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Caring Times, June 2025

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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06/2025

June 2025 Edition

Care bed

crisis

The state of later living accommodation

Think differently

Neurodiverse recruitment and training

Take cover

Ensure your home is properly insured

Prepare for inquests

Prevention of Future Deaths reports

caring-times.co.uk


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business

14 PROTEST AND SURVIVE

Protect the sector from existential

threat

18 SUPPORT FOR PROVIDERS

Help with care home inspections

and growth across both markets. In

real terms, the US market tends to

yield higher AWFs than the UK;

however, these numbers are difficult

decisions and should provide further

22 STATESIDE COMPARISON

to compare directly due to differences

in pricing structures and underlying

product in some cases. Pricing strategy

itself is highly complex, influenced by

factors unique to each market. That

said, when indexed to Q1 2018, the

AWF in the UK has been growing at

a faster rate than in the US across the

different product types over the past six

years. While one might attribute this

growth to higher inflation in the UK,

both countries have generally followed

a similar inflation trend during this

period, suggesting that other factors may

be at play; perhaps the path to sector

maturity being trod in the UK is some

with high potential for healthy margins.

For non-domestic investors, these factors

play a crucial role in shaping investment

incentive to lean toward investing in the

UK care market.

US investment Conclusions in the – UK potential elderly care

market

consolidation and a base for

strong returns

Although pinpointing the exact reasons

behind the significant growth of US

investment in UK care, especially over

the past 18 months, is complex, we can

make some educated assumptions. A key

factor lies in the general composition

of the two markets – the US market

has a clear inclination and well-trodden

path toward consolidation, something

the UK has yet to embrace fully.

diligent execution of consolidation can

unlock significant upside.

One additional factor that hasn’t

been discussed at length, but is still very

important, is that US investors tend to

be much more knowledgeable and aware

of the intricacies of the senior living/care

home market. This is by virtue that the

market in the US is much more mature

compared to the UK and other overseas

counterparts. This gives US investors the

upper hand when it comes to experience

and knowledge, as compared to other

international investors.

Finally, it would be unjust to forego

mentioning the current political

environment, particularly in the US. The

Trump administration is likely to make

changes, many of which will impact

the care home market, and potentially

28 THINK DIFFERENTLY

Neurodiverse recruitment and training


business | welcome

Care matters

Chief executive officer

Alex Dampier

Chief operating officer

Sarah Hyman

Head of marketing

Carrie Lee

Editor

Charles Wheeldon

charles.wheeldon@nexusgroup.co.uk

Advertising & event sales director

Caroline Bowern

0797 4643292

caroline.bowern@nexusgroup.co.uk

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 2025

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

In Caring Times this month we feature

contributors who address several of the

pressing issues facing our industry at the

moment.

On page 10, Bluebell Care’s Jonathan

Gardner laments the fact that although

the Casey Commission is now under

way it’s unlikely to be in a position to

recommend any meaningful action

before we face yet another change of

government, sending any reform plans

the way of previous strategies that have

fallen foul of political expediency.

Gardener isn’t all pessimism however,

as he recognises Baroness Casey’s personal

qualities, in particular her track record

of tackling difficult social problems with

vigour and independence, and expresses

hope that under her leadership there

may eventually be a route through to the

cross-party consensus central to achieving

positive change.

And change we will desperately

need, as Amy France and Victoria Du

Croz tell us on page 12 in their article

about the state of the country’s later

living accommodation. Referring to the

rather shocking statistic that just 86 net

additional care home beds were added to

the national stock last year, they refer to

recommendations by The Older People’s

Housing Taskforce which has called for

the strengthening of planning policies to

ensure sufficient land is made available

to support the volume of new care beds

needed.

Despite a steady stream of government

planning announcements from Labour

since they took power, only 36% of local

plans in England have a specific policy

for local living. While being a nod in the

right direction, it’s not necessarily enough

to drive the sort of change required.

However, more positively, on page

22, Cushman & Wakefield’s Jack

Kelleher points out that UK elderly care

investment last year broke through the

£3 billion threshold, and that 56% of that

investment was provided by US-based

investors. What follows is an analysis

of why the sector is attracting stateside

investment, along with a comparison of

both country’s sectors.

Kelleher points out that the UK

market is highly fragmented, with 88%

of homes owned by small independent

operators, quite often family-run

businesses managing up to 10 homes.

In the US, in contrast, the market is

far more consolidated, with almost

half the nation’s homes operated by

larger groups managing 25 or more

properties. This, Kelleher says, is the

reason for US interest, with the lack of

UK consolidation attracting investors

tempted by the possibility of unlocking

economies of scale, driving operational

efficiencies and creating strong regional

or national groups.

Moving away from the macro

issues to focus on the operational side

of the business, we have a spirited

contribution on page 32 from Fairway

Healthcare’s Alex O’Neill, who urges care

management to focus on development of,

and reward for, the existing workforce,

rather than frittering away substantial

funds on recruitment and marketing.

Mangers, he points out, spend 20% of

their time attempting to hire, onboard

and orientate new employees, many of

whom leave within months. The solution

is then short-term agency cover leading

to inconsistent standards and fractured

teams. “It’s not sustainable, It’s not

working. And it’s not good enough,” he

concludes.

Elsewhere, Colliers’ Ali Willoughby

provides an overview of the Providers

Unite lobby group, organiser of

February’s National Day of Action, when

3,500 of us gathered in Westminster to

protest the way the sector is regarded and

in particular to plead for a reversal of the

government’s hike of employers’ National

Insurance contributions.

And finally, something to cheer us all

up amid all the challenges was the final of

the Care Sector’s Got Talent competition,

covered on page 54, a joyous event held in

Birmingham in April, which was won by

fabulous saxophonist Ola Ojekanmi from

Netherley, Liverpool, which you can view

on the Championing Social Care website.

Charles Wheeldon

Editor

Caring Times

4 | JUNE 2025 CARING-TIMES.CO.UK


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business | news

News in brief

POLICY & POLITICS

Ban on overseas workers

The government announced it is to

end the recruitment of overseas care

workers by 2028 in a move criticised

by operators and unions. Care

England chief executive Martin Green,

described the decision as “a crushing

blow to an already-fragile sector” and

accused the government of “kicking

us while we’re already down”. The

Homecare Association’s chief executive

Jane Townson said: “International

recruitment is a lifeline for the home

care sector, enabling us to provide vital

support to older and disabled people in

their own homes.

Guidance for international adult

social care recruitment fund

The government has published

guidance on its £12.5 million

international recruitment fund for

the adult social care sector which

aims to ensure individuals work

for legitimate care providers while

tackling exploitation. The money

pot comes as the government reports

“unacceptable increases” in unethical

practices and exploitation in the

adult social care sector. The money

will be made available in 2025/2026

to support migrant care workers

affected by sponsor non-compliance

or unethical practice and will address

poor employment practices. Othe

Wes Streeting

2024/2025 financial year, 15 regional

and sub-regional partnerships

across England have established the

infrastructure and processes to support

migrant care workers into new, ethical

employment with new sponsors.

TRAINING

Cutting-edge technology

introduced in social care

In a bid to shift adult social care

from analogue to digital as part of

the government’s Plan for Change,

the health and social care secretary

Wes Streeting has announced a new

qualification that will equip care leaders

with the skills to use and rapidly deploy

technology across care homes and other

support settings. The training will focus

on tools which have been shown to

improve the quality of care and reduce

pressure on staff. This includes: motion

sensors that can detect and alert staff

when a patient has a fall; video telecare

to allow remote appointments with

doctors and carers to reduce the need to

travel; and artificial intelligence which

can automate routine tasks such as note

taking or predicting when a patient

might need additional care

Free training programme for

young carers

West Midlands-based training provider,

Embark Learning Care Academy,

has joined forces with charity The

King’s Trust to deliver a free training

programme for young people to provide

them with the skills they need to

begin a career in care. Aimed at those

aged between 18-30 who have either

previously trained in health and social

care or have experience as young or

unpaid carers, it offers participants

expert-led support, hands-on training,

and a clear pathway into employment.

SUPPLIER NEWS

Hamberley launches dementia

strategy

Hamberley Care Homes has launched

a new dementia strategy to ensure

residents can live as independently as

possible. The ‘Bringing out the best’

6 | JUNE 2025 CARING-TIMES.CO.UK


news | business

strategy is headed up by dementia

expert, David Moore, who joined

the company last year as head of

dementia. The strategy is built around

the principle of ‘doing with’ residents

rather than ‘doing to’ residents, as they

progress through the different stages of

the illness.

FINANCE

93% of healthcare investors

look to deploy capital

Investment demand is set to rise in the

UK healthcare market this year, with

93% of investors planning to increase

their healthcare allocations, according

to CBRE’s ‘2025 UK healthcare

sentiment survey’. Investors predict that

the greatest demand this year will be for

specialist care homes, with confidence

in the subsector driven by continued

government investment into specialist

care services and increasing demand

for services across the population.

Elderly care homes continue to attract

investment as the needs of the ageing

population increase, and age-related

healthcare assets have proven resilient

against economic fluctuations, offering

sustainable long-term cash flows,

according to the report. Operators are

also optimistic, with 62% expecting to

grow their portfolios over the next five

years.

Constantia Healthcare

refinances for acquisitions

Yorkshire-based residential and

nursing care home provider

Constantia Healthcare has completed

a refinancing geared towards growth

and acquisitions. The group has

completed eight acquisitions since

2018, with the most recent being

the Millings residential care home in

North Yorkshire last year. The funding

package was provided by Barclays; law

firm Clarion advised on the refinancing.

DEVELOPMENT

Call to build more care homes

Developers and operators are being

urged to build more care homes across

the country as a new report reveals a

growing shortfall in bed numbers and

issues with existing buildings which

Training at Embark Learning Care Academy

are increasingly unfit for purpose. The

‘Healthcare development opportunities’

report from Knight Frank about the

state of healthcare’s ageing supply reveals

that care home supply over the past year

grew by just 86 beds – or 2.9% – despite

the population of over-65s increasing

by 20.7% over the same period. There

has also been an increase in the number

of deregistrations of care homes, driven

by the fact that older assets are no

longer fit for purpose – 76% of care

homes are more than 20 years old. This

is largely due to a lack of en suite or

wetroom facilities and concerns by the

Care Quality Commission, with 19%

of existing facilities currently rated as

Requires improvement or Inadequate

following inspections.

WELFARE

Multilingual helpline champions

carer wellbeing

Nellsar, a family-run group of 13 care

homes across the Southeast of England,

is using a dedicated helpline to give its

staff and their immediate family access

to free confidential support whenever

they need it. The helpline offers a safe,

multilingual space to talk with trained

professionals and provides emotional

reassurance, practical guidance, and

signposting in all languages required by

its diverse staff.

CARING-TIMES.CO.UK JUNE 2025 | 7


business | real estate & development

Property news

Partners (SLIP). They will be operated

by Audley under its Mayfield Villages

brand. Amenities will include a village

hall, health and wellness centre,

residents’ lounge, outdoor gardens and

terraces. SLIP is a partnership between

real estate investor Octopus Real Estate

and insurer of defined benefit pensions,

Pension Insurance Corporation.

Black Swan Care Group is opening a

care home in Taverham, on the outskirts

of Norwich, supporting up to 30 people

living with dementia. The home is the

former Eastlands care home which

closed in October 2022 and the new

facility will be renamed, reflecting its

change of ownership. The bedrooms

will be all fully furnished with en suite

wetrooms. There will also be large

communal living areas including a

conservatory overlooking the gardens, a

dining room, a hairdressing salon, and a

beauty treatment salon.

The RDCP and Monarch management

RDCP Care has acquired Nottinghambased

Monarch Healthcare which

provides nursing care, residential care

and dementia care across 13 care and

nursing homes, located across South

Yorkshire, Lincolnshire, Derbyshire,

Nottinghamshire and Staffordshire. The

company offers short-term, respite and

long-term residential care and employs

850 staff. It has a turnover of £25 million

and EBITDA of £6 million.

Muller Property Group has secured

outline planning permission for a new,

purpose-built 80-bed care home on

the outskirts of Hereford. The twostorey

care home will offer spacious

en suite bedrooms, a cinema, library,

a hair and nail salon and landscaped

gardens. Ancillary areas will include staff

facilities, offices and centrally-located

nursing stations and treatment rooms.

Optimo Care Group has acquired

Essex-based Spectra Care, which has

a portfolio of supported living units

across Ilford and Chingford, delivering

services to younger adults with learning

disabilities and autism. The sale was

facilitated by DC Care and Optimo and

advised by Freeths (legal), Hazlewoods

(financial and tax), and Knight Frank

(property). Spectra Care was advised by

Setfords (legal) and Azets (tax).

In London, Brent Cross Town’s 148

retirement living properties for over-60s

has been granted planning permission.

The units will be delivered by Audley

Group and Senior Living Investment

Braid Hills, a former nursing home for

119 residents, will be reopened in the

next few years following its acquisition

by Crown Care Group. It occupies

an extensive two-storey purpose-built

property from the 1990s, situated on a

3.84-acre plot in the Liberton suburb of

Edinburgh. It was previously owned by

Bupa Care Homes and ceased trading in

July last year. The plan is to redevelop the

site into a modern future-proof facility.

Business property advisor Christie & Co

facilitated the deal.

Macc Care Group has opened a

new care home in Great Wyrley,

Staffordshire, offering 90 bedrooms

with amenities including a café, cinema,

gym, and hair salon. It will offer nursing

care alongside specialist dementia

support and respite services. The home

is adjacent to Wyrley Court, Macc Care’s

latest retirement village.

8 | JUNE 2025 CARING-TIMES.CO.UK


real estate & development | business

Luxury care home provider KYN

will begin construction on a new

£30 million London care home in

Highgate this summer, set to open in

early 2028. Working with Studio PDP

architects, KYN will convert two former

residential buildings to create the home.

Covering 0.82 acres, the site will include

61 bedrooms, with interiors fashioned

by Nina Campbell. It will feature

facilities and social areas, including a

central shared dining room, a ‘Namaste

care’ room for residents living with

dementia, an art studio, a spa and gym, a

screening room and a library.

Muller Property Group has exchanged

contracts and made a planning

submission for an 80-bedroom

residential care home development,

arranged over two to four storeys, in

Oundle Woodston, Peterborough, to be

constructed by Wynbrook in partnership

with Synergy Care Developments. It will

be operated by Acacia Care. Healthcare

property consultant Knight Frank

marketed the site on behalf of Muller.

Lina Chirandura has purchased The

Graylyns Residential Home near

Haverfordwest, Pembrokeshire,

which is registered to provide residential

dementia and respite care to up to 15

residents. The home has been owned

and operated by husband and wife,

Graham and Lynne Jones, and their son

Andrew. The couple opened the home in

1998 and decided to sell as part of their

retirement planning.

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business | politics & policy

Realistic expectations

Jonathan Gardner, chief executive of Bluebird Care, says we must make the

most of the Casey Commission

The start of the long-awaited

independent review into social

care by Baroness Casey is finally

upon us. Launched with little fanfare, the

publication of the Commission’s terms

of reference, have left the sector with

very little confidence that it will achieve

meaningful change in a sensible time

frame.

Like many others across the sector,

I have mixed feelings about the

Commission. Its delayed start, excessively

long delivery timeline, and backseat to

the NHS 10-year plan are genuinely

disappointing.

There’s also the very real chance that by

the time the review’s recommendations

are ready for action, we will be amid a

change of government (if the recent local

election results are any indication) which

risks sending any substantial reform plans

the same way as previously mapped out

strategies that became political anathema.

Nonetheless, despite these significant

concerns, we must seize this imperfect

opportunity. The scale of the challenge

facing our sector is vast, and quick

wins simply don’t exist. Can the Casey

Commission deliver a real chance to

establish foundations for sustainable,

long-term change that our sector

desperately needs?

Casey’s track record of change

Yes, the delays and extended timelines of

the Commission are frustrating. But what

gives me some hope is the government’s

choice for leading the review. Baroness

Casey’s proven ability to tackle difficult,

deeply entrenched social problems with

rigour and independence brings major

credibility. While remaining cautious

about expecting too much from this

review, Casey’s independence is also at

least a safeguard against purely political

goal-scoring outcomes.

It is this independence that can offer

opportunities for cross-party support

behind the recommendations that

eventually materialise, which will be

crucial if they are to cross beyond the next

electoral cycle.

Realistic expectations within

financial constraints

“The commission’s recommendations

must remain affordable, operating within

the fiscal constraints of Spending Review

settlements for the remainder of this

Parliament.” This clause in the terms of

reference is perhaps the biggest blow

to hopes of meaningful investment in

reform of our sector – the review had yet

to hear a single piece of evidence before

its hands were tied to a Spending Review

process that had already happened and

will be made public next month. This

comes as little surprise in the context of

the fiscal challenges facing the country –

this is a Treasury decision, after all.

Given these financial constraints,

the Commission must surely focus on

reforms that don’t require major new

cash injections. Though no replacement

for proper long-term funding, practical

improvements can, and should, now be

delivered through smarter policy decisionmaking

and design, and more effective

and impactful use of existing resources.

Through data integration, crosssector

collaboration, and intelligent

long-term commissioning practices it

remains possible to make substantial

improvements without the need for huge

new investment.

We know from experience with our

Bluebird Care Assist free health check

programme for customers that improved

data-sharing between health and care

systems streamlines processes, reduces

inefficiencies, and enhances care quality

at minimal system cost. Coupled with a

shift towards long-term, outcome-focused

commissioning practices, and we can

begin to introduce much greater stability

across the sector.

Essential active engagement

from the sector

This Commission’s success will live or die

by how much it genuinely listens to the

many and diverse voices across our sector.

We all have a responsibility to engage

meaningfully and sustain our involvement

as the review progresses – there is certainly

Jonathan Gardner

more than enough time to do so.

