Caring Times, September 2024
Caring Times is the management magazine for the social care sector. Published since 1988, it reflects the opinions of the social care sector, focusing on news affecting the private, public and not-for-profit providers of nursing and residential care. The magazine is part of a stable of publications, activities and events for the long-term care sector. Published monthly, Caring Times is distributed by post to key industry personnel, including Nursing and Residential Home Managers, Senior Management of Multiple groups, Directors of Social Services, Heads of Inspection and other Professionals involved with the industry. #caringtimes #socialcare #longtermcare #residentialcare #nursinghomes #elderlycare #socialcaremanagement #socialwork #socialcarenews #caremanagement #socialcarepolicy #socialcarereform #leadershipinsocialcare #nursinghomemanagers #residentialcaremanagers #directorsofsocialservices #socialcareprofessionals #adultcare
Caring Times is the management magazine for the social care sector. Published since 1988, it reflects the opinions of the social care sector, focusing on news affecting the private, public and not-for-profit providers of nursing and residential care. The magazine is part of a stable of publications, activities and events for the long-term care sector. Published monthly, Caring Times is distributed by post to key industry personnel, including Nursing and Residential Home Managers, Senior Management of Multiple groups, Directors of Social Services, Heads of Inspection and other Professionals involved with the industry.
#caringtimes #socialcare #longtermcare #residentialcare #nursinghomes #elderlycare #socialcaremanagement #socialwork #socialcarenews #caremanagement #socialcarepolicy #socialcarereform #leadershipinsocialcare #nursinghomemanagers #residentialcaremanagers #directorsofsocialservices #socialcareprofessionals #adultcare
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09/2024
September Edition
Kith and KYN
See inside one of the country’s
most high-end new care homes,
KYN Hurlingham, as home
manager Jordan Pereira gives
CT the grand tour
Care for tomorrow
Why Sensio’s falls-prevention tech is
a game-changer for Dormy
Surveys & data
Small UK care groups ranking by
social media presence
Case study
Berkley chief executive Laura Taylor’s
day in the life of a care worker
caring-times.co.uk
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business
12 EVENT
Anita Goyal previews the fabulous
Care Sector Fundraising Ball in
London on 28 September
14 POLITICS & POLICY
Bridgehead Communications’ William
Walter on upheaval at the care Quality
Commission and Labour’s wobbly start
16 OPINION
The UK cannot rely on the government to
fix care sector, warns Care England’s chief
executive Martin Green
25 SURVEYS & DATA
A ranking of the UK’s small care home
groups by social media presence.
Who will come out on top?
business | welcome
Chief executive officer
Alex Dampier
Chief operating officer
Sarah Hyman
Chief marketing officer
Julia Payne
Editor-in-chief
Sam Lewis
Features editor
Charlotte Goddard
Subeditor
Charles Wheeldon
Advertising & event sales director
Caroline Bowern
0797 4643292
caroline.bowern@nexusgroup.co.uk
Business development director
Mike Griffin
Business development executive
Kirsty Parks
Event manager
Conor Diggin
Marketing content manager
Sophie Davies
Publisher
Harry Hyman
Investor Publishing Ltd, 3rd Floor,
10 Rose and Crown Yard, King Street,
London, SW1Y 6RE
Tel: 020 7104 2000
Website: caring-times.co.uk
Caring Times is published 10 times a year by
Investor Publishing Ltd. ISSN 0953-4873
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A shaky start
We are now around two months into the
first Labour government in 14 years, and
it’s been a bumpy ride so far.
Riots hit towns and cities in England
and Northern Ireland, casting a dark
shadow and uneasy atmosphere over
the country – something for which I
personally find it difficult to blame the
newly-incumbent Sir Keir Starmer and
his party.
Within health and social care, though,
new minister Wes Streeting appears
to have been having a tough time of
it, caught between a rock and a hard
place as the public simultaneously
demand improvements to the NHS and
care while decrying the threat of tax
increases. How can the Department of
Health and Social Care hope to fulfil
Labour’s election pledges while, at the
same time, the government scrambles
to make up the “£20 billion black hole”
chancellor Rachel Reeves claims to have
unearthed?
It's a tough question, and one I most
certainly don’t have the answer to.
Instead, what I will offer are a few
reasons that we should not lose hope in
the Labour Party just yet. (Who says the
news is all doom and gloom?)
First, not to state the obvious, we’re
two months in. Politics is a notoriously
slow game at the best of times, even
more so during a handover period as
tumultuous as this. The point being: let’s
try and remain patient and keep at least
a little faith that things will turn around.
Second, Labour is promising a
National Care Service. That hasn’t
changed post-election. The exact details
may be up in the air; it’s no exaggeration
to say we don’t know what this iteration
of a National Care Service will look like.
Will it mirror the NHS in structure?
Will it just be an administrative exercise
with little meaningful change? Will it
even happen? We don’t know. But, as
stated, Labour has not backed down
from this pledge, so let’s keep on the
front foot with them and make sure the
party doesn’t sweep this one under the
rug.
Finally, and most positively, in a
short time Streeting has shown himself
to be very proactive in cracking down
on the Care Quality Commission,
which has been in dire straits for some
time. He ordered the publication of
a preliminary version of Penelope
Dash’s ‘Review into the operational
effectiveness of the Care Quality
Commission’ report, which sheds light
on the regulator’s failings and made
several actionable recommendations
for how the inspectorate can improve,
all of which the CQC says it is now
working on. Implicit in Streeting and
Dash’s words seems to be the threat that,
should the CQC not make the necessary
improvements quickly, the body may
well find itself on the chopping block.
Contrary to my point about politics
moving slowly, this is fast progress,
especially given the sector has been
shouting about the regulator’s failings
for some years. Within weeks Labour
had proven itself more invested in
care and the NHS than the previous
Conservative governments showed over
14 years. This gives me more hope than
I’ve had in the government in a long
time. Now let’s see if I look a fool in six
or 12 months…
Sam Lewis,
Editor-in-chief
Caring Times
4 | SEPTEMBER 2024 CARING-TIMES.CO.UK
business | news
News in brief
POLICY & POLITICS
Wes Streeting was appointed as the
new Labour government’s health and
social care secretary. First elected as
MP for Ilford North in 2015 Streeting
has been shadow health secretary
since 2021. Two ministers of state at
the DHSC have also been appointed:
Karin Smyth who has been MP for
Bristol South since 2015, and Stephen
Kinnock, the MP for Aberafan
Maesteg since 2015.
Wes Streeting, health and
social care secretary
Streeting echoed what many in the
health and social care sector have
believed for a long time, saying the
health and care regulator the Care
Quality Commission is “not fit for
purpose”. Commenting on the results
of a new independent, governmentcommissioned
review into the CQC,
Streeting said: “When I joined the
department, it was already clear that
the NHS was broken and the social
care system in crisis. I have been
stunned by the extent of the failings
of the institution that is supposed to
identify and act on failings. It’s clear to
me the CQC is not fit for purpose.”
In July, Kate Terroni, the CQC’s
interim chief executive in the wake
of Ian Trenholm’s sudden departure,
issued “an apology” to providers,
but said that the organisation is
“determined to put things right”. In
the apology she begged forgiveness
for failings in the regulator’s strategy,
published in 2021, and admitted that
the plan mapped out in that document
has not been properly implemented.
The Labour government has scrapped
the long-promised Dilnot cap on
care costs in a bid to cover a public
finance shortfall that Labour claims
the Conservative Party “covered up”.
Chancellor Rachel Reeves announced
a raft of measures intended to fix what
she described as a “£22 billion hole in
the public finances”. It is claimed that
by not introducing the long-planned
cap on care costs, which had its genesis
in a 2011 report from Andrew Dilnot,
the government could save as much as
£1 billion a year.
More than one in 50 British people –
more than 1.5 million nationwide – now
provide upwards of 50 hours of unpaid
care every single week in England,
according to research from stairlift and
home lift company Stannah.
Jayne Connery founder of Care
Campaign for the Vulnerable
(CCFTV), an independent safety
monitoring advocate, has called
out “certain individuals” in the care
sector for opposing the use of the
technology in dementia care settings.
Connery stated: “There has been a
growing concern coming to CCFTV,
regarding the resistance and restrictive
actions of certain individuals from
multidisciplinary agencies towards the
implementation of independent safety
monitoring in care homes, even when
explicit consent has been granted.”
A panel of parliamentarians and
Connaught staff and resident
Safety monitoring is growing
in UK care homes
experts has called for urgent action
to regenerate a significant proportion
of the estimated 527,000 sheltered
housing properties in the UK to
provide good-quality, accessible homes
for people in later-life that meet
contemporary standards.
PROVIDER NEWS
Luxury care group Connaught Care
Collection is offering free “fullbody
health checks” to its 184 staff
members. Connaught is partnering
with employee-benefit health service
Bluecrest Wellness, which will
offer comprehensive health checks
covering heart disease, stroke risk,
electrocardiograms, cholesterol levels,
diabetes, protein and iron levels.
Care home provider Oakland Care
has introduced voice technology in
6 | SEPTEMBER 2024 CARING-TIMES.CO.UK
news | business
Oakland Care's Lambwood Heights
Jane Townson, CEO of the
Homecare Association
a bid to improve life for staff and
residents. The provider announced
a new partnership with voice design
studio and agency Vocala as part of a
trial to explore how technology can
enhance the lives of residents. Vocala
uses the latest voice technology devices
such as Google Home and Amazon’s
Alexa to create specialist ‘smarter’
systems tailored to the specific needs of
customers.
Job site Indeed has compiled a
list of ‘the top 25 companies hiring
the fastest’ in the UK. Those with
knowledge of the care sector’s
recruitment and retention crisis may be
unsurprised to learn that care providers
make up more than a quarter of the 25
companies listed.
Thuraisamy Ravichandran and
Radha Ravichandran, directors of Care
Pro in Bexhill-on-Sea in East Sussex,
were fined £124,455 after pleading
guilty to 12 offences at Brighton
Magistrates Court. Offences included
failures in risk assessment, general fire
precautions, fire-fighting, fire detection
and maintenance.
HOME CARE
Home care provider Home Instead has
partnered with training organisation
Training 2 Care to take its virtual
dementia experience bus on a UK
tour. The dementia experience, which
allows a person with a healthy brain to
experience what life might be like for
a person living with dementia, visited
13 destinations in the run-up to World
Alzheimer’s Month this month.
The Homecare Association has
claimed that state-funded home
care fee rates are “dangerously low”
after conducting research. The
organisation said fees are failing to
keep pace with rising wages and costs,
risking the stability of the sector. In
addition, research from the Homecare
Association found nearly half of home
care providers cannot meet current
demand, despite improvements in staff
retention, while others have insufficient
work for their care workers.
People are needing more complex
care and support due to illness and
disability, but local councils are
struggling financially to meet people’s
higher-level needs, says the latest
annual survey from the Association
of Directors of Adult Social Services.
For example, the survey revealed a
7.5% increase in the number of people
requiring multiple visits from two or
more care workers, called ‘doublehanded
care’, since last year, now
totalling 49,000 people.
LEGAL & REGULATORY
The Care Quality Commission has
announced plans to release a handbook
for all health and care providers under
its watch. This will be designed to help
providers understand the CQC and
how its inspections work.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 7
business | real estate & development
Property news
Impact Healthcare REIT has sold five of its non-core care
homes for £8.8 million. It sold three care homes in East Yorkshire
for a total £4.3 million: Ashgrove Care Home, a 56-bed care
home in Cleethorpes, Emmanuel House, a 44-bed care home
in Hessle, and Hamshaw Court, a 45-bed care home in Hull.
The purchaser is a local owner and operator of care homes. Two
homes were sold in Clwyd for a total £4.5 million: Eryl Fryn Care
Home, a 30-bed care home in Llandudno, and Stansty House
Care Home, a 73-bed care home in Wrexham. They were sold to
an affiliate of Minster.
Aria Healthcare Group has acquired Surbiton, Surreyheadquartered
Future Care Group, adding 18 homes to its
portfolio, located in Hampshire, London, Malvern, Oxfordshire,
Surbiton, Surrey, Sussex, West London and Worcester. Under the
deal Future Care Group’s 1,000 staff move to Aria Healthcare
Group.
Macc Care has opened Leighton Rose, a new luxury care home
for up to 71 residents in Leighton Buzzard, Bedfordshire,
offering generously sized en suite accommodation and including
a dedicated dementia care unit and two fully equipped ground
floor rooms for bariatric care.
Connaught Care Collection has opened Meadowbrook, a new
luxury care home in Bishop’s Stortford, Hertfordshire, providing
long-term residential care and dementia care facilities and offering
80 large furnished rooms. Residents have access to an on-site hair
salon, spa, cinema room, and gym, and family and friends can
share meals at its bar and bistro. The site was built by Lawrence
Baker, a contractor to the nursing home and associated care
sector.
Care home operator Yorkare has opened a new £10 million care
home in Haxby, North Yorkshire, offering 63 en suite bedrooms.
Facilities include a bar, restaurant-standard dining rooms, beauty
salon and hairdressing suite, cinema and outdoor terraces on each
floor. There are also large gardens and a bowling green. The home
was built by construction firm Hobson & Porter.
Matter Real Estate-backed developer-operator Untold Living
is developing a 77-unit integrated retirement community in
Newport, Shropshire, which recently achieved planning consent.
A £26.4 million loan has been provided by OakNorth Bank for
the development, as well as to support the operations of Untold’s
existing 68-unit Chantry Court site in Wiltshire.
8 | SEPTEMBER 2024 CARING-TIMES.CO.UK
real estate & development | business
Avery Healthcare’s purpose-built care home Waterhouse
Manor Care Home in Peterborough, Cambridgeshire, has
been completed. The 80-bedroom, three-storey home provides
residential, respite and dementia care for older people, and
includes suites for couples, a lounge, hair salon, café and therapy
facility. Clegg Construction completed a £10.3 million contract
to deliver the home. Other members of the project team included
Harris Irwin Architects, project manager and quantity surveyor
Holden and Lee, and mechanical and electrical engineer Harniss.
sites in cluster settings, and employs approximately 230 staff
who deliver essential services to around 60 younger adults with
learning disabilities and autism. The acquisition also includes
a portfolio of supported living development sites for future
expansion. Optimo is retaining all CFT Care’s staff and stated
it plans to increase headcount to accommodate an anticipated
growth in services.
McCarthy Stone, a developer and manager of retirement
communities, has acquired a development site in Cowbridge,
South Glamorgan, from property firm Mercian Developments.
