Citation Winter Planning Resources

Preferred Supplier, Citation, recently presented at our Winter Planning Workshop and has shared some free resources and guides that may be helpful to providers.

Please click the bolded links below to access these guides.

Yearning for Christmas Past in Covid times: a personal reflection

Well, I have seen my first one of the year – my first Christmas tree – and it is not even the start of December ! I have spent a lot of the past week talking and planning for Christmas. Even though it is 5 weeks away there has been an awful lot of debate and discussion about Christmas. The media has been filled with stories of the four administrations of the United Kingdom being in dialogue with one another about what they can do in order for individuals to have a ‘better Christmas.’ People have been expressing the hope of being together with family and friends and of holding something which is more like the Christmases we have known. There has been discussion about what every day of ‘freer engagement’ will mean in terms of societal restrictions both before the Christmas season and in January.  I have found the debate and discussions both fascinating and frustrating.

Now I should state at the outset that I have always been a lover of Christmas. In fact, disproportionately so it is probably my favourite time of the year. I am a sucker for its traditions of carols and music, whether the dulcet tones of Bing Crosby or the modern classics of a Michael Bublé; I adore the food and the celebration, the conviviality and community; the sense of connection with past and the optimism of possibility.  I have grown ridiculously fond of the rituals of movies such as  ‘It’s a Wonderful Life’, or the classics of ’Scrooge’ or my latest love ‘The Grinch.’ I mention all this lest I be instantly dismissed as a modern-day Scrooge or a reincarnation of the Grinch himself.

When I have reflected on the fascination and interest in Christmas this year the feeling that comes to mind is one of ‘yearning’. There is a deep longing and desire to have something which is familiar and deeply ritualistic in days which have been scarily different and lacking in the securities of patterned predictability. Feed into that the fact that for many people the essence of Christmas is indeed about longing, nostalgia and a re-enactment of memories in the moment and you have a concoction of desire that means that folks are desperate for a non-Covid Christmas.

My personal concern and I know this is shared by many in the conversations I have been having is that we are at risk of undoing all the hard work and sacrifice that so many have endured and suffered over the last nine months in order to have connection for a few days at Christmas. Now that may sound callous but those who have worked so hard to keep people safe in care home and community, who have had to experience the desolation of absence and lockdown, who have witnessed and lived through the tragic instances of the virus spreading and killing so many, those are voices which are fearful and anxious about what a Christmas period might bring.

However, let me be clear there are some things we need to nail straight away. I have heard from care home providers this week that they have been told not to allow presents or cards, not to put up decorations or Christmas trees. What tosh and folly. There is absolutely no reason in terms of infection prevention and control measures for any of these restrictions. A tree and decorations are perfectly possible if they are placed in locations which prevent them from being touched; cards and presents can be given, as they always have been, providing they are cleaned and isolated for some time and so on. We cannot allow fundamentalist and erroneous interpretations of IPC to become the modern day grinches.

What is equally important is all the work that I know is going on to ensure that rapid testing devices are in place in as many homes as possible to enable more immediate family visiting and contact to take place not just during the Christmas period but beyond. The essence of Christmas is belonging and togetherness and more than anything else this is the prize of this season for the care home sector, residents and families alike.

Having said all that in the rush to re-create a nostalgic sense of the familiar, to be together with family and friends we have to recognise that there are consequences of removing wider community and societal restrictions. The virus will not be taking an amnesty simply because of our desire to be together; it will not, despite ecclesiastical aspiration be any less deadly and fatal in the season of Christmas and the New Year. So, any actions we take have to be against the knowledge that there are very real risks which for some will mean that January could be a month of death and desolation. We have to as a society ask ourselves what is the price of Christmas togetherness that we are prepared to pay? How do we best enable connection and belonging,  meet the emotional and psychological needs of the many and at the same time protect those who are most at risk of an increase in the virus?

The debate and discussion about Christmas is really hard. We know that the essence of Christmas is about kindness and family, about togetherness and belonging, and that for countless thousands these last few months have been aching moments of separation and absence, with a really devastating impact on mental health and wellbeing. I know that for many being together around a table this Christmas might just be a lifesaver. But I also recognise and share the fears of those who are anxious that what we do in the Christmas season needs to include prioritisation of the vulnerable and those most at risk. No one wants to reap a harvest of tears and regret in January with escalating deaths and broken-hearted families. The decisions taken by our politicians and the actions we undertake ourselves in the coming weeks will be critical.

