Another "Outstanding" assessment for Manor Community

We are pleased to share the great news that St. Mary’s Residential Care Home has been rated overall Outstanding by the Care Quality Commission. This marks the third of our registered services to receive an Outstanding rating. Our staff have been brilliant, as represented by some of the comments in the report:

·       "My relative always sounds very cheery when I phone."

·       "You give security and attention and help with everyday life… my relative feels safe".

·       "I feel so relieved my relative has you all beside him". 

·       The registered manager and staff demonstrated a determined, positive commitment to people and would always go that extra mile in order to ensure they felt valued.

·       Empowering people and maintaining independence was paramount to the service and their approaches to promote this were innovative.

·       There was an emphasis on teamwork amongst all staff at all levels.

·       Staff were 'positive and proud' about what they had achieved as a team.

·       Staff were motivated and inspired to offer care that was kind and compassionate.

As you may know, Manor Community was started by specialist nurse Muriel Chester who died from cancer in 2010. We feel this is a testament to the excellent care she gave and which we continue to develop.

The report should be published here

Funding, Staffing and the Bed Blocking Challenge –

Christie & Co have released their third annual market insight report on the Social Care Sector titled “Funding, Staffing and the Bed Blocking Challenge”.

The report which investigates the potential impact of Brexit on staffing levels, average fee increases across the UK and Bed Blocking Hotspots has been produced by the Christie & Co Care Consultancy Team.

Download the full report and if you would like to discuss your business then please contact our Bristol office on 0117 946 8500

Barbara Harris
Human Rights approach to End of Life Care

What Matters to Me: a Human Rights Approach to End of Life Care

‘What Matters to Me’ is an education and training initiative that will be delivered by Sue Ryder over three years from March 2017. It aims to promote the delivery of high-quality, dignified and compassionate end of life care by enabling health and social care practitioners to use human rights as a framework to support person-centred care and ethical decision-making. ‘What matters to me’ is fully funded by a grant from the Burdett Trust for Nursing and training workshops are free of charge.

 Human rights are at the heart of much of the law, policy and practice of end of life care, and now form part of regulatory standards. They underpin many of the situations that professionals caring for people at the end of their lives come across in their day-to-day work and are key to providing person-centred care.
 However, few practitioners really understand how the Human Rights Act impacts and supports their duties and decisions in day-to-day situations.
 Sue Ryder worked with the British Institute of Human Rights (BIHR) to produce ‘Human rights and end of life care: a practitioner’s guide’, and is now delivering the ‘What Matters to Me’ training workshops to further embed this approach.
About the training
The interactive workshops use case law, case studies and discussion to provide an introduction to the Human Rights Act, how human rights and their application provide a framework to help ethical decision-making and how to raise human rights issues.

Who is it for?
Training is available for:
 registered workforce (1 day workshop)
 non-registered workforce (half-day workshop)
 Train the Trainers (2 day workshop for those who have completed the registered workforce workshop and wish to cascade the training in their own place of work).

What will you gain?
 Increase your knowledge and confidence in raising human rights issues
 Increase your capacity to use human rights to inform your delivery of high-quality person-centred care
 Provide you with a framework to help you make difficult ethical decisions
 Allow you to contribute to service performance and outcomes
 Ensure you comply with the Five Priorities of Care, NICE standard 2015, CQC standards and legal duties

When and where is it happening?
Workshops are taking place on various dates around the UK. Please visit the Sue Ryder website for a full list of dates and venues.
How to book
For more information and to book a place visit

Barbara Harris
Healthwatch Report into Care Homes 2017

Healthwatch's 'Enter and View' programme has produced reports on many care homes across the nation and has resulted in the recent "What it's like to live in a care home" report. Download here

Whilst one can speculate on the need for Healthwatch to provide a shadow service to CQC, the report does make for interesting reading and reinforces many of the CQC messages. It also points out that such is the national interest in social care, that it has become Healthwatch's number 2 priority nationally.

The report also serves to pull together a number of initiatives currently in place to support integration, such as the Sustainability and Transformation programmes, 5 year forward view and the 50 'vanguards', Accountable Care Systems, CQC's 12 local area reviews. It also highlights the demographic and resource pressures in the market as well as discussing the CMA study.

