Community Retirement Villages – Surrounding Neighbourhood

A new retirement village with its range of communal facilities is the start of a new community for older people.    Typically comprising around 250 apartments, a village hall, a shop, restaurant,  bar, coffee lounge, library, craft room, computer suite, fitness centre, greenhouse and outdoor courtyards, sitting areas and a bowling green.     It will have a team of hospitality and care staff,  a wellbeing nurse, a fitness instructor, an admin team, an activities/volunteer coordinator and probably a dementia specialist.   It is a bigger and better resource than would generally be available in a local neighbourhood.

It is important that the retirement village does not become a ” gated community” insulated from it local surroundings.   With its wide range of facilities and its qualified staff team, it can make a positive contribution to the whole of the neighbourhood in which its located.  It can also specifically reach out to older people with a supportive service that can enable them to live in their own homes in the community.

The most obvious thing the village team can do is to provide an outreach domiciliary care team for those older people with care needs who still live in their own home near to the village.  The village restaurant could also provide a “meals on wheels” service to those people who can’t come into the village.

The village’s focus on good health can be extended into the community by inviting them to take part in the well being programme provided by a qualified nurse.  In turn for some people this could be linked to a health improvement programme using the village’s fitness centre.  Rehabilitation programmes after hospital stays or falls at home, could also be provided by this team in association with their GP.

All the village facilities would be available to everyone of all ages in the surrounding community for a small annual membership fee.

Another key feature of the village is that it should provide “a bridge between generations”, the following are some examples within my own experience, particularly with the ExtraCare Charitable Trusts of how this can be accomplished:-

  • The local nursery/primary school could access a village full of “grannies and grandpas”.
  • The secondary school could provide a host of  “apprentice work experience” for students who are considering a career in social care.  Projects could include researching residents’ lives and building a “book of life” for older people; outward bound courses for young and old together; gadget training in exchange for cookery classes; retired teachers could do one-to-one coaching on reading, maths etc.
  • If there are higher education, colleges or universities in the local area, their students could get volunteering experience by providing one-to-one support with new technology.

It is not the intention that the retirement village replaces existing voluntary activity groups in the surrounding community.  Rather, it would be the intention to enhance the existing groups and make sure they are accessible who lives in the village.   Small, local voluntary organisations are often hard pressed for funds and volunteers,  the retirement village has the potential to provide both.

Outreach into the community is not an easy thing to do because the village manager and their team understandably make the residents who live in the village their first priority.  Equally, many residents are content to stay in the village where they feel “safe and secure”.  However, if the village is to remain a vibrant part of the surrounding neighbourhood, it’s everyone’s job in the village to think beyond the walls.  Some good examples of this are:-

  • Residents supporting local charities where they have a personal interest.
  • Residents donating surplus goods to charity shops when they first move into the village.
  • Residents acting as volunteers in local community groups.
  • The voluntary groups themselves extending their services into the village and making use of the village facilities.

 

 

 

My post next week will discuss the final aspect of retirement villages which is the management team.  Thereafter I will draw all these threads together in a final post on this subject.

 

 

 

 

Posted in RETIREMENT HOUSING | Tagged | 2 Comments

Bunk Up in NHS Hospitals.

The annual winter crisis in the NHS is looming.     Headlines are already beginning to appear in the press and on the news :-

  • “Beds blocked by hoards of older people overstaying  their welcome”
  • “Too few nurses,  too busy to provide proper care”
  • “Junior Doctor left to provide medical support for hundreds of older people”
  • “Patients waiting 24 hours on trolleys in A&E before they can get a bed”
  • “New flu bug expected as a cold front moves in from the west”
  • “Government creates new ‘ one day and away ‘  rule to speed up hospital discharge”

I have to admit I made a few of these up, but I am sure you will see them soon 😀😩

In the meantime a report by the Organisation for Economic Co-operation and Development, points out that the beds in the NHS have been reduced from 299,000 in 1987 to  142,000 in 2017.   There’s progress for you !      Especially when the number of older people has dramatically increased during that time.

According to the report, Britain now has 2.6 hospital beds per 1,000 people, compared with Japan at 13.2, Russia at 8.5, Germany at 8.1 and France at 6.1.

Not to worry I have a simple and cheap solution.   BUNK BEDS !   We could double our number of hospital beds in a matter of days with an express delivery from Ikea.    Why didn’t anybody think of it before?

Oh and if there are still a few patients left on trolleys the NHS  could book RyanAir flights to Japan and Russia and help them fill up their spare beds 😀

Posted in N.H.S. | 1 Comment

Express Care

I have written a lot about Care ever since I started this blog and it seems the situation isn’t getting any better.    In fact it is becoming a lot worse.

