Tag Archives: Norman Lamb

Care in the UK over two weeks in December 2012

1 December 2012: TENS of thousands of vulnerable people are being physically and mentally abused by the very people meant to be caring for them. Disturbing figures reveal that 130,000 adults were ill treated – usually at the hands of carers or family. Abuse most often took place in their own home or care home.  Read more here.

1 December 2012: Abuse of elderly patients by NHS staff rises by a third in one year with a  shocking 36,000 offences reported last year alone.  Read more here.

1 December 2012: Care home regulation criticised by Norman Lamb.  Regulation of the care sector is not fit for purpose, care minister Norman Lamb has said as he unveiled proposals on English care homes for consultation. He also said there was a “significant lack of corporate accountability for the quality of care”. One suggested measure involves companies having to open up their books to inspectors to ensure they are financially sound. Read more here.

1 December 2012: Care home companies could be forced to open books to prevent another ‘Southern Cross’ collapse.  Read more here.

4 December 2012: Care home job advertisements ‘encouraging’ criminals to apply.  Convicted criminals have been encouraged to apply for jobs in care homes looking after frail, elderly people.  Read more here.

4 December 2012: Ann Clwyd, Labour MP tells of inhumane treatment and says she fears normalisation of cruelty now rife among NHS nurses.  Ann Clwyd has said her biggest regret is that she didn’t “stand in the hospital corridor and scream” in protest at the “almost callous lack of care” with which nurses treated her husband as he lay dying in the University Hospital of Wales in Cardiff.  Read more here.

4 December 2012: Melton Court care home to be closed by Friday. The manager of a South Yorkshire care home, which has been ordered to close by Friday, says she is in talks with two potential new providers. The 21 residents at Melton Court in Maltby have to find new homes, after it emerged the owner is in prison. The Care Quality Commission (CQC) revoked Ishtiaq Zahir’s licence and said the home is operating illegally.  Read more here.

5 December 2012: A PENSIONER with Alzheimer’s died after she plunged down a lift shaft when the door was left unsecured, a court heard yesterday. Annfield Plain company faces health and safety charges after tragedy.   Read more here.

5 December 2012: Wrexham – Concerns over care at mental health hospital.  Read more here.

6 December 2012: Leicester – Dementia sufferer ‘left in agony’ at George Hythe House care home in Beaumont Leys, court hears.  An 89-year-old dementia sufferer was left in agony for four hours with a broken thigh  because a care home supervisor could not be bothered to assess her, a   jury heard. Sarah Bewley was “too busy” doing paperwork to see the woman after she suffered a fall, despite several requests from a care assistant, it was claimed.  Read more here.  See below.

7 December 2012: Regulator moves closer to setting up ‘negative register’ of adult care staff.   If the proposals are approved by government, a national code of conduct would be applied to workforce and the HCPC would consider serious complaints made about individual professionals; any decisions to uphold a complaint would be made public, as would the resulting sanction.

A “negative register” would be maintained of those found unfit to practise.  Read more here.

7 December 2012:  Leicester – Jury clears Leicester care home boss of neglect charge.  After the not guilty verdict was announced, Judge Lynn Tayton QC said: “This case raises very worrying issues, particularly concerning systems that seemed to be in place which created a situation in which no-one took responsibility for the care of this lady.  “She was left in severe and unnecessary pain for a number of hours.”I hope those in charge of the home have looked at the systems and the staff training.” Read more here.

7 December 2012:   Chorley, Lancs – A care-home worker and her husband who subjected  their children to years of horrific abuse were facing jail yesterday after being  convicted of cruelty.  Read more here.
8 December 2012: Wolverhampton – An investigation has been launched into safeguarding at a care home, which helps people with mental health, drugs and alcohol problems.  Read more here.
8 December 2012: Derby – A national health watchdog has issued a damning report on a privately-run Derby care home.  The Care Quality Commission has told the company  that owns Cleeve Villas Nursing Home, in Wilson Street, to do more to protect the safety and welfare of residents – or face legal action.  Among the problems identified were:
  • No organised stock control system of medicines
  • Failure of staff to update crucial medical documents
  • Care plans reviews not completed on time
  • Failure to ensure prescribed medicines were always available
  • Medicine doses not being documented, meaning it was unclear whether medications had been administered
  • No appropriate systems in place for the safe disposal of medicines when they were no longer required.

Read more here.

Read the CQC report on Cleeve Villas here.

That list of failures is just the kind of thing most people don’t know about, so  awareness raised to the top is what we need in the world of care.

When it comes to the comment made by the spokeswoman for Cleeve Villas Care Services : “As a dedicated provider of care services, we at Cleeve Villas have taken on board the suggestions from CQC as to how to enhance our overall performance and have already taken steps working with a specialist healthcare consultancy to address these.”Our aim as always is to ensure the individual and complex needs of our residents are met.”