McCarthy Stone submitted and secured planning consent for
a scheme of 50 retirement living apartments with communal
facilities. Business property advisor Christie & Co facilitated the
sale.
Exemplar Health Care, a provider of nursing care for adults with
complex and high acuity needs, has opened Woodside Place care
home in Telford, Shropshire. The home supports adults living with
complex and high acuity needs arising from complex mental health
conditions, dementia, neuro-disabilities and physical disabilities. The
home has 33 large bedrooms, each with an en suite, split across three
units. It also has communal dining and living spaces, an activities
hub, sensory bathrooms, a therapy room, salon and a garden.
Construction by Deeley Construction started in May last year.
Cinnamon Care Collection’s latest care home, Oakley Grange
in Bishop’s Tachbrook, Warwickshire, has been completed. The
£9.4 million facility will provide 66 beds and five care suites that
cater for assisted living and specialist dementia care. It also offers
cinema rooms and private dining, supported with a commercial
kitchen, and a dedicated therapy room. The home was built
by construction firm Stepnell which commenced the build in
January last year and completed in 73 weeks.
Optimo Care Group has acquired supported living and specialist
care provider CFT Care, based in Clacton, Essex. CFT Care
operates 44 purpose-built supported living units across multiple
Reardon Court in Enfield, a residential care scheme designed
to promote and maximise independent living has completed in
London, providing 70 new homes. The development has two
communal courtyards, a central social space, and several auxiliary
function rooms with hobby rooms, a library and hairdressing
area. Consultancy Pick Everard is behind the scheme,
collaborating with contractor Graham and Enfield Council to
deliver architecture, landscape architecture, project management,
contract administration, technical advisory, mechanical and
electrical services, sustainability and energy, and civil and
structural engineering services.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 9
business | personnel
People moves
in association with
TLC Care has appointed Alexandra
Wortley as the business development
manager at 89-bed Cambridge Manor
Care Home in Cambridge. Since 2014
Wortley was the sales and service manager
at Nuffield Health Ipswich Hospital.
before moving into the social care sector
in 2018, spending four years as chief
financial officer of Sunrise Senior Living
and Gracewell Healthcare. Most recently,
Brister worked for Kisimul Group which
provides specialised care and education
to children and adults with autism and
complex behaviours.
and leading digital plans. Phillips has a
background in customer relationship
management and direct marketing and
has worked as a care home marketing
consultant since 2019. Her consultancy
work included collaborations with several
care home operators.
Alexandra Wortley
Meallmore has appointed June McIntosh
as general manager of Antonine House
care home, an 81-bed luxury facility in
Bearsden, East Dunbartonshire, which
cares for residents with a range of support
needs including dementia and palliative
care. McIntosh has 40 years’ experience
in the sector. She attended Inverclyde
Nursing College where she completed
a course in general nursing. Later, while
working as a staff nurse, she attended
Ayrshire and Arran College of Nursing
becoming a registered mental nurse. She
has worked as a team leader and deputy
manager in care homes across Scotland
and returns to Antonine House, having
previously been deputy care home
manager in 2013.
Jo Crossland
We Care Group has appointed Jo
Crossland as quality director. Crossland
has more than 30 years’ experience
as a registered general nurse working
with older people. She spent her first
decade in the care home sector before
becoming a mental health nurse. She
then transitioned to a mental health
NHS trust, where she worked in various
roles, including acute assessment services
and liaison psychiatry for older people
with dementia. In 2009, Crossland
joined the University of Bradford’s
School of Dementia Studies as a practice
development consultant and trainer.
There, she helped deliver courses to care
workers nationally and internationally.
Crossland joined Avery Healthcare in
2016 as head of dementia care.
Roberto Taracido Ruiz
Florence, the London-based tech start-up
that connects vacant care home shifts to
local nurses and carers, has appointed
Roberto Taracido Ruiz as chief revenue
officer. Taracido Ruiz started his career
in environmental chemistry and pivoted
to business and management consulting.
Later he was appointed as the managing
director of e-commerce marketplace
Groupon Spain and vice-president of
sales for Groupon UK. Taracido Ruiz also
worked at troubled officer space company
WeWork and at beauty treatment
booking firm Treatwell.
Antony Brister
Aria Care Group has appointed Antony
Brister as chief financial officer. Brister
us an accountant and experienced chief
financial officer, who previously held
senior finance roles within the hospitality
industry, working with global brands
including Marriott and Hilton Hotels,
Melanie Phillips
Lovett Care has appointed Melanie
Phillips as head of marketing, tasked with
boosting occupancy across Lovett Care’s
homes, developing the company’s brand,
Henry Sumner
Later-living developer-operator Untold
Living has appointed Henry Sumner
as chief financial officer. Sumner joined
Untold Living in January as interim chief
financial officer, before being appointed
to the permanent role. He was previously
the operational finance director at
Battersea Power Station, where he worked
across multiple phases of the mixeduse
redevelopment project. Sumner
10 | SEPTEMBER 2024 CARING-TIMES.CO.UK
personnel | business
specialised in real estate and operational finance in his prior
roles at Lothbury IM, as property fund controller, and at AXA,
overseeing a residential fund. He initially trained as an accountant
with EY in the City of London.
Warren Fabes
Worthing social
care charity Guild
Care has promoted
Warren Fabes to chief
executive, following
the departure of Alex
Brooks-Johnson
who is taking up a
new challenge in the
charity sector. Fabes
has worked for Guild
Care as chief financial
officer and deputy chief executive for the past eight years. He
began his career as a chartered accountant with KPMG and spent
more than 20 years working in large national and international
organisations as a finance director before joining Guild Care.
Nav Singh
New Age Care, a
Midlands-based
home care service,
has appointed Nav
Singh as head of
governance and
quality assurance.
Singh has more than
15 years’ experience
in regulatory,
inspection and
governance roles
within the healthcare sector. His career began in London with
the civil service, where he spent a decade at the Medicines and
Healthcare products Regulatory Agency working to safeguard
public health. collaborating with international organisations
such as the World Health Organization, UK Border Force, and
Interpol. In 2017, he transitioned into healthcare, joining the Care
Quality Commission as an acute inspector.
Jodie Haines
Oldbury Grange,
a 69-bed nursing
home in Bridgnorth,
Shropshire, which
provides residential,
dementia, nursing,
respite and palliative
care, has appointed
Jodie Haines as care
home manager after
she worked as its
interim manager.
Haines is a registered
nurse who has worked in a number of complex care settings
within care homes. Experienced as both agency and permanent
staff, Haines worked her way up to become a care home unit
manager, a clinical project lead, and then a deputy care home
manager for a number of homes. She was also a compliance
officer responsible for overseeing 12 care homes across the UK.
Sarah Collins
Healthcare
Homes Group
has appointed
experienced
healthcare
professional Sarah
Collins as the
manager of Barking
Hall Care Home, in
Barking, Ipswich.
The home, nestled
in vast gardens
and bordered by flower beds and mature trees, is a 49-bedroom
facility offering a range of services including nursing care,
residential care, respite care and specialised dementia care.
Jane Galloway
Healthcare Homes
Group has appointed
Jane Galloway as
care home manager
of Mill Lane Care
Home in Felixstowe,
Suffolk. Galloway
has more than 30
years’ experience in
the care sector. Mill
Lane Care Home is a
27-bedroom facility
offering a range of services including residential care, nursing care,
respite care and specialised dementia care.
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CARING-TIMES.CO.UK SEPTEMBER 2024 | 11
business | event
You shall go to the ball
Anita Goyal, chair of the Care Sector Fundraising Ball from 2018-2023, explains why
this year’s event at Grosvenor House Hotel this 28 September is not to be missed
Championing Social Care is now
less than a month away from
holding its fifth Care Sector
Fundraising Ball, will once again gather
the cream of the crop from the social
care sector.
The event has grown and developed
into a major fixture in the social care
calendar – the first four balls raised some
£1.2 million in total for charities and
2024 promises to be the biggest and best
yet.
It seems a long time ago since my
husband Avnish and I organised the
first ball in 2018 – when Championing
Social Care and the Hallmark
Foundation were just twinkles in our
eyes. A second ball followed in 2019
before Covid intervened and meant that
2020 and 2021 were fallow years.
But we bounced back in 2022, raising
a record sum of just over £400k for two
charities: The Care Workers Charity and
Alzheimer’s Society. Only for that record
to be smashed again in 2023 with £426k
raised for the same two charities.
For me, there have been several
highlights over the past six years.
First, the ball has brought together
an ever-widening group of social care
professionals and supporters with a
common cause: to have a good time,
network with like-minded colleagues
old and new, and raise substantial
sums for charity. The ball was the first
flagship event of Championing Social
Care and it’s now one of several annual
programmes run by the growing charity.
Second, the ball and its development
have only been possible through
excellent teamwork, bringing together a
wide range of people from different parts
of the sector with complementary skills
and knowledge. I have made many great
friends through organising the ball.
Third, the fact that people return
to the ball year after year is testament
to the quality of the event and how
it gets better every year attracting
more and more guests. Excellent, fun
entertainment and dancing; wonderful
Indian food and service; great
networking; opportunities for all to give
from auctions to prize draws; and record
sums raised every year.
Fourth, of course the main purpose
of the event is to support two fantastic
charities. In 2024 they will be The Care
Workers Charity again and Marie Curie
for the first time, along with a number of
Anita Goyal
small charities. It really is the care sector
giving back to those who need help the
most.
For all these reasons and more, the
Hallmark Foundation is proud to
support the 2024 ball as its founding
partner. Everyone is guaranteed a
“The first four balls
have raised some
£1.2 million”
12 | SEPTEMBER 2024 CARING-TIMES.CO.UK
event | business
wonderful evening while raising more
funds for care charities.
And the ball is a prime example of
“Everyone is
guaranteed a wonderful
evening while raising
more funds for care
charities”
the difference that Championing Social
Care makes, shining a positive light on
social care. More people from within the
care sector and beyond are joining the
partnership to promote all that is good
about care and how we make a difference
day-in, day-out for so many older people
and people with a disability in the UK.
So please come to the ball on 28
September to find out more and see why
it’s my favourite event of the year.
To book a table at the 2024 Care
Sector Fundraising Ball on Saturday 28
September at Grosvenor House Hotel,
please visit: championingsocialcare.org.
uk/care-sector-fundraising-ball/
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03301 075 796 I www.hcrlaw.com
CARING-TIMES.CO.UK SEPTEMBER 2024 | 13
business | politics & policy
More support needed
Bridgehead Communications’ managing director William Walter focuses on
Labour’s reforms to social care, the upheaval at the Care Quality Commission
and the continued difficulties faced by unpaid carers
It seems impossible not to start with
the groundbreaking interim report
released a few weeks ago on the
Care Quality Commission. Nor is it
possible to understate how damning it
is. Social care providers have been forced
to wait far too long for ratings to be
updated, and over half of all registration
applications were over two and a half
months old, more than double the
previous year, to name just a few of that
document’s main points.
Wes Streeting, health and social care
secretary, declared that “the CQC
is not fit for purpose” and has “been
stunned by the extent of the failings of
the institution”. However, the CQC’s
shortcomings are unsurprising for
many in the sector. Sam Monaghan,
chief executive of Methodist Homes,
feels that “there was a lack of proper
consulting with providers even before
the single assessment framework”,
and that the organisation has become
“uncontactable”.
This view was echoed by Nadra
Ahmed, co-chairman of the National
Care Association, who notes that the
“CQC has moved towards a more
remote way of working”, which she
suggests has contributed to “this
complete breach of trust in the
organisation”.
The answer to how best to move
forward from this is more uncertain.
Some have argued that separating
health and social care responsibilities
“The need
for greater
government
and regulatory
support, funding
and direction is as
clear as ever”
would provide greater specialisation
for regulators. This is not a universal
view, however. Ed Watkinson, director
of Watkinson Consulting and with a
history of advising the CQC, argues
that such a move “would be a step back
to pre-2008” and that, instead, “social
care needs to be fully recognised for the
important role it performs... under the
umbrella of [the] CQC”.
Most providers want the existing
system to work for them. For Care
Campaign for the Vulnerable (CCFTV)
founder Jayne Connery, restoring
relations with the sector is essential.
She says: “Prioritising stakeholder
engagement, including input from
families and carers, will ensure that
regulatory reforms meet the real needs
of those relying on care services.”
Labour’s dashed ambitions for
social care
With a new government elected at the
beginning of July, many in the sector
were hoping that the desperate need for
greater political attention to social care
could be realised. However, these hopes
have clashed with reality.
Chancellor Rachel Reeves’ spending
audit involved the long-delayed and
much-needed cap on social care costs
being delayed indefinitely, despite
Labour committing to it during the
election campaign.
The shock of the decision, as well
as its impact, is enormous. Andrew
Dilnot, who proposed a cap 13 years
ago, says the government has “failed
another generation of families”. Lucinda
Allen, senior policy officer at the Health
Foundation, notes that the cap proposed
by the Conservative government, even
by 2035/36, would have only cost
around 2% of the current annual NHS
budget.
As prime minister, Tony Blair declared
that he didn’t want pensioners to sell
their homes to afford care. Almost 27
years have passed since then and, in that
time, little has changed.
William Walter
An area of social care reform not yet
abandoned by Labour is its manifesto
pledge to introduce a new National Care
Service. What this means in practice
remains unclear. Allen adds that “a
system more like the NHS” would be
a significant change compared to the
existing framework. However, in our
interview with now secretary of state for
work and pensions, Liz Kendall, she was
at pains to stress that it would not be
NHS 2.0, which begs the question: what
will it be like?
Natasha Curry, deputy director of
policy at the Nuffield Trust, stresses
how difficult Labour’s plan is to judge
without further detail. What she does
support, though, are aims to standardise
care. She says: “I think there is merit
in working towards a more consistent
offer that addresses unfairness of local
variation.”
Most pressing of all is the shocking
level of pay for carers working in the
sector. “Care workers are among the
lowest paid in the UK and more likely
to live in poverty than other workers,”
notes Allen. Sam Monaghan believes
that delivering “fully funded fair pay” is
essential to “address issues of recruitment
and retention”.
Given vacancies remain at a staggering
131,000 and that demand for care
professionals is only set to increase in
14 | SEPTEMBER 2024 CARING-TIMES.CO.UK
politics & policy | business
the years ahead, attracting staff to the
sector is crucial. Labour plans to address
this with its Fair Pay Agreement for the
industry. The success of this will depend
on the commitment to fund pay rises. A
fifth of local authorities face bankruptcy
in the coming year, and the central
government must finance any increase in
staffing costs.
