Caring Times, November 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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11/2024
November Edition
In it to win it
With only weeks to go before
the winners are announced at a
stunning ceremony, we preview
the National Care Awards 2024
Legal & regulatory
As the CQC gets a new chief
executive, is the regulator
actually improving?
Leader’s spotlight
The founder balancing 10 care homes
and a new AI care tech project
Safety first
Responsibilities for care
home providers
caring-times.co.uk
business
17 REQUIRES IMPROVEMENT
Did the Dash report do the trick
and is the regulator on the road to
improvement?
10 LEGAL & REGULATORY
Ensure your communications are effective
in the event of a crisis
14 LEGAL & REGULATORY
Key considerations when taking on
or renewing a lease
22 LEGAL & REGULATORY
Should Ofsted's ranking system apply
to the CQC?
welcome | business
Chief executive officer
Alex Dampier
Chief operating officer
Sarah Hyman
Chief marketing officer
Julia Payne
Interim editor
Charles Wheeldon
Features editor
Charlotte Goddard
Subeditor
Charles Wheeldon
Advertising & event sales director
Caroline Bowern
0797 4643292
caroline.bowern@nexusgroup.co.uk
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
© Investor Publishing Limited 2023
The views expressed in Caring Times are not necessarily
those of the editor or publishers.
Caring Times and the CT® logo are registered trademarks
of Nexus Media Group
@Caring_Times
linkedin.com/company/caring-times
Change – or kick
the can?
This issue, the penultimate one for 2024,
is also the last that was put together by
Caring Times editor Sam Lewis, who
has moved on to pastures new, so I have
been afforded the privilege of standing
in on an interim basis until we can
recruit a new editor.
You may recall Sam’s last editorial in
the October issue, where he had some
pretty uncomplimentary things to say
about the Care Quality Commission,
though he was focusing on its press
office’s less than proactive transparency,
rather than the myriad criticisms that
have been levelled at the regulator by the
service providers over which it regulates.
Well, there’s been a change of
personnel at the top since then with the
appointment last month of Sir Julian
Hartley as chief executive, so we might
expect a new broom at work in the
coming months. And in this issue we
talked to a selection of industry leaders
who offered their opinions about the
regulator.
We began by asking each of them
about their personal experiences of
the CQC and if they had noticed
any improvements of late. We probed
further by asking if they have faith
that its recent failings could be turned
around, and finished up by exploring any
potential changes the regulator could
make that haven’t been highlighted by
the government and the media so far.
The responses make very interesting
reading.
We are also nearing the event I am
sure many of you are looking forward
to as Caring Times will be staging its
annual National Care Awards ceremony
at the end of this month, which is being
held again this year at the Platinum
Suite at ExCel London. In this issue we
have been talking to some of this year’s
Award sponsors, asking them about
what they are looking forward to at this
year’s event and reminiscing about their
favourite memories from previous years.
One key article to note in this issue
has been provided by Stephanie Nimmo,
the communications and engagement
lead for the Digitising Social Care
programme. This contains the very
important reminder that the final
deadline for securing funding to set
up digital social care records is the end
of this month, and that care providers
need to apply now if they want to take
advantage of the Adult Social Care
Digital Transformation Fund.
Of course, this month also sees the
debut Budget presented by the new
Labour government and naturally all
eyes from the care provider sector will
be focused on Chancellor Rachel Reeves
when she travels with her red box to the
House Of Commons to reveal what’s in
store for us from a financial standpoint.
The timing of the Budget on
30 October means that this issue of
Caring Times will have just been printed,
so we can’t offer any comment until the
December issue.
What we can offer in these pages,
though, is an article written by Alan
Payne, group director at software
provider Access HSC, who attended
Labour’s recent annual conference and
was able to secure interviews with health
and social care minister Wes Streeting
and care minister Stephen Kinnock.
But, back to the subject of the Budget,
what we know is that Prime Minister
Sir Keir Starmer has stated that the
government isn't able to commit to the
timeline the previous Conservative
government laid out for its care cost
reforms.
So I fear we may be in familiar
territory yet again, with a lot of vague
talk about ambitions for an eventual end
to government indifference about the
multiple problems suffered by the care
industry, set against the deafening rattle
of cans being kicked down the road.
Charles Wheeldon
Interim editor
Caring Times
CARING-TIMES.CO.UK NOVEMBER 2024 | 3
business | news
News in brief
POLICY & POLITICS
White Paper sets out solutions
to fix social care
A new White Paper has been launched
detailing the "first steps to fixing
social care". Home care technology
company Birdie released the paper
which included recommendations
from 20 UK social care experts across
the sector.
Its seven key recommendations are
• New legislation to amend the 2022
Health and Care Act, mandating
director of adult social care
representatives to be on all NHS
integrated care boards nationwide.
• NHS England to delegate healthcare
tasks to trained care workers.
• Establish a national online support
service for the five million unpaid
carers.
• Reduce the hidden burden of travel
time for home care workers.
• The Care Quality Commission to
undergo a rapid overhaul using
digital tools.
• Mandate real-time data-sharing
between hospitals and care providers
by integrating social care software
with the NHS Capacity Tracker.
• Seed a Teach First-style programme
for social care leaders.
Starmer cautious on social care
reform
Prime Minister Sir Keir Starmer has
tempered public expectations regarding
social care reform, particularly the
cap on care costs. Starmer said that
Guidance on helping the elderly to live at home
the government wouldn’t be able to
commit to the timeline the previous
Conservative government had laid out
for its care cost reforms.
Rishi Sunak's government had
pledged to introduce an £86,000 limit
on lifetime care costs for UK citizens
by October 2025. Starmer has now
called that timeline unrealistic and
“undeliverable”. Instead, he confirmed
that health and social care reform will
not be a quick process, but will be set
out in a 10-year plan, with no specific
dates set for the launch of a National
Care Service, a care cost cap or any
other kind of reform.
Wales gets new health minister
Jeremy Miles a Labour Co-op
politician, has been instated as the
Welsh government’s health minister,
replacing Mark Drakeford, the former
First Minister, who was the interim
health secretary.
Jeremy Miles
by helping them find new ways to
manage their daily lives, allowing them
to continue living at home for longer.
Older people recently discharged
from hospital are among the primary
recipients of reablement services.
Sir Keir Starmer
New guidance on helping older
people live at home for longer
New guidance on helping people to
live in their own homes for longer has
been published by the Social Care
Institute for Excellence to help those
who commission, manage and deliver
reablement services tackle key barriers
that can prevent people from fully
benefitting from the service.
Reablement is a time-limited,
intensive intervention that helps
people maintain their independence
Care workers’ real-terms pay
cut since 2010
Some 30,000 care workers are losing
out thanks to inflation, trade union
GMB has claimed. Office for National
Statistics figures show that in April
2010 the average annual salary for care
workers and home carers was £12,879,
with half of workers paid even less.
This salary was worth £21,549 in April
2023 in real terms, yet workers only
received £17,851 – a real-terms pay cut
of £3,698 last year.
4 | NOVEMBER 2024 CARING-TIMES.CO.UK
news | business
We Care Group staff will receive bonuses
LEGAL & REGULATORY
CQC to tackle “serious
organisational failings”
following reviews
The Care Quality Commission
has accepted the high-level
recommendations of two reviews
which identify “serious organisational
failings".
In response to the final report of
Dr Penny Dash’s review into the
operational effectiveness of the CQC
and the first report of Professor Sir
Mike Richards’ independent review
into the implementation of the CQC’s
single assessment framework, the
regulator has committed to:
• Appoint at least three chief
inspectors to lead on regulation and
improvement of hospitals, primary
care, and adult social care services.
• Modify the current assessment
framework to make it simpler and
ensure it is relevant to each sector.
• Ensure the right systems and tools
are in place to support its regulatory
activity.
• Improve the experience for providers
registering with the CQC.
SUPPLIER NEWS
Care home partners with
specialist provider to offer
rehab service
Luxury care home The Chase is
partnering with a specialist rehab
provider to offer short-term
accommodation to older people
recovering from illness and injury.
The Huntingdon care home, part of
the Connaught Care Collection, will
offer short-term accommodation and
rehabilitation services to older people
recovering from illness, injury, joint
operations, or medical events like stroke.
The home is partnering with
Therapies on Thames, a specialist
provider of inpatient rehabilitation and
post-op recovery services, to deliver
the scheme. Under an all-inclusive fee,
participants will temporarily stay at the
home and receive weekly physiotherapy
sessions, nutritional planning, tailored
health and wellbeing advice, and
round-the-clock care.
Care home rated Inadequate
An Essex care home has been given
the worst possible rating by inspectors
after one staff member was observed
using social media to research dementia
after an alleged lack of training by
the operator. The Care Quality
Commission dropped the rating for
Elmcroft Care Home in Maldon from
Requires improvement to Inadequate
and placed the home into special
measures to protect people, following
an inspection that took place in May
and June.
We Care Group launches staff
bonus scheme
Care provider We Care Group has
launched a £1 million-plus annual
bonus programme to reward staff and
enhance employee wellbeing. Staff
bonuses are scheduled to be paid every
three months, and the annual bonus
amount is set to exceed £1 million in
the first 12 months.
Ben Obese-Jecty, MP for Huntingdon, cuts a ribbon to launch
The Chase's partnership scheme
CARING-TIMES.CO.UK NOVEMBER 2024 | 5
business | real estate & development
Property news
refurbishment before reopening Deer Park as a care home.
Business property advisor Christie & Co facilitated the sale.
Family-owned care provider CHD Living, has commenced
construction of a a 60-bed care home Elstead, Surrey, set to
open in autumn next year. It will provide long-term nursing
care, post-operative care and reablement services and have
spacious residential rooms, landscaped gardens and a variety
of communal spaces. The development will occupy part of a
larger residential site, which completed last year comprising
69 detached houses and apartments. The approved planning
permission covers a 3,000 square metre area designated for the
home, set in one acre of grounds.
Exemplar Health Care has opened its new South Elmsall care
home after an extensive refurbishment process, which began
in January this year. Hamilton Springs care home supports
adults living with complex mental health needs, dementia,
neuro-disabilities and physical disabilities. The home has
37 bedrooms with en suite wet rooms, split across three units.
The home also features communal dining and living spaces,
sensory bathrooms, an activities hub, a therapy room and a
large accessible garden.
Care home operator, Curo Care Group, has purchased two
care homes in Stockport, Greater Manchester, and a further
two in Cumbria with the backing of a loan from Triodos Bank
UK. Set in the town of Marple, Stockport, Marple Lodge is
a 20-bed care home providing residential, mental health and
dementia care. With 19 beds, Grove Lodge is in the nearby
village of Hazel Grove and shares the same specialities. Set
on the outskirts of Cockermouth, Cumbria, Hames Hall is a
25-bed care home offering palliative, residential and respite
care. Providing 18 beds, Chichester Hall is close to the seaside
town of Silloth, Cumbria and offers the same specialities, as
well as dementia care.
The Healthcare Management Trust has acquired St Quentin
Care Homes comprising three care homes located on the
same site in Newcastle-Under-Lyme: St Quentin with 19
single bedrooms; The Hawthorns with 31 single rooms and
two double rooms; and Langley house, a new younger adults
care home which has 22 wetroom en suite bedrooms with sky
tracking, sensory room and rehabilitation facilities.
Family-run business Camelot Care has acquired Deer Park
Care Home in Holsworthy, Devon, a former care home which
previously traded for many years offering elderly care with
a Care Quality Commission registration for a capacity of
56 residents. The new owner plans to undertake a period of
Stockport Council and Greater Manchester Combined
Authority have appointed contractor Rowlinson to build a
multi-generational residential community which will include
an 82-bed intermediate care scheme, called the Academy of
Living. Located in Stockport town centre The Academy will
support people transitioning between hospital and home. The
community will also include affordable housing with a mix of
shared ownership and social rent.
6 | NOVEMBER 2024 CARING-TIMES.CO.UK
real estate & development | business
Midlands Care has acquired three purpose-built care homes
in Leicestershire: Parkhouse Grange Care Home in Earl
Shilton; Whetstone Grange Care Home in Whetstone;
and Enderby Grange Care Home in Narborough offer
spacious rooms and communal spaces, as well as amenities
for individuals requiring personal care, including those with
dementia and other health conditions.
Investments secured full planning permission for a premium
style care home of 78 bedrooms with en suite wetrooms
set in landscaped grounds. The building incorporates five
households, in a part two-, part three-storey design.
An unnamed first-time buyer has acquired Inwood House
care home in Salisbury, Wiltshire, which is registered to
provide care for a maximum of 20 service users. The property
has 20 single bedrooms, 19 with en suite facilities, plenty of
day space, a passenger lift and large rear gardens. The business
has been owned and operated by retiring Alan and Diana
Butchers since 2003.
Specialist care home provider Sandbourne House has
acquired two Hampshire care homes from Auckland Care
Holdings. Seventrees in Fawley is registered for eight people
with learning disabilities. It occupies a detached two-storey
dwelling offering all-single bedrooms, plenty of day space,
and a large secure rear garden. Webber House in Park Gate is
a supported living setting for nine residents offering 11 single
bedrooms and a rear garden, good day space, and a passenger
lift.
The Isiakpere family has purchased Shottendane Nursing
Home in Margate, Kent, which is registered for 38 residents.
The vendor is Laurence Waitt. The Grade II listed building,
built in 1910 and set up as a seaside convalescent home for
railway workers in 1927, became Shottendane Nursing Home
in 1988. Business property advisor Christie & Co facilitated
the sale.
Real estate fund Elevation Healthcare Properties, in
partnership with care home operator Anavo, acquired a site
with planning consent for a care home in Havant, Hampshire.
