Health+Care June 2018 - Our Summary
- By Alice Bakewell
- •
- 28 Jun, 2018
Written by Sophie Chester-Glyn
If you couldn't make it, here are our best bits:
(P.S. This 'summary' is long! but scroll down for some useful pictures of slides)
STPs and ICSs ….
Talks on STPs and ICSs were some of the busiest forums, particularly filled with NHS, Commissioners and Local Authority delegates. Susannah Howards (STP Programme Director for Suffolk and North East Essex STP) pointed out the need for flexible systems and to ‘engage the neighbourhood’. We learnt that the Care Provider Alliance has money available from the Department of Health and Social Care for STPs to ensure providers are ‘engaged’. We took an action point to find out about this for our area and check that our local authority’s Market Positioning Statements are aligned. You can access more information here. If you have connections with a STP please alert them to this! Engagement is key.
There was a lot of buzz around an innovative Dutch model of care called Buurtzorg, which has decreased bureaucracy and allowed more face to face care time. You can find our more on their website and I have found that The Guardian has also done a blog.
Engagement was a big theme and it seems that the large public sector organisations are struggling to engage effectively with their populations. A talk by Richard Stockley @thenakedcitizen highlighted the importance of ‘representative engagement’. His message to those organisations was not only to engage with those who respond well, but to reach out to those who don’t normally engage. Their insights will be invaluable.
Care Data – Use it!
Steve Sawyer from Access UK and Andrew Heffernan from UKHCA had some hard-hitting facts on social care delivery. Much of which is well known, but still makes you quiver on seeing it in numbers. Such as:
- 30 minute calls in homecare are probably loss making and
- 15 Minute calls are definitely loss making. Not only in profit but also in quality.
A further message to commissioning authorities – Travel time adds 22% on top of workers’ pay to the cost of care.
NICE Guidance
As a care organisation we are always looking at increasing standards whilst keeping costs down. So, we were particularly interested in the talk by Jane Silvester (Associate Director, Social Care and Leadership at NICE) which highlighted the availability of funding for products companies are developing or want to develop, which help implement their guidance. This is the Nice Endorsement Scheme and more can be found here.
NICE (and CQC) love to see providers ‘map’ the quality of their care with NICE guidance #tip!
NICE also have some really useful guidance for Quick Guides for time strapped care managers.
Please take time to access them here.
Other Bits
A great talk by Issac Theophilos on how to get the ‘Outstanding’ rating in Care. We met Issac at another conference and he is great at providing those practical examples of how to achieve the aims of the KLOE’s. He’s also produced a book on how to get to Outstanding which should be available on amazon next month. He’s trawled through 100+ Outstanding CQC reports and has managed outstanding services himself. In his words, he’s ‘done the hard work for you’. Should be an interesting read.
For those wanting tips on recruiting staff: Sophie Coulthard @judgementindex and @carepodcast woke us all up with an enthusiastic and immensely thought-provoking talk on recruiting on values, creating a career in care and having a ‘wellbeing policy’. Also helpful were talks by Neil Eastwood at Sticky People Ltd.
The Future of Adult Social Care
The headline act of course, was left to Thursday morning, where Izzi Seccombe OBE (Chair of the Local Government Association’s Community Wellbeing Board), Andrea Sutcliffe (Chief Inspector of Adult Social Care, CQC), Aidan Kehoe (Chief Executive of Royal Liverpool and Broadgreen University Hospital NHS Trust), Michael Adamson (Chief Executive, British Red Cross) and Paul Burstow (Chair of SCIE) spoke on a panel regarding the future of adult social care. Roy Lilley chaired the session. Some of the key messages included:
- Almost unanimous feeling that the Green Paper
was not going to add hugely as a solution to health and care issues. In fact, we already have the tools with e.g. the Care Act, the Better Care Fund and section 75 of the Care Act 2014, clarifying funding for after care services under Mental Health Act 1983. What, unsurprising was needed is extra funding.
- Andrea argued that it was 'not just about money but how the money is used'.
Her criticism of the green paper, as it stands, was that there is too much of a focus on services for Older People and that there is a significant amount of younger people using services who also need to be brought into it. Izzi backed this up with the statistic that 50% of spend on services is for younger
NOT older people. A telling statistic!
- Michael emphasised that there are commissioning gaps and people are ‘falling through the gaps’.
He suggested a read of a book that analysed 25 health systems around the world – I believe it’s this one by Mark Britnell called ‘In Search of the Perfect Health System’. Here’s a link on amazon. But if you just want a summary, here’s a blog from The Guardian
- Worryingly Paul Burstow later surmised that there could by a 200,000 shortfall of care staff by 2020 and that any funding for care from the green paper was unlikely to materialise within the next 2 years.
- Leadership, Leadership Leadership - get that right and the rest will follow. Certainly we have found that great leadership across social care and health results in better outcomes for everyone.
