Care in Mind – Event Report

On Tuesday 26th September Scottish Care held Care in Mind, a workshop designed to explore how we can manage and promote good mental health and wellbeing for those working in care homes and care at home organisations.

The physical and mental wellbeing of our workforce is critical if high quality health and social care services are to be delivered to the most vulnerable in our society. Recent research by Scottish Care has indicated that the pressure and demands facing the social care workforce are creating significant recruitment and retention challenges for employers.

The day began with Scottish Care’s National Workforce Lead, Katharine Ross, opening proceedings with a warm welcome and introducing the themes for the day. Louise Wilson and Anne Connor of Outside the Box then presented the outcomes of their research exploring the mental health and wellbeing of older people in receipt of care and support.

Louise explained how conversations with older people across the country has shown that loss of personal independence, loneliness, transitions as well as grieving for loved ones, has the biggest impact on the mental health and wellbeing of those we are caring for. In order to feel positive and well, older people have said that structure, meaningful activity, relationships – maintaining existing ones as well as building new ones – communication and freedom are among the most significant factors. The full report from Outside the Box’s research can be found here.

Following this Becca Gatherum, Policy and Research Manager at Scottish Care, discussed Scottish Care’s mental health research project. As we headed to the interval Becca encouraged all present to let us know their own thoughts, comments and experiences of mental wellbeing and the workplace by writing them down and attaching them to the different themed parts of the room. The response to this request was incredibly well taken up, with the walls being covered in a thick coat of post-it notes that will inform our Mental Health report – which will launch at Scottish Care’s Annual Care Home Conference on 17th November.

Between refreshment and lunch breaks saw our own Chief Executive Officer, Dr Donald Macaskill, exploring How well is our frontline workforce? Having conversations about mental health within your organisations. In this informative and thought provoking session Donald advised that, in 2015, 15.3% of the total UK workforce had identified themselves as being affected by a common mental health illness such as stress, depression or anxiety – meaning the actual figure is likely to be far higher. With this number representing an estimated 12.1% of overall GDP, workers living with mental health problems are making a significant contribution to the economy.

This being the case, Donald challenged employers to develop robust mental health policies for their organisations with a culture of compassion and positive communication embedded throughout to support the workforce, and provided helpful tips as to how this can be progressed.

As it can be with day-long events, some of those in attendance perhaps felt a little sluggish as they returned to their seats from lunch. Luckily we had Dr Tara French from the Digital Health and Care Institute, Glasgow School of Art, to lead us in her session of full-audience participation.

Entitled How can you look after yourself? Exploring music, creativity and wellness, Tara’s presentation focussed on the positive impact of music and singing to our mental wellbeing. With the use of a keyboard Tara moulded those congregated into what is believed to be Scotland’s first ever social care choir. More than this, it actually sounded really good as you can see for yourself by watching the video here!

Rounding off the event Lyn Ryden of Carr Gomm, with Mindfulness: a tool to promote workforce health and wellbeing, explained how each of us individually can help ourselves to be both healthier and happier. As her presentation was drawing the day to a close, Lyn lead the group in a few moments of quiet contemplation in which no sound could be heard other than her calming words. A perfect and relaxing way to complete the day.

Scottish Care would like to thank everyone involved with Care in Mind – colleagues assisting with the development of the idea and the logistics on the day, each of the contributors at the event, and everyone in attendance – for helping produce what we feel was a very interesting, entertaining and thought provoking milestone and call to action in our research into the mental health and wellbeing of the social care workforce.

If you would like to see more content from the day, and you are a Twitter user, please search using the hashtag #careinmind for quotes, comments and reflections from those attending on the day.

New report highlights extent of care being delivered at end of life by independent sector in Scotland

Today (Thursday 12 October 2017), a suite of publications will be launched relating to the end of life care delivered to Scotland’s older people.