It will certainly be tempting to leave

the advocacy and engagement to the

admirable work of our unions and

representative bodies across our sector

– but operators, front line teams and

those who use care services all have a

part to play in building our sector back.

Our voices must be loud, clear and

consistent to provide the detailed insights

that will ground the Commission’s

recommendations in reality.

Conclusion

There’s no doubt that the Casey

Commission terms of reference confirm

our worries that this review, and

meaningful reform, is not the urgent

priority it ought to be.

However, taken in good faith, the

Commission can present a critical

opportunity finally to break the

damaging cycle of short-term policy

interventions that have destabilised social

care for decades. While we await the

long-term delivery of recommendations

for reform, we will continue to fight for

more immediate interventions that boost

stability, sustainability and growth in our

sector for the good of those we care for.

We must not waste the chance for

long-term reform by writing off the

Commission entirely – our responsibility

now is to make sure that the review

doesn’t produce just another report,

but the foundation for real, sustainable

change.

10 | JUNE 2025 CARING-TIMES.CO.UK


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business | social care

Care bed crisis

Amy France and Victoria Du Croz comment on the state of later living accommodation following

the publication late last year of the report from The Older People’s Housing Taskforce

The statistics around the number

of new care home beds delivered

last year have recently been

revealed and are stark. Just 86 net

additional care home beds is nowhere

near the figure needed to meet existing

and projected demand. This lack of

provision is adding pressure to an already

struggling social care system and has a

critical effect on our ailing healthcare

system.

The challenge isn’t just around care

homes though; there’s an urgent need

for a range of suitable later living

housing options to meet varying needs.

It’s well understood that appropriate

housing in later life can improve health

outcomes, both physical and mental,

alleviating pressure on the health system

and improving individual wellbeing and

quality of life.

The Older People’s Housing

Taskforce was formed to address

the lack of suitable, accessible and

affordable housing options for older

people. Published nearly six months

ago it’s hard to understand what, if

any, progress is being made. One of the

key recommendations was the need to

strengthen planning policies to ensure

that sufficient land is made available

to support the volumes of new supply

needed, as well as ensuring older people’s

housing is given greater priority in the

creation of local plans. The government

has made a steady stream of planning

announcements since coming into

power, including restating housing

targets and adding a specific reference to

‘mixed tenure sites’, including ‘housing

designed for specific groups such as

older people’s housing’ in the National

Planning Policy Framework.

“Currently only 36% of

local plans in England

have a specific policy for

later living.”

Amy France

Currently only 36% of local plans in

England have a specific policy for later

living. While this nod to the need for

greater provision of suitable housing

for older people is positive, it is not

necessarily going to drive a large enough

step change in delivery. The Taskforce

did an analysis of the number of schemes

being approved or rejected at planning.

The analysis found that the approval

rate for older people’s housing schemes

is 57% of all applications made, but this

rate falls as schemes get larger, with just

45% of schemes with 120 units or more

being granted planning permission. This

is a particular challenge for later living

schemes where it is often necessary to

have larger schemes, as the number of

operational services required makes it

unviable unless certain economies of

scale are achieved.

The Planning and Infrastructure

Bill, which is currently making its way

through the House of Commons,

includes proposals to introduce

mandatory training for local councillors,

whereby they will need to receive a

certificate to sit on planning committees.

An essential part of this training needs

to be ensuring local councillors have a

thorough understanding of the need for

mixed tenure sites and the demand for

different types of housing. Historically,

schemes for older people’s housing have

come forward on unallocated greenbelt

Victoria Du Croz

sites as it cannot compete for greenfield

allocations on the same basis as open

market housing. The government’s

redesignation of some greenbelt land to

greybelt land may improve the chances

of older people housing schemes being

approved.

Fundamentally, though, there remains

significant challenges in delivering a

suitable quantity and range of housing

options for later life. While the

Taskforce identified several levers that

could be pulled to remedy the rate of

delivery, there’s no quick solution and

without a standardised methodology for

local assessment and specific allocations

within Local Plans there is going to

continue to be a severe undersupply

of suitable homes. This lack of supply

affects the wider supply of housing in the

market, as older people are staying put in

larger family homes, affects individuals

mental and physical wellbeing, and puts

pressure on the UK’s health system.

The only silver lining from the

growing supply and demand is that

the fundamentals are becoming more

attractive to investors and lenders into

the market. These market forces should

combine with the planning levers

discussed in this piece to accelerate

delivery.

Amy France is a partner and Victoria Du

Croz a partner and head of planning at law

firm Forsters

12 | JUNE 2025 CARING-TIMES.CO.UK


sponsored content | business

Financing the next care home

By Anthony Newman, senior specialist relationship manager at Allica Bank

Finding finance to buy a new care

home is often a struggle for care

home operators. Whether you

have decades of experience or are just

starting out, the complexities of the

sector mean many banks just aren’t

prepared to lend to you.

But you shouldn't give up hope. There

are still lenders, like Allica Bank, keen

to support this vital sector. And one

way to really boost your chances is by

making a strong application.

So, I thought I’d share a few

considerations from a lender’s

perspective that, if they’re addressed

upfront, should help you make the best

start.

The property

When it comes to the building itself,

lenders pay close attention to its design

and capacity. Is it purpose-built or

a conversion? Conservative lenders

typically only finance purpose-built

properties.

Equally important is the number of

beds – a key driver of revenue potential.

Some banks typically want to see

40-plus beds, whereas some like Allica

will consider 20-plus.

Lenders also look at the general

longevity of the building – if it’s

been well-maintained and whether

the essentials are in good repair (for

example, lifts) or high quality (for

example, room sizes).

Zooming out a little, the lender will

also assess the local area for demand

and competition – now and in the

future.

The business

For existing operators, a strong

regulatory track record is crucial –

many lenders require a minimum

Good rating from the Care Quality

Commission. Some lenders like Allica,

however, may look beyond this or

consider external mock inspections if

past ratings are a barrier.

A capable management team is

also key, particularly for operators

expanding into multiple homes. While

experience in the sector helps, lenders

are open to supporting newcomers

who can clearly demonstrate their

commitment to delivering high-quality

care.

Anthony Newman

“Many lenders

require a minimum

Good rating from

the Care Quality

Commission.”

Finally, financial strength matters.

While EBITDA remains a core metric,

lenders will also assess underlying

cash flows to ensure the business can

comfortably support new borrowing.

The biggest question of all

Ultimately, the key question for a

lender could be ‘Would I be happy if a

loved one was staying here?’ At Allica,

at least, this is the real litmus test. If

not, it’s hard for us to justify saying yes.

Ready to grow?

I hope that’s helped. By focusing on the

above when engaging a lender, you’ll

help them see a fuller picture of your

business and your commitment to the

sector.

If you’ve got plans to grow, we’d

love to see if we can help – especially

if you’re struggling with traditional

lenders. I can promise a considered,

personalised conversation from Allica.

If you’re ready to explore your

options – or just want to understand

what’s possible – we’d love to talk.

CARING-TIMES.CO.UK JUNE 2025 | 13


business | politics & policy

Protest and survive

Ali Willoughby, associate director in real estate company Colliers’ healthcare team,

investigates calls for change to protect the care home sector from existential threat

Recent changes to National

Insurance and other rising

operational costs have prompted

leaders within the care home sector to

set up a pressure group called Providers

Unite. Its purpose is to lobby the

government to give greater priority to

the sector when many operators are

faced with the possibility of not being

able to fulfil care contracts, threatening

the viability of a significant number of

small and medium-sized homes.

Industry experts estimate 8%-10%

increases in staffing costs will

necessitate fee increases of around

5%, which can be passed on through

cross-subsidisation in homes with a mix

of private and state-funded residents

(but will presumably result in even

bigger fee increases for privately funded

residents). Smaller homes which focus

to a greater extent on local authority

fees will be particularly affected.

According to the Office for Budget

Responsibility it is estimated these extra

costs amount to £800 per employee per

annum.

Providers Unite is raising awareness

of the growing social care crisis and a

National Day of Action was called in

late February, urging the chancellor

to reverse the National Insurance

increases. A survey conducted just

before the Day of Action reported

that 47% of 570 care providers would

be handing back contracts to local

authorities or integrated care boards

due to funding pressures.

“This isn’t about noise, it’s

about real change rooted

in purpose, powered by

those who live and breathe

social care every day. We

need accountability over

chaos. Parity over power.”

The House of Lords tabled

amendments to overturn the NI ruling,

but to no avail – and the social care

sector looks set for yet another blow to

its finances and morale as the system

has failed to address current and longprojected

demographic change.

Nadra Ahmed, chairman of the

National Care Association, explained

the raison d’etre for Providers Unite:

“We fully support the long-term goals

of improving adult social care, but

immediate action is essential to prevent

more people in our communities from

having to fight for the care and support

they need. That is why Providers Unite

was formed and why we held the first

rally at Parliament, enabling over 3,500

sector advocates to voice their genuine

concerns about the impact of National

Insurance changes, on top of years of

funding pressures.

“Providers Unite members welcome

continued discussions with Treasury

and DHSC colleagues to identify

practical solutions that protect both the

sector and the people it serves.”

A member of the campaign added:

“This isn’t about noise, it’s about real

change rooted in purpose, powered by

those who live and breathe social care

every day. We need accountability over

chaos. Parity over power.”

Consequences for commercial

real estate

Care home real estate is a significant

business – total UK values reached

£26.2 billion at the end of 2024,

compared to £22.2 billion in March

2023. However, operational markets are

only viable if the service they provide

can continue, and the sector is faced

with significant harm inflicted on

many providers, especially those reliant

on council-funded placements which

already struggle to reflect the true cost

of care.

Worst case scenario? A slew of homes

may be forced to close, destabilising the

sector having corresponding adverse

effects on the care home market. There

Ali Willoughby

are currently 16,566 care homes in the

UK employing approximately 1.59

million people looking after 441,479

residents and non-residents. 51%

(226,319) of these are funded by local

authorities – suddenly the 47% statistic

from the Providers Unite survey looks

very ominous indeed.

The cover image of the March

issue of Care Markets magazine is

that of a pulverised orange above the

caption ‘The squeeze on price’, with a

full-page grab quote two pages later

from William Laing, the chairman

of LaingBuisson, the main provider

of market intelligence for the sector:

“This discrepancy between council

and private payer prices can’t continue,

but it’s difficult to see how it can be

resolved.”

Essentially, the social care sector is

facing a perfect storm of a range of cost

hikes (that is, National Living Wage pay

increases which concertina up through

the grades), and rising energy costs in

24/7 facilities. The imposition of NI

increases could well be the last straw

for a significant number of providers

that simply cannot meet all financial

expectations, as well as future-proof

premises which were not designed for

easy 21st century net zero conversion.

And that’s not all – a survey of the

County Councils Network found

14 | JUNE 2025 CARING-TIMES.CO.UK


85% of rural authorities are in a worse position that before

the Autumn Budget and recent local government finance

settlements, which is likely to result in further cuts to services

and a further whittling away at sector resilience.

are Home Finance

So what is the cure for the care sector?

Mike Padgham, chairman of the Independent Care Group

up to

– a non-profit organisation supporting the sector across

80% funding against

Yorkshire, said: “For me, the answer lies in creating a

national full care market service. Not value a nationalised system that removes

the independence of providers, but a unified, national

• 80% organisation for high quality that gives modern social care purpose and health equal footing.

built One homes that values and supports care in the same way it does

healthcare.

• 75% for “We converted could learn a homes lot from how GPs operate within the

• 70% NHS. for first They’re time independent, buyers self-employed professionals,

yet they function within a stable national framework. That

• 100% structure for extensions gives them clear and expectations, purchasing financial security and

further professional homesrespect – something the social care sector sorely

lacks. But structure alone won’t fix the system. To truly raise

the status and sustainability of social care, we need to back it

Worried about the impact of NI & NMW, we can

with fair and consistent funding.

range up to 5 years interest only, for any purpose.

“This also means setting a national rate for care services.

Repayment Too often, profiles providers of up to are 25 forced years to available. negotiate wildly different

Fully sanctioned fees with local facilities authorities, before creating valuations a postcode then lottery and

constant

subject

financial

to valuation

strain.

and

A single,

legals.

fair rate across the country

would bring greater stability – and respect – for the work we

Please email do.” a brief summary of your funding

requirement Finally, it’s to: worth mvhwiddows@aol.com

bearing in mind that in mid-2022 there

were 1.7 million people aged 85 years and over, making up

2.5% of the population. By mid-2047, this is projected almost

to double to 3.3 million, representing 4.3% of the total UK

www.globalbusinessfinance.net

population. Perhaps these are the most important numbers in

this article.

Care Home Finance

up to 80% funding against

full market value

• 80% for high quality modern purpose

built homes

• 75% for high quality converted homes

• 70% for older style converted homes

• 70% for first time buyers

• 65% for homes with ‘requires

improvement’ rating

• 100% for extensions and purchasing

further homes

Repayment profiles of up to 25 years available.

Fully sanctioned facilities before valuations then

subject to valuation and legals.

Please email a brief summary of your funding

requirement to: mvhwiddows@aol.com

www.globalbusinessfinance.net

CARING-TIMES.CO.UK JUNE 2025 | 15


business | insurance

Take cover

It is important to ensure that your care home is adequately protected in the event

of a business-endangering event

Underinsurance is a problem

facing a variety of industries.

In fact, it’s estimated that

commercial buildings are only covered

for an estimated 69% of their true

reinstatement value, according to

industry experts.

For the care home sector, the Average

Clause is an important stipulation

to underinsurance which often gets

overlooked; one which could threaten

the quality of care provided and cause

huge financial shortfalls for UK care

homes.

Ensuring the safety and support for

individuals receiving care to live and

thrive with dignity is the number one

priority. Understanding the Average

Clause of your policy to ensure you

have adequate cover is paramount to

upholding this commitment, protecting

your staff, residents and members of the

public from a variety of risks.

Alan Kirkwood, director at insurance

broker WH&R McCartney, explains:

“Most property insurance policies will

likely include an Average Clause – this

is a clause for an insurer to pay out a

proportionate amount for what you are

claiming, based on how much you are

underinsured by.

“For example, a care home might

“Most property

insurance policies

will likely include

an Average Clause

– this is a clause for

an insurer to pay

out a proportionate

amount for what you

are claiming, based

on how much you are

underinsured by.”

be insured for £10 million, but a true

rebuild cost is more like £15 million

– this care provider is underinsured

by one third. So, when they needed to

make a claim on some fire damage, at

approximately £3 million, the insurer

would only cover the costs of the initial

two thirds of the claim, leaving the care

home to self-fund for the remaining

million.

“In this way, the Average Clause is a

bit of a curse. If applied on a claim, it

can lead to a financial shortfall, which

might disrupt the normal running

of the business, impact care home

residents and even result in closure.

“We saw it with a second-generation

family-run care home group, who

narrowly avoided breaching banking

covenants after a routine insurance

review uncovered millions of pounds

worth of underinsurance across

its property portfolio. The group,

which operates six care homes, had

expanded rapidly over three years

through acquisitions, but insurance

arrangements had not kept pace with

growth.

“Four of the six homes were insured

for well below their actual rebuild

value. Working with an approved

valuer, our review team discovered

that two older, stone-built properties

were insured for just £4 million each.

In reality, the cost to reinstate them

was £8.2 million and £9.5 million

respectively – a shortfall of 52% and

58%.

“The insurance review found the

group was technically in breach of its

funding agreements, which required

full reinstatement cover. Had a major

loss occurred, the insurer’s payout

would have fallen drastically short,

potentially triggering loan recalls and

even repossessions.

“At a time when the UK’s care

facilities are already under financial,

social and legislative scrutiny, it’s

important they can feel empowered to

provide a continuity of care for those in

need.”

Alan Kirkwood

Underinsurance happens because

of several reasons, many of which are

out of the control of the care provider.

For example, rising construction costs,

outdated rebuild valuations and costs

associated with compliance to new

regulations are all factors influencing

the value of your business. To ensure

you can deliver exemplary care for your

residents, it’s important you review

the total sum insured with a specialist

broker.

Kirkwood continues: “Crucially, we

can help those who have been let down

by other insurance companies, who

haven’t necessarily made policyholders

aware of the Average Clause and how it

could impact their entitlement. Perhaps

they have made a claim on their care

home policy and have realised too late

they could’ve been entitled to more.

“To mitigate the risk of

underinsurance, a trusted broker can

manage the complex administration so

you can focus on delivering a high level

of care. Whether it’s adjusting policies

for inflation, accounting for all rebuild

costs, or providing the necessary legal

counsel, a broker can act quickly on

your behalf for complex claims to

minimise business disruption and save

on costs. Ultimately, this approach

ensures that extra layer of care for your

facility, staff and residents.”

16 | JUNE 2025 CARING-TIMES.CO.UK


sponsored content | business

Three data-backed tips to convert

website traffic into enquiries

Right now many groups are experiencing high occupancy. However, with fewer care seekers

looking for placements, care homes face growing competition to secure future residents

To stand out and convert interest

into admissions, marketers

must track the full journey and

capture every touchpoint that leads to

a call.

Analysing data from over three million

care home website visits and one million

care home calls, the 2025 spring edition

of ‘Mediahawk’s care home trends

report’ uncovered fascinating insights

into care seeker habits. The data shows

a competitive market where visitor

volumes don’t always translate into calls.

Inspired by this analysis, here are some

quick wins to help you convert more

traffic into enquiries for your care home:

1. Your visitor-to-call ratio is

more important than you think

The ‘2025 State of call tracking report’

revealed that only 16% of respondents

ranked the visitor-to-call (VCR) ratio

as one of their top five metrics. Yet it’s

an important measure of how effectively

you’re converting care seeker interest

into intent. It compares how many visits

your website gets versus how many calls

originate on your website. There was

an overall drop in this metric between

March 2024 and March 2025.

If you’re seeing a lot of visits but few

calls, it can mean one of three things:

1. Care seekers are spending more

time on research and comparing

options before calling.