- Stats: there are now 3% rated outstanding care services
- The main reason for services being rated outstanding is for 'Caring'
- NEWS ALERT! CQC have launched today (28th June) a new resource on looking at critical safety issues. The aim is to help peole learn from where things have gone wrong and how to avoid this in the future. Read it here
- The key to outstanding is 'genuinely giving people a voice'
- Workforce: make sure you have a good culture, consistency and robust induction process
If all goes to plan, expect the PIC (The new PIR) to be fully rolled out sometime in the Autumn
Spotlight on Commissioning
The Green Paper is likely to feature how CQC might have a role in looking at how Local Authorities are Commissioning services.
Finally!
For anyone interested in attending next year’s conference – which we’d highly recommend – block 26th and 27th June 2019 out in your diary!
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Manor Community Blog
Today we are going to be sharing our training focus this month, with our Training and Development Lead Jeannette.
As a care
worker, caring for individuals living with dementia can be both challenging and
rewarding. Understanding the condition and providing the right support are
crucial aspects of delivering quality care. In this blog, we will explore some
essential training tips that will help you provide the best care possible for
those with dementia.
1. Develop Comprehensive Understanding of the Different Dementia Types
Dementia encompasses various conditions, each with its unique challenges. Take the time to understand the most common types of dementia and their associated symptoms:
Alzheimer's Disease: Trouble recognizing people, communication difficulties, and impulsive behaviour.
Frontotemporal Dementia: Excessive emotions, shaky hands, and problems with balance.
Lewy Body Dementia: Inability to concentrate, muscle rigidity, and reduced facial expressions.
Vascular Dementia: Hallucinations or delusions, misplacing items, and poor judgment.
By understanding these conditions, you can better tailor your care approach to meet the individual's specific needs.
2. Top ways to tailor your care approach:
Simplify the Environment!
Creating a safe and easy-to-navigate environment is essential in dementia care. Here are three simple steps to simplify the home:
Remove Potential Hazards: Eliminate objects that can cause confusion or stress, particularly in hallways, to reduce the risk of falls and accidents.
Maintain a Clean and Comfortable Environment: A tidy and clutter-free home can help the individual feel more at ease, enabling them to remain sociable and inviting to friends.
Use Labels and Post-Its: Assist the individual in finding things and remembering appointments by strategically placing labels and post-it notes around the house.
A simplified environment can significantly reduce confusion and enhance the overall well-being of the person you are caring for.
3. Utilising communication skills
Communicating with individuals with dementia requires patience,
empathy, and understanding. Follow these communication tips to enhance your communication skills:
Speak Calmly and Reassuringly: A soothing tone can help them feel more at ease during conversations.
Use Clear Language: Keep your language simple and straightforward to avoid confusion.
Utilize Physical Prompts: Incorporate gestures and visual cues to aid communication.
Maintain Eye Contact: Eye contact fosters connection and makes them feel valued.
Remember, effective communication is key to establishing trust and rapport with the individual!
4. Encourage Meaningful Activities
Engaging in activities that align with the person's interests can improve their overall well-being and provide a sense of purpose. Here are some activities that provide visual stimulation:
Painting: Artistic activities can be incredibly therapeutic and enjoyable.
Gardening: Tending to plants can be a calming and rewarding experience.
Completing Jigsaw Puzzles: Puzzles can stimulate the mind and enhance cognitive abilities.
Playing Board Games: Simple board games can encourage social interaction and fun.
Activities play a vital role in the treatment and care of individuals with dementia, so ensure you incorporate them into the daily routine.
Thank you for reading and we look forward to next month!
Hello! Welcome to this new monthly update, where I, Gabriella, will be giving you the lowdown on any important updates happening in social care!
Government updates:
It was only last week that the NHS workforce plan was announced. This plan is the governments first ever long-term workforce plan, set to improve recruitment and retention over the next 15 years in the NHS. However, the government has not committed to developing a workforce plan for social care. This has been heavily criticized as a missed opportunity, as both sectors share crucial staff groups, and face the same urgent need for long-term investment to improve staffing recruitment and retention, to be able to provide good quality care. Read more about this here!
A new bill has been announced ‘Social Housing (Regulation) Bill) to improve the quality of social housing, also known as the ‘Awaab’s Law’ after the tragic death of 2-year old Awaab Ishak. Read more here.
Consultation alert: The government are seeking your views on visiting in care and health settings to inform their decisions around making visiting rules mandatory. Read more and submit your response here.
Campaigns you should know about:
‘My Time to Care’ is a campaign that starts local carers in Somerset. Six new videos have been launched to empower carers and showcases the strength, resilience, courage, and selflessness of care workers. Watch the videos here.
A new campaign ‘The Social Care Superpower Campaign’ launched last week, run by the Cygnet Social Care division. The campaign aims to highlight the extraordinary people who work in care, showcasing the incredible skills and work they do. Learn more here.
Age UK are now running a campaign called ‘We can’t wait for care’, putting a call to action for help to end the long wait for care. Learn more about this important campaign here.
We're still buzzing from the talks at the second and final day of the Health+Care Conference in London. Expecting a quieter day than the first, our team thought we might get away early, but stayed right until the exhibitors started packing away due to some fantastic panel discussions...
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