(Two of my earlier blogs are worth reading :- “Cowardly Inaction” and “Social Care Straws in the Wind”, you can find them by clicking on ‘Care funding’ in the Topics List)

A recent survey carried out by the trade union, Unison,  asked 1,000 domicillary care workers about their pay and working conditions.  Although obviously not impartial it would be all too easy to dismiss their concerns.    Their answers help explain the shameful state of much of the state funded domicillary care provision. 

  • 75% said they heave unto compromise Care because they are too rushed.
  • 89% had no time to chat even though the client might be alone for the rest of the day.
  • 63% get only 15 minutes for a visit to assist with meals, showers, dressing, etc.
  • 63% are not paid for travel time between visits.
  • 71% are paid less than the minimum wage £8.45/ hour outside London,
  • 91% are paid less than £9.75 the minimum wage in London.52% are on zero hours contracts.

Reading between the lines of this survey, you can understand why so much domicillary care is below standard.    If care workers are not paid for travel time between visits and are only paid for ‘ hands on care time’, they could be working for many more hours than they are being paid.    In turn this means they will be paid significantly less than the minimum wage and lose out in terms of holiday and sick pay.    It is hardly surprising that care is rushed, standards are poor and staff turnover is high.

Sometime ago the Government “outlawed” 15 minute visits but they didn’t really mean it.   They didn’t sufficiently fund Social Services to implement it, so the system continues.     Local Authority spending on adult social care is down 11% between 2009/2011 and 2015/2016.

Care in the community although preferred by older people is all too often a sad illusion.    Ultimately, it is politicians who are the employers who allow these conditions to persist.

Posted in Care Funding | 2 Comments

Community Retirement Villages – Later Lifestyle Opportunities

The key issue with retirement villages is that they should offer people a range of new opportunities in later life.    So many of the alternative retirement housing models are perceived by older people as a last resort option.    Residential care homes are the last place anybody wants to go to, no matter how good they might be in terms of the care they offer.    Sadly, many of them are rightly renowned for offering no real care at all.  The public sector sheltered housing model and its private alternative of retirement housing is focused on “safety and security” but generally offers no significant support for health and care requirements.    It is essential that Community Retirement Villages significantly transcend these other models.

In a retirement village you are living independently in your own home, whether you rent it, are a part share-owner or own it outright.    The important thing is that you can live the life you want and can join in as much or a little as you like.    In this environment, it is hard to be lonely because so many people around you are in the same situation themselves.    The host of activities are moulded around the skills and interests of the residents and you are free to take part in an active community life.

Volunteering is a central part of the retirement village culture which promotes an ethos of neighbourliness and helping each other.    In turn that means that residents are at the forefront of the reception and manage many of the facilities such as the coffee bar, the library, the craft room and many of the activities.    They also support staff in running the shop, the fitness suite, the well-being programme, the catering and the dementia support.    Many of these examples are more fully described in my earlier blogs which you can find by clicking on “Retirement Housing” in the TOPICS list.

Another essential feature of retirement villages has to be a focus on “well-being”.   This is the reverse side of the”safety and security” model of retirement housing.    It offers people the encouragement to look after their own health by giving them the support of a well-being nurse to monitor their own health and the opportunity of a fitness suite to stay fit or to provide rehabilitation after a period of ill health.

Finally, as you age in the community, if your frailty increases, you are able to access additional support with housekeepingand care.     You will also be provided with professional support to ensure that you are able to access the full range of welfare benefits which are often underclaimed because of their complexity.

Establishing this culture of an active lifestyle, volunteering and promotion of well-being is fundamental to differentiating the Retirement Village from the previous models.   Without these elements the village is just a large sheltered housing scheme.    The culture needs to be primed and encouraged by a skilled team of enabling staff.    I will expand on this in my next post on this subject.

 

Posted in RETIREMENT HOUSING | Tagged | 7 Comments

Retrospective on Blogging

MY BLOG FOLLOWS MY MIND

not always focussed

cluttered WITH THE ISSUES OF TODAY

AND YESTERDAYS.

 

IT IS HARDER TO FOCUS

on uncertain outcomes !

” Occasional threads “

GET YOU SOMEWAY TOWARDS IT.

But can just be “flights or fights of fancy”

 

Aimlessly wandering around in the clouds

Until the clouds turn to shrouds.

NAH !!! That’s a grumble!

This is a SMILE 😀😀😀😀😀😀😀😀😀😀😀

1 Comment

Blogging Milestones

This week I hit a milestone in my blogging history.   Thanks to WordPress analytics here are some of the facts and figures :-

  • 700 posts since I started writing the blog in 2010.
  • 14,000 visitors most of whom I will never meet.
  • 70,000 views averaging 100 views per post.
  • 141 countries on every continent except the Antarctic.

These are small figures by the more well known bloggers standards, but fun to think you have reached that far afield.