Key Themes are:

  • Quality of care
  • The need to solicit and act on feedback read more
  • Integration: All needs, health care and social care should be provided in a joined up way
  • Personalisation: the best services are those that recognise they offer a home not just a place to stay and be looked after, where residents are seen as individuals
  • Technology: Use of technology to drive improvement


Why another 'new' website for C&SW?

It doesn't seem long since we updated and upgraded the C&SW website so why have we done it again? And why does it look almost the same?

The answer is that whilst the design of the site was good, we were looking for more updates and more functionality so that we can respond to members needs and stay as current as possible. Plus many of you told us that you found logging in difficult and could it not be simpler.?

So that is what the new platform gives us:

#   easier logging in to access member resources: more details to follow shortly.

#   better functionality: this should make marketing C&SW better; we can link in with other tools such as Eventbrite and we can have better calendar functions. We can have easier ways to manage the membership directory.

#   more extensive control over content so we can add items more quickly and edit items more quickly because we can do it ourself.

#   more opportunities to offer better services

For now, the content of the original website has been transferred to the new platform.

  • The Membership Directory has been created using a different functionality. Please look at it and come back with comments, (plus if your entry is missing or inaccurate.)
  • We will be working on the logging in process and will come back to you with instructions shortly.
  • We have asked commercial partners for feedback
  • We will be looking at the member resources and streamlining them.

Please come back to us with comments.



Meaningful Activities Event on 6th September proves very popular

Bearing in mind the space limitations at the Resound Centre, we hope that you will enjoy the exciting programme from oomph, Alive! and from OT Dawn Corse; plus of course the range of activity providers who will be there to talk to you about what they do and how it can help your clients. Here are a few pictures to whet your appetite!

Event NewsBarbara Harris

We wanted to let you know about an exciting new funding opportunity at Comic Relief, which aims to help improve the quality of relationships between care home staff and residents and provide funding for activities that engage and mobilise people to get to know each other better by spending fun and active time together.

Round 2 of the Care Home Challenge Fund builds on learning from our pilot round.

 Full details of the Care Home Challenge Fund: Round Two are available via the link below:

Funding available

Comic Relief expect to make 20 grants of between £10,000-£20,000 to care home providers from across the UK. The deadline for applications is midday on 4th August 2017 and applications must be made via online system accessible through Grants will last for between 18-24 months including time for planning, partnership building and delivery. Each grant will reach a maximum of 4-5 care homes, focussing on quality of delivery led by residents and care home staff rather than volume of people.

Based on learning from Round One, Comic Relief prioritise applications which:

  • Involve residents and staff taking part in meaningful activities together, and protect staff members’ time to ensure their full participation.
  • Partner with a third-party activity provider which has a good understanding of the care home context and residents’ needs.
  • Are ‘person-centred’, planning the work in response to residents’ needs and interests, involving residents in co-designing activities, and respecting people’s choice to participate.
  • Demonstrate a clear commitment to the proposed activity from the care homes involved, particularly from the managers and activity coordinators.
  • Support staff to build skills and confidence so they can facilitate or deliver activities, enabling sustainability beyond the life of the project.
  • Show how they are building on the findings from Round One. 

Residents of AbleCare Homes threw a fab party at Hengrove Lodge for their neighbours to celebrate #thebiglunch and National Care Home Open day on Friday 16 June 2017.

 They also joined the event with their fundraising for Alzheimer’s Society Cupcake Day, a national campaign to raise funds for the valuable work of the society and raised £106.  Lots of support was also provided by Growing Support, an award winning social enterprise whose community volunteers tackle loneliness and the effects of inactivity for people with dementia.    

All the residents came together to welcome children from the local community to decorate cupcakes, get to know each other and enjoy some delicious food.  The benefits of older and younger people spending time together include improved confidence and self esteem, reduced feelings of loneliness and isolation and enjoyment of opportunities to learn and share experiences and ideas.  As you can see from the pictures when our residents and children come together having lots of fun is usually on the agenda too!   The staff team at Hengrove Lodge got involved with some coming in on their day off.  They told me that residents who usually chose not to participate in group activities joined in and had a lovely afternoon.

Hengrove Lodge is one of the first care homes to take part in the Big Lunch - a national community event celebrating community and connections. They had so much fun they're hoping to do it again!  The event was also featured on BBC Radio Bristol.

Since the event a week ago we have arranged another visit from Southern Links Children’s Centre who have told us they have had parents commenting on Facebook that they would like to do a similar visit with their children...a fantastic result, their post was seen by over 1,200 people!  We all intend to use this event as the start of something much bigger that everyone can continue to enjoy.  The organisations involved have all been sharing pictures and stories and the response from the community has been fabulous.