The vendor is Brackley Investments and healthcare real
estate agent Portunus Associates brokered the sale. Brackley
Nursing and care home operator Country Court has sold a
portfolio of three care homes for around £50 million. The
transaction includes the sale and leaseback of Hermitage
House, a luxury care home in Kettering Thrapston,
Northamptonshire, providing residential and specialist
dementia care. Country Court has signed a 35-year lease to
continue to operate the asset. The transaction also includes
the sale of two care home developments with planning
consent in place. In a forward funding structure, an
undisclosed fund has acquired care homes in Chippenham
and Lincoln, with Country Court retained as the long-term
operator.
CARING-TIMES.CO.UK NOVEMBER 2024 | 7
business | personnel
People moves
in association with
Anthony Miller
Intellectual disabilities care provider Milewood Healthcare has
appointed Anthony Miller as director of business development and
growth, responsible for expanding services, increasing occupancy,
and building strong relationships with commissioners and other
stakeholders. Miller has more than 25 years’ healthcare sector
experience, particularly within private equity-backed specialist care
organisations. He was previously head of business development at
Aspirations Care and before that business development manager at
Salutem Healthcare. He also worked at Priory-owned Craegmoor,
where he managed the development of five new specialist services
and expanded the business into Northern Ireland.
Colleen Joubert
David Moore
moving onto a role at Dementia Care Matters. Subsequently, he
worked at the University of Worcester as head of education, and
as dementia lead at West Sussex County Council. He also led
dementia strategies at other care operators. In addition, he has
written 10 books on dementia, had numerous research articles
published, and is a regular speaker at dementia conferences.
Richard Scarth
Aura Care Living has appointed Richard Scarth as chief
operations officer and Colleen Joubert as care home general
manager. Scarth has more than 20 years’ experience within the
health and social care sector and previously held senior positions
with Sunrise Senior Living, Barchester Healthcare and Care UK.
Between 2015 and 2022 he worked in the NHS at director and
chief executive level and was instrumental in developing schemes
to support patients moving from acute care into residential and
nursing care. Most recently, he left the NHS for an operational
role within a fire and rescue service and currently splits his time
between life on shift and time spent working for Aura. Joubert
qualified as a nurse 28 years ago before going on to community
nurse, midwife and psychiatric nurse.
Hamberley Care Homes has appointed David Moore as head of
dementia. Moore has held multiple leadership roles in dementia
care and dementia education. He began his career at Merevale
House as a carer and eventually became the manager before
Claudette Marcano
Ambient Support has appointed Claudette Marcano as chief
finance officer to help manage and implement the charity's
plans for growth. Ambient Support provides care and support
services for older people, people with a mental health need and
people with a learning disability. Previously chief finance officer
at Alliance Homes Group, Marcano has business and finance
experience in the private and public sectors. She is a Chartered
Institute of Management Accountants qualified accountant and
holds the ACT certificate in treasury.
8 | NOVEMBER 2024 CARING-TIMES.CO.UK
personnel | business
London-focused luxury care provider Loveday & Co has
appointed Sian Hammer as managing director. Hammer has
experience of strategic management and senior care services in
the senior living, housing and care sectors. She was previously
group sales and marketing director and board director at Audley
Group and before that held senior leadership positions within
healthcare and residential real estate.
Vishul Seewoolall
Care home provider Signature Senior Lifestyle has appointed
Vishul Seewoolall as chief operating officer. Seewoolall has had
a 20-year career in the care industry and was previously group
director of operations and sales at Signature Senior Lifestyle,
having originally joined the company in 2018 as regional
operations director. Before that, Seewoolall held leadership roles
at care organisations including Bupa, Look Ahead and MTVH.
He also holds multiple accreditations in community mental
health, psychology, registered management and quality assurance.
Laura Chinyere-Ezeh
UK and Ireland law firm Browne Jacobson has appointed
Laura Chinyere-Ezeh as HR consultant in health and social
care to lead a new offering for residential care homes, nursing
homes, domiciliary care providers and hospices, based at the
firm’s Birmingham office. Chinyere-Ezeh has more than a decade
of experience as an HR generalist. She was previously an HR
business partner at Ramsay Healthcare, and was part of senior
leadership teams for three neurological rehabilitation centres’
clinical support functions for acute care and central corporate
teams. She has also held several HR management positions,
including with a domiciliary care provider for local authorities.
Sir Julian Hartley
The Care Quality Commission has appointed Sir Julian
Hartley as its new chief executive. Sir Julian has been the chief
executive of NHS Providers since February last year, and was
chief executive of Leeds Teaching Hospitals NHS Trust since
2013. Sir Julian said: "It is vitally important for NHS trusts,
foundation trusts and the wider health and care sector to have
effective regulation to support improvement and safe care for
patients. This move will give me an opportunity to really focus on
that goal.”
Joe Mulrenan
Law firm Anthony Collins has appointed Joe Mulrenan as
legal director in its corporate team. Mulrenan previously
worked at HCR Law. He has more than 10 years’ experience
of dealmaking activity and advising health and social care
organisations, including those offering specialist care, supported
living and children’s care. Mulrenan has also acted for many
financial institutions and entrepreneurs, on complex mergers
and acquisitions transactions. His experience also spans the
manufacturing and communications sectors.
Sian Hammer
CARING-TIMES.CO.UK NOVEMBER 2024 | 9
business | legal and regulatory
Get ahead of the story
Ensuring effective communication in the event of a crisis is critical to preserving the
bond of trust between care providers and care receivers and their loved ones, explains
William Walter, founder and managing director of Bridgehead Communications
The social care sector operates
where trust and accountability
are paramount. With the
wellbeing of vulnerable individuals at
stake, any crisis can escalate quickly.
Navigating such moments effectively is
an important skill for any provider in
the sector.
Prepare
Effective crisis management begins
well before a crisis ever unfolds. For
care providers, proactive preparation
is key. This includes developing a clear,
adaptable crisis communications plan
that ensures your care organisation can
respond swiftly and confidently when
challenges arise.
An effective crisis comms plan
involves detailed protocols for all staff
to follow in the event of a journalist
making contact. These protocols should
make clear who press enquiries should
be directed to and their contact details.
They should also include pre-prepared
holding statements to be issued to buy
you time.
Fostering relationships with third
parties is also important. Establishing
connections with local and trade
journalists before a crisis occurs can pay
dividends. By inviting them to events,
sharing positive news, and being open
about your work you can cultivate a
reputation of transparency and trust.
This can help to ensure that any media
coverage surrounding a crisis event is
“An effective
crisis comms plan
involves detailed
protocols for all
staff to follow in the
event of a journalist
making contact.”
“Establishing
connections with local
and trade journalists
before a crisis occurs
can pay dividends.”
covered in a broader, more sympathetic
context rather than focusing solely on
more negative aspects.
Get ahead
If you spot a crisis looming before it’s
made public, often it’s better to take
control of the story. Waiting for news
to leak is rarely advantageous. Instead,
proactively communicating it ahead
of time, particularly to a sympathetic
journalist, can help you to take control
of the narrative.
Informing journalists about the
crisis before they hear it from other
sources, providing a well-crafted
statement acknowledging the situation,
taking accountability, and outlining
solutions can help to limit damage
to your reputation and retain public
confidence.
Accountability
Crises often come out of the blue.
When they do, media management
becomes critical. Before speaking to the
press, ensure you fully grasp the details.
Ambiguity can make you appear evasive
and as though you lack full control of
the situation. Transparency in a crisis
can often be your ally. If an error occurs,
acknowledge it, but also make clear
how you will remedy it.
Equally important is the tone of
communication. Social care is centred
around people, and responses should
reflect empathy and accountability.
This doesn't mean dodging hard
questions; rather, it means steering the
conversation back to your key messages
William Walter
“Crises often come
out of the blue.
When they do,
media management
becomes critical.
Before speaking to
the press, ensure
you fully grasp
the details.”
such as your values, commitment to
improvement, and steps being taken to
address the crisis.
Managing a crisis in social care goes
beyond damage control – it’s about
preserving the trust of care receivers,
their families, and the community.
By preparing thoroughly, building
media relationships, and responding
with transparency and empathy, care
providers can shield their reputations.
Proactively and reactively controlling
the narrative can make the difference
between a crisis that undermines trust
and one that ultimately reinforces
your organisation’s integrity and
commitment to those in your care.
10 | NOVEMBER 2024 CARING-TIMES.CO.UK
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business | legal and regulatory
Your duty to prevent fire
Beth Farrer, an associate at law firm Mills & Reeve, provides an overview of the
general fire safety responsibilities for care home providers
In last month’s legal column, my
colleague Sam Lindsay noted that
fire is a particularly high-risk area for
care providers, particularly for residential
services. The care home environment
presents unique challenges and the
consequences of getting fire safety wrong
can have catastrophic results.
The main piece of legislation
governing fire safety in buildings, places
and structures other than individual
private homes in England and Wales
is the Regulatory Reform (Fire Safety)
Order 2005 or the ‘Fire Safety Order’
(FSO).
Who does this apply to?
The FSO places responsibilities for
ensuring premises meet required fire
safety standards on the “responsible
person”, who is either the employer, if
the workplace is under their control,
or the person who has control over the
premises, for instance the occupier or
owner.
The responsible person must ensure
that any duty imposed on it by the FSO
is complied with, as a failure to do so will
mean it is committing a criminal offence
punishable by unlimited fine and/or
imprisonment.
Risk assessments
A responsible person must conduct a
suitable and sufficient assessment of the
risk and identify the necessary general
fire precautions, which are defined as
being measures to reduce the risk of fire,
and spread of fire, on the premises.
The person conducting the assessment
must be competent and capable of
ensuring that the risk assessment is
suitable and sufficient.
The government has published
detailed guidance titled ‘Fire safety risk
assessment: residential care premises’
to assist the completion of effective risk
assessments. The assessment should
cover the whole of the premises and be
carried out in a practical and systemic
way, and must be reviewed at regular
intervals and when there is a material
change in circumstances.
Case law has confirmed that fire risk
assessments for residential care home
premises should extend to practical
considerations and not be limited
strictly to risks arising from the building
or premises themselves. For instance,
they need to cover risk from smoking,
for example.
Key duties
The key duties of a responsible person
under the FSO are as follows:
• Take general fire precautions.
• Conduct a suitable and sufficient
assessment of the risks.
• Make, give effect to and maintain any
fire safety arrangements.
• Eliminate or reduce any risks from
dangerous substances.
• Ensure that the premises are equipped
with appropriate fire-fighting
equipment and detectors.
• Ensure that emergency exits are kept
clear at all times.
• Establish and, where necessary,
give effect to appropriate fire safety
procedures, including safety drills.
Beth Farrer
• Ensure that the premises and any
facilities, equipment and devices are
maintained, and
• Provide employees with fire safety
information and provide adequate
safety training.
The FSO includes further duties for
premises where there may be dangerous
substances and hazards, which should be
considered as necessary – items such as
oxygen tanks, for example.
As with the risk assessment, the
responsible person must ensure that
a competent person assists with
implementing fire safety measures. All of
your workforce will need to be informed
about relevant fire safety information
including information specific to their
role.
New homes must be fitted with
sprinklers
A provision for sprinklers to be installed
in new care homes from March next
year was announced in September by the
building safety minister, Rushanara Ali.
This is not retrospective, and therefore
only applies to new care homes, however
many have opted to include sprinklers
in their care home designs. Sprinklers
offer an enhanced protection and
are particularly useful in instances of
building evacuation where residents may
be reliant on others for assistance.
12 | NOVEMBER 2024 CARING-TIMES.CO.UK
Opportunity for change
politics and policy | business
Alan Payne, group director at software provider Access HSC attended the Labour Party
conference and spoke to health and social care minister Wes Streeting and care minister Stephen
Kinnock about the role of digital and data following the publication of Lord Darzi’s review
Wes Streeting and his team
have committed to three
big shifts in health and
social care – the move from hospital to
community, analogue to digital, and
reactive to preventative care.
At the Labour Party Conference
in Liverpool a few weeks ago, there
were detailed discussions about how
this would be delivered, including the
important recognition of the significant
challenges in social care and how it
has long been the Cinderella service
compared to healthcare.
Yet, to achieve what Streeting calls
Labour’s “mission-led” strategy and three
big shifts in health and social care, which
will also include a National Care Service,
critical issues such as staff pay, retention
and recruitment all need addressing.
Therefore, it was encouraging to
hear comments from the care minister
Stephen Kinnock about giving social
care the “priority it deserves and needs”,
and discussions at the fringe events
about delivering an imminent Fair Pay
Agreement for adult social carers.
The ministerial team also championed
a “new direction” at the conference,
which includes investment and reform.
Commenting on the mistakes of the
previous governments that have taken
an either/or approach, Streeting talked
about lobbying for investment that
enables the delivery of a National
Care Service and focusing on reform
that delivers whole-person care. In
doing so, he will consider wider social
determinants of social care (and health)
such as housing, social security and
education.
Role for tech
With technology being so central to the
government’s plans and recent reports
such as Lord Darzi’s review calling for
a “tilt towards technology”, it was also
encouraging to see a focus on digital and
data. MPs including Anna Dixon and
Ben Coleman rightly highlighted the
importance of commissioning innovative
technology and continuing to scale
existing and effective digital solutions
such as digitalised care plans. There was
also the acknowledgement of disparate
data and the need to deliver more joined
up information sharing across the sector.
Notably, Kinnock acknowledged there
needs to be a fourth “big shift” from
piecemeal to systemic improvements
across the health service. And while he
wasn’t talking specifically about tech,
this is certainly the right approach
for the future, because we all know
that social care isn’t starting from
scratch. It isn’t as much a shift from
analogue to digital, but a move from
disparate digitalisation to whole-scale
transformative implementation.
There are so many great examples
across the country of Streeting’s vision
of digitally enabled social care services.