They include a new report, which shows that:

  • 66% of independent sector social care services have increased the amount of palliative and end of life care they deliver over the past year
  • 81% of people supported by the independent sector have multiple morbidities
  • 85% of care staff are involved in the delivery of palliative and end of life care

 However the report also highlights that over a quarter of organisations believe they aren’t able to offer the level of care and support they would like to at the end of someone’s life, and over half believe current staff training is insufficient to equip them to deliver this care.  This, social care providers believe, is due to a lack of value placed on independent care services and care workers, as well as insufficient funding and not enough opportunities to work with other agencies in delivering this support.

The report will be launched at an event on palliative and end of life care, entitled ‘Supporting Solace’ which will see over 100 individuals from across the care sector, including front line workers, come together to discuss the positives as well as the challenges of delivering this support.

The event is being hosted by Scottish Care, the representative body for independent sector care services.  CEO Dr Donald Macaskill said:

“Bringing comfort is the essence of all good care but is especially the case when someone is receiving palliative care and at the end of their life.  A significant majority of those supported to die at home or in a care home are supported by staff from the independent care sector. 

“The Supporting Solace conference is about celebrating and highlighting the amazing work which happens around the country.  The report which Scottish Care launches today speaks of the very real and immediate challenges faced by front line social care workers and the organisations that employ them.  The strategic aims of the Scottish Government’s Palliative Care Framework have little chance of success unless all partners recognise the critical contribution of homecare and care home services and staff.  To do so we have to prioritise and adequately resource and train those who are the comfort and solace givers to vulnerable Scots at the point of their death. Dying well costs on so many levels and we need to ensure that those who care are supported and adequately trained. At the moment we are failing workers and therefore failing those they care for.”

The event will also see the launch of a resource aimed at providing comfort to care workers and families who are dealing with the loss of an older person.  Dr Macaskill explained:

“I am also delighted to welcome the publication today of 'This Speaks To Me' - this is a booklet which is full of deeply moving readings and poems which tell the story of the dedicated care and support given by frontline care staff and nurses in care homes and in people’s own homes up and down the country.  If you ever doubt the intensity of commitment that care staff offer then simply read this.  It is beautiful, appealing and inspiring."

 

Guest post from Local Integration Lead, Janice Cameron

Older people living in Care Homes are some of the most vulnerable people in society. Due to complex needs, illness & frailty they can be at higher risk of developing a Pressure Ulcer.

The announcement that a collaborative of the Scottish Patient Safety Programme, Scottish Care & the Care Inspectorate were asking for HSCPs to submit applications for a programme beginning in May 2016 running to Dec 2017 to look at reducing pressure ulcers in care homes was met with much enthusiasm in East Dunbartonshire.

The aims & objectives of the programme were: SPSP would work with HSCPs, NHS territorial boards, Scottish Care and other local authority, private and third sector care homes across Scotland to reduce the incidence of pressure ulcers for residents in care homes.

Following submission of an application from our partnership, then attending an interview panel on a very rare sunny day in Edinburgh we were one of four Partnerships across Scotland to be accepted onto the programme.

The initial excitement of being accepted onto the programme soon lead to feelings of terror.

Five Care Homes volunteered to take part and we were a team of three enthusiastic but naive colleagues from the NHS & Independent Sector.

I have to say that following initial collection of data from all participating Care Homes from the four HSCPs in Scotland, it was very apparent that there was a very small incidence of Pressure Ulcers.

Therefore, it was decided that although we were aiming to reduce the incidence of pressure ulcers in care homes by 50% by Dec 2017, we also had to look at how we were going to prevent them.

Now, I could spout on forever over how we introduced Pressure Ulcer Grading training for all staff, pressure ulcer peer grading, red day review tools, data collection tools and graphs but that may get boring, however  I would urge you to go on to the website www.pressureulcer.scot and have a look at all the innovative work  happening across Scotland, along with some great information and tools.

I can’t pretend at times it’s not been a hard slog.

It has taken a lot of resource to get the programme up and running, also to keep enthusiasm and engagement consistent when the day job takes over, but our gang of three and our five Care Homes have been magnificent in achieving just that.

