Market study into care homes gets underway

The Competition and Markets Authority (CMA) would like to hear from providers as part of a market study into care and nursing homes for the elderly.

The CMA has recently launched this study to review how well the UK market for care and nursing homes works, and it wants to hear from providers about the services they offer and any challenges they face.

CEO Dr Macaskill said:

“Scottish Care welcomes the Competition and Market Authority’s (CMA) upcoming market study of UK care homes, including the Scottish care home sector.

 “It is important that the process of purchasing care home places, both for residents and in relation to how local authorities commission, are fair, transparent and outcomes-focused. It is therefore positive that the CMA will be exploring this.

 “It will be critical that the study has a comprehensive a picture of the care home sector and looks at the areas of interest it has identified in sufficient detail.

 “For Scotland, an exploration of the care home market must include the National Care Home Contract and its reform, the impact of health and social care integration and workforce challenges being faced by the sector such as the Scottish Living Wage and the recruitment and retention of nurses.

 “Scottish Care therefore intends to be supportive to the study through the sharing of information and through the fostering of positive dialogue between the independent care home sector and the CMA throughout the study’s duration.”

For more details of the study and how to contribute, see: https://www.gov.uk/cma-cases/care-homes-market-study

Scottish Care response to the Draft Budget Statement

Following the Draft Budget Statement from the Cabinet Secretary for Finance the attached letter has been received from senior officials within the Scottish Government and COSLA.

Scottish Care warmly welcomes the commitment in the Statement and in this letter to the funding of £100million to finance the Scottish Living Wage to £8.45 and the decision that there will be no expected provider contribution, as well as the acceptance of the additional on costs which employers face and the recognition of the need for funding to ensure the sustainability of the sector as a whole.

Scottish Care is committed to working with our statutory partners to ensure that the next round of implementation builds on good practice, where providers have been fully engaged, involved and consulted and where there has been a real sense of partnership to achieve positive outcomes for those who receive support.

Scottish Care has long campaigned for the true valuing and recognition of our front line care workers, who give so much to some of our most vulnerable citizens.  We acknowledge that this announcement is a significant step in achieving this aim.

 

Dr Donald Macaskill

Chief Executive

Scottish Care

New Blog from Laura Bennie of Scottish Care

‘Cinderella Syndrome……..’

‘Remember Cinderella, when the clock strikes midnight, everything will change.’  Sage advice from the kind and generous Fairy Godmother in the much loved children’s story ‘Cinderella.’

With the festive period now in full swing we find ourselves rushing around full throttle, busy with work, parties to attend, presents to wrap, trees to trim and in my case a very demanding ‘elf on the shelf’ who needs to be moved around the house on a nightly basis!  Then suddenly the clock strikes and everything changes………

Prior to joining Scottish Care I worked for 17 years as Project Manager with East Ayrshire Carers Centre, a voluntary organisation providing information, advice, support, training, leisure, respite and social activities to unpaid, family carers of all ages in East Ayrshire.  On a daily basis I developed services and provided support to a number of individuals, all suffering from ‘Cinderella Syndrome.’  Bong, the clock strikes and a mother gives birth to a child with complex needs, bong, a husband keeps watch by the bedside of his wife who has suffered a life changing stroke, bong, a long expected dementia diagnosis is finally given.  All major events which will change life as they know it and nothing will ever be the same again.

Carers Centres of which there are more than 25 all over Scotland, have a very particular unique selling point in that they are there totally for the carer, the family member or friend devoting their lives to those most dear to them who have become disabled, frail or suffer at the hands of a drug or alcohol addiction.  They are the number one priority.  Typically, when a carer first presents they are at the end of their tether, unable to cope and on the verge of becoming unwell themselves.  Sometimes, the listening ear of someone who is non-judgemental and who they know they can talk to in confidence is all they need to get them back on track.  More often than not however, much more complex support is required.  Carers Centres can assist with the completion of benefit forms, referrals to social work to access assessments and additional services and in the case of East Ayrshire Carers Centre, in conjunction with the local authority, carry out a ‘Carers Assessment’, taking into account their needs for additional support and respite. Centres can also provide the carer with a much needed social outlet.  Many carers suffer from loneliness and isolation and meeting people in a similar situation at training events or social events such as coffee mornings can have miraculous effects and supportive friendships can be developed which go far beyond the scope of the work carried out by the Carers Centre. 