Well done everyone!


Len Collacott reviewed the initial findings of the market study and responds to each in turn below

1. People are struggling to make decisions about care: Prospective care home residents and their families need to be able to make informed choices, often under stressful and time-pressured circumstances. However the CMA’s initial findings suggest that many people find it difficult to get the information they need, are confused by the social care system and funding options, and do not know how to find and choose between homes.

LEN says: I think there is a lot of information out there about care homes. There are a number of ‘trip advisor’ type sites (NHS Choices, Care Home UK) and most care homes have a website of their own that can easily be found via google. Funding options are confusing- mostly the LA role. The service user element of LA fees varies hugely and families are often not told about it. Furthermore the financial assessment is often door well after admission and if a service user contribution is large it is left to the home to collect the shortfall.

2. Complaints procedures are not functioning well: It is not realistic for many residents to move home if they are dissatisfied with the care they are receiving, as to do so would be distressing and harmful to their health. It is therefore essential that effective systems are in place for them to be able to complain and, where necessary, have these concerns acted upon. Our initial findings, however, indicate that redress systems often do not work well, and residents can find it very challenging to make complaints.

LEN says: I can’t see why complaints systems don’t work. It is one of the elements examined by CQC. I agree that changing placements is a last resort. We should police our complaints procedures thoroughly and CQC should be doing the same to ensure they are unfit for purpose. This does, of course, need to be balanced as problems can go both ways. Some families can be unrealistic, unreasonable, and difficult.

3. While many care homes offer a good service, there are concerns that some might not be treating residents fairly and that certain practices and contract terms might break consumer law. As well as the issues on large upfront fees and fees charged after death, which we are investigating in the consumer protection case, we are concerned about other consumer protection issues such as a lack of information about prices on care home websites, and care homes’ contracts giving homes wide-ranging discretion to ask residents to leave, at short notice.

LEN says: The only large upfront fees that I am aware of is when families pay in advance to secure a good discount. I can’t see any other good reason for large upfront fees to be charged. There does need to be a reasonable time after death to allow for the room to be cleared and re-let. Our own contract allows for 14 days. If the room can be cleared , turned around and re-let before that we refund the fees on a daily pro rata basis. Some families leave furniture and possessions in the room for a long time (understandable sometimes when it is emotionally difficult) so the room cannot be offered to the next resident and there is a cost to that. Again it is about finding a balance.

4. The sector is not positioned to attract the investment necessary to build greater capacity needed for the future: Demand for care home services is expected to increase substantially, with the number of people aged 85 and over projected to more than double by mid-2039. The level of care they require is also expected to increase as, having spent longer in their own homes, they will be more frail when they do move to a care home. At present, short-term public funding pressures and uncertainty mean the sector is not incentivised to undertake the investment necessary to meet future demand.

LEN says This is true- in part. Investment can only be attracted if the product at the end earns enough money to pay for it. There is a two tier system. Those private funders who can afford it have encouraged the development of ‘next generation’ homes that are well speced, and comfortable if not luxurious. LA fees have been so far below the market rate for so long and continue to be so. There is a market of poorer quality older homes who can operate on much lower cost but it is not possible to charge low fees and invest in higher quality. Years of raising this issue and pointing out the facts have done nothing to change things.


Dave from Owl Occasions tells us: Here at Owl Occasions we bring our Owls and Birds of Prey to you!

During a visit to a Care Home I show off the beauty of our birds whilst giving an interesting and informative often two-way talk lasting 1 hour or so, I usually bring between 1 to 3 birds with me for you to see up close and personal!

The visit always stimulates interest, most people love Owls which are the usual birds taken to retirement and Nursing homes. We enjoy showing off our birds while at the same time educating or being educated by the clients (I always regard education as a two-way process) which includes details about the specific bird, its habitat and suggestions as to how we can improve our countryside for these magnificent birds. The format may be called 'Show and Tell type presentation' with input from both clients and staff.


I appreciate some clients are unable to respond directly but their eyes tell a different story, those that are often relate to their younger days when out an about seeing an Owl on a local farm or wild place. As you can see from these pictures at Ablecare

I try where possible to give the clients the opportunity to get up close and personal (even hold our owls) and have their photograph taken by the care staff to treasure for ever. 

