘time and task’ home care. This report details learnings from phase one of the CoP which has concentrated on sharing the ambition, opportunities, risks and barriers to developing community businesses and co-operatives.
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Content ArticleThey play a vital role in society, but workers in adult social care – who are mostly women – are among the lowest paid in the UK and experience poor working conditions. This report by The Health Foundation analyses national survey data from 2017/18 to 2019/20 to understand rates of poverty and deprivation among residential care workers in the UK. It then compares these rates to other sectors including health, retail, hospitality and administration. The analysis demonstrates that: over a quarter of the UK’s residential care workers lived in, or were on the brink of, poverty. Nearly 1 in 10 experienced food insecurity. Around 1 in 8 children of residential care workers were ‘materially deprived’, meaning they may not have access to essential resources such as fresh fruit and vegetables or adequate winter clothing. the prevalence of poverty and deprivation in residential care is similar to hospitality, retail and administration. But residential care workers experienced much higher rates than most workers – and were at least twice as likely to experience poverty and food insecurity than health workers. Their dependent children were nearly four times as likely to experience material deprivation than children of health workers. The report highlights that political and economic conditions have changed since the data they looked at was collected, meaning that the situation is likely to have worsened for many social care workers. The poorest households in the UK are being disproportionately affected by sharp rises in inflation and poverty is set to increase. The report also highlights chronic underfunding in the social care sector, particularly in England, and calls on the new Government to make it a priority to ensure social care workers are paid fairly.
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Content ArticleThis guidance from the Care Quality Commission is aimed at adult social care services managers and staff. It explains the care needs associated with type 1 and type 2 diabetes.
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Content ArticleUsing a number of analytical approaches, this working paper from the World Health Organization (WHO) attempts to estimate the global number of deaths in health and care workers due to Covid-19. It includes a breakdown of deaths by WHO region and country. It demonstrates that data reported to WHO has greatly underestimated the scale of infection and death among health and care workers, and calls for targeted approaches to increasing vaccination uptake in health and care workers worldwide.
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Content ArticleThe impact of COVID-19 has created an extremely challenging time for the social care workforce. Skills for Care have identified training that remains a priority during this period to ensure there is a skilled and competent workforce. The training is available as three individual packages of learning, rapid induction programme (aimed at new staff), refresher training (aimed at existing staff) and a volunteer programme. Find out more on each area via the link below.
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Content ArticleElderly people in care homes in Cornwall were abused and neglected while failings led to reports of concerns not being investigated, a new Safeguarding Adults Review has found. The Morleigh Group, which operated seven homes in Cornwall and has since shut down, was exposed in a BBC Panorama investigation in 2016. A new Safeguarding Adults Review which was commissioned as a result of the TV show has been published making a number of recommendations to all agencies which were involved in the case. The review was completed in April 2019 but has only just been made public - Rob Rotchell, Cornwall Council Cabinet member for adult social care said that this was due to the number of agencies being involved.
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- After action review
- Clinical governance
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- Root cause anaylsis
- Older People (over 65)
- Care home
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Content ArticleIn this briefing The Health Foundation provides an overview of the impact of the COVID-19 pandemic on social care in England. In part 1 they describe how the pandemic unfolded in the social care sector from March until June 2020, and in part 2 they examine the factors that contributed to the scale and severity of outbreaks in care homes. In part 3 they attempt to quantify the disruption to health and social care access from February until the end of April 2020.
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Content ArticleThis article from Petriceks and Schwartz, published in Palliative & Supportive Care, describes a four-element approach centered on Goals, Options, Opinions and Documentation that serves as an effective structure for clinicians to have conversations with patients and families to address care management when the path forward is unclear.
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Content ArticleThe Care Quality Commission (CQC) has published the first of what will be a regular series of insight documents intended to highlight COVID-19 related pressures on the sectors that CQC regulates. This document draws on information gathered through direct feedback from staff and people receiving care, regular data collection from services who provide care for people in their own homes, and insight from providers and partners. The information collected from these sources is being used to understand the wider impact of COVID-19, to share regular updates with local, regional, and national system partners and the Department of Health and Social Care, and to highlight any emerging trends and issues.