I don’t believe you.  Yet.  This is not the first CQC detailing same/similar problems.   What has taken you so long to show that you care enough to provide good quality care?

9 December 2012: Vulnerable care home residents are treated like “brutes or malfunctioning machines”, said Hilary Mantel, the author, as she spoke of the “utterly depressing” search to find accommodation for a disabled friend.  Read more here.

10 December 2012:  We haven’t a clue how much a care home will cost us.  The vexed question of how we pay for the care needs of Britain’s ageing population rears its ugly head so often that it is no wonder everyone thinks it is a pain in the neck.  Read more here.

10 December 2012: Star ratings: Families need reliable information on care home performance.  Read more here.

10 December 2012: Preventative care for elderly under threat.  Services have been cut or frozen by two-thirds of local councils since coalition came to power, according to ComRes study.  Read more here.

10 December 2012: A Birmingham care home is being investigated by council and health bosses amid  allegations of neglect.  Bramley Court Care Home, in School Road, Yardley Wood, is facing the probe  after a complaint was made about the standard of care given to elderly  residents. New admissions have been suspended while a joint investigation is carried out  by the city council and NHS Birmingham and Solihull.  It is not the first time the home has been in the spotlight over its  treatment of residents. In August a report by watchdog, the Care Quality Commission, found residents  were being put at risk of not receiving adequate food and drink.  Read more here.

10 December 2012: Winterbourne View scandal prompts new care guidelinesReport warns that care sector risks slipping back into institutional culture typified by Victorian asylum system.

The report warns that, elsewhere, staffing cuts caused by reduced fees paid to care providers are causing residents to be left alone for hours at a time and are fostering excessive reliance on use of drugs and on physical restraint, “often for minor perceived misdemeanours”.

Brendan Sarsfield, Family Mosaic’s chief executive, said: “We would argue that if providers don’t believe this has ever happened in their services, it just may be that they haven’t looked hard enough.  Read more here.

10 December 2012: Care home provider Family Mosaic has warned that the care sector is in danger of slipping back into the institutional ways of the past and is urging care providers “not to be complacent” and be vigilant for danger signs of abuse.  Read more here.

10 December 2012: Winterbourne View scandal: Government rethinks use of hospitals.  Norman Lamb said “”We need to have a situation where people who run care organisations – public or private sector or voluntary – know that they are accountable for the services they provide and there are consequences if they don’t.”  You can’t argue with that so let’s home he brings about accountability.  Read more here.

12 December 2012: Copthorne, Sussex – Care home boss suspended over death of patient.  A care home manager has been suspended by the Nursing and Midwifery Council over allegations she shredded a document to cover up a mistake which led to the death of a resident. The resident of  Orchid View care home in Copthorne was given three times the prescribed dosage of Warfarin, a drug used to prevent blood clots, over 17 days in 2010. Read more here.

12 December 2012: Stockton care home boss denies a catalogue of failures.  Meal times at the home were “appallingly organised” and 15 out of 17 patients  lost weight over a one-month period, the Nursing and Midwifery Council heard.  Read more here.

12 December 2012: York care home warned to make urgent improvements.  The Care Quality Commission has issued a formal warning to Mimosa Healthcare (No 4) Limited, which is the registered provider of Birchlands Care Home, that they are failing to protect the safety and welfare of the people using the service.  Read more here.

12 December 2012: Wall Heath care home told to shape up or face enforcement action.  The Care Quality Commision (CQC) is demanding an improvement in the standards of care at Holbeche House after inspectors found failings during an unannounced visit in October.  The Wolverhampton Road home, which is run by Four Seasons (Bamford) Limited, was found to be below standards for the care and welfare of service users and assessing and monitoring the quality of services.  Andrea Gordon, deputy director of operations (central region) for CQC, said: “The law says these are the standards that everyone should be able to expect. Providers have a duty to ensure they are compliant.  Read more here.

12 December 2012: Nurse at Rodborough care home slept with vulnerable female patient and invited another to swingers’ parties. Trevor Rice, a senior triage mental health nurse at Park House Mental Health Resource Centre, was formally removed from his post by a Nursing and Midwifery Council disciplinary committee on November 23.   Read more here.

12 December 2012: A bungling nurse who was cleared to work in Sussex despite making a number of shocking errors is being investigated for a second time.   Nicanor Sindanum made national headlines after he was allowed to continue to work as a nurse despite being found guilty of 17 serious errors by a nursing panel while working in Scotland.   In June this year a nine-month banning order imposed by the Nursing and Midwifery Council (NMC) in September 2011 was revoked and replaced with conditions of practice order.  This meant that, despite his failings, Sindanum was allowed to start work for an Eastbourne care home so long as he told bosses that he had restrictions placed on him. But now it has emerged that Sindanum faces a second investigation for alleged failings dating from 2009.  Read more here.

13 December 2012: Slyne-with-Hest, Lancashire – Four people have been charged with offences under the Mental Capacity Act 2005 following a police investigation into the mistreatment of residents at a care home in Slyne.  Read more here.

13 December 2012: Wales – More should be done to reduce Wales’ reliance on using care homes as a way to look after older people, says a group of Assembly Members.  The assembly’s health committee has backed moves to help people keep their independence for as long as possible. Families need simple and accessible information about the options available for elderly relatives, it said. It pointed out that many elderly people who pay for their own care were unaware of the help available to them.  Read more here.

13 December 202: Panshanger, Welwyn, Herts -Massive arrogance’ jibe as ‘out of scale’ care home plans thrown out.  Read more here.

13 December 2012: Morpeth, Northumberland – Coroner hits out at care of woman in Morpeth home.  Mr Brown, recording a narrative verdict, yesterday concluded the fall “did  play a part” in Mrs McEwan’s death as the fractured femur caused immobility  which made her more susceptible to the fatal complaint. The coroner also found three serious failures in the care of Mrs McEwan.

He ruled senior carer Stephanie Wilson had left Mrs McEwan’s bed in an  elevated position, moments before she fell while trying to get into it.

Furthermore, Mr Brown said staff had failed by phoning a doctor’s surgery  instead of an ambulance after the fall, even though Mrs McEwan was in obvious  pain and in need of such care immediately.

Finally, the coroner said workers had been wrong to lift Mrs McEwan back on  the bed, saying they should have left her where she was comfortable until the  ambulance arrived.

Mr Brown nevertheless accepted that staff had been misguided and in need of  better training rather than motivated by malice.  Read more here.

13 December 2012: Croydon  – Are Croydon care homes up to the job of looking after borough’s most vulnerable?  Nearly a third of care homes in the south of the borough are failing patients and residents in one or more key standard, an Advertiser investigation has found.

Campaigners for better care say the findings paint a “dire” picture for sick and elderly people at a time when savings in care provision are set to be enforced.

Among those that are failing in one or more key standard are homes which charge elderly people up to £800 a week.

Stuart Routledge, chief executive of Age UK Croydon, said: “It is appalling that any nursing home should fail to protect the dignity and respect of their patients and residents.

“This survey underpins the urgency for social care funding reform so that those older people who struggle daily with chronic ill health, frailty and disability have the peace of mind that they will be well cared for at their time of need.

“In particular, this shows the dire consequences of a social care system that has been under increasing financial pressure over the last eight years and in many areas is now financially stripped to the bone.

“Staff across health and care services have a professional and moral duty to make sure the dignity of their patients and residents is enshrined in every action. This means involving people in decisions about their care, providing care that treats people with respect and helping people to be as independent possible.”

Read more here.

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Neglect and abuse in care in the UK in November 2012

Some people try to convince me that cases of neglect and abuse of vulnerable people in care in the UK are extremely rare.  Some people also try to convince me that those who talk of such cases are scaremongering.

Below is just a selection of cases of neglect and abuse of vulnerable people in care in the UK over the month of November 2012.  It is a selection and by no means all of the cases I came across.  The dates are the publication dates.

5 November 2012:   Britain’s biggest care home owners ‘have £5 billion debts’.      Read more here.

5 November 2012: Nottingham – Police are investigating an elderly care home in Nottingham which closed after  having its council contract suspended.  Read more here.

6 November 2012: Suffolk – The great care home giveaway: Tory council calls in the private sector.   Suffolk County Council has agreed a multimillion pound deal with the private sector to take over its care homes amid fresh calls for financial regulation to protect elderly residents and the taxpayer.

The council’s 16 aging homes will be closed by 2015 and 10 new homes (and wellbeing centres) built – giving the county 104 extra beds to help meet growing demand.

The first five will be built and owned by Schroders UK Property Fund – who will lease the homes back to Care UK. The land is being given to Schroders for free by the council with unrestricted freeholds.   Read more here.

9 November 2012: Dementia patient found wandering in the freezing night ten miles from home after carer ‘forgot’ about him – Read more here.

9 November 2012: – Devon -Council breached equality duty in setting care home fees.  Authority to review care home fees after High Court found it failed to consider impact of possible home closures on vulnerable residents.  Read more here.

19 November 2012: Hayling Island – three women arrested as police investigate claims of neglect at a care home – Read more here.

19 November 2012: Olney, Northamptonshire – two women charged in connection with neglect at a residential home – Read more here.

19 November 2012: Luton – woman denies neglect after an elderly woman with dementia was left on a bus in Luton overnight – Read more here.