As a retired Intensive Care Charge Nurse and Army officer, I see the value of bringing our owls to visit you. I have frequently been told that the clients talked about the visit for weeks afterwards. This is a great way to stimulate them in what to some is a closed environment. It is not only the clients that enjoy our visit the care staff themselves are as interested in the birds as everyone else.

I look forward to home visits to create an entertaining and educational visit for the clients and staff alike. I have numerous revisits on an annual basis and am often remembered by the clients and staff as the ‘Owl Man’ a term which is often used by children when I go on school visits.

You can reach us at


It's a warm June morning in an office in Bristol's City Hall; we are assembled to complete the judging process for the 2017 Care & Support West Awards. We are all a bit nervous; we have examined many nominations; made recommendations and now we have to justify our choices to each other to agree the finalists and winners.

I for one feel privileged to have been involved in the process and feel humbled in this outpouring of simple humanity as the nominations flowed in, slowly at first and then a deluge as we approached (and passed) the deadline. I feel particularly privileged to have been part of the judging even though I found it one of the hardest things I've had to do!

The nominations varied immensely; there were simple nominations from service users who just wanted to say thank you, nominations from service users and relatives who wanted to say what a positive effect their carers made on their lives, nominations based on single instances of outstanding care, nominations based on continued help over time. Of course there were nominations from within the industry, more structured and professional, some citing individuals, some teams, some whole organisations. What characterised them all was their heartfelt belief that their nominee is amazing and deserves recognition. Our task had been to see past 'the quality' of the nomination to assess the care given and the difference made to service users' and often colleagues' lives.

So there we were, last Thursday, in that sunny office; we'd looked at 203 nominations and there were tears, some laughter and much soul searching as we unpicked and discussed nominations, arguing for inclusion or for their merits as a winner.

At the end of the day David Smallacombe left with a list of 60 finalists and 22 winners. We think we chose the right people for the right reasons and we already know that they are really pleased. We hope you agree with our choices.

Download The Finalists. Please note that the final accolade, the 'Award for Outstanding Contribution to Health and Social Care' will be announced on the night, chosen from the finalists discussed.

The Judging Panel

  • Julie Edwards: RM Rosedale 
  • Catherine Horne: Cadbury Heath Healthcare
  • Emily Bladon-Wing
  • Richard Deverson: RM Windmill Care, Director C&SW
  • Zak Aravantinos: Owner Access Your Care
  • Mik Alban: Development Director C&SW
  • Debbie Sorkin: National Director of Systems Leadership at The Leadership Centre
  • Angela Roberts: owner Angela Roberts Partnership HR consultant, Director C&SW
  • Debbie Ivanova: Deputy Chief Inspector (DCI) of Adult Social Care for the London and South Regions.
  • Barbara Harris: owner Care2Improve, director C&SW
Sarah Newton

Our new RMN programme for 2017 - 2018 starts in September. You too can join this highly effective group.

This will be the 4th year we have run the  Registered Managers’ Networks, part funded by Skills for Care,  in B&NES, Bristol, North Somerset and South Glos. 

We have received consistent feedback that they are felt to be of real value by participants; a real opportunity to get together with other managers, to share experiences and ideas and to gain support from people who share the same challenges as you. Each session has a focus topic.

Session Topics in 2016-2017 have been:

  • Leadership and culture setting
  • CQC inspections – giving yourself the best chance of success
  • The Mental Capacity Act, obtaining consent and determining best interests
  • Managing people, performance and conflict.

After consultation with participants, the focus for 2017-2018 will be:

  • Sept:              Staff recruitment and retention- developing your strategy
  • Nov - Dec:       Sharing ideas and good practice
  • Feb - march:    The issues we face / managing our stresses

The later session will be used to canvas the views of managers in relation to the key issues that affect them. It will help people appreciate that they are not alone and it will help inform our next ‘The issues you face report’ which will be circulated to key decision makers at both a local and national level.

The sessions are often accompanied by resources which are designed to promote good practice.

Each session is certificated. This provides you with evidence for CQC of both your investment in your Continued Professional Development and of your active networking with other organisations.

There will be a small charge to cover costs.

To find out more or sign up as a participant then please contact Mik Alban :

Tel:  07788 498909



Whilst referencing funding pressures in so far as they impact upon the market's ability to meet future demand, initial findings seem to focus more on short comings of care homes

 The findings highlight the following concerns:

  1. People are struggling to get the information they need to make informed decisions about care
  2. Complaints procedures are not functioning well
  3. Some care homes may not treat residents fairly and certain practices and contract terms may break consumer law
  4. The sector is not in a good position to attract the necessary investment needed to build for the future.