2. You’re prioritising brand awareness

and reaching people too early in their

journey.

3. There’s a gap in your care seeker

journey that’s preventing conversions.

Whatever the cause, if you’re seeing

a drop in VCR, it’s time to audit your

website for opportunities to boost

conversions.

“Detailed resources that answer care

seekers’ questions and moves them

onto the next stage in the journey will

improve your conversion rate,” explains

Faye Thomassen, head of marketing for

Mediahawk. “Even something

as simple as making your phone

number more prominent makes a

difference.”

2. Track all sources for full

marketing attribution

Mediahawk’s ‘State of call

tracking report’ shows a decline

in marketers using trackable

numbers across channels. With

tighter budgets, many care home

marketers are making cutbacks –

but without tracking performance,

there’s a risk of overspending on

channels that don’t drive move-ins.

Over the past year, data shows a

more tactical use of pay-per-click, with

leads from Google PPC falling while

Google organic’s share increased.

“More care home marketers are relying

on organic search to bring in care seekers

while occupancy rates are high, with

targeted investment in PPC to boost

visibility for care homes with more

space,” says Thomassen. “It’s a smart way

to manage spend without losing out on

key channels.”

Call tracking attributes every call

across your marketing channels, helping

you take a more tactical approach and

spend your budget in the right places.

3. Use artificial intelligence in a

way that suits your care home

AI is a powerful tool when you use it

in the right way – but adoption can

be complex. Some care home leaders

are hesitant to embrace AI, as they’re

worried about potential risks.

“It’s understandable that leaders are

cautious about AI in care where the

human touch is so important,” says

Thomassen. “Introducing a chatbot or

using generative AI for ads might not

be the right choice for you, but there

are other ways to take advantage of AI’s

capabilities.”

Analytics is one of AI’s most mature

and widely used applications, allowing

marketers to dig deep into their data

without hours of manual work.

AI-driven analytics comes in many

different forms – but conversation

analysis is especially powerful for

care homes, where phone calls are a

key source of enquiries. It securely

and automatically analyses each call,

identifying key topics, logging the

outcome, and measuring the care seeker’s

intent. This helps you understand who’s

calling you, and the best ways to convert

them; all positive signals you can use to

optimise your PPC ads.

Summary

In a competitive market, small changes

make a big difference.

Understanding your VCR and

tracking your sources helps you optimise

the care seeker journey, while AI-driven

analytics reveals who’s calling and

what matters most to them – giving

you the insights to increase leads and

conversions.

Explore the figures and analysis that

inspired these tips; get your copy of

the latest ‘Care homes trends report’:

mediahawk.co.uk/care-trends

CARING-TIMES.CO.UK JUNE 2025 | 17


business | regulation

Support for providers

Dr Kevin Groombridge, chief executive of Care Inspections UK, describes how his

company is helping resolve some of the issues surrounding care home inspections

The care sector in England is

under strain, and confidence in

the systems designed to oversee

it is starting to fracture. The Care

Quality Commission is facing growing

criticism over delays, backlogs and a

perceived failure to provide timely or

consistent oversight. Concerns are

growing about a lack of independence

and conflicts of interest. Providers and

families alike are asking whether the

current model is still fit for purpose.

At the start of this year, the CQC

reported a backlog of around 5,000

unresolved Notifications of Concern,

alerts raised by care workers, managers

and members of the public about

potential safeguarding or service quality

issues. Many of these have yet to be

investigated. Alongside this, research

conducted by the company I lead, Care

Inspections UK (CiUK), an accredited

and registered independent care

inspection body, found that thousands

of care homes are still waiting for their

first full inspection since the start of

the pandemic. The data analysed earlier

this year revealed that more than 6,000

care homes in England had not received

a comprehensive review since before

2020.

Political pressure is also mounting.

Last year, health secretary Wes

Streeting described the CQC as not fit

for purpose, pointing to inconsistent

standards and slow responses to

concerns. The regulator’s inspection

framework has been criticised for

relying too heavily on historic data,

with many providers waiting months

for reports to be published, leaving

families and residents with limited

visibility into the current quality of

care.

CiUK offers a model that operates

alongside regulation, focusing on

improving care outcomes, not through

condemnation but through evidencebased

feedback and genuine support.

A system in crisis

The delays and backlogs plaguing

the CQC have real consequences.

Providers report waiting up to four

months to receive inspection reports,

during which time avoidable problems

can escalate. In an environment where

timely intervention is crucial, these lags

leave providers vulnerable, and families

uninformed.

The implications for residents and

their families are deeply troubling. The

government needs to get real about

the fundamentally flawed CQC. Not

only is it monumentally behind, but its

metrics are skewed. It bases ratings on

subjective and biased opinions rather

than rigorous evidence and data. It

leaves care home operators out in the

cold, offering criticism without support.

CiUK’s model has been shaped in

Dr Kevin Groombridge

response to these systemic issues. The

organisation delivers reports quickly and

focuses on practical outcomes, ensuring

that providers are given the tools to

respond to challenges rather than being

criticised and left hanging. Its inspections

are rooted in real-world evidence and led

by professionals with direct experience in

health and social care.

Subscription-based service

To support providers in a more

structured and sustainable way, CiUK

“We know from

experience that

care improves

when providers are

supported, not just

scrutinised.”

18 | JUNE 2025 CARING-TIMES.CO.UK


Berehill House became the first home in Hampshire

to achieve a certificate of compliance from CiUK

has launched a subscription-based

inspection service which allows care

homes to choose from three tiers:

Silver, Gold and Platinum, depending

on their operational needs, size and

ambitions for improvement.

At its core, the service aims to make

external inspection and feedback

continuous rather than reactive.

Regular visits, personalised action

plans, and fast turnaround reports offer

providers a clearer view of where they

stand and what to improve. For many, it

is the first time they have had access to

consistent, expert feedback without the

anxiety of regulatory penalties.

We know from experience that care

improves when providers are supported,

not just scrutinised. Our role is to give

them the information and advice they

need to deliver better outcomes, not to

catch them out.

Uptake of the service has grown

steadily, with providers reporting

greater confidence in their ability

to prepare for statutory inspections,

engage staff and demonstrate quality to

families.

A call for regulatory reform

CiUK is also calling for broader reform.

Central to our message is the idea that

inspection and regulation should be

distinct functions. The current system

conflates enforcement with evaluation,

creating a culture of fear rather than

improvement.

Inspection and regulation should

not be conflated. Providers deserve fair,

expert evaluation from professionals

who understand the nuances of care,

not just box ticking. The current

system is broken. It is time for a more

intelligent approach.

CiUK believes that accredited,

independent inspection bodies can play

a key role in a more responsive system,

where a statutory regulator focuses on

enforcement and governance. At the

same time, trusted inspectors provide

frequent, meaningful insight to help

services improve.

A team grounded in experience

What makes CiUK’s approach

distinctive is the people behind it.

Our inspection teams include former

regulators, clinicians and sector leaders

who bring practical understanding to

their assessments. This experience allows

them to identify risks others might

miss and to offer relevant, achievable

and compassionate advice. We know

what good care looks like because we

have delivered it ourselves. We don’t

just tell providers where issues must be

addressed; we help them fix them.

Building momentum

As confidence in the traditional

system wavers, CiUK’s approach is

gaining attention across the care sector.

Providers, sector advocates and policy

thinkers are beginning to support

the idea that care quality should be

driven by consistency, expertise and

collaboration, not by fear of punitive

visits or bureaucratic standards.

Subscription-based inspection is

no longer being seen as a nice thing.

For many, it is becoming essential in a

landscape where regulatory visibility is

patchy and expectations are high.

Legislative change will take time, but

CiUK is already demonstrating what a

more balanced, supportive future could

look like, one where quality care is not

just demanded but enabled.

CiUK’s recent growth points to

something bigger than business success.

It reflects a growing belief that the

care sector deserves better tools, better

systems and better support. For a sector

long overshadowed by uncertainty and

underinvestment, this may finally be a

step in the right direction.

CARING-TIMES.CO.UK JUNE 2025 | 19


business | coroners

Prepare for inquests

Keara Bowden-Nicholas explains how a coroner may issue a Prevention

of Future Deaths report and what to do in those circumstances

By their nature, inquests are

emotional proceedings, fraught

with legal technicalities and

potential pitfalls, especially for those in

the care sector. One very serious risk is

that the coroner will issue what’s known

as a Prevention of Future Deaths (PFD)

report.

What is a PFD?

When coroners are concerned that

further deaths may occur if something

isn’t changed or addressed, they are

required to issue a PFD report. These

are public, published online, and

require responses to be sent within 56

days. The response should set out what

action has been taken, what is proposed

to be done about the issues raised in the

PFD, or an explanation if no action is

to be taken.

Coroners are not restricted to the

central issues of the inquest when

issuing a PFD. For example, a recent

report issued to a care provider raised

concerns about an unclear falls policy

(specifically when falls should be

reported internally and externally),

poor audits and poor record-keeping.

A PFD can adversely affect a service’s

reputation and require resources to be

used in dealing with the PFD, not to

mention that such reports can attract

unwanted attention from regulators

such as the Care Quality Commission.

When there is a death in a service,

there can be a risk of a health and safety

prosecution by CQC, as well as civil

“By their nature,

inquests are

emotional

proceedings,

fraught with legal

technicalities and

potential pitfalls.”

compliance action. The entirety of the

circumstances must be managed.

Can PFDs be avoided?

It might not be possible to avoid a PFD

altogether but there are steps that can

be taken to mitigate the risk of one

being issued by the coroner:

1. Proper investigation and analysis

of incidents

If there is evidence that proper

investigation and analysis is

undertaken when incidents occur,

this can be helpful in demonstrating

that there are robust procedures in

place and that the risk of a similar

situation happening again has been

mitigated.

Any investigation should set out

learnings points that have been

identified as a result of the incident.

2. Identify who should give evidence

Providing evidence from the right

people is absolutely key. It might not

be appropriate to have statements

only from the staff who were ‘on

hand’; further evidence from a

manager or director, dealing with

wider issues, may also be required.

3. Clear and robust witness evidence

Any witness evidence should be

clear, detailed and ideally given in

a chronological manner. Relevant

documentation should be referred

to and exhibited as part of the

statement.

4. Proper witness preparation

Giving evidence is a stressful

experience and witnesses should

be properly prepared, with a full

understanding of the matter and their

role in the proceedings. Having a

strong witness statement is only the

first step in preparation – witnesses

should make themselves familiar

with all of the evidence that is before

the coroner and should expect to be

questioned.

Keara Bowden-Nicholas

“While it might not

be possible to avoid

a PFD, it’s essential

to prepare properly

for an inquest if

there’s a risk that a

PFD report may be

issued.”

Conclusion

While it might not be possible to

avoid a PFD, it’s essential to prepare

properly for an inquest if there’s a risk

that a PFD report may be issued. Early

identification of the risks and robust

witness statements from the right

people are key to reassuring the coroner

that you have a handle on the matter

and that a PFD is not required.

The health and social care team at

RWK Goodman provides support

to care providers in preparing for

and dealing with inquests, and also

managing the wider set of potential

regulatory and other ramifications that

flow from them.

Keara Bowden-Nicholas is a senior

associate in the health and social care

team at law firm RWK Goodman

20 | JUNE 2025 CARING-TIMES.CO.UK


What’s next for digital?

technology | business

The Digitising Social Care programme has started work on a new Social Care

Interoperability Platform to connect health and social care, says Chris Elkington,

the programme’s assistant director

My eldest son, Stanley, has a rare

genetic condition called Kabuki

Syndrome, which means he’s

got quite complex needs. When he was

diagnosed at the age of two, we landed in

the world of health and care with a bump.

My experience of caring for a disabled

child and navigating the complexities

of the system drives my passion both

professionally and personally – about

creating truly connected digital

infrastructure in social care.

I started learning about the world of

additional needs from my family life and

found the disconnect between councils

difficult and disheartening. In my working

life, I headed the team at NHS Digital

which launched a safeguarding service

called Child Protection Information

Sharing (CP-IS).

Lessons learned from the Baby P

case and other national tragedies drove

the requirement to connect 152 local

authority services to the NHS. We

deployed the CP-IS service to more than

1,000 healthcare sites so that when a child

showed up at an A&E it would be able

to tell that child was protected, all the

time establishing robust data protection

measures and a firm legal basis.

During my career I’ve also worked on

digitalising vaccinations programmes as

well as the GP Connect service, so it’s

probably fair to say I have experience

when it comes to building complex digital

infrastructure.

Now aged 13, the prospect of Stanley

leaving school and losing all the support

he has had as a child when he turns 18 is

scary. So, I jumped at the chance to join

the Digitising Social Care programme

and make a difference in adult social care.

What I’ve realised in my time here is that,

while health is largely nationalised with a

large amount of control over what data is

collected and who can access it, the world

of social care doesn’t work in the same way.

Everything is held locally or in supplier

systems and there’s no way to look across

the entire care activity to see how it all

links together. Despite this, when it comes

to direct care, I’ve seen health and care

teams and professionals work incredibly

well together, sharing information for the

benefit of individuals. And that is what

we are hoping to build on with the Social

Care Interoperability Platform (SCIP).

There’s no doubt we’ve got a long way

to go before we crack interoperability and

can support seamless, joined up working

across health and care. But here in the

Digitising Social Care programme we’re

busy laying the foundations.

We have been rolling out GP Connect

access through assured digital social care

record solution suppliers and releasing a

set of minimum operational data standards

for adult social care. Our next phase

will include creating a national, central

infrastructure to support interoperability

and safely share data to support better

care. Through SCIP we aim to join up

health and care data to help us deliver

truly integrated, efficient, person-centred

health and care. It will help us close the gap

between health and care systems, enabling

collaborative working and improving

outcomes.

Having an interoperability platform

in place will mean that teams and

professionals won’t have to connect with

hundreds of different health and care

systems – people delivering care will be

able to access all the information in one

place. It’s not a new app or website; it’s a

much more fundamental piece of digital

infrastructure. Think of the telecoms

companies laying out fibre optic cables in

our streets. We don’t necessarily interact

with those companies directly, but they

run the infrastructure that all our home

broadband runs off.

Major IT infrastructure projects require

an agile approach. This means starting

with a journey of discovery – carrying

out user research, hearing from health

and social care professionals at every level

about what they need, then building

small, testing, iterating, and slowly scaling

up, improving and testing it as we go. It’s

the opposite of spending vast sums of

money and many years building a great big

Chris Elkington

“We’ve got a long way

to go before we crack

interoperability and can

support seamless, joined

up working across health

and care.”

machine behind closed doors, making it fit

the letter of the brief we started with, only

to throw open the doors on completion to

find that the world has changed and it’s no

longer fit for purpose.

This means whatever we build can

continue to evolve as user needs evolve.

SCIP will help us join up previously

fragmented services, enable seamless

communication and data exchanges, and

help improve both continuity and quality

of care.

It means that in the future, I can be

confident when my son reaches adulthood

that he can go between education, work,

a supported living setting or healthcare

settings and everyone will have the

information they need to be able to

support him.

None of this will happen fast, but we

have committed to creating a base system

by March next year. And that’s when, little

by little, things will start to change.

CARING-TIMES.CO.UK JUNE 2025 | 21


business | investment

Stateside comparison

What has driven the growth in US investment in the UK elderly care market?

asks Jack Kelleher, senior analyst at real estate firm Cushman & Wakefield

2024 was a major year for UK

elderly care investment with

volumes breaking the £3 billion

threshold for the first time since

Cushman & Wakefield began analysis.

Underneath this, we have observed

that over the past three years, the UK

care market has attracted ever-growing

interest and investment from US-based

investors. Last year alone, US investment

in the UK reached £1.7 billion,

representing 56% of total deal flow –

with nearly £1.3 billion concentrated in

Q4 alone.

The key question is: why has the share

of investment shifted so significantly

toward US-based investors?

To understand this shift, we first need

to examine the fundamental differences

between the care offerings and market

dynamics in the UK and the US. In the

US, senior housing and care are divided

into four distinct community types, each

providing progressively higher levels

of care – and typically commanding

higher fees: They are independent living,

assisted living, memory care, and nursing

care.

In contrast, care in the UK is less

stratified and contains a notable smaller

component of seniors housing, thus

generally categorised into two main

types of homes: residential homes and

nursing homes.

The first major difference between the

two markets lies in market maturity. The

US senior housing and care sector is

far more developed, with an estimated

3.2 million units of investment supply

and an elderly population (aged 65-plus)

of approximately 58 million, resulting

“The key question is:

why has the share of

investment shifted

so significantly

toward US-based

investors?”

in a penetration rate of 5.5%. In

comparison, the UK market has around

460,000 beds for an elderly population

of approximately 12.9 million, yielding

a penetration rate of 3.6%.

It’s worth noting that the US has

invested significantly more in seniors

housing (offering zero to low levels of

care) and has embraced this model more

widely than the UK. Nevertheless, the

data makes it clear that the US market is

considerably more established by scale

and penetration.

One of the most significant differences

in market dynamics is the level of

operator consolidation – specifically,

the number of homes managed under a

single operator.

The UK market remains highly

fragmented, with 88% of homes owned

by small independent operators, often

family-run businesses managing up to

10 homes. In contrast, the US market

has undergone significant consolidation,

with 48% of homes operated by larger

groups managing 25 or more properties.

This lack of consolidation in the UK

presents a compelling opportunity

for US investors, as acquiring and

integrating smaller operators could

unlock substantial economies of scale,

drive operational efficiencies, and create

stronger regional or national platforms.

This driver is perhaps nothing

new when it comes to non-domestic

investment looking at the UK market,

but the fact remains, and we continue

to observe US investors with active deal

flow on this basis.

Investment volumes and the

effect of macroeconomic

events

The larger size of the US market means

it trades with far higher volumes than

the UK. However, when analysing

investment trends over the past six years,

it’s clear that both markets respond

similarly to key macro socio-economic

events.