For example, Bay Care, a domiciliary
and live-in care provider in Devon
that uses carer scheduling, electronic
care planning, electronic MAR,
mobile working, and care monitoring,
billing and finances to create a realtime
view of care for its citizens and
saves £111,000 a year on admin. And
Sutton London Borough Council,
replacing reactive telecare models with
proactive, preventative, inclusive digital
technologies that aid independent living.
However, unfortunately, too often
these are isolated examples that
reflect locally driven needs because
of the very nature of service demand,
commissioning models and extremely
limited budgets. What really needs to
be prioritised by government is the right
investment and reform to empower
councils and care providers to scale
digital (and data) in such a way that
it doesn’t continue to mimic the silos
already in existence within social care
settings.
Opportunity for change
At the conference, there was also a
heavy emphasis on the Long Term
Plan that will be published next spring,
Alan Payne
including a commitment to a national
conversation on what it needs to address.
As part of this process, it’s vital that
government has a genuine understanding
of the complexity of care tech and data
integration.
And with the consultation expected
“‘imminently”, there’s a real opportunity
to tackle these issues and champion
tangible change for commissioners and
providers of social care.
It means we’re at a critical juncture,
whereby the ambitions of the new
government are laudable and early
signals suggest opportunities for
collaboration that will influence their
“mission-led strategy” over the next 10
years. Therefore, it’s on us, collectively,
to make visible the common challenges
faced by service providers and their
industry partners. For example, the
competing commissioning incentives
across care settings (that cause friction
between the part of the system that
invests in technology and the part that
benefits) and the duplication of siloed
decisions that inhibit patient flow and
prevent economies of scale.
Only by taking these immediate next
steps, can we create the evidence for the
national conversation on the 10-year
plan and give social care the best chance
of becoming a fully digitally-enabled
national service that is empowered to
provide more preventative care closer to
home.
CARING-TIMES.CO.UK NOVEMBER 2024 | 13
business | legal and regulatory
On the origin of leases
Rob Walton, real estate partner and Sean O'Mahony, a trainee in the health
and social care team at law firm RWK Goodman highlight key considerations
for care providers when taking on or renewing a lease
Leases can be favourable given the
flexibility they offer compared
to owning the freehold outright,
but only if they suitably protect a care
provider’s interests. Providers may look
to set up a new business and purchase a
lease in the process (known as ‘taking’
a lease). Alternatively, the term of their
tenancy may be drawing to a close and
the provider would like to renew at the
same property as before. Below we have
highlighted some of key areas providers
should remain mindful of when taking
or renewing a lease.
Preparatory work
Where providers are looking to take
a new lease, they should spend time
evaluating the business needs. Providers
might consider factors such as the
number of beds at the property, its
location to determine if it’s easily
accessible, and whether it might be
subject to nearby disturbances from
neighbours if it’s in a built-up area. The
more that can be done at this stage will
narrow the options and save both time
and money in the long term.
Even where a provider is looking
to renew an existing lease, this step
is advisable because it may identify a
property elsewhere that presents a new
opportunity and possibly on favourable
terms.
“Even where a provider
is looking to renew an
existing lease, this step
is advisable because it
may identify a property
elsewhere that presents
a new opportunity and
possibly on favourable
terms.”
For new leases, once a property has
been identified the provider should
contact the owner or their agent to
negotiate heads of terms. This will set
out the basic terms of the lease, such
as the annual rent, any rent review
provisions, and the contractual term.
Providers should consider agreeing
additional provisions that offer greater
flexibility such as break clauses and
assignment or underletting. Instructing
an agent at this stage can deduce the
commerciality of the terms and its
suitability for the provider. Issues
should be ironed out at this stage to
prevent protracted negotiations later.
When renewing a lease, heads of
terms should still be agreed, although
providers should expect increases to
their annual rent in line with inflation
and should seek to agree a cap.
Investigations
Once the heads of terms have been
finalised, a deeper dive into the
property and lease should take place.
Investigating the title and
searches
Where the property is registered, a
copy of its title register and plan can be
obtained from the Land Registry. If it
is unregistered, a solicitor will ask the
landlord to deduce title to the property.
Providers should be aware that some
leasehold properties own a separate title
number from the overarching freehold,
so both should be inspected. A solicitor
can determine any issues by considering
areas such as the seller’s identity, if
the property has a sufficient class of
title, any charges against the property,
and boundaries or covenants that may
affect the property’s use. For example,
a restrictive covenant may prevent the
property from being used as anything
other than an office, making the
property unusable without permission
from the person or company who
granted it. This can often take time and
prove costly to a provider. A provider
would be well advised to take this step
whether they are taking or renewing a
lease as entries may have been added to
the register since their tenancy began.
Some searches are advised prior
to taking a new lease to determine
whether the property is suitable.
Searches commonly used in
transactions include:
Local authority – shows matters
affecting the property such as planning
permissions, building regulation
consents and proposals.
Environmental – reveals whether
the property is built on or near
contaminated land or water and
addresses the risk of flooding.
Water and drainage – showing how
water is supplied to the property and
sewer connections.
Mining searches – determi es whether
the property is situated near a mine
entry and any subsidence issues.
Once searches have been returned,
further enquiries regarding issues
identified can be made to the seller to
ensure the property has complied with
any remedial actions.
The landlord should provide (at their
cost) a management pack containing
further information about the property.
This will include details of any major
works, service charges and ground rent.
Review this carefully to ensure that
there are no surprises later down the
line.
Reviewing the lease
Some areas of a lease that should be
considered are self-explanatory for a
provider, such as rent, its frequency,
and the term of the lease, and can be
easily determined on review. There are,
however, other areas that providers
should remain mindful of.
Checking a lease to ensure it includes
14 | NOVEMBER 2024 CARING-TIMES.CO.UK
“Newer care providers,
who don’t have the most
detailed financial history
available, may be required
to give the landlord a
deposit by way of a rent
deposit deed.”
the correct permitted use and that the
permitted use is validly authorised
by the local planning authority is
paramount. A suitable lease contains
use under C2 of the Town and Country
Planning Act. The absence of this, or
a different use, should be raised with
the landlord as care providers cannot
lawfully run their business without it.
Repair and alteration clauses should
also be considered. The reality for care
providers is that a property can be
subject to wear and tear. Limiting any
repair clauses to a schedule of condition
is favourable. This will annex photos to
the lease which show the condition of
the property prior to tenancy. The clause
should then limit the provider’s liability
to put the property in the condition
shown by the schedule. Note whether
the lease allows for alterations to the
property as some providers may wish
to add or remove room partitioning, so
ensuring the lease does not restrict the
tenant from doing so is key.
Break clauses can be incorporated
which allow for the early termination
of the lease. We sometimes act for
providers that take on service users
who move at short notice. In some
cases, a tenant-only break clause can
be inserted which can bring the lease
to an end if any of the care contracts
are terminated. These are known as
a ‘rolling break clause’ and will often
require the provider to give notice to
the landlord that because care contracts
were terminated, the provider wishes to
rely on the rolling break clause to end
the lease early.
The lease will determine whether
it can be transferred, known as an
assignment, to a new tenant. It is
difficult to predict what challenges or
opportunities may present themselves
in several years’ time so recognising
this is paramount. A clause can be
negotiated that grants an option to
sell the remainder of the lease term to
a new tenant, subject to the landlord’s
consent. This offers flexibility and
security for providers looking to
relocate in future.
Newer care providers, who don’t
have the most detailed financial history
available, may be required to give the
landlord a deposit by way of a rent
deposit deed. This will specify a number
of months’ rent to be paid in advance as
security to the landlord against financial
difficulties the provider may face.
Insurance
Remain mindful of what obligations
are contained in the lease for the
landlord to insure the property. These
are usually defined as ‘insured risks’
and list situations where the landlord is
responsible for having a policy in place
to cover damage at the property.
Note what the landlord’s obligations
are to maintain the property. Should it
fall into disrepair, the lease may include
a compensatory clause to the tenant’s
benefit.
Completion
Having funds available to transfer
to the seller on completion is fairly
straightforward and a solicitor should
advise the provider in advance. Providers
need to ensure that any mortgage or
refinancing secured is appropriate for
the transaction. Securing lending can
take time, so providers should consider
how they mean to cover fees incurred in
the early stages of a lease, such as work
carried out by their agent or solicitor.
Where a provider intends to pay the
sums from its own pocket, it is vital
to ensure that all the necessary funds
will be available, including any deposit
required by the landlord.
Stamp Duty Land Tax (SDLT), or
Land Transaction Tax for properties in
Wales, is payable on commercial leases.
Solicitors cannot provide tailored
tax advice so providers will need to
consult their accountant for a detailed
assessment of their affordability. It’s
easy to overlook SDLT because of basic
costs such as rent and solicitor/agent
fees. SDLT is payable within 14 days of
the ‘effective date’ of transaction, which
is commonly the date of completion.
As we have seen, there are several
considerations for care providers when
taking on a new lease or renewing
an existing one such as business size,
aims and strategy. It is therefore
recommended that any professional
advisors you use have experience of the
health and social care market so that
they can provide tailored and pragmatic
guidance.
CARING-TIMES.CO.UK NOVEMBER 2024 | 15
business | leader's spotlight
Do-it-yourself care tech
Why don’t more care homes design their own AI-based compliance software?
It sounds an unenviable task, but it’s paid off for Paul Nery and Rose Care
Group as its Carey AI system (under the banner of Quik-AI) becomes available
for other UK care homes to purchase
As if managing 10 care homes was
not enough to keep them busy,
Nery and his team also got stuck
into the technology side of care too.
Under the banner of his newest company,
Quik-AI, the managing director and
his colleagues at Rose Care Group have
designed their own AI-based care home
management software, named Carey,
rather than employ one of the many
software suppliers in the sector, ensuring
full control of how the system works for
RCG’s homes.
On the system’s inception, Nery says:
“I’ve found that ensuring robust care
delivery is about creating structure from
complexity, so a lot of energy has gone
into creating stable working approaches
for our teams that give them confidence
that we can achieve what we need to.
Innovation is integral to what we do
and we employ an active technology
team, disproportionately large for our
size, that has built our own care home
management software and launched a
first-of-its-kind AI system.”
Explaining that, in a very short period
of time, Carey has gone from being
an in-house pet project for RCG to a
legitimate business, Nery continues:
“The AI audits our care plans and is now
commercially available in the UK. Carey
has been a huge time-saver since she can
audit a care plan in about five minutes
and tell you what’s wrong. She’s also
driven up care plan compliance to 95%,
reduced costs and boosted happiness of
staff within the firm as a whole.”
The platform has already been rolled
out across Rose Care Group’s 10 homes.
Nery explained that the Carey-AI
platform can review and audit care plans,
carry out daily monitoring, suggest
best-practice care improvements, point
users to further information, and analyse
trends and patterns. Users interact with
the platform by asking ‘Carey’ questions
and giving commands.
Nery, who has a degree in computer
science, said he developed the platform
to tackle deepening challenges around
compliance. “Case complexity is rising
– how are we going to keep pace when
already people are put off in our sector
because they’re thinking I have to do
so much compliance work?” he says.
“We have done some statistical analysis,
and our managers reckon that they’ve
saved around five hours personally
per week each, while senior carers are
saving around an hour a day. Average
compliance in care planning is around
80% and we are seeing the stats rise to
95% for everybody.”
The platform is used by senior staff
including the quality assurance director,
area managers, home managers and
senior carers. Rose Care Group has
already changed practice based on
information highlighted by Carey, after
asking the platform for an incident
report covering the last month.
“It turned out that one site had most
of its events occur on a Friday, so we
adjusted our staffing duties on the Friday
to mitigate the effects of those incidents,”
says Nery. “We have definitely caught
more incidents than we would have in the
past just off the back of that change.
“The AI audits our
care plans and is
now commercially
available in the UK”
“Having only launched two months
ago, we really want to deliver for both
RCG’s care homes and also the raft of
customers who have come on-board to
use it too as there are so many areas, not
just care plans, where she can transform
our approaches to care. In a sector where
regulatory pressure is high and standards
are continually rising, Carey has already
made a huge difference to how operators
using her can tackle the complexity of
compliance and increasing resident
acuity.”
“Ensuring robust
care delivery is
about creating
structure from
complexity”
16 | NOVEMBER 2024 CARING-TIMES.CO.UK
Requires improvement
As the Care Quality Commission welcomes new chief executive Julian
Hartley, Caring Times asks some of the sector’s key players: did the Dash
report do the trick and is the regulator on the road to improvement?
law | business
Sue Sheath, director of
regulation and quality,
Barchester Healthcare
How was your experience with the CQC
prior to 2024?
It’s important to state from the outset,
we all want and need good regulation
in the sector. We at Barchester, and I am
sure many industry colleagues, would
be delighted to work with the CQC to
achieve this. Genuine co-production
and joint testing are essential to ensure
that the system delivers confidence to all
stakeholders.
Until the start of the Covid pandemic,
our experience with the CQC was
generally positive. Services were
inspected periodically. There were
named inspectors for each service.
This transparency enabled us to design
systems for continuous improvement of
our services. In about 2019, however,
we saw a new focus on “intelligence” –
often negative views from former staff
who had been dismissed for poor care
delivery that wasn’t triangulated. At the
start of the pandemic, the CQC became
invisible, rarely visiting services. It then
focused on what it perceived to be risk
areas, often guided by this so-called
intelligence. We need to get back to
good-quality, transparent regulation that
drives continuous improvement in the
sector.
Have things improved through 2024?
Unfortunately, through 2024 the
situation has deteriorated further.
We have multiple concerns about the
Single Assessment Framework (SAF).
Its implementation was badly planned.