Looking in more detail, it's important that care providers don't get that sense of being persecuted. 

If some care homes are in breach of consumer law then that must be fixed; that is their individual responsibility. Similarly it's up to individual providers to engage with stakeholders to make sure that their complaints processes are transparent and robust. See 'Love Your Complaints'.

But it is hard to see how a distributed market of diverse providers can take responsibility for points 1 and 2. 

The Care Act puts responsibilities for market information onto Local Authorities. Are they the organisations to have this? If you process map the care journey, it is the health sector which has all of the points of contact for individuals as they step further and further away from independence. This is where that body of knowledge and responsibility for signposting best resides, whoever has the responsibility for bringing it together. 

And as for funding and investment? Firstly the care sector is not just care homes as increasingly care is undertaken in the community, so further work is needs to look at the whole. All in all, right now, t's the house that Jack built, or the first little piggy's straw house; the huffs and puffs of the growing demand are going to blow this old house down! See response from Len Collacott, chair of C&SW


2017 Categories: Specialist Care

Many of the skills and attributes needed in care are the same regardless of for whom you are caring, but some groups of service users benefit hugely from specialist skill sets and it is these skills sets that we want to celebrate here. (Picture shows end of life care award winner 2016)

You can read more information about what the judges will be looking for below, but you can download this information as a document here, and you can download the Nomination Form here

NB: If you want your nominee to be the winner of the final accolade of the night please make sure you include information on how s/he has made a significant contribution to both Health & Social Care during the 2016/2017 year on each category nomination form. The most obvious and brilliant Overall Contribution to Health & Social Care from all 23 category Finalists as decided by the nomination panel of judges will be the final accolade of the Award Ceremony night

There are 6 categories:

  • Dementia Care
  • Palliative Care / End of Life
  • Mental health
  • Learning Disability 
  • Older people
  • Physical and sensory disabilities

1.    Dementia Care Award

This award will be given to an individual who has shown reflective specific skills needed to deliver services sensitive to the needs of people with dementia. The following are some of the skills you may choose to use/name to demonstrate why you are nominating this person:

  • Demonstrates an understanding of the term dementia.
  • Can demonstrate their commitment in delivering quality dementia care.
  • Can demonstrate personal investment in dementia care.
  • Can demonstrate an innovative approach in the delivery of dementia care.
  • Has a passion for improving care/lives of people with dementia.
  • Is aware of the importance of communication skills (listening skills, attention to body language).
  • Understands and demonstrates treating each person as an individual by giving a personalised service.
  • Explains how you help a person continue to make the best use of their skills and abilities (encouragement, reassuring routine, common sense).
  • Demonstrates the importance of communication skills (listening skills, attention to body language, speaking clearly etc.).
  • Is able to show a good understanding of nutritional issues of people with dementia.
  • Examples of how good night time care for people with dementia is achieved (achieving periods of peaceful sleep and occupation while awake).
  • Is able to demonstrate how they have made a difference in dementia care.
  • Can give examples of risk taking in good care provision.
  • Adaptability, alertness and responsiveness to the people they care for will be looked for by the judges. 


2.    Palliative care /  End of Life Care Award

This award recognises an organisation or carer who has made a substantial difference to the end of life care of individuals. This may be in the care of terminally ill individuals, through innovations in symptom relief, or through service developments or changes to the culture within organisations that have resulted in improved care. The following are some of the skills you may choose to use/name to demonstrate why you are nominating this person:

  • An understanding of:
  • Perspectives on death and dying;
  • Principles and policies of end of life care;
  • Communication in end of life care; and
  • Support services for end of life care
  • How choices made by the person being cared for and their family is central to the service and care that is delivered.
  • How to reflect fully on what is important to the person at the end of their life
  • Reliably identifying those who are approaching the end of life, inclusive of all disease groups
  • Timely referral to specialist services
  • Supporting patient preference and choice
  • Supportive and sensitive care for patients and their families and carers
  • Ensuring appropriate training in end of life care


3.    Mental Health

This award recognises the specific skills required of an effective worker with people experiencing mental health challenges. This work is with people with enduring mental health difficulties who require specialist support to enable them to live meaningful lives within their local communities. This may involve support in terms of maintaining medication compliance, or seeking and securing employment experience, or engaging with people in the place or area people live.