  • Fifty percent of the visitors are from the UK.
  • Five percent from the USA is the second biggest group.
  • Visitors in their 100’s come from Europe, Australia, India, Canada, Brazil and South Africa.
  • Then more remotely one or two from the Cayman Islands, Nepal, Mozambique, Kazakhstan, Belize, Macao, Myanmar, Mongolia and the Faroe Islands.
2 Comments

Bullish Coffee

I used to think coffee was bad for you.    I don’t know where I got that idea from, but tea was the only hot drink in our house.    Although for my school days it was free milk and then Corona pop when I got home.  For most of my working life I have been a tea drinker.   A legacy of my early working life on building sites where the only brew on offer was a mug of sugary tea

Nobody told me I might die earlier because I wasn’t drinking coffee !

A 10-year long study by Spanish researchers of 20,000 people aged between 25 and 60, found that drinking coffee cuts the risk of dying by two thirds !     What’s more, every extra 2 cups reduces mortality by a further 22% !!!    So with two thirds in the bag already and say 4 four more cups a day I reckon I could live forever 😀

Apparently this is all to do with antioxidants, diterprenes and polyphenols.    No mention of extra sugar ?

Just one small note of caution.    The study leader was Dr. Adela Navarro, a cardiologist at Navarro Hospital in Pamplona.

So this might be a load of old bull.

 

Posted in SMILES | 3 Comments

Aimlessly Aiming

It’s a dryin’ lovely, Michalmas daisy kind of day;

A bulb planting, sow the seeds of spring beginning.

The old age starting of a new life, a year at a time.

My Garden Age.

 

Less of a young years rush,

De-cluttering the accumulated comfort clutter.

Tweetless, peaceful, forward reflections.

 

Winter cool and calm to come,

Smile in the certainty that a daffodil spring is not far behind.

Posted in SMILES | Tagged , | 1 Comment

Sky Blue Yonder

 

 

Can I do a blog right out of the blue ?

Original, different, testing and true,.

The answer must surely be NO.

We are a product of our history,

Our lives are not new.

As the days go by, we are shaped by yesterday

And formed by tomorrow’s opportunity ?

 

Ghrgrddhmtcjhtfitfkhtfkhtfkitfihtffkhtrces

Only with language does life begin to make sense.

Every new experience coded into patterns.

The picture of our life slowly taking shape.

Coloured by childhood, parents and school.

 

aaaaa bbbbb ccccc ddddd eeee fffff ggggg

Education / indoctrination — a fine line.

Freedom of thought caught in a moment of interest.

Gradually ingrained and sculpted into rock.

So forever after nothing is new !

Posted in SMILES | Tagged | 1 Comment

Best Before Never

It was only at the end of July that the Last Laugh Looney Party successfully concluded their Brexit negotiations with Mr Junket of  the European Union.  Finally they have agreed to ban all SMALL PRINT. (See my blog in the Archive dated 31st July 2017)

Sadly this excellent new legislation came too late for our kitchen food cupboards.

Today I decided to sort out the cupboard where things fall out as soon as you leave the door ajar.     Speaking of jars, they are usually the first thing to fall out.    Jam jars and quarry tile floors don’t mix.     Over the years I have spread more marmalade on the floor than on my toast.

In full de-cluttering mood I removed all 2,000 bottles, jars, packets and boxes from the shelves and laid them out in rows on the worktop.    Lines of raspberry jam, strawberry jam, blackberry jam and damson jam.    Then an essential row of marmalade — Frank Cooper’s Oxford Original, Robinson’s thick cut and thin cut —-   some half empty, some unopened for at least a century.   The longest row was for boxes of Aunt Bessie’s Stuffing Mix.    We buy a box every Christmas and never use it all.    The boxes date back to 1830 so we could send them to the British Museum.    We have a similar problem with half-empty packets of spaghetti.     You always want a fresh packet, so you are left with enough spaghetti to feed half of Italy.     There are far too many more goods to mention, but I almost ran out of worktop before I had finished emptying the cupboard.

Now we come to the small print.   I decided to throw out all the foodstuffs that were past their sell-by date.    Manufacturers obviously don’t like the thought that their produce could ever go out of date.   So, they put “best before” dates in the most obscure places, in the smallest print with the least contrast with the background.    Not quite in the spirit of the legislation!

Still, I eventually figured it out with an electron microscope and a lawyer. (Lawyers are particularly good at small print).      I was then able to send a heap of Aunt Bessie’s stuffing mix to Mr Junket for his food mountain.     I do hope he enjoys stuffing balls.    It will probably confirm his view of British cuisine as some of the best in the world, even if it is past its sell-by, use-by and best before dates.

Posted in SMILES | Tagged , , | 1 Comment