Showing posts with label 'Shame on uscare homes. Show all posts
Showing posts with label 'Shame on uscare homes. Show all posts

Monday 16 September 2013

NHS patients 'should not face constant moves'

NHS patients 'should not face constant moves'

Hospital wardPatients often face multiple moves around hospital

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The era of NHS patients being shunted around hospitals needs to end, an expert group says.
The Future Hospital Commission - set up by the Royal College of Physicians - said a radical revamp in structures was needed to bring care to the patient.
This was particularly true for frail people with complex needs, who often faced multiple moves once admitted to hospital, the report said.
It also recommended closer working with teams in the community.
The commission said this could involve doctors and nurses running clinics in the community and even visiting people in their own homes - as is already happening in a few places.
'Bold and refreshing'
It also called for an end to the concept of hospitals discharging patients.
Sir Mike Rawlins: "Hospital shouldn't stop at the walls of the building"
Instead, it argued that many of those seen in hospitals in the 21st Century needed ongoing care that did not end when they left hospital.
So the report recommended that planning for post-hospital care should happen as soon as someone is admitted.
Key to that will be a new hub that should be created in every hospital, called a clinical co-ordination centre, which would act as a central control room, helping to ensure information about patients is shared and their care planned properly.
Once in hospital, patients should not move beds unless their care demanded it, the report said.
That contrasts with the multiple moves many patients with complex conditions often find themselves facing as they are passed from specialism to specialism.
It said this would require a greater emphasis on general wards with specialists visiting patients rather than the other way round.

Case study

The longest Suzie Hughes, who has the auto-immune condition Lupus, has spent in hospital is 21 days.
During her stay, she was moved five times for non-clinical reasons.
"I would find myself being wheeled down the corridor with my flowers and chocolates. Nurses would be with me and I kept thinking, 'What a waste of their time.'
"And each time I arrived on a new ward I had to explain my condition again. The information does not get passed on and it results in delays."
The authors - drawn from across the NHS and social-care spectrum - also called for an end to the two-tier weekday and weekend service in many facilities.
They even said it would be preferable to work at 80% capacity across the seven days if extra resources were not available in the short-term.
Commission chairman Sir Michael Rawlins said it was about providing the care patients "deserved".
Alzheimer's Society chief executive Jeremy Hughes said too often hospitals were stressful places with patients being moved "from pillar to post".
"We need nothing less than a revolution... in order to ensure our NHS is fit for the future," he added.
Health Secretary Jeremy Hunt said the report was "bold and refreshing".
"I agree completely that we must make services more patient-centred both inside and outside hospital."
Shadow health secretary Andy Burnham said: "We must turn this system around and help support people where they want to be - at home with their family around them."

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Friday 14 June 2013

multiple failings in the home care

CCTV footage reveals domestic care neglect

Muriel Price and her grandsonMuriel's grandson says he feel guilty for employing the company

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The BBC has obtained footage showing multiple failings in the home care provided by a company to one woman - as ministers warn the next abuse scandal may come in the sector.
The videos, recorded by the family of Muriel Price, 83, show carers failing to turn up for visits or turning up late, causing Mrs Price great distress.
The company involved say they were never informed the family had concerns.
They say the care of patients is of paramount importance to them.
Care minister Norman Lamb is hosting a summit with domiciliary care providers and carers on Thursday in an attempt to improve standards within the industry.
Mrs Price's grandson installed two CCTV cameras in her house in Blackpool, Lancashire, to monitor her movements and to provide help should she fall when she was home alone.
'Absolutely disgusting'
Instead they recorded carers failing to turn up when they should and behaving inappropriately on occasions.
One scene shows Mrs Price in great distress prior to her carer arriving. The grandmother, who is incontinent, had been in bed for 13 hours as her carer was nearly one hour late. She had tried and failed to contact her care company, carers, family and neighbours for help.
"Disgusting this is, absolutely disgusting," she is heard to cry out. "It's not good enough, I can't put up with it much longer."
One piece of video shows Mrs Price becoming increasingly distressed as she waits for her carer to arrive
She then quietly sobs before crying out for Les, her husband of 63 years. He was her primary carer prior to his death.
"I'll be here till 12 o'clock until the next one comes along, I bet. It's always the same."
Eventually a carer does appear, 55 minutes late.

