"The Issues We Face": a new report from Care and Support West

Care & support West have published this comprehensive report on the the state of care in 2017, seen from the care providers' perspective. The author, Mik Alban, Development Director at Care & Support West said that he felt that it was important that care providers had a voice too.

"..this is a very accurate and true picture of the current market. Well done to whoever produced and created the report. We need to make sure it gets circulated as far as possible!! " Sam Notaro from Notaro Care

"I think this is a very good document and reflects what providers have been saying well.  Good Job!" Deian Glynn from Manor Communities

You can read the Executive Summary below and download the full report here.



1.  Care and Support West engaged with a broad selection of members, all providers of adult social care services, over a one-year period to mid-2016. The key issues that arose were the challenges of staff recruitment and retention which were descried as ‘dire’ and ‘as bad as it has ever been’. This is consistent with the national picture where Skills for Care estimate that there are around 84,000 staff vacancies in adult social care in England at any one time. Managers reported having to dedicate far more time and effort to staff recruitment and yet they were still struggling to attract both the numbers and the calibre of staff they require.

2.  The post-Brexit uncertainty for non-British workers has had a further adverse impact on sector recruitment and retention, deepening the crisis of Registered Nurse recruitment. This, together with the ageing workforce and regular negative press only worsen the recruitment challenge. The recruitment pressures in turn place additional burdens on those who are dedicated to delivering quality support; sadly, it is still seen as an industry not a profession and, being so heavily regulated, is often subsumed under the weight of paperwork.

3.  For the adult social care sector to remain viable, pay rates for front line staff are going to need to remain ahead of increases in the National Minimum Wage (NMW). This seems to be an intellectual leap too far for central government and local authorities and yet until recently many providers were paying more than the NMW. If that pay advantage is not re-established the sector will increasingly haemorrhage staff to other areas of the economy.

4.  A significant proportion of the current social care workforce in the UK are non UK nationals and the need for social care staff is growing. The reality for the social care sector is clear; we need significant numbers of workers from overseas to keep the sector operating. These routes need to remain open for overseas nurses and care staff otherwise the social care system will collapse.

5.  To place the status of social care on a similar footing to social work, nursing or other healthcare professions, there should be a recognised social care degree. Like social work and nursing there should be bursaries available to encourage people to achieve this qualification. Given the fact that the cost of getting a degree is becoming increasingly prohibitive for many, offering a highly subsidised  route would help attract people into the sector and offer higher status career progression to those working within it. This would both acknowledge the increasing professionalisation of the sector and serve to develop the leadership of tomorrow.

6.  Oversight by CQC and other stakeholders is an essential part of the work of social care; it is however performed by too many bodies all of whom seek similar information but often in different formats. All of this unnecessary duplication adds to the workload and provides no benefits to the service. In addition, inspections need to be more consistent, fair and accurate, not least owing to their potential impact on lives and business. We would recommend a more supportive and integrated regulatory approach involving the key stakeholders.

7.  The relationship between providers and commissioners is often an uneasy one. Much is said about working in partnership, but the two parties are working to very different financial agendas. Providers understand that local authorities have been placed in an impossible position by central government but they currently do not feel they are being treated fairly by commissioners and social workers.

8.  We make a series of recommendations within this report, the majority of which are designed to recognise the actual issues faced by providers and to address these head on. There are costs associated with some of these, but the reality is that it is the dramatic underfunding of social care which is resulting in the looming crisis.  The issues facing the sector will not go away or be addressed by being ignored. In fact, the longer they are ignored, the worse the situation will become.

9.  The sector needs to see the additional funding that is being made available both via increases to council tax and the £2billion over three years announced in the Spring 2017 budget making its way through to providers as enhanced rates payable for existing services rather than being used to fill holes in Social Service’s budgets or to pay for more services at the same inadequate rates.

10. Our recommendations are designed to support the continuation of a viable social care sector in line with society’s increasing requirements. They are deliberately designed to take a longer-term view of care and support delivery and move away from the dominant short-termism implicit in current cost-saving measures.

11. We explore the ideological slant towards Supported Living as a means of acquiring care and support and consider that there needs to be more objective  view of what residential care can provide in the round for people. We concluded that too many commissioners look to Supported Living as a cost-saving opportunity rather than a genuine option for specific individuals. The separation of housing and support is not the strong argument it is purported to be and has proved damaging in many cases and we would argue is serving as a barrier to the development of more individualised housing and support options that people could really benefit from.

12. Overall we have shown that the relationship between commissioners and providers would benefit from an element of truth and reconciliation with a mutual recognition of the drivers for each element of the partnership. In many areas an impasse exists, from which the future of social care will not flourish if it is not urgently addressed.