Without Labour stepping up to the
task and putting its money where its
mouth is, fair pay in the sector remains
little more than empty words.
Silence on unpaid carers
continues
Finally, one part of our social care system
routinely ignored is the work done by
unpaid carers up and down the country.
This was an issue explored in detail by
GoodOaks Homecare earlier this year.
Labour has promised to review the
carer’s allowance, but committed to little
else.
The position of unpaid carers is clearly
challenging. “The recent Association of
Directors of Adult Social Services survey
found that the level of need among
carers has increased with many reporting
high levels of burnout,” says Curry. She
adds that the Nuffield Trust’s research
revealed decreasing support from the
state to carers in recent years. The
Health Foundation’s Lucinda Allen also
notes that a new national carers strategy,
promised for a decade, has never been
produced.
Given the value of unpaid carers,
providing as much as £164 billion worth
of care a year, the same as the NHS
annual budget, more attention needs to
be paid to making that care manageable.
This starts with ending the thousands of
pounds in fines issued to those claiming
carer’s allowance. Supporting carers goes
beyond the financial and gives greater
flexibility and freedom, however.
“As an unpaid carer to my mother
Ellen for many years, I understand
the critical role unpaid carers play in
the social care system,” says CCFTV’s
Connery. She suggests that the new
Labour government should provide
respite care to give care providers the
chance to go on holiday or even just get a
break from the exhausting work of daily
support.
Whether this will make its way onto
the political agenda remains to be
seen. However, the need for greater
government and regulatory support,
funding and direction is as clear as
ever.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 15
business | opinion
We cannot rely on government
Following discussions at a round table hosted by The Access Group, Martin Green, chief executive
of Care England, who chaired the round table, sets out how challenges in adult social care can be
overcome by the collective action of local leaders and the standardisation of technology
Historically, social care has
been overlooked by successive
governments, with the NHS
taking precedence in terms of funding
and development.
While the new Labour government has
made some positive pledges – including
the introduction of a National Care
Service – there was an overwhelming
consensus among delegates at the
‘Care Perspectives’ round table that we
shouldn’t rely on central government to
make the wholesale changes needed.
Solutions will only be delivered
effectively by the collective action of those
organisations providing and supporting
social care, working with the local and
national commissioners.
The complex landscape of challenges we
face include a lack of adequate funding,
difficulties with recruiting and retaining
a skilled workforce, fragmented services
(64% of providers are small businesses)
and concerns over Care Quality
Commission regulation. With all these
issues to overcome, there isn’t a ‘silver
bullet’. However, technology is – and is
already proving to be – a game-changer.
Technology revolution
The care sector has traditionally been
slow to adopt new technology. However,
if the sector is going to thrive rather than
survive, it’s time that digital and data took
their rightful place at the forefront of
reform and improvements.
Specifically, technology-enabled care
(TEC) can change the paradigm of how
care is delivered, enabling an individual’s
support to be designed for and alongside
them. There are instances across the
country where TEC enables providers
to be more efficient and responsive
to people’s needs. Plus, crucially, the
collection and analysis of the data
from implementing these solutions can
accelerate the shift towards more proactive
and preventative care and support.
For example, Clackmannanshire
and Stirling Health and Social Care
Partnership (HSCP) and East Lothian
HSCP changed 40% of their care plans to
make them more responsive to the needs
of individuals after using TEC to monitor
and interpret their behaviour. This
included avoiding care home admissions
and safely minimising domiciliary care
visits. The costs that were saved exceeded
any additional expense for the new care
plans.
While delegates at the round table –
which included providers, care worker
associations, recruiters and technology
industry representatives – agreed on this
direction of travel, it was clear there are
barriers to adoption at scale and pace.
Constrained local budgets, a lack of
digital skills among the workforce and a
disparate provider landscape have meant
the benefits of technology are not being
fully realised.
Moreover, delegates called for
an integrated, outcomes-based
commissioning model, mandated
by integrated care systems, which
encourages greater collaboration between
commissioners and providers and ensures
decisions are based on benefits and
outcomes.
Standardisation
If we are to scale digital and data-led
systems, particularly in the short term,
we need to create an environment that
encourages a core level of standardisation
based on people being empowered to live
the best life possible.
For example, the NHS list of digital
social care records suppliers, includes
solutions that conform to certain
fundamental standards.
This approach could be adapted to
encompass other forms of technology.
And would benefit greatly from
collaborating with care providers,
software companies, recipients of care and
care workers to set the expectations and
commitments.
TechUK and the Professional Records
Standards Body are already championing
this type of approach and their work
could form the basis of an agreement on
Martin Green, chief executive
of Care England
core capabilities and standards.
In turn, this will enable greater
interoperability and information-sharing
between care settings and the connection
of the ‘data dots’. At the moment, so
much data is collected but not being used
to inform models of care and support.
Delegates referred to the fact that there is
an unfocussed ‘data swamp’.
In addition, the limited resources
in care organisations to collate and
synthesise the information means we
aren’t capitalising on the data to improve
service delivery and resource planning –
and therefore ultimately moving towards
a preventative and proactive health and
care system rather than a reactive one.
Yet there is technology specifically
designed to do this, and with the advent
of powerful platforms incorporating
artificial intelligence, the ability to analyse
data is developing at pace. We just need
to empower our local leaders to adopt it
at scale.
Collective action
After a detailed debate at the round table,
we all agreed that this empowerment
will come from within our own
organisations. And with no time to waste,
it requires collective action that includes
collaboration with commissioners, local
authorities and integrated care boards.
As a result, we are establishing an action
group to drive forward this revolutionary
reform and call on anyone who wants to
improve the model of care to join us. We
will build on the momentum from the
round table to establish a powerful base
of care organisations and technology
specialists to drive this agenda forward.
16 | SEPTEMBER 2024 CARING-TIMES.CO.UK
advertorial | business
Your bank won’t help? Don’t panic
Why are some recognised banks withdrawing from the care sector and
where can operators go for investment? Anthony Newman, senior specialist
relationship manager at Allica Bank, provides answers and solutions
It won’t be news to readers that
demand for the care sector is
growing as people are living longer.
But if that’s the case, why are some
banks withdrawing from it? I’ve heard
countless stories from care home
operators – many with long relationships
with a high street bank – who have told
me they’re struggling to get the finance
they need from them.
Although an in-demand sector
seems like a solid investment, many
banks struggle to serve these businesses
because of their more complex nature.
Well-documented challenges such as
a shortage of available skilled workers,
pressure on publicly funded fees and
Care Quality Commission ratings mean
they don’t always fit easily into some
banks’ tick-box approval criteria. With
many big banks lowering the number of
feet they have on the ground to support
businesses, they also often don’t have the
sector expertise they need to perform
proper assessments. So where can care
home operators find the money they
need?
Thankfully, there are still lenders out
there with that expertise who can take an
informed view and look at applications
on a case-by-case basis. Gone are the
days when there were just a handful of
recognised banks, all of them familiar
from the high street. Instead, there’s a
significant number of challengers out
there providing a more specialised and
proactive service to care home operators.
Full transparency – I’m writing
“Thankfully, there are still
lenders out there with
that expertise who can
take an informed view
and look at applications
on a case-by-case basis.”
as someone who works for Allica, a
challenger business bank. If you’ve not
heard of us, we got our banking licence
in 2019 and have now lent well over
£2 billion to established businesses,
alongside becoming profitable in
2023. I’m also someone who has
been supporting care home operators
with lending for over 15 years, giving
me insight into the challenges and
opportunities this vital sector faces.
When Allica set up its specialist care
home team several years ago, we
recognised the unique nature of the
sector. That’s why finding relationship
managers with real care home and
banking expertise like mine was its
number-one priority.
This approach means we can take
a more nuanced view of businesses
applying. For example, we won’t rule
out an application from an operator just
because they have a historic ‘Requires
improvement’ CQC rating. Instead,
we might ask an independent firm to
provide a more up-to-date mock CQC
assessment. Neither do we automatically
rule out first-time buyers, who may have
acquired years of valuable experience
in senior roles in the care sector and
are passionate about starting their own
business.
We typically help care customers with
finance to buy a new home or with a
remortgage to reduce debt payments,
or release equity. We also support many
with getting a better return on their
savings. One operator of nine care
homes, for example, is receiving tens of
thousands of pounds in interest they
wouldn’t have got if they’d kept their
money with a high street bank – money
they’re investing back into their business.
Our focus on supporting businesses
means our customer relationships go
far beyond the transactional. Many
care home operators regularly confide
in us about the broader challenges they
face. It might be that they’re struggling
to fill beds, need support with fee
negotiation or understanding regulatory
Anthony Newman
“One operator of nine
care homes, for example,
is receiving tens of
thousands of pounds in
interest they wouldn’t
have got if they’d kept
their money with a high
street bank – money
they’re investing back
into their business.”
requirements for an overseas licence –
it’s very common for business owners
to ask us if we know anyone that can
help. Our years of sector experience
gives us the ability to understand those
challenges and connect them to the right
people. We know this kind of support
builds trust and if we can’t help, we’ll
always try and find someone who can.
Often when I talk to care home
operators, their banking is seen as more
of a chore than an opportunity, but it
doesn’t have to be that way. There are
banks out there with the expertise that
can make a whole world of difference,
not just to how you do business, but to
how you grow your business too.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 17
business | legal and regulatory
Visiting rights
Amanda Narkiewicz, regulatory partner at law firm Mills & Reeve,
provides care home operators with an overview of the Care Quality
Commission’s new fundamental standard on visiting arrangements
Since 6 April this year, care homes,
hospitals and hospices in England
are required to comply with
the Care Quality Commission’s new
fundamental standard on visiting and
accompanying. The Health and Social
Care Act 2008 (Regulated Activities)
(Amendment) Regulations 2023 make
significant changes to the rules for
visiting arrangements at these settings.
The text of the new framework is set
out at Regulation 9A and the CQC
has published guidance to support
providers with implementation. The
new regulation appears to signal an
end to visiting times and reinforces the
positive duty on care home operators
to facilitate visits and reflects the
important role providers play in
resident wellbeing.
The regulation aims to ensure:
• People staying in a care home,
hospital or hospice can receive visits
from people they want to see.
• People living in a care home are not
discouraged from taking visits outside
the home, and
• People attending appointments in
a hospital or hospice that do not
require an overnight stay can be
accompanied by a family member,
friend or advocate if they want
someone with them.
What does it mean for care
home providers?
1. Operators have a general duty to
facilitate visits for residents and not
“While breaching
Regulation 9A is a not
a criminal offence,
the CQC can take civil
enforcement action
against a breach”
to discourage them from taking visits
out of the care home.
2. Unless there are “exceptional
circumstances” residents must be
facilitated to receive visits at their
care home.
3. The way in which residents are to
be facilitated to receive visits, so far
as is reasonably practicable, reflects
the preference of the residents as
opposed to the care home’s policy.
4. Care needs to be taken to ensure
resident needs and preferences
are used to guide decision-making
regarding visits (and in consultation
with family, friends and advocates)
supported by risk assessments and
care planning.
5. Any decision to restrict visits
should be proportionate – the
least restrictive option necessary
to achieve the aim. CQC guidance
notes that if restrictions on in-person
visits are necessary, ways to mitigate
risk should be considered. Decisionmaking
on restriction should
factor the risk to the health, safety
or welfare of the resident while
balancing the rights of the resident.
Regular reviews of restrictions are
essential, with prompt removal when
circumstances allow. The restriction
must be communicated to the
resident and their family, friends and
or advocate as appropriate.
6. Even where care and treatment
doesn’t involve an overnight stay,
hospital- and hospice-users must be
“enabled” to be accompanied by a
family, friend or supporter.
CQC enforcement action
The new regulation will enable the
CQC to specifically inspect providers
against the standard, and more easily
identify a breach of the visiting and
accompanying requirement as the
regulation sets out specific points
regarding visiting and accompanying
that a provider must now comply with.
Amanda Narkiewicz
“It is therefore
important for
providers to ensure
the decision-making
process is clearly
documented,
along with a risk
assessment dealing
with this.”
While breaching Regulation 9A is a
not a criminal offence, the CQC can
take civil enforcement action against
a breach. This could include issuing
requirement or warning notices,
imposing conditions, suspending a
registration, or cancelling a registration.
It is therefore important for providers
to ensure the decision-making process
is clearly documented, along with a risk
assessment dealing with this. Providers
are strongly encouraged to avoid
blanket bans on visiting arrangements
for residents and look to consider ways
to mitigate any risk and evidence the
process.
18 | SEPTEMBER 2024 CARING-TIMES.CO.UK
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business | opinion
You can run, but you can’t hide...
Jonathan Freeman, outgoing group sustainability director for the CareTech
Foundation, bids farewell to his monthly Caring Times column
After three years in my role as
group sustainability director,
and seven years as chief
executive of the CareTech Foundation,
I am moving on to an exciting new
chief executive role outside the sector.
This, then, will be my last Sustainability
Matters column for Caring Times. It’s
an opportune moment to reflect on the
sustainability journey that the sector
has been on, and to offer some thoughts
about the road ahead.
First things first, sustainability remains
the issue of our age. Addressing with
urgency the climate crisis, building
strong and cohesive communities,
putting people before profit, and
rebuilding trust in business and
the government have never been as
important as they are today. Call it
sustainability, ESG [environmental,
social and governance], whatever you
like – this is no fad.
Organisations – be they for-profit or
otherwise – have to put sustainability at
the heart of their businesses if they want
long-term success. The smart ones do
this willingly because they understand
what the research shows: businesses built
around purpose and sustainability are,
quite simply, better businesses. A 2023
global survey by Bain & Company and
EcoVadis of 100,000 businesses proved
that “positive ESG outcomes are a trait
of successful companies”. Put more
plainly, the study shows that as well
as benefitting the planet and society,
businesses that take ESG seriously make
more money.
Sadly, there are still too many
businesses – and a diminishing number
of investors – that focus on short-term
financial gain and see only the shortterm
costs of sustainability-related
action. It astounds me that business
leaders too often can’t see beyond the
end of their noses, with a three- or
six-month perspective being the extent
of their strategic business development
horizon. It is dispiriting that this is also
true in the social care sector, where
companies enable individuals to live
their best lives possible. (As a side note,
if social care operators don’t take a longterm
perspective, then what right have
we to berate the government for not
taking such an approach to the social
care sector?)