Being a family carer is difficult for adults but it can be even more traumatic for young carers and young adult carers who commonly are caring for a parent, grandparent or sibling on a daily basis providing personal care and support far beyond the expected capabilities of their tender years.  The youngest carer I ever supported was a 7 year old girl who was looking after her mum, a single parent, who was receiving treatment for cancer.  This vibrant young girl, with bouncy red curly hair, not unlike Annie, the character in another much loved movie, was brutally honest yet pragmatic as I chatted to her and summed up how many carers feel when she said, ‘I do lots of things for my mummy, like carry buckets of sick when she’s not so well, but if you really, really love someone, you don’t mind.’ 

In general carers don’t mind, they carry out their role willingly but additional external support is often assessed as being necessary and many rely on the support provided by Care at Home services on a day to day basis and Care Homes for much needed respite.  They open their homes and their hearts to carers and entrust the well-being of someone very precious to them.  As one carer said to me, ‘the carers that come into my house four times a day are amazing, so kind but I told them right at the start, she might just be one person to you but she’s the world to me.’  So if you’re reading this and you’re perhaps a carer, a nurse, a provider, a social work professional and you’ve just had a difficult conversation with a family carer whose being demanding, critical or emotional, please remember, the person they care for may be just one person to you but they’re the world to them.  So, as the big day approaches, take 5 minutes out of your hectic schedule and find the number of your local carers centre and when your next talking to a family carer, ask them if they are aware of the services a carers centre can provide to them, it just might be the best gift you give this year.

As it is Christmas, my gift to you is the ‘happy ever after’ part of the Cinderella story.  I recently met the 7 year old Annie lookalike who is now 27 and I can happily report that she proudly achieved a second class honours degree, has met her Prince charming and is an amazing mother to a beautiful baby boy, and her mum, who made a full recovery, is a very proud Grandma.  Merry Christmas.

Laura Bennie   

Closing on Friday: Please take part in our important Scottish Living Wage surveys

Closes on Friday: Please take part in our important Scottish Living Wage surveys

 

For Scottish Care Members:

It is now some time since the 1st October saw the start of the Scottish Living Wage (SLW) for front line care workers.  Negotiations for fee rates will be significantly affected both by the introduction of the SLW this year and any future increases.

We want to gain evidence on the impact of the SLW on the care home and care at home/housing support sectors and would be very grateful if you could complete the relevant survey.  This will support our ongoing discussions and negotiations, including in relation to the National Care Home Contract and the Care at Home/Housing Support reform process currently underway.

The information given will be treated in the strictest confidence and will be anonymised when analysed to ensure it is non-identifiable.

Please complete one survey per organisation.  The surveys can be accessed below:

 

Care at Home / Housing Support SLW Survey

Care Home SLW Survey

 

Please complete the relevant survey by 16 December 2016.  It is important that we have a good number of responses to ensure the resulting data is robust.

If you have any questions about the survey, please contact [email protected]

Thank you in advance for your cooperation.

A Scottish Social Care Budget

A statement from Dr Donald Macaskill, CEO, Scottish Care

There has been a great deal of emphasis in the media over the last few days about the need to put additional financial resources into social care funding in England and Wales and I have been asked what should be happening in Scotland.

As many of you will know Derek Mackay, the Cabinet Secretary for Finance and the Constitution is due to make a Statement to the Scottish Parliament on Thursday afternoon (15 December) on the Scottish Draft Budget for 2017-18. This will provide the basis for discussions with Local Government and it will provide some insight into the possible funding of social care over the next year.