At our first Learning Set where we looked at the PDSA cycle as a tool for improvement, I did find that, in fact I am not any good at building paper aeroplanes!!!

Below is a nice picture of two of the team with their aeroplane which shows we also had fun along the way.

Through the hard work of everyone in East Dunbartonshire who has taken part in the project, we have been selected as one of three areas to have one of our homes evaluated.

This home is trialling a Pressure Ulcer Daily Risk Assessment Tool and when complete, the evaluation will be available on the website already mentioned.

We are also extremely honoured that members of our team have been asked to attend the Pressure Ulcer World Summit in Manchester in December to talk about how we approached the project and some of the Assessment Tools that we have successfully implemented in the Care Homes.

If you get the opportunity to take part in something like this I would urge you to get involved. No one wants a resident to get a pressure ulcer. In some cases, this is unavoidable but by making small changes and improvements through a programme like this we can reduce and even prevent it happening.

There have also been the fringe benefits. Existing relationships with care homes become stronger due to being in frequent contact, meeting new colleagues who broaden your network of skilled people you can call on should you require their specialist knowledge, true partnership working and many more not forgetting there is fun to be had along the way!!!

Officially the programme concludes at the end of December 2017, however the bigger challenge will be how to ensure improvements already made are sustainable. How do we spread this to our other care homes and then……. take over the world!!!

Janice Cameron

Opportunities for Care Home Nurses from General Nursing Council

SCHOLARSHIP OPPORTUNITIES: GENERAL NURSING COUNCIL FOR SCOTLAND (EDUCATION) FUND 1983 AND MARGARET CALLUM RODGER MIDWIFERY AWARD

NHS Education for Scotland has announced that applications are now being invited for the above award. The 2018-2019 scholarships are open to registered nurses and midwives resident and practising in Scotland. Applications from registered nurses across health and social care are welcomed.

Information on the funding opportunities available, a copy of the fund flyer, how to apply for funding, the application form and scholarship information for applicants can be accessed by going to the GNC webpage http://www.nes.scot.nhs.uk/education-and-training/by-discipline/nursing-and-midwifery/information-for-practitioners/general-nursing-council.aspx

A learning resource to support application writing has also been developed and can be accessed here.

The closing date for applications is 5pm on Wednesday 17th January 2018.

CMA care home provider survey

Scottish Care has agreed to facilitate a short survey of our care home members on behalf of the Competition and Markets Authority (CMA). It should not take more than a few minutes to complete and the results will be fully anonymised.

The survey, which focusses on your business practices with residents (in particular self-funders), will help to inform the CMA’s market study – the study is considering whether the market for the provision of care home and nursing home services (to the over-65s in the UK) is working well for residents and for fairly competing businesses. Further information about the CMA and this work can be found at this link: https://www.gov.uk/cma-cases/care-homes-market-study

Please note that if you are a provider who operates more than one care home, you should only submit a single corporate response on behalf of all the care homes in your group.

Please be assured that the responses to this survey are anonymous at the point of submission . The CMA will not be able to identify which responses came from which provider, nor will Scottish Care.

We encourage you to answer the questions honestly as your feedback will help shape the CMA’s work in the care homes sector.  However, if there are any questions you prefer not to answer, then you can simply go to the next question, by clicking ‘Next’ at the bottom of the page.

For this survey, no personal information is being sought, and as previously stated, responses will be anonymous. Nevertheless, if you wish to know more about how the CMA handles the information it receives as part of its market study, then further details can be found at the Annex (Use of Information provided to the CMA) to this link: https://assets.publishing.service.gov.uk/media/58414134ed915d0b1200003b/carehomes-statement-of-scope.pdf

Clicking on the link below will take you to the CMA’s short questionnaire:
https://www.surveymonkey.co.uk/r/CMAcarehomessurvey

We would be grateful if you would please submit your responses to the CMA by no later than midnight on Monday 30th October.

If you have any concerns or queries, you may contact the CMA at this generic e-mail address: [email protected]

Courses on Sexuality from the Terrence Higgins Trust

Scottish Care has been undertaking work on sexuality and dementia with the Terrence Higgins Trust and Alzheimer Scotland and we are pleased to support the work of the trust in the sector.