The good news for those of us who
care about the imperative of a longterm
perspective to tackle sustainability
issues is that the choice of whether to
address sustainability challenges is being
taken out of the hands of the reluctant.
Governments, regulators, investors
and customers are increasingly making
organisations take responsibility for
their impacts on the planet and society –
and this will only accelerate.
In the UK, the perceived wobble by
the last government on environmental
issues was taken by some as a signal
that they could put these issues on the
back-burner; this was always wrong,
and these issues are very firmly on the
political agenda. There will be increasing
pressure on businesses to shoulder their
responsibilities – and financial penalties
for those that don’t.
The fantastic Social Care Future’s vision
for the sector is: “We all want to live in
the place we call home, with the people
and things that we love, in communities
where we look out for one another, doing
the things that matter to us.”
How can a sector rooted in this
uplifting, exciting and positive mission
not take sustainability seriously?
Jonathan Freeman
I am incredibly proud that, beyond the
achievements that we have collectively
delivered at CareTech (as set out in
our recent Purpose Report), I have had
the honour to serve as the founder and
chair of the Social Care Sustainability
Alliance. Over the past year or so,
we have seen membership grow. We
have helped other providers with key
sustainability issues by collaborating to
build an impressive set of papers.
My message to operators across the
social care sector is clear. Do not come to
these issues reluctantly or half-heartedly.
Seize the initiative. Be at the front of the
race rather than at the back. Because, as
per the title of this article, you can run
but you can’t hide on these issues.
20 | SEPTEMBER 2024 CARING-TIMES.CO.UK
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CARING-TIMES.CO.UK JULY/AUGUST 2024 | 21
business | politics & policy
An overlooked taboo
We need to talk about continence care says Alison Wileman, market access
specialist at Essity, specialist nurse at Bladder and Bowel UK, and trustee at ERIC,
The Children’s Bowel & Bladder Charity.
The new health secretary Wes
Streeting has called for ‘more
ambitious social care policy’. If
this is something a Labour government
wants to achieve in the next five years, he
should look to simple yet urgent reforms
in continence care as a swift means to
alleviate the suffering of thousands
of social care service-users and NHS
patients across the country and cut costs
for the taxpayer.
Urinary incontinence alone affects an
estimated 14 million people in the UK
today, including over 50% of residents
in care homes. And yet despite the
pervasiveness of the issue, continence
care is far from adequate, languishing
low on the public health agenda as an
overlooked taboo, despite affecting
millions across the UK and thousands in
social care. Not only does the provision
of continence care fall drastically short
of patient needs and potentially worsens
health outcomes, but the health and
social care system is paying through the
nose for it.
A recent survey of healthcare
professionals caring for incontinent
patients found that almost half of nurses
and carers (49%) are not meeting the
needs of their patients due to poor
incontinence pads, while more than
a third (37%) feel the incontinence
protection their patients use is not fit
“Not only does the
provision of continence
care fall drastically
short of patient needs
and potentially worsens
health outcomes, but
the health and social
care system is paying
through the nose for it.”
for purpose. This often leads to patients
developing a host of serious conditions,
such as urinary tract infections or
moisture-associated skin damage, that
significantly impair patients’ health
and quality of life. While funding is a
continual concern across public services,
a reform of NHS procurement practice
of continence products could go a long
way in remedying these issues while
saving a considerable amount of money.
A recent case study by global
health and hygiene company, Essity,
in partnership with the NHS in two
Lincolnshire care homes, found that
current procurement of continence
protection, which weighs heavily in
favour of lower upfront costs, leads to a
false economy in the long run. Cheaper,
generic continence pads result in more
leakages, and require the use of more
products and, crucially, more carer time
to replace patients’ pads, clothes and
bedding, as well as other sanitising costs.
In contrast, the study found that using
more clinically appropriate products,
while incurring a higher initial cost, led
to a dramatic reduction in pad usage,
leakages and associated carer costs. This
brought the total cost of daily care down
from £15.33 to £6.68 per patient and
led to notable improvements in patient
health and quality of life, including
a decrease in urinary tract infections,
falls and hospital admissions linked to
continence challenges.
The change in procurement practice,
based on the concept of ‘value-based
procurement’ which prioritises patient
needs as well as costs, has demonstrated
significant benefits for patients, carers,
the health and social care system
and taxpayers. With the social care
workforce still in crisis following the
Covid-19 pandemic, efficient use of staff
time is more critical than ever.
Earlier this year, a new value-based
procurement methodology was flagged,
marking a paradigm shift in the NHS
approach to purchasing. The new
methodology is expected to be finalised
Alison Wileman
“Cheaper, generic
continence pads result
in more leakages, and
require the use of more
products and, crucially,
more carer time to
replace patients’ pads,
clothes and bedding,
as well as other
sanitising costs.”
shortly, but the health secretary should
not miss the wide-open goal within
health and care reform and commit to
ensuring value-based procurement in
continence care is fully embraced and
rapidly. We need ministerial action to
drive the roll-out and uptake of the new
methodology across the NHS and social
care system.
With the new Labour government
promising fiscal restraint, this small yet
significant change in the way continence
products are procured and prescribed
would make a world of difference to
patients and ease NHS and social care
costs.
22 | SEPTEMBER 2024 CARING-TIMES.CO.UK
Keeping care staff in the fold
Iain Corrigan, commercial director of CoolCare, on how digital tools
are the key to staff retention and the wider goals of care
Staff retention has become one of
the most significant challenges
faced by care homes across the
UK. With high turnover rates, care
homes are under constant pressure to
maintain consistent, high-quality care.
While salary and benefits packages
remain crucial, the role of technology is
increasingly vital in creating a supportive
and efficient working environment that
fosters staff loyalty and satisfaction.
advertorial | business
The role of care home
administration software
A key line on the digital transformation
checklist in care homes is the adoption
of advanced administration software.
These platforms are designed to
streamline daily operations, reduce the
administrative burden on care staff,
and ensure that more time is spent on
resident care rather than paperwork.
This shift not only improves the
efficiency of care delivery but also
enhances job satisfaction by allowing
staff to focus on what they do best—
caring for residents.
Working with the care sector for more
than 30 years, CoolCare has developed
a comprehensive system that addresses
the needs of care providers, by design.
By automating routine tasks such as rota
management, payroll, and compliance
monitoring, CoolCare's software
significantly reduces the time spent on
these administrative duties. This allows
staff to have clearer schedules, managers
to encounter fewer staffing issues, and
ultimately the whole team to have a
better work-life balance.
Enhancing employee
engagement and satisfaction
Employee engagement is critical to
retention, and digital systems can play
a significant role in fostering this. Care
home administration software enables
better communication and transparency
between management and staff. Features
such as real-time shift availability, instant
updates, and mobile access empower
staff to manage their work schedules
more effectively. This empowerment
leads to higher job satisfaction, as
employees feel more in control of their
work-life balance and less stressed by
last-minute changes.
Moreover, the integration of
additional services can further enhance
employee satisfaction. CoolCare
partners with FlexEarn, which allows
employees to access a portion of their
earned wages before payday, providing
financial flexibility and reducing the
stress associated with unexpected
expenses. This financial empowerment,
combined with the streamlined
administration processes, helps in
building a more resilient and content
workforce.
Reducing turnover through
data-driven insights
Another significant advantage of
digital systems is the ability to harness
data to drive decisions. Care home
administration software provides
valuable insights into workforce trends,
including patterns in absenteeism,
overtime, and staff turnover. By
analysing this data, care home managers
can identify potential issues early and
take proactive steps to address them,
such as offering additional training or
support where needed.
Utilising the data from within
administration software, and other
digital tools, in this way not only helps
in improving operational efficiency
but also in creating a supportive
environment where staff feel valued and
understood. When employees see that
their needs are being met and that the
organisation is invested in their wellbeing,
they are more likely to remain
loyal to their employer.
In a sector where the quality of
care is directly linked to the stability
and satisfaction of the workforce, the
adoption of digital systems like care
home administration software is not
just a convenience—it's a necessity.
By reducing administrative burdens,
enhancing communication, and
providing financial flexibility through
integrations like FlexEarn, care homes
can create a more supportive and
engaging work environment. This, in
turn, leads to improved staff retention,
ensuring that care homes can continue to
provide the highest standards of care to
their residents.
For care home operators, investing in
digital solutions is an investment in their
most valuable asset: their people.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 23
business | reaction
Dependent on dependants?
Sam Lewis reports on sector reaction to the dramatic drop in Health and Care Worker
Visas granted between April and June, in the wake of the Conservative government’s
policy of no longer permitting family members under the dependent visa route
The number of Health and Care
Worker Visas granted by the
UK government from April to
June this year saw an 81% year-on-year
drop.
This is indicative of the changes made
by Rishi Sunak’s government in March,
which saw a ban on health and social
care workers bringing ‘dependants’
(family members who rely on them
financially) to the UK.
New government data shows that
there were 89,095 visas granted in the
year ending June 2024. This marks a
26% decrease compared to the previous
year.
The figure for the last quarter of that
12-month period, however, was 81%
lower than April to June 2023.
Ben Brindle, researcher at the
Migration Observatory at the
University of Oxford, commented:
“Visa numbers dropped in the last
few months of the Conservative
government and emigration has also
been rising. In theory, this should mean
a decline in net migration over the
coming year.
“But the precise scale of it is hard
to predict: we don’t yet know how
many of the recent student arrivals will
remain in the UK long-term, and any
bounce-back in health and care visas
would also slow the decline.
Martin Green
“Nonetheless, the strong indication
is that Labour will be able to meet its
commitment to reduce net migration
from the unusually high levels the UK
has recently seen, primarily due to
trends that were already in train well
before they were elected.”
Martin Green, chief executive of
Care England, said: “The government
is running out of time to listen. While
the decision to restrict applicants was
made by the previous government, it
is incumbent on those now in power
to take ownership of their inherited
situation. They must make the changes
needed to ensure the social care sector
remains sustainable.
“Our dedicated workforce is social
care’s biggest asset, and without the
proper measures in place to draw
in domestic recruits, the gap left by
international recruits will reach an
untenable level. Adult social care needs
a fully funded workforce plan, with
boosted pay, terms and conditions,
the change for career progression, and
parity of esteem with NHS colleagues.
Without this, our sector risks not
having enough staff to deliver the care
and support this country’s needs now,
or in the future.”
Karolina Gerlich, chief executive
of The Care Workers’ Charity, added:
“This decline in visa applications is
yet another blow to a sector that has
been pushed to the brink of collapse.
The changes to the immigration rules,
which prevent care workers from
bringing their dependants to the UK,
have made the UK a far less attractive
destination for those who were once
eager to contribute to our care system.
“The care sector’s reliance on
international recruitment has grown
significantly since Brexit, with many
EU workers no longer able to work
in the UK as flexibly as before. The
recent restrictions have only worsened
this situation, deterring potential care
workers from applying to work in
the UK and driving them to consider
Karolina Gerlich
alternative destinations like Canada,
Australia and Germany.
“Support networks are vital for
promoting wellbeing within the social
care sector. It is unfair to expect care
workers to leave their families behind
while caring for British families. This
policy, which does not apply to most
NHS workers, is demoralising and
could further diminish the morale
of care workers, who already face
significant emotional and physical
challenges in their roles.
“We are also concerned about the
effect these shortages will have on the
quality of care provided. Many care
workers are already stretched to their
limits, working unsustainable hours
to cover workforce gaps. This strain
not only takes a toll on their mental
and physical health but also impacts
the quality of care they can offer. As a
result, those relying on social care are
facing reduced service quality, shorter
appointment times and delays in
hospital discharges, which adds further
pressure on the NHS and leaves many
without the essential care they need at
home.
Gerlich wemt on to say that the
charity is requesting the government
reviews the immigration law change
which has led to this situation.
24 | SEPTEMBER 2024 CARING-TIMES.CO.UK
surveys & data | business
Who’s ahead on social media?
Platforms like Facebook, X and LinkedIn are now of prime importance when it comes
to marketing, and gaining followers will result in more exposure and ultimately more
customers for your small care home business, reports Sam Lewis
Specialist care PR consultancy
Bridgehead Communications has
unveiled the 2024 edition of its
annual Social Media Power List, ranking
the UK’s small care home groups and
their individual homes based on their
social media following.
Bridgehead first launched its survey
last year with the publication of three
reports ranking the UK’s top 20 small,
medium and large care home groups
respectively by their social media
following.
Using carehome.co.uk’s list of the
Top 20 Small Care Groups of 2024,
the new report, titled ‘Social Media
Power List 2024 – Top 20 Small Care
Home Groups’, ranks small care home
groups and their respective care homes
according to their social media following
on the five most widely used platforms
in the sector: Facebook, LinkedIn,
Instagram, X (formerly Twitter) and
TikTok. The report was compiled using
follower data recorded in May this year.
As with last year’s report, the study
also investigates the applications of social
media in the adult social care sector. It
explores the most effective social media
platforms to use depending on the care
group’s digital marketing objectives.
It also highlights the importance of
considering multiple factors in social
media to boost engagement, and that
striking a balance between group and
individual home accounts is the most
effective way of reaching a target digital
audience.
Due to its disproportionate social
media following relative to the other
groups, the Cygnet group was analysed
separately in the report. It accounted for
around two-thirds of the overall follower
count of the 20 homes (85,000).
Care groups and homes
combined
In terms of the combined social media
of each of the care groups and their
individual homes, Boutique Care Homes
topped the poll with 9,327 followers
spread across Facebook, X and LinkedIn.
Boutique’s social media following was
almost twice as high as the secondranked
care home group, Connaught
Care (4,600).
As with last year’s report, Facebook
accounted for the largest proportion of
followers (53% – 18,422) among the
care groups and their homes. LinkedIn
accounted for 37% (13,000), a 19%
increase compared to its proportion
of followers among care homes in
Bridgehead’s 2023 report. Instagram
accounted for just over 7%, X for 3%,
“Bridgehead first
launched its survey
last year with the
publication of three
reports ranking the
UK’s top 20 small,
medium and large
care home groups
respectively by their
social media following.”
>
CARING-TIMES.CO.UK SEPTEMBER 2024 | 25
business | surveys & data
> and TikTok for less than 1%.
Compared to its peers, Boutique
Care Homes had the most significant
LinkedIn following (7,100) of all the
groups, which came entirely from its
group account. Boutique Care Homes’
associate sales and marketing director
Carl Roberts said that its approach to
LinkedIn focuses on “the development
and growth side” of the business.
“The platform”, he continued, “allows
[Boutique] to build professional
relationships and showcase leadership in
the care home industry.”