There was no proper piloting. Quality
statement assessments were effectively
being decided using out-of-date and
non-aligned historical ratings. Despite
visiting, inspectors have asked for
excessive amounts of information,
readily available in the service, to be
scanned and sent afterwards, preventing
staff from delivering care. Much of
that information has been irrelevant,
for example, asking for policies when
the critical point is not whether we
have a policy but whether it’s being
implemented. Only 5% of our services
have had an assessment under the SAF
since December 2023. The few that have
taken place have lacked consistency. This
is demotivating for our hard-working
teams and fails to deliver up-to-date
information for the public. >
“We are continually
impressed by the
dedication and
commitment of the
vast majority of CQC
staff on the ground.”
Care Quality Commission's chief executive Sir Julian Hartley
CARING-TIMES.CO.UK NOVEMBER 2024 | 17
business | law
> We are continually impressed by the
dedication and commitment of the vast
majority of CQC staff on the ground.
They want to see the CQC succeed and
for the people in the services to enjoy the
best regulation experience, but have also
been let down by the way in which the
SAF and other innovations have been
rolled out.
The provider portal is not fit for
purpose. Many registered managers
are unable to access it and we have no
corporate oversight currently. It should
be suspended until the problems are
resolved. The factual accuracy portal is
also very clunky and needs some further
work.
Do you have faith in the CQC being able
to turn things around?
We are delighted that Sir Mike Richards
has been called back to provide some
much-needed insight and that Dr Penny
Dash has been able to cast an objective
eye over the situation.
It is crucial that the new chief
executive has the vision and drive
to make significant changes at pace.
Unfortunately, incremental, gradual
change will mean that a bad situation
will take years, if not decades, to recover.
For the sake of the residents, patients
and other stakeholders, there’s no time
to waste.
Lessons need to be learned from
sister regulators. Stakeholders get good
inspection service from regulators in
Wales, Scotland and Jersey and the
CQC should learn from them.
A matter of urgency is that old ratings
need to be reviewed, or the regulatory
requirement that we must display wholly
out of date, and somewhat misleading,
ratings must be revoked.
“It is crucial that
the new chief
executive has the
vision and drive to
make significant
changes at pace.”
Are there any potential changes the
regulator could make that you haven’t
seen discussed by government and media
yet? Any further comments?
It is secretary of state Wes Streeting’s
duty, and hopefully intention, to ensure
that the new chief executive has the tools
and the political cover to do whatever is
required to restore confidence, to deliver
for all stakeholders – residents, patients,
relatives, staff and providers.
Andrew Mangion, director of
operations, Boutique Care
Homes
How was your experience with the CQC
prior to 2024?
The relationship with the CQC has
not recovered since Covid-19. The
communication with homes’ local
inspectors disappeared and providers
did not know whether any of their
communications sent to the CQC were
being read by anyone, but at least we
were still able to use our portal and send
regulatory communications through
this facility. We knew that there were
many changes afoot at the CQC, both
in the direction it wanted to follow and
in its teams’ structure. However, most
of this knowledge came mainly through
individuals rather than through a CQC
statement. Generally though, we always
had a good relationship with our local
inspectors. We have not been inspected
at one of our homes for nearly five years,
two years at our second home and are
still waiting for our first inspection
for our newest home which opened in
January 2023.
Have things changed/improved through
2024?
I still cannot understand why the CQC
decided to ditch the existing portal,
which was basic but working just fine
and introduce something that created
havoc and even if it works (and in our
case it does not as we are still unable to
use the new portal), it is not going to
enable us to communicate any better or
across any more areas. As the nominated
individual, I have spent hours trying to
resolve this; to date I have not received
any assistance to resolve this issue and
nobody I have contacted is able or
willing to help. They just send an email
saying sorry for the inconvenience and
that they are trying to resolve it. The
SAF is fine in itself, but how it was
inspected and rated initially was wholly
unfair and unprofessional. Glad to
see the CQC saw sense and rectified
this injustice. We have not seen any
improvement except its admissions that
it got so many things wrong.
Do you have faith in the CQC being
able to turn things around?
To be honest I hope it does because I’m
old enough to remember the change
from CSCI to CQC and the mayhem
caused when every provider had to reregister
every care home all over again.
With respect to Wes Streeting, he keeps
telling us nothing is working but has
he given the CQC a clear indication of
what he expects from it, with a deadline
to achieve it? Changing chiefs will
not make everything right. The CQC
and us providers need a clear vision
of the government’s intentions and
expectations. Where is the motivation
for CQC colleagues when they don’t
even know if they will have a job in the
coming months? All the promises of
provider handbook, new chief etc are
‘nice to have’ but decent funding for
social care and its regulator with a clear
mandate of what’s expected should be
the priority.
Are there any potential changes the
regulator could make that you haven’t
seen discussed by government and
media yet? Any further comments?
Reintroduce local CQC inspectors to
get the relationship between provider
and regulator back to working for better
care of all residents. Confirm that SAF
is the way ahead for the sector so that
18 | NOVEMBER 2024 CARING-TIMES.CO.UK
law | business
we all get on with it. Either ditch the
new portal shambles and revert back
to the old system or resolve the issue.
The government must be brave and
unambiguous in what it wants for social
care, not least its funding for the long
term.
John Godden, chief executive,
Salutem Care and Education
How was your experience with the
CQC prior to 2024?
It was somewhat inconsistent,
particularly in terms of communication,
consistency of inspection outcomes
and inspection frequency, especially
services that were not inspected for
some years. The regulatory framework
often felt rigid and sometimes
disconnected from the complexities
of service delivery, particularly in our
complex, specialist care settings. While
the aim of inspections was always to
ensure quality and safety, the approach
occasionally lacked the flexibility needed
to understand unique challenges.
Communication was more reactive than
proactive, which could be frustrating.
A more collaborative and ongoing
dialogue would have been beneficial, as
it often felt like the process was more
“Reintroduce local
CQC inspectors to
get the relationship
between provider
and regulator back
to working for better
care of all residents.”
about compliance than genuine quality
improvement.
Have things changed/improved
through 2024?
Yes, 2024 has seen some improvements.
The introduction of the Single
Assessment Framework has brought the
prospect of some consistency and clarity
to the inspection process, allowing us to
better align our internal practices with
CQC expectations. This has helped shift
our focus towards continuous quality
improvement rather than preparing
reactively for inspections. However,
frequency and prioritisation of services
that we believe are Good and have not
been inspected has not improved.
The new provider portal has not
worked at all and the CQC has been
open to state we should not use it
for its intended use such as sharing
information to alter judgements.
Leadership changes have impacted
the relationship between providers
and the CQC, with a more open and
partnership-based approach emerging,
albeit slowly. This shift has fostered a
sense of being heard and supported,
making it easier to address challenges
collaboratively, but the necessity to
move to action is still slow.
Do you have faith in the CQC being
able to turn things around?
I am cautiously optimistic but this feels
like a journey of years not months.
The recent changes suggest that the
CQC is committed to improving its
practices and rebuilding trust with
providers. The new framework and
portal, when fixed, are steps in the right
direction, and the upcoming provider
handbook and new leadership give
further hope for positive change. The
scrutiny following the Dash report
and public backing from figures like
Wes Streeting indicates that the CQC
is under pressure to deliver. However,
this could also serve as a catalyst for
continued improvement. With the right
leadership and an ongoing commitment
to partnership working, the CQC can
regain confidence and set a new standard
for regulatory excellence which we
welcome, whether this is more likely to
produce the required progression rather
than a fresh start with a new construct is
a point of debate.
Are there any potential changes the
regulator could make that you haven’t
seen discussed by government and
media yet? Any further comments?
One potential improvement could be a
more tailored approach to inspections,
taking into account the specific needs
and challenges of different service
types. A dynamic model that reflects
the complexity of services would
provide a more accurate picture of
quality and performance. Additionally,
a stronger feedback mechanism where
providers can contribute to shaping the
inspection framework would make the
process more responsive and effective.
This would create a more balanced
regulatory environment that not only
identifies areas for improvement but also
highlights best practices that can inspire
others.
Overall, building a culture of mutual
respect and continuous improvement,
where both the regulator and providers
work together, is key to achieving the
best outcomes for those we support.
Amanda Keeler, compliance
manager, Walfinch home care
How was your experience with the
CQC prior to 2024?
At Walfinch we have never seen the
regulators as the enemy, but as an
essential partner in delivering the
highest-quality care. We appreciated
the fact that each provider had their
own, named, inspector, and if we asked
them anything, they were ready to help.
You could build a relationship with
them, so you knew your inspector and
they got to know about your specific >
CARING-TIMES.CO.UK NOVEMBER 2024 | 19
business | law
> business. That personalised approach
to providers is integral to providing
personalised care.
We welcome stringent CQC checks
and we train our franchisees and carers
to meet, and surpass, CQC standards.
Compliance is vital to safeguarding and
protecting clients, so we are keen to see
any changes that help the whole sector
achieve that. On a larger scale, a strong,
reliable regulator and inspectors are vital
in building a high-quality care sector
that benefits everyone.
Have things changed/improved
through 2024?
Bringing in a new regulatory system
inevitably means changes for providers
and this can be frustrating in the short
term, but in the long term, working
hand-in-hand with the CQC is essential.
Contacting it by the new central portal
can mean speaking to someone to whom
“It is well-known
across the sector
that new businesses
are waiting longer
than in the past for
registration, which
is preventing them
starting work.”
you may never have spoken before.
Initially this can make providers feel
that the personal relationship with their
regulator and inspector is reduced.
However, Kate Terroni, the former
interim chief executive of the CQC,
announced that it will be testing a new
approach to relationship management
so providers have a closer and more
consistent contact point. We welcome
any changes made to support providers
in a person- centred way. She has also
said it will continue working with
providers to identify improvements that
can be made to the portal, which we are
happy to help with.
Meanwhile, it is well-known across
the sector that new businesses are
waiting longer than in the past for
registration, which is preventing them
starting work. Part of this frustrating
problem is caused by the portal delaying
registration. Fortunately, this has already
been recognised, and the CQC says
it has increased the number of people
working in registration and is working
to complete outstanding registration
applications. Providers will be hoping
so, because at present they, and the
country as a whole, need to see more,
much-needed carers coming into the
community.
There are also new businesses which,
though registered, have waited over three
years for an inspection – yes, they can
work with private contracts – but clients
and families look online for inspection
ratings before choosing a service, so a
provider without a rating risks losing
customers. Terroni announced that
the CQC will increase the number
of assessments and inspections that it
carries out.
What's more, the CQC says it is
working to increase and improve the
support and guidance for providers
on its regulatory approach, so the new
assessment framework handbook cannot
arrive too soon. Providers want guidance
and clear leadership, so we know what
‘Good’ looks like.
Do you have faith in the CQC being
able to turn things around?
It certainly should turn things around,
because the care sector is full of great
carers and leaders who want to improve
clients’ lives, and the regulator is vital to
this.
Are there any potential changes the
regulator could make that you haven’t
seen discussed by government and
media yet? Any further comments?
One factor that could make things
easier is the use of new technology.
At Walfinch we are rolling out a care
management software system that can
be used to help create client-centred
care plans, simplify risk assessments of
their environment, and record what
they would like to happen as a result of
getting a carer. It increases transparency,
helps providers make better decisions,
can improve care quality, and there is
evidence that it supports outstanding
CQC inspections, which may save the
CQC effort and benefit everyone.
20 | NOVEMBER 2024 CARING-TIMES.CO.UK
Councillor Beverley Egan, chair of Essex County Council’s Caring Communities
Commission says it’s time for a new way of tackling public service pressures
opinion | business
Time for whole system change
It’s no secret that health and social
care services are under immense
pressure. Increasing numbers and
complexity of need, particularly since
the pandemic, is one of the main drivers
of demand across Essex and the whole
country, with these pressures set to keep
rising.
Despite the fact that nearly 50% of
Essex County Council’s budget is invested
in care services, we struggle to meet all the
needs of our residents all the time in the
way we and they would like. Across the
public service landscape more widely, we
see organisations struggling to keep up
with increasing demands placed on them.
It’s clearly time to find new and
different ways of doing things. We want
the most vulnerable in our society, and
their families, to receive the care and
support they deserve from all our public
services. We want our front line staff, in
whatever organisations they work in, to
feel they can give their best to the people
who need it every day.
It was therefore my privilege to
chair the first meeting of the Caring
Communities Commission. This is a
powerful group of diverse organisations
representing the NHS, voluntary
sector, political groups and healthcare
providers, determined to change the
status quo for public services.
In its first year, the commission will be
listening to communities to understand
their health and social care concerns
using face-to-face meetings and online
forums. This includes meetings with
healthcare providers, front line staff and
service users across Essex.
The commission will explore local
and community-based solutions focused
on the whole system, in particular,
by looking at early intervention and
prevention.
All the commissioners bring knowledge
and experience, but most importantly
passion and commitment, to help us
answer the big question – how can we
make sure everyone receives the support
they need throughout their lives?
We will explore how best to foster
resilient communities, including where
existing assets can be amplified and how
connections can be strengthened. We
will then produce a report in March next
year setting out our initial findings.
This report will not only drive real
change in outcomes across Essex – we
also hope it will influence government in
driving national change.
I have spent the whole of my career
in the voluntary and public sector, most
recently as cabinet member for children’s
services and early years at Essex County
Council. As a result, I am particularly
keen to engage with people who use our
services and have real experience of the
Councillor Beverley Egan
challenges we are trying to address.
I have seen first-hand, through my
work with children in care, that the
people with the deepest understanding
of public services are those who must
make sense of them for their wellbeing
and their families’ wellbeing.
The Caring Communities
Commission looks forward to learning
as much as possible over the next few
months as we work towards real change.
