Posts in General News
What’s Holding Back the Adoption of Technology in the Social Care Sector

Following on from the Conference where the topics were all about using digital technology, we found this paper What’s Holding Back the Adoption of Technology in the Social Care Sector? 11 Jun 2019, written by Dr Sarah Carlick, an International digital safeguarding expert, who works tirelessly to bring the benefits of digital technology into safeguarding.

She argues that it is not just the social workers that need to be included in the conversation, but support workers, housing staff, voluntary sector charities, and care staff. You can read the full article here but the main barriers are below; It would be interesting to get your comments!:

·        There is an inherent lack of innovation in this space for social practitioners. Simple proof of this is by making a comparison with the health care sector – compare to health tech

·        A lack of feasibility, seed funding, notwithstanding the lack of upscale and sustainability funding.

·        Poor and inadequate resources within everyday practice.

·        We are at the beginning of acknowledging how technology could impact on outcomes for the sector and holding a committed belief that this is the way forward for enhancing communication and interaction with service uses. Nevertheless, we do not know what this looks like and it feels like a never-ending cycle of, if we always do what we do we, will always get what we get…

·        A lack of strategy for merging and creating new viewpoints for information sharing and technological pathways and frameworks.

·        There is no recognition that Local Authorities Digital Strategies are combined with social care and health strategies. I believe these should be viewed as one.

·        Culture change where we move from the traditional masses of databases (Carlick, 2018) to one of mobile applications with secure seamless capabilities.

How can C&SW support the new Loneliness Strategy?

According to a report last year from the Jo Cox Commission on Loneliness, more than 9 million people in Britain—around 14 percent of the population—often or always feel lonely.

Risk factors for loneliness include “family breakdown, a divorce” or “perhaps the safety net wasn’t there to stop that descent,” Like other developed countries, the U.K. has largely focused on the elderly when addressing issues of loneliness, But data shows that in Britain and the U.S., poor, unemployed, disabled and migrant populations tend to suffer most from loneliness and isolation—and typically struggle to access adequate support. Young people aren’t immune either. a study found that 16 to 24 year-olds reported feeling more lonely than pensioners between the ages of 65 to 74.

The ‘Minister for Loneliness’ appointed last year produced a strategy document which can be found here.

The strategy focuses on the need to ‘work together’ for everyone to play their part; the Social Care sector, although not specifically mentioned (see below) has a massive role to play, particularly given their proximity to the vulnerable in our society. The strategy also talks of personalised and local initiatives so we ask you how we in our area can support the strategy, both as individual businesses and as an association, what can we do? We have enabled comments on this post so you can add your voice.

For more information, the text below is extracted from the executive summary.

The strategy looks at what can be done to design in support for social relationships in our changing context. It builds on the strengths we have as a nation – including our strong public, private and voluntary sector institutions, as well as the great everyday contributions that people make to their communities. To get there requires society-wide change. Three overarching goals guide government’s work on loneliness.

  • The first is a commitment to play our part in improving the evidence base so we better understand what causes loneliness, its impacts and what works to tackle it.

  • The second goal is to embed loneliness as a consideration across government policy, recognising the wide range of factors that can exacerbate feelings of loneliness and support people’s social wellbeing and resilience

  • The third goal is to build a national conversation on loneliness, to raise awareness of its impacts and to help tackle stigma.

Guiding principles A number of principles have guided the development of this strategy:

• working in partnership with businesses, the health sector, local government, the voluntary sector and wider civil society, recognising that government can act as an important catalyst but that we must all take action to reduce loneliness effectively.

• a willingness to test, iterate and learn as government takes forward its approach,

• ensuring a truly cross-cutting and crossdepartmental approach,

• focusing on the key trigger points that push people in and out of feeling lonely frequently, alongside preventative action that can benefit wider society.

• recognising the importance of personalised approaches and local solutions to tackle loneliness.

taken from the Loneliness Strategy document

taken from the Loneliness Strategy document

C&SW Supports Launch of the Care Badge

A new badge is launched as a unifying symbol of pride in our 9 million social care champions and to raise money for care-related causes 

With 9 million paid and unpaid carers in the UK, Care England and everyLIFE Technologies have launched the CARE badge, to promote awareness of and appreciation for this crucial service and raise the esteem in which social care and its participants are held.