On Facebook, it was Sanders Senior
Living which boasted the highest
following (2,951), which was spread across
its group and individual home accounts.
On Instagram, Doveleigh Care dominated
with more than 1,000 followers, while
on X it was the Rotherwood Group that
topped leaderboards.
Individual care homes
The analysis also compared the social
media following of the individual homes
belonging to the top 20 groups.
Boutique Care Homes’ The
Burlington Care Home had the highest
overall following (1,100), which came
entirely from Facebook. Following
close behind was Connaught Care’s
Portsdown View Care Home, which
boasted 800 over both Facebook and
Instagram.
None of the individual homes had
their own LinkedIn accounts, which
among the small care groups was usually
reserved for overall group pages.
Individual care groups
Lastly, the report ranked each care group
by their own social media following,
excluding those of their individual
homes.
Not only was Facebook utilised, but
many of the groups have significant
followings on Instagram and LinkedIn.
Boutique Care Homes’ group account
topped the leaderboard with 7,200
followers across its Facebook, X and
LinkedIn accounts. The three immediately
following Boutique were Connaught Care
(2,853), Rotherwood Group (2,500) and
Doveleigh Care (1,940).
William Walter, the report’s author
and managing director of Bridgehead
Communications, said: “We’re proud to
be launching the first in this year’s series
of power list insights. Launched last
year, the power lists proved incredibly
popular across the sector. They offered
marketing teams insights with which to
inform their digital marketing strategy.
“As with last year’s reports, this study
offers valuable analysis into social media
usage depending on your company’s
needs. Our investigation covers
recruitment, staff retention, as well as
occupancy to help those thinking of
formulating or reformulating their social
media strategy for their care home or
care group.
“The report also considers the
advantages and drawbacks of groupspecific
social media accounts versus
accounts for individual homes, and
explores how your group can strike the
right balance.
“We’d encourage anyone to get
in touch if they’d like to discuss the
findings in more detail. We’d also be
happy to offer a complementary virtual
or in-person teach-in to discuss how care
groups can optimise their social media
outreach.”
26 | SEPTEMBER 2024 CARING-TIMES.CO.UK
care
32 CARE FOR TOMORROW
Find out how Dormy Care is getting
on with Sensio’s innovative falls-
prevention technology RoomMate
36 OPINION
NCF’s Finn Turner-Berry asks whether
a fair pay agreement could work for
England’s care staff
38 ON THE ROAD
CT editor Sam Lewis visits one of the
country’s most high-end new care homes
45 CARE HEROES 2024
Meet the first of this year’s runners-up,
who walked away with a £250 Love2Shop
voucher
care | activities news
Creative Caring
As always, carers have been demonstrating their creativity
through fun and innovative events for their residents
like balloon tennis, basket throw balls, as
well as strawberries and cream and a glass
of Pimm’s.
Men only
Colten Care’s Fernhill dementia care
home in Dorset has launched a men’s club
so male residents can enjoy DIY activities
over a pint and blokey chat. The group’s
first project, with support from team
members, including care, companionship
and maintenance staff, has involved
building birdhouses for the Fernhill
garden, some of which were sold in aid of
charity at the home’s summer fete. Cara
Duroe, Fernhill’s companionship team
leader, said: “In a chat with residents, it
became apparent that some of our men
missed having ‘do it yourself ’ tasks.”
Music to your ears
Residents of Briar House Care Home in
Kings Lynn, Norfolk, part of Larchwood
Care, are tapping their toes after a
donation of MP3 players courtesy of
The Purple Angel Dementia Awareness
Campaign. The campaign preloaded the
players with residents’ favourite songs.
Resident Colin Seaman has a playlist full
of country and western songs, while other
residents vary from old pub songs to Tom
Jones.
Parklands Pride
Residents at two Ross-shire care homes
rocked to the sound of Pride as they
welcomed performers from the local
LGBTQ+ community. Eilean Dubh in
Fortrose and Innis Mhor in Tain took
part in a two-day Parklands Pride festival,
featuring performances from Inverness
singer Sugar Browne, Highland drag
queen Venus Guytrap, and Blair Teska
from Scottish traditional music band
Tuath, accompanied by Jarad Rowan.
Culinary cruise
Orchard Care Homes’ “Cruise Around
Britain” initiative took its 23 homes
on a virtual tour of different culinary
destinations across the British Isles, with
themed events and meals taking place
each week for residents. Chatsworth
Lodge, for example got the entire home
involved in decorating for ‘England week’,
turning its drinks trolley into a red double
decker bus, while Ashlea Mews Care
Home in South Shields, transported its
people to London using virtual reality
headsets.
Anyone for tennis?
To get into the Wimbledon spirit the care
teams at Friends of the Elderly’s Malvernbased
Davenham, Perrins House and
Bradbury Court care homes hosted an
inclusive, tennis day for all the residents
to enjoy. ‘Malvern-don’ included games
Nicest ices
Colten Care’s homes in Bournemouth,
Poole, West Moors and Longham
celebrated National Ice Cream Day
over the summer. While some homes
welcomed special visits by ice cream
vans, others designed their own in-house
take. At Brook View in West Moors,
companionship team member Jo Vardy
dressed up as an ice cream van and
went on her own ‘road trip’ complete
with realistic catchy jingle. As residents
gathered around the garden pond to greet
the ‘Jomobile’, they were served ice creams
with various sauces and toppings.
Chocolate connoisseur
The executive chef of Cirencester Park
Polo Club Bar & Brasserie came to the
rescue when a chocolatier booked by
Aura Care’s Stratton Court was unable to
deliver a planned talk and demo. Ethan
Rodgers helped the home celebrate
World Chocolate Day in July by making
chocolate tortes and explaining the
chocolate-making process.
Creepy crawlies
Residents of Larchwood Care’s Diamond
House Care Home in Downham Market
in Norfolk welcomed a variety of exotic
animals including a scorpion, corn snake,
cockroach, giant African land snail, tree
28 | SEPTEMBER 2024 CARING-TIMES.CO.UK
activities news | care
frog, and gecko. The team from Zoo
Lab guided the residents through the
characteristics of each creature, sparking
curiosity and excitement among all who
attended.
In the swim
The Monday swimming club at Whitby’s
Peregrine House in North Yorkshire is
an opportunity for residents to enjoy a
trip to the pool at Whitby Leisure Centre
for a quiet swim along with carers from
the home. Introduced by home manager
Joe Bowman, the club aims to provide
physical benefits, lower stress levels,
reduce anxiety and depression and help
with sleep.
said: “We had a small lounge at the home
that residents didn’t use very often, but it’s
a lovely space, so we decided to build a bar
in there and theme it as a pub.”
Horse power
Margaret, a resident at Excelcare’s Okeley
Care Home in Chelmsford, shared fond
memories with a team member about
days spent with her grandad on his farm
riding horses around his land. The team
contacted Layer Marney Horse Drawn
Carriages, which invited Margaret to
spend a day at their stables with their
horses. As well as meeting the horses and
donkeys Margaret took a horse-drawn
carriage ride around the local villages.
were invited to celebrate McDonald’s
50th anniversary at the local branch in
Daybrook where Brian Lawson, 85, and
Rose Seston, 99, enjoyed their first ever
McDonald’s meal. The residents were
greeted and seated at a VIP table. Home
manager Sarah Barnes said: “McDonald’s
have even offered to visit our home for
a pop-up restaurant, which we’re sure
will be a huge success. We’re excited to
build on this fantastic new community
relationship.”
Greatest show
Athena Care Homes’ Langdon House
in Cambridge transformed into a circus
extravaganza for a Greatest Showmanthemed
community fun day, with a
stilt walker, clowns, a strongman, free
ice creams from Peasgood and Skeates,
balloon modelling and a circus workshop.
The event raised £434.50 for the Arthur
Rank Hospice Charity.
Dog show
Friends of the Elderly’s Hampshire-based
residential care home The Lawn hosted
community dog show The Scruffies for
the second year in a row. Seating indoors
and outside gave all spectators a good view
of categories including the sausage eating
race and Dog Who Looks Most Like Its
Owner. Three residents acted as judges.
Mucky duck
England may not have won the Euro 2024
final but residents of Black Swan Care
Group’s Beccles Care Home were winners
when the home opened its new pub, The
Mucky Duck, in time for them to watch
the match. Manager Amanda Jackson
Garden gang
HC-One’s Berry Hill Park care home
in Mansfield has a gardening club that’s
been busy creating quirky ‘bug houses’
to help foster biodiversity, cleaning out
pots for more planting, digging out weeds
and raking in new compost for raised
garden beds, and watering new plants to
stop them drying out. Planters have been
added to the garden to help grow a range
of colourful plants and wildflowers. The
planters will also help attract wildlife to
the garden area.
They’re lovin’ it
Residents from Ideal Care Homes’
Coppice Lodge in Nottinghamshire
Day at the races
Orchard Blythe care home in Coleshill,
Warwickshire, part of the Runwood
Homes group, embraced the spirit of
horse racing by transforming into a
vibrant racetrack for a spectacular Ladies’
Day event. Staff became jockeys for the
afternoon, with handmade horses and
a course filled with playful obstacles.
Residents adorned themselves in hats
and fascinators, placed bets and enjoyed
strawberries and cream.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 29
care | manager in focus
10 questions with…
We speak with Victoria Osborne, general manager of Berkley Care Group’s Burcot Grange &
Lodge in Bromsgrove, Worcestershire as she marks 25 years since she joined the home
“I wish there were
less paperwork and
more time with the
residents. I’d also like
to be able to change
people’s perception
of what a care home
really looks like now,
in the modern world."
outcomes. We are always looking for
team members who are flexible and will
go the extra mile.
Victoria Osborne
Why did you join the social care sector?
I originally joined the care home that I
am still at today as part of my Duke of
Edinburgh Award. This gave me a taste
of how care can make a difference which
then led me to pursue my nursing degree.
What do you enjoy most about your
job?
Seeing the residents enjoying themselves,
smiling and being happy; knowing
that I have made a positive difference
in their life; and building relationships
with residents, families and my whole
team. We make the home a big family
environment.
Who is your social care hero and why?
I have three big inspirations for my social
care journey who are Jane Neary and
Mark and Karen Bales.
Jane was my manager when I
first started in care. She was a true
inspiration, as I could see how much she
cared about everyone in the home, and
nothing was ever too much trouble for
her.
Mark and Karen were the owners of
the home and were very much hands-on.
They believed in me and pushed me to
achieve my registered manager’s award.
They had a keen eye for detail to ensure
that all the residents were in a homefrom-home
environment. I learnt so
much from them both.
What is the one thing you would
change about social care?
I wish there were less paperwork and
more time with the residents. I’d also like
to be able to change people’s perception
of what a care home really looks like
now, in the modern world.
What in your opinion makes a great
care worker?
Someone who is enthusiastic, with a
really positive attitude. As it’s not always
easy in the care sector, having a positive
mindset really helps achieve great
What do you do when life all gets a bit
too much?
Take a breath and take a walk in the
beautiful gardens at Burcot. Remember,
social care isn’t a project you can
complete; it’s 24/7, 365 days a year. I like
to take time out to spend with my family.
What advice would you give your
younger self ?
You can’t achieve everything in a day.
I’d also add: trust in myself and the
decisions I take.
Which three famous people would you
have to dinner and why?
I only have one person I would really
like to speak to, and that’s Florence
Nightingale, to ask her what it was like
to be a nurse in her time.
What three items would you bring
with you on a desert island?
My work bag and my diary, a sun lounger
as I’m not a fan of sitting on the sand,
and my sun cream to protect myself,
even though I still like to get a tan.
What is your secret talent?
Being super organised and having
everything written down.
30 | SEPTEMBER 2024 CARING-TIMES.CO.UK
Digital really works
care for tomorrow | care
As part of the Digitising Social Care programme’s Clock is Ticking campaign,
Rebecca White, business data analyst for learning disability charity Seashell
Trust, outlines the difference a digital system has made to residents and staff
Going digital has helped our
carers to spot behaviour patterns
and signals from young people
with learning disabilities and autism,
allowing for the planning of tailored
activities and care.
I support care managers and teams in
our day services and care houses, where
young people live in safe, supported,
shared accommodation and attend
school, college or work-based learning.
I signed up for the Topol Fellowship
from the NHS Digital Academy to help
manage the switch from paper-based
records to digital social care records
across Seashell Trust’s 10 houses, plus
our day services and outreach work. We
chose our system from Digital Social
Care’s assured solutions list.
I went into it feeling pretty cynical
and thinking the first few months would
be difficult for the team, but that the
benefits would come later. At the end of
the first week, not one of the team had
had to stay late to write up their notes
because they had done it on the job as
they went along. During the second
week, updating records and notes was
so fast that we managed a meeting at the
end of each day, giving us time to plan
the next day based on the records taken.
We have four young men living in one
of the houses, all of whom are very active.
Before the online system, notes were
IY making dinner with staff Seashell Trust
shared via email, and because our staff
begin supporting residents as soon as they
come on shift, they wouldn’t get to read
updates until much later in the day. But
the digital care record is picked up at the
start of the day on the team member’s
work tablet or smartphone. This means
we can plan and do activities based on
what happened the previous day.
In another home, one young man,
who is non-verbal and communicates
mostly through gestures and sounds,
finds it particularly difficult to change
routine. Recently the team started to
notice he was showing an interest in
doing new things. At certain times of
the day, he was signalling something.
They realised that it was happening
when others were going out for a walk,
a sign that he wanted to join them. The
team only spotted this pattern because
of the digital system, and the detail and
timings that it allows us to record. When
working with paper, by the time we got
to documenting the day, the details and
timings were sometimes hard to capture.
Even when we did, it was hard to flag or
share with colleagues.
Paper was actually a bit of a nightmare
in most of our homes. The residents are
often motivated by sensory needs, and
ripping paper is a very satisfying sensory
activity. In practice this meant staff
going into a separate room, often at the
end of a shift of seven to ten hours, to
update records. Switching to digital has
been really enriching – staff can make a
note of things there and then, and don’t
have to step away from residents.
Almost half of residents have
previously experienced residential care,
whether that is a residential school, care
home, fostering or regular short breaks.
All our residents have an Education
Health and Care Plan (EHCP) or
the Welsh equivalent, an Individual
Development Plan.
Because we support adults aged 18
to 25 who are making decisions about
work, further education and future
living arrangements, this is a period
Rebecca White
of time where capturing their views
is crucial to help them participate in
planning their lives. This is one of the
major benefits –digital recording can
highlight residents’ views in real time
and form strong evidence of their
preferences and aspirations, even when
they may have limited communication.