  • The sort of skills that may be evident are:  Demonstrates an understanding of the needs of people with mental health challenges
  • Can demonstrate their commitment in delivering quality care in mental health.
  • Can demonstrate personal investment in better understanding and support of mental health.
  • Demonstrates an innovative, but always personalised approach in the delivery of support.
  • Has a passion for improving care/lives of people with mental health.
  • Is aware of the importance of communication skills relevant to the individual being supported (listening skills, attention to body language).
  • Explains how you help a person continue to make the most of their skills and abilities (encouragement, reassuring routine, common sense).
  • Is able to show a good understanding of societal issues of people with mental health challenges.
  • Is able to demonstrate how they have made a difference in mental health care.
  • Can give examples of appropriate risk taking in good care provision.
  • Adaptability, alertness and responsiveness to the people they care for will be looked for by the judges.


4.    Learning Disability

This award is to recognise the value of good quality support in working with people with learning disabilities (LDs). People who work in this category may support people whose behaviour may challenge and so may need an awareness of positive behaviour support techniques. People working in this category may demonstrate an understanding of the spectrum of LDs and how these may be manifest and best supported in each individual.

People working in this specialty may have:

  • Understanding of LDs and the impact these have on an individual’s life and how it is lived
  • Awareness of the principles and policies of positive behaviour support and apply them consistently;
  • Strong communication skills that are evidenced in how they work with people being supported and their families, and colleagues
  • A passion for improving the lives of people with LDs through seeking out ways for them to be ever more meaningfully involved in their local communities
  • An interest in developing the choices of the people being cared for and ensuring that this is at the heart of their work
  • The ability to work with positive risk taking to ensure people being supported have more life choices
  • A respect for people with LDs to experience meaningful personal relationships, and a drive to enable this
  • A commitment to supporting people with LDs to have more and more effective support in communicating
  • A commitment to promoting greater levels of independence for service users and helping them to create work opportunities where appropriate


5.    Older People

This category recognises that older people have different needs; that may or may not include dementia, but that they too need these needs met in a personalised and supportive way.

People working in this category may have:

  • A commitment to ensuring that older people are  supported to maintain meaningful and relevant contact with their communities
  • An understanding that older people may have needs around physical challenges, but that this need not prevent the living of an interesting and stimulating life
  • A passion for enabling and supporting older people to remain as independent as possible as well as engaged and fulfilled in their lives
  • Skills in communicating with older peoplein a way that recognises individuals’ specific needs and draws from each one and engagement with life and those around them
  • A respect for older people that supports them to continue to engage with others and have meaningful personal relationships
  • An interest in developing the choices of the people being cared for and ensuring that this is at the heart of their work


6.    Physical and sensory disabilities.

This award recognises that people need to be differentiated on a personal basis and that disability may not equal a lack of capability - that each individual may be supported to make a genuine contribution to their community with the appropriate support. Disability may be acquired or from birth, may not always be apparent and the same disability may affect individuals in different ways.

 People working in this category may:

  • Understand the diverse conditions resulting in physical disability and often undertake  additional research to understand causes, better to support the people they work with
  • Have a passion to ensure people supported live their lives to the fullest and explores with them what this may mean
  • Work with people in a way that shows they understand the degrees of impairment and work constructively and effectively with individuals to ensure their lives are fulfilled irrespective of the challenges
  • Work to ensure their own communication skills best support quality work, possibly learning a new ‘language’ to enable this
  • Demonstrate consistently their commitment to personalised care and support in their work
  • Engage meaningfully with people supported and their families to ensure social inclusion
  • Work to promote positive health with people supported so that the impact of other health issues is actively addressed and minimised
  • Work to promote individuals’ wellbeing through engaging consistently and meaningfully with other health networks to ensure an integrated network is achieved

With the June 8th General Election looming, Manor Community (CQC outstanding) realised that clients needed help it they were to exercise their right to vote 

and came up with this exciting initiative which they would like to share with the wider Care Community.

Sophie Chester-Glyn, from Manor says that it is really important that everyone, regardless of their disability is able to exercise their right to an opinion, their right to vote.

They have created this booklet which seeks to help service users understand the election process, what their rights are and what they need to do to vote. At the same time they are helping their staff to help their clients and offering support services.