·         Public launch of the CARE badge as a unifying symbol of pride and quality in social care for those providing, receiving or supporting care across the UK

·         34,300 CARE badges sold during the three-week soft launch phase, with a further 42,000 of badge enquiries awaiting restocking

·         All profits from CARE badge sales go to care-related causes and charities selected by care workers and carers

The CARE badge was born on 19th March 2019 while listening to Professor Martin Green, Chief Executive of Care England, highlight the opportunities and challenges faced by care providers and the lopsided message that the Secretary of State for Health and Social Care sends by only wearing an NHS lapel badge. The Chairman of everyLIFE Technologies, Robin Batchelor, sitting in the audience, turned to his colleague and said: “We should work with Care England to change that.”

This new initiative calls on the UK’s business leaders to buy the £1 CARE badges and distribute them for FREE to their employees and customers in a visible display of support for the 1 in 4 of the UK population that is either providing or receiving care outside of a hospital environment every day.  Care and Support West are supporting the CARE badge imitative.  

With 9 million paid and unpaid carers in the UK, Care England and everyLIFE Technologies  launched the CARE badge to promote awareness of and appreciation for this crucial service and raise the esteem in which social care and its participants are held.

While the CARE badge is personal to everyone, those wearing the CARE badge share common benefits, including:

·         showing involvement with and/or support of social care in its many forms

·         building a team spirit within a widely distributed care community

·         a personal commitment to quality in care

·         an invitation to start conversations about care

·         encouraging recruitment and retention of care staff

·         reinforcing the size and importance of this often-overlooked care community.

Robin Batchelor, Chairman of everyLIFE Technologies said: “Two million professional carers and 7 million more unpaid carers provide care for others each day, no matter if it’s a holiday for the rest of the population or if the weather is adverse and travel is difficult. Unfortunately, they often do so with minimal or no financial reward and without the public interest and support that other care professionals reasonably enjoy. The CARE badge will help everyone make sure that these care heroes don’t go unnoticed or underappreciated.”

Liz Jones Policy Director National Care Forum said “The CARE badge is such a simple and inspiring idea – a great way to recognise and thank the millions of people involved in providing great quality care across the UK and a great way to help that huge community of people feel proud and valued. I am delighted to join the Board and am wearing my CARE badge with pride – I hope you will all get you orders in for the CARE badge and start wearing it to help us all raise the profile of care!

For further information regarding the CARE badge, please contact Robin Batchelor or Professor Green via or visit @thecarebadge #badge4careitative.

DEFIBRILLATORS: CQC & CAA discussions outcomes

The Care Association Alliance, of which C&SW are members, asked CQC about defibrillators. They asked:

“The placement & use of defibrillators in care homes (with & without nursing). What are the guidelines and are they in sync with the NHS?” You can read their responses below;

 We cover the use of equipment under several different KLOES:

 S2 How are risks to people assessed and their safety monitored and managed so they are supported to stay safe and their freedom is respected? S2.6 How is equipment, which is owned or used by the provider, managed to support people to stay safe?

This prompts providers to check the appropriate equipment is available in order to meet the needs and wishes of people who use the service and that it is checked/serviced when required. We don’t specify what equipment providers must have, although we do expect providers to have the appropriate emergency protocols/procedures in place and these must be clear and transparent. This might be for staff to provide resus (if they are trained and competent to do so) or to call for emergency medical assistance.   


S3 How does the service make sure that there are sufficient numbers of suitable staff to support people to stay safe and meet their needs? And S3.3 Do staff receive effective training in safety systems, processes and practices?

Puts the expectation on providers to ensure staff are trained and competent to use all equipment. This would include a defibrillator should the home decide to have one available.


Under KLOE E2 How does the service make sure that staff have the skills, knowledge and experience to deliver effective care and support? Prompt E2.1 Do people have their assessed needs, preferences and choices met by staff with the right qualifications, skills, knowledge and experience?

We expect that staff are clear about their responsibilities regarding equipment, it is used correctly to meet statutory requirements and support people to stay safe and take into account people’s wishes around resus and their consent.

CQC Publish Local Area Profiles

CQC update their profiles of care services for older people in every local authority in England 

 How well do health and social care services in your area serve the needs of older people?   Most older people, particularly those with complex needs, will receive care at some time. Their experience will often depend on how well different services work together for them, their families and carers.

 As of today (23 July) CQC have updated their report showing a detailed picture of the care services in your local authority area and how well they work together, which is now available from the CQC website 

 • Are older people supported to stay well and to continue to live in their home?

• What happens when someone needs more care, for example, they need to go to hospital?

• Are they supported either to return home safely, or to move somewhere new that meets their needs?