It helps hugely too with the
requirements of EHCPs and to prepare
for review meetings with social workers.
The evidence that goes into those
assessments is crucial. Writing reports
was formerly time-consuming and we
had lots of separate recording systems.
Now digital technology does so much
of that work for us. It’s all there in the
system and so easy to pull together.
No one starts working in care because
they love writing reports. They come
into care to support people, and I have
been amazed by how much more we can
do with the people we support since we
put our digital system in place.
MP kitting out kitchen Seashell Trust
CARING-TIMES.CO.UK SEPTEMBER 2024 | 31
care | care for tomorrow
Before the fall
Helen Davies-Parsons, chief executive of care home group Dormy Care, and Lisa Delaney, UK
country manager for care tech solutions supplier Sensio, talk to Caring Times about the latter’s
RoomMate technology – a system designed not just to detect falls, but to prevent them
Care technology specialist
Sensio, which took the plunge
and entered the UK market
last year, has pioneered a number of
products for care companies since it
was founded in 2009. The Norwegian
business’s RoomMate technology is a
falls-prevention solution that is quickly
garnering interest among European care
companies with operations in Norway,
Sweden, Denmark, and now the UK and
France as well.
Dormy Care introduced the Sensio
RoomMate system recently to the
universal approval of its staff, residents
and their families. Caring Times
enquired about Dormy’s experience with
the next-generation falls-prevention
device.
What is Sensio and what sets it apart
from other falls prevention tech
suppliers?
Delaney: Sensio is a European leader
in the healthcare technology sector
and solves today's and tomorrow's care
challenges for the benefit of residents,
patients, healthcare personnel and
society. We supply sensors, systems
and platforms that radically improve
the quality and efficiency of healthcare
in general and, more specifically,
elderly care. This includes solutions for
preventing falls, digital supervision,
notification solutions, mobile security
alarms and a silent nurse call system.
“All of our solutions
have longevity built
in. Our very first
RoomMate sensors
are still going strong
10 years later”
– Lisa Delaney,
Sensio
Helen Davies-Parsons
Sensio has several hundred customers
in Norway, Sweden, Denmark, Iceland
and the UK. In total, we serve more
than 50% of all elderly care providers
in Norway, Sweden and Denmark, and
have had over 50% annual growth over
the past five years. In 2023, we also
established ourselves in the UK and
France.
Our 200 or so employees have a
burning commitment to creating and
implementing sustainable products and
services that simplify the everyday life
of healthcare personnel; this means that
there is more time freed up to allow
them to care for residents and patients.
Our employees are passionate about
driving changes within nursing and
elderly care in the years to come.
At Sensio, we develop our own
software and the most critical parts of
the hardware ourselves. We serve our
customers with high-quality products
through integration partners and
directly to end-customers.
Sensio is uniquely positioned to
transform aged care in Europe with a
strong history of rapid market adoption.
Whilst Sensio’s head office is in Oslo,
Norway, their UK team has grown
quickly over the last 12 months and is
now able to service every part of the
country.
Lisa Delaney
Likewise, Helen, how does
Dormy differentiate itself from its
competition?
Davies-Parsons: We always aim to offer
an excellent standard of care and service
in excellent environments which people
really can call home. We select our staff
teams very carefully and ensure they have
all the support and training they need
to deliver the standards we expect. We
also ensure that the ladies and gentlemen
who live in our homes are supported
to maintain their independence for as
long as possible. Clearly, this will present
risks, and that’s where falls-monitoring
comes in.
How did Sensio and Dormy come to
work together and why was it the right
time?
Davies-Parsons: Although we didn’t
have a high number of falls in our
homes, I recognised that those living
with us were becoming frailer as they
were ageing. I had been looking at
installing a falls-monitoring system for
some time and had reviewed a number
of other systems prior to engaging with
Sensio.
I met with the team and it was very
apparent that their culture matched with
ours, which is always a very important
consideration for me when engaging
32 | SEPTEMBER 2024 CARING-TIMES.CO.UK
“The customer service
we have received has
been excellent. From
the outset we have
been supported and
this has continued”
– Helen Davies-
Parsons, Dormy Care
with new companies.
Delaney: We were delighted to be
approached by Helen and her team
and it was apparent from our first
conversation that this was a company
totally focused on care excellence. The
Dormy Care communities team were
interested to understand how our passive
monitoring system, RoomMate, could
help to enhance safety while maintaining
the independence of their residents for
as long as possible.
We believe in working alongside our
customers’ care teams in true partnership
with a shared objective of keeping
residents safe and driving improved
wellbeing and better outcomes. It was
great to see that there was a real synergy
between our values and Dormy’s.
Was it easy to implement the
technology in Dormy’s homes?
Davies-Parsons: It was relatively easy to
install and the Sensio team supported us
in doing this.
What benefits has Dormy seen so far?
Is it improving life for residents and
staff ?
Davies-Parsons: As I’ve already said, we
didn’t have a high number of falls in our
homes, but it was obvious to me that this
might change. The best example would
be regarding a lady in one of our homes
who would fall on a fairly regular basis.
She’s living with dementia and loves her
bedroom, but that’s not the safest place
for her to be as her risk of falls is high.
Putting the RoomMate system in has
reduced the number of falls she has, as
staff are able to monitor her without
invading her privacy. She is now so much
safer and doesn’t have to experience the
trauma of visiting the hospital every time
to check that she hasn’t hurt herself.
And more generally, how do residents
feel about the system?
Davies-Parsons: When we were looking
to implement the system on a trial
basis, we wrote to all those who might
be involved to ask their permission.
Everyone agreed to it. Then, after the
successful trial and the decision to
implement the technology in all of
the rooms in the homes, we wrote to
everyone concerned to tell them about
the system. We also met with families
and residents themselves to gather their
support. Sensio representatives also
attended those meetings. Obviously,
the system is only used with those who
are at risk of falls and everyone who
needs it has consented to its use. We
also have DoLS [Deprivation of Liberty
Safeguards] authorisation for using it >
CARING-TIMES.CO.UK SEPTEMBER 2024 | 33
care | care for tomorrow
> with those who do not have mental
capacity.
What other benefits are there to the
RoomMate system?
Delaney: RoomMate is a passive
monitoring system which can prevent up
to 80% of falls in a care setting. It is not a
camera nor CCTV, so resident privacy is
protected. It picks up activity that could
lead to a fall (for example, sitting up in
bed or getting out of a chair) and sends
an alert to the care team via their handheld
device (usually a mobile phone
used for care planning purposes). Care
teams can then do a digital supervision
to check the nature of the alert, before
deciding if the resident needs physical
assistance. Where the resident is safe the
alert can be acknowledged and closed
helping to save time and ensuring care is
directed to those residents most in need.
RoomMate also records activity in
the room and our reporting system can
indicate if there have been any changes
in a resident’s activity levels. It uses data
to drive an insight which leads to better
resident outcomes. At Sensio we have a
mission to keep our ageing population
safer and enhance wellbeing through
great care technology solutions.
In terms of the return on investment,
all of our solutions have longevity
built in. Our very first RoomMate
sensors are still going strong 10 years
later. The hardware is built to last
and as we improve and enhance our
software these updates are pushed out
to our RoomMate network. We have
some providers who have managed to
streamline workflow and redeploy night
staff to other areas because there’s no
“It is not a camera
nor CCTV, so resident
privacy is protected”
– Lisa Delaney, Sensio
longer the need for nighttime bedroom
checks.
Helen, how has Sensio been to work
with in terms of customer service?
Davies-Parsons: The customer service
we have received has been excellent.
From the outset we have been supported
and this has continued. We have
developed an excellent relationship
with key people in the company who
continue to work with us to get the best
use out of the system. This is obviously
beneficial for both staff and those living
in our homes.
What else is new at Dormy and
Sensio?
Davies-Parsons: We are always looking
for the next advancement that will
benefit the lives of either our staff or
“I met with the team
and it was very
apparent that their
culture matched
with ours”
– Helen Davies-
Parsons, Dormy Care
the ladies and gentlemen living in our
homes, so watch this space.
Delaney: We are European leaders
in care technology and are constantly
evolving our portfolio of solutions,
whether that be to keep people safe in
the community or in a care setting.
34 | SEPTEMBER 2024 CARING-TIMES.CO.UK
A day on the front line
Laura Taylor, chief executive of Berkley Care Group, reveals her
experience of working as a carer for the day at one of the group’s homes
registered managers | care
In June, I had the privilege of
participating in our annual ‘A Day
in the Life’ initiative, a scheme
where all central support team members
assume front line roles for a day. As the
chief executive of Berkley Care Group, I
always strive to understand every aspect
of our operations.
This is my third year participating in
the initiative. Last year, working as a
housekeeper was certainly a reminder
of how tiring it is to be on your feet all
day, as well as how much interaction and
input all our team members have with
residents.
This year, I was a care assistant. This
allowed me to see the home from an
entirely different perspective than usual.
My primary goal was to fully immerse
myself into this role. I didn’t want to
be treated any differently to a new
carer on their first shift. Despite having
some previous experience as a care
assistant, I sought a genuine, hands-on
understanding of what it’s like to work
as a carer in a Berkley home. I made a
conscious effort not to set any specific
expectations or anticipate the day’s tasks,
other than bracing myself to step outside
my comfort zone.
I chose to be a care assistant because
of my experience in 2022, the first year
we ran the scheme. I worked alongside
an inspirational carer with extensive
experience at the home. Her insights
and feedback had a lasting impact on
me, influencing several decisions we’ve
made since. All our team members work
incredibly hard to deliver excellent
care. However, for this year’s initiative I
wanted to experience ‘A Day in the Life’
through the eyes of a carer once again.
“One of the biggest
challenges I faced was
the heat, as the day
turned out to be one of
the hottest of the year”
One of the biggest
challenges I faced was
the heat, as the day
turned out to be one
of the hottest of the
year. The physically
demanding nature of
a carer’s work soon
became apparent.
I also recognised
how important it is
for residents to be
cared for by people
who know them,
their needs and their
preferences. One
resident wanted to
try on an outfit for
her birthday the
following day. We
helped, of course, but
Laura Taylor
supporting her with this task took longer
than expected. It made me appreciate
the challenges carers face in meeting
residents’ requests while simultaneously
fulfilling their assigned duties.
The most rewarding aspect was
working alongside Sam, the carer I
assisted, and witnessing her professional,
compassionate interactions with
residents and their families. Her
commitment and genuine compassion
stood out. She’s undoubtedly not alone
in having these attributes, but I was
proud to work alongside someone who
naturally embodied Berkley’s values.
It was also wonderful to see feedback
about other members of the team who
were working in different roles via our
WhatsApp group. It created a sense of
togetherness and unity.
The entire central support team
participated in the initiative. Feedback
from participants and those they worked
with highlights areas for improvement to
consider. For example, our annual Berkley
Care Awards was introduced following
feedback from our first time trialling the
initiative in 2022. This year, discussions
are already under way to accommodate
uniform changes on hot days.
The initiative’s most significant impact
has been fostering greater consideration
of our team members. Understanding
the daily experiences of our colleagues
in each home is invaluable. We are one
team working towards the same goal,
and this initiative helps strengthen the
connections between support functions
and those directly caring for residents
and their families.
This humbling experience has not
only reinforced my admiration for our
team, but it has offered valuable insights
into leadership. Leading from a place of
empathy and understanding is crucial.
By stepping into the shoes of a care
assistant, I better appreciate their daily
challenges and the small, meaningful
interactions that define their work.
This will undoubtedly inform future
decisions, ensuring they’re grounded in
a genuine understanding of our team’s
needs and experiences.
Ultimately, 'A Day in the Life' is about
celebrating our team and acknowledging
the incredible work they do. It’s about
promoting understanding and building
a cohesive, supportive community. By
stepping into the roles of our incredible
team, we better appreciate their
contributions and ensure we continue to
support them in every way we can.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 35
care | opinion
The fair pay problem
The new Labour government has chosen not to progress charging reform or the training
and development fund. After a difficult few weeks for the sector, Finn Turner-Berry, policy,
research and projects officer at the National Care Forum, looks at how fair pay agreements
might work and makes the case for decisive action and collaboration with social care
CarIt is no secret that there’s a
workforce crisis in adult social
care. With 131,000 unfilled
posts and a turnover rate of 25.8%, the
sector is struggling to recruit and retain
enough people to meet growing levels of
demand. This is not good for the people
we support, their families, our existing
staff or the sustainability of provider
organisations.
Pay really matters. Skills for Care’s
‘Pay in the adult social care sector’
report found that 41% of care workers
earn below the Real Living Wage (as of
December 2023). Skills for Care’s ‘State
of care 2024’ report also found that
80% of jobs in England pay more than
the median rate of pay for independent
sector care workers. We know that low
pay contributes to the chronic staffing
problems we see in the sector and levels
of poverty among the workforce – one in
five care workers live below the poverty
line.
To address this workforce crisis and
improve quality of care there are several
levers that can be pulled in addition
to improving care worker pay. The
sector has come together in the recent
‘workforce strategy for adult social care
in England’ to advise the government on
the workforce policy levers available, in
addition to improving care worker pay.
“We know that low
pay contributes to
the chronic staffing
problems we see in
the sector and levels
of poverty among the
workforce – one in five
care workers live below
the poverty line.”
The 70-plus recommendations include
implementing clear career pathways,
guaranteeing job security and flexibility,
and strengthening learning and
development opportunities, and are all
geared to resolving the staffing crisis.
These are all workforce policy options
that, if implemented, could improve
the crisis that social care is facing. In
light of this, the recent announcements
scaling back commitments around
the funding available for learning and
development funding were a bitter blow,
and a joint open letter was published in
July registering concern with the new
government’s decisions on funding. The
National Care Forum was one of the 30-
plus organisations from across the sector
that signed and endorsed this letter.
Clearly, we are operating in a
hugely challenging economic market.
However, choosing not to progress both
charging reform and the training and
development fund has ratcheted up
concern about the introduction of fair
pay agreements in care – in particular,
the funding that will be essential to
implement the policy effectively.
Labour’s choice to frame fair pay
agreements (FPAs) as its flagship social
care policy means that the party needs
to work with the sector to shape and
resource implementation of this policy.
This concern merits a closer look at how
FPAs might work in practice.
FPAs usually involve a form of
collective bargaining, which is the
official process through which trade
unions represent workers and negotiate
anything from an improved pay offer to
better working conditions and pensions.
