The ordeals of care in the UK

After I blogged my letter to Santa, the festive holiday season came and went and I thought I’d try to calm down a little this year, and take things more gently.  Things were going well – and then, I listened to Radio 4’s Face the Facts on the exploitation of immigrant workers in the care sector in the UK.  An excellent programme presented by John Waite.

The workers are exploited by the dubious agencies and unregulated gangmasters who hire them, rip them off before they even arrive here, and provide their services to the care industry, where they work with many vulnerable older people in need of good quality care.  They are treated like slaves, have no complaints procedures to help them, have to put up with and shut up about that exploitation as they go about their work.

It sounds so very similar to the way in which the ‘care industry’ in this rich, so-called civilised country of ours, treats vulnerable older residents in care.   Those residents are treated badly too, with no complaints procedures to change the standards of care.  They too have to put up with and shut up about sub-standard care, because of similar fears to those voiced in the Face the Facts programme by some of the workers interviewed.

The care industry is allowed to exploit staff, by paying below minimum wage, with no contract of employment, no security, no job prospects, no training, no future, force them to work 50-60 hours a week, force them to work for four months without even one day off ….  How on earth can care workers working under those conditions provide good quality care?  It is impossible.

Nobody cares enough to make a difference.  To make it different.  To  change things for the better – once and for all and for always.

This weekend was supposed to be a peaceful, gentle, averagely average weekend.  But yesterday, I read Johann Hari’s article in the Independent about his experience of residential care during the 10 years he struggled to find decent care for his Grandmother.

Today’s Independent follows up with the news that Paul Burstow, Care Services Minister, has condemned the ordeal of Johann Hari’s Grandmother as ‘appalling’.  He now promises ‘new checks on elderly care’, says that the Care Quality Commission (CQC) has been given extra powers to crack down on poorly-run homes, and that he’s determined to tackle concerns over the use of antipsychotic drugs.  I respect Johann Hari, and I have no wish to add to his personal struggles.  But, my question to Paul Burstow would be: have you not been made aware of the far worse ordeals that some people have to go through in residential care homes?  Why has it taken you so long to comment?  Or is it just that most of us don’t get our stories published in the press?  We struggle on, trying to improve things – but nobody listens to us.

Burstow urged people with complaints about the treatment of relatives to ‘come forward’.

We have been doing that for years, Paul Burstow, but nobody has been willing to listen.  There is a limit to the number of doors we can all bang on, shouting ourselves hoarse, if nobody listens and acts once and for all.

Yes, I am feeling very angry at present – and that’s nothing unusual when it comes to thinking about the lack of care we allow to be provided to our older people.

In the Face the Facts programme, Martin Green  (Chief Executive of the English Community Care Association) representing 5000 care providers could scarcely bring himself to use the word ‘residents’ – he could only refer to care home residents as ‘they’.  According to Green, he justified the ‘expensive business’ and cost of residential care by explaining that ‘they’ get accommodation, ‘they’ get food, ‘they’ get specialist support, ‘they’ get a lot of activities.   Martin Green needs to visit a few care homes pronto!

In April 2009 Ed Davey Lib Dem MP was of the opinion that the Gangmasters Licensing Authority (GLA) remit should be extended to cover vulnerable care workers too and he even signed an Early Day Motion (EDM1366) along with 93 other MPs.  But now that he’s Minister for Employment Relations in the ConDemOlition, he’s changed his mind.

His Statement to Face the Facts: There are no current plans to extend the remit of the GLA and we certainly do not need more licensing to be introduced into sectors such as the care industry. The government has no intention of burdening the majority of companies who run a reputable business with an expensive licensing scheme. Transcript of the Face the Facts programme is available here.

Frank Ursell, chief executive officer of the Registered Nursing Home Association, has apparently warned that homes – which rely on council funding for around two-thirds of their income – could be forced to cut spending on staffing, food or activities because of the cash squeeze facing the sector. He said “People talk about quality but then they pay peanuts. What is it exactly that they expect?”

