“Residential No Care”

Around 30 years ago I spoke at Birmingham City Hall at a conference about the future of care homes for older people.  I controversially suggested that all residential homes should be shut down within 10 years.  I was assailed by the Lady Chairman of the Residential Care Homes Association and received only half hearted support from the then Director of Social Services.  Needless to say, nothing came of my radical proposition.

Now my old friend Mr Paul Burstow, former Care Minister until 2012, has suggested in a Demos Report that care homes should be “re-branded as housing with care”, to overcome their poor reputation.

While I am sorry Mr Burstow, changing the name won’t change the nature.

Boredom and loneliness still typify many residential homes, so does poor care and unqualified staff.  Neglect and abuse lie just below the surface – there were 7,654 cases of reported abuse in 2013.  How many more examples never get reported for fear of recrimination?

This is nothing new and it is a pity it took a Government Minister responsible for the sector, so long to learn it.  It is even more of a shame that he did not feel able to say it until after he stood down as Care Minister.

There are 450,000 older people currently living in residential care homes in this country.  Estimates in this Demos Report suggest there will need to be another 239,000 places in full time residential care by 2030.

Yet most elderly people view the prospect of moving into a care home as a last resort.  A place to die, not a place to live.

Yes Mr Burstow, the image needs to change, but this will only happen when the reality changes and that requires much more than re-branding.

The system of funding residential care is the fundamental issue, which successive Governments have failed to address.  Nor have they been honest with the electorate in saying there is not enough public money to pay for all the residential care.  The original Dilnot Report proposals attempted to stimulate new insurance products to cover long-term care costs but the coalition Government, of which Mr Burstow was a member, watered down the proposals and nothing new has come forward.

So, 30 years on from when I suggested abolishing residential care homes, very little has changed, except that we now have many more:-

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“Heartfelt thanks for neighbours”

A study in the USA by a research team at the University of Michigan looked at how people perceived their neighbourhoods in terms of safety and friendliness.  They consulted over 5,000 healthy people with an average age of 70, over a four year period.

People who lived in neighbourhoods they rated as friendly, were found to have a 22% reduced risk of having a heart attack.  People also felt more secure.

Over the years, many areas have become less hospitable to older people.  Families live further apart than they used to.  Many of the local shops have closed.  The churches are not as full as they used to be.  Young people don’t play out on the streets any more.  Crime is perceived to be a reason to keep your doors locked during the day and not to go out at night.

If the concept of Age Friendly Cities is to work, then neighbourhood networks need to be re-established.  Mutual support is a vital part of the glue that binds neighbourhoods together.  It is a significant way of overcoming loneliness and isolation.

This research from America shows that good neighbourhoods can have a positive impact on the health and wellbeing of older people.

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“Hang the curtains!”

While care of older people in residential care homes languishes in a perilous position – under-funded, staffed largely by unqualified staff and inspected by tick box regulators – the Care Minister, Mr Norman Lamb, has come up with a bold new plan to transform the situation.

Personalise your room with your own furniture!

According to Mr Lamb, this will make residential care a “civilised home from home, and create a real sense of the individual’s home”.

This is such a good idea that it has been taken up by the Daily Mail’s hard hitting “Dignity for the Elderly” campaign.  Furthermore the raging champion of older people – AGE UK, is also firmly behind the programme.  The iron fist of the Care Quality Commission will be reinforcing Mr Lamb’s limp wrist with a “robust” regime of inspection.

Mr Lamb forgot to mention that you will have to fit all your furniture into a bedroom which is only just big enough for a single bed.  So no room for the three piece suite!  Oh, and your favourite curtains will need to be treated with fire retardant.

You could of course bring your favourite chair into the communal lounge, although it may look like an auctioneer’s sale room, if all 30 of the other residents, who also live in “your lounge”, want to do the same thing.

Really Mr Lamb, this hardly constitutes a new policy when the residential care sector is so bankrupt of both money and reforming ideas.  Your regulator – the Care Quality Commission, is currently suggesting that 750 care homes are failing on at least one basic standard for more than a year – surely furniture can’t be your top priority.  Deck chairs being rearranged on the Titanic comes to mind.

The Daily Mail obviously did not want to upset you by telling you this in an undignified way.  Even more concerningly, AGE UK have become so diplomatic these days that they seek to accommodate everyone and their furniture.  Nobody at AGE UK gets angry anymore, no matter how much older people are patronised by Government Ministers who are supposed to care for them.

 

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ExtraCare Traditions 4 – Elderflower Festival

This gallery contains 12 photos.

THIS IS A CONTINUATION OF A SERIES OF BLOGS OVER THE NEXT FEW MONTHS DESCRIBING SOME OF THE HISTORY AND CULTURE OF THE EXTRACARE CHARITABLE TRUST.    THIS WAS THE ORGANISATION I FOUNDED AND WORKED FOR FROM 1987 THROUGH TO THE TIME I … Continue reading

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“Dementia – Bad and Good News”

Some interesting research published in The Oxford Post Graduate Medical Journal about the risk of getting dementia.

The bad news is that people who are obese in middle age are 50% more likely to develop dementia in later life.  It is a pity no one told me that when I was 30!  There again, at that age I barely knew what dementia was and I doubt I would have stopped eating all those pies or having the odd pint or two or three.

The good news in this study is that people in their 70’s were no more likely to develop dementia.  So in a few years’ time I can eat all the pies I like.  Furthermore, the over 80’s are 20% less likely to develop the disease, so that’s why the pub car parks are full of mobility scooters at lunch time 🙂

(For other more serious posts on this subject, click on Dementia in the Topics list).

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ExtraCare Traditions 3 – Sports Day

THIS IS PART OF WