Care Home Week 18: Myth Busting blog from National Director, Karen Hedge

Mythbusting

It’s Care Home Week when we celebrate our care homes, the people who live and work in them, and the communities which they serve. So it seemed like the perfect time to bust some myths about Care Homes, and the sector as a whole – there’s one for every day of care home week.

Myth 1. If I go into a care home I have to leave everything behind
It’s in the name, it is a care HOME, and that means it should be all of the things that your home should be. With all of the capabilities of a noun, an adjective, a verb and even an adverb; your home can be and can mean many things. I find some of the poetry from warzones or from emigrants like Emily Dickenson particularly emotive in articulating the emotions and complexities that attach us to home. Most of them invoking the sense of a place which provides a feeling of security, a place of relaxation, a place of love. A care home should feel no different. To challenge the pop song, it’s not just ‘wherever you lay your hat’; it’s a place where you feel safe, a place where friendships can be made, a place where you can surround yourself with your own belongings, and where people you love can come and visit freely. Just last week, Balhousie Care Home won a Scottish Social Services Award because of the way that they create a personal environment for each individual who stays there, and where dementia ambassadors work with residents to make people feel safe. A care home is a caring home.

Myth 2. If I go into a care home I will lose my independence
Quite the opposite, we know that human beings thrive when they are active. It keeps us healthy and happy. The new Health and Social Care Standards promote a human rights based approach to social care, and seek to offer better outcomes for people amidst a context of dignity and respect.
Care should be person led, which means that you have choice and control over the care and support that you access, and that it should focus upon capability and potential. You may even get involved in initiatives like the Care About Physical Activity (CAPA) programme, whereby social care staff are trained in supporting people who access care and support to increase their activity. This approach has been proven to support self-management, and results in fewer hospital admissions.

Myth 3. Social Care staff are unskilled
In Scotland, social services staff have to register with the Scottish Social Services Council (SSSC), and must have a qualification such as SVQ Social Services and Healthcare. Social services staff also need to complete and record with the SSSC their Post Registration Training and Learning (PRTL). This is a way of making sure that the staff who work with some of our most vulnerable citizens are known to the authorities, and take time to complete appropriate levels of training on a continuous basis. It has the aim of driving higher standards in the care sector, and plays a part in safeguarding.
The majority of staff have been in the role for many years, and built up close relationships with the person that they care for, and are often considered to be, and value being ‘part of the family’. Because social care staff often spend every working day with the same people they are often best placed to advise in delivering their care and support and this can be invaluable to other professionals who may also support the person accessing care, such as a GP. This will be explored further in our report ‘The Experience of the Experienced’ due to be launched at our upcoming Workforce event on June 28.

Myth 4. Social Care is a drain on society
Last week, the SSSC in collaboration with others, published a report entitled The Economic Value of Social Care in Scotland. It shows that the adult social care sector can be valued not only by the high quality care and support offered to our most vulnerable citizens, but also by its economic contribution to society.
According to the report, the sector employs 148,000 people in Scotland, which is 6% of the total workforce, making it comparable in size to the entire NHS, and with the largest employer being the independent sector. In addition, when an individual is offered regular care and support, the sector enables unpaid carers to remain in employment, and supports a further 29,400 jobs relating to the purchase of services or goods made by the sector (indirect effect).
At £2.2 Billion, the Gross Value Added (GVA) which is the value of the goods and services that a sector produces, is higher than Agriculture, forestry and fishing, Arts, entertainment and recreation, and Water supply; sewerage and waste management. It is the 5th largest contributor. The GVA increases to £3.4 Billion when taking into account the indirect effect of the sector. The report also mentions the additional benefits the sector offers by reducing hospital admissions and delayed discharge. This has impact both on lifestyle and the economy.

Myth 5. Care homes are an ‘old-fashioned’ way to deliver care
A real positive of the social care system and legal framework that we have in Scotland is that we can choose how we access our care, so having different services on offer helps to ensure that everyone can access the type of care and support they prefer. For some this may be staying in their own home, for others it may be moving to a care home, or indeed something completely different.
Care Homes are constantly evolving to keep up with the needs and wishes of the people who live in them, introducing new services and activities because the people who live there want them. And in terms of specialised support, many homes are now equipped to care for the increasing number of people with multiple comorbidities now that we are living longer. Previously these people may have had to go to hospital, but now they can have the benefits of staying in a care home (see Myth 1.).
And this evolution doesn’t just apply to the care and support that they offer, but also to the systems that they run. For instance, many care homes use technology to develop which frees up their staff to spend more time just ‘being’ with the people who live there, to focus purely on the human aspect of care. This ranges from digital monitoring, digital care planning and staffing, to diagnosing health needs and more. To find out more, come along to our event ‘Tech Care Take Care’ on August 24.

I hope this has helped to challenge some misconceptions about care homes and what they offer. They are a part of our society, and many are having open doors as part of care home week. I urge you to get involved and take the mythbusting challenge yourself.

Karen Hedge, Scottish Care National Director

@Hegeit

#carehomeweek

Care Home Week 18: Good Care Film

What does good care mean?

Scottish Care has a longstanding collaborative relationship with documentary maker Michael Rea and this film examines the meaning of good care in a care home setting for residents, relatives and care home staff. Given that today is myth busting day in our Care Home Week, we thought this would provide a fantastic kickstart to the theme, as a number of myths are explored and busted in the film. 

#carehomeweek

Care at Home & Housing Support Conference, Exhibition & Awards

Conference Report

Harry and Meghan may have had other things on their minds on May 18, but for everyone attending the National Care at Home & Housing Conference it was all about Practical Promise: Making the vision of home care real.

With nearly 300 delegates attending the Conference and Exhibition at the Marriott Hotel in Glasgow, Scottish Care is delighted to have delivered such a well-received programme from a diverse range of contributors.

Highlights included addresses from Dr Andrew Mackay (GP & ACP lead in Edinburgh), Cabinet Secretary for Health & Sport Shona Robison, Edith MacIntosh (CAPA project, Care Inspectorate) and the Glasgow School of Art Innovation School’s Dr Tara French and Ute Schauberger.

And the Scottish Care team took the opportunity to communicate some of the fantastic recent work that has been keeping us busy, including Katharine Ross and Paul O’Reilly (our Workforce Matters team) who reiterated the important messaging from the 4 R’s Report, Anne McDonald (SDS Development Worker in Highland) who brought us Norma Davidson’s positive SDS experience and our CEO Dr Donald Macaskill who delivered an impassioned address to delegates, calling for radical action to reform Scotland’s home care sector.

If you want to revisit or delve deeper into the presentations delivered on the day, please access the materials by visiting the links listed below:

Dr Donald Macaskill:  12 Challenges, 12 Solutions; 12 Months to save the home care sector

Dr Andrew Mackay: Reshaping health and care in the community

The 4 R’s: A home care employment journey

Self Directed Support: Norma’s Story

CAPA Project: Moving more often at home

Innovation School GSA: A creative future for care at home

We also hosted a panel discussion, bringing together various visions on the importance of the sector, featuring Graham Abrines (Dumfries & Galloway HSCP), Emma Cummings (Inverclyde HSCP), Wendy Jack (West Dunbartonshire HSCP) and Fiona Pirrie (East Ayrshire Carers Centre). 

Additionally, delegates were able to tap into a number of issues through our breakout insight sessions, including:

Palliative and end of life care at home – Workforce Matters

Integrate, innovate, imitate: sharing good practice – Partners for Integration & Improvement

Registration: making it work for you - SSSC 

Inspecting care at home services in the context of the new standards: our new quality framework & methodology – Care Inspectorate

Spiritual care is everybody’s business – Faith in Older People & Reviewing

Sexuality and dementia: the last taboo – Three Sisters Consultancy & Alzheimer Scotland

Film: A Day in the Life of Home Care

For a number of years, Scottish Care has enjoyed a collaborative relationship with documentary film maker Michael Rea. We have been working together to help highlight and showcase the sector, as well as provide insight into the realities and challenges of working in care at home. With this in mind, we embarked on a fresh project with Michael in the run up to conference and the result is a new film titled A Day in the Life of Home Care. Huge thanks to Stewartry Care in Dalbeattie and Carrick Home Care Services in Edinburgh for their involvement in the creation of this documentary – we hope you agree it is a fantastic and truthful portrayal of the home care sector.

Exhibition

2018 saw the largest Care at Home and Housing Support Exhibition to date, with 30 exhibitor stands on the day during the main conference. We were delighted to welcome back many of our supporters who have been involved with previous Scottish Care events, as well as introduce some new exhibitors to our delegates this year. As always, our exhibitors went above and beyond on the day, with a variety of competitions, giveaways and offers available across the event, and delegates enjoyed a lively exhibition to complement a fantastic conference.

The day itself was closely followed on social media with a real buzz around the conference hashtags #practicalpromise and #homecare18. If you are on Twitter and want to catch up on the conversations then be sure to check those out.

All in all, Practical Promise: Making the vision of home care real proved to be hugely successful, bringing together the right people to debate the right topics at the heart of home care and enabling networking in a way that no other event can; because it is the only Scottish event dedicated exclusively to the sector. We hope if you attended you found it useful and enjoyable and we hope to see you all again at a Scottish Care event in the near future.

Evening Awards Ceremony

After the day-time conference and exhibition were done and dusted it was time to get down to the business of celebrating care at home and housing support with our  National CAH & HS Awards 2018. 

The nominees gathered in their finery at the Marriot Ballroom, where they enjoyed a champagne reception and sit down dinner ahead of the main event; the Awards Ceremony which was hosted by the ever-fabulous Michelle McManus. 

The winners to the 11 award categories were announced by our kind sponsors, you can catch up on all the details on who won what here and take a look through some of the celebratory pictures below. Congratulations once again to all our finalists and everyone who submitted a nomination to the awards in 2018, the judges commented that their job was extremely tough and the standards were incredibly high, which is a huge endorsement for our talented and dedicated membership.

All in all, a fantastic night for the 350 attendees, with entertainment from Michelle and the band Waterfront, providing the soundtrack the our feelgood #celebratecare event.

Hope to see you all again in 2018!

The Economic Value of the Adult Social Care Sector – media statement

The adult social care sector contributes £3.4 billion to the Scottish economy, a new report into the economic impact of the sector has found. The Scottish Social Services Council (SSSC) published the report today, at the same time as the UK, England, Northern Ireland and Wales published similar reports.

Scottish Care welcomes the release of data published by the Scottish Social Services Council (SSSC), and to which Scottish Care contributed, which provides the evidence for what we have often said; that the adult social care sector can be valued not only by the high quality care and support offered to our most vulnerable citizens, but also by its economic contribution to society. A report has been issued for each of the UK nations, as well as for the UK as a whole, thus offering opportunity to benchmark across the sector.

According to the report, the adult social care sector employs 148,000 people in Scotland, which is 6% of the total workforce, making it comparable in size to the entire NHS, and with the largest employer being the independent sector. In addition, when an individual is offered regular care and support, the sector enables unpaid carers to remain in employment, and supports a further 29,400 jobs relating to the purchase of services or goods made by the sector.

At £2.2 Billion, the Gross Value Added (GVA) which is the value of the goods and services that a sector produces, is higher than Agriculture, forestry and fishing, Arts, entertainment and recreation, and Water supply; sewerage and waste management. It is the 5th largest contributor. The GVA increases to £3.4 Billion when taking into account the indirect effect of the sector. The report also mentions the additional benefits the sector offers by reducing hospital admissions and delayed discharge. This has impact both on lifestyle and the economy.

The report also considers the nationality of employees, stating that 4.4% of workers are from other EU countries. This highlights that the impact of Brexit could be a real concern in a sector which as evidenced in in the 4 R’s, a recent Scottish Care report, already experiences significant challenge in recruitment and retention.

Scotland leads the other nations in the UK with higher productivity in the workforce, and higher average earnings. The estimated GVA per capita is also highest in Scotland.

As our population is living longer, it is expected that by 2039, the number of people over 65 will increase by 44%, leading to an increased demand for adult social care. It is hoped that this report reinforces the importance of the adult social care sector in Scotland and highlights the need to value the sector going forward to enable the delivery of high quality adult social care based in a human rights approach offering choice and control to those who access it.

The Economic Value of the Adult Social Care Sector – Scotland report is available here: http://www.sssc.uk.com/about-the-sssc/multimedia-library/publications/209-research/the-economic-value-of-the-adult-social-care-sector-scotland

The Economic Value of the Adult Social Care Sector – UK report is available here: http://www.sssc.uk.com/about-the-sssc/multimedia-library/publications/209-research/the-economic-value-of-the-adult-social-care-sector-uk

Social Care Luddites: Latest blog from our CEO

At a recent conference I attended one of the speakers made a statement almost as if it was a fact that ‘the social care sector has a Luddite attitude to technology and digital innovation.’ When I’ve mentioned that sentence to a few others they have confessed some agreement with his sentiment. I want to suggest in this blog that it is a wrong representation on two grounds. The first is that it’s historically inaccurate and more importantly, the second reason is that it couldn’t be further from the truth.

The Luddites were a radical group of English textile workers and weavers who just over 200 years ago in the Nottingham area destroyed weaving machinery as a form of protest. The Luddites were not against the machines themselves but against how they were being used to undermine what today we would describe as ethical working practices and health and safety. Unfortunately, the term has become adopted  to mean someone opposed to automation or new technologies per se. What has been lost is the sense of protest against the misuse not the existence of technology and automation.

Before turning towards the second assumption that the care sector is antithetical to technology I want to reflect a little upon the critical contribution of technology.

Paul R Daugherty and H James Wilson have recently published a book called ‘Human + Machine: reimagining work in the age of AI.’ It is a very good read and explores the potential of Artificial Intelligence (AI) in the work environment against the framework of a generally suspicious cultural narrative. They explore the way in which popular culture not least in examples like the ‘Terminator’ movies or ‘2001: A Space Odyssey’ suggest a polarised man versus machine view of things often depicting a future when human beings are replaced by machines. The knee-jerk reaction and negativity is echoed when we explore the debate around social care and technology.

Daugherty and Wilson forcibly argue that key to understanding the contribution of AI in any context, including the care sector, is to understand its transformational power. If we only think of AI in social care as something which will automate certain functions and tasks, then we will miss its power. Rather they argue that we need to recognise the potential of AI to complement and augment human capabilities. They envisage organic teams that partner humans with advanced AI systems. Can we imagine a mixed care team of robots and humans? Is that the stuff of dreams or nightmares? For some it is already a reality as evidenced in some Advinia care homes in England

The authors suggest that we are about to enter a ‘third wave’ of societal and workplace transformation. The first wave, they argue, was when people like Henry Ford introduced ‘standardised’ procedures. The second consisted of the automation of processes. The third, they suggest is the ‘missing middle’ where humans and machines interact. In this space human and machines are not fighting each other for dominance but seeking to complement the role of the other. But this requires new skills and employee roles, a new understanding of team and management, and maybe even a new understanding of work. Personally, I think there is real potential here for social care to take the lead in creating workplaces where AI contributes to a reformed and developed role of the social carer. It is not a case of one or the other but both contributing. As I have often said, technology can enable human presence but it should never replace it.

Dougherty and Wilson argue the leading organisations are already riding the ‘third wave’ by adopting a MELDS Framework – comprising mindset, experimentation, leadership, data and skills. What might a MELDS Framework look like for social care in Scotland? We need to find out and engage in that discovery sooner rather than later.

Already there are an amazing group of highly innovative and entrepreneurial social care companies and technology developers trying to enable a new approach to care. The next few years will be critical for shaping that future as one with the person at the centre rather than the process. It is becoming time critical that we work together to shape person-led and person-centred models of technology in care. I am confident that we can achieve models of AI which are truly grounded in a human rights based approach to technology enabled care.

As part of that journey, Scottish Care is delighted to announce that we are hosting our first ever event dedicated to technology and social care. ‘Tech Care, Take Care.’ will be held on the 24th August at the University of Strathclyde Centre for Technology and Innovation. It’s an event which will bring together some of the best designers, technologists and innovators from across Scotland and further afield. But it is also an event where we will spend some time looking at how we develop an ethical, rights-based approach to technology and care in Scotland. We hope to publish on the day a study on the relationship between human rights and technology in social care. We will explore the contribution and also the limitations of AI amongst other areas of innovation. We will consider the personalisation of care from a technological perspective in this ‘missing middle.’

So the only sense in which the term ‘social care Luddites’ fits is in the desire to develop an ethical personalised approach to technological innovation rather than a desire for social care to break up the machine! It’s going to be an intriguing ‘third wave’ to ride, why don’t you join us?

Dr Donald Macaskill

@DrDMacaskill

 

Celebrate Care Home Week with us! 11-15 June 2018


Care Home Week: 11-15 June 2018
#carehomeweek

Throughout this week, we will be celebrating and raising awareness of Scotland’s care homes, the individuals who live and work in them, their role in local communities and the opportunities care homes offer to enhance lives and wellbeing for a wide range of people.

We’ll be celebrating different elements of care home life each day from 11-15 June:
• Monday 11 June – Busting myths
• Tuesday 12 June – Human rights
• Wednesday 13 June – Workforce
• Thursday 14 June – Change & adaptation
• Friday 15 June – Engagement

This week is an opportunity to share good news stories and promote the positive things that services and their local communities are doing.

Scottish Care is seeking your help, whether you are part of a care home or work in the social care sector more generally, to enable us to tell these good news stories. We are looking for the following:
• Stories/examples of projects/activities your care home has undertaken (including photos, quotes, stories etc)
• Positive stories/blogs/examples from residents, care staff, volunteers and other members of the care home community
• Information about any events, activities or resources that could be promoted and shared as part of the week
• Encourage engagement between your care home and local community throughout the week, either informally or through events
• If you’re on Twitter, use the hashtag #carehomeweek

If you are able to provide any of the requested materials, we would really appreciate receiving these by Friday 1 June. Please send any blogs or examples of good news stories relating to care homes via email to [email protected]

If you have any questions relating to this, or wish to discuss an idea for Care Home Week, please do not hesitate to get in touch with Kat – [email protected]

Care at Home & Housing Support Awards – 2018 Winners

The 2018 National Care at Home & Housing Support Awards were held at the Marriott Hotel, Glasgow on May 18. 

The winners to the 11 categories were announced at an evening awards ceremony hosted by Michelle McManus, which was attended by over 300 guests.

Huge congratulations to all our winners and finalists, who collectively showcased excellence in the home care and housing support sector across Scotland. 

Film: A Day in the Life of Home Care

The latest film commissioned by Scottish Care has premiered at our #practicalpromise Care at Home & Housing Support Conference at the Marriott Hotel in Glasgow.

It details a Day in the Life of Home Care and was created in collaboration with Michael Rea, an experienced documentary film maker with a long standing relationship with Scottish Care and a proven ability to capture the diverse voices of those working in and receiving social care.

Scottish Care want to extend a huge thanks to all of those involved in it's creation - we hope you enjoy watching!