13. There is a significant degree of frustration amongst providers with the Care Quality Commission (CQC). CQC know the extent and nature of the problems and yet all they have really said publicly is that the sector is at a ‘tipping point’ or it is ‘straining at the seams’. Providers feel that CQC are not sufficiently vocal in relation to the problems facing the sector and are actually adding to these with their ever increasing regulatory expectations.

14. Those in power must step up to this challenge or the sector is going to go beyond the tipping point highlighted by CQC and it will increasingly collapse in upon itself and the country will find itself in a position where there is less and less available provision required by more and more people. It is difficult to see quite how it will recover from there. As a strategy, starving the sector of money until such time that central government has to provide some money for it is a dangerous game to play. There is a very real risk that intervention will come too late or that the cost of resurrecting the sector will be far greater than if the sector was simply being adequately funded.

Care Provider Alliance Report.
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Encouraging engagement between Sustainability and Transformation Partnerships and the adult social care sector

Download the full report here

Read the Key Recommendations below:

Our recommendations to support this aim are as follows:

1.    For the leaders of all sectors to recognise and promote the interdependence and equal status of the health and adult social sectors, and for adult social care to be at the table as an equal partner.

2.    For STPs that don’t have established arrangements for engagement with the adult social care sector to:

Ø  Complete or commission a quick overview of the adult social care sector in their area, looking at the scale of provision and identifying any provider forums or associations.

Ø  Consider the options for engagement suggested in this report.

3.    For STPs that do have established arrangements for engagement with the adult social care sector, to review them in discussion with their partners in the light of the points raised by this report.

4.    For all STPs, to hold a discussion at an STP Board meeting about engagement with the adult social care sector; and, by March 2018, to share information on their website or otherwise about how they are taking engagement with the sector forward.

5.    For adult social care providers and organisations:

Ø  If not already aware of and informed about STPs, to start by visiting www.england.nhs.uk/stps.

Ø  To take time to understand how the way the NHS works is changing and, in particular, the role of STPs.

Ø  To have a look the STP plan for their area, and at who leads it.

Ø  To be willing to engage positively, constructively and openly on behalf of the sector.


General NewsBarbara Harris
Property Ownership: Tax Advice from Hazlewoods

If you own the property that is used in your healthcare business, it may be time to consider whether this structure is ideal from a tax perspective.

 The diagram below is a common structure of a care business – A and B (often husband and wife, although it doesn’t have to be) own the property or properties from which the business trades, and rent it/them to the trading company, which is also owned by A and B. This structure often arose upon incorporation from a traditional partnership with a view to avoiding a Stamp Duty Land Tax (SDLT) charge.  After all, why pay SDLT again, when you paid it on the original purchase of the property or properties?

hazlewoods property diagram.JPG

We have met many operators who are in the above or similar position and although not widely realised, there are a number of potential tax disadvantages of this structure:-

1)  Inheritance tax (IHT). Upon death, it is likely that 50% of the property value would fall into the owner’s estate i.e. be subject to tax, whereas if the property was owned by the company, the entire value of the shares could qualify for Business

Property Relief (BPR) and therefore not be subject to IHT.

2) Capital gains tax (CGT). Upon sale of the company, and assuming all conditions are met, the shares may be eligible for Entrepreneurs Relief, resulting in a tax liability of 10% on the disposal. If the property is owned privately, the tax liability is likely to be a mix of 10% and 20%. Overall, it is likely to be higher though.

3) Income tax (IT). In many cases operators will need to charge rent to the trading company to cover their personal bank loan repayments in relation to the property, incurring significant personal tax liabilities.  This often means that the monies they take out of the company (e.g. dividends or salaries) are taxed at the higher rate or additional rates of personal tax.

An alternative is to consider transferring the property into the trading company. Each case would need to be carefully analysed. Considerations include:-

1) SDLT. If the property is owned as a partnership it may be possible to transfer it

into the trading company, with no SDLT liability.

2) CGT. Upon ultimate disposal of the business, it is likely that the CGT position will

be improved by a transfer of the property into the trading company. There may or may not be CGT to pay upon transfer of the property into the limited company,

depending on a number of factors – this area would need to be looked at in detail to get the right solution for you.

3) IHT. It is possible that by transferring the business property into the company the IHT position, upon the owner’s death, may be improved. The maximum saving being, to avoid 100% of the property value falling into the owner’s estate.

4) Income tax. Provided that the associated bank debt is also transferred into the company, there may no longer be any requirement to charge rent, which could improve the personal tax position.      

As with any tax planning, a transfer of property from private ownership to company ownership will not be suitable for all.