• The onset of Covid-19 had a

significant effect on both economies,

Jack Kelleher

and the care sector within each was no

exception with transaction volumes

declining sharply in Q1 2020.

• Both markets saw a rebound in

investment activity, with volumes

picking up after a short lag once

Covid-related legal restrictions were

lifted (US: late 2021, UK: mid-2021).

• The steady rise in base interest rates

throughout 2022 and 2023 slowed

transaction flow in both markets

versus historic levels. However,

investment activity increased

following either speculation or official

announcements of rate cuts in the

short to medium term.

Scale aside, these patterns highlight

how key macroeconomic events affect

both the US and UK care markets

in similar ways. This correlation is

unsurprising, given that elderly care

is inherently a ‘people product’ tied

to social infrastructure. Regardless of

wider economic shifts, demand for care

services persists, and the sector continues

to operate with relatively limited

disruption in the long run.

Average weekly fees and fee

growth

The term Average Weekly Fee (AWF) is

more commonly used in the UK market

(versus ‘rent’ in the US), but it serves

as a strong indicator of performance

22 | JUNE 2025 CARING-TIMES.CO.UK


and growth across both markets. In

real terms, the US market tends to

yield higher AWFs than the UK;

however, these numbers are difficult

to compare directly due to differences

in pricing structures and underlying

product in some cases. Pricing strategy

itself is highly complex, influenced by

factors unique to each market. That

said, when indexed to Q1 2018, the

AWF in the UK has been growing at

a faster rate than in the US across the

different product types over the past six

years. While one might attribute this

growth to higher inflation in the UK,

both countries have generally followed

a similar inflation trend during this

period, suggesting that other factors may

be at play; perhaps the path to sector

maturity being trod in the UK is some

way behind the US.

Several factors could be contributing

to the higher AWF growth in the

UK. One notable observation by the

Cushman & Wakefield team is that the

market’s response to inflation in terms

of occupancy levels has been minimal.

While basic supply and demand

principles would suggest that higher care

home prices should lead to a drop in

occupancy, the demand from users has

proved to be relatively inelastic. Since the

Covid-19 pandemic, average occupancy

has steadily increased, and by mid-2023,

it has stabilised at around 88%.

This combination of rising fees and

stable occupancy presents a strong

foundation for well-performing assets

with high potential for healthy margins.

For non-domestic investors, these factors

play a crucial role in shaping investment

decisions and should provide further

incentive to lean toward investing in the

UK care market.

Conclusions – potential

consolidation and a base for

strong returns

Although pinpointing the exact reasons

behind the significant growth of US

investment in UK care, especially over

the past 18 months, is complex, we can

make some educated assumptions. A key

factor lies in the general composition

of the two markets – the US market

has a clear inclination and well-trodden

path toward consolidation, something

the UK has yet to embrace fully.

There remains a strong argument for

consolidation in the UK and we’ve seen

steps in this direction in the form of the

large and small WholeCo transactions

by US-based investors in the past year

or so. It’s certain that the consolidation

project is far from compete in the

UK, whether by operational buyers or

PropCo investors.

The positivity is supported by strong

trading key performance indicators in

the UK market, with robust fee growth

coupled with high, stable occupancy

rates, creating an attractive environment

for profitable margins. While many

factors influence this, including a strong

operator (brand identity, marketing,

level of care, etc) and quality real estate,

diligent execution of consolidation can

unlock significant upside.

One additional factor that hasn’t

been discussed at length, but is still very

important, is that US investors tend to

be much more knowledgeable and aware

of the intricacies of the senior living/care

home market. This is by virtue that the

market in the US is much more mature

compared to the UK and other overseas

counterparts. This gives US investors the

upper hand when it comes to experience

and knowledge, as compared to other

international investors.

Finally, it would be unjust to forego

mentioning the current political

environment, particularly in the US. The

Trump administration is likely to make

changes, many of which will impact

the care home market, and potentially

effect overseas investment. However, it

is far too early to draw any conclusions

relating to the political landscape, one

that seemingly is changing every day.

All being said, it’s unlikely – and not

anticipated in the short to medium term

– that the UK care market will mirror

its US counterpart. There are numerous

factors that shape each market,

including differing market dynamics,

fundamental geography and variation

in demographics, political influence,

and an entirely different consumer base

with distinct needs and expectations.

However, the data points to the

importance of US investors in the UK

care market and it wouldn’t be surprising

to see this trend continue.

CARING-TIMES.CO.UK JUNE 2025 | 23


business | technology

The next step forward

Johan Jardevall, chief executive of Person Centred Software explains

why the future of care depends on data and performance

If you take a moment to look at how

we live today – how we manage

our homes, shop, travel, bank, or

monitor our health – it’s clear how

deeply digital and data-driven our lives

have become. And yet, in the sector

entrusted with caring for our most

vulnerable – residential care – we’re

only just scratching the surface of what

technology can really do to help us

improve lives.

That’s changing. And it needs to.

I’ve built my career on data and

artificial intelligence empowered

solutions, and I’m convinced it’s the

answer to so many of the complex

challenges this sector grapples with.

I’ve seen just how committed, hardworking

and caring people in this

industry are. But I’ve also seen how

often they’re let down – by disconnected

systems, paper trails, and a lack of

visibility that makes it almost impossible

to understand, let alone improve, the

quality of care being delivered.

This is a pivotal moment for the

care sector, and we believe data and

technology – used in the right way –

can make the difference between just

getting by and genuinely improving lives

– and running better care businesses.

Because the thing we often forget is,

care providers are also businesses, and

like every other business, they need to

be effective, efficient, competitive and

profitable.

“To put it simply,

the care sector

needs to move

from recording

what happened, to

knowing what to do

next – proactively,

confidently, and

based on evidence.”

From digitalisation to

intelligence

In recent years, many care homes have

taken big steps in moving from paper

to digital systems. That’s no small feat,

and it’s delivered some real efficiencies.

But it’s not enough. The increasingly

complexity and pressures on this sector,

and rising expectations of families

buying care, call for something more.

Digital forms alone don’t raise care

quality. They don’t show you what’s

working or not working. And they

certainly don’t give families, regulators,

or care teams a clear view of outcomes.

We’ve digitalised. Now we need

intelligently to connect, interpret, and

act on that data.

To put it simply, the care sector

needs to move from recording what

happened, to knowing what to do next

– proactively, confidently, and based on

evidence.

If we can move the needle in this way,

it delivers the visibility, confidence,

actionable improvements and

competitive business advantages that will

enable a better care experience for every

stakeholder in the ecosystem.

The untapped potential of AI

and data in care

AI is already shaping industries from

retail to healthcare. In care, it has

the potential to revolutionise both

business and resident outcomes.

Imagine knowing which residents are

most at risk of a fall before it happens.

Or spotting early signs of isolation or

health decline. Or being able to answer

the question: “Are we delivering the

best possible care for this person – and

how do we know?”

Imagine being able to demonstrate

to families deciding which home to

entrust a loved one that your setting

was objectively and comparably better

versus an equivalent setting – and

charge accordingly. For this capability

to be possible, you need two things:

structured data at scale, and a system

through which to manage and make

Johan Jardevall

use of it. This is where Person Centred

Software (PCS) has invested heavily.

The data

At PCS, we’ve been building care

software for over a decade – tools like

mCare, Atlas eMar, and ResHub that are

used every day in thousands of homes.

But what’s really powerful is the data

behind those tools. We now support

more than 300,000 residents every day,

with more than 400 million care notes

recorded daily and 13 million medicines

administered monthly. We have more

than four times the structured care data

of any other provider in the UK.

The volume and velocity of our

data allows us to offer meaningful,

comparative, predictive insights into

care performance. The next challenge is

delivering this in a comprehensive, userfriendly

solution that allows homes to

utilise and benefit from these powerful

insights – and power continuous

improvements.

Why care needs a management

system

Think about any well-run school,

hospital or airline. What do they all have

in common? A management system – a

structured way to plan, deliver, review,

and improve their core service. Care

hasn’t had this. Not really. Instead, we’ve

24 | JUNE 2025 CARING-TIMES.CO.UK


technology | business

“Our research

shows families are

willing to pay more

for care when they

can clearly see the

outcomes.”

had forms, inspections, anecdotes, and

a lot of reactive problem-solving. Even

outstanding homes can’t easily prove

why they’re outstanding – or learn

what to improve. And that’s incredibly

frustrating for managers and front line

carers alike.

That’s why we’re building what we

believe is the first true care performance

management system – a connected,

intelligent ecosystem that makes care

outcomes visible, comparable and

improvable.

CarePilot is the platform we’ve

always believed care should have. It’s

not just another system. It’s a full

ecosystem, designed to support the

entire cycle of care delivery – from

planning and doing, to reviewing and

improving. It brings together the best

of what PCS already offers – tools for

medication, staffing, wellbeing, family

communication, and care planning –

and connects them with one unifying

brain – data. Lots of it.

CarePilot helps teams:

• Plan care based on individual needs

and risk.

• Deliver that care safely and efficiently.

• Review outcomes using real-time

benchmarking – this crucial missing

link.

• Improve, based on evidence, not

guesswork.

It gives carers insight. It validates what

they’re doing well and shows where to

focus and it gives managers confidence.

It’s not just a clinical tool, it’s a

commercial one too. Our research shows

families are willing to pay more for care

when they can clearly see the outcomes.

The full CarePilot platform rolls out

later this year, but the journey starts now

with IQ, the analytics and benchmarking

engine. IQ lets care providers compare

performance against similar homes, spot

early warning signs through predictive

AI, and track improvements over time. It

helps turn insight into action, and action

into outcomes.

The future of care

For years, we’ve said we want care

to be person-centred. But without

performance data, person-centred care

is hard to prove – and even harder to

improve. CarePilot changes that. It puts

data in the hands of people who need it

most – carers, managers, families – and

helps them make smarter, faster, more

confident decisions.

This isn’t just about digital

transformation. It’s about

professionalising care performance.

It’s about making outcomes visible. It’s

about rewarding the good, fixing the

gaps, and raising the bar for everyone

involved in care.

And at the end of the day, it’s about

what really matters – improving quality

of life for the people we care for, and the

people who care for them.

CARING-TIMES.CO.UK JUNE 2025 | 25


business | recruitment

Fair value for care

Toby Gavin, director at care staffing agency We Are Care says he wishes to

redress the economic imbalance in today’s care market

In the wake of increasing financial

pressures, including the recent

National Insurance contribution rise

affecting care providers, the care sector

finds itself at a critical crossroads. While

external economic factors continue

to squeeze the industry, an internal

issue remains largely unaddressed –

the significant imbalance in how care

services are valued and priced.

The economic significance of care

in the UK is vastly underappreciated.

According to figures cited by the

Homecare Association’s chief executive

Dr Jane Townson, the care sector

contributes approximately £60 billion

annually to the UK economy, exceeding

the contribution of sectors like

agriculture fivefold. Yet, despite this

economic importance, the sector faces an

unprecedented workforce crisis.

Data from Skills for Care estimates

that more than 350,000 people leave

care roles annually, with vacancy rates

consistently hovering around 10%.

The National Care Forum projects

that without intervention, the UK will

face a shortage of hundreds of thousands

of care workers within the next decade.

This staffing crisis isn’t merely a sector

concern – it represents a national

emergency that threatens the wellbeing

of millions who depend on care services.

Traditional agency models typically

apply substantial markups of

20-40% between what carers earn and

what providers pay. This approach

creates a fundamental disconnect that

“Data from Skills for

Care estimates that

more than 350,000

people leave care roles

annually, with vacancy

rates consistently

hovering around 10%.”

undermines the sustainability of the

entire care ecosystem, particularly as

financial resources grow increasingly

constrained across the sector.

Fairness in care

The current economic climate demands

a fundamental rethinking of how value

is distributed within care services. When

carers struggle on minimum wage while

agencies maintain high profit margins,

the system becomes fundamentally

unbalanced and ultimately unsustainable.

We Are Care has pioneered an alternative

approach built on a simple principle –

fairness must flow in both directions. This

means:

• Fair wages for carers – Committing to

the Real Living Wage from day one,

recognising the professional value and

essential contribution carers make.

• Fair rates for providers – Offering

transparent, competitive pricing

without the excessive markups that

artificially inflate costs.

• Fair quality for care recipients –

Ensuring that more resources go

directly toward improving care quality

rather than administrative profit.

This balanced approach creates

natural efficiencies that benefit the

entire care ecosystem rather than

extracting disproportionate value for

intermediaries.

The business case for fairness

Some might view our commitment

to the Real Living Wage as idealistic,

but our experience demonstrates it’s

fundamentally good business. When

carers receive fair compensation:

• Staff turnover decreases dramatically,

reducing recruitment and training

costs.

• Carer satisfaction translates directly

to higher-quality care and better

outcomes.

• Service reliability improves as carers

develop deeper relationships with

those they support.

The sector’s reliance on the National

Minimum Wage as a standard has

Toby Gavin

created a fundamental competitiveness

problem. Care work – complex,

demanding and emotionally

challenging – competes for talent

with retail, hospitality and other

sectors that often offer better pay with

fewer responsibilities. This makes

attracting graduates and career-minded

professionals particularly difficult,

limiting the sector’s ability to innovate

and evolve.

Skills for Care statistics show that

approximately 21% of the workforce

is on zero-hours contracts, and staff

turnover rates in some areas exceed

30%, all clear indicators of a profession

struggling to retain talent. Meanwhile,

the National Care Forum reports that

enhancing career progression pathways

and compensation models could

significantly improve retention rates,

reducing the £3.2 billion estimated

annual cost of staff turnover and

recruitment.

By offering providers fair, transparent

rates without excessive markups, we help

stretch increasingly limited care budgets

further while ensuring compensation

that recognises carers’ true value. This

approach recognises that in challenging

economic times, all participants in

the care ecosystem must adapt their

expectations and that includes care

agencies themselves.

26 | JUNE 2025 CARING-TIMES.CO.UK


The role of technology

We Are Care’s commitment to

fairness extends beyond compensation

models. Fair pay is just the beginning,

the sector must also address the

administrative burden that makes care

work unnecessarily arduous. We’re

actively developing a comprehensive

portfolio of care-enabled solutions, a

single integrated platform connecting

carers and care providers to generate

efficiencies, cost savings and improved

experiences.

According to research cited by the

National Care Forum, care workers

typically spend 20-40% of their time

on administrative tasks rather than

direct care. This not only reduces job

satisfaction but diminishes the quality of

care recipients receive.

Technology that streamlines these

processes isn’t merely about efficiency,

it’s about restoring the human element

that attracts people to care professions

in the first place. Our platform approach

addresses this critical inefficiency in

traditional care models – fragmented

systems that create administrative

burdens and communication gaps. By

integrating scheduling, communication,

training, documentation and payment

systems, we create additional value

through reduced administrative

overhead for both carers and providers,

enhanced communication between

all stakeholders, and streamlined

compliance and documentation

processes.

For new graduates and careerchangers

considering care work, the

combination of fair compensation and

sophisticated technology tools presents

a more attractive proposition than the

current industry standard. The result is a

digital ecosystem that complements our

economic model, generating cost savings

and improved experiences for everyone

involved in care delivery, while making

the profession more appealing to the

next generation of care talent.

A blueprint for sector-wide

transformation

While external economic pressures –

including government policy decisions

– often feel beyond our control, the

care sector retains significant ‘currency’

in determining its internal economic

structure. By embracing a more

balanced approach to value distribution

and leveraging technology to create

additional efficiencies, we can build

a more resilient care system even in

challenging times.

The maths is simple but sobering

– Skills for Care projections indicate

that the UK will need to fill 440,000

additional care roles by 2035 to meet

growing demand from an ageing

population. Without fundamental

changes to how we value, compensate

and support care workers, this target

appears increasingly unattainable.

Competing with other sectors for

talent requires acknowledging that care

work’s complexity and responsibility

deserve compensation beyond minimum

wage. Meanwhile, transforming the

administrative experience through

technology addresses another critical

barrier to recruitment and retention.

Together, these approaches represent

our best chance at turning around the

ongoing sector challenges.

We Are Care’s approach demonstrates

that this isn’t merely aspirational

thinking, it’s a viable business model that

delivers measurable benefits:

• Carers receive dignity through

fair compensation and reduced

administrative burden.

• Care providers access quality services

at sustainable rates with improved

workforce stability.

• Care recipients benefit from improved

service quality and consistency.

• The wider economy benefits from a

sustainable care sector that continues

to contribute its £60 billion annual

value.

As economic pressures continue to

mount, the traditional high-markup

agency model appears increasingly

anachronistic. The path forward requires

a fundamental reimagining of how

value flows through the care ecosystem,

with technology as an enabler of new

efficiencies and fair compensation as the

foundation of workforce sustainability.

Those who embrace this transition

will not only weather current economic

challenges but help shape a more

sustainable future for care in our

country, one where fairness flows in all

directions, and technology amplifies

human connection rather than replacing

it.

CARING-TIMES.CO.UK JUNE 2025 | 27


business | recruitment

Think differently

Berkley Care Group’s Laura Purvis and Paul Brady explain the luxury

care provider’s approach to neurodiverse recruitment and training

Poor recruitment and retention

rates continue to place significant

pressure on care providers, and

Berkley Care Group’s people resourcing

director Laura Purvis and operations

director Paul Brady are implementing

neurodiverse-friendly recruitment

strategies and job adaptations to bolster

recruitment efforts.

Developing an inclusive

workforce

Employing more than 1,100 personnel

across 12 homes, Berkley Care Group

is a firm believer in the benefits of

encouraging diversity within its teams.

Its latest initiative, a neurodiversity

training programme, works to provide

an inclusive setting where both

neurodivergent residents and staff

are appreciated and supported. In

partnership with neurodiversity expert

Theo Smith, this programme is already

beginning to yield results.