This is a very new departure and Sophie would really like feedback on the booklet, whether it helps, whether you use it, how useful you find it......

You can e-mail Sophie on


Care and Support West is proud to be working with Health+Care in 2017 – representing for the first time ever, multiple local care associations working together to finally break down the barriers within the sector, allowing the great and good to share the outstanding work we have all been doing.

(Download this as a letter) The team behind the conference have been working tirelessly in partnership with the National Care Association Alliance to make 2017 the most significant year for you and your business. We’ll be supporting Health+Care to bring our members the only two days in the calendar where you as care providers can come together to share knowledge, inspiration and find new solutions with colleagues from across the country.

Erica Lockhart Surrey Care Association CEO and co-chair of the National Care Association Alliance said: “The Alliance will be hosting sessions at Health+Care in addition to a sponsored lunch and networking event. This provides a great opportunity to learn from our peers within health and care.”

This represents an important collaboration for the entire care sector that will help you provide exceptional care whilst dramatically improving the profitability of your business and we’re delighted to be able to subsidise the £699+VAT conference fee so you can attend for free. A small investment in your time, will result in a huge investment in the future of your business, an opportunity too valuable to pass on.

Conference passes are worth £699+VAT, but Care and Support West members are entitled to a free pass when they register via before 26th May. There are a limited number of subsidised conference passes available for your association, so we urge you to secure your free place as soon as possible.

What to look forward to at Health+Care?

  • Attend knowledge exchange sessions presented by The Care Association Alliance within the Business Theatre
  • Participate in educational workshops where you’ll find solutions to safeguard the future of your business
  • Visit the brand new Care Home Live area at the conference, a real-life care home where you can try and test the latest innovations
  • Use the new Catering and Nutritional Zone to discover new ways of providing the people you care for, with the best, at a more affordable rate
  • Hear how leading domiciliary care providers on the Care at Home Pavilion are promoting key services available for local authorities and NHS Trusts to improve the level of care on a patient’s journey from health to home.
  • Meet experts who can demonstrate new ways of training and retaining staff whilst managing the impact of the National Living Wage
  • Network with professionals from the rest of the health and social care system who could open up new business opportunities and help you enhance the services you provide
  • We personally look forward to welcoming you to the conference in June where we hope you can visit us at our networking area to discuss the future of your business.

Kind regards

PS. Subsidised passes are available up until 26th May. Book online: If you are unable to book before this date, please call 0207 348 5271 and quote reference CAA8363 and we will try our best to find you a free place at the conference. 

Members NewsLydia Walker

The anticipated inquiry into sustainability and transformation plans (STPs) has been halted because of the election and no further submissions are being accepted. 

Following publication by NHS England of the Next Steps on the NHS Forward View, the House of Commons Health Committee announced an inquiry into STPs. However, as the current Health Committee will cease to exist on the dissolution of Parliament on 3 May, no further submissions are being accepted. It will be for the new Committee in the next Parliament to decide whether to proceed with the inquiry. If it does so, a new deadline for written submissions will be set. Submissions which have already been sent will be made available to the new Committee.

STPs began life as pragmatic vehicles for enabling health and care organisations within an area to chart their own way to keeping people healthier for longer, improving care, reducing health inequalities and managing their money, working jointly on behalf of the people they serve. They are a means to an end, a mechanism for delivering the Forward View and the key national priorities in this Plan. (p.32)

Bearing in mind the role of STPs described above, the Committee invites written submissions addressing a number of points. From a Social Care perspective the critical point is:

  • How effective have STPs been in joining up health and social care across individual footprints, and in engaging parts of the system outside the acute healthcare sector, for example local authorities, public health, mental health and voluntary sector partners?

Others are below:

  • What governance, management and leadership arrangements need to be created to enable STP planning and implementation to be carried out effectively?
  • What legislative, policy and/or other barriers are there to effective STP governance and implementation, and what needs to be done by national bodies and national leaders in the NHS to support the implementation of STPs?
  • How far do STPs signal a move away from the purchaser/provider split?
  • What public engagement will be necessary to enable STPs to succeed, and how should that engagement be undertaken?
  • What impact will STPs have on the delivery of care to patients?
  • Are the demands being made of STP plans through the NHS Mandate and the NHS Shared Planning Guidance deliverable with the financial resources available? If not, what are the priority areas for additional resources to make STPs successful?
  • Looking across all 44 STPs, are there any major areas where the content of the plans needs to be tested for credibility and realism? Are there any major gaps? For example, are proposals in some plans to reduce bed capacity credible?; are the NHS efficiency estimates in STPs robust?; is the workforce available to enable the implementation of STPs?; or is the timescale on which the changes proposed in STPs realistic?