CQC draws together a range of national data to build a profile on every local health and care system, to understand how services work together. The individual reports provide a detailed insight into the journey through health and social care for people who use services - and identify where there are gaps which mean that people experience fragmented or poor care. The reports compare the outcomes with similar local authority areas and against national performance. 

 For instance - how does your local area compare when an older person needs to go to hospital?    The reports presents nine elements in an acute hospital pathway, through A&E attendance, to admission, discharge and reablement, compared with the national performance across England. 

Here are downloads of our local profiles:

Bristol; North Somerset, South Gloucestershire, Bath and North east Somerset

If you want to know about the rest of the country, you can access them all here: at


Access Workforce Development Fund via C&SW

We have exciting news for members and the local care community! 

‘Care & Support West’ has been successful in their application to ‘Skills for Care’, to manage the WDF Partnership for the South West.  To include the areas of Bristol, South Gloucestershire and North Somerset; and open to members and non members.

This means, Care & Support West can now assist you in obtaining funding towards staff development via WDF.  Karen Holley (Contact details below); is engaged on the contract and it’s her job to help you to access the funds.

This is a fantastic opportunity to train your staff and for your staff to achieve, good qualifications and obtain better knowledge for improved delivery in the Health Care Sector.   Great news for your residents, staff and you! 

How does this work?

  • First you have to register with a WDF Partnership.  (Karen will assist you in doing so)

  • Start thinking and planning which staff and qualifications will enhance your business.  Skills for Care have published a whole list of qualifications which you can claim funding towards. (see link below for details) Please note: there are exam board stipulation!

  • Make sure you have completed your Adult Social Care (ASD) Workforce Data Set originally known as the NMDS. (Due to re-open on the 5th Aug 2019)

  • Engage with a Learner to take your candidate through the qualification (again see the link below for more info on Learners)

  • Ensure your candidate finishes the course and obtains a certificate -

  • Apply for the funding.  (Karen can help you apply)

Why not contact Karen by either completing THIS FORM or use the contact details below if you want to talk to her. Please be aware though, there are time restraints and limited funding available, so the sooner you act the better the result.

See Skills for Care link for more information.

Please note – this fund is available to members and Non-members of C & SW.  Do you know of any owner who would be interested to know about C & SW and the WDF?

Karen Holley email:

Tel: 07540 458

*picture from Skills for Care website

UKHCA Assessment of Home Care Costs

The cost of delivering homecare from April 2018 increases with new rates of the National Minimum Wage and employers’ minimum contribution to workplace pensions.

UKHCA has published the latest update to our authoritative “Minimum Price for Homecare”, with a new figure of £18.93 per hour from April 2019.

This will allow for full compliance with the National Minimum Wage and the delivery of sustainable homecare services to local authorities in Great Britain, the NHS and the health and social care trusts in Northern Ireland.

Equivalent figures for the Scottish Living Wage, the UK Living Wage and the London Living Wage are also included.

UKHCA’s Policy Director, Colin Angel, said:

"It is essential that a viable regulated homecare sector is available to support the care of older and disabled people who choose to remain at home. The prices councils pay for care must cover the costs of the workforce, including - as a minimum - full-compliance with statutory minimum wage levels and the costs of running a regulated care service. Providers to the statutory sector are operating in fragile market where underfunding homecare is leading to market failure and withdrawal.

A copy of “A Minimum Price for Homecare, Version 6.0” can be downloaded from the UKHCA website. 

UKHCA Policy and Campaigns Team

Innovation Funding Bid for Nurses from BNSSG CEPN

BNSSG CEPN are inviting bids for three Innovation Funding Awards, each of which is valued at £4,500. Download a flyer here

To be successful, applicants must devise an innova-tive approach to further integrate working across nursing in BNSSG’s primary, community, and nursing home settings.

Projects which look to patients as the focus for im-proved collaboration and integration will be favoured.

If you wish to find out more, please get in touch with

When is this happening? If you’re reading this, you can apply. The closing date for applications is Thursday, 28 February, 2019.

How to apply: To receive the application pack, please send a message expressing your interest to

EU EXIT: Operational Guidance for No Deal outcome.