Key actors in FPAs are trade unions and
employers’ representatives, or employer
‘associations’. In New Zealand, Jacinda
Arden’s Labour government introduced
the Fair Pay Agreement Act in 2022.
New Zealand’s recent experience with
FPAs offers valuable learning points that
can inform the policy’s development in
an English context.
Finn Turner-Berry
New Zealand’s Fair Pay Agreement
Act established FPAs as targeted sectoral
collective agreements, in which trade
unions and employer representatives
negotiate and set minimum terms and
conditions for all in a sector (union
membership or not). This could be
well-suited to social care, as a sector
that has low levels of union activity in
comparison to other sectors such as
health and manufacturing.
New Zealand also gave an
employment authority powers to
intervene in negotiations and set FPA
terms if no employer representatives
were found, or if agreements failed to
get ratified after two attempts. This
offers incentive to get around the table
and negotiate fair pay for workers in a
quicker manner than pay review bodies
might be able to do.
In an attempt to deter employers from
paying unfairly in New Zealand, when
FPA terms were agreed they were then
made secondary legislation and enforced
by the government. This meant that
any breaches by employers would be
considered a breach of law as opposed to
a contract. This could give government
more teeth when it comes to holding
problematic employers to account.
36 | SEPTEMBER 2024 CARING-TIMES.CO.UK
It is, however, important to note that
in New Zealand FPA legislation didn’t
last long. After being passed in 2022, it
was promptly repealed by the National
Party-led government which took power
in October last year. After a year, FPAs in
New Zealand became defunct, and only
one sector managed to make progress
towards an agreement.
Could FPAs work in England?
Traditionally, the primary function of
employers’ associations was to negotiate
industry-wide collective agreements
with trade unions that set pay levels
and pay structures. But since the mid-
20th century industry-wide collective
bargaining has declined and employerlevel
bargaining has prevailed as the
dominant form of industrial relations in
the private sector.
Of course, readers will quite rightly
observe that, at present, we don’t have
sectoral bargaining infrastructure
sufficiently equipped and resourced to
support a rigorous collective bargaining
role on behalf of a workforce larger
than that of the NHS. There is no
social care equivalent to the small
number of associations that exist in the
public sector, one example being NHS
Employers. This, however, could change
if the government took decisive action.
The scale and complexity of the social
care sector should not be underestimated
by the new Labour government. 1.6
million people work in adult social
care in England working across more
than 18,000 (nearly all independent)
organisations. Social care providers
deliver care in a range of settings
and a variety of models of care, from
residential care settings for older people
to supported-living settings for workingage
adults with a learning disability and
everything in between.
This diversity and breadth may prove
to be the biggest barrier for the new
government’s plans – establishing an
employer association that appropriately
represents the whole sector will be
a challenge in itself. And funding to
employers to honour the FPA that is
reached will be essential if it is to be
implemented in a meaningful and
sustainable way.
So, are there any other solutions to the
fair pay problem that might be simpler?
Might a pay review body be the answer?
To date, they have predominantly
functioned in the public sector, and
it’s not clear how the model would
translate to a social care context. Also,
as demonstrated by recent industrial
action, pay review bodies for the NHS
and the wider public sector have faced
significant challenges in England.
The expert think tanks have some
ideas. The Nuffield Trust and the Health
Foundation, for example, investigated
the different policy options for
improving care worker pay and they put
forward five options, from a national
minimum wage to pay review bodies.
In essence, what matters most for the
success of improving pay is political will,
action and resources to back it.
Improving care worker pay is not a
silver bullet that, if implemented in
isolation, would instantly solve the
workforce issues in social care. Wider
action on workforce development, career
pathways and being future-ready is sorely
needed, as argued in the government’s
recent workforce strategy. Regardless of
the approach the government develops,
one thing is clear: additional national
funding and stronger enforcement will be
essential if improved pay for care workers
is to be realised. Without funding and
better enforcement, the government
risks increasing financial pressures on the
sector and people who need care.
Taking decisive action on pay would
transform hundreds of thousands of
lives for care workers across England
and as a sector we stand ready to help
the government achieve its mission to
improve care worker pay.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 37
care | on the road
Kith and KYN
Sam Lewis pays a visit to the newly-opened KYN Hurlingham, a luxury care
home in West London, to find out what sets this most elegant of properties
apart from other operators in the sector
KYN Hurlingham isn’t your
typical care home. That much is
apparent from just one glimpse
of its grand Victorian red-brick exterior.
Even before the building is in sight,
polished KYN (pronounced ‘kin’)
advertising posters adorn the lampposts
overlooking the quaint, quiet streets
of Parsons Green in the Borough of
Hammersmith and Fulham, drawing
people’s attention to the area’s latest care
home.
What’s also apparent is the home’s
history, as told in a promotional
YouTube video. BBC historian Ruth
Goodman hits the nail on the head,
saying of the Grade-II listed building:
“I don’t think anyone could walk past
without realising it was a historic
building.”
Goodman explains that the plot was
built on in 1853 by landowner Lawrence
Sullivan, but surprisingly it wasn’t
a stately home the wealthy Sullivan
wanted to construct. Having lost his
beloved and benevolent wife some years
before, the widower decided that the
best memorial to her would be to give
to society somehow, and so built one of
the first schools to offer free education
in the UK – what became known as
‘ragged schools’, designed for the poorest
members of society.
In the hundred-plus years since it
was a ragged school, it has also been
an ‘open-air’ school for children with
suspected tuberculosis, and a youth club
in the latter half of the 20th century,
“The KYN philosophy
for care is delivered
by having the highest
industry ratio of team
members to residents,
and by working with
outstanding people."
with periods during which the building
was abandoned altogether.
“This is a building that has, since its
very start, been at the centre of local,
communal care,” explains Goodman,
and since it was opened by the relatively
young care company KYN as a luxury
home for older adults in June this year,
it has continued that honourable and
important tradition.
Marking only the second home for
KYN (after KYN Bickley in Bromley,
Southeast London), Hurlingham is right
now the jewel in the company’s small
but impressive crown, and will take
some beating by the upcoming KYN
Kensington (with a distant opening
date of 2027) or other future properties.
Caring Times has visited its fair share of
care homes over the years, but this one
could just take the biscuit when it comes
to class and design.
Upon entering, visitors might feel that
KYN Hurlingham is less care home and
more five-star boutique hotel, but this is
an ethos that runs deeper than just the
interior design. Just look at its choice of
hospitality manager, Kim Whitehorn,
who Caring Times meets on the day,
and whose employment history includes
more five-star hotels – including The
Athenaeum, Grosvenor House and the
Savoy – than care homes, adding a touch
of class to the service on offer at KYN
Hurlingham.
Guiding the tour, though, are home
manager Jordan Pereira and group
brand and marketing director Rosanna
Fishbourne, neither of whom appears to
find themselves short of passion for the
company and its values.
Pereira’s background includes care and
nursing degrees in Portugal and the UK,
as well as more than a decade working
in senior positions in care across the
private and public sectors. Prior to the
opening of the home, he said of KYN
38 | SEPTEMBER 2024 CARING-TIMES.CO.UK
Jordan Pereira
Hurlingham: “Every detail of what
we do has been carefully considered
to create a beautiful and enjoyable
environment where family and friends
genuinely look forward to spending
precious time together.
“The KYN philosophy for care is
delivered by having the highest industry
ratio of team members to residents, and
by working with outstanding people. We
recruit the best against a defined set of
KYN values, we support them with the
best training, and we collaborate with
the best leaders in their field.”
Expanding on the topic of its industryleading
staff-to-resident ratio, which
he and Fishbourne explain is one of its
focal points, Pereira tells Caring Times:
“The care is totally different from any
other care provider, and once again our
model is that we have at least two carers
to every five residents – or one carer to
every 2.5 residents. That doesn’t include
nurses, waiters, chauffeurs, etc – that’s
just the care staff. Once you factor in all
those other staff members it’s more like
2.5 staff members to one resident.”
Discussing what else KYN does
differently from other providers,
Fishbourne adds: “We have partnered
with excellent collaborators for this
home, such as interior designer Nina
Campbell, art curator Adam Ellis, a
registered nutritionist, as well as regular
specialist medical cover via consultant
geriatrician Shane Roche.
“Then, in terms of care, the level
of home managers we work with is
outstanding when you look at their
qualifications and experience, as well
as managing director Caroline Naidoo
who has worked in care for over three
decades.
“The tech and innovation we have is
another of our brand pillars.”
This last point is an important one for
KYN and Fishbourne explains that the
company not only likes to lead the way
when it comes to care tech, but is also
happy to share its findings with other
companies operating in the sector. >
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CARING-TIMES.CO.UK SEPTEMBER 2024 | 39
care | on the road
> Pereira, showing off one of the elegant
bedrooms, states: “This is one of our
bespoke beds, which goes straight
down to the floor for accessibility. Nina
Campbell helped come up with the
design so it doesn’t feel so much like a
hospital bed.”
He goes on: “This sensor creates an
infrared curtain above the bed, so if the
resident tries to stand up it will alert
the team. This basically replaces the
old sensor-mat technology you’d see on
the floor, and is a much more advanced
technology. If a resident goes to the
toilet and doesn’t come back within a
set amount of time, then it will alert the
team that they should come and check
on the resident.
“We also have acoustic monitoring, via
Ally Labs. Through AI, as well as sound
and motion sensors, the system learns
about the resident’s sleep behaviours and
patterns. In the event of a deviation from
that pattern, it will generate an alert;
even in the event of a resident calling
for help, the technology will know to
send an alert to the team. This means the
resident doesn’t have to use a nurse-call
system to ask for help.”
As though that weren’t enough, he
adds: “Our televisions have full hotelstyle
functionality, including emails and
messages with the concierge and the
team. They can book treatments in the
spa, see what is going on today in the
planner and lots more.”
Another thing the KYN team is
particularly proud of is the lifestyle it
allows residents to lead. Fishbourne
says: “The activities-planning in KYN
homes is resident-led, meaning we create
a personalised programme which aligns
with residents’ own interests and hobbies,
as well as the opportunity to sample new
experiences and learn new skills.”
Pereira dashes off to find this month’s
activities planner to illustrate the breadth
of choices open to KYN Hurlingham’s
residents, while enrichment and
wellbeing lead Ana Baiao explains her
work, which involves meeting new
residents and finding out about their
passions, hobbies and preferences, before
the team can “build activities around”
the residents, as Fishbourne put it.
Once he returns with a very full
activities planner in hand, Pereira
reveals: “It's not just arts and crafts or
bingo. That’s not what we’re about. We
also bring in lots of external craftspeople,
wellbeing and movement practitioners,
music therapists and lecturers. Today we
had a pianist, but we also have harpists
and all sorts, because music therapy is
really important.”
On top of that, residents can expect
a weekly one-to-one physiotherapy
session, along with two more group
sessions.
If the rest of the home – with its
quiet library, intimate cinema room
and tranquil gardens – isn’t peaceful
enough, then residents can book
treatments in the spa area, including hair
appointments from the hair stylist who
regularly visits the home.
Caroline Naidoo
Leading the wider KYN team
is trained nurse and managing
director Caroline Naidoo. Before
the home’s opening in June, she
said: “KYN has broken away from
the traditional care home model,
creating a genuinely uplifting
and joyful place to call home. We
provide a pioneering approach to
care built on our values of holistic
wellbeing, supported by highly
experienced nurses and carers, AI
innovation, modern nutrition and
world-class hospitality. In everything
that we do, we place a high value
on the autonomy of our residents
and encourage the nurturing
and development of meaningful
relationships, in and outside of the
home.
“We’re delighted to be opening
our second home under Jordan’s
leadership. KYN Hurlingham brings
our ethos to life in a desirable and
historic setting. We aim to enhance
quality of life for our residents so
that families and friends can have
peace of mind in what can be a
uniquely difficult time with fastchanging
and complex situations.
“Our ethos is informed by the
team’s own personal experiences
with their families’ quest for care.
Our mission is to create the best care
home available where we would want
our own parents – our KYN – to
live.”
Managing director Naidoo has
explained that KYN’s conception came
from the desire to create homes the team
would be happy to house their own
parents in, and this they have certainly
achieved. It’s a home full of class and
luxury, but never gaudy or garish in its
design.
Even more crucially, though, she
has a team to match. Friendly, caring,
knowledgeable and professional to the
absolute last, they’re also not afraid to
have a bit of fun: when we first meet,
Pereira and Fishbourne jokingly admit
that they’ve picked out “their rooms”,
or the rooms they would like to move
into one day, and playfully invite Caring
Times to choose its own retirement pad.
If only it were a serious offer…
40 | SEPTEMBER 2024 CARING-TIMES.CO.UK
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care | wellbeing
More than just a meal
Dave Daniels-Ekarte is head of hotel services at Exemplar Health Care, a nursing
care provider for adults with complex needs. Here he discusses the provider’s
approach to modified diets, and how meals are about more than just “nutrition”
Every meal served in one of our
care homes is not just sustenance;
it’s an opportunity to improve
quality of life, encourage greater
wellbeing and help individuals express
their identity.
We believe that everyone, no matter
their dietary needs, deserves a choice
of great meals. Yet, as a complex care
provider, mealtimes may include
supporting people with dysphagia,
tracheostomies and PEG feeds
(percutaneous endoscopic gastrostomy,
involving a feeding tube passed through
the abdominal wall).
That’s why, from modified textures to
allergen awareness and the management
of choking risks, every aspect of our
culinary offering is carefully tailored to
meet the unique needs of each person we
support.
Over the past year we’ve upskilled
over 150 colleagues, not only to further
understand the risks associated with
texture-modified food, but also to help
them prepare and present food in a more
creative and appetising way.
Our training looks at piping skills, so
food is presented in a visually appealing
and recognisable way, and explores how
the flavour of some foods change when
modified – helping us to understand
why some people may no longer
enjoy certain foods once they’ve been
modified.
One of the cornerstones of Exemplar
Health Care’s ethos is the active
involvement of the people we support in
everything we do.
Our service user council has a clear
focus on co-production, supporting
Exemplar Health Care’s decision-making
on a wide range of business areas, from
marketing and home building, to
training and recruitment.
So, it’s no surprise that people have
a voice in the foods they consume, and
we actively seek their input in menuplanning
and meal preparation. By
actively engaging people in the menu
development process, we’ve been able to
diversify our food and drink offer, while
meeting complex dietary needs.
Food is something that, for so many
of us, carries important memories or
markers of our identity and life.