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Content ArticleThis report, from the International Long Term Care Policy Network, provides examples of the policy and practice measures that have been adopted internationally to prevent COVID-19 infections in care homes and to mitigate their impact. This is a 'live' document that will be updated regularly and expanded as more information becomes available.
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Content ArticleEmotional resilience has become a buzzword in the helping professions. Although resilience has been incorporated into the “official discourse” of social work, it is important to consider: • What does resilience mean? • To what extent do we as social workers need to be resilient? • Can resilience really protect our wellbeing and improve our professional practice? • Perhaps most importantly, how can we build our resilience to help us thrive in a profession that, although rewarding, can be very stressful? This evidence-based resource by Community Care Inform, aims to provide some guidance to help you navigate your professional journey. Based on their own research and that of others, they highlight the importance of emotional resilience in protecting your personal wellbeing and enhancing your professional practice and suggest ways to help you develop this important quality.
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Carers UK: Coronavirus guidance
Patient Safety Learning posted an article in Good practice and useful resources
Carers UK's website sets out the current government guidance as it relates to carers and offers suggestions for making plans. They've also answered common questions many carers have been asking on their FAQ page and offer some tailored tips on keeping a positive frame of mind in their Wellbeing Action Plan. For recent updates to the benefits system, see their A-Z of changes to benefits, assessments and support – COVID-19.- Posted
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Content ArticleIn this blog, Patient Safety Learning considers the impact of the COVID-19 on the social care sector in the UK. This blog highlights the emerging patient safety issues the pandemic is creating in the sector and recommends some essential steps that need to be taken now to tackle some of the most urgent patient safety concerns.
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Content ArticleThis is the written transcript and the video recording of the Health and Social Care Committee meeting that took place on Friday 17 April on the topic of: Management of the Coronavirus Outbreak. Witness(es): Dr Alison Pittard, Dean, Faculty of Intensive Care Medicine; Dame Donna Kinnair, Chief Executive and General Secretary, Royal College of Nursing; Professor Anthony Costello, Professor, UCL Institute for Global Health Witness(es): Matt Hancock, Secretary of State, Department for Health and Social Care; Jonathan Van-Tam, Deputy Chief Medical Officer for England, Department for Health and Social Care
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News Article
Coronavirus: Social care concerns revealed in leaked letter
Patient Safety Learning posted a news article in News
A leaked letter seen by the BBC has revealed an extensive list of concerns about how the social care sector is coping with the coronavirus crisis. The letter raises fears about funding, testing, personal protective equipment (PPE) and the shielding scheme for vulnerable people. Written on Saturday, to a senior official at the Department of Health and Social Care by the Association of Directors of Adult Social Services (Adass), it says mixed messages from the government have created "confusion and additional workload". On protective equipment for care workers, the letter says the national handling has been "shambolic". Early drops of equipment have been "paltry" and more recent deliveries have been "haphazard", with some even being confiscated by border control for the NHS. And while the rollout of testing for care workers has been generally welcomed, the letter states "testing for care workers appears to be being rolled out without being given thought to who is going to be tested and what we are going to do with the result". Read full story Source: BBC News, 16 April 2020 -
Content ArticleBBC Radio 4's You and Yours programme discusses the impact of coronavirus on social care and asks listeners if they feel their relatives in care are being properly protected? One listener, Amanda, speaks about the recent loss of her father who had Alzheimer's Disease. Following a fall and a hospital admission, he contracted the virus. A second caller, Bill, talks about the challenges and risks associated with needing care and support at home as a disabled man. Follow the link below to hear the full programme. This feature aired on 14 April 2020.