It may be that the current banking arrangement is favourable (and you don’t want to give your lender an opportunity to vary the terms!), or that there is a minority shareholder and by transferring additional value into the company (the property) you would be increasing the value of their shareholding.

If you would like to discuss the above please contact Andrew Brookes or Rachael Anstee, we believe that for many with this structure we could suggest a better structure.

Further Evidence of Crisis with Sleep In Arrangements

Government sleepwalked into sleep-in crisis. 

Yesterday MENCAP announced that they may have to withdraw from providing support for more than 2000 adults with learning disabilities unless the row over back pay is settled.  The debate around funding the future of social care often focuses on older adults and their associated medical needs, especially when we face a growing ageing population, but a large chunk of the social care spend – estimated at £8bn by the National Audit Office - goes on supporting adults with learning disabilities to live independently. This could be in the form of 24-hour care with large staff team in their own homes or it could be several hours a day with shared support at night for adults living in shared accommodation or flats. Either way, this support usually includes a night time element and this is where MENCAP - and many other smaller providers - are having a problem.

Centre for Policy Studies

General NewsBarbara Harris
MP Karin Smyth Visits Ablecare's Hengrove Lodge

AbleCare Homes Hengrove Lodge were very pleased to welcome their local MP, Karin Smyth, in September for a visit to the home.  The visit was part of the MP's programme of getting out and about in her constituency to meet people from all walks of life. 

The MP was interested to hear about the care home market in Bristol and specific issues faced by residents in a care home. Sam Hawker, Company Director, said ‘It was so positive for Karin to take this initiative.   It is very easy for the voices of older people in residential care to be over-looked. 

After a tour of the home with the Registered Manager, Teresa Silverthorne, Karin met with residents and their families.  Karin spend time talking to the residents and taking an interest in their lives.’ 

Filming Karin's visit, Made in Bristol TV also came along.  Yaz Cooke from topical news programme, The Crunch,  spoke with residents and undertook an interview with residents Dot and Barbara.  Dot said it had been her lifelong wish to be on TV, this visit enabled her to fulfill that dream! 

Social care crisis: series of newspaper comments

David Smallacombe recently shared the articles below, compiled by Care England, all highlighting the plight of the social care sector. David's message to members is:

"The only way you can be sure your voice will be heard is to constantly push, cajole and persuade your local Councillors and Members of Parliament (MP’s) to make significant changes in the care sector. Go to the Town Hall to lobby elected members during the public meetings of the Scrutiny Committee, get a meeting with your local Director of Adult Social Services, attend the MP’s regular surgery’s, write to Theresa May, Jeremy Corbin and other party leaders. Tell them what trying to run a care business is like on a day to day basis, explain to them (you know they don’t know) that unless they act urgently to fill the funding gap (put up income or other taxes for e.g.) local and central government will find itself having to provide and/or develop care settings for vulnerable people to live in because they have lost their homes as a result of the Care Business they once lived in has collapsed. Make yourself a “nice” and reasoned nuisance --- educate those who have influence to do what they know they will have to ---- but get them to do it sooner!!"

Why won’t ministers acknowledge social care's growing emergency?
How close to the brink is the social care system? In the severest warning yet that it is fast becoming unsustainable, council leaders will on Wednesday warn that their ability to support older and disabled people is “veering steadily towards the impossible”. The picture in children’s services is no better. The body representing directors of those services reports that their ability to make any impact at all on the lives of 4 million children living below the poverty line is increasingly constrained by relentless funding cuts. As leaders of both children’s and adult services in England meet this week in Bournemouth for their annual joint conference, they will reflect ruefully on the deafening silence from last week’s Conservative party gathering in terms of any relevant policy or funding initiative. Most alarming for the adult sector was the complete absence from the prime minister’s ill-fated conference address of any reference to the system reform that had been flagged in the party’s general election manifesto, promising “dignity and protection in old age”.
The Guardian
Social care crisis consultation postponed by government
The government is rumoured to have put on hold its consultation on social care funding until next summer, and the previous Tory government’s pledge to introduce a cap on care home fees by 2020 has been abandoned.  A social care funding crisis looms large as the population of the UK is ageing: By 2040, nearly one in four people in the UK will be aged over 65, according to a recent Age UK report. But the country has little money set aside for elderly care, at either the state or the individual level.  While the next 18 months may be full of Brexit-related matters, retirement experts say that the government should not delay consulting on the crucially important matter of social care funding, which will impact families for decades to come.  Steven Cameron, pensions director at Aegon, says: ‘Social care for the elderly and how it should be paid for will touch every family across the UK. The government promised in its manifesto to consult on social care funding, including introducing an overall cap on how much any individual would be expected to pay. 
Money Observer
ADASS president: ‘Adult social care reform must be a national priority’
With an eventful – but ultimately disappointing – Conservative Party conference out of the way, all eyes now rest on the chancellor’s autumn budget and the consultation on the future of adult social care that the government has promised. We hoped that Theresa May would use her key speech at the conference to announce further measures to help alleviate the significant and continuing pressures on adult social care, building on the welcome but short-term £2 billion of extra money announced in the spring. However, with apparently no new plans forthcoming, the sector will continue to highlight existing and emerging challenges it faces at the National Children and Adult Services Conference (NCASC) in Bournemouth this week (11-13 October). While councils continue to wait for – and call to bring forward – the government’s promised consultation on the future funding of adult social care, important issues based on efficiency, best practice and innovation will be discussed at NCASC as local authorities lead the way in self-improvement to help older and disabled people and their families in need of good quality, reliable and personal care. These include: creating carer-friendly communities; managing the impact of children’s services pressures on adult care services; the employment of people with care and support needs; tackling mental health, loneliness and modern slavery; prevention and safeguarding work; integrated commissioning to support the sustainability of the care market; transforming care through technology; and housing, health and care integration.
Community Care