Purvis says: “We recognise that

neurodivergent employees bring

distinctive strengths to our organisation,

whatever that may be – logical thinking,

reliability, or the ability to approach

problems from a unique perspective. By

making sure everyone feels comfortable

and at ease, we are not only supporting

our staff but also making sure that we

are positioned to provide the highestquality

care to our residents.”

Retention and recruitment

Purvis and Brady are of the view that

promoting neurodiversity awareness is

a great measure to reduce stigma and

cultivate a more compassionate work

culture where employees feel valued and

empowered.

“We have found that neurodiversity

awareness and training initiatives

are great ways to improve retention,”

explains Brady. “If our staff feel respected

and understood by management and

colleagues, they are more likely to be

committed to their job. They’re more

likely to enjoy not just what they do, but

the environment in which they work.

Laura Purvis

We already have some indication that

our strategy is working with some homes

reporting increased staff satisfaction and

reduced turnover.”

Berkley is also adapting its recruitment

processes, aimed at ensuring talented

individuals are not overlooked by

‘traditional’ hiring methods – which

often don’t accommodate diverse ways of

approaching tasks.

“Traditional recruitment processes

can be stressful and put neurodivergent

candidates at a disadvantage.” says

Purvis. “Simple changes, like sharing

our interview questions in advance or

adjusting the setting, can make a huge

difference. Some people feel more at ease

walking around the home while talking,

rather than sitting in a formal interview

room. It is about making sure we don’t

miss out on excellent candidates just

because the traditional process doesn’t

work for them.”

Strengthening market presence

Berkley’s work in this area is

undoubtedly having an effect. The

organisation has been certified as a UK

top employer for the second consecutive

year, an award that recognises

organisations’ “commitment to fostering

outstanding HR strategies and people

practices”.

“Being a top employer is a testament

Paul Brady

to the effort we’ve made to develop a

supportive workplace culture,” Purvis

says. “It also makes us more attractive

to the best people in a very competitive

field and allows us to differentiate

ourselves from other care providers.”

Brady goes on, “When prospective

employees see that we have a genuine

commitment to neurodiversity

awareness, it communicates that we

really care about our teams’ wellbeing.

That differentiation positions us as

an employer of choice and ultimately

enables us to establish a stronger, more

engaged workforce.”

Operational efficiency

Berkley’s neurodiversity training and

awareness programmes extend beyond

“Promoting neurodiversity

awareness is a great

measure to reduce

stigma and cultivate a

more compassionate

work culture where

employees feel valued and

empowered.”

28 | JUNE 2025 CARING-TIMES.CO.UK


recruitment | business

care staff; home managers and the senior

leadership team are included as well.

As this becomes increasingly well

known throughout the care group,

Berkley is starting to notice the

advantages of having neurodiverse

employees in the workforce. “We’ve seen

hard working team members shine in

many areas. For example, some of our

neurodiverse employees have fantastic

attention to detail and excel at retaining

complex information about our residents’

needs,” says Brady. “Having diversity

of thought within teams is genuinely

invaluable, particularly in a field where

the ability to think on your feet and make

speedy decisions is so important.”

“Our intention is to build a culture

where everybody can succeed”, Purvis

adds. “When people are comfortable

and supported by their team members, it

lifts the entire team up. And, ultimately,

that means better care for our residents.”

Beyond regulatory compliance

While many care providers focus on

meeting the Care Quality Commission’s

compliance requirements, Berkley Care

Group is taking steps to go above and

beyond by embedding neurodiversity

into its approach to care. The CQC’s

‘Right Support, Right Care, Right

Culture’ model highlights the

importance of inclusive care, and Berkley

is working to make neurodiversity a core

part of its practice.

“We don’t just want to tick a box when

it comes to regulations – we want to

lead the way in creating a more inclusive

care culture,” says Purvis. “By making

neurodiversity a key focus, we hope to

set a higher standard for the sector.”

Brady adds that this approach benefits

not just the team but also the residents.

“Some of our residents are even

neurodivergent themselves, so having

carers that understand their unique

needs means they are getting better,

person-centred care.”

An ongoing commitment

Berkley is rolling out its training

programme across all 12 of its homes and

putting dedicated neurodiversity leads in

place to drive the initiative forward.

“This isn’t just a one-off initiative. We

want to make real, lasting change,” says

Purvis. “We’re making sure that every

new employee, from carer to manager, is

given the necessary insights and training

“We don’t just want

to tick a box when it

comes to regulations

– we want to lead the

way in creating a more

inclusive care culture.”

from day one. The more awareness we

build, the more confident our teams

will be in supporting each other and our

residents.”

Brady adds: “Having dedicated

neurodiversity leads in our homes means

this isn’t just something we talk about

– it’s something we put into practice

every day. Whether it’s changing how we

communicate or making small changes

to the way we work, the programme

aims to make sure everyone feels a sense

of belonging.”

By making neurodiversity awareness

a key part of its care operations, Berkley

is demonstrating the potential it has to

improve both workforce stability and

care quality.

CARING-TIMES.CO.UK JUNE 2025 | 29


business | providers

The Waitrose of care

The founding director of Worcester-based Severn Vale Home Care,

Stuart Callister, says he has redefined the concept of home care by

integrating quality, dignity and creative problem-solving

Severn Vale Home Care began

operations in 2021 and we now

employ a team of 40 professionals

delivering home care across Worcester,

Malvern and the surrounding areas.

At the heart of Severn Vale Home

Care’s philosophy is a simple yet

profound adage: ‘Easy decisions lead

to a harder life and harder decisions

lead to an easier, more successful and

fulfilled life.’ This isn’t just about taking

risks; it’s about embracing the discipline

required to make tough choices that

foster long-term success. In today’s

culture, where trends toward passivity

and a sense of entitlement often

prevail, our approach is refreshingly

countercultural. Stepping away from

the lure of ‘woke’ ideology, which

can sometimes promote inaction and

a blame-the-system mentality, makes

space for more traditional work ethics

that prize responsibility, hard work and

self-reliance.

For Severn Vale Home Care the

willingness to make hard decisions

has been the cornerstone of our

growth strategy, proving that with

determination, a business can not only

overcome adverse conditions but also

set new standards in the industry.

The action-centric culture is at the

core of the company’s daily operations.

This isn’t a call for reckless haste but

an insistence on constant, deliberate

progress. Every morning, team members

are encouraged to ask themselves: “How

are you going to make the care for clients

measurably better today and how are you

going to grow the reputation of Severn

Vale and grow the business today, not

tomorrow?” This daily commitment to

immediate, measurable improvements

fosters a work environment where

progress is tangible and accountability

is key.

The emphasis on acting translates

into a nimble management style.

Rather than waiting for problems

to escalate, we tackle issues head-on,

viewing mistakes as invaluable learning

opportunities. This approach not only

minimises setbacks but also fosters a

culture of continuous improvement.

In an industry that can be fraught

with uncertainty, such agility and

responsiveness is crucial for sustainable

growth.

We pride ourselves on being ‘the

Waitrose of care’, an analogy that

highlights our commitment to quality,

service and an exceptional customer

experience. Our success is built on

recruiting individuals who share the

company’s core values: dedication,

compassion and a drive for excellence.

This commitment begins with a

robust hiring process designed to

identify those who not only have

the requisite skills but also embody

a genuine desire to improve lives. By

investing in people – through training,

support, and fostering a collaborative

environment – the business ensures that

every team member is both capable and

motivated to contribute to its success.

Stuart Callister

Instead of operating solely from

the top-down we actively involve

care professionals in shaping the

company’s future. The Severn Vale Care

professional consultative committee is

a formal forum where care professionals

are encouraged to share insights,

30 | JUNE 2025 CARING-TIMES.CO.UK


voice concerns and suggest innovative

solutions. This not only leads to

stronger, more sustainable decisions,

but also instils a sense of ownership

among staff, which is crucial for longterm

commitment and growth.

Similarly, we actively engage with

clients beyond traditional feedback

channels. By organising community

coffee mornings and other informal

gatherings, we ensure that the voices of

those we serve are heard and integrated

into service improvements.

While many businesses are tempted

to prioritise short-term gains, we

have consistently chosen to invest in

the company’s future – sometimes

at significant personal sacrifice.

In the early days, I did not draw a

salary, opting instead to reinvest

every available resource back into

the business. The hard decisions for

long-term gain even included me

transforming the upstairs of my home

into an Airbnb to fund the company’s

operations.

Investing in the business and

its people goes beyond financial

commitment. It’s a demonstration

of a deep-seated belief that the best

outcomes arise from putting people

first and nurturing the very culture that

will drive innovation and excellence.

This approach, often encapsulated in

the idea of ‘Givers Gain’, is a reminder

that sustainable growth is not achieved

through shortcuts but through

consistent, thoughtful investments in

every aspect of the business.

No entrepreneurial journey is

without its missteps. I don’t lead by

merely delegating responsibilities from

a distance; I’m deeply involved in the

day-to-day operations. Whether it’s

strategising with the management team

or personally assisting a care professional,

reinforces that no task is too small or no

person too important when it comes to

delivering exceptional care.

My key takeaway tips from what I’ve

learnt so far on this journey are:

1. Embrace hard decisions –

Understand that the willingness to

make tough choices today paves the

way for an easier, more successful

future. Avoid the trap of constant

indecision or reliance on endless

preparation.

2. Cultivate a culture of action –

Ensure that every team member

is empowered to take immediate,

effective steps. Daily accountability

and a focus on measurable

improvements can drive significant

progress.

3. Invest in your people – Prioritise

hiring individuals who share

your vision and values. Create an

environment where continuous

learning, participatory decisionmaking,

and personal growth are not

just encouraged but expected.

4. Learn from every mistake – Adopt

a mindset where errors are viewed as

opportunities to innovate rather than

failures. This resilience is crucial in a

sector known for its unpredictability.

5. Lead by example – Be actively

involved in all aspects of your

business. Show that no task

is beneath you and that every

interaction is an opportunity to

reinforce your commitment to

quality care.

6. Engage with your community –

Listen actively to both your staff

and your clients. Create formal and

informal channels for feedback,

ensuring that every voice contributes

to the evolution of your service.

In a world where the care sector often

appears beleaguered by challenges, I

hope this is powerful reminder that

sustainable growth is possible – even

in the face of overwhelming odds. By

prioritising hard decisions, fostering

an action-driven culture, investing

in people, and learning from every

setback, it is exactly this path that leads

to long-term success and fulfilment.

It teaches us that when you invest in

the right people, commit to a culture

of continuous improvement, and

never shy away from making the hard

decisions today, you lay the foundation

for a brighter, more sustainable future

in care – and in business as a whole.

By holding fast to these principles,

any social care entrepreneur can not

only survive in today’s tumultuous

environment but also flourish,

transforming challenges into stepping

stones towards a legacy of excellence in

care.

CARING-TIMES.CO.UK JUNE 2025 | 31


business | recruitment & retention

Reimagine the system

It’s time to rip up the rulebook on social care before the sector collapses

completely, says Alex O’Neill, operations director at Fairway Healthcare

Why are care shifts always

8 to 2, 2 to 8, or 8 to 8?

Why do some providers

still avoid paying for staff development?

Why is quality of care staff described

as vital, yet decisions around it are

always tied to what can be afforded,

not what is actually needed? These

aren’t theoretical questions. They are

real reflections from real people in real

services, and they point to a sector

stuck in the past.

No punches pulled

The Health and Social Care

Committee’s latest report ‘Adult Social

Care Reform: The Cost of Inaction’,

pulls no punches. It highlights a system

that fails to meet demand, burdens

families, underpays staff and yet costs

us all more each year. Despite spending

£32 billion annually on adult social

care, too many people still live without

the support they need, and too many

care workers feel they are invisible.

Too often, these issues are met with

shrugs. “That’s just the way it is.” And

that’s precisely the problem. Social care

continues to operate with a structure

and mentality that hasn’t meaningfully

moved forward in decades. While the

world evolves and expectations rise,

many providers are still functioning

with a 1990s operational model. It’s a

model based on short-termism, reactive

thinking and a reluctance to challenge

entrenched habits.

We are still obsessed with patching

rotas and filling shifts, often at the last

“Many care services

still rely on hastily

placed job ads, crisislevel

use of agency

staff, and reactive

decisions rather than

forward planning.”

minute. Many care services still rely on

hastily placed job ads, crisis-level use

of agency staff, and reactive decisions

rather than forward planning. Longstanding

carers are often promoted into

leadership roles without training or

mentorship, and many services refuse to

grow simply because they fear what lies

beyond their postcode.

At the same time, too many providers

reduce training to a compliance

exercise. Staff are expected to sit

through generic online modules that

fail to inspire or build meaningful skills.

Skills for Care has estimated that it

costs around £3,000 to recruit one care

worker, yet we routinely resist spending

on his or her development. This sends a

clear message - your potential is not our

priority.

Fundamental issues

There’s also a persistent belief that the

biggest issue is pay. Wages, without

doubt, matter. But an overemphasis

on hourly rates is a distraction from

the more fundamental issues of poor

planning, weak infrastructure and an

industry-wide avoidance of proper

investment in people. Too many

providers, large and small, build their

models around paying the least they

can. This strategy has led to a race to

the bottom in quality, morale and

outcomes.

I still regularly hear owner-managers

explain how proud they are of their

local footprint, how their recruitment

is fine within a six-mile radius, and how

the business just doesn’t expand beyond

that. Why? “Because we don’t need to.”

These same services are often struggling

to find the right people, relying heavily

on drivers or converting senior carers

into coordinators with little training.

Nothing evolves. Five years later, they’re

still doing what they’ve always done,

because change is seen as risk.

Throwing money away

Meanwhile, the sector continues to

throw money into recruitment and

Alex O’Neill

marketing with little return. Managers

spend up to 20% of their time trying

to hire, onboard and orientate new

staff, many of whom leave within

months. The response is to bring in

more short-term agency cover, leading

to crisis management, inconsistent

standards and fractured teams. It’s not

sustainable. It’s not working. And it’s

not good enough.

We must be honest about the message

we send to staff when we expect them

to sit through compliance-based

online training with no engagement,

no mentoring and no follow-up. It

tells them they are arms and legs, not

professionals. And then we wonder why

they don’t stay.

Clear pathways

It’s time we moved past the bare

minimum. Care should be a profession

with clear pathways for progression,

tailored development plans and

leadership built on capability, not just

longevity. That requires time, thought

and proper investment, not just more of

the same. Building a resilient, valuesled

workforce isn’t easy, but it pays

dividends. Retention improves. Morale

lifts. Standards rise. The return on

investment is tangible.

The truth is that many providers

are simply not equipped to tackle

32 | JUNE 2025 CARING-TIMES.CO.UK


Social care trainees and trainers during a practical

demonstration at Fairway/Embark headquarters

workforce sustainability because

recruitment itself is a specialist skill.

Understanding the local employment

market, assessing competition from

retail and hospitality, knowing what

motivates candidates – this is complex

work. Yet we leave it to chance or

delegate it to the same overstretched

teams that are also managing rotas,

medication and inspections.

We also have to confront the cultural

issues head-on. Too many settings foster

cliques, internal power dynamics and

environments where new staff burn out

quickly or are pushed out because their

‘face doesn’t fit’. I see this every single

day. It has to stop.

We have got to stop fishing in the

same shallow pond as everyone else,

hoping for better results. The pool

of available workers is shrinking. The

pressures on unpaid carers are growing.

The public cost of inaction is rising.

But still, we obsess over whether a 50p

increase in hourly pay is affordable,

while ignoring the thousands wasted

on failed recruitment, ineffective

onboarding and endless agency

reliance.

The system reimagined

It’s time to reimagine the system.

We need to invest in people, not just

plug gaps. We need to develop real

leaders, not just survivors. And we

need to build a culture that values

professionalism, champions growth and

actually believes that care work matters.

The cost of doing nothing is no

longer hidden. It’s visible in every

rota panic, every failed Care Quality

Commission inspection, every

exhausted carer and every individual

left without the support they need. We

“Care should be

a profession with

clear pathways

for progression,

tailored

development plans

and leadership built

on capability, not

just longevity.”

cannot afford to ignore it any longer.

Social care can be better. It should

be better. The question is not whether

we can afford to change, but how much

longer we can afford not to.

CARING-TIMES.CO.UK JUNE 2025 | 33


business | legal

Cygnet Health Care case settled

Law firm Mills & Reeve’s regulatory partner Amanda Narkiewicz explains the

outcome of the Care Quality Commission’s attempt to challenge the High Court

ruling that found it had acted unlawfully and breached its own conflicts policy in

relation to several inspection reports at Cygnet Health Care mental health settings

In a decision that will be of interest

to care providers, the Court of

Appeal has refused the Care

Quality Commission’s application for

permission to appeal the High Court

decision in R (Cygnet Health Care

Limited) v Care Quality Commission

(2025) an important judicial review

challenging the CQC’s approach to

apparent bias, its compliance with

its own conflicts policy, and several

inspection reports.

Cygnet’s claim arose following the

CQC’s appointment of an inspector

tainted by apparent bias due to his

historic connection as a service user in

two of Cygnet’s hospitals. The CQC

eventually admitted failure to follow is

own conflicts policy. The High Court

allowed the challenge following a twoday

hearing, finding that the CQC’s

reports, and enforcement action were

affected by that bias, and that the CQC

had failed to follow its own conflicts

policy in this and other cases.

The High Court judge refused the

regulator’s application for permission

to appeal. The regulator then proceeded

to seek permission from the Court

of Appeal, seeking to challenge the

judge’s findings and the evaluation of

the evidence and overturn his decision,

“Cygnet’s claim arose

following the CQC’s

appointment of an

inspector tainted

by apparent bias

due to his historic

connection as a

service user in two of

Cygnet’s hospitals.”

which is a high bar. On 2 April, the

Court of Appeal refused the CQC’s

application for permission to appeal.

It is now the end of the road for the

regulator.