You can stay up to date on our progress
and meet the commissioners on our
website: essex.gov.uk/adult-social-careand-health/essex-caring-communitiescommission
Commissioners of the Caring Communities Commission
The Caring Communities Commission
at its inaugural meeting
CARING-TIMES.CO.UK NOVEMBER 2024 | 21
business | legal & regulatory
One word is not enough
Kevin Shaw, chief executive of Hartford Care, comments on whether changes
to Ofsted’s ranking system could – and should – apply to the CQC
In the wake of Ofsted’s changes to its
ratings system, namely the abolition
of its one-word-fits-all rankings,
calls for similar changes to the CQC’s
own process are growing louder. This is a
change that we at Hartford Care believe
couldn’t come a moment too soon.
While a range of well-publicised
issues can be identified, we believe
that the single biggest hurdle facing
care homes with a negative rating is
the CQC’s inspection timescales. The
CQC’s system means care homes with
an existing rating are inspected based
on a series of quality statements. The
CQC will select which statements
to look at during their visit; they are
highly unlikely to look at all of them.
This selection will be based on national
priorities and information on record
about the care home. The new scores for
these quality statements will be based
entirely on the new assessment, however
for remaining quality statements, scores
will be based on previous findings.
This means that even if a home has
improved its ranking in those areas,
it could still be years before the other
statements are reconsidered which could
lead to the overall rating remaining
the same even though the home has
improved. It could – and can – take,
quite literally, decades for a home to
be formally recognised, and to shake
the damning indictment of a one-word
rating. Care homes become trapped.
A ‘Requires improvement’ or
‘Inadequate’ rating is a red flag to
potential residents and their families,
impacting private sales, while an
embargo by local authorities on
‘Inadequate’ care homes has even further
reaching repercussions, contributing to
the long-term undersupply of statefunded
places and – as an extreme
result – bed blocking in NHS wards.
The ratings system as it stands can leave
reputations in tatters and directly lead to
the closure of much-needed care homes.
I’m certainly not suggesting that formal
inspections should be scrapped, far from
it, or that poor care homes shouldn’t be
publicly called out, for the protection of
their existing residents and future ones.
But there are plenty of care homes – full
of hardworking teams of employees and
happy residents – overcoming challenges
every day to ensure lessons are learned
from their inspections and improvements
are made. The system as it stands means
they don’t receive the formal or public
recognition they deserve for it.
If a car fails its MOT, its inspectors
will work through a clear, itemised list
of the issues, fixing them one by one in
order to ensure a ‘pass’; the objective
of the system and all involved is to get
Kevin Shaw
the vehicle back on the road, in tiptop
condition, as efficiently as possible.
While the CQC has made the right
noises around offering more support to
those homes requiring improvement,
promising to inspect all quality
statements with this rating to offer the
opportunity of an uplift quicker, this
hasn’t yet materialised.
The CQC and care providers should
be working together to improve facilities
and services across care homes for the
good of residents. Improvements in
individual areas should be monitored
and acknowledged over much shorter,
regular, timeframes, and publicly
documented, without a ‘one word
covers all’ headline and no idea of
when the next inspection might come.
Reports should highlight failings, yes,
but should focus on learnings and
supporting improvement. More care
home providers, especially the smaller
operators, would and could viably invest
in improvements if there was a real hope
of getting back on track. For now, too
often, this investment might seem futile.
The system is broken, and a move away
from one-word ratings would lead to
bigger investment by providers, better
care for residents, and a sector working
in collaboration with the CQC to
deliver a solution to the social care crisis
gripping the UK.
22 | NOVEMBER 2024 CARING-TIMES.CO.UK
care
36 NATIONAL CARE AWARDS
Event sponsors look forward to the
big event
26 REGISTERED MANAGERS
Meet yout occupancy targets.
27 CARE FOR TOMORROW
Apply now for The Adult Social Care
Digital Transformation Fund.
28 DIVERSITY AND INCLUSION
Anchor's diversity and inclusion initiatives.
care | activities news
Creative Caring
As always, carers have been demonstrating their creativity
through fun and innovative events for their residents
stories behind each traditional outfit,
explaining its significance and the occasions
on which it is typically worn. Other homes
enjoyed global cuisine and music.
Play time
Residents at Connaught Care Collection’s
Meadowbrook in Bishop’s Stortford in
Hertfordshire welcomed local children
as part of a visit organised by Happy Kids
Childminding Service. The day was part
of an ongoing effort by Meadowbrook to
create strong intergenerational bonds at
the home, and there are plans for further
visits in future.
Prize pooches
Colten Care’s Whitecliffe House in
Blandford Forum, Dorset welcomed
families, friends and four-legged
competitors to the home’s first dog show,
with all proceeds going to the Dorset
Children’s Foundation. Residents were
fully involved in setting up and running
the event, working with the home’s
gardener Joan Batchelor to create floral
decorations for visitors’ tables and
preparing homemade lemonade. Three
residents formed the judging panel as the
dogs vied for glory across nine categories.
Cultural costume
Hamberley Care Homes marked
National Inclusion Week with a lively
celebration across its care homes. The
team at Montague House in Brampton,
Cambridgeshire showcased cultural attire
from India, Ghana, Kenya, Sri Lanka and
the Philippines, and shared the unique
Indoor fair
Lincoln home MHA Stones Place didn’t
let the weather spoil the fun, setting
up an indoor fair in one of its lounges
and opening its doors to the wider
community. The fair included an arts
and crafts stall, local honey, cakes and the
usual tombola and raffle. Residents, staff
members, volunteers and members of
the community were entertained by the
Lincoln Ukulele Band.
Dream on
Sheila Eley, 91, a resident of Colchesterbased
care home Crouched Friars,
was treated to a performance by the
Dreamboys after confessing to the team
that it was her wish to see a male strip
show. After emailing the Prince’s Theatre
in Clacton, activities director, Vanessa
Brown was gifted two tickets for Sheila to
fulfil her wish of seeing the Dreamboys
live.
Pick up a penguin
Amberley Hall Care Home in King’s
Lynn, Norfolk granted the wish of a
resident when two adorable Humboldt
penguins paid a visit. Susan Fisher, 70,
asked to meet the pair as part of the
home’s ‘Making Moments’ initiative.
Pringle and Widget toured the care
home, making sure even residents unable
to leave their rooms had a chance to
experience the joy.
Dining in
Black Swan’s Southwell Court Care
home in Melbourn, Cambridgeshire,
transformed into a classic American diner
for the afternoon with delicious burgers,
milkshakes, and the unmistakable tunes
of rock and roll. Guest singer Jonny
Parrish provided the entertainment.
Fair’s fair
Residents and staff from Avalon Care
Home in Bridgwater, Somerset were
among the crowds enjoying the annual
Bridgwater Fair. The party of 12 travelled
the short distance between their dementia
care home and St Matthews Field where
the Fair has been taking place for more
than 600 years. Avalon’s activities coordinator
Lisa Priddice said: “Our ladies
and gents are all familiar with the Fair and
they loved telling us about visits they’d
had in their younger days.”
24 | NOVEMBER 2024 CARING-TIMES.CO.UK
activities news | care
Friends of the Elderly’s Luton-based
Little Bramingham Farm celebrated her
second anniversary of visiting the home.
Winnie was presented with a bag of treats
including a play mat, to represent ‘cotton’,
the traditional second anniversary gift.
Scaring is caring
Friends of the Elderly’s New Copford
Place in Colchester is celebrating its win
at this year’s Copford and Easthorpe
Scarecrow Festival. Residents were
involved in the design and construction
of scarecrow ‘Marilyn’ during an arts and
craft session, and are already planning
next year’s entry – potentially to be
named Strawlock Holmes.
Easy riders
Forty motorcyclists were welcomed by
residents at Diamond House Care Home
in Downham Market, Norfolk with
sausage sandwiches, tea and coffee. The
event was designed to evoke cherished
memories for residents, some of whom
have a long history with motorcycles.
Allison Webster, activities coordinator,
said: “The classic and retro bikes, in
particular the Triumphs, were of great
interest to our residents, as those are the
models they remember best.”
Dog star
Winnie, the pets as therapy dog, was
the star of the show when residents at
Creepy crawlies
MHA Starr Hills, in Lytham St Annes,
Lancashire welcomed giant snails and
snakes into the home for residents
to get up and close with. ZooLab, an
organisation that offers educational
workshops on animals, brought millipedes,
cockroaches, frogs, spiders, a giant snail
and a four-foot American snake. The visit
was a hit with residents, who touched,
stroked and held the animals.
Sketch show
Judith Forster, a resident at Colten Care’s
Abbey View in Sherborne, Dorset has
staged an art exhibition after sketching
pencil portraits of its entire roll of 73 staff
members. The project took six months to
complete, after the idea of sketching each
one of her carers, companions, clinical
team, chefs, waiting staff, domestic
assistants and others came about in
February this year.
Sporting life
Inspired by a summer of sport in which
Team GB excelled in Paris and the
England men’s football team reached the
final of Euro 2024, residents at HC-One’s
Woodlands View care home in Stevenage,
Hertfordshire participated in a mini
Olympics. Activities included throwing
emoji balls into buckets, hook-a-duck,
and the egg and spoon race.
Green light
Each of Oakland Care’s 10 homes in
London and the Southeast held an
Eco Fair as part of the organisation’s
Greener Month. The homes invited local
sustainable businesses to exhibit stalls
focused on reusing materials to create
art and making environmentally friendly
and sustainable products to sell. The care
provider also hosted a series of seminars
for local businesses to learn more about
sustainability.
Garden gang
HC-One’s Capwell Grange Care Home
won the ‘Best community garden’
category in the Luton in Bloom awards.
Capwell Grange’s dementia community
garden includes a wide variety of flowers
and plants, including many varieties of
tomatoes, cucumbers, beans, cauliflower,
pumpkin and aubergines. The kitchen
team uses the vegetables as ingredients for
residents’ meals.
CARING-TIMES.CO.UK NOVEMBER 2024 | 25
care | registered managers
Managers guide to…
increasing occupancy
Operations director Paul Brady and senior customer relations manager Ann-Marie Baker
at Berkley Care Group share their tips on meeting and even exceeding occupancy targets
Jubilee House in Warwick, a member
of the Berkley Care Group, has
consistently smashed its occupancy
targets. The 78-bed home, which opened
in May last year, exceeded its initial
occupancy target by 40% and has seen
a steady increase month-on-month ever
since. By June last year, occupancy rates
were 50% above target, and in July, the
home surpassed its targets by 36%. The
second floor was opened last November,
four months ahead schedule, and the
third floor is just about to follow suit.
When it comes to increasing
occupancy, our main challenges are local
competition and funding – plenty of
people want to move in, but they may not
be able to afford it. Here are some of the
strategies that contributed to the home’s
success, which reflects both the high
demand locally and the team’s hard work.
1. An experienced and dedicated
customer relationship manager is
integral to the success of a home. Ann-
Marie Baker is the senior customer
relations manager for both the new
Jubilee House and our existing Leycester
House, both in Warwick. She can steer
potential residents towards Jubilee House
or Leycester depending on the needs of
the resident and the type of environment
that they would like to live in.
2. Consistency of management is
important, as is taking a long-term view.
Some care providers employ short-term
commissioning managers who will open
the home and then move on after 12
months. In the run up to Jubilee House
opening we had general manager Pippa
Cook in place before the home opened,
working closely with operations director
Paul Brady, which is not as common as
you would think. Taking this approach
allows the home to build for the future.
A short-term commissioning manager
focuses on the here and now, but doesn’t
have a vision for the next two or three
years. Ideally the manager should be
around for the next three to four years
at least, building the
team and the culture of
the home, and creating
a strong foundation
which allows the
customer relationship
manager to really sell
the home.
3. Keep enquiries
warm. Don’t stop
talking to prospective
residents, even if they
say they are not yet
ready. We have 50 or
60 enquiries on the back-burner at any
given time, and we invite them to events
at the home, send them birthday cards
and catch up with them regularly if we
haven’t spoken for a while. Don’t close
anyone down, as circumstances can
change, sometimes overnight. If you are in
the right place at the right time, they will
come to you and not to your competitor.
4. Digital marketing is key when it
comes to boosting occupancy. We work
with a marketing agency, Townsend,
which creates company-wide social
media posts and videos, but a lot of our
social media posts come directly from
individual homes. We use Facebook,
Instagram and LinkedIn. We are targeting
45 to 65 year olds, the families of
potential residents – they are the people
on Facebook who are reading our posts.
5. Keep an eye on local competition.
We noticed three or four months before
a local competitor opened they were
gearing up their digital investment, and
online searches for us started to show
their home instead. Our digital agency
Smooth Digital was able to manipulate
key words on our website to ensure we
returned to the top of the search listings.
6. It is important to build a
community as quickly as possible in a
new home, so you need to get the first 10
or so residents through the door quickly.
We offered ‘founding membership’
for the first 10 residents, who received
an initial discount. Another option is
to offer a price freeze for the first 10
residents, although that’s not something
we have done.
7. Promotional deals can sometimes
have an effect. Some of our homes offer
three for the price of two deals on respite
care, for example.
8. Making connections with
GPs, district nurses, local charities
like the Parkinson’s trust and similar
professionals is very important. These are
the groups you know are in contact with
people who might need residential care.
Daycare centres have also been a good
connection for us. Invite these people in
for cake and coffee, and a tour.
9. Don’t neglect local domiciliary
care agencies. Home care services often
find it hard when they can no longer
give someone the support they need to
stay in their own home. They are happy
to recommend us when they can’t meet
someone’s needs anymore. In return, we
can recommend them – sometimes we
have people look round who say “I’m
pleased that there is somewhere mum can
be looked after when the time comes, but
she hasn’t reached that stage yet – do you
know any good home care agencies?”
10. When families and potential
residents are looking around the home,
make sure there are activities going
on, and residents are engaged. A good
activities team is a boon for increasing
occupancy.