To yearn, to desire to be together, to be alongside those who are our kith and kin, to be with those we love and are loved by, is natural and healing, but the pain is that that togetherness may this year be at a cost. How do we get the balance right?

Yearning

I am yearning for the day

when my heart does not sink

into emptiness

at the absence of you.

 

I am yearning for the day

when I do not see a stranger

walking along

and hear the echo of your steps.

 

I am yearning for the day

when the eyes of another

shadow in the light

and hint at the sparkle of you.

 

I am yearning for the day

when laughter in a room

awakens the pang

and I feel the ache of you.

 

I am yearning for the day

when I can breathe beside

when I can look inside

when I can touch

when I can feel

you

here

near

warm

tender.

 

Help to ensure the people you support have their voices heard in reform processes

The “People at the Centre” project is funded by the Scottish Government and led by The Health and Social Care Alliance Scotland (the ALLIANCE), working with the Care Inspectorate and Scottish Care.

People at the Centre would like to invite adults who live in Care Homes or who access Care at Home support to share their recent experiences of health and social care and wellbeing, and also to offer their suggestions about how health and social care support and services can improve now and in the future. Feedback will be used anonymously to form part of a report for the Scottish Government to inform decisions about changes to health and social care support.

We would value your assistance in supporting adults who live in Care Homes or who access Care at Home support to have their voices heard as part of the project while understanding that this is a challenging time for care providers and staff to support engagement activity.

Participation in this engagement is entirely voluntary and materials have been developed to support people to take part and staff to support in as flexible a way as possible.  This includes a range of methods – a telephone conversation, short survey or hard copy form – for people to share their views.

We would also value input from carers, relatives and friends of people who live in Care Homes or access Care at Home support. This can be done by supporting the individual to get involved themselves or by sharing views and experiences on their behalf.

Full information and downloadable resources can be found here – Engagement activity for adults who live in Care Homes or who access Care at Home support – People and Networks (alliance-scotland.org.uk)

Participation is possible up to 7th December 2020 and your support to help people to take part by this date would be very much appreciated.

Citation Webinar – 26 November

Important webinar for care providers – employee wellbeing and engagement

After such a challenging year for the care sector, it’s never been more important to focus on your staff. Whether their stresses and strains stem from in or out of work, it’s easy to overlook those struggling in silence.

That’s why Scottish Care Preferred Supplier, Citation, is hosting a webinar on Thursday 26 November at 2 PM, which we strongly encourage members to join.

The hour-long session will offer practical top tips on how to proactively support your employees’ wellbeing. This includes the importance of developing strong foundations in HR, Employment Law and Health & Safety, to create an environment in which your people will feel safe, happy and supported.

REGISTER YOUR PLACE HERE

The session will be interactive and there will be an opportunity to ask their experts questions throughout, including a dedicated Q & A.

Some of the key discussion points will include:

  • Starting with the basics, including handbooks, policies, and contracts;
  • The fundamentals of employee engagement and why it’s particularly important for the care sector;
  • The three main motivators for your staff, including a positive working environment;
  • Practical tips and solutions for supporting your staff’s wellbeing, including communication, getting help from others, and training, learning and development.

Places are first come, first serve, so please reserve your place today to avoid missing out.

Once you have registered using the above link, please click here for further details for helpful tips on how to join on the day.


Please note that this webinar is open to all care providers and this session is hosted through Cisco Webex instead of Zoom.

Strategic Framework for Scotland and Visiting in Adult Care Homes

Please see below for correspondence from the Cabinet Secretary for Health and Sport outlining the alignment of the Strategic Framework for Scotland’s Levels with Adult Care Homes visiting guidance.

This guidance also includes updates on

  • Guidance on travel to and from Level 3 or 4 areas to visit people in care homes
  • Support for visiting arrangements
  • Communications on updates to national protection level advice
  • Forthcoming further guidance on visiting

This updated guidance is now available on the Scottish Government Covid-19 Care Homes guidance web page.

171120 JF to Sector - Strategic Framework Tiers and Care Home Visiting Guidance

Flexible Workforce Development Fund

The Flexible Workforce Development Fund (FWDF) will now be offered to both levy payers and SMEs, across the private, public and third sectors. This will allow employers to utilise funding for upskilling and reskilling their workforce.  An initial £13 million was made available to allow colleges to provider additional support for levy paying employers. Now the second £7million phase has been announced, with £5million available to support SMEs through a college and Open University in Scotland partnership, while Skills Development Scotland will offer a new option testing the use of private training providers for levy paying businesses who require specialist training. Applications are expected to open on 16th November.