The point of broader interest to

care providers is likely to be why the

CQC chose to take further action,

disregarding the High Court’s findings

and judgment. We expect that many

providers will be disappointed to know

that the CQC invested in challenging

the High Court’s decision, rather than

investing in learning from it. Some

might argue that this is a classic case of

the regulator of health and social care

‘failing to take its own medicine’.

One of the grounds of appeal put

forward was that the High Court was

wrong to treat breaches of the CQC’s

conflicts policy as indicative of a real

possibility of bias. This ground relates

to the reliance by the High Court on

the CQC’s failure to follow its own

conflicts policies because the decision

to appoint the inspector to the Cygnet

role was not taken by a sufficiently

senior person, and because the

inspector failed to renew his interest

declarations prior to each inspection.

The Court of Appeal found that the

breach of the CQC’s conflicts policies

to which the High Court had principal

regard was “AA’s failures to disclose

these complaints which was required by

CQC’s policy” (that is, the complaints

he had made about Cygnet’s treatment

of him). The Court of Appeal also

found that the High Court correctly

noted that, as a result, the CQC’s own

policy showed that a conflict existed

throughout.

The Court of Appeal notes Justice

Chamberlain in R (CPRE Somerset) v

South Somerset District Council (2022)

where “breaches of conflicts policies are

not determinative but nevertheless are a

relevant factor in considering apparent

bias”. The Court went on to conclude

Amanda Narkiewicz

that there was “no arguable error of law

in the judge taking into account the

CQC’s failure to follow its own conflict

policies, and the appellant does not

meet the high burden for challenging

an evaluative judgment”.

Comment

This case raises important issues for the

regulator and health and care providers.

Regulators like the CQC must take

steps to improve transparency and

mitigate any risks of apparent bias

and conflicts of interest. Ensuring

impartiality and fairness is not just

about avoiding explicit bias but also

avoiding perception of bias.

We anticipate this case may prompt

other care providers to consider

challenging the CQC in similar

circumstances where they have serious

concerns relating to the CQC’s

governance of its conflicts.

Challenging the CQC is very

difficult for health and social care

providers because of the clear power

imbalance and ongoing nature of the

relationship. Few providers feel able to

do it. Cygnet’s challenge has revealed

systemic failures and will therefore

benefit other providers in the sector.

34 | JUNE 2025 CARING-TIMES.CO.UK


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care | activities news

Creative Caring

As always, carers have been demonstrating their creativity

through fun and innovative events for their residents

travelling photo exhibition. The ‘What

my Nurse means to me’ exhibition,

hosted at Sheffield’s Meadowhall and

Birmingham’s NEC, featured a collection

of photographs of Exemplar’s residents

and their nurses. The exhibition also

showcased personal testimonials from the

people they support.

Baby ducklings

Residents at Glasgow’s new Meallmorerun

Kelvinside Manor care home in

Anniesland, were treated to an egg-stra

special experience – hatching baby

ducklings. The eggs, which arrived from

County Durham, were carefully placed

in a small incubator where they were

watched closely by staff and residents.

The eggs began showing signs of life

within hours, with all five ducklings

successfully hatching the next day.

Victory Day fun

To celebrate the anniversary of VE Day

in style, Millway House care home in

Andover, Hampshire enjoyed musical

theatre duo George & Ginger who

donned forces uniforms to sing all the

hits of the 1940s. Afterwards staff and

residents tucked into a selection of

afternoon tea treats including sausage

rolls, corned beef sandwiches and a giant

Victoria sponge.

Nurse exhibition

Exemplar Health Care celebrated

International Nurses Day with a creative

Muddy challenge

Last month 13 team members from

Excelcare took on a five-kilometre

Tough Mudder course to raise funds

for the Excelcare Foundation, the

care company’s registered charity that

provides financial aid to its front line

workers when they face challenging life

circumstances, through loss of a loved

one or terminal illness. The group’s

efforts raised £3,603.

All that jazz

At Bernard Sunley, a residential, nursing

and dementia care home run by charity

Friends of the Elderly, in Woking,

Surrey, the care team hosted a jazz café

event for the music-loving residents to

celebrate this year’s Jazz Appreciation

Month. The event was a huge success

with everyone’s jazz hands waving.

Police visit

Last month HC-One Wales’s Abermill

Care Home in Abertridwr, Caerphilly,

welcomed local police officers for a

special visit filled with smiles, laughter

and community spirit. Residents, took

the opportunity to interact with officers,

learn more about their work, and sit in a

police car – with the sirens on.

Dementia fundraiser

Chestnut Lodge care home in Yeovil,

Somerset, invited the local community

to join residents and staff for homemade

cake and a cuppa at its dementia

fundraiser. The funds raised have been

donated to Alzheimer’s UK which

supports research, care and advice for

people affected by dementia.

Bean there, done that

Pamela Mulqueen, who is a carer and

activities coordinator at Dove Court

care home in Wisbech, Cambridgeshire,

took fundraising to a whole new level –

by sitting in a paddling pool filled with

baked beans to raise funds for a special

day out chosen by the home’s residents.

Thanks to Pamela’s commitment – and

a lot of beans – more than £400 was

raised.

First birthday

Residents at Larchwood Care-owned

36 | JUNE 2025 CARING-TIMES.CO.UK


activities news | care

conversations, and provided an

opportunity to learn about the lifechanging

work these remarkable animals

do for people with sight loss.

Cameron House Basildon, Essex are

enjoying regular visits from the care

home’s youngest ‘team member’ – one

year old Edie, who has been visiting the

care home since she was three weeks

old. Edie visits the care home with her

grandmother Dawn Morrell, who is

activities coordinator at Cameron House.

She had her first birthday celebrated by a

party hosted by the home’s residents.

Spring fair

MHA Priceholme in Scarborough,

North Yorkshire, raised more than £350

at its spring fair with guests including

family members and members of the

public. The fair also has some special

guests as Butterwick Alpaca Retreat

brought alpacas, guinea pigs and rabbits.

There was a whole host of activities and

games to keep people busy, as well as

various stalls.

Guide dogs

Residents at Sandstone Care Group’s

Oak Springs Care Home in Wavertree,

Liverpool, were all smiles as they

welcomed highly skilled four-legged

visitors from the national charity Guide

Dogs UK. The visit gave residents the

chance to meet and make a fuss of

the trained guide dogs – Peppy, Kit

and Dotty. It lifted spirits, sparked

Pick up a penguin

Two penguins visited MHA The

Homestead in Carterton, Oxfordshire,

on International Penguin Day in late

April. Pringle and Widget waddled their

way into the hearts of residents and staff

at they spent time wandering round the

home, much to the delight of everyone.

Home manager Pawel Wisniowski said:

“Having animals visit the home helps

enrich the lives of those who live here.

Penguins are perhaps the most unusual

animals we have had visit and they were

loved by everyone. Residents had the

opportunity to let them sit on their lap

and give them a stroke.”

Fashion show

Sandstone Care’s Fleetwood Hall care

home in Fleetwood, Lancashire, recently

opened its doors to the local community

for two lively open days including a talk

from community organisation Healthier

Fleetwood, and a performance by

entertainer Bobby Woodings. Residents,

visitors and staff enjoyed a packed

programme of activities, culminating in a

brilliantly bonkers ‘through the decades’

fashion show, where staff strutted their

stuff in wild and wacky outfits.

Earth Day

Residents and staff at Berkley Care

Group Blenheim House in Melksham,

Wiltshire, celebrated Earth Day in April,

bringing the community together with

a day of education, hands-on activities,

and a ceremonial tree planting in the

home’s garden. The day began with an

interactive session exploring ecosystems

and the importance of recycling. A

remote-controlled shark even made an

appearance, helping to illustrate the

effects of plastic pollution on marine life.

Bug hotel

Residents and staff at Black Swan Care

Group’s 22 care homes across East

Anglia held a competition to create

and construct bug hotels from recycled

materials in gardens at the homes. Most

homes opted for sturdy constructions

using old pallets and drilled holes in

sawn-through branches and small pieces

of wood. Other materials like twigs,

leaves, shells, pine cones and stones were

then placed to create hiding places and

cosy nooks for bugs, beetles, butterflies,

insects and bees.

Garden squad

A party of volunteers from Colten Care’s

St Catherines View, dementia care home

in Winchester, Hampshire did their bit

to help improve a community centre’s

garden so it can be used by nurseryage

children. The clean-up involved

weeding, trimming and other garden

tasks.

CARING-TIMES.CO.UK JUNE 2025 | 37


care | providers

Care from the heart

Caring Times talked to senior management at recently expanded provider Aria Care

Aria Care’s chief executive

Caroline Roberts began her

care career at just 15 years old

as a carer, working her way through the

ranks to her first management role at

just 26. Since then, she has held roles

including regulatory inspector, director

of regulation, director of quality and

governance and group director of care

and operations.

Under her leadership, Aria Care

has grown significantly, expanding

its portfolio with the acquisition and

merger of Future Care Group’s 18

communities in July last year. Beyond

Aria, Roberts plays a key role in shaping

the broader care sector. As a board

member of Championing Social Care,

she advocates for the advancement

of social care, raising awareness and

pushing for positive change.

“Since we launched in December

2022, I believe we have established

Aria Care as a trusted leader in the

sector,” Roberts says. “Everything we

do is driven by a shared purpose – to

enrich the lives of those we care for

and those we work alongside. We are

committed to and passionate about

driving innovation, investing in our

people, and most importantly, delivering

exceptional care to every resident across

our communities.

“In organisations of any size it’s

vital to win the hearts and minds of

every individual if you’re really going

to have impact. Our values, created

through genuine collaboration with

our colleagues, reflect who we are and

where we’re going – a care home group

recognised not only for our quality and

innovation but for our compassionate,

person-centred approach. We live and

breathe our philosophy ‘care from the

heart’.

Caroline Roberts

“Every single member of our team

plays a vital role in shaping this journey.

From housekeeping and catering to

clinical care and home leadership, our

people are the heartbeat of Aria. They

bring our values to life every day, making

a difference in the lives of thousands

of residents and their families. It was

“Every single

member of our team

plays a vital role in

shaping this journey.”

38 | JUNE 2025 CARING-TIMES.CO.UK


only fitting that our vision and values

were co-created with them – because

together, we will achieve our ambition to

be the leading provider and employer of

choice in the care sector.

“One of our most significant

milestones to date was the merger with

Future Care Group’s homes. Over the

course of seven months, we united

two strong care organisations into one

cohesive family of 67 communities and

nearly 4,000 colleagues. This merger

was about more than operational

alignment, it was about honouring

the best of both worlds, and creating a

shared future rooted in respect, quality

and continuity of care. Throughout

this process, we made it a priority to

maintain the highest standards for our

residents and to ensure our teams felt

engaged, informed and truly part of

the journey. I’m incredibly proud that

we retained every single home manager

during this period – an achievement that

speaks volumes about the strength of

our culture and leadership. Together, we

are now delivering care from the heart,

and we are better positioned than ever to

grow with intention and impact in 2025

and beyond.

“Looking ahead, Aria is advancing

an ambitious but grounded strategy for

growth. We currently have six new-build

care homes in development, the first

two in Orpington, Greater London

and Fareham in Hampshire have

started and planning has been granted

for a further home in Gerrards Cross

in Buckinghamshire, designed with

purpose to meet the evolving

needs of older people in modern,

thoughtful environments. Alongside

these developments, we’ve allocated

£8.4 million towards vital refurbishment

and revival projects.

“Over the past 18 months, we’ve

undertaken a significant refurbishment

project across several of our

communities. Working with furniture

and products suppliers such as

Shackletons and Opera, we’ve enhanced

the appearance of our homes and

improved the functionality and comfort

of these spaces. Modern café bistros,

elegant hair salons, spa bathrooms, and

the thoughtful redesign of communal

and private spaces are all part of our

effort to uplift the living experience

of our residents. These innovations in

design have not only revitalised our

homes but have also contributed to

the overall wellbeing of our residents –

promoting relaxation, social connection,

and a greater sense of dignity and

independence.

“But our growth isn’t limited to our

portfolio of homes, it’s primarily about

people. We are deeply committed

to investing in the development of

our colleagues through leadership

programmes, our chef academy, and

a dynamic apprenticeship initiative.

Across 32 of our communities, nearly

100 apprentices are progressing through

qualifications in care, hospitality, project

management and more. We know

that by nurturing talent from within,

we strengthen the foundations of our

organisation for the long term.”

The shortfall of expertise in the care

sector, particularly of those aged under 25,

is well-known. Aria has an above average

number of younger staff; 11% compared

with the national average of 8%. Roberts

says: “We actively foster relationships with

colleges by offering student placements

and through our apprenticeships. It’s vital

that we unpick the stereotype of what it

means to work in care; we are extremely

proactive in demonstrating that there

is real career progression within Aria,

that there’s fun to be had, that you will

not ‘burn out’ through long hours and

unrewarding work. Opportunities abound

within Aria in care and nursing roles, but

also in management, hospitality and >

CARING-TIMES.CO.UK JUNE 2025 | 39


> business-related roles such as marketing

and graphic design. Many of our student

placements report how different working

in care is to how they imagined and,

as a sector, it’s our duty to amplify that

message.

“Colleague wellbeing is extremely

important to us and we believe that

having a balanced approach between

work and home life enables individuals

to be fulfilled, engaged and satisfied in

their role – whether that be through

remote and hybrid working, to offering

flexible working patterns. We are focused

on retention and development of our

colleagues – when people are happy in

their work, progressing, and feel that

they are part of something meaningful,

they want to stay.

“We launched our Inspiring Leaders

and Emerging Leaders Development

Programmes last year, which have been

instrumental in helping colleagues

grow in confidence, strengthen their

leadership skills, and deepen their

understanding of business operations.

With a focus on communication,

excellence in quality, strategic thinking,

and commercial performance, these

programmes are already making a real

difference – we’ve even seen internal

promotions as a result.”

Aria Care’s people development

manager Janet Burrows adds: “Our

development programmes are designed

not just to build capability, but to

embed our values into everyday

practice. Through collaboration,

learning and shared experiences, our

colleagues develop the confidence to

lead with empathy, integrity and a deep

commitment to excellence – qualities

that lie at the heart of delivering

exceptional care.

“A key component of the programme

involves delegates working in project

groups to tackle real business challenges.

Initiatives like ‘Innovation from the

heart’, which looks at how emerging

technologies can enhance life in our

communities, and ‘Start from the heart’,

which aims to improve recruitment,

onboarding and retention, are already

bringing fresh energy and insight into

our organisation.

“Continuous improvement is always

a focus for us, we encourage colleagues

to challenge the way we do things, but

equally to put forward ideas and solutions.

Innovation is a key element of our strategy

and we continue to drive forward using

our experiences combined with data to

make measured, informed decisions that

will contribute to our success.”

40 | JUNE 2025 CARING-TIMES.CO.UK


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CARING-TIMES.CO.UK JUNE 2025 | 41


care | technology

Smart solutions for care

Paul O'Rourke, managing director of engineering and design firm Next Stage,

explores how artificial intelligence-driven tools can enhance quality of care and

alleviate providers’ concerns

The social care sector is under

pressure from a growing shortage

of support workers and the strain

on the system is becoming increasingly

visible. Last year, 131,000 vacancies

were recorded in the adult social care

workforce, three times higher than the

national average. With front line teams

stretched thin and personalised support

becoming harder to deliver, we urgently

need smarter, more scalable solutions

that enhance care without losing the

human touch.

Artificial intelligence-driven

technologies offer part of the answer.

If used properly, they can free up time,

improve safety, and empower staff

to focus on delivering personalised,

compassionate care. For example,

remote check-ins and optimised

monitoring systems facilitate proactive

welfare checks without the need

for constant physical presence. This

then enables support workers to

oversee more residents safely and

focus their time where it’s needed

most, ultimately improving efficiency

without compromising on care, even as

workforce pressures grow.

Smart homes as a new standard

across care

The benefits of smart technology in

supported housing and care are farreaching.

By streamlining administrative

tasks to enable remote monitoring, the

right tools can free up time for support

workers to focus on delivering care.

Smart locks, motion sensors and voiceactivated

controls give residents more

independence, while features like smoke

detectors help teams respond to risks in

real-time. These tools reduce the reliance

on staff assistance for everyday tasks,

creating a safer living environment.

Digital technology doesn’t just

improve safety, it also enhances

communication and supports more

effective care planning and autonomy.

Skills for Care has reported that

85% of care providers have improved

productivity as a result.

As technology becomes embedded in

housing, the need for clear, consistent

standards grows. PAS frameworks and

BSI Kitemark certifications, already used

to uphold health and safety in workplaces,

can be adapted to define excellence in

supported housing. These benchmarks

ensure that systems contribute to safer

environments for residents.

At Next Stage, integrating smart

technology functions has modernised our

approach to care, shifting from reactive to

proactive support. By offering personalised

living experiences and care that enhances

residents’ quality of life, we can ensure that

as an industry, we are evolving with the

needs of our staff and residents.

These innovations should enhance, not

replace, the elements of care in which

we take pride. Technology must never

come at the cost of human connection.

The relationship between resident and

support worker is central to successful

outcomes, so it’s vital we invest in

their development. By combining staff

training and development with the right

tools and technology, we can create more

sustainable and rewarding

careers in the sector.

Through access to

innovative technologies

suited to staff, we enable

meaningful engagement

and personalised support

for better outcomes. To

achieve this, we must

provide continuous

training, upskilling and

a culture where support

workers feel confident

in using digital tools to

deliver care.

The challenges facing

social care are only going

to grow, but so are the

opportunities. By using

smart technologies and

AI to support, rather than

replace human care, we

can ease the pressure and

Paul O'Rourke

burden on overstretched teams while

improving outcomes and efficiency.

The future of care depends on both

innovation and people. With continuing

investment in staff training and wellbeing,

technology becomes a tool to empower

the potential of every resident. By

combining digital tools with a skilled,

confident workforce, we can deliver care

that is more proactive and personalised.

Smart elements can be added to supported housing to

improve the safety and independence of inhabitants.