Before the Scottish Parliamentary elections earlier in the year Scottish Care issued an Agenda for Care.

This was a ten point plan which asked all candidates to address the issues challenging the sector at the time, and amongst them was the inadequacy of funding for social care for older people, whether that was care home or care at home and housing support services.

Eight months on the care sector in Scotland is under immense pressure. There are several ways in which a Scottish Budget by prioritising social care can help support the reform agenda that is currently underway within Scotland.

  1.  Earlier this year the Scottish Government allocated £250 million to Integrated Joint Boards and part of this has gone to pay the Scottish Living Wage to front line care staff. However the process of achieving this aim has not been without difficulty. Many care home and care at home providers have had to pay on-costs and increase the salaries of those who do not deliver front line care; others have had to draw on reserves and savings to enable them to pay the Living Wage. In other words the welcome Scottish Living Wage initiative has been partly and not fully funded. We call upon the Scottish Government to ensure that any additional increases in the Scottish Living Wage placed upon care providers are fully funded and that consideration is given to other workers in the care sector to ensure equality and fair treatment.
  2.  At present one in four nursing posts in care homes are vacant with providers having to pay exorbitant fees to agencies to ensure services can continue to be safely delivered. We are calling upon Scottish Government to ensure there is dedicated funding to address the nursing shortage in the social care sector including by means of an immediate increase in student placements.
  3. Together with partners in Scottish Government and COSLA, amongst others, Scottish Care has been engaged in undertaking work to develop an independent and robust mechanism for calculating the true cost of care in care homes and care at home services. We are calling on the Scottish Government to ensure that there is sufficiency of resource to enable the required reform of care home and care at home/housing support services to be fully and properly funded.

We recognise that both local and national Government are under financial pressures and that there will always be competing demands on limited resources.

Scottish Care believes that expenditure on social care even in straitened times is money well spent because it serves as a preventative measure for individuals and in the long term is much more economical.

The cost of not prioritising social care at this time is a very human one. If we do not adequately support our care at home and care home sector we will end up with unsustainable services which will have a direct impact on individuals. We risk older individuals being stuck in hospital unnecessarily with all the trauma and distress that that causes, because without investment there will not be an adequacy of care home or care at home services. Not resourcing social care carries a real human cost.

Scottish Care believes that the time has come for our valuing of our older citizens and those who care for them to be at the heart of financial decision-making. The Scottish Budget offers all of us a potential opportunity to put older people’s care at the heart of our nation. It is an opportunity we should not miss.

Dr Donald Macaskill

CEO, Scottish Care

Next Steps for Primary Care in Scotland

Guest of Honour: Dr Miles Mack, Chair, RCGP Scotland

In advance of the new GP contract due to take effect in 2017, which will abolish the Quality Outcomes Framework and build on the process of integration through the creation of GP clusters this seminar will provide a timely opportunity to discuss the challenges facing primary care in Scotland in terms of changing demographics, resource allocation and service delivery. Delegates will discuss the impact of the new payment system on the workload and role of General Practitioners as expert medical generalists.

They will also assess the Scottish Government’s National Clinical Strategy, published in February 2016, which outlines plans to improve and reform the delivery of primary care over the next 10-15 years through a focus on building multidisciplinary teams integrated with social services and, independent and third sector providers.

Further sessions will focus on the Scottish Government’s £27 million investment in the health workforce and the Chief Medical Officer’s first annual report, published in January 2016, which sets out a new vision for a community-led primary care system. They will also consider the likely impact of the integration of health and social care, due to be completed in April 2017.

The conference is bringing together key stakeholders of primary healthcare including representatives of health consumer organisations, trade unions, local government, representatives of healthcare and pharmaceutical industries, academia, interested and affected charities and service user groups, as well as reporters from the trade and national press.

Dr Miles Mack, Chair, RCGP Scotland has agreed to deliver a keynote address.