More information is available here:

https://www.skillsdevelopmentscotland.co.uk/news-events/2020/november/fresh-funding-helps-employers-access-training/

Perseverance through pain: a Covid reflection.

Last Saturday like many I suspect I watched scenes of celebration and happiness, and some of regret and disappointment flicker across my television screen with the announcement that Joe Biden was destined to become the next President of the United States. In the days that followed, despite the antics of the present incumbent, the President-elect has gone about his business quietly preparing for government and reconciliation, using words to bring healing and purpose.

In the last week I have discovered a lot more about this man who will doubtless play a significant role in all our lives even though most of us will never meet him. His loss of a wife and infant daughter in a car crash, the more recent death of an adult son to cancer, the agony of parenting through grief and sadness, all have given me an impression of a man who keeps going with quiet but strong determination, one who is intimate with heartache and the pain of loss. I may be wrong but there has to be something more than just the narcissisms of personal ambition to present yourself several times for election and to taste rejection and failure but to keep going. His prize, the office of presidential leadership, will be a hard one but one which I hope he will live up to, so that hope can indeed be incarnate in kindness.

The past week has also brought us the positive news that a vaccine is close to being signed off. Political, media and popular talk has changed from ‘if’ to ‘when’, phrases like ‘light at the end of the tunnel’,  a ‘new spring’ and ‘fresh dawn’ have become commonplace.

Despite my Hebridean Calvinist origins I am an optimist at heart, a glass half-full person, so I warm to the positivity of the moment. But I cannot help harbouring a concern that in rushing towards the light we lose sight of the need to continue to struggle and persevere, to remain resilient and cautious. I cannot help but agree with clinicians and commentators who urge us to remember that the path ahead is one which requires us to continue to abide by what we know works, namely the need to act in a way which suppresses the virus. Doubtless we will hear of more vaccines able to offer positive hope of a return to a new normality, but they are a horizon to pull us forward not a support on which we must lean upon today. Our actions in this moment, in the days and weeks ahead, are the only bulwark we have against the viciousness of this disease.

I know that is easier said than done. I have had several conversations with folks this week where I have been struck by their sense that our lives are in routines and ruts, predictable paths of behaviour and conduct, and that for some getting up every morning to do the same things, in the same space, with the same people and with little physical discourse with others, has become a real struggle. It might be the shortness of days and the flow of the seasons into coldness, but I detect a real weariness and tiredness. Many are desperately wanting something new and novel, something which disrupts our familiarity and the pattern of our hours, something unplanned and unexpected.

Yet deep within me I know the truth that we have to remain steadfast and despite all the difficulties, and doubtless the times of failure and disappointment ahead, the only way in which we can achieve a positive future is by our own hands and behaviour. This is the time for perseverance not for letting up, losing control, or falling away.

I was a teenager when on a wet afternoon Edwin Morgan sat in front of my class and read his poem ‘In the Snack Bar’. You should read it if you get the chance. https://www.scottishpoetrylibrary.org.uk/poem/snack-bar/

When I first heard Morgan read the poem it struck me that this was about a life determined to continue, to grasp the ordinariness of breathing and remain dignified despite dependency. It depicts the poet’s encounter with a disabled man who asks him for help in going to the toilet. Its honesty in describing the minute mechanics of a basic task from the perspective of someone who cannot see is searing. The poet has to change the rhythm of his movement to the pace of another. They have to go downstairs slowly, and then after the act is complete to climb again. Every detail is magnified with meaning, echoing towards a conclusion.

‘Inch by inch we drift towards the stairs.
A few yards of floor are like a landscape
to be negotiated, in the slow setting out
time has almost stopped. I concentrate
my life to his: …

And later the poet says:

‘He climbs, and steadily enough.
He climbs, we climb. He climbs
with many pauses but with that one
persisting patience of the undefeated
which is the nature of man when all is said.
And slowly we go up. And slowly we go up.’

The poem for me is the essence of perseverance, the ‘persisting patience of the undefeated.’

This is the perseverance through mundanity and routine, the determination to renew through pain and sadness which we so need at this time as we face Covid through the dark days of winter. It is a perseverance which determines to go on despite all.

But it is also a perseverance where we need the help and support of others. We need to have someone to take our arm, to lean on when we are uncertain and unsure. This is what ‘In It Together’ is all about – not a slogan or soundbite, but a way of being one into the other, one alongside each other.

So, there is a light dawning into the future, offering hope to drag us forward. It will come no doubt, but we must support one another in that journey from the present into the dawn of belonging.