42 | JUNE 2025 CARING-TIMES.CO.UK


CARING-TIMES.CO.UK JUNE 2025 | 43


care | training

Encourage improvement

Victoria Collier, head of national workforce development, capability and skills at

Skills for Care, says social care leaders must promote professional development

Helping your staff develop new

skills and improve their existing

ones should be a big part of

your strategy as a social care leader. Our

sector is one that is constantly evolving,

with new knowledge and innovative

approaches becoming available regularly

that can improve the quality of care

we’re able to deliver.

In addition to supporting better

standards of care, learning is a crucial

part of career development, which is

one of the best tools we have at our

disposal when it comes to addressing our

retention challenges. Our data shows

that the turnover rate of staff working in

the adult social care sector was 24.2% in

2023/24. It also shows that just under

half of the adult social care workforce

hold a relevant social care qualification

(46%), while 54% have no relevant social

care qualifications recorded.

As a leader, you shape the culture

of your organisation through every

interaction. Knowledgeable and

compassionate leaders and managers are

needed to achieve well-led organisations.

This includes creating the conditions

where people want to stay, including a

commitment to continuous professional

development at all levels.

The Care Workforce Pathway is the

first universal career structure for the

adult social care workforce. It sets out

clearly what a career in social care means

and the level of knowledge, experience

and skills required to deliver highquality

care in the various roles available

within the sector.

The Pathway empowers people

working in adult social care to develop

themselves and their careers and is a

tool for leaders and managers to use in

planning the career development of care

staff. To support providers in embedding

the Pathway, we’ve put together two

useful guides on its application:

‘Adopting the Care Workforce Pathway’

and ‘Empowering managers and leaders’.

You can access funds to support your

organisation’s training requirements.

The Learning and Development Support

Scheme (LDSS) is available to all nonregulated

care staff, including deputy

“As a leader, you

shape the culture of

your organisation

through every

interaction.”

and CQC-registered managers and

agency staff, within the adult social care

workforce. To access LDSS funding, you

must also be registered with the Adult

Social Care Workforce Data Set – a free

online service that helps the government

make informed decisions about the care

sector.

Leaders must not only consider the

development of their colleagues and

workforce, but also the continuous

improvement of their own skills. A

well-led organisation with a progressive,

learning-friendly culture requires

leadership that is always striving to

improve its approach to leading people

and delivering great care. In turn, this

encourages staff to pursue opportunities

to develop themselves and increase their

knowledge and skills. We have a range

of resources and programmes to help

develop leaders and managers.

Make sure to visit Skills for Care’s

leadership campaign web page to learn

more.

44 | JUNE 2025 CARING-TIMES.CO.UK


CARING-TIMES.CO.UK JUNE 2025 | 45


care | company profile

Boutique Care Homes five years on

Boutique Care Homes recently celebrated its fifth anniversary year, so Caring Times

talked to its senior leadership to reflect on the company’s development to date

From its inception, the vision for

Boutique Care Homes was

clear – create environments where

residents and team members can truly

flourish, says Ameet Kotecha, founder

and managing director, whose experiences

with the challenges of planning care for

his own parents led to the organisation’s

foundation. Kotecha envisioned

something beyond the standard care

home, he says – “a space that exuded

warmth, love, and a sense of belonging.”

Origins and vision

“Boutique Care Homes grew from many

conversations about the urgent need

for more and better care homes for our

ageing population,” Kotecha explains.

“Like many others, I grappled with the

reality of my parents growing older and

the importance of planning for their

future, as well as my own. While visiting

care homes, I saw some truly exceptional

places and thought ‘Why not create more

of these, and even better ones?’ From the

beginning, it was important to us that our

homes felt like warm, loving communities

where everyone is valued and nurtured.

Although we didn’t formalise it in words

at the time, we wanted each home to have

a special feeling the moment you walked

through the door.”

Over the years, Boutique Care Homes

has remained true to this core vision

while evolving to meet the dynamic needs

of residents, families, and communities.

For director Priya Bhayani, maintaining

this balance has been a cornerstone of the

organisation’s success.

“Since its inception, Boutique Care

Homes has remained steadfast in its

Ameet Kotecha

core vision while embracing growth

and change,” Bhayani says. “Our familycentric

culture has been the foundation

of everything we do, and as we’ve

expanded, we’ve ensured these values

remain at the forefront. Initiatives like

our Life Enrichment Programme enhance

residents’ wellbeing through tailored

activities, music therapy, and community

sessions, while our refreshed branding

authentically reflects our identity. Last

year, we introduced a bold new website

Andrew Mangion

featuring imagery exclusively from our

homes and launched careers marketing

that celebrates our ethos with the tagline

‘Keep doing what makes you happy’.

Together, these steps reinforce a culture

where both residents and team members

feel empowered and valued.”

Achievements and growth

According to Kotecha, Boutique Care

Homes’ proudest moment came when the

group won ‘Best small group provider’ at

“Boutique Care Homes

grew from many

conversations about the

urgent need for more and

better care homes for our

ageing population.”

46 | JUNE 2025 CARING-TIMES.CO.UK


company profile | care

“To be recognised by

peers in the industry

– who understand just

how challenging it is to

run a care group – as the

best in the country was a

tremendous honour.”

the National Care Awards.

“To be recognised by peers in the

industry – who understand just how

challenging it is to run a care group – as

the best in the country was a tremendous

honour. Beyond the award itself, it has

inspired our team to continue raising the

bar in every department across our homes.

It’s a moment that celebrated what we had

achieved while motivating us to strive for

even greater excellence.”

Evolving approach

Operations director Andrew Mangion

reflects on how Boutique Care Homes’

approach to care has evolved over

time. Early in his career, he believed in

performing tasks for residents. However,

he soon realised that encouraging

independence was key to enhancing their

quality of life.

“When I started in the care sector, I

believed in doing everything for residents,

but I soon realised that encouraging

independence was just as important,”

Mangion explains. “At Boutique Care

Homes, we’ve designed facilities and

systems to support residents in retaining

as much independence as possible.

Moving away from task-driven care,

we focus on engaging and enabling

our residents, embracing positive risktaking

to help them live fuller lives. This

evolution has shaped not just how we

operate but also the way we design our

homes and train our team.”

Bhayani underscores the importance

of fostering deep connections within the

communities where Boutique operates.

“These relationships, built on trust and

inclusivity, have become a defining

characteristic of the organisation,”

she says.

“Our ability to create that

special feeling of inclusion is

what sets us apart,” Bhayani

notes. “Visitors often tell us

they immediately feel part

of the Boutique family when

they walk through the door,

and that connection is a

testament to our warm and

welcoming team. From local

partnerships with schools

and nurseries, to events

that integrate our residents

with the community, we’ve

built homes where residents

thrive, not just survive.

These relationships are the

heartbeat of Boutique Care

Homes and have firmly

established us as the home of

choice in our communities.”

Overcoming

challenges

Challenges have also played a

role in shaping Boutique Care

Homes. The organisation has

faced hurdles, including the

complexities of growth and

the unprecedented effect of

the Covid-19 pandemic.

“Each stage of growth and every

new home brought unique challenges,

transforming Boutique Care Homes with

each addition,” Kotecha says. “One of the

biggest hurdles was formalising our ethos

and values to ensure everyone understood

our vision and their role in making it a

reality. Turning something as intangible as

a feeling into words took time, but it was

worth every effort. We listened closely

to feedback from colleagues, residents,

CARING-TIMES.CO.UK JUNE 2025 | 47


care | company profile

Priya Bhayani

Carl Roberts

Jodie Pike

“Each stage of growth

and every new home

brought unique

challenges, transforming

Boutique Care Homes

with each addition.”

families, and our wider community,

which proved invaluable. Their insights

helped us refine our values and embed

them across everything we do. By

involving everyone in this process, we not

only got it right, but strengthened the

very fabric of our culture.”

Mangion says the pandemic presented

an unexpected challenge that tested the

team’s resilience. “Covid was by far the

most testing of times,” he recalls. “While

we were prepared for a pandemic, no

one could have anticipated the scale of

its impact. However, it was also a time

when teamwork and mutual support

were at their strongest. Relationships

with residents and families grew closer

despite the restrictions, as we found new

ways to connect and support each other.

Getting through such a difficult period

showed us the power of collaboration and

strengthened our resolve to overcome any

obstacle together.”

Jodie Pike, associate HR director,

highlights how these challenges brought

the team closer, reinforcing a culture of

trust and shared purpose. “Relationships

are at the heart of our success,” she

explains. “We all genuinely respect and

trust each other, which makes challenges

easier to navigate. Having an open

culture means that during tough times,

we can reach out for

support and appreciate

each other’s expertise.

Managing unexpected

challenges forced us to

adapt quickly and work

together even more closely.

These moments build

resilience and reinforce our

commitment to continuous

improvement, ensuring we

grow stronger as a team.”

Strong relationships

Kotecha says strong

relationships have been

built with residents and

families over the years.

“From the moment

someone steps through our

doors, we focus on creating

trust and connection,”

he states. “I’ll always be

grateful to the residents

and families who placed

their faith in us during our

early days, when we were a

new and unknown group.

Over time, I’ve loved

hearing updates on families

and seeing the impact of

the special moments we

create, from summer barbecues to festive

celebrations. These ‘magic moments’

become cherished memories for residents,

families, and even myself – they’re what

make this work so rewarding.”

Bhayani says Boutique’s collaborative

48 | JUNE 2025 CARING-TIMES.CO.UK


company profile | care

spirit is essential to its culture. “Our

team is defined by its strong ‘one team’

approach,” she says. “Collaboration across

all departments, from activities and

care to housekeeping and management,

creates a relaxed, welcoming atmosphere

that enriches residents’ lives and builds

strong bonds within the team. By

focusing on recognising and nurturing

internal talent, we ensure our team

feels supported and valued. Initiatives

like upskilling programmes and career

development opportunities bring out

the best in everyone. This retentionfocused

approach has been key to creating

a culture of trust, stability and shared

purpose.”

Mangion shares a story illustrating

the connection between residents and

the Boutique team. “There are so many

moments that stand out, but two come

to mind,” he recalls. “During the height

of the pandemic, the home manager at

The Burlington was seriously ill with

Covid and struggling to breathe. Yet,

she called every day to check on the

residents, ensuring they were okay. On a

happier note, our manager

at Chartwell House

recently got married, and

the team recreated the

wedding at the home.

One of our first residents

walked the manager down

the aisle and gave the

most heartfelt speech.

Moments like these truly

highlight the depth of

connection within our

homes.”

For Pike, sustaining the

company’s culture requires

continuing engagement

and alignment with

the organisation’s

values. “Aligning the

team’s passion with our

values starts with clear

communication and

meaningful engagement,”

she says. “It’s about hiring

people who share our

vision and fostering a

sense of ownership in

their roles. We regularly

share stories that illustrate

how our values are lived out, whether

it’s a resident’s success, a team member’s

outstanding contribution, or feedback

from families. Initiatives like our ‘thanks

app’, ‘wow cards’, and team recognition

awards celebrate these moments,

reinforcing the importance of our values.

Giving the team the freedom to make

decisions and celebrating their successes

ensures they remain committed and

passionate about what they do.”

Looking ahead

As Boutique Care Homes looks to the

future, Kotecha envisions continued

growth while navigating challenges such

as recruitment and rising costs. “I’m most

excited about welcoming more residents

and families into our Boutique family,”

he says. “There’s so much to learn as we

continue to grow, and I believe seeking

feedback and staying proactive is essential

to making things even better for our

residents, families and colleagues. Of

course, challenges like rising operational

costs and recruitment pressures will

require careful navigation. But I have

“There’s so much to

learn as we continue

to grow, and I believe

seeking feedback and

staying proactive is

essential to making

things even better for

our residents, families

and colleagues.”

absolute confidence in our team’s ability

to overcome these hurdles and continue

to thrive.”

Mangion says: “We have exciting plans

for steady growth, with new locations

already secured. Recruitment will

always be a challenge in this sector, and

remaining the employer of choice is key to

our success. I believe our honest ethos and

strong values will continue to set us apart.

While embracing innovation, especially

in areas like artificial intelligence, we must

always ensure we retain the human touch.

Boutique Care Homes is, at its heart, a

people-first organisation, and that will

never change.”

Bhayani says: “The biggest opportunity

lies in meeting the growing demand

for high-quality care home services.

Many older facilities are no longer fit for

purpose, and there’s a real need for homes

that provide exceptional care in a modern,

welcoming environment. However, the

challenge comes with the increasing

competition in some of our locations.

We’re confident that our offering, both

operationally and aesthetically, is second

to none. Technology, particularly AI, will

play an increasingly important role in

enhancing our care and operations, and

continuing to embrace this will be critical

to staying ahead.”

In conclusion Kotecha says: “I’d like for

everyone, in each of our homes, to be able

to say that they feel part of a warm and

loving Boutique family, that they truly do

feel at home in our care homes. Because

that, to me, is the most important goal for

us every day.”

CARING-TIMES.CO.UK JUNE 2025 | 49


care | regulation

Be inspection-ready

Barchester’s director of regulation and quality improvement,

Sue Sheath, explains how to satisfy external regulatory assessments

At Barchester Healthcare, we

know that external regulatory

assessments aren’t sufficient or

frequent enough to assure the quality

of our services, as we know most ratings

are currently out of date or misleading.

We can’t rely on this to tell us we are

doing a great job. Instead, we need to

focus on continuous internal assurance

to ensure we are always inspectionready.

Just like everyone else in the care

sector, our focus at Barchester is on

delivering great care for residents and

patients, but it needs to be designed by

us, not dictated to us by the regulators.

Delivering quality cannot just be when

you are inspected or audited, it needs

to be every minute of every day; that’s

what our residents and patients deserve.

I want to share how we, at Barchester,

do that.

First, I want to talk about quality.

This is defined by the needs,

preferences, and likes and dislikes of

our residents and patients; we need to

understand these and capture them.

Quality doesn’t happen by chance,

especially as, at Barchester, we deliver

more than 100 million recorded

care interactions every year. We need

to know that every one of those

interactions is to a high standard and is

making people’s lives better.

We all like to focus on our external

ratings and compare ourselves

with others and proudly display

great ratings. But they don’t define

everything we do. The reality is, that’s

simply not sufficient. We can’t wait for

the regulators to tell us how well we are

doing. We all need to define our vision

and aspirations and put systems in place

to achieve these.

At Barchester we aspire to be the best

by:

• Focusing on the resident and patient.

• Having the right people in place

doing the right things at the right

time.

• Promoting clear standards, processes

and procedures.

• Monitoring the quality through our

assurance and governance processes.

• Delivering our best day-in, day-out,

not just on inspection day.

We recognise moving into a

care setting marks a new phase in

someone’s life and we want to make

that experience the best it can be. So,

our focus is not just on delivering great

clinical care and support but actually

Sue Sheath

enabling people to live their best lives

through our care and life enrichment

framework.

The framework has seven key pillars.

“Delivering quality

cannot just be when

you are inspected or

audited, it needs to

be every minute of

ever y day.”

50 | JUNE 2025 CARING-TIMES.CO.UK


“We communicate

with our residents

and their family and

friends so they know

what they can expect

from us.”

It starts in the centre where we

put the people we care for and is

underpinned by our people delivering

great care through:

• The support and involvement of

residents, family and friends.

• Providing the best living

environments.

• Creating good nutrition and a

positive dining experience.

• Facilitating life enrichment.

The overarching element is

quality assurance and continuous

improvement to ensure we deliver on

our commitments. And, of course,

delivering safe and appropriate care

This has become the way in which we

operate:

• We communicate with our residents

and their family and friends so they

know what they can expect from us.

• We induct our teams so they know

what is expected of them.

• We operate a whole home approach to

delivery and everyone gets involved

and does what it takes.

In order to ensure we comply with

the framework, we have in place a set

of governance arrangements to help us

monitor, measure and assess the quality

of our services.

In addition, there are a number of

game-changers we have been using.

The Barchester way – when people

join the company, they learn about

the ethos, the culture and the way we

do things – everyone does the same

thing in the same way and to the same

standard.

Quality dashboard – An online

data capture of key metrics we use to

drive quality whether that’s regulatory,

clinical, resourcing, people or other.

Central action plan – A plan for

each service with central oversight.

Quality improvement review –

Each service receives at least one

internal quality improvement review

annually depending on risk. These are

unannounced but supportive visits to

assess quality against 32 key areas.

Divisional quality review meetings –

Attended by the most senior people

in our business who all have a keen

interest in the quality of our services.

Quality first conferences – Held

twice a year where we get every general

manager/hospital director, regional

director and managing director and

our senior management team together

in plenary sessions and a series of

workshops.

Rewarding our staff – We reward

our managers and their teams on their

successes. The quality ratings (internal

and external) are an essential element of

our bonus system.

Quality is a consistent theme through

all aspects of what we do. In summary,

we believe you make quality happen by:

• Aspiring to excel.

• Being clear about the standards your

residents/patients can expect.

• Working as one team with everyone

invested in quality and encouraged to

play a part.

• Having good governance and quality

assurance systems in place.

• Assessing the quality of care and

support against the standards.

• Taking action when things aren’t

right.

• Monitoring progress.

• Driving a culture of learning and

continuous quality improvement.

CARING-TIMES.CO.UK JUNE 2025 | 51


care | team members

Employee of the month

We talk to Jackie Westrap, head of housekeeping, at Oakland Care’s

Woodland Grove care home in Loughton, Essex

Tell us a bit about your

background – how did you get

into housekeeping?

My journey into housekeeping began

back in February 2015. Over a decade

ago I decided to transition to cleaning

in care with a desire to find a more

meaningful and rewarding role. I

initially interviewed for a position at

Oakland Care’s Woodland Grove care

home during its early construction

phase but was not selected. Yet, I

remain undeterred and returned a year

later, securing a job in the position of

housekeeping assistant. This was an

excellent decision, and since this point I

have not looked back in my career.