26 | NOVEMBER 2024 CARING-TIMES.CO.UK
care for tomorrow | care
Time’s up to tool up
November is the final deadline for securing funding to set up digital social care
records – and care providers need to apply this month for the Adult Social Care
Digital Transformation Fund. Stephanie Nimmo, communications and engagement
lead for the Digitising Social Care programme, explains why now’s the time to act
The clock is ticking to secure
funding for digital social care
records before it’s too late. The
application process is simple and there’s
lots of support on offer, so if you have
not yet made the switch, go to our
website (digitisingsocialcare.co.uk) and
follow the links to our funding offer
and support.
Since the Digitising Social Care
(DiSC)’s ‘Clock is Ticking’ campaign
launched in April this year, more than
900 new care locations have joined
the many thousands of providers who
have ditched paper and adopted digital
social care record approaches. The
campaign called on CQC-registered
providers to take advantage of
government funding and local support
while it’s still available.
More than 70% of providers are now
using a digital solution to plan and
record care, which is offering enormous
benefits to staff and the people they are
supporting.
Care staff can save an average of one
hour less per shift on admin according
to our research with providers who have
been using digital social care records
for a while. Going digital means upto-date
information about a person’s
care, preferences, medication and more
are available at the touch of a button
and selected information can even be
“More than 70% of
providers are now
using a digital solution
to plan and record
care, which is offering
enormous benefits to
staff and the people
they are supporting.”
accessed by family members who want
to find out how their loved one is doing
at any time.
Reporting, audits and inspections
are also far more straightforward with
digital social care records in place,
reducing the need to pull together and
prepare information in advance.
As well as giving support to apply for
funding, local integrated care system
digital teams can put you in touch with
other care providers who are already
using digital solutions, to find out how
they chose their supplier, what the
transition has been like for them and
what differences they have seen.
Every day, care providers are telling us
just how beneficial a digital social care
record solution has been for their teams
and the people they work with.
Whether they are team members
supporting people in their homes and
in care settings or registered managers,
everyone tells us time saving has been
one of the greatest benefits. Staff talk
passionately about having more time to
spend with people – often the reason
they went into care in the first place –
and of the relief of finishing shifts on
time, without having to stay back to
finish off paperwork.
More and more care providers are also
finding that carefully selected digital
solutions help support neurodivergent
staff. One care worker with autism and
dyslexia told us recently: “I feel like
an actual human now. I used to get so
worried and nervous and embarrassed
about showing any of my paperwork
because it was so bad, and I struggled
with it so much.”
This is the last month to apply
for the Adult Social Care Digital
Transformation Fund. Care providers
are therefore urged to act now to get
support to make an application before
the deadline.
We have seen a really encouraging
rise in care providers securing funding,
finding and adopting digital solutions
since we launched our campaign in the
spring. But the clock really is ticking
now. With the final deadline for
applications in November, it’s a good
idea to contact your local integrated
care system team now to secure their
support and advice for both making
your application and choosing the right
solution.
Visit our website at: beta.
digitisingsocialcare.co.uk for a list of list
of digital social care record solutions
which have been assessed and assured by
NHS England to help you find the best
possible tool for your organisation.
It’s also a good idea to complete the
‘Data Security and Protection’ toolkit
to make sure you know how to keep
both your paper-based and digital
information safe and secure. Again,
your local integrated care system team
can help with this.
CARING-TIMES.CO.UK NOVEMBER 2024 | 27
care | diversity & inclusion
Caring for all
Teagan Robinson-Bell, diversity and inclusion manager at Anchor, a not-for-profit
provider of care and housing, talks about caring for everyone
In today’s world, the significance
of diversity and inclusion cannot
be overstated, particularly in care
environments where understanding
and respecting everyone's needs is
essential. As England’s largest provider
of specialist housing and care for people
in later-life, Anchor recognises that
true excellence in care begins with a
significant commitment to these values.
At Anchor, we strive to place diversity
and inclusion at the forefront of our
operations, ensuring they become an
everyday reality rather than a mere
checkbox exercise.
We are always striving to create
an environment where the unique
contributions of our colleagues and
residents are not only valued but
celebrated and we are proud to offer
five key networks to create safe spaces
for both residents and colleagues. The
networks aim to honour diversity,
address concerns, review policies, and
support one another. These include our
open Resident Inclusion Community
group, the LGBT+ Resident Advisory
Group, and our enABLE, embRACE,
Rainbow, and Inclusive Ambassador
networks, along with our newly
launched Carers network. These groups
collaborate closely with the diversity and
inclusion lead on the resident council to
listen, assess practices, and drive change.
It’s vital that everyone who chooses to
live and work with us feels recognised,
respected and heard. These networks
provide opportunities for education,
advocacy, and connection, ensuring
every voice is represented in our ongoing
efforts toward inclusivity.
In 2019, a survey conducted by
Stonewall uncovered alarming statistics
regarding the mental health of LGBT+
individuals in Britain. It revealed
that 61% of lesbian, gay and bisexual
individuals lack confidence in social care
services to support them adequately,
compared to 51% of their heterosexual
counterparts.
This data not only underscores the
pressing need to take action, but also
highlights the importance of establishing
robust support networks to alleviate
these concerns. Through creating a
workplace where people in the LGBT+
community are being supported by
carers and colleagues who are members
of the community or understand how
to foster an inclusive environment,
we can directly address this issue and
fundamentally provide better care.
One of our key initiatives is the
establishment of our Rainbow and
LGBT+ advisory groups, created
directly in response to feedback from
residents and colleagues. This initiative
exemplifies our commitment to being a
supportive resource for older individuals,
their families, and colleagues alike,
particularly given the increasing number
of transgender people who hide their
identity at work.
Teagan Robinson-Bell
According to a YouGov survey of
410 trans employees across the UK,
conducted on behalf of Totaljobs, 65%
said they have had to hide their trans
status at work, compared to 52% five
years ago – a 13% rise since TotalJobs
started carrying out this survey in 2016.
Anchor wants to ensure this doesn’t
happen as part of our commitment
to retaining and developing talented
colleagues. Therefore it is very important
to ensure trans and non-binary
colleagues are supported.
In response to the study’s findings,
Anchor has pledged to develop sectorspecific
guidance with the aim of
“We strive to place
diversity and inclusion
at the forefront of our
operations, ensuring
they become an everyday
reality rather than a mere
checkbox exercise.”
Anchor West Hall
28 | NOVEMBER 2024 CARING-TIMES.CO.UK
“Inclusivity is not
a one-size-fits-all
approach; there is no
singular way to be
trans or non-binary.”
providing support for both trans and
non-binary individuals, and managers
who are supporting trans and nonbinary
colleagues. A gap for such
guidance was identified, with existing
resources being outdated, too focused
on medical transitions, and aimed at
just line managers rather than trans
or non-binary people. After receiving
positive feedback from Stonewall on the
plan, our team produced a new guide
that takes a ‘human-centric’ approach to
guidance.
The guidance is intended to help
individuals navigate identifying as trans
at work, whether they are questioning
their gender identity, wanting to
transition, living as a trans person, or
supporting a trans person, either in
the workplace or in their personal life.
This guidance contains several sections,
from resources for questioning one’s
gender identity, to practical advice for
transitioning at work.
We also recognised the importance of
ongoing support, acknowledging that a
trans person’s journey does not end once
they have transitioned. It is vital that
their identity continues to be affirmed
in the workplace. With the guidance
also providing support to managers,
we’re aiming to improve the general
lack of awareness in relation to gender
identity in the workplace, offering advice
for managers who are approached by a
colleague in this situation. It’s critical
that organisations offer comprehensive
support for anyone questioning
their gender identity, ensuring they
feel empowered throughout their
professional journeys.
Inclusivity is not a one-size-fits-all
approach; there is no singular way to
be trans or non-binary. This is why
feedback from diverse perspectives and
intersectional identities, including those
from different networks within Anchor,
was invaluable in shaping our guidance.
Moving forward, we regularly review
and update our approach to reflect the
evolving language and legal landscape
affecting the trans and LGBT+
communities. By establishing a schedule
for periodic reviews and encouraging
ongoing feedback, we can ensure that
our support for trans and non-binary
colleagues remains relevant, effective,
and collaboratively developed, allowing
others to benefit from what works best.
It is essential that every individual feels
a sense of comfort and belonging, and at
Anchor, we strive to empower everyone
to bring their authentic selves to work.
To further this commitment, we have
also implemented a reverse mentoring
scheme, which serves as a powerful tool
for ensuring inclusivity. This initiative
allows carers and other employees
to engage directly with colleagues in
senior leadership positions, bridging
the gap between different levels of the
organisation. This open communication
not only provides valuable insights
to leadership about the challenges >
CARING-TIMES.CO.UK NOVEMBER 2024 | 29
"There is always
more to learn and
do to improve and
embed a culture of
inclusion."
and experiences faced by their teams,
but also strengthens community ties
across the business. By establishing and
developing these connections, we aim to
create a workplace culture where diverse
perspectives are not only heard, but
actively shape our policies and practices.
We understand that each person
brings unique perspectives that enrich
our community, and we are committed
to leveraging and responding to these
diverse viewpoints and perspectives
to enhance our workplace culture. In
light of this, we also offer opportunities
for colleagues and residents to
commemorate, discuss and celebrate
various national events, days, and
weeks throughout the year to weave
diversity and inclusion into our daily
conversations – it is about making them
part of our everyday language.
However, addressing diversity and
inclusion also requires us to confront the
harsh realities of antisocial behaviour
and hate crime. After receiving feedback
from our embRACE Network, we
established a working group focused
on improving our reporting systems
and support structures for colleagues
experiencing antisocial behaviour and
hate crime. This group, composed of
diverse teams within our organisation,
including representatives from the
embRACE Network, ensures that
incidents are captured accurately, and
that support is provided promptly.
Transparency is crucial; we must
acknowledge and confront the existence
of antisocial behaviour and hate crime.
We are implementing consistent
response protocols across our network,
so that when someone reports an
incident, they have a clear understanding
of the next steps. This predictability
helps build trust within our community,
encouraging more individuals to come
forward and feel heard.
Diversity and inclusion are not just
ideals at Anchor; they are fundamental to
our operations. While we were awarded
the first Gold Inclusive Employer Status
within the care sector – recognising us
as among the best employers in the UK
when it comes to equality, diversity and
inclusion – we know that there is always
more to learn and do to improve and
embed a culture of inclusion. And as
we continue this journey, we invite
everyone – colleagues, residents and
families – to join us in creating a
culture that champions diversity, uplifts
marginalised voices, and enhances the
quality of life for all those we serve.
In a world where the demand for
respect and inclusion is louder than ever,
Anchor stands ready to lead by example,
ensuring that every individual, whether
a resident or a colleague, can thrive in
an environment that celebrates their
contributions.
30 | NOVEMBER 2024 CARING-TIMES.CO.UK
Bring about change
diversity & inclusion | care
Henry Fairnington, Anchor’s diversity and inclusion officer, discusses bringing about
tangible improvements for overlooked demographics
An organisation as large and
as influential as Anchor has
a great opportunity to effect
change, and this is something
we’re starting to see. Particularly in
care and housing for people in laterlife,
we’ve been able to get involved
in some tangible improvements for
demographics that are sadly overlooked.
However, sectors such as care and other
organisations for social good need to
be more conscious of other factors that
come into play. We can only claim to
be an organisation for people over 55 if
we explicitly welcome and provide for
all residents over 55, including those
from various ethnicities, religions,
sexualities, genders, and so many other
characteristics.
It goes without saying that having a
service that is representative of its users
is important. We can be so much more
inclusive of everyone when we have
people of different backgrounds and
experiences contributing to something’s
creation. It allows for cognitive diversity
(ensuring we have different perspectives
while working) and intersectionality
(acknowledgement of the complexity of
our identities). Those phrases might seem
intense, but it boils down to making sure
that individuals are heard and valued,
because each lived experience will be able
to offer a unique perspective.
With that in mind, it’s crucial that
we are creating a space for people –
including those who are trans and
non-binary – to be able to come to work
authentically. That could be as much
as feeling comfortable to disclose their
identities, but as a first step, knowing
they’re in a safe environment that can
support them in showing up as their
true selves. ‘Coming out’ as trans or
non-binary isn’t a one-time thing, and
it’s not always something that is visually
apparent, so ensuring workplaces are
openly inclusive is vital. In care settings,
this has a significant knock-on effect
for residents, as well as their friends and
families. If people can see a diverse group
of colleagues supporting residents, then
it follows that there’s capacity to support
a more diverse range of residents too.
We’re starting to see more studies
and reports on the challenges that older
transgender adults face in regard to
social and medical care, and that is really
positive. However, there’s still a lack of
inclusion for people who fall outside
that gender binary of male or female,
because a lot of the time these studies
were made about us, not by us. Having
more people who identify as trans
and non-binary in care settings helps
to advocate for that need, but so does
having overt allies and advocates. Trans
and non-binary people make up less than
1% of the UK population (according to
the 2021 census). Not all of those people
will want to, or have the energy or safety
to, educate others or even be open in
their identities. In explicitly making care
settings inclusive of and welcoming to
trans and non-binary people, we can
naturally make these settings safer for
those who require care.
This also goes for friends and families
of residents. Knowing that trans and
non-binary visitors will be welcomed
and catered for is hugely important in
fostering communities and tackling
issues like loneliness and isolation.
Finally, there’s the elephant in the
room. As a trans person, I’ve often
thought about what will happen to me,
and members of my community, as we
age. I have had struggles with healthcare
professionals not being equipped
to talk about transgender identities,
let alone provide me with adequate
healthcare, so if a time were to come
when I needed care services, I would
feel far more comfortable knowing
that there’s a concerted effort going
Henry Fairnington
towards inclusion. At the moment,
trans inclusive care services aren’t
guaranteed, and we simply need to do
better. With every aspect of inclusion,
we are constantly learning. Sectors such
as healthcare and education still fall
short of the mark for various minoritised
groups, so with every trans inclusive
policy, every commitment to being antiracist,
every adaptation put in place for
someone with a health condition, we’re
getting closer to making these systems
more supportive of everybody.
