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Working together to improve community engagement in care homes - Joint HSC and MHL event 20.05.15
- 1. Promoting Quality of Life in Care Homes Working Together to Improve Community Engagement in Care Homes
- 2. Promoting Quality of Life in Care Homes Aims To share our collective learning/ expertise about best practice in community engagement To develop new ideas of how we might improve the lives of older people through community engagement To reflect together on how we might take this agenda forward, individually and collectively, for the benefit of older people in care homes
- 3. Promoting Quality of Life in Care Homes Community Engagement in care homes is… … Anything that connects care homes with local people, groups, businesses, clubs or any other neighbourhood asset.
- 4. Promoting Quality of Life in Care Homes What do we think about care homes? •Scandals? •Poor quality? •Money-grabbing? •Undesirable? •Less relevant? •In decline?
- 5. Promoting Quality of Life in Care Homes Older people in care homes • 426,000 older people (residential and nursing) • Average age 85 years • 70% dementia or severe memory problems • 40% depression • 75% classified “severely disabled” • Massive increase in dependency levels • Generally unable to remain in the community
- 6. Promoting Quality of Life in Care Homes Funding Per week: • local authority average funding for residential care (older people) = approximately £500 (or £2.97 per hour) •Hospital bed = £2,000 (approx) •Children’s home (LA care home) = £2,800 (approx) •Saving the NHS £billions
- 7. Promoting Quality of Life in Care Homes Workforce • ½ million employed in care homes • Care-assistants £6.70 per hour • Lack of funding for training • Paid less than those looking after our rubbish • 66% NVQ2 • 39% feel unappreciated by public (Skills for Care)
- 8. Promoting Quality of Life in Care Homes Unsupported, isolated, mistrusted •Constant regulatory and policy changes (local and national) •“Feeding the system rather than feeding residents!” •High levels of personal stress – fear-based culture •Massive under-investment
- 9. Promoting Quality of Life in Care Homes Despite this… •There is considerable evidence of great practice everywhere •Care homes can be a very positive option for older people •There is some great examples of community engagement.. Over to Grace!
- 10. Promoting Quality of Life in Care Homes Care homes in the heart of the community • Care homes have historically been ‘islands of the old’ – isolated from their local communities • However there is some great practice • Requires support to prepare the community and support to prepare the care home
- 11. Promoting Quality of Life in Care Homes What works well in community engagement? • What are you working on now? • What works well and what are the challenges? • Mapping our good work:
- 12. Promoting Quality of Life in Care Homes What could community engagement in care homes look like at its best? Imagine today is 20th May 2018 and community engagement in care homes is alive and well! • What does it look and feel like? • What would have changed?
- 14. Three fold strategy: Create and build a social movement of people and organisations willing to take an active interest in the well being of care homes and the people who live in them Build an active community of FaNs across Essex sharing and celebrating ideas, experiences, pleasures and achievements. Make it as easy as possible for Care Homes to take advantage of resources as they become available
- 24. Promoting Quality of Life in Care Homes Stay in touch Email: mhl@city.ac.uk www.myhomelife.org. uk
Hinweis der Redaktion
- 426,000 older and disabled people in residential care (including nursing), approximately 405,000 of whom are aged 65+. Age UK estimate from most recent Laing and Buisson survey of the sector (looking at 2013/14). 0.9% for ages 65-74, 4.3% for 75-84 year olds and 20.7% if 85 and over. Women residents tend to be older, at an average age of 85.6 years, compared to 83.2 for men (Office o). The resident care home population is ageing: in 2011, people aged 85 and over represented 59.2% of the older care home population compared to 56.5% in 2001. (ONS 2014 http://www.ons.gov.uk/ons/dcp171776_373040.pdf) Two thirds of older people living in care homes experience some level of cognitive impairment and 75% of them are classified as being severely disabled. Alzheimer’s Society estimate that 70% of care home residents have a dementia or severe memory problems. http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=535&pageNumber=2 It is also estimated that up to 40% of residents experience depression. Depression is estimated to affect up to 40% of older people who live in care homes and it often goes unrecognised (Audit Commission 2000. Audit Commission (2000) Forget Me Not: Mental Health Services for Older People. Audit Commission, London. 75% classified as being severely disabled (OFT 2005)
- Based upon: Unit Costs of Health and Social Care 2014 compiled by Lesley Curtis at the University of Kent is free online (http://www.pssru.ac.uk/project-pages/unit-costs/2014/index.php) and is a respectable referencing source too. There is also a whole section on care for older people: http://www.pssru.ac.uk/pdf/uc/uc2010/uc2010_s01.pdf Care home for children – local authority £2,995 per resident week. Care home for children – voluntary and private sector care homes for children £2,947 per resident week. Elderly impatient ward bed for a week £2,051 Long-stay mental hospital £1,505 High dependency care home (younger people) £1,345 Care home – learning disabilities. Assuming 8 bed house. £1,265 Residential care home (young people) £748 Residential rehab – drug & alcohol use £628 Nursing Home (older people) £494* Amount paid for by PSS Residential Home (older people) £446* Amount paid for by PSS
- Netten et al (2001) found that two thirds of homes in their survey had staff with NVQs or BTEC awards, with many other members of staff working towards such qualifications. Another survey by the CPA (2001) of 1200 independent sector and local authority homes found that at least 20% of all care assistants had some form of additional training qualification (TAKEN FROM DUDMAN –MHL Lit Review) Skills for Care survey reveals happy but unappreciated social care workforceby Shirley Ayres - May 25, 2008 The first ever survey of more than 750,000 care workers across England found that whlst 90% of staff are happy in their work less than half believe their work is appreciated by the general public. The survey of 500 care workers carried out by Skills for Care found only 39% felt their work was appreciated and many felt that there was little understanding of the value of their hard work.
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