In getting to truly know each resident
and their tastes, preferences and
connections to food, we’ve been able
to introduce new and exciting dishes
like our texture-modified Scouse – a
traditional Liverpudlian stew, and the
firm favourite of several people we
support at our Lakeview care home in
Leigh.
Our service user council has also been
involved in running our ‘dining round
the world’ initiative, taking place this
summer. For six weeks, they’ll explore
the traditions of six different countries,
including traditional foods.
Diverse dietary needs
Our focus on texture-modified foods
is also central to mitigating choking
risks and ensuring the safety and –
importantly – enjoyment of mealtimes.
With around 10% of the people we
support requiring some level of texture
modification, we’ve set out to explore
innovative ways to enhance the dining
experience for every individual.
From Level Six soft foods to Level
Four purees, we’re continuously
refining our offering to ensure they
meet the International Dysphagia Diet
Standardisation Initiative framework,
while maintaining the delicious flavours
and nutritional value people deserve.
By prioritising presentation, we’ve
been able to elevate texture-modified
food from sustenance to tasty meals. As
a result, we’ve received rave reviews from
residents and colleagues.
Promoting health and wellbeing
Of course, personalised diets aren’t just
about meeting medical requirements; it’s
also about overall health and wellbeing.
That’s why we’re dedicated to offering
a wide range of nutritious options that
cater to diverse dietary preferences.
Dave Daniels-Ekarte
We understand that healthy eating
isn’t one-size-fits-all, so we offer an
array of plant-based, bean-centric dishes
alongside traditional favourites like pies
and fish and chips.
By empowering people to make
informed choices about their diets, we’re
helping to foster healthier eating habits
that can last a lifetime.
We’re also taking proactive steps
to promote nutritional awareness
and engagement throughout our
communities. From community
garden initiatives to colleague training
programmes, we’re embedding a culture
of culinary excellence that extends far
beyond the kitchen.
There’s no reason why food should
stop being exciting and pleasing when
someone moves into a care home, or if
they need modified foods.
We’re committed to continually
adapting our food and drink offer
to keep capturing the individual
importance of mealtimes for all those we
support.
By actively involving people in menu
planning, offering a diverse range of
nutritious options, and promoting
nutritional awareness throughout our
communities, we’re revolutionising the
way we approach dietary management in
healthcare.
42 | SEPTEMBER 2024 CARING-TIMES.CO.UK
Managers guide to…
diversity and inclusion
registered managers | care
Amrit Dhaliwal, chief executive of national home care company Walfinch, offers
hints and tips on how to create and support a diverse and inclusive workforce
Care is blazing a trail for diversity
in the workplace, and we need
to make the most of it. Care
managers are vital to that. A wellintegrated
workforce that appreciates
each other’s cultural differences, will
deliver better care to our diverse clients.
There are many things we can do to
increase diversity of all kinds, but the
main qualification for any carer is that
they should genuinely care. Diversity is
vital, but a caring attitude is not tied to
any one community or demographic.
Here are some tips I have picked up –
often from care managers.
• Recognise the workforce is evolving.
The stereotype of a carer used to be
a middle-aged white woman. They
have been the backbone of care for
years, and eight out of ten carers are
still women. But in 2022-23, over
a quarter (26%) of the adult social
care workforce had black, Asian
or minority ethnic backgrounds –
more diverse than the population of
England.
• Be open-minded about who carers can
be. In the UK men make up less than
20% of the care workforce, but they
make up 32% of overseas recruits to
care jobs, In the UK, care may have
been seen as ‘women's work’, but it’s
not so everywhere. I’m the son of
immigrants from the Punjab, and in
India (and Africa) looking after your
parents is shared between men and
women. Having male carers in your
team means you can offer clients more
choice. I have won council contracts
as a result. Young people are underrepresented
too: only 8% of the care
workforce is under 25 compared
to 12% of the economically active
population. I was running a care
company in my 20s, so I know young
people can thrive in care. A diverse
team delivers a better chance to match
carer to client.
• Create environments where everyone
feels valued and encourage open
dialogue. Talking about people’s
different cultures at carer get-togethers
reveals fascinating stories. The team
learns from each other and discovers
what unites rather than divides them.
• Implement targeted recruitment.
Advertise on community-targeted
social media, magazines and radio
stations, and sponsor or attend events.
Ask job candidates or team members if
they know anyone in their community
who would like a care career. Use
bespoke recruitment. I once had a client
who spoke a particular language, and
went to some lengths to recruit a carer
who also spoke it – with the bonus that
we recruited her husband too.
• Support diverse leadership
development. While 26% of carers
are black, Asian and minority ethnic
staff, they only make up 17% of
registered managers and 17% of senior
management roles. We must help all
of those with managerial aptitude to
climb the career ladder. Some carers
from overseas were doctors and nurses
in their own countries. There is lots
of untapped potential in carers. The
Skills for Care Moving Up programme
provides training to help.
• Consider inclusivity training. This is
offered by consultants, but you may
Amrit Dhaliwal
well have in-house experts. Encourage
your staff from different countries
or communities to talk at workplace
workshops. Partner-up carers arriving
from overseas with someone from
the same country, or create a list of
relevant local community centres and
shops.
• Regularly review diversity metrics. The
Social Care Workforce Race Equality
Standard Improvement Programme
aims to create anti-racist workplaces by
collecting data annually that you can
use to create your own action plan.
• Request feedback. Ask staff how the
organisation is doing on diversity.
CARING-TIMES.CO.UK SEPTEMBER 2024 | 43
care | team members
Employee of the month
Adrian Riley, head chef at Boutique Care Homes’ Suffolk-based Brampton
Manor, shares his experience of providing a great dining experience for residents
Tell us about your background in care?
I have had a passion for food from a
young age, which led me to attend
catering college 24 years ago. Once I was
qualified, I worked at various pubs and
restaurants, then took the opportunity
to join a Four Seasons care home as sous
chef. After a few years I got promoted
to head chef which I loved, but after 14
years working there a new exciting care
home opened, Brampton Manor, in
which I was offered the chef role. After a
few months the head chef position came
my way, which I love and been doing for
nearly two years.
What is special about working at
Brampton Manor?
The first day I started I was made to feel
so welcome and part of the Brampton
Manor family, and supported in every
way. I love making a difference and
seeing the residents’ happy faces every
day. Through the year we have many
events going on like Easter egg hunts and
summer barbeques which the residents,
family, friends and team enjoy a lot.
How do you vary your menu to
provide choice to residents?
We have a daily four-week rolling menu
which changes every three months. The
base of the menu is traditional meals.
We have fish Fridays, roast dinners on
Wednesdays and Sundays, and various
pies and stews. Dessert-wise, residents
love their various crumbles, puddings,
trifles and éclairs. We have monthly
meetings with the residents in which
they can have their input and say on the
menus we create.
How do you meet residents’
nutritional and health needs?
We get our nutritional information from
the clinical team, which helps support us
in providing all the requirements needed
for good nutrition. We are trained in
modified diets which means we can
give food with the right texture. On
top of that we monitor diets for weight
loss or gain, as some residents require
Adrian Riley
fortified milk and meals or milkshakes in
between meal times. There are also extra
choices during mealtimes if the residents
fancy something different.
How do you care for residents with
dementia?
We have adapted cutlery and offer same
day choices and presentation plates
for the meals so the residents can do a
visual choice. We find residents really
benefit from seeing the meals first to
support decision-making. Also, menus
are created in bigger print and clear
style of writing for those with visual
impairments.
What’s your most popular dish?
Always the classic fish and chips or roast
dinners – they are on all year round. The
residents like their Sunday supper buffet
with chocolate éclairs and cheese and
biscuits to follow.
What’s your favourite dish?
I love my Asian food as I have spent time
out there. I do also like my pastry dishes
as I have a sweet tooth.
How do you make the dining
experience special for residents and
families?
Mealtimes are the most important time
of the day, it means a lot to everybody.
We are very open for family and friends
to join at mealtimes. We have a very
comfortable dining room in which they
can relax. Throughout the year we have
theme days like Chinese New Year,
summer parties and Christmas Day,
making it as special as we can for all the
residents.
44 | SEPTEMBER 2024 CARING-TIMES.CO.UK
care heroes | care
Our Hero is…
Sibongile Sihwa takes home the first of the runner-up certificates for this
year’s Ontex Care Heroes Award, along with a £250 Love2Shop voucher
Ontex, once again working in
association with Caring Times,
is proud to announce the first
of the runners-up for the Care Heroes
Award for 2024.
There are thousands of people
working in UK care homes who make a
real difference, whether it’s behind the
scenes in the laundry room, preparing
meals in the kitchen or providing direct
personal care for the residents. The
Ontex Care Heroes Award seeks out
and recognises those who go beyond
the job description.
Whether it’s the gardener who brings
residents their favourite cookies or a
housekeeper who helps residents to
rediscover their hobbies, the award is
designed to shine a spotlight on those
who bring a little bit of extra joy into
the care world.
“We’re excited to again sponsor Care
Heroes,” said Ontex marketing manager
Nicole Fenton. “It was tricky selecting
the winners due to the many worthy
nominations submitted. Our winners
really have gone above and beyond in
the workplace, so it’s lovely that they
are recognised by their colleagues,
residents or family members who have
nominated them.”
For this year’s Care Heroes Award,
Caring Times invited three runners-up
and the overall winner on stage at the
Care Managers Show at the National
Exhibition Centre in Birmingham
at the end of June to receive their
certificates and prizes.
“What sets Sibongile
apart is not just
her reliability, but
her unwavering
willingness to go
above and beyond in
times of need."
The winner and runners-up were
selected after what was the most
competitive Care Heroes nominations
process yet.
As well as receiving their certificates,
each of this year’s Care Heroes was
awarded a Love2Shop voucher – £250
for runners-up and £500 for the overall
winner.
Over the coming months, we will
be spotlighting each of the runners-up
and, lastly, the winner, with a page in
the magazine.
Our first runner up is Sibongile
Sihwa, support worker at Dimensions
Healthcare.
Here’s what her colleague had to
say about Sibongile’s unwavering
dedication to her role: “Sibongile
embodies the epitome of dedication
and compassion within the UK care
sector. As a support worker, her
commitment extends far beyond the
confines of her job description, making
an indelible impact on the lives of those
she cares for and the entire community
around her.
“What sets Sibongile apart is not
just her reliability, but her unwavering
willingness to go above and beyond in
times of need. During a particularly
challenging period from January to
March, when two of her colleagues
fell ill, Sibongile didn’t hesitate to
step in and cover their shifts. Her
energy and dedication shone through
as she worked tirelessly to ensure that
residents with learning disabilities
received the care they deserve.
“Beyond her remarkable work
ethic, Sibongile’s approach is marked
by a genuine concern for the holistic
wellbeing of those under her care. She
understands that her role extends far
beyond merely attending to physical
needs; rather, she seeks to nurture
a sense of belonging and joy within
the care home. Whether it’s through
small gestures like bringing residents
their favourite cookies or facilitating
activities that reignite their passions
and hobbies, Sibongile consistently
Sibongile Sihwa
goes the extra mile to brighten their
days and uplift their spirits.
“But Sibongile’s impact transcends
the confines of her workplace. Her
selfless dedication and compassionate
approach serve as an inspiration to her
colleagues and the broader community
alike. By embodying the values of
empathy, kindness and service, she
not only enriches the lives of those
she directly cares for but also fosters a
culture of compassion and support that
reverberates throughout the entire care
home.
“In a field where burnout and
turnover rates are often high, Sibongile
stands as a beacon of resilience and
dedication. Her tireless efforts and
unwavering commitment to those in
her care serve as a testament to the
profound difference that one individual
can make within their community.
Sibongile Sihwa is not just a support
worker, she is a true unsung hero whose
impact resonates far and wide, leaving
an enduring legacy of compassion and
care. She is more than deserving of
recognition and appreciation for her
remarkable contributions to the UK
care home sector.”
CARING-TIMES.CO.UK SEPTEMBER 2024 | 45
care | norrms’ blog
Over to you, Sir Keir
Columnist Norrms McNamara, who lives with dementia, reflects on the potential for new
government to improve the lives of care recipients, especially those with dementia, and
discusses the Purple Angel dementia campaign
Well, that’s a change of
government sorted, or
is it just a change of
management? You choose, but here at
the Purple Angel dementia campaign
we don’t have any political or religious
affiliations thankfully, but that doesn’t
mean we don’t have a voice. What we
will be asking by direct contact is how
the new government will help those with
dementia and how are they going to
improve things.
Is the government actually going to
start listening to those who really know
what they are talking about: the carers
who do this 24/7, both paid and unpaid,
or the loved ones who didn’t plan to
become a carer but had too? I am asked
so often about the success of the Purple
Angel campaign, how we became so
well known all over the UK and how
we are now called the Global Purple
Angel campaign, as we are recognised
in so many countries around the globe.
Similarly, we are also asked how we
have managed to hold the World Rocks
Against Dementia event globally for the
past 11 years, with many events being
held annually in so many countries. My
answer is always the same.
Quite simply, for years the way things
have run can be described with the
use of a triangle shape, where the chief
executive sits at the top, underneath
are the directors, beneath them the
area managers, then managers and then
the workforce. I myself come from
management and have seen this so many
times, but I also believed in and taught
my staff the importance of ownership
and responsibility. What we did here at
Purple Angel was to turn that triangle
upside down and ask the workforce what
they thought would work, how they
would do it better, and what practices
are best on a day-to-day basis.
We found that so many practical,
Norrms McNamara
workable, realistic ideas came to fruition
through this kind of thinking; by the
time these were put in place, those
higher up the chain were absolutely
amazed at the positive changes. Those
on the coal face, as we call it, know their
stuff. They are doing this 24/7, so why
wouldn’t you ask them what’s best?
Our booklet about dementia is called
‘A Helping Hand’, and we have sent out
thousands of copies electronically to
organisations around the world, all for
free. The reason it’s so popular is this: it’s
written by carers (or caregivers if you are
in the US), people with dementia and
their loved ones, meaning it is all real
advice from those in the know.
So much can be done by just a few.
We at Purple Angel are all volunteers
around the world and not one of us is
paid in any way for what we do. We do
it because, quite simply, we just want
to improve the way those less fortunate
than ourselves live their lives.
Now over to you, Sir Keir.
Till next time…
Norrms is diagnosed with Lewy bodies
dementia.
46 | SEPTEMBER 2024 CARING-TIMES.CO.UK
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CARING-TIMES.CO.UK JULY/AUGUST 2024 | 47
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