Creating trans and non-binary
inclusive spaces for care colleagues
and in care settings benefits those
communities, obviously. But it also
supports cisgender people who access
hormone therapy, and other minoritised
groups who notice displays of advocacy
and inclusion. It shows people that
whoever they are, there’s a space for
them when they’ll need it, and that
comes only with deliberate change to be
inclusive.
CARING-TIMES.CO.UK NOVEMBER 2024 | 31
care | national care awards
Winner takes it all
With the National Care Awards 2024 just around the corner on Friday, 29 November
at ExCeL London’s Platinum Suite, hear from our sponsors, the people who make
this special evening possible, about what you can look forward to on the night
Angela Gillespie, Ontex
distributor channel manager
As the main
sponsor of the
National Care
Awards for the
first year, we are
truly excited to
be part of such
a prestigious
event that
celebrates excellence, dedication and
innovation in the care sector.
Why we chose to be the main sponsor
Ontex is a well-known manufacturer of
continence care products used across
the UK, and we are committed to
supporting and championing the care
industry. Sponsoring the National Care
Awards is an exceptional opportunity
to show our appreciation for those who
work tirelessly to enhance the lives
of the vulnerable. The National Care
Awards, with its legacy of recognising
the very best in the sector, aligns
perfectly with our values, and we are
honoured to take on such an important
role this year.
Sponsoring the National Care Awards
is a natural extension of our belief in the
importance of supporting the people
who work in care. The care sector plays
a crucial role in the fabric of society,
providing essential services to those in
need, and ensuring dignity, compassion
and respect are at the heart of every
interaction. By being the main sponsor,
we want to shine a spotlight on the
outstanding individuals and teams who
exemplify best practices in care, celebrate
their achievements, and show our
gratitude for their hard work.
Supporting the awards provides a
platform to highlight the invaluable
contributions of care workers, and helps
raise the profile of the sector as a whole.
It’s not just about recognising excellence
but also about fostering a sense of
community, pride and progression
within the industry.
What we are looking forward to most
about the event
The National Care Awards is a highlight
of the care sector’s calendar, and we are
especially looking forward to celebrating
alongside the nominees, winners and
all the attendees. It will be a pleasure
to see the exceptional individuals and
teams who have gone above and beyond
in their roles be recognised for their
contributions. The event provides
an opportunity to hear their stories,
learn about their experiences, and
acknowledge their invaluable work.
Any favourite memories of prior years?
While this is our first year as the main
sponsor, we have sponsored award
categories in previous years and have
always been impressed by the warmth,
energy and professionalism on display.
Each year, the sense of celebration
that fills the room is infectious. Seeing
everyone come together to support and
uplift one another in a sector that often
goes unrecognised is heartwarming.
These moments of shared success and
appreciation are what make the National
Care Awards so memorable, and we are
excited to experience it again this year
from the perspective of a main sponsor.
We would like to extend our
congratulations to all the nominees
and winners. Your work is essential
and invaluable, and we are honoured
to be part of an event that showcases
your dedication, passion and
achievements.
Kate Garraway
32 | NOVEMBER 2024 CARING-TIMES.CO.UK
national care awards | care
Award sponsored – Care
activities co-ordinator of the year
Lorna Badrick, managing
director, TLC Care
Why we chose
to sponsor this
category
TLC Care’s
sponsorship
of the ‘Care
activities
co-ordinator’
award at the
National Care Awards 2024 highlights
TLC Care’s deep commitment to
enhancing the health and wellbeing
of residents and team members. By
supporting this category, we celebrate the
vital role that activities co-ordinators play
in enriching residents’ lives, promoting
joy, and improving overall wellbeing.
For TLC Care, this sponsorship is a
way of acknowledging the dedication
of individuals who make a meaningful
impact in the care sector. Being part of
this recognition through sponsorship for
the second year reflects our continued
focus on resident happiness and passion
for exceptional care.
What we are looking forward to most
about the event
TLC Care is most excited about joining
fellow professionals in celebrating the
dedication and exceptional contributions
of teams across the care sector. The
National Care Awards offer a special
opportunity to reflect on the remarkable
impact that care home professionals make
every day. It’s a chance to recognise and
celebrate their hard work, passion and
achievements. TLC Care looks forward
to the shared joy, camaraderie and sense
of pride that come with honouring the
collective efforts of all those committed
to enhancing residents' lives. The evening
promises to be filled with inspiration,
celebration, and connection with other
care providers.
Any favourite memories of prior years?
We had a fabulous evening last year,
our fondest memories include the
heartwarming speeches and sharing the
outstanding devotion of so many care
professionals. We were honored to be
recognised for the activities award. We’re
thoroughly looking forward to this year’s
event.
Award sponsored – Dementia
care manager of the year
Caroline Roberts, chief
executive, Aria Care
Why we chose to sponsor this category
Supporting people living with dementia
is so much more than meeting physical
care needs, ensuring people have the
best possible quality of life requires
meaningful engagement through
thoughtful
interactions
and
commitment
to truly know
the person.
Sponsoring
the ‘Dementia
care manager’
category at the National Care Awards
highlights the importance of this role
and inspiring continued excellence;
it reflects a commitment to raising
awareness about great dementia care.
What we are looking forward to most
about the event
I think it’s so important to recognise and
celebrate the exceptional level of care
provided to people; it’s important that
people feel recognised and appreciated,
coming together to celebrate the very
best people in social care does just
this. The NCAs provide a unique
opportunity to honour the dedication,
compassion and hard work that’s
demonstrated by so many individuals in
this vital sector.
By raising awareness and celebrating
exceptional care, we collectively enhance
the standard of care, motivate others,
and continue to push the boundaries of
what’s possible in social care.
It’s the sector’s opportunity to say
thank you.
>
CARING-TIMES.CO.UK NOVEMBER 2024 | 33
care | national care awards
> Any favourite memories of prior
years?
The opportunity to connect and
celebrate with other care providers
and hearing the stories of people who
dedicate their lives to the care sector. The
NCAs create an environment to share
knowledge, celebrate achievements, and
exchange valuable insights.
A particularly proud moment for me
and Aria Care was winning the ‘Large
care home group’ award last year, an
incredible recognition of the hard work
and dedication our teams put into
delivering high-quality, compassionate
care across our communities. That
evening stands out because it reinforced
the sense of purpose that drives
everything we do at Aria Care and across
the sector.
Award sponsored – Care team
of the year
Gareth Reichers, director of
growth and partnerships,
Impact Futures
Why we chose
to sponsor this
category
Care staff are
at the beating
heart of
everything we
do at Impact
Futures. We’ve
sponsored the ‘Care team of the year’
category to show our continuing support
for all the diligent workers who dedicate
themselves to providing quality care
to some of the UK’s most vulnerable
people.
What we are looking forward to most
about the event
I’d say the thing we’re all looking forward
to most is celebrating successes, and
seeing people receive the recognition they
deserve for a job well done. Nods like
these go a long way towards motivating
and encouraging the continued work of
these incredible teams.
Any favourite memories of
prior years?
This event is always a highlight of our
year. Not only is it a great opportunity
to gather together, but it’s also extremely
uplifting to hear the stories and
congratulate the nominees and winners.
We always come away feeling happy and
inspired. This year will be no exception,
I’m sure.
Award sponsored – Tech
innovation of the year
Chris Poole, director of business
development, Sanctuary Care
Why we chose to sponsor this category
We are proud to sponsor the ‘Tech
innovation of the year’ category, because
at Sanctuary
Care we are
passionate
about
embracing
modern
technology,
where it
can support
us to further enrich the lives of our
residents and provide staff with the
very best tools to do their job. We have
our own business transformation team
who are experts in trialling different
technologies, carefully choosing
those which enable us to enhance
communication, safety and care
efficiency, so we are very excited to see
who wins.
What we are looking forward to most
about the event
We are in the running for five awards
so are delighted to reward our finalists
with a truly memorable night, which
will be another opportunity for us to
show them how valued they are, not just
by their colleagues, the residents they
care for, and their loved ones, who all
contributed to these nominations, but
by the entire care community. External
recognition on this national level means
so much and shows our finalists how far
they have come on their journey with
Sanctuary Care.
34 | NOVEMBER 2024 CARING-TIMES.CO.UK
national care awards | care
Any favourite memories of prior years?
Last year was very special indeed for
two colleagues in Scotland, with Kirsty
Bagan, activities coordinator at our
Forefaulds home in East Kilbride,
collecting the ‘Care newcomer award’
and Bunga Gurden from our Birch
House home in Peterculter, collecting
the ‘Carer of the year’ award. Both of
these inspirational women embody
everything we are passionate about at
Sanctuary Care when it comes to living
and breathing our vision of enriching
lives. They thoroughly deserved this
recognition for themselves, their teams,
and the residents they care for.
Award sponsored – Care home
group (medium) of the year
Derek Breingan, head of health
and social care sector, Virgin
Money
Why we chose
to sponsor this
category
The ‘Medium
care home
group of the
year’ represents
some of our
most active
and progressive regional providers.
These groups are crucial to the provision
of much-needed beds and care in our
communities and we at Virgin Money
are excited to be presenting this award in
recognition of that.
What we are looking forward to most
about the event
The best part of the awards is seeing
the people who are out there, day and
night, supporting vulnerable citizens,
being recognised and acknowledged
in a celebration of all that’s good in the
sector.
Any favourite memories of prior years?
A memorable moment was listening
to Kate Garroway openly sharing her
admiration and her heartfelt thanks
for the carers that had been involved in
caring for her husband.
Award sponsored – Care
leadership of the year
Thomas Brandrick, managing
director, Domus Recruitment
Why we chose to sponsor this category
Domus
sponsors
the ‘Care
leadership
award’ as we
specialise in
leadership
recruitment
across the
social care sector and it’s a great way for
us to give back to the sector. It looks like
the awards are less elderly care-centric
this year which is great for us as we
cover all of social care, and recognising
learning difficulties, mental health and
children’s care providers as well is a great
for them.
What we are looking forward to most
about the event
Every year, we enjoy the awards because
we’re there to celebrate all of the
amazing work that goes on in care and
the amazing people doing it. I love seeing
care teams letting their hair down at the
event and having a thoroughly deserved
night out.
Any favourite memories of prior years?
It’s hard to pick a favourite moment, but
actually presenting the award that we
sponsor to the recipient is an amazing
honour. When they hear their name read
out and then come to the stage to receive
it, it’s a wonderful thing to be involved
with.
Award sponsored – Care home
manager of the year
Bernie Suresparan, chief
executive, We Care Group
Why we chose to sponsor this category
We Care Group is proud to sponsor the
‘Care home manager of the year’ category
because we understand the pivotal
role that managers play in delivering >
CARING-TIMES.CO.UK NOVEMBER 2024 | 35
care | national care awards
>
exceptional
care. Their
leadership and
dedication
directly
impacts the
quality of life
for residents,
staff morale,
and the overall success of care homes.
By sponsoring this category, we aim to
recognise and celebrate these outstanding
individuals whose hard work often
goes unnoticed but makes a profound
difference in the lives of many. It’s our way
of saying thank you for their unwavering
commitment to excellence in care.
What we are looking forward to most
about the event
We are most looking forward to
celebrating the remarkable individuals
and teams who have gone above and
beyond in delivering exceptional care.
The National Care Awards is a fantastic
opportunity to shine a light on the
dedication, compassion and innovation
in the sector. It’s inspiring to hear their
stories and witness their well-deserved
recognition. The event fosters a sense
of community and pride, and we
look forward to sharing in the joy of
celebrating those who make a positive
difference in the lives of others.
Any favourite memories of prior years?
One of our favourite memories from
previous National Care Awards is seeing
the overwhelming emotion when winners
are announced. The genuine surprise and
gratitude in their reactions truly highlight
how much the recognition means to
them. It’s a powerful reminder of how
dedicated care workers are, often going
above and beyond without expecting
accolades. Witnessing their peers, families
and teams cheer them on is incredibly
heartwarming. These moments reinforce
why it’s so important to recognise the
hard work and dedication that happens
behind the scenes in care homes every
day.
Award sponsored – Care chef of
the year
Gavin Squires, business
development controller,
healthcare and education,
Bidfood
Why we chose
to sponsor this
category
Sponsoring the
National Care
Awards 2024 is
a privilege for
us at Bidfood
because it
allows us to honour the incredible
dedication and compassion of care
home teams across the industry. We
are sponsoring the ‘Care chef of the
year’ award and this award honours
individuals with exceptional talent
who are revolutionising the sector and
becoming true trailblazers in care home
catering, a category that is extremely
important to us.
What we are looking forward to most
about the event
This event is a chance to celebrate as
a collective and shine a light on the
incredible organisations and individuals
that push forward proactively to build the
future of this sector. With this in mind,
we can’t wait to see the recognition,
celebrations and joy it will bring to the
finalists and winners on the night.
Any favourite memories of prior years?
When we think back to previous years,
it’s a joy to remember how much each
award truly means to each recipient.
We are very much looking forward to
being a part of it again as a sponsor for
the ‘Care home chef of the year’ award.
We are also honoured that this year, we
are a finalist ourselves. We have been
shortlisted for ‘Supplier of the year’ –
the team and I are very excited and are
counting down the days until the awards
evening.
36 | NOVEMBER 2024 CARING-TIMES.CO.UK
national care awards | care
Award sponsored – Care
registered nurse
Rachel Harvey, care, quality
and governance director,
Care UK
Why we chose
to sponsor this
category
Care UK is
passionate
about
recognising,
celebrating and
developing the
talents of nurses in social care. This year,
we had the first graduate of our internal
Seacole Academy of Care and Clinical
Excellence. The Seacole Academy
continually develops our nurses to
ensure they are equipped with the right
skills and knowledge to provide excellent
care to older people and provides
detailed learning on complex conditions,
as well as sharing best practice among
care homes. It’s one of the many ways
that we demonstrate our commitment to
the highest standards of care quality and
continuous improvement to colleagues,
residents and relatives.