Additional evidence from Care England can be found below:

Elderly care is 'close to crisis point' say council

The head of one of the North West’s biggest social services departments says he struggles to sleep at night because of cuts he's had to make to care for elderly people. Liverpool city council say they've had their adult social care budget cut by £50 million in the past 3 years. They say services are close to crisis point. Local authorities across the region now have an average of just £2.75 an hour to spend on care.

Councils ‘leveling down’ care packages after ILF closure

Report reveals more than half of local authorities in London have cut care packages since the closure of the Independent Living Fund in June last year. More than half of local authorities in London have cut service users’ care packages following the closure of the Independent Living Fund (ILF), according to a report by Inclusion London. Four councils have reduced support for more than half of former ILF recipients, a finding the charity described as “suggestive of a systematic approach to ‘levelling down’ packages”. The findings come from a Freedom of Information request, which received responses from all 33 councils in London. The charity said the cuts affected 185 former ILF recipients across the capital – around one in six.
General NewsBarbara Harris
Engagement at Supported Independence: Giving Service Users A Voice

Every Year Supported Independence has an event where all service users and community groups are invited to get together, in an event which reflects research on social inclusion which shows health and happiness benefits from being part of a community. 

As an organisation, SI provides residential, supported living and outreach services for adults with mental health problems and a range of complex needs. They use this day event to ask service users to consider what SI does well and what they could do better. 

Manager, Tracey Richardson says: "We work really hard to bridge the gap between Supported Independence, service Users and the Community. I think different community groups spending time with the service users when they are relaxed, is beneficial for everyone"

The day produced some fun! People were able to make delicious and healthy smoothies using a blender generated by a bicycle. Adding to the health theme, the local church contributed health checks for blood pressure and sugar levels for residents and staff. 

Additional initiatives going forward are a planned football team and a communal cafe to be opened at SI's new service Devon House.

To end the day Supported Independence unveiled this large mural, created by service users and depicting scenes from Bristol

To end the day Supported Independence unveiled this large mural, created by service users and depicting scenes from Bristol

Barbara Harris
Skills for Care pilot for new registered managers

 Skills for Care want to work with new registered managers as part of an exciting 12 month pilot starting in April 2018.

The value of specific support for individuals new to roles with a significant level of complexity and responsibility is recognised across a number of sectors and professions. The pilot will test a model of support for new registered managers based on a combination of Skills for Care’s resources and guidance; we see this model becoming part of our future offer to registered managers.

New managers participating in the pilot will be supported to develop their confidence, knowledge and skills over 12 months; every manager participating will also have the opportunity to engage with and learn from peers.

What does the pilot offer?

Participants will join a local cohort of new registered managers, who will follow a 12 month approach to developing their skills, improving their confidence and engaging with peers. Participants will:

§  Be paired with a mentor (who will be a more experienced registered manager); they will support you to explore issues, challenges or opportunities that you encounter at work

§  Become registered manager members of Skills for Care, for two years, with access to exclusive resources, monthly newsletters and discounts on products and services.

§  Attend three face-to-face events with other new managers and Skills for Care; tailored around their needs and interests.

§  Have access to a scheduled series of seven webinars on specific topics, relevant to their role; participants must join a minimum of four webinars.

§  Have opportunities to develop their reflective practice.

§  Complete a gap analysis against the Manager Induction Standards (MIS) and produce a personal development plan (PDP).