I always remember being told by my old uncle as I confidently climbed yet another childhood ‘Everest’– typically just a Skye moor! – that it was harder to come down than it was to ascend. There is such truth in that as anyone involved in the hills will know – the tiredness and fatigue of descent is always harder than the thrill of ascent. You can lose your feet far more easily when you are on the way home than when you are aspiring for the summit. So it is that the next few weeks and months as we move towards a prize of being together once again, that the work and the walking, the journeying and the edging to that future will perhaps be much harder than arriving at the point of this day at which we can spy hope on the horizon. This is why we need perseverance.

It is the sort of perseverance captured by another poet, Mary Anne Radmacher  who once wrote that ‘Courage doesn’t always roar. Sometimes courage is the quiet voice at the end of the day saying ‘I will try again tomorrow.

‘And slowly we go up.’

Donald Macaskill

Report on the findings from Scottish Care Sustainability Surgeries

Thank you to all of our providers who participated in the sustainability surgeries.

We are pleased to now share the report of these sessions.  The report explores care providers experience of local mobilisation funding and the social care staff support fund.

The report has been shared with the Short Life Working Group working to review routes to financial sustainability.

Scottish Care continues to raise the issue of financial stability as a matter of urgency given the key role which social care plays in pandemic response for the whole of health and social care.

Scottish Care Sustainability Surgery Findings

 

Download report

Scottish Care’s submission to the Independent Review of Adult Social Care

On 1 September 2020, an Independent Review of Adult Social Care was announced by the Scottish Government, chaired by Derek Feeley and tasked with reporting by January 2021.

Scottish Care developed a submission of key recommendations to inform the Independent Review, which outlined what we deem to be priority areas for focus.  These areas are as follows:

  • The distinctive role of social care
  • Choice and SDS
  • Commissioning and business models
  • Cost and return
  • Human rights and equalities
  • Consistent regulation
  • Workforce value
  • Creativity and innovation

Building on this submission, Scottish Care was invited to develop an ‘ideas-focused’ paper as a further input to the Review by the deadline of 6 November 2020.

Given that the challenges and barriers that exist in a social care context have been articulated and documented at length – including by Scottish Care – we recognise the need for a Review to move beyond recommendations towards action and commitment to enact change.

We have therefore developed this paper, entitled ‘What If and Why Not? Making the Future of Social Care A Reality’, as an opportunity to present a positive yet actionable future perspective and encourage dialogue and debate on what the future could and should look like. The paper represents a different approach than usual Scottish Care reports and responses, but we see it as an important part of a wider approach to ensuring the specific experiences, concerns and aspirations of Scottish Care members and different parts of the sector are represented in such a critical process of review.

This paper is designed to be complementary to the series of engagement sessions which Scottish Care members took part in as part of the Review process.  These sessions provided a direct opportunity to present the challenges and experiences of the social care reality from the perspective of social care providers and other stakeholders.  The paper reframes the challenges that are documented extensively in previous research and reports to present these as possibilities to inform the review process.

In the paper we offer a collection of social care narratives and ‘what if’ questions, underpinned by a Scottish Care evidence review, as a way to engage imaginations across all sectors and stakeholders towards creating a positive future for social care in Scotland.

We hope to use the paper as part of wider discussions and collaborative work with stakeholders and partners across Scotland in order to positively shape the future of social care.

If you would like to discuss the paper further, please contact Becca Young or Dr Tara French at [email protected]

SC What If and Why Not Making the Future of Social Care a Reality Nov 20

ELVIS COVID-19 Study

Could a simple salt water solution help to reduce the early symptoms and progression of COVID-19?

COVID-19 has quickly spread all over the world. It usually causes a fever, cough and other symptoms and can be severe in some people. Although a few treatment options are now available for individuals who are hospitalised with severe disease, there are currently no effective treatments for those who are managing COVID-19 at home and self-isolating.

The University of Edinburgh are running a study called ELVIS COVID-19 to find out if nasal washout and gargling with salt water helps individuals with COVID-19 get better faster by helping to ease the symptoms of the virus.

Scottish Care supports this ELVIS COVID-19 study and encourages those who are suitable to take part in it.

This study is for any adult in the UK who has developed COVID-19 symptoms in the last 48 hours, is isolating at home, and has not been advised to go to the hospital. We will gather information of symptoms throughout the period of illness and will use this to see if nasal washout and gargling with salt water has helped.

Visit the study website for more information and to check if you can get involved.