Linford Park Nursing Home

Linford Park Nursing Home is in danger of closure after a  raid last week by police reports the Telegraph. The article states that

“The operation was intelligence led and targeted immigration offenders working illegally at the home,” said a UK Border agency spokesman.

He said 13 workers were found to be illegal immigrants. Two were released on bail while the rest were in custody last night.

According to the local paper, the Daily Echo,  during the raid concerns were raised about the quality of care and three members of staff were charged with abuse and neglect. Horrific stuff of course.

Staff were replaced by those drafted in by the local authority and some residents were moved. Of course, there are (quite rightly) outraged relatives who object to their family members being pushed and pulled into any available placement.

Although all I was thinking is ‘would they have been so quick to act if there were no immigration issues and all the issues were purely about quality of patient care?’.

I doubt it. And that is the sadness of the system of monitoring of residential and nursing care.

The systems to check and monitor care homes is woefully inadequate and getting worse. CQC is currently bound up in re-registering services and a friend of mine who works as an inspector told me in a conversation that they are being focused 100000% on re-registering rather than actually tackling issues that might come up in care homes on a day-to-day basis.

Calling for more staff in any government agency in these cut-driven days is foolhardy at best and idiotic at worst but if there is any agency that needs it – it is the ground work of the inspectors who can go on at the drop of a hat and without announcement check the quality of care which is being given to those who are often not empowered to speak out.

Legislating for Equality

Details regarding the new Equality Bill were announced last Thursday. The Bill seems to be an attempt to consolidate existing legislation related to discrimination – a seemingly uncontentious issue – however combined with this are some new proposals which seem to be garnering attention in different ways.

Community Care unsurprisingly, considering the target audience (social care workers, predominantly) , highlights the inclusion of outlawing age discrimination and the implications that that could have on the provision of social and health care for the elderly population.

EVERYLIFEMODERN EVERYDAYLIFEMODERN @ Flickr

It has long been the case that less money has been assigned to older people’s care services when compared to that of younger adults. The same levels of funding and flexibility are not allowed in the provisions of care for the elderly and it has long been an area that I, personally, have had issue with. Conversely, an equality of service can lead to a massive increase in budgets for the elderly – or a massive drop in budgets for younger adults – which, in my own cynical way, I see as being more likely.

As the article points out

‘While age discrimination is outlawed in employment, it is currently the only equality dimension – the others are belief and religion, disability, gender, race and sexual orientation – where discrimination is legal in the provision of goods and services.

The duty on the public sector will put age on a par with race, disability and gender.’

So this has the potential to be ground-breaking legislation – but I have to retain a healthy dose of scepticism because some of the financial considerations about providing an equality of service could be massive. Still, I shouldn’t be too churlish – this is exactly what I’d been waiting for in the services for many years. Hopefully, it will mean that assessments can be truly needs-based rather than having to be divided and considered on the basis of the age of the person concerned.

Ironically, at the moment, I am working with a woman with early onset dementia (because our team, although basically working with over 65s, does work with people diagnosed with early onset dementia due to the expertise in dementia that is held) – she is in her 50s and because the structure of some of the budgets that are held by the department and the provision of services are geared around over 65s, it seems to be an abnormal challenge to the system to coordinate the funding for her care.

Adult CMHTs push it back to the Older Persons’ CMHT  – who push it back to the younger adults services. And so on (the pushing, by the way, is being done by the financial managers rather than the practitioners!).

The lack of flexibility when it comes to budget-holding is thunderous – to the detriment of the provision of service – well, actually it is to the detriment of the provider of the service as we went ahead and arranged a service for her according to her need – it is just now that the different financial departments are actually refusing to pay the bills that the problem  has arisen. She, herself, is fortunately oblivious to the pushing and shoving behind the scenes.