Some of the courses running in the autumn and delivered by the Terrence Higgins Trust may be of interest to those delivering training and delivering care in the sector.

The Trust is offering a range of  informative and accessible courses on HIV, sexual health and related topics. For more information about any of the courses, just click on the links below. You can also visit Learning Centre Scotland, email [email protected] or call 014 1332 3838.

Understanding HIV & AIDS
The PDA in HIV is ideal for anyone who works in healthcare, social care, sexual health, or HIV. The course is also relevant to early childcare workers and anyone who supports at-risk populations or high prevalence communities. It is comprised of two units:
Unit one: HIV – An Introduction (Tuesday 17 October)
Unit two: HIV – Treatment & Lifestyle Management (Tuesday 14 November)
Cost £187.50 – £195 per unit (includes VAT, SQA fees and a light lunch)

‘I learned lots and this will definitely improve my support for individuals living with HIV’ (Participant attending Understanding HIV & AIDS)

Delivering Sexual Health Training
The PDA in Sexual Health Training is ideal for anyone who delivers Sexual Health Training. It is comprised of two units:
Unit 1: Sexual Health Training – An Introduction (Thursday 26 October)
Unit 2: Sexual Health Training – Experiential Learning (Thursday 23 November)
Cost £187.50 – £195 per unit (includes VAT, SQA fees and a light lunch)

“The trainer was excellent – very knowledgeable, supportive, approachable and encouraging.” (Participant attending Sexual Health Training)

SSSC – Register Opens

Please see the below news release from SSSC:

 

Social service workforce Register opens for 45,000 workers in care at home and housing support

 

The Scottish Social Services Council (SSSC) today (2 October 2017) opened the Register to 45,000 people working in care at home and housing support services across Scotland, the biggest single group of workers to register with the SSSC. They will join the 100,000 people already on the Register, including their managers and supervisors and people working in social work, adult care, children’s day and residential services.

 

Registration of this workforce is similar to nurses, doctors and teachers and provides public confidence that people working in these services have the right skills and are safe to do the job.

 

Anna Fowlie, SSSC Chief Executive said:

 

‘Opening this part of the Register is a landmark for social services. People working in care at home and housing support services work with thousands of people with very different and complex needs, generally in their own homes. Registration with the SSSC is a step towards making sure we have the right people with the right skills and values for the job. Too often we hear about times when things have gone wrong, so it’s important to highlight that most people working in these services do an excellent job and should be valued and recognised for the challenging and life-changing work they do.

 

‘People on our Register must meet a number of criteria including having a qualification, working to the SSSC’s Codes of Practice and a commitment to continuing to learn and improve their skills and practice throughout their career. All of these things work together to improve standards of practice and the quality of care, increasing public confidence in this essential workforce.’

Care at Home services – Take part in Lifecurve™ research

We are encouraging care at home organisations to contribute to the largest piece of Scottish Care research ever to be conducted with a view to influencing future decisions and investment in a preventative approach to care:

  • It should take 5 minutes to complete

  • It will provide a national snapshot of current care provision

  • It will allow researchers to access information on the timing and effectiveness of intervention

  • Your organisation can complete as many as you like throughout the month of October

We are aiming to gather 3000+ responses by working with all of our Care at Home providers. Such a large sample should produce truly representative results and provide gravitas for the outcome to have influence. We request that each provider complete and return 3-4 forms, but you are welcome to complete more.

How do I take part?

Familiarise yourself and your staff with the Lifecurve™:

Throughout October, ask staff to undertake this short survey with the people they support (including completing the consent form):

Complete the survey itself, one per individual, with as many individuals as you like:

Please return all completed surveys and consent forms to:

FAO Professor Philip Rowe (AILIP)

Professor of Rehabilitation Science, Bioengineering Unit

University of Strathclyde, Wolfson Centre, 106 Rotten Row

Glasgow G4 ONW