What we are looking forward to most
about the event
It is always a privilege to attend the
National Care Awards and celebrate the
hard work of those within our sector
and getting to hear about all sorts of
achievements, from housekeepers to
carers, activities coordinators to chefs,
and everyone in between. It is inspiring
to learn their stories and know that
colleagues across the care sector go above
and beyond every single day to support
residents and their loved ones.
Any favourite memories of prior years?
Seeing the reactions of proud friends,
family members and colleagues is always
a highlight of any awards ceremony. I
know that Care UK colleagues will cheer
nominees on throughout the night.
Award sponsored – Care
housekeeper of the year
Natasha Koppert, national
account manager, P&G
Professional
Why we chose
to sponsor this
category
At P&G
Professional,
we are
proud to be
sponsoring
the ‘Care
housekeeper’ award category at the
National Care Awards. As a partner
in cleaning and hygiene solutions
– including brands such as Ariel
Professional, Fairy Professional and
Flash Professional – we recognise the
indispensable role of housekeepers in
maintaining clean and safe environments
within care facilities. By sponsoring this
category, we celebrate the dedication and
hard work of housekeepers who go above
and beyond to ensure the wellbeing and
comfort of residents.
What we are looking forward to most
about the event
We are most looking forward to the
opportunity to connect and engage
with incredible individuals in the
care sector. It’s a chance to learn from
their experiences, hear their inspiring
stories, and celebrate their remarkable
achievements. This event is a platform
for collaboration and growth in such a
vital sector, and we can't wait to be a part
of it.
Any favourite memories of prior years?
For us, some standout memories from
the National Care Awards include
the moments of celebration and
appreciation. Witnessing the genuine
joy expressed by award recipients was
truly inspiring. The speeches and shared
moments of triumph created
an atmosphere of positivity and
motivation.
CARING-TIMES.CO.UK NOVEMBER 2024 | 37
care | national care awards
29 - 30
November 2024
ExCel London
Empowering
Care Management
Shaping the
future together
#caremanagementshow
caremanagementshow.co.uk
38 | NOVEMBER 2024 CARING-TIMES.CO.UK
Bringing back memories
Louise Turner, activity coordinator and editor of Inspiring Memories Magazine,
on the true power of a trip down memory lane
advertorial | care
The never-ending search
for meaningful activities
that engage residents, is
one of the most rewarding
and challenging parts of any activity
coordinator’s role.
For me, I found that while some
residents loved music and games, others
simply needed a decent, meaningful
conversation. For them, talking about
their past life, or even historic events
they’ve lived through, was far more
impactful than an arts and crafts session.
In preparation for these chats, I would
often search online for ‘on this day’ facts,
or interesting topics of conversation, to
get residents talking. However, this took
up a lot of time, taking me away from my
residents. What’s more, while there are
some resources online, you often have to
pay expensive subscription fees. So, like so
many others in this role, I would conduct
research in my own time, often using my
own money. This is a huge problem in our
industry, so, I decided to do something
about it.
Enter Inspiring Memories
Magazine. A new weekly
reminiscence magazine,
containing facts, events in
history, and interesting talking
points, designed to get residents
talking. What’s more, it’s just 50p
per issue, with no subscription
necessary, making it a flexible, and
incredibly affordable resource, especially
for those working on limited budgets.
Simply pay your 50p, download, and
print. You can either do it every week, or
whenever you need it.
I first created the magazine to use with
my own residents and it was an instant
hit. It would evolve each week, with
residents bringing me feedback on what
they loved and what they would like to
see more of. I saw in real time the stories
that sparked the most conversation. They
even helped me with things like finding
the perfect sized font and even asked me
to add some word searches into the back.
The end result was a magazine made for,
and by, residents.
This led to an incredible moment.
While reading the magazine with a lovely
lady called Joan (who really reminds
me of my nan) we learned about the
invention of the sewing machine. All of
a sudden, Joan burst into a story about
how her mother would make dresses for
her and her twin sister. We had no idea
Joan was a
twin. What
followed
Louise Turner
was a very animated Joan, in full flow,
reminiscing about her childhood. From a
simple fact about a sewing machine, I saw
Joan transported back to her childhood.
Without sparking that memory in an
engaging way, I am sure we would have
never found out.
It’s so important to remember that
a great activity doesn’t always have to
be noisy or energetic. Sometimes, what
residents need most is a quiet
chat and the feeling that they’re
truly being listened to. Listening
is such a powerful tool in
caregiving – it helps coordinators
better understand each resident’s
needs and preferences. Inspiring
Memories Magazine makes it easy
to create these quiet, meaningful
moments, with content that
encourages deeper conversations
without the need for a lot of fuss.
Many older adults have lived
rich and fascinating lives and giving
them a chance to talk about their
memories helps them feel valued
and is not only mentally stimulating
but emotionally fulfilling, for both
residents and
caregivers alike.
Scan the QR code to
access the Inspiring
Memories website.
CARING-TIMES.CO.UK NOVEMBER 2024 | 39
care | team members
Employee of the month
Lisa Whymark has worked in the care sector at Athena Care Homes’ Aria Court
in March, Cambridgeshire for 17 years, starting in laundry and domestic, then as a
kitchen assistant and cook, before moving into her current position as head chef
Who has been your inspiration
My nan was my inspiration – she was
head chef at a Sue Ryder hospice and I
wanted to be like her.
What’s special about working at
Athena Care Homes?
For me, it’s the best job ever – I love to
cook and to be able to do it for a living
is a pleasure. I get to see the smiles on
people’s faces every day. My job is all
about making people happy and caring
for them at some of the vulnerable
points in their life.
How do you vary your menu to
provide choice for residents?
We want everyone here to feel like they
have a say in what they eat. We start
by asking about their likes and dislikes
when they move in, and then we keep
checking in with them regularly – the
kitchen team is often out and about
‘door knocking’ to get feedback.
We change things up four times a year
based on feedback, and we also have
seasonal options with taster sessions
before menus are decided just to be sure
we are getting it right.
How do you meet residents’
nutritional and health needs?
We make sure we cover all bases when
it comes to nutrition and health. I
know about every condition or ailment
a resident might have, and I ensure
there’s something suitable for everyone.
Whether it’s low salt, low sugar, low
fat, or increased fat, as well as modified
foods for those who need them – it’s a
central part of person-centred care.
How do you care for residents with
dementia?
We provide a range of specially modified
foods, all made fresh right here in our
kitchen. But it’s not just about the food;
it’s the whole dining experience. We
use brightly coloured cloths and special
utensils to help residents living with
dementia feel comfortable and dignified.
Lisa Whymark
We also use ‘show me, tell me’ plates –
a plated up example of the food on offer
at each mealtime – which allows those
living with dementia to make choices for
themselves.
What’s your most popular dish?
It’s probably something really traditional
– cottage pie or shepherd’s pie with fresh
vegetables – liver and bacon is also really
popular.
What’s your favourite dish?
Honestly, I like everything and will
always try something different if it is
served up.
How do you make the dining
experience special for residents and
their families?
We want every meal to feel like a special
occasion and are constantly working
to improve the experience here at Aria
Court – we currently have a special
programme ongoing – Mealtime
Champions.
At its core, the Mealtime Champions
concept revolves around presentation,
service, portion sizes and individuality.
Each meal is crafted to be more than just
sustenance; it’s an occasion to be eagerly
anticipated and thoroughly enjoyed.
Whether it’s a hearty breakfast or an
elegant dinner, every dish is prepared
with attention to detail.
The implementation of the Mealtime
Champions scheme involves me giving
some simple yet effective training for the
team members, equipping them with the
tools and techniques to enhance each
meal’s presentation.
There are hints about how to get the
best looking mashed potatoes on the
plate and garnishes to add before serving
– whether it’s a sprig of fresh herbs
grown in the Aria Court garden or a
lemon twist, these subtle touches add an
extra layer of delight to the dining table.
Families are always welcome to come
in and eat at Aria Court; they can use
our café area at the front of the home to
eat with their loved one and this gives
the feeling of going out for a meal.
We always celebrate birthdays with a
special meal or cake which the catering
team take turns in making.
40 | NOVEMBER 2024 CARING-TIMES.CO.UK
The Ontex Care Hero is…
Carly Pounder takes home the third of the runner-up certificates for this
year’s Ontex Care Heroes Award, along with a £250 Love2Shop voucher
care heroes | care
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 biscuits 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.
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 past months we have
spotlighted the runners-up and next
month we will feature the winner with a
page in the magazine.
Our third runner-up is Carly Pounder,
senior carer at Care UK’s Cranford
Grange in Knutsford, Cheshire. Here’s
what her colleague had to say about her
admirable dedication to the role: One
resident said of Carly: “She’s a cracker.
Carly Pounder
She looked after me when I first moved
in and has done ever since.”
Carly is a natural carer. Experience
gained through caring for her
grandparents and a mother with cancer
add empathy to her natural abilities.
This benefits residents and their loved
ones because she truly understands their
individual situations.
Ask Carly how she goes about
delivering the extra mile and she will
say that she doesn’t feel she is doing
anything special. “Our home is one big
family, and this is how I view residents
and their families. I treat each one as I
would treat a member of my own family
– to me this is the only way to do my
job.” This is not false modesty, just a
pure understanding of how to provide
an active life full of care and love for
residents.
Ask residents, their families and
colleagues about Carly, and they will say
how much they recognise and appreciate
the exceptional care she provides. Many
residents will only be helped to get ready
by her, and relatives adore her warmth
and approachability. For colleagues
she is the ‘go-to’ source for support,
the example to which they aspire as
she mentors them to become equally
excellent carers.
Carly spends a lot of her time caring
for residents at end-of-life, marrying
her empathy and experience to the
Gold Standard Framework. For many
residents, it is her care that supports
them in the final stage of their lives. An
example is a gentleman who came to the
home and initially struggled to settle –
he viewed it as a ‘gilded cage’. Through
her gentle enthusiasm, Carly brought
him out of his shell. He began to love
activities (especially quizzes) and became
a participant rather than a bystander. He
looked forward to his daily walks with
Carly, and on the day he died the last
thing he did was give her a hug. Deputy
manager Jennifer Hartley says: “There is
no doubt that Carly enriched the final
period of this resident’s life.”
From doing nails and hair, to spending
time with every resident attending to
their every need, to bringing in her
children to the delight of them and
residents, Carly plays her role with joy,
which radiates out to all. Carly says: “I
just want every resident to feel loved,
happy and safe. Their smiles are reward
enough for me.”
CARING-TIMES.CO.UK NOVEMBER 2024 | 41
care | norrms’ blog
Repeating and forgetting
Regular columnist Norrms McNamara reflects
on what it’s like to live with dementia
Atypical week in our house goes
a little like this: my wife says:
“You’ve left the bathroom light
on”, or “You haven’t locked the front
door, you’ve left the cooker on, you
have left the tap running, you haven’t
emptied the bathroom sink, your shoes
don’t belong there, what did I say about
this last week? Remember we had a
conversation about this?” And so it
goes on.
Now I can’t speak for everybody
else with dementia, but I would bet
a royal sum of money that most of
them scream inside their heads: “I’ve
got dementia! What part of that don’t
you understand, just as I do?” And so
it goes on. Whose fault is that? Mine?
Dementia`s? Or my wife’s for not being
understanding?
Well, some might be surprised to
hear it’s certainly not my wife’s, as this
is what we call normal life and things
like that are said, every day in every
household, dementia or not. I have
to say I absolutely cringe when I hear
the, mmm… what should I call them?...
the ‘advisors’ shall we say, that say and
publish things like: “Things not to say
or do when talking to someone with
dementia” and at the top of the list
every single time is: “Never disagree
with someone with dementia”.
Now, let’s get this into perspective
and speak as we find. If you, I or
anybody else who has been married
for 30-plus years, when suddenly told,
male or female, that you have to stop
disagreeing with your spouse because
they have dementia. Let’s just think
about that for a minute. It is, I would
say, physically impossible to do this as it
comes so naturally to disagree on some
things as you have for the past 30-plus
years. What on earth are these people
thinking about when they publish these
things? Why should things be so very
different for those with dementia? Why
should you tippy toe around someone
when they’re not used to it? Wouldn’t
that be like putting them into a box
and minimalising them? Or would
you maybe just be a little more careful
than usual in what you say, and not be
as critical as you would normally be to
lessen any possible tension. You know,
change a little, but not so much so as
Norrms McNamara
they feel they are living with someone
else. So no, it’s not all the wife’s/
husband’s fault for keeping reminding
them of what they’re forgetting; it’s just
human nature, though the irony isn’t
lost on me in saying they themselves
keep repeating themselves – tee-hee.
The fault lays firmly at dementia’s
door, nobody else’s, just dementia’s, it’s
the disease that makes us forget and
repeat ourselves. It’s dementia that’s
taken away our ability to remember
what we used to, so please, if you want
to shout or cuss, please shout at it, as it’s
really not our fault.
Please remember we don’t choose
to forget these things. We don’t do
it to wind you all up and please put
yourselves in our shoes just for a minute
and imagine if it was you being told
these things consistently, how would
you feel? Every time I am reminded
of what I haven’t done or what I have
forgotten, a little piece of me dies, and
that’s certainly not anybody’s fault but
dementia’s. I don’t blame my wife, I
blame the illness, and the sooner we
drag this age-old disease kicking and
screaming into the 21st century and
laying it bare for all to see for what it is,
the better
Till next time…
Norrms is diagnosed with Lewy bodies
dementia.
42 | NOVEMBER 2024 CARING-TIMES.CO.UK
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