19 November 2012: St Saviour, Jersey – A care home nurse threatened to teach a  colleague a lesson by beating her up ‘in the African way’ during an aggressive  outburst, a tribunal heard. Read more here.

20 November 2012: Buckinghamshire – two care home workers charged with neglecting patients at care home for dementia sufferers – each charged with 19 counts  of wilfully neglecting a person without capacity between August 18 and 19, 2011 – Read more here.

23 November 2012: Archway, London – Whittington Hospital – two senior nurses ignored plight of epileptic 17 year old who suffered 5 epileptic fits in the space of 24 hours and died four days later – Read more here.

26 November 2012: Swindon, Wiltshire – Selena House Care Home, Stratton St Margaret to close in December “over safety fears” – The CQC report said the home had failed to meet 11 government standards,  including care and welfare, dignity, cleanliness and infection control. Read more here.

27 November 2012: Goole, Yorkshire – Three Women Arrested after elderly woman is injured ‘while unattended’, allegedly, in care home . Read more here.

27 November 2012: Chingford, Essex – Chingford rehab unit so understaffed patients were left to wet the bed, watchdog finds.  Vulnerable patients’ dignity was compromised by poorly trained staff at a rehab unit where dementia was mistaken for a learning difficulty, according to a damning watchdog report. Read more here.

27 November 2012: Cambridgeshire – Abacus Care Cambridgeshire  has been issued with a formal warning by a health watchdog after failing to meet standards for a second time. Read more here.

27 November 2012: Great Wyrley, Staffs –  care home worker stole cash and personal belongings from residents and staff to help fund her drug habit.  Read more here.

28 November 2012: What can be done to ensure care home residents get quality healthcare? Reports suggest the availability of doctors in care homes has fallen short of what residents are entitled to. So what can be done to ensure these patients get the care they deserve?  Read more here.

30 November 2012: Maltby, Sth Yorks – Melton Court care home residents face pre-Christmas move after it emerged the home’s owner is in prison serving a sentence for causing grievous bodily harm.  Read more here.

And finally, as December 2012 arrives we find:

1 December 2012: Care home regulation not fit for purpose, says care minister Norman LambRead more here.

Better late than never, I guess, but what took you so long to work that one out?

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NHS Continuing Healthcare and cruel care

A confusing day here, and not of my making.  I’ve just watched another pre-election TV ding-dong aka The Health Debate, between Andy Burnham, Andrew Lansley and Norman Lamb, all being cross-examined by Andrew Neil and Bronwen Jeffreys, on their plans for the NHS and care, should they be elected.  Lots of predictable hot air, very little substance.

Yesterday, I read that nurses are bemoaning the fact that patients and their families ‘expect miracles and are too quick to launch legal action when they do not happen‘.   The blame for this was placed on unrealistic expectations fostered by TV shows like Holby City, according to the Royal College of Nursing conference.

Well, RCN and Burnham, Lansley and Lamb, I’d like to invite you all to think about the following story and see who you think is to blame:

A friend of mine, fully supported by her husband, is caring for her 90 year old mother, and has done so for the last 15 years.  The mother has advanced dementia and a whole host of other problems, as a result of which she was ‘graciously granted’ fully-funded NHS Continuing Healthcare.  The family do not want the mother to be placed into residential care – they wish to continue to care for her in their home, where they have lived together for the last 15 years, ever since the mother first developed problems.  The care being delivered by the family is superb and far exceeds anything that could be offered in a care home.

Unfortunately, the mother has become incontinent over the last year.  The NHS Continence Nurse is rationing the supply of continence pads to 4 per day, and offering absolutely no valid reasons other than the old chestnut ‘that’s all you’re allowed’.  And yet,  the Department of Health expects Primary Care Trusts (PCTs) to provide pads and other continence products in quantities appropriate to the individual’s continence needs.  ‘Good practice in continence services’ published in April 2000 and still in force today, made it clear that it as long ago as 1997 there was an  ‘unacceptable variation between trusts in the limits on the number of pads supplied in each delivery cycle’.  So the PCT is forcing a 90 year old woman to suffer.

The Department of Health launched what it called The Dignity in Care Campaign with a mission to end tolerance of indignity in health and social care services through raising awareness and inspiring people to take action, with Sir Michael Parkinson as the National Dignity Ambassador.

Who needs to be inspired to take action to help people who are being subjected to such indignity?

Where is the dignity in the rationing of continence products to someone with such severe health problems?

Someone is caring more about the health of their budget than about the health of their patient.  What is the point of a budget if you fail to meet the most basic of needs in a caring, compassionate and dignified way?

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Filed under care, care homes, dementia, dementia care, growing older, neglect, NHS, NHS Continuing Healthcare, politics, responsibility