Whilst the Government is working to develop an acceptable deal for Brexit, in line with the Government’s principal operational focus on national ‘no deal’ planning, actions must now be taken locally to manage the risks of a ‘no deal’ exit. Documents relating to this can be found on our Members Resources pages. They can also be found here

Cover letter from Sir Christopher Wormold

Guidance Document

Guidance from Bristol City Council

Changes to C&SW DBS checking process


This document is also available as a download here

C&SW has traditionally carried out DBS (and previously CRB) checks for many of its members using a paper-based model and the royal mail system of transfer between the provider, DBS office and the C&SW provider of the process Care Futures. For some years now, it has been possible to carry out DBS checks using an “On-Line” mechanism via the internet. The major advantage of the on-line model is that application results can be with the provider much quicker and in some cases within 48 hours. Care Futures will no longer be able to offer the paper-based system from January 1st 2019 so we have researched a range of alternatives for members to use all of which use an on-line process.

Below you will find two models for your consideration – the first is one whereby you engage directly with an on-line company yourself to carry out all your own DBS application processes (just contact them via the web link shown) and the second is one where you join a local organisation which in effect replicates the work Care Futures did on your behalf but uses an on-line model. Both models offer phone support and will be able to help you manage the new way of managing DBS applications quickly and well.

Doing the work directly yourself ---- Three companies to explore


Registration (One-off) £19:95 + Vat

Enhanced application     (direct 1:1 care work)                     £52.00

Standard application       (admn/back office staff)                               £35.40

Volunteer (Enhanced or standard) (non-paid staff)          £10.40  

UCheck is an online solution that lets you easily run checks on job applicants. Enter the applicant’s details just once, select which particular checks you need and get quick results. No more endless waiting, no more having to use different systems for different checks. Only need a DBS check or one other type of check? UCheck pay as you go pricing means it’s still cost effective and you’ll benefit from the speed of using UCheck for making checks online.


Registration free

Enhanced application     (direct 1:1 care work)                     £56.00

Standard application       (admn/back office staff)                               £38.00

Volunteer (Enhanced or standard) (non-paid staff)          £12.00  

Free registration and full setup within 15 minutes! Register your organisation now for the provision of criminal record checks with Care Check. Apply now for your Basic, Standard and Enhanced level DBS disclosures. Click here to manage your employees/volunteer DBS checks.

Registration free

Enhanced application     (direct 1:1 care work)                     £72.80

Standard application       (admn/back office staff)                               £54.80

Volunteer (Enhanced or standard) (non-paid staff)          £Not known      

Getting a DBS check online is fast, simple, and straightforward. With just one simple form to complete, our DBS application service is conducted online in a matter of minutes.

 Doing the work via Avon Local Medical Committee (LMC) Disclosure & Barring Service

Contact:               Pauline Jenkins

HR Adviser, Avon LMC

14a High Street, Staple Hill

Bristol BS16 5HP

T: 0117 9702755


 Enhanced application     (direct 1:1 care work)                     £60.00

Standard application       (admn/back office staff)                               £42.00

Volunteer (Enhanced or standard) (non-paid staff)          £16.00  

Process Start-up

1.       C&SW Care provider registers with Avon LMC (free of charge)

e.g. Care Home, Nursing Home, Dom Care Org, Supported Living Org

2.       C&SW Care provider gains Login code via registration to make applications

3.       C&SW Care provider now ready to process DBS applications

 DBS process

a)      LMC registered C&SW Care provider accesses DBS application form via login process  

b)      C&SW Care provider sends form to Applicant to complete

c)       Info on completed form verified by C&SW Care provider

d)      C&SW Care provider sends completed accurate form to Avon LMC DBS team

e)      LMC team checks form info is accurate and appropriately verified

f)       LMC team send completed accurate form to DBS Application company


The decision members will need to make depends greatly on the availability of IT systems in their Care Home or Dom Care office settings and the expertise of management staff to use them. It is however a truth that we all now use the internet in one way or another so moving to using it to gain a quicker result for the important matter of DBS application results is crucial in the era of tricky staff recruitment processes. The cost of the LMC model is close to that which members have been paying for the C&SW process and the costs involved with two of the three direct companies is less than the current fees organisations have needed to pay.

 Need help?

Please, if after reading this document you need advice or guidance please come back to me and I will see if I can support you.


State of Health Care and Adult Social Care in England 2107 / 18

Here is a summary of the summary of key findings; you can find the whole reports here:

It would be interesting to get feedback from local providers as to how they feel this reflects our local market. Comments are enabled below. Please feel free!

Three Key Findings.

  1. Most people receive a good quality of care: and overall quality has been maintained despite challenges

  2. Quality is not consistent: depends on type of care, where you live and how joined up services are.

  3. Individual providers offering good care is not enough. Good sustainable high quality care is about successful collaboration between services as part of an effective local system.