Dr Angus Cameron, Author, National Clinical Strategy and Medical Director, NHS Dumfries and Galloway;

Professor Alan Denison, Deputy Director, Institute for Medical and Dental Sciences, University of Aberdeen;

Lorna Hunter, Chair, Voluntary Health Scotland;

Dr Helene Irvine, Consultant, Public Health Medicine, NHS Greater Glasgow and Clyde;

Bette Locke, AHP Strategic Lead and Services Manager, NHS Forth Valley;

Nicola McElvanney, Chair, Optometry Scotland;

Lesley McLay, Chief Executive, NHS Tayside;

Professor Harry McQuillan, Chief Executive Officer, Community Pharmacy Scotland

Albert Yeung, Consultant, Dental Public Health, NHS Lanarkshire have also agreed to speak.

 

Neil Findlay MSP, Convenor, Health and Sport Committee, Scottish Labour Party will be chairing the first half of the seminar.

Book your place for the event HERE 

Download the latest agenda HERE

Pre-Order the Publication HERE

Health and Sport Committee asks questions re Scottish Care Nursing Workforce Data report

Health and Sport Committee asks questions re Nursing Workforce Data

 

The Convenor of the Health and Sport Committee of the Scottish Parliament as part of their Inquiry into Recruitment and Retention has asked the Cabinet Secretary for information relating to nursing recruitment into the social care sector. The Committee raises important questions about the extent to which the current critical shortage in nurses in social care has previously been factored into student intake calculations and what impact any inclusion has had to date.

 

Scottish Care remains concerned, as was highlighted in evidence given to the Committee by our Chief Executive Dr Donald Macaskill, that the critical level of nurse vacancies and likely ongoing negative impacts caused by Brexit and other factors, needs to be addressed as a matter of urgency.

 

You can read the letter at

www.parliament.scot/S5_HealthandSportCommittee/Inquiries/Letter_to_Cab_Sec_-_Final_no_sig(1).pdf

Care Roadshows: Glasgow 28th March 2017

 

CareRoadshow NEW Logo

Care Roadshows 2017

 

Care Roadshows are a series of five free regional care events throughout the UK that are tailored to all decision makers within the care sector including Care Home Owners, Managers and Healthcare Professionals. The Care Roadshow will be coming to Scotland with an event at Hamden Park Stadium on 28th March 2017.

 

Care Roadshows enable practitioners to source high quality products and services from established suppliers in order to exceed the expectations of their clients. This includes care management systems, catering and laundry equipment, pharmacy services, recruitment, HR plus many more– all integral components for an organisation providing care.

 

The events provide the chance for like-minded individuals to meet and discuss staying profitable whilst addressing challenges faced in the sector when trying to achieve the highest care rating. The CPD seminars award visitors with an insight and explanation into the current sector trends from experts including Care Inspectorate, CSSIW, CQC, National Care Association and Care Forum Wales.

 

If you are looking to achieve outstanding levels of care in your organisation, then Care Roadshows are guaranteed to support you in this. There is also the chance to enter a £100 prize draw on the day.

 

For more information and to register for your FREE ticket, visit www.careroadshows.co.uk or call 01425 838393.

 

Care Roadshows 2017 locations and dates:

 

Care Roadshow Glasgow

28 March 2017

Hampden Park Stadium

For more information and to register for your free ticket, visit www.careroadshows.co.uk or call 01425 838393

Dance me to the end of love …New Blog from Dr Donald Macaskill

Dance me to the end of love …

 

As we grow older the sounds and voices of our life and its conversations change; they continually ebb and flow, re-energise and diminish. Some voices grow quieter and less significant, others lose their fire and passion, their strength and depth; and with the passing of the years many more, grow silent altogether. 2016 has been a year when some of the most familiar voices of my youth and adult life have grown silent. And perhaps more than anyone I have been moved by the death of the singer, poet and philosopher Leonard Cohen.

 

Leonard Cohen divided people between those who loved his music and those who reached for the mute button. Certainly this was true of my friends, some saw his lyrics as laden with deep insight and profundity about the human condition whilst others thought that he was the depressing master of despair and angst.