How do you go about meeting the

needs of residents?

My role is focused on leading the team

that ensures that our care home remains

clean and hygienic for residents, team

members and visitors. As a housekeeping

team we are not only focused on

minimising health risks and the spread

of germs, but also supporting the positive

mental wellbeing of those at Woodland

Grove who benefit from a wellmaintained

environment.

What’s a typical day like?

Both busy and rewarding. No two

days are ever the same, which keeps

the role dynamic and engaging. My

primary responsibility is to manage the

housekeeping team, ensuring every part

of the home is meticulously cleaned

and well-maintained. Infection control

is a top priority, as it is crucial for

maintaining the safety and wellbeing

of our residents. Additionally, my role

involves a variety of tasks such as placing

orders for supplies, overseeing the

laundry service, conducting audits to

uphold standards, and having one-to-one

meetings with team members to support

and develop them. It’s a challenging role,

but it’s deeply satisfying to know that my

work contributes to creating a clean, safe

and comfortable environment for our

residents.

What’s the most challenging part

of your job?

Managing staff effectively, which is both

a responsibility and an art. Building

a strong and cohesive team has taken

time and dedication, but it’s something

I’m incredibly proud of. Many of my

team have been here for years, and

we’ve cultivated an environment built

on mutual respect and trust. While

challenges do arise, I work hard to ensure

that everyone feels supported, confident

in their roles, and motivated to uphold

the high standards we’ve set together.

Managing people is always dynamic,

but seeing the team thrive and knowing

we’re making a difference to the lives our

residents make it all worthwhile.

Is there anything that would

surprise people about your job?

What might surprise people is how

integral housekeeping is to the overall care

provision in the care home. When people

think of care homes, they often focus

solely on the direct care for residents, but

excellent care is supported by many other

areas, including catering, housekeeping

and lifestyle activities. Together, these

elements make for a complete and highquality

care experience. Housekeeping

plays a vital role in the business structure,

though it’s sometimes overlooked. At

Woodland Grove, our housekeeping team

is exceptionally efficient, and our home

is consistently praised for its cleanliness.

This contributes significantly to the

comfort, safety and wellbeing of our

residents, and I take great pride in the role

we play in delivering outstanding care.

Has anything changed since you

started your role?

In the past 10 years I have transitioned

into roles of increasing responsibility,

which has led to my eventual promotion

to head of housekeeping. While initially

hesitant about accepting the role due

to a lack of confidence, after much

encouragement, I’ve made the step up.

While my role is much different than

when I first began, with oversight of a

Jackie Westrap

team and involvement in making more

important decisions which impact

all at the care home, I’ve relished the

opportunity.

What’s special about the care

home you work for?

The sense of community and connection

that runs through every aspect of

the home. I treasure the bonds I’ve

formed with my incredible team and

our wonderful residents. Having been

established for over 10 years, our team

feels like a family. We support one

another and have an environment where

collaboration and mutual respect thrives.

Our home manager, Maryum Ahmad,

and deputy manager Silvia Mammarella

are always present to guide and support

me. Their leadership has been invaluable,

and I’ve learned a great deal from them,

particularly in developing my management

style. This combination of teamwork,

guidance and a shared goal of providing

the best for our residents is what makes

Woodland Grove truly special.

What skills and talents do you

need to be a great housekeeper?

To be a great housekeeper, you need

a combination of practical skills and

personal qualities. Attention to detail is

essential to maintaining high standards

of cleanliness and infection control and

ensuring a safe environment for residents.

Strong organisational skills and the

ability to manage time effectively are

also key to balancing tasks like cleaning,

laundry and stock management.

Communication and leadership skills are

equally important when working with a

team, ensuring everyone is motivated and

tasks are carried out efficiently. Above

all, empathy and respect are vital, as they

help create a welcoming and comfortable

atmosphere that truly makes a house feel

like a home.

52 | JUNE 2025 CARING-TIMES.CO.UK



care | competition

Sax appeal

The annual Care Sector’s Got Talent contest shone a light on the amazing

hidden talents within its workforce

Oladayo ‘Ola’ Ojekanmi from

Netherley, Liverpool, was

crowned the winner at the

annual Care Sector’s Got Talent contest

held at the Rep Theatre in Birmingham

on 2 April. Cheered on by hundreds

of people in the live audience and

selected by an independent judging

panel, saxophonist Oladayo blew

away the judges with the energy of his

performance.

This was the fifth Care Sector’s Got

Talent event, a key programme of

Championing Social Care, designed to

shine a positive light on the incredible

and often overlooked range of talents

within the care sector.

The judges received and reviewed

scores of audition entries spanning

the whole remit of the care sector –

including residents, team members,

contractors and care home entertainers

and staff. Just eight talented contestants

were selected to take part in the live

final.

The finalists included a soul singer

business administrator from Ipswich,

a crooner care assistant from Essex,

care home staff-turned harmony choir

from Cardiff, an activity and wellbeing

officer magician from Glasgow, a

care home admin officer powerhouse

singer from Barnet, an Indian dancer

healthcare assistant from London and a

Makaton singing choir made up of staff,

community members and residents

from Worcestershire.

On the day, the four judges selected

Ola who works as carer at 365 Support,

a residential care service for users

dealing with mental health illness, as

the winner and it was announced by

the chair of Championing Social Care,

Avinish Goyal.

Ola received a cash prize was invited

to perform at Championing Social

Care’s special launch event for Care

Home Open Week on 16 June at

Loveday Belgravia Care Home in

London.

An ecstatic Ola said: “I’m so grateful

to have won this amazing competition

simply by doing what I love. It’s been a

great opportunity and I’ve thoroughly

enjoyed the experience of meeting

all the other finalists. Really, we’re all

winners.”

In addition to the main prize, the

audience had the opportunity to vote

for the act they believed deserved a

scholarship fund prize. It was won by

Kunal Barot, a Bollywood dancer and

healthcare assistant at Acton Care

Centre in West London, part of Gold

Care Homes, who was praised for

bringing his passion of movement to

the stage.

Aneurin Brown, chair of the Care

Sector’s Got Talent committee, said:

“The calibre of talent on display at this

year’s Care Sector’s Got Talent event

was phenomenal. The judges were

blown away by the diversity of talent

and the quality of performances on

show. Well done to all of our finalists

Oladayo Ojekanmi

54 | JUNE 2025 CARING-TIMES.CO.UK


Kunal Barot

today, but specifically to Ola, who

definitely had the X-Factor.

“We’re delighted by how well

this event is attended by those who

travelled to Birmingham. Care Sector’s

Got Talent not only recognises and

celebrates the unique and individual

talents of our workforce, but it also

fosters unity across the sector.”

Care Sector’s Got Talent is made

possible thanks to the support of its

funding partners:

• Florence

• West1 Services

• Compass Recruitment Services

• Boutique Care Homes

• Care Home Interiors

• Leaders in Care

• Care Shop

• Morgan LaRoche

• ADG Architects

• Sensio

• Brents Insurance

CARING-TIMES.CO.UK JUNE 2025 | 55


care | manager in focus

10 questions with…

We speak with Kimberley Lord, registered manager at Sandstone Care’s

Fleetwood Hall in Fleetwood, Lancashire

Why did you join the social care

sector?

Working in health and social care

allows me to make positive differences

in people’s lives. I have the opportunity

to provide care, support and

compassion to those in need, making a

meaningful impact on their wellbeing

and happiness.

What do you enjoy most about

your job?

Being able to make a difference to

the lives of the people who live in our

home. I enjoy spending time with

residents and their friends and families.

Who is your social care hero

and why?

My first ever senior operations manager

who is called Wendy, who always

made time for me, especially through

the Covid pandemic when she wasn’t

allowed into our homes, but phoned

two or three times a day to see if she

could support with anything remotely.

Wendy always knew what to say when

things became tough. She would come

in and complete audits within the home

and take you round with her and would

support you in rectifying any concerns.

She would talk to you and not at

you, offer to support you to complete

actions, but would also teach you.

Wendy is a fantastic role model and is

very well appreciated and respected.

What’s the one thing you would

change about social care?

Within health and social care,

improvements can be made by focusing

“Working in health

and social care

allows me to make

positive differences

in people’s lives.”

Kimberley Lord

on prevention, embracing technology,

and addressing inequalities in access

and care.

What, in your opinion, makes a

great care worker?

Being compassionate, kind and caring

and wanting to make a difference to

people’s lives. Going above and beyond

their role.

What do you do when life all

gets a bit much?

When I feel overwhelmed and feel like

things are a little too much, I will take

myself of and go for a walk. If things

become too overwhelming within the

workplace I will speak to my regional

manager, as I feel a problem or feeling

shared is a problem halved.

Which three famous people

would you have to dinner, and

why?

I would have dinner with Celine Dion,

Adele and Will Smith. I would invite

these artists to dinner because I’d love

to discuss why they had chosen this

career path and what inspired them to

do this. I’d love to find out more about

them as people and what they were like

growing up.

What three things would you

bring with you to a desert

island?

I would take a bottle of sauvignon, my

make-up and my phone.

What’s your secret talent?

I’m good at hiding my emotions

What advice would you give

your younger self?

Not to be too hard on yourself. When

things get tough, talk about them, seek

advice and support. Life is for living;

you only get one life, make every day

count. Seek new challenges; always try

your best.

56 | JUNE 2025 CARING-TIMES.CO.UK


Just press play

championing social care | care

Ellen Bassam, research and communications officer at Music for Dementia

says you can bring music into your care home for Care Home Open Week

Ask anyone who has worked in

a care home about music, and

they will have a tale to tell.

A memorable song can lift a resident

into the moment who may appear

withdrawn. A choir can create bonds

between care workers and residents. A

local musician can host a singalong that

sparks laughter and joy.

Music connects people to their local

community and helps residents to

reconnect to themselves again. That’s

why this year’s Care Home Open Week,

organised by Championing Social Care,

has a Power of Music theme and why

charity campaign Music for Dementia

came on board as a partner. Music for

Dementia is the campaign to make

music an integral part of dementia care.

Between 16-22 June, thousands of

care homes nationwide are expected to

take part in the week-long celebration of

care homes and the people who live and

work in them, by hosting a wide range of

activities for residents, families and the

wider community.

Visit the Championing Social Care

website to view an interactive map.

Whether you’re in Lincoln, London or

Lancashire, you can find out what’s taking

place and add your own to the festivities.

And it’s not too late to get involved.

The website has a wide range of free

Lots of fun was had at last year’s Open Week

resources, activities and ideas from a

host of partners that your activities

coordinator will love for Care Home

Open Week, to make it as easy and fun

as possible to put music at the heart of

your events. Just register on the website

and download our resource packs.

There’s a musical quiz, musical bingo and

set of decorations to help you create a

festival feel.

And we’ve made it easy for you to

host a singalong during the week by

tuning into our free online radio station,

m4dradio.com, which is available free

online, all year round. It offers six online

channels, each streaming music from a

different decade without ads. During

Care Home Open Week we will be

interrupting our usual schedule to offer

a one-off episode of the Singalong Show,

three times a day on the Mix Channel, to

fit with your care home’s routines.

Hosted by actress and singer Sian

Reeves (who you may remember from

Coronation Street), and featuring the

Bakewell and District Community

Choir and Amarillo legend, Tony

Christie, the Singalong Show will be

broadcast at 10.30am, 2pm and 7pm.

There will be a range of songs for

everyone to enjoy, including The Beatles

and singalong favourites. Download

your lyrics sheets in advance.

It doesn’t matter whether you sing in

or out of tune, or just want to sway along

to the classics, everyone’s invited. Just

press play on the Mix Channel and join

in the fun.

As we head towards this special week,

we want as many care homes as possible

to feel empowered to bring music into

their home and help spread the magic.

You may never have done something like

this before, but by simply giving it a go,

you can have a transformative effect on

the people you care for by just pressing

play.

CARING-TIMES.CO.UK JUNE 2025 | 57


care | technology

Software solutions

Fiona Hale, managing director of software firm CoolCare, says technology can

make care management significantly easier for UK care providers

The UK care industry is

undergoing severe challenges

with the 65-plus age group

projected to increase by 38% by 2040,

from 10.5 million to 14.5 million. This

will necessitate an additional need for

approximately 540,000 extra care staff

to keep up with the demand.

With an ageing population, a rising

need for high-quality care, and ongoing

staffing issues, care providers are putting

in extra effort to uphold their high

standards.

But amid these challenges lies a

powerful solution – admin software.

Designed specifically for the care

industry, these systems are helping

care home managers streamline their

operations, improve visibility across

teams and ultimately provide better care.

Rostering by spreadsheet, paperbased

resident records, and manual

payroll calculations are still surprisingly

common. These systems not only waste

time but also leave room for human

error and can delay vital decisionmaking.

It’s within this gap that care

home admin software proves its worth.

The software isn’t about replacing

people – it’s about supporting them to

do their jobs more effectively.

From simplifying admin to

supporting staff and enhancing the

experience for visitors, here are some

ways care home software can support

smoother, smarter operations:

Effective occupancy

management

Occupancy management is critical for

financial sustainability in care homes.

Revenue losses often result from

inefficient enquiry handling, lengthy

admission processes or inadequate data

visibility. Through technology, realtime

visibility into expected occupancy

enables managers to plan staffing

efficiently, ensuring consistent quality

care. For instance, a rise in private

enquiries – typically slower to convert

– may prompt a different planning

approach than faster local authority

admissions.

Data-driven enquiry management

also supports strategic decisions, like

choosing to hold beds for higherrevenue

private admissions despite

longer conversion times. With detailed

data analysis, care homes can align

resources with financial goals, optimise

occupancy and ensure staff are prepared

– improving resident experience and

operational performance.

Reducing reliance on agency

workers

While care home occupancy remains

strong at 85.7% nationally, staffing

challenges continue to be a significant

concern. Shortages, absence and late

notice shift changes result in frequent

use of agency or temporary workers,

with attendant disruption of continuity

of care. Advanced scheduling software

Fiona Hale

provides a solution by predicting

staffing shortfalls well in advance.

Automated rostering systems

balance factors like staff preference,

qualification and shift requirement.

This ensures schedules are fair and

efficient, helping prevent overstaffing

or underutilisation. These tools offer

a comprehensive overview of staff

availability, allowing for strategic

workforce planning that minimises the

need for expensive agency workers.

With this technology, care homes are

better able to manage their resources,

“The software isn’t

about replacing people

– it’s about supporting

them to do their jobs

more effectively.”

58 | JUNE 2025 CARING-TIMES.CO.UK


reducing agency usage by up to 80%

in some cases. Staff morale is not only

improved, as in-house staff are offered

shifts as a priority, but the delivery

of care will always be consistent and

personal.

Payroll and administrative

efficiency

Payroll errors can be expensive and

undermine staff trust. Automated

attendance reporting, like biometric

clock-in, eliminates this by providing

consistent, accurate attendance data.

They integrate with payroll software,

reducing manual corrections and

providing fast, accurate pay. For care

homes, this means saving time and

boosting staff satisfaction.

Create a welcoming

environment for visitors

With 99.5% of care homes in England

welcoming visitors to meet their

loved ones as of March this year, the

way a home presents itself – both in

person and digitally – can significantly

influence how a care home is perceived.

Digital visitor management

systems, such as electronic visitor

books, simplify the experience while

enhancing security and compliance.

These systems log visitor information

securely, helping care homes align with

regulatory requirements. Families view

this as proof of professionalism and

transparency, offering reassurance that

their loved one is in capable hands.

Virtual noticeboards encourage a

sense of community by presenting

menus, activities and staff updates.

These small but significant steps

contribute to creating a warm, friendly

atmosphere which resonates with

residents and visitors alike.

Real-time operational insights

Digital platforms consolidate data

from staffing schedules, resident

records and financial reports into one

accessible system. This holistic view

enables managers to track performance

statistics in real time, observing trends

and making proactive adjustments.

Live occupancy figures, for instance,

can identify underperforming areas,

triggering targeted marketing to fill

vacancies.

Empower staff through digital

tools

Digital scheduling tools enable staff

to manage shifts easily, allowing them

to view rotas, request holidays or swap

shifts via mobile apps. This autonomy

enhances work-life balance and trust

between management and employees.

Add-ons such as earned wage access

reduces financial stress, enabling

workers to receive a portion of wages

ahead of payday. These actions function

better amid economic recessions,

enhancing morale and retention.

Shape the future of care with

digital tools

At CoolCare, we provide admin

software that empowers managers with

real-time data. Our recent partnership

with Doveleigh Care has seen

significant time savings and improved

efficiency for managers. Rota and

timesheet administration, which took

over 50 hours a month, has also been

drastically cut.

The role of admin software in care

is only set to grow. As expectations

around digital transformation increase

and the Care Quality Commission

places greater emphasis on efficiency

and visibility, care homes that embrace

this technology will be better placed to

adapt.

Importantly, the success of these

systems lies in their ability to

complement care – not replace it.

When implemented well, admin

software empowers care staff at every

level and creates stronger, more

sustainable care environments.

In an industry built on compassion,

efficiency might not be the first word

that comes to mind. But when care

homes run more smoothly behind

the scenes, everyone benefits. Admin

software might not deliver care directly,

but it provides the foundation for it to

flourish.

CARING-TIMES.CO.UK JUNE 2025 | 59


Getting down to

business

When it comes to health and social care, we mean business – with

award-winning products, and specialist support from our team of

experienced Relationship Managers.

Here are some of the sectors we work with:

• Aged, specialist and childcare facilities

• Dentists and dental practices

• Hospitals and medical centres

• Real estate and development finance

• Pharmacists and pharmacies

• Doctors and medical practices

For more info call:

Derek Breingan

Head of Health and Social Care

07818 454674

Subject to eligibility. Virgin Money is a trading name of Clydesdale Bank plc. registered in Scotland (No. SC001111). Registered Office: 177 Bothwell Street, Glasgow, G2 7ER.

VM41259

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