CQC outline and describe the 5 factors that affect sustainability

  • Access: varies; family and friends bridge the gap; need to travel for in-patient mental health; variable access to GP services; increasingly stretched workforce

  • Quality of care: slight improvement overall. Hallmarks of quality care are Good leadership and governance; strong organisational culture; Good partnership working

  • Workforce: right workforce is crucial but most services struggle to recruit, retain and develop.

  • Capacity: demand continues to rise: services need to plan together to meet predicted needs

  • Funding and commissioning: challenges are well documented. 32% Directors Adult Social care have seen providers closing in the past 6 months. No long term solution in sight for adult social care; geographic variations in council payments

Post Brexit: EU Settlement Scheme

As the Home Office delivers the EU Settlement Scheme (EUSS), it is critical there are clear plans and arrangements in place to accommodate the broad needs of citizens that it expects will need to apply for the EUSS.

The Home Office has put a range of measures in place to ensure that the EUSS is accessible and that all applicants are handled with flexibility and sensitivity. However, ensuring that the most vulnerable EU citizens and at-risk communities are engaged and supported is essential.

The voluntary and community sector plays a vital role in representing people who are unable to advocate for themselves, and engagement has been carried out with a range of Voluntary and Community sector organisations to ensure that the right support and programmes are in place to protect those most in need. The Home Office will soon be launching a full campaign, which will seek to create a network of eligible VCS organisations who can raise awareness of the EUSS amongst vulnerable EU citizens and their family members, and to provide EUSS application assistance to those who need it. Organisations will be provided with a tailored communications toolkit, to help inform vulnerable, at-risk and marginalised individuals around the EUSS. There will also be outreach events and training sessions organised to provide organisations with greater detail and support.

Grant Scheme

To enable organisations to support those most at-risk, a key first step in this campaign is a Grant Scheme. Today, the Home Office is pleased to announce notice of its Grant Scheme, expected to award between £5 and 9million to fund Voluntary and Community Sector (VCS) organisations in delivering practical assistance to vulnerable or at-risk EU citizens and their family members, and to provide them with end-to-end support to apply.

Extensive engagement with VCS organisations has helped to shape the development of this Grant Scheme. However, the Home Office is seeking to refine the approach and assess provision for support services before formally launching the open competition, expected to commence at the end of November 2018.

Interested VCS organisations are invited to take part in an engagement teleconference to find out more information about the EUSS, the Grant Scheme process and the wider campaign, and to give organisations an opportunity to ask the Home Office questions. There will be several repeat teleconferences taking place on 7 and 8 November, to ensure as many organisations as possible have the chance to take part.

To sign up to attend a teleconference, and for more information on the Grant Scheme, please go to the Contract Finder Notice on GOV.UK. If you have any specific questions, you can email: For further information on the EU Settlement Scheme, please see below.

EU Settlement Scheme

EU citizens living in the UK and their family members will need to apply under the EU Settlement Scheme (EUSS). The straightforward system is designed to make it easy for them to obtain their new UK immigration status.

The EU Settlement Scheme is in private beta testing and will be open fully by 30 March 2019. The deadline for applications will be 30 June 2021.

More details on how EU citizens and their families can obtain settled status in the UK is found in the statement of intent, which confirms that:

.     Applications will be via a short online process.

.     Most EU citizens will only need to prove their identity, demonstrate their residence in the UK and declare whether they have any criminal convictions (we will check that they are not a serious or persistent criminal).

.     It will cost £65 for those aged 16 years or more and £32.50 for children under 16.

.     It will be free for those with valid documented permanent residence or valid indefinite leave to remain or enter.

EU citizens can sign up for regular email updates on EU citizens’ rights and the EU Settlement Scheme from the UK Government.

Hilary Bagshaw

EU Exit Immigration Strategy, Home Office

2 Marsham Street, London SW1P 4DF

T: +44 (0)20 7035 3917  M: +44 (0)7770 855368


Attention Nurses: Free Workshop Skin Conditions in Older people

RCN Bath Branch and BMI Bath Clinic are pleased to offer the opportunity to attend a Professional Development workshop on Monday 22nd October at Bath Golf Club, Golf Course Road , Bath, BA2 6JG.      10am til 3pm

'More than Skin Deep'

Speakers and Programme to include

Dr Phillips Consultant Dermatologist: - Treatment of skin conditions in older people & recognition of rashes

Bruna Costa, Centre for Appearance Research at UWE :- Psychological effects of a  change in body image due to skin conditions & scarring

Zach Jones, RCN legal Officer: - Accountability, delegation, documentation and the NMC

Lindsay Cardwell, HCP Southwest Committee -New emerging roles of HCPs – APs and NAs

 RCN Bath Branch will hold their AGM during the lunch break to which all RCN members are cordially invited.