Is £1000 per week for dementia care in a care home ‘peanuts’?  No, I don’t think so, Frank Ursell.  It’s a fortune.   It represents the savings built up over a lifetime of hard graft by many of the older people in residential care.  I know what I’d like to do with some nuts, including yours Mr Ursell!

Frank Ursell represents the interests of care home owners; Martin Green represents the interests of small, medium and large care providers.  Now, remind me, please someone – who is it that represents the interests of older people in residential care?  How often are their interests paramount in the thinking of the care industry?

A while ago, a report was issued detailing the ‘average amount of contact time’ any resident of a care home could expect to meet.  I can’t find that report now, so I won’t quote a figure, but it was a pathetically low number of minutes per day.  (If anyone can point me in the direction of that Report, I’d be grateful.)

As for staffing levels: There are no legal standards that we can refer to – staffing levels are supposed to be adjusted to match and to meet the needs of the residents in care.  Note the words: ‘supposed to be adjusted’ – the reality is very different, and a skeleton staff is the norm.

As for activities: virtually non-existent in the majority of care homes.  Hence the TV is always on and blaring, even though the residents may not be watching or even wanting to watch day in, day out.

As for Paul Burstow, please show that you care.  Convert your hollow words into meaningful action.  The residents of care homes don’t have time to wait for you all to deliberate, to make promises that never come to fruition, to waffle on endlessly about how appalled you are.

Decisive action is required.  Immediately.  Actions speak louder than words, after all.

That will be the only way we will ever believe that you care.

The weekend begins now.

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4 Comments

Filed under abuse, care, neglect

4 responses to “The ordeals of care in the UK

  1. Pingback: Tweets that mention The ordeals of care in the UK | Care in the UK -- Topsy.com

  2. HP

    I completely concur with your comments. My grandmother has dementia, she is in a care home run by a well known health provider. Recently several staff we liked and respected walked out. Since the autumn, we have found her on several occasions left on a commode, undressed, in the middle of the day with the window open and the room freezing cold. She said she’d been calling for help for ages, and no one came. We also found her powerful medication left lying around with spilled pills all over her chair and the floor. When questioned, the MANAGER stated “oh, if she doesn’t feel like taking it, we just leave it with her to take in her own time”. She has dementia. She’s hardly likely to remember to take it at the right time. She’s also missed three hospital appointments because there weren’t enough staff to take her, and they didn’t think to call family. Following these incidents in November/December I checked the CQC report – in May they wrote that residents in that care home weren’t safely getting their meds, that the home was dirty and understaffed and it placed residents at risk. We contacted CQC and the local authority about what we had observed in the winter – they went and did an inspection. But given all these issues had been raised six months previously, how can we expect the CQC to force them to improve this time? If these issues had been picked up on in May, how were they able to continue into December? The home, hilariously, blame these incidents on the staff who walked out (apparently they walked out after whistleblowing to CQC in the first place!)

    • careintheuk

      HP
      Thank you for your comment, sad though it is to read. The same happened with tablets in our case – left in a little plastic pot “for you to take later, dear”. Result? That pot was secreted away and gradually more tablets were added to it “to take later”. The consequences of not taking the tablets at the right time could have been disastrous, as could the consequences of taking all the tablets together.

      It never ceases to amaze me how long it takes to achieve even the smallest improvement in care, but older people in residential care can’t wait for that – they need good quality care from the moment they arrive in any care home. All we can do is continue to knock on doors and explain our own distaste for the sub-standard care often provided.

  3. Timothy Haley C/2000/2920

    These concerns should also be applied to those children sacrificed to the care system of local authorities in which children are nothing other than financial commodities. Their few possessions are wilfully destroyed by care “professionals” and stolen by inmates; it is all fun – the victims are without any power, who cares – they are the lowest of the low. Physical, Emotional and Sexual abuse is ignored Cries for help before, during and after are ignored by all: social workers, CPT, Courts, Physicians, Psychiatrists, even the Greatest. Those who seek to support their children are discriminated against, denied their rights and vilified as being obsessive
    Dr Timothy James Lawrie Haley C/2000/2920 etc

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