National Care Home Conference

Hilton Hotel Glasgow

Friday 17 November 2017

“Pushing the boundaries: care home reform and reality”

CARE HOME SECTOR WARNS OF FRAGILITY OF SECTOR, INCLUDING MENTAL HEALTH OF WORKFORCE

Care home operators say more needs to be done to stabilise the care sector to avoid not only a breakdown in the workforce but in the very existence of large parts of the sector.  And unless immediate action is taken the sector has warned there may be a crisis in both workforce numbers and the availability of care home places across Scotland.

The message will be delivered at the National Care Home Conference in Glasgow today (FRI NOV 17) by Dr Donald Macaskill, Chief Executive of Scottish Care, the representative body for the country’s independent social care services. The 450 delegate event, which is sponsored by the Clydesdale & Yorkshire Bank, will see addresses by Cabinet Secretary for Health & Sport Shona Robison and Professor Sir Harry Burns.

Unveiling a new report on mental health – ‘Fragile Foundations: Exploring the Mental Health of the Social Care Workforce and the People They Support’ – Dr Macaskill said that research with front line staff has highlighted just how much strain is on this workforce because of the issues facing the provision of care home support in Scotland, resulting in poor mental health being commonplace.

He said:

“This report tells the stories of the hundreds of individuals who live with mental health challenges and who access social care support, often in old age. It highlights that for many, their mental health needs are not being addressed adequately due to an inherent societal ageism and a lack of adequate resourcing of social care supports.  The report challenges us to do more as a society to recognise, support and care for those who are old and facing mental health issues. It is unapologetic about what appears to be at times a wilful disregard for the mental health needs of older citizens in Scotland.”

“But this report also seeks to describe the experiences of those who work in care at home and care home services and who every day are supporting individuals to live fulfilling lives. It shares the voices of a workforce offering dedicated, person centred care but which is itself struggling to deal with the very real challenges which caring itself brings and who are often struggling to cope.”

Detailing the scale of the problem facing the care sector in relation to its stretched workforce, Dr Macaskill will tell delegates:

“This research further underlines the significant recruitment and retention challenges which are facing both the care home, care at home and housing support sector in Scotland. The impact of effectively losing a third of the workforce each year is being felt both by those who remain in the sector to work and those who are in receipt of care and support.”

One of the biggest problems identified in the report is the levels of physical and mental exhaustion being experienced by the workforce as a result of the time and staffing pressures they face, whilst continuing to strive to meet the diverse and changing needs of the individuals they support.

Dr Macaskill said:

“The foundations of social care are rapidly being eroded. In the name of efficiencies and limited resource, more and more elements are being removed or minimised from social care services and their workforce through commissioning and procurement processes, from the time allocated to visiting clients to staffing levels to training budgets. What’s more, Scottish Care’s previous research has highlighted that many services’ viability is under significant threat. This new research has shown that, to many providers and care workers, the increasing demands and expectations on services combined with the constant stripping out of elements which stabilise a service and allow it to develop means that they are constantly trying to maintain a precarious balance.  It very much feels like a game of Jenga: pull one more piece out, and the whole thing may collapse.  Except this is not a game.  We’re talking about people’s lives.

“This raises questions about how long we can continue to damage the quality of care provided to our older citizens and the mental wellbeing of the crucial social care workforce through the under-resourcing and undervaluing of care services.

 “The voices of care staff heard in this report make for an uncomfortable read. They ask us to challenge the lack of recognition and resource we allocate to the mental health supports of individuals who are often hidden at the heart of our communities. They challenge us to acknowledge just how precarious the system of care and support is at this present time right across Scotland.”

Conference Chair Ranald Mair OBE will also issue a warning of the looming crisis in care provision in Scotland:

“The current national care home contract runs out at the end of March.  As yet there is no clarity about what will take its place. Local Councils and partnerships need to urgently engage care home providers on what provision they require going forward and what the funding arrangements in each area will be.  The current uncertainty threatens to further destabilise the sector at a point when more providers are looking to exit and very few are looking to come in. Against the backdrop of austerity, the challenges of having adequate funding and being able to recruit and retain staff are making providing care home provision a less and less attractive proposition.  The Government, Councils and Health Boards need to get real and put in place a framework which guarantees sustainable commissioning, sustainable funding and a sustainable workforce.  Failure to do so could well result in a collapse of provision across the country.  All parties need to rise to the challenge and use the next 20 weeks, nationally and locally, to create a sustainable future.  The security and wellbeing of over 33,000 residents and over 46,000 staff depends on getting it right.”

You can follow updates from the conference on Twitter at #carehome17

Raising the Standards: older people’s care and human rights

10am – 3pm, Wednesday 29 November 2017

Renfield Centre, Bath St, Glasgow

In June 2017 the Scottish Government published the new Health and Social Care Standards.  The Standards set out what people should expect when using health, social care or social work services in Scotland. They seek to provide better outcomes for everyone; to ensure that individuals are treated with respect and dignity, and that the basic human rights we are all entitled to are upheld.