At the end of the pilot participants will have received structured support, increased their knowledge and established a solid base for their continued professional development (CPD).

Who can participate?

We are looking for people new to the registered manager role, who have been in post for 12 months or less at the point of applying to join the pilot.

Places on this pilot are being offered at no cost, however participants will be expected to commit to the full pilot and to take-part in scheduled evaluation activity.


   What else do I need to know?

§  We anticipate that participation in the pilot will involve managers being away from the office for a total of seven days over 12 months. Additionally, managers will be expected to join a minimum of four, 45 minute, desk-based webinars.

 §  We are asking senior managers / leaders or owners, with registered managers participating in the pilot, to take-part in scheduled evaluation activity to help us measure the impact and effectiveness of the pilot. We will ensure that you are given advance notice of this and that your involvement will not be time consuming or onerous.

What if I don’t have any new registered managers; can existing managers get involved in any way?

Yes – Skills for Care are looking for existing registered managers to mentor a new manager, participating in the pilot, and we are offering a free training day to managers who do this. 

How could my manager(s) benefit from agreeing to mentor a new manager?

§  Skills for Care are offering every manager who agrees to become a mentor the opportunity to complete a free one-day mentoring training course; this will help them develop the understanding and skills they need to be a mentor

§  at the end of the course they will be given copies of materials which they can use in your service

§  the skills they learn can be used in your organisation; and the process of mentoring can help them reflect on their own practice

§  as part of the inspection process the Care Quality Commission (CQC) look at how managers and providers engage with other services and the wider sector; mentoring another manager is one way to demonstrate this.

What does a manager need to do to get involved?

We are asking that every registered manager who wants to get involved, commits to:

§  attending the one-day mentoring training; this will be delivered in February / March 2018 and a date will be confirmed by December 2017

§  being paired with a new registered manager in April 2018, who they will mentor.

§  A short application form will be available from December 2017.

      What is mentoring?

 §  mentors use their knowledge, insight, perspective, wisdom or space to help their mentee to develop in their role

§  a mentor does not give their mentee the solution to an issue; they help that person explore, understand and resolve an issue, challenge or opportunity – the key to mentoring is helping the mentee learn from their experiences

§  mentoring is based on a professional and confidential relationship; built on trust and clear boundaries between the mentor and mentee

§  a mentoring relationship is temporary, not on-going; at the start of a mentoring relationship it is important to set an end-date and be clear how often the mentor and mentee will meet or speak

§  mentoring can be a face-to-face or telephone based activity.

 How to get involved?

If you have a manager or managers who wish to be involved in the pilot, either as a new manager or a mentor email Lindsey.thomas@skillsforcare.org.uk for more information

Care & Support West Awards: Questions answered and things to know

If you are attending the upcoming awards ceremony here is some final information that you may find useful and answer any questions you may have:

1. The awards start at 6pm, not 7pm as previously advertised

2. The awards are being held at Ashton Gate stadium, Bristol BS3 2EJ. Directions can be found here.

3. There is parking at the venue, on a first come first serve basis. During the evening please ask for a pass from the bar staff and they will supply you with a barcode that will allow the barrier to raise when you leave.

4. The dress code is 'black tie' so tuxedos and cocktail dresses are ideal! But smart evening wear such as suits and smart dresses are also fine.

5. You will be directed to the concourse for a glass of bubbly, this area will be hosted by Mercedes. 

6. We have asked large tables to pre-order your wine if possible. The order form can be downloaded here, please return it to lydia.walker@careandsupportwest.com. There will also be a bar and a chance to order from the wait staff on the evening.  

7. Finalists have been sent in the post white ribbons to help us and the media team identify them throughout the evening. If you are a finalist and have not yet received one please email lydia.walker@careandsupportwest.com or find Lydia on the evening and she will give you one.

8. There will be no tickets for the event, just turn up, we know who you are...

9. During the evening there will be a raffle and auction for some incredible prizes, we'll be selling tickets during the pre-dinner drinks session and again once you're seated to make sure you all get a chance to buy them.  

10. The evening will end after the disco, at around 12:30 to 1am.

11. If you have any problems, please email lydia.walker@careandsupportwest.com or call 07717576072

We look forward to seeing you at the ceremony and hope you enjoy what hopes to be an incredible event!

Lydia Walker
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 www.sueryder.org/humanrightstraining
Contact: humanrights@sueryder.org

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 barbara.harris@careandsupportwest.com with comments.



Meaningful Activities Event on 6th September proves very popular

Bearing in mind the space limitations at the Resound Centre, the meeting in September was well received.  Here are a few pictures of the activity providers

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 www.comicrelief.com. 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!