 There is lots of free parking , Lunch is provided and you will receive a RCN certificate for 3 hours of CPD.

Please can you share/circulate the attached poster with your colleagues?

 To book E-mail your name and contact details to    or

Look forward to seeing you there

Sue Thompson
Infection Prevention and Control Lead
BMI Bath Clinic
Claverton Down Road
Coombe Down
Bath  BA2 7BR        
Tel 01225 835555

MY VOICE MY CHOICE: Giving Disabled People in Weston Super Mare A Voice

Lora Tanner updates us on the progress of the My Voice, My Choice project, supported by the Big Lottery and Leonard Cheshire Homes:

We held our first workshop in Weston-super-Mare on Volunteering Education and Employment on 26th September. It was an incredible day filled with lots of open discussion. We were delighted that Maria Flinders, Voluntary Services Manager from Weston Hospital was able to join us and support the workshop. It was great to have such engagement and enthusiasm from the group, we hope that people enjoyed the workshop as their valuable contributions will be heard and will feed directly into the final showcase event on 23rd January.We worked really hard to ensure the session was accessible for everyone to enjoy.

Our next workshop was on 31st October; Transport, Access and Safety. We had representation from GWR, First Bus, Community Transport, Western Wheels and also the Police and it was a really great session. Contact lora.tanner@leonardcheshire to know more or book places on the December wworkshop, or telephone 01288 359 813.

My Voice, My Choice

Please promote!:

• My Voice, My Choice has been funded by the Big Lottery Fund.

• My Voice, My Choice is being organised by Leonard Cheshire, a registered charity providing services for disabled people.

• The aim of the My Voice, My Choice project is to allow disabled people to speak up about the accessibility of community services in the Weston-super-Mare Area and have their voices heard.

3 workshops will take place between September and December 2018 that will allow disabled adults to share stories, meet new people, provide ideas and suggest new ways of accessing the community.

People who take part in the My Voice, My Choice workshops will be invited to a larger final event in January 2019 that will:

• Show the results of the workshops.

• Provide the opportunity for organisations that have taken part in the workshops to say what services they can provide to make things better for local disabled people.

• Allow senior representatives from organisations and authorities to be told about the results of the My Voice, My Choice project and talk about any changes that can be made.

Workshop 1 - Wednesday, 26th September 2018

Volunteering, Education and Employment

Workshop 2 - Wednesday, 31st October 2018

Transport, Access and Safety

Workshop 3 – Thursday, 22nd November 2018

Activities, Lifestyle and Health

All 3 workshops will take place at:

The Campus, Highlands Lane, Weston-super-Mare, BS24 7DX

10 am until 2:30 pm and a light lunch will be provided.

There are 20 spaces in each workshop and each space will be allocated to the people who register first. REGISTRATION FORMS

Spaces are limited so please book your place early to avoid disappointment.

More information and registration forms are available from 07419 736961

General NewsBarbara Harris
Conference Commentary, Slides and Downloads

The C&SW Conference enjoyed record numbers of delegates and exhibitors this year and for the first time was sponsored by three of our Commercial Partners; Care Planner, Nurseline Healthcare and Nourish Care. The delegate numbers were north of 150 and the exhibitors numbered around 23.

Opening the day: David Smallacombe (CEO Care and Support West) opened the day by inviting the three sponsors to say a few words about why they had decided to become commercial partners with C&SW and why in particular they had agreed to sponsor the event.  He went on to set out the kind of support C&SW members could expect from him, Angela Roberts (Dep CEO), Mik Alban (Development Director) and Barbara Harris (IT support and newsletter writer) and closed his introduction by inviting non-members present to sign up to be a C&SW member via a special conference day deal on cost.  