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News Article
Non-acute services to receive 30 million PPE products
Patient Safety Learning posted a news article in News
Adult social care services are to receive millions of personal protective equipment products following a national audit of personal protective equipment (PPE), HSJ can reveal. The government will deliver more than 30 million items to local resilience forums in the coming days, for distribution among social care and other front-line services, according to a letter seen by HSJ. The stock should not be sent to acute trusts or ambulance services, the letter, from health and social care secretary Matt Hancock and housing, communities and local government secretary Robert Jenrick, stated. Describing an “urgent need” for PPE in front-line services, Mr Hancock and Mr Jenrick asked local planners to distribute this latest batch of stock “only where there is a clear and pressing need”. Read full story Source: HSJ, 6 April 2020- Posted
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News Article
UK government must recognise care workers are on the coronavirus frontline too
Patient Safety Learning posted a news article in News
Social care has a vital part to play in the fight against Covid-19, but without proper support more lives will be put at risk, says Vic Rayner, Executive Director of the National Care Forum. "We are working round the clock to keep the people we care for safe and happy and to protect our staff. We know the COVID-19 situation is moving fast – but the care sector can only effectively play its part with more direct support from the government." Social care providers, like many across the country, are working hard to prepare for the escalation of COVID-19. This includes refresher training on infection control, robust measures to ensure any visitors to care services are safe to enter, planning for how to keep going in the face of significant workforce shortages, and ensuring the people they care for and their staff are kept safe and well. However, it is clear that social care is in urgent need of help, more directly and more quickly, to meet the needs of the most vulnerable, or to ensure that their staff are adequately protected. The issue of protection is never far from care providers’ minds, and the lack of personal protective equipment (PPE) for care staff remains a pressing problem. Read full story Source: The Guardian, 20 March 2020- Posted
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Content ArticleADASS, is a charity that provides a national voice and leadership for adult social care. In 2019, they published a report, Sort out social care, for all, once and for all, setting out what they believe needs to be done by the Government to tackle the crisis. The report called for: Short-term funding, including continuation of the Better Care Fund and Improved Better Care Fund, to prevent the further breakdown of essential care and support over the course of the next financial year. Long-term funding and reform following, to enable us to build care and support for the millions who need it and create a social care system that is truly fit for the 21st century. A long-term plan for adult social care which means a support system in place that links with other public services including the NHS and supports resilient individuals, families and communities.
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Content Article
Learning from excellence: Entrance interview questionnaire
Claire Cox posted an article in Motivating staff
Here is a template for an entrance interview, produced by Learning from excellence. It has been designed using Appreciative Inquiry (AI) principles. It is envisaged to be used at the start of a new job or rotational placement to guide formation of personal development plans. However it could be adapted for permanent staff at times of appraisal.- Posted
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Content ArticleVenous thromboembolism (VTE) is a condition in which a thrombus – a blood clot – forms in a vein. Usually, this occurs in the deep veins of the legs and pelvis and is known as deep vein thrombosis (DVT). The thrombus or its part can break off, travel in the blood system and eventually block an artery in the lung. This is known as a pulmonary embolism (PE). VTE is a collective term for both DVT and PE. With an estimated incidence rate of 1-2 per 1,000 of the population, VTE is a significant cause of mortality and disability in England with thousands of deaths directly attributed to it each year. One in twenty people will have VTE during their lifetime and more than half of those events are associated with prior hospitalisation. At least two thirds of cases of hospital-associated thrombosis are preventable through VTE risk assessment and the administration of appropriate thromboprophylaxis.
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Content ArticleIn recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to establishing a safety culture in care homes. Despite safety culture being accepted as an important quality indicator across all health and social care settings, the understanding of culture within social care settings remains far less developed than within hospitals. It is therefore important that the existing evidence base is gathered and reviewed in order to understand safety culture in care homes.
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Content ArticleState of Care is the Care Quality Commission (CQC) annual assessment of health care and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve.
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Content ArticleIn this briefing, the Improvement Analytics Unit (a partnership between the Health Foundation and NHS England) identifies some early signals of changes in hospital use by vanguard care home residents in Wakefield, in order to inform local learning and improvement.
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Content Article"It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
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- Care home staff
- Carer
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- Social care staff
- Radiologist
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- Fatigue / exhaustion
- Resilience
- Motivation
- Organisational culture
- Workforce management
- Process redesign
- Time management
- Case report
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- Workload analysis