Start Quote

Mosaic go above and beyond their legal requirements when employing carers to ensure all staff are capable of delivering quality care to their clients. The care of patients is of paramount importance to Mosaic.”
Mosaic Community Care
In the footage seen by the BBC, which covers a period of nearly a month, carers turn up late or not at all on at least 12 occasions. Several other visits are much shorter than the one hour the carers are contracted for.
While some carers were professional, the footage shows examples of others who clearly were not.
The footage shows one carer sticking her fingers in food to check its temperature, another changes incontinence pads in full view of the street.
'No dignity'
And though Mrs Price is an insulin dependent diabetic with special dietary requirements, one carers admits to not being able to cook. "I can't fry an egg. I am really that rubbish at cooking. Why they send me to people at dinner time; it's beyond me," she can be heard saying.
"The way they treat old people is wrong, just wrong," says Mrs Price, looking back on her experience. "You'd be waiting for your tea and you didn't get any tea cause they never turned up, they never bothered. And you'd ring them up and they'd say we'll be sending someone along but they never did."
Her grandson, Darryl Price, who arranged for the care company to look after Mrs Price, looks back with regret.
"To see someone in your family treated with no respect, no dignity, you question yourself and in a way you feel guilty. You're the one who's put that home care company in there, you've trusted this company to look after them."
Another clip captures examples of poor care - including this carer, who was later disciplined by the company, who 'mooned' at the camera
The BBC showed the footage to Norman Lamb ahead of his meeting with domiciliary care providers and carers. He said the current system resulted too often in poor care, low wages and neglect.
"It's just shocking and depressing because this is neglect in your own home," said Mr Lamb in reaction to the videos.
Talking about the wider domiciliary care sector, he went on: "We know this is not an isolated case. There is some very good care, and we should celebrate that, but where poor care exists we should not tolerate it."
He later told BBC News: "In a way you're almost at your most vulnerable when it's behind a closed door, it's you and a care worker and potentially poor things, dreadful things can happen in those circumstances."
He said a number of companies were failing to provide a complete service and all too often councils were taking part in a "race to the bottom", choosing the cheapest bid when awarding contracts.
Norman Lamb: "I want to shine a spotlight on this whole sector"
The company who provided Mrs Price's care is Mosaic Community Care, based in Preston. The family say they repeatedly contacted the company with their concerns and have provided phone records to the BBC which indicate that calls were made.
But in a statement, Mosaic said it was an award-winning care provider.
It went on: "At no time were any issues raised with Mosaic by the family. Any concerns would have been dealt with via the appropriate channels.
"Mosaic go above and beyond their legal requirements when employing carers to ensure all staff are capable of delivering quality care to their clients. The care of patients is of paramount importance to Mosaic."
Referring to the telephone records, it says: "The length of a call does not provide conclusive evidence as to the content of the call."
Muriel Price is now happily living in a care home. "I'm lucky I have a family to look after me," she says. "Those that haven't got a family, God help them, poor devils."

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Wednesday 5 June 2013

'New law needed' after collapse of care home neglect case

'New law needed' after collapse of care home neglect case

A silhouette image of a woman passing a cup of tea to an elderly lady.Just 170 prosecutions for wilful neglect of the elderly were brought last year.

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The collapse of Britain's biggest investigation into elderly care home neglect has prompted calls for a reform of the law.
Former care minister, Paul Burstow wants a new offence of corporate neglect to make it easier to hold those running bad care homes to account.
He is to table an amendment to the government's Care Bill which is currently going through parliament.
Care Minister Norman Lamb says he is considering the issue.
Mr Burstow - who stepped down in last September's reshuffle - said he was determined to ensure the government created the new law following the end of Operation Jasmine.

Start Quote

Paul Burstow
We need companies that provide care to realise it's not just about their profits. It's ultimately about the dignity of the people they are looking after”
Paul BurstowMP
Police launched the operation seven-and-a-half years ago following concerns over the death of more than 60 care home residents in six homes in Wales. The investigation by Gwent Police cost £11.6 million and amassed more than 12 tonnes of evidence.
Among the alleged victims were elderly people who became severely malnourished or dehydrated, or who died because of infected pressure sores.
But despite exhaustive inquiries, the CPS said there was not enough evidence to charge key figures - including one of the care home owners Dr Prana Das - with gross negligence manslaughter or wilful neglect.
Later attempts to bring the care home boss to trial for lesser charges under health and safety legislation failed in March when he was deemed unfit to stand trial after suffering head injuries in a burglary.
Mr Burstow said that under the current legal framework often the only option left open to police was to try to prosecute individual carers with wilful neglect. He argues that a new law should be introduced to make it easier for police to hold owners to account instead.
He said: "We need a new criminal offence of corporate neglect which should take its lesson from the legislation on corporate manslaughter.
"We also need companies that provide care to realise it's not just about their profits, but it's ultimately about the dignity of the people they are looking after."

Find out more

An elderly lady's hand on a walking stick.
Listen to the full report on File on 4 on BBC Radio 4 on Tuesday, 4 June at 20:00 BST and Sunday, 9 June at 17:00 BST.
The call is being backed by Labour MP for Blaenau Gwent, Nick Smith who recently challenged David Cameron to ensure the law in this area was fit-for-purpose.
The BBC asked care minister Norman Lamb whether he would consider creating a law of corporate neglect.
In a statement, Mr Lamb said he was considering the issue - but stopped short of agreeing to a change in the criminal law.
"When I first took on this job in September, I identified a clear gap in the regulatory framework - one which I'm determined will be addressed.
"This summer, we will announce proposals to address the gap in the law on effective corporate accountability," he said.
Figures seen by Radio 4's File on 4 programme show that while English social services investigated more than 25,000 allegations of elderly neglect last year, just 170 criminal prosecutions for neglect were brought before the courts.
The Care Bill had its second reading in the House of Lords in May.
Listen to the full report on File on 4 on BBC Radio 4 on Tuesday, 4 June at 20:00 GMT and Sunday, 9 June at 17:00 BST. Listen again via the Radio 4 website or the File on 4 download.

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