The keynote speakers were Mei-Ling Huang (Royds Withy King Legal) and Professor Martin Green (Care England) in the morning and Deborah Ivanova (CQC) and Mick Feather (Citation --- also a C&SW commercial partner) in the afternoon. The remaining time in both the morning and afternoon programme was taken up with round table delegate discussions focused on what the keynote speakers had presented. The keynote PPT slides can be accessed via the links in this document; notes from the round table discussions are both on the C&SW web site and can be accessed here: Notes on Innovation

Mei-Ling’s presentation and talk focused on Service User Contracts, CQC and Local Authority Commissioners while Martin's presentation highlighted the importance of Sustainability, Maintenance and Growth. Both were variously critical of Local Authority Commissioners, CQC and Central Government and in particular Martin expressed his dissatisfaction with the latest boost to health funding making a total investment from government of £148b while social care sits at £18b. Mei wondered about local authority processes and highlighted the recent Competition Market Authority’s move to challenge care provider self-funder service users contracts and warned that both the CMA and CQC would be looking to focus on these. One of the highlights of the morning was a challenge to Martin Green from the delegate audience by a local authority commissioner. A couple of sparing rounds between them certainly livened up the audience!! 

The afternoon session saw a focus in Debbie's presentation on CQC and its task to Maintain Quality in Regulated Services while Mick chose to go with Improving Care Ratings and Keeping Quality Visible. Debbie, as you will see from her PPT slides had a great deal to say about the first element of the four CQC strategic priorities i.e. 1. encouraging improvement through innovation and sustainability in care. Mick's presentation took the audience through a number of the new KLOE’s and linked them to how best providers can improve their care ratings at the same time as keeping quality firmly at the centre of their work in order to obtain an Outstanding rating. He reminded people that always aiming for Outstanding is the route to take rather than being happy with Good!!

Some comments from speakers and delegates/Exhibitors

I thought it was a great event.  Thanks very much for allowing us to speak.  The joint session with Martin Green was fun and, I think, useful.

My reflections on the day are that it was great to see such a big and varied group of providers, managers and others come together all with a view to improving care and strengthening the sector.  There are a lot of issues to be managed these days but it’s heartening to know that CSW members have the can-do spirit and determination required not just to “stay alive” but to thrive. 

I thought the conference was an excellent opportunity for the care sector to come together, and to look at the current challenges, but also think about the way in which we can develop a diversify to meet these challenges”

Thanks for organising such a stimulating conference. It was useful to have the opportunity to be both a delegate and an exhibitor which is a helpful feature of C&SW conferences. It was perhaps the smoothest of starts that I have had: very easy to get set up and made to feel welcome. The day was well organised. 

Closing the day Len Collacott (Chair of C&SW) said:

"Firstly a few thankyous.  I am sure we all agree that this has been, as usual, a great conference. That takes a great amount of work so we need to thank David Smallacombe for his time energy and efforts (and his team). And a great thank you to all our thought provoking speakers. I wanted to do a brief recap of today’s event and mark out some of what I thought were the highlights.

·         Trevor from Nurseline- a great introduction. I have to question him- when he said ‘we will be using this service in 50 years’ time’- not me mate- at my age. We will have to get going a lot quicker than that!

·         Mei Ling- Always our X factor- often the fear factor- and always reminds me of the Gladiators. Contenders, are you ready?!

·         Martin Green- as entertaining as ever. This time he came as a double act with Vince, the commissioner from BANES.  We have to give a 10/10 to Vince for his willingness to stand his corner. It was good to have 3 rounds between Martin and Vince. Many thanks.

·         Debbie- Terrific to get the thoughts direct from the horse’s mouth of CQC. I do have to wonder though about the variance between what Debbie said about CQC looking to give support and guidance and what Martin said about CQC and its culture of being too ready to take enforcement action.

.         Mik Feather- A great opening song. What I took from Mik’s performance was from the same song sheet as Sean Fitzpatrick, the former All Blacks captain who said ‘In order to win, you just have to do the simple things well’ That is very true and his advice to remain calm when the CQC inspector arrives is very valid.

So, we face challenges. The biggest one is the integration of health and social care. That needs to be taken on seriously and speeded up. Martin has just told us the figures. A budget of £148billion for health and £18billion for social care. I want us to get our hands on a good deal of that because I am convinced that we, our industry, can provide much better value for money with it and we will all benefit.

Many thanks for attending today and have a safe journey home."



There was a record number of nominations this year demonstrating the breadth of care delivered by social care providers across the region and beyond. The panel met in June to discuss the nominees and agreed on the finalists in each category. You can see the list here .

Bookings are now being taken for the Awards Gala Dinner at the Ashton Gate Football Stadium on 20th October. You can make your booking here


It is Stop Abuse Week next week. It's important that the care sector get behind this initiative to help stamp out abuse. Here are some materials to help improve awareness.