 

I am unashamedly in the former camp and I’ve always admired not just his expressive voice but also perhaps more than anything his creativity with words, rhythm and language. Just before his death he had released an album which according to his son he considered to be one of his best – ‘You Want it Darker’

 

In an extensive interview in The New Yorker in part promoting the album but also reflecting on what an increasing awareness of mortality gave him, Cohen said:

 

 

“At a certain point, if you still have your marbles and are not faced with serious financial challenges, you have a chance to put your house in order. It’s a cliché, but it’s underestimated as an analgesic on all levels. Putting your house in order, if you can do it, is one of the most comforting activities, and the benefits of it are incalculable.”

 

Indeed though his death was sudden, Cohen had already spoken at length this year of his thoughts about life, death, memory and attachment. One of my favourite Cohen songs was ‘So Long Marianne.’ Just a few months ago Cohen sent a moving final letter to the dying Marianne Ihlen, the subject of his song, who died in Norway on July 29 at the age of 81. They had been lovers and partners for a decade in the 1960s when they had met first in Hydra, Greece.

 

Marianne’s friend Jan Christian Mollestad told Canada’s CBC radio that he had contacted Cohen, 81, to tell him Ihlen was dying of leukemia and had only a few days to live. He recalled: “It took only two hours and in came this beautiful letter from Leonard to Marianne.

 

“We brought this letter in to her the next day and she was fully conscious and she was so happy that he had already written something for her.”

 

Mollestad, a documentary filmmaker, read the letter to Ihlen before she died.

He recalled: “It said:

 

‘Well Marianne, it’s come to this time when we are really so old and our bodies are falling apart and I think I will follow you very soon. Know that I am so close behind you that if you stretch out your hand, I think you can reach mine.

 

“And you know that I’ve always loved you for your beauty and for your wisdom, but I don’t need to say anything more about that because you know all about that. But now, I just want to wish you a very good journey.

“Goodbye old friend. Endless love, see you down the road.”

 

Mollestad told host Rosemary Barton that when he read the line “stretch out your hand”, Ihlen had stretched out her hand.

 

“Only two days after, she lost consciousness and slipped into death. And when she died, I wrote a letter back to him saying in her final moments I hummed A Bird on the Wire because that was the song she felt closest to.

 

This story when recounted went viral on the Internet and especially Twitter. Simple words with real depth and meaning between two old friends written by someone with a realisation that his own journey was coming to its close; that the last few beats of his dance were being played.

 

At Scottish Care we have recently launched project work on palliative care in care homes and care at home services. There are four main strands to this work. The first has been the holding of focus groups with staff who work on the frontline, daily working with, supporting and being with those who are approaching the end of their life. I have been privileged to be present at a couple of these events and have heard rich, challenging, beautiful and harrowing stories. The majority of individuals who die in Scotland today and who are receiving social care supports will, in all likelihood, be supported by someone who works for an organisation which is a member of Scottish Care. We are eager to tell the story of these workers and organisations as they deliver this exceptional care despite challenging contexts. A report on these focus groups and their insights will be available at a workshop on February 8th. Please keep an eye out for an invitation.

 

The second strand of the work is an online survey which can be completed at

https://www.scottishcare.org/scottish-care-news/sector-news/palliative-care-survey/ ;  the third an identification of best practice around Scotland, and the fourth strand is called ‘This speaks to me…’

 

For many of us it is through the words of poetry and story, through music and art that we are helped to gain insight into the nature of good care and support at the end of life. ‘This speaks to me…‘  is an opportunity for workers, carers and family members to share words, images or music which tell them something about what good palliative and end of life care can or should be.

 

Leonard Cohen provided a space to talk, music to ponder and images to paint insights which go beyond the ordinary and the tangible; he illustrated that some of the most important lessons in life cannot simply be limited to text, however creative, and I hope we can all take the opportunity of sharing the things, and the voices, that help ourselves and others to ‘dance to the end of … love… down the road.’

 

 

Dr Donald Macaskill