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Posts Tagged ‘poor care’

Findings from Francis inquiry into NHS whistleblowing due next week http://www.nursingtimes.net/5081751.article?WT.tsrc=email&WT.mc_id=Newsletter1 …

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Dementia

‘UK’s dementia care betrayal: Nine in ten care homes and hospitals fail patients, says damning report

  • CQC review finds widespread neglect, lack of care and poor training
  • They found that 90% had some aspect of poor or inconsistent care.’                                                                                                                                    Daily Mail 13th Oct 2014

Reading this is worrying but not a surprise. We’re hearing more now about poor care. It can be very stressful if you need to find a care/nursing home for your loved one with dementia, a care/nursing home that provides care and support with a dedicated staff team.

But as we read above, there is ‘a staggering 90 per cent of the care homes and hospitals inspected found to have aspects of variable or poor care’. So where does this leave us for who are trying to find a good care home for our loved one. And why is this happening?

I have seen great staff across the country who genuinely care for those they support. They are dedicated and provide person centred support, and many a time work long hours due to staff shortages/sickness. I have also seen staff that have delivered poor care. Sometimes, it’s not their fault. The staff/client ratios in these large homes are minimal and it would be helpful for the Care Quality Commission to bring in a minimum number of clients to staff ratio. The former Commission of Social Care Inspection [CSCI] had this.

Dementia is a specilised area and need staff who are trained to support people with dementia. It is not good enough to receive training on how to support older people, training is needed on how to support individuals with dementia. People can live well with dementia, but only if staff have the knowledge on how to support the individual to do this.

Is a care/nursing home needed for the individual with dementia or can they be supported at home, with a Personal Budget? [Personal budgets give you flexibility in how your care needs are met.]

What is needed in a care/nursing home to enable a person with dementia to be cared for, and be safe? As a minimum this is needed:

The care assessment completed prior to going into the care/nursing home needs to give an accurate full description of the individual’s needs.

We need to get the right quality of care. Staff to be recruited who genuinely want to care and support others [not those who see it as ‘just a job’].

High turnover rates lead to lack of continuity. Do the managers carry out an Exit Interview with staff to see why they’re leaving? If they did, this may help them see the reasons and if the reasons are to do with the Home then the manager can look to rectify this.

Money available to train staff in this specialised area and this money to be used for training and nothing else.

Time for staff to complete training.

Staff to discuss with their supervisor/manager afterwards to see if the training met their need.

Good client staff ratio on shifts.

Time for staff to carry out best practice [and not cut corners due to short staffing].

Senior on shift to lead the shift, monitor, observe and discuss poor practice if apparent.

Staff to receive regular 1-1 confidential supervision sessions where training needs are identified, performance discussed, feedback given and concerns shared.

Staff to be able to express their concerns without fear of reprisal or losing their job.

What makes a good care/nursing home?

Many care/nursing homes can look grand from the outside, and sometimes on the inside too. But this doesn’t necessarily mean that they pay the same amount of time cleaning the place to supporting the people who live there.

Some of the things I feel should be in place:

Care/support plans are individual to the person [and not the same as everyone elses]. The plans should take in the uniqueness of the individual, their interests, abilities, needs and preferences.

Staff must treat individuals with dignity and respect.

Systems should be in place to help the individual with choices. This can be objects to refer to or pictures/photographs.

Dedicated and trained staff team.

Keyworker system in place.

Good leadership and support for staff.

Clients and family are listened to.

House meetings where the people living there are able to express opinions and make suggestions for their home.

Happy, relaxed atmosphere.

Activities for the individual to choose if s/he wishes to participate.

Useful websites:

Alzheimer’s Society http://alzheimers.org.uk/

Age UK http://www.ageuk.org.uk/

Health Watch http://www.healthwatch.co.uk/

The Silver Line http://www.thesilverline.org.uk/

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We failed elderly because we were too scared care home owners would sue us, watchdog admits

Head of watchdog for care homes admits: we failed to protect vulnerable because we feared being sued

http://www.telegraph.co.uk/health/healthnews/11021374/We-failed-elderly-because-we-were-too-scared-care-home-owners-would-sue-us-watchdog-admits.html

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Improve the standard of residential, domiciliary and hospital care of older, vulnerable people

I would like the best, both for me and my family and friends. What about you??

Join me in being PRO-ACTIVE in helping prevent abuse of older, vulnerable people. Please do not do nothing and wait for more abuse to happen and organisations to go into the homes/hospitals after the abuse has happened.

This is what I am asking you to read and sign. I hope that you will read it through and click on the link at the end where you can sign your name to say you support this petition. Please do not worry, myself or the public do not see any of your details, not even your name.