Here are 10 signs of possible Adult Abuse cited by Bristol Safeguarding team; you can share these with staff.

  1. Look out for unexplained bruises and injuries
  2. Be alert to subtle changes in behaviour – take note if is someone very subdued, has lost their self-esteem or changes how they act in the presence of a particular person
  3. If a person begins to isolate themselves and stops seeing friends and family it may be a sign that something is wrong
  4. Any change in appetite and weight loss or gain can be a cause for concern
  5. Unexplained signs of distress, tearfulness or anger may signal a problem
  6. If someone has possessions go missing, an unexplained lack of money or failure to pay bills this may be a sign of financial abuse
  7. Being unclean, unkempt or hungry may signal neglect or self-neglect
  8. Discouraging visits from relatives or friends on a regular basis should raise alarm bell
  9. Missed appointments – failing to show up at GP appointments or regular meetings could be a cause for concern
  10. If someone shows unusual distress at being close to someone, or at receiving personal care, this could be a sign of physical or sexual abuse

Signs of abuse can often be difficult to detect, so it’s important to trust your gut instinct. If in doubt, speak out.

Registered Managers Network 2018-2019: Book Now for Year 5!

Care and Support West run the well received Registered Manager’s Network sessions in B&NES, Bristol, North Somerset and South Glos in conjunction with Skills for Care. We start our fifth year in July.

See below for details of our new programme. 

Click here to register your interest

Principles of RMN sessions:

  • To share thoughts, ideas and resources to help each other to meet these requirements as clearly and unambiguously as possible. Presentations and resources from the Network sessions will be made available to participants via a special web page on the Care and Support West website.
  • A focus on participants supporting each other to raise our game collectively in line with the importance of complying with CQC’s requirements. 
  • A ‘problem shared is a problem halved’ slot: The opportunity for participants to raise issues that are affecting them; . Whether this is dealing with a particular situation or with difficult individuals, again it will be an opportunity to share experiences and ideas.
  • Pertinent updates. EG: At the first session this will be around the General Data Protection Regulation requirements which will be incoming from the end of May.

The Session Content:

Session 1 Well Lead: a focus on how we best evidence a service is being well led

Session 2 will be the part one of two parts focusing on meeting CQC’s Key Lines of Enquiry requirements as effectively as possible

Session 3 will be the part two of two parts focusing on meeting CQC’s Key Lines of Enquiry requirements as effectively as possible

If you are not a participant already and are interested in joining the Registered Manager’s Network in your area, then please contact Mik Alban on or 07788 498909.


£70 per participant for all 3 sessions (equivalent to £23.33 a session). making this a cost effective networking and Continuous Professional Development opportunity.

Click here to register your interest


CINTRE: Community based activities supporting users

Sound Minds: Music for Mental Health: As we are understanding the positive impacts of music more and more and because it runs so deeply through the veins of Bristol, we have organised a little evening of music to both celebrate and raise awareness of how it can make a great difference, particularly to those most in need. The event is to be held at the Leftbank on 128 Cheltenham Rd, on the 27th of April 2018. There will be great music, excellent drinks and spectacular dancing. All proceeds are going to Cintre to help kick start a music project for service users. This Facebook link has more details and regular updates on bands playing, DJ sets and general important information:

Lunch Club: We have been awarded just under £5,000 to start a Community Lunch Club at Invia!
Thanks to the Big Lottery Fund we will be setting up a Lunch Club for service users to learn to cook, eat together and meet new friends.
Service users will get:
- Free cooking lessons
- Free meals
- A chance to meet new people
- Lessons in nutrition, health and safety in the kitchen and hygiene around food
- Your travel to and from Invia paid for

Dan's Vlog - Work Experience: Meet Dan who is supported by Cintre Reachout, he has recently started volunteering for a local charity shop to gain skills for the workplace. You can watch this 'chatty' video led by Dan to learn more of how his Cintre Support Workers are helping him.

Vegetarian Week: Between the 14th and the 20th of May it is Vegetarian Week, where lots of people celebrate vegetarian food and how it helps with health and the environment.
We have been awarded over £100 to spend on a Vegetarian Taster Session at Invia.
We will be cooking a three course meal for over 30 people where you are all invited to come along and enjoy some vegetarian tasters for free!
Don’t worry if you don’t like vegetables, we will be coming up with some delicious recipes for you to experience vegetarian food in a positive way.