Deadline for submissions: Submissions should not exceed 3000 words, and should reach the Committee by Tuesday 9 May.


General NewsSarah Newton

Article from Care Talk Magazine, by Patrick Hall, Fellow at The King's Fund

April 2017

I have learnt to keep my expectations low when it comes to government action on reforming and sufficiently funding social care. But in the lead-up to the budget, I felt surprisingly positive.

Talking to people in and around the Westminster bubble, there was a growing consensus that the chancellor would recognise the damaging decline of social care provision. At the very least, he was expected to address short-term pressures before the arrival of increased improved Better Care Fund (iBCF). Here at The King’s Fund, we anticipated conditions to any new funding, possibly the extension of the CQC’s remit to local authority commissioning, a shift in the means test, or significant ties to Delayed Transfers of Care performance.

So the announcement of over £2 billion of new money for social care, promised as supplementary funding to the iBCF and to be distributed as £1.01 billion in 2017-18, £674 million in 2018-19 and £337 million in 2019-20, was not entirely unexpected. But it still felt rather surreal to see social care attracting headlines and receiving significant government support after spending so many years in the shadow of the NHS.

This funding comes on top of the previously announced measures to amend the social care precept and increase the Better Care Fund. Its purpose is to tide adult social care over until the iBCF kicks in at the end of this parliament. The rules around allocation look like a good attempt at using the iBCF to make sure those areas less able to raise money through the precept don’t miss out. These funds were, and are, very welcome.

Simon Stevens rightly called for any additional government funding to go to social care, while insisting that the NHS Sustainability and Transformation Plans won’t be responsible for the ongoing ‘financial pressures on their side’. As might be expected, NHS England and NHS Improvement quickly called for these additional funds to be focused on addressing delayed transfers of care affecting hospitals. Although nervousness among NHS providers is understandable (our recently published Quarterly Monitoring Report lays out the desperate state the service is in, with little financial room to manoeuvre over the rest of the parliament), social care is more than a demand management tool for hospitals. Prioritising delayed transfers over sustainable care for people in their own homes may lead to pile-ups at the entrance, rather than the exit, of hospitals come winter 2018. A balanced approach is needed, and the 2017-19 Integration and BCF Policy Framework supports this.

The chancellor has heeded warnings from The King’s Fund and others over the perilous state of social care, but this additional funding will only cover short-term sustainability, not long-term transformation. Real progress on rebalancing the health and care system toward the community and integrating care in people’s own homes requires political and systems leadership, not more short-term fixes. The Green Paper announced by the chancellor alongside the additional funding should now address the need for a transformed, social care system integrating with health, putting people at the centre of their own care, and maximising their natural support structures.

Of course, there are serious hurdles to long-term reform, not least the toxic ‘Death Tax’ debate, which threatens to become a zombie scuppering the chances of serious and sensible national policy discussion. But the Green Paper has the potential to put into practice May’s ‘country that works for everyone’ by succeeding where successive governments have failed on long-term, sustainable funding and transformation in social care. Maybe it’s the spring sunshine, but for the time being I’m staying cautiously optimistic that this Green Paper won’t end up in the increasingly full dustbin with the many consultations and papers published in the last few decades.

Sarah Newton

The first 2 days of the Virtual Dementia Tour training took place at the end of March, hosted at Windmill Care's 'Osbourne Court' in Stoke Gifford, seeing 72 people undergo this unique training experience.

Registered Manager Richard Deverson praised the training experience enthusiastically and gave us these comments from delegates:

"Changed my perspective completely"

"Really gives an insight"


"Will help me approach residents differently"

"I never thought of it like that..."

Richard said how important it is that training is interesting and not 'just another DVD'. "Both old and new staff left the experience with a new appreciation of what it may feel like to live with dementia"

‘Innovative Training is so important to keep staff engaged,’ explained CEO, David Smallacombe. ‘Working with Training2Care we have coordinated 5 days of training representing some of the best value training available to our members.’

With 3 more days already planned in April, we are looking forward to seeing a very successful initiative on behalf of Care & Support West members

Members NewsSarah Newton