The new Standards will be implemented from April 2018, initially in care homes for adults.

This free conference is an opportunity to explore the issues of embedding the new Standards and a human rights based approach into the practical delivery of care services.  It will combine a mixture of presentations and workshops to enable participants to get the best from the day.

The event will also see the launch of a new fund for care homes, aimed at making rights real for people with dementia living in care homes.   Scottish Care is delighted to be partnering in this fund with Life Changes Trust.

This is your opportunity to find out all you need to know about the new Standards, human rights and Self-directed Support and what they mean for your care provision.

View the programme

Book your place now

To book places for this event please email [email protected] or give a note of your name to the conference registration desk today.

Over 125 delegates from across Scotland will gather in Glasgow today (Friday 27th) to take part in a conference entitled: ‘Choice, Empowerment, Protection… Can we Achieve them all?’ A human rights-based approach to supporting, empowering and protecting older people.’

The event is being held by Action on Elder Abuse Scotland in association with Scottish Care and brings together individuals from statutory, third and independent sectors.

Speaking ahead of the event, Dr Donald Macaskill, CEO of Scottish Care said:

‘Scotland is fortunate in having human-rights based legislation which seeks to support and protect some of the most vulnerable members of our community.

Regrettably incidents of harm and abuse still take place and it is critically important that those who work and support older Scots have an opportunity to come together to ensure our protection can be even stronger and better. Scottish Care is therefore delighted to support and be involved in this event.

Adult protection and support covers the whole range of our lives. The way we allocate funds and spend our money – or choose not to – on health and social care is a human rights issue. For too many individuals today financial austerity and decisions are placing them at greater risk. That’s the case whether it is as a result of the critical shortage of specialist adult protection staff in our local authorities or the stripping out of funding to train homecare or care home staff. Both have the effect of increasing risk and a potential of resulting in actual harm.

We have great legislation and it would be an immense pity that a failure to resource protection increases the risk of harm.

The event today offers a real opportunity for different agencies to come together and put human rights and dignity at the heart of the way in which Scotland seeks to protect and support its citizens.”

Ends

Description of event:

‘At the heart of Scotland’s unique adult support and protection framework is a commitment to upholding the human rights of those it is intended to support. It’s main aims are to identify, support and protect adults at risk of harm.

Yet, many practitioners struggle with the tensions between individual autonomy and ‘state’ protection. Is it possible to support and protect adults at risk of harm, while ensuring choice and empowerment for the individual?

Two of Scotland’s leading representative organisations invite you to join our engaging conference to contribute to the debate, share experiences, and find out about national and local developments in this area.’

The Scottish Human Rights Commission would like to hear from people across Scotland about their experiences when it comes to human rights. They have complied a short survey to get the views of as many people as possible.

Could you please help them by  sharing this short survey with people in your networks?

They are particularly keen to hear from people whose voices are often under-represented in policy and decision making.

Responses to the survey are anonymous and confidential. The information received will help shape the next phase of Scotland’s National Action Plan for Human Rights.

 

 

On 3 August 2017, Scottish Care launched two new reports on the Scottish Government’s flagship Self-directed Support legislation.

The reports have been produced by Scottish Care, the representative body for independent care services, and highlight the opportunities that Self-directed Support can offer older people in deciding their care but which are not being utilised.

Self-directed Support became law in 2014 and signalled radical change in how care should be assessed, chosen and purchased in Scotland, giving far more choice and control to the individual at the centre of that care.  However, recent reports have shown that this transformation has not occurred in most parts of Scotland and that older people in particular are being let down by this lack of progress.  Scottish Government statistics released in June 2017 indicated that only 27 per cent of people who access social care have been given the option of how their support is delivered through SDS. When further analysed this equates to an even smaller percentage of older persons of whom 86% are opting for the status quo, likely because they are not informed properly of their options.

The first of these new reports highlights the importance of a human rights-based approach to Self-directed Support for Older People and how human rights models can overcome the many challenges currently being faced in implementing it.  It stresses the importance of individuals being fully informed and therefore able to claim their rights in relation to their care provision.

The second report is focused on how Self-directed Support can improve day care provision for older people.  It emphasises the need for the Scottish Government to put pressure on Health & Social Care Partnerships to release their hold on power around care provision and transfer this to individuals and families, as the law requires.

Both reports reach similar conclusions: that improvements are both possible and required but that the pace of change is slow, and that the majority of older people are still being offered a very limited choice or none at all when it comes to support for anything other than basic personal care.

CEO of Scottish Care, Dr Donald Macaskill said:

“These important reports emphasise that Self-directed Support can make a real difference to people’s lives if implemented properly, but that this opportunity is currently going to waste through the prevailing of inflexible systems and power remaining in the hands of professionals rather than people.  In order to make Self-directed Support work, there needs to be concentrated attention given to it by Scottish Government. This includes the need for effective monitoring, adequate resourcing and collaborative working. We cannot continue, at national and local government level, to ignore the human rights of older Scots.”

A Human Rights Based Approach to SDS for Older People

 

Care Cameo - Meaningful Days