 

We call upon the government to improve the standard of residential, domiciliary & hospital care of older, vulnerable people, to:

•Ensure that all staff in residential, domiciliary & hospital care receive regular 1-1 supervision sessions where training needs are identified, receive positive/constructive feedback on practice, & concerns on poor practices are shared & actioned

•Require all care staff [& HCA’s] to complete & pass a nationally accredited course of training

•Set a mandatory staffing ratio of carers/nurses

•Ensure that all supervisory staff in homes & on wards receive training on leadership •Introduce maximum lengths of working hours & shifts; & increasing the minimum hourly rate of pay for care staff, nurses & HCA’s

•Establish a national register of care staff & HCA’s

•Ensure that managers/home owners are accountable for failings •Create tougher penalties for those guilty of abuse of those in their care •Ensure protection for all ‘whistle-blowing’ staff.

Improve the standard of residential, domiciliary and hospital care of older, vulnerable people, click on link and leave your name.

Thank you for your support. It is greatly appreciated. http://epetitions.direct.gov.uk/petitions/66065

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As you will recall, I was invited by Dallas Dixon, in America, to write a piece for his blog, on Elder Abuse. I would like to share this comment someone left on it-
‘Prevention begins with awareness. Books and articles like Suzan’s really do make a difference. How amazing that in the midst of her own pain of losing her mother, Suzan is reaching out to help others through spreading awareness about elderly abuse. I enjoyed reading this blog, and appreciate Dallas Dixon for making this information available.’  http://goo.gl/QavPgo

 

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I was invited by Dallas, over in the USA, to write a piece on Elder Abuse http://goo.gl/QavPgo

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Tomorrow, Sunday, I am being featured as ‘Author of the week’ on the radio with the fab Tracey Edges  on Sirenfm. Hope you can listen in, 9-11am. And  ‪#‎Koolandthegang and ‪#‎Elviscostello will be on there too!

Me! On the same show as Kool and the Gang and… Elvis Costello…?!

If only Mum and Aunty Ann were here, they would be so proud!

pic.twitter.com/8Qg5XXM9AP

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Every hospital in England will have a legal duty to own up to mistakes and errors that cause harm to patients under a new “duty of candour” to be introduced by the Government.

Jeremy Hunt, the Health Secretary, will announce today that in future all healthcare providers must notify patients about incidents where severe or moderate harm has occurred, and provide an apology.

At the same time Mr Hunt will lay out new plans to reduce avoidable medical errors in the NHS by half over the next three years – potentially saving up to 6,000 lives a year.

Under a new initiative hospitals will be asked to draw up plans to reduce medication errors, blood clots, bed sores and other preventable incidents.

Hospitals which satisfactory implement their strategies will be able to reduce the premiums they contribute to the NHS Litigation Authority, which each year pays out £1.3bn on litigation claims. However neither initiative will apply in Scotland and Wales unless the devolved Governments follow suit.

Both aspects of the plan are significant victories for campaigners who have long lobbied politicians and the medical profession for a more robust approach to dealing with cases of clinical errors.

Peter Walsh, the chief executive of Action against Medical Accidents, said it represented “potentially the biggest advance in patients’ rights and safety since the creation of the NHS”.

“For decades the NHS has frowned upon cover-ups but has been prepared to tolerate them,” he said.

“A lack of honesty when things go wrong adds insult to injury and causes unnecessary pain and suffering for everyone. Organisations that hide the truth are also less likely to learn from it.”

Mr Hunt will announce both changes at the Virginia Mason hospital in Seattle which, following the death of a woman who was accidentally injected with cleaning fluid 10 years ago, has turned itself around to become one of the safest hospitals in the world.

http://www.independent.co.uk/life-style/health-and-families/health-news/jeremy-hunt-says-hospitals-will-be-obliged-to-report-medical-errors-9215360.html

 

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5 ★★★★★ Amazon Book Review for ‘Beyond My Control: Why the Health and Social Care System Need Not Have Failed My Mother’

#Broken #limbs #poor use of equipment, #staffing attitudes in the n/ home +#hospital #policies not followed ’

To read the full review please click on the link http://www.amazon.co.uk/product-reviews/1781610282/ref=sr_cr_hist_5?ie=UTF8&filterBy=addFiveStar&showViewpoints=0 …

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Care and Compassion

by Yvonne Newbold

In writing the book, I also had to do a fair bit of research, and I wanted to read other books on similar topics. Apart from anything else, having books to read gave me an excellent distraction at times from the task in hand of getting my book finished, holy moley, any excuse! It was a brilliant excuse really, a completely guilt-free one, because it was “research” rather than “procrastination”!

So I bought 5 or 6 books covering similar, but not identical issues, and surrounded my laptop with them on the dining room table. If you ever came to my house you would wonder how I ever got anything written at all with the constant comings and goings, dramas, crises, interruptions and Toby’s screamingly loud Barney the Purple Dinosaur videos inches away from my ears. That’s not to mention the constant stream of family and friends and Uncle Tom Cobbley and all that pop in to help or for a chat or a cuppa. Piccadilly Circus is an oasis of calm compared to my dining room.

There was one book that kept disappearing. I found it on the sofa, in the other room, on the stairs, even in the loo once, in our kitchen …. people just kept picking it up and wandering off to devour it’s contents. I now have a long list of people who want to borrow it, and most of them have now gone off and bought their own copies because they are impatient to read it and finish it.

Eventually, it stayed still long enough for me to get hold of it and read it too. That was a mistake…. because I couldn’t put it down, and I finally finished it in one sitting at 5am in the morning.

It’s called “Beyond My Control” by Suzan Collins. It is a truly harrowing read, but also essential reading for anyone, like most of us, who may at one time or another, have someone we care about dependent on hospital inpatient care.

It details the story of Suzan’s mother, an elderly lady with a physical disability but who was mentally still as sharp as a pin, and how a catalogue of appalling neglect, incompetence, apathy, poor nursing practice, cover-ups and error after error caused her completely unnecessary death following months of equally unnecessary agonising pain, misery and a total loss of dignity. It shines a spotlight on what is actually happening in many of our hospitals, how management has lost it’s way, how it’s all about shifting blame or covering up rather than taking responsibility to ensure it doesn’t happen again, and how ward staff often can’t see what is so blindingly obviously neglect that they are inadvertently delivering instead of care.

The most shocking aspect of all of this is that Suzan herself has worked in the Care Sector at a very senior level for over 30 years. This is a daughter who understands the system, who knows what constitutes basic standards of care, and who is intelligent and articulate and still, despite all of this, she was powerless. Suzan did everything she possibly could to help her mother access the level of care and concern that she both needed and deserved, and yet it got them nowhere, such is the size of the machine that the NHS has become. It begs the question, if Suzan couldn’t right the wrongs, what hope have the rest of us got when it’s our own vulnerable relatives in hospital?

Well, the book addresses this aspect too. Suzan has included advice and information about how to make the system work better for all of us to learn from. This is an essential book to read, and one that is best read when everyone in your family is well and healthy, please don’t wait until there is someone you care about already in hospital and falling through the cracks where the care should be.

Reading the book certainly got me thinking about the whole issue of care, compassion and how they are so often missing from everyday life on a hospital ward. Sadly, the nursing staff almost universally entered their profession because they cared so passionately about helping people, and lightening the load of the sick, the injured, those in pain and their families. On many wards up and down the country there are still huge numbers of caring, hard-working committed teams of nurses who strive to attain these ideals. What is hard to understand is that so many of these teams are working within an NHS culture that isn’t supporting them in their efforts to care compassionately about their patients. In some areas of the NHS, nurses are finding it just impossible to care properly because the culture is blocking their best efforts. It’s not the fault of the individual nurse, it’s the fault of the system, which seems to have sometimes lost sight of what the priorities should be.

I know from my own experience with Toby having been in hospital countless times, how a good nurse can make all the difference. A smile, a pro-active approach to pain management, a comforting word here and there, the time to stop and talk and make you feel like you matter – these are all things that reduce fear and engender trust and confidence, and once that happens patients are happier, and happier people actually get better quicker because their immune systems are stronger. It’s a no-brainer, really, but somehow the system often makes it impossible for even the best nurses to do these things that they can do so well, and that simply is unacceptable.

Until the priorities change and nursing staff are allowed to care for our families and friends in the way they want to, and have the time to notice when things are amiss, and their management adopts a more open approach to admitting failures and mistakes and working hard to putting them right rather than compounding them by pretending they never happened, it’s up to us to ensure the on-going safety of our hospitalised family and friends. We all need to be aware of what may go wrong and what steps we can take to put them right. Suzan Collin’s book, “Beyond My Control” may make you weep buckets as you read it, but it may also give you the skills you’ll need to advocate effectively on behalf of a loved one. Let’s just hope what happened to Suzan’s mother never ever happens again, and that things can and will significantly improve for everyone, patients and nurses alike.

http://yvonnenewbold.blogspot.co.uk/2014/01/care-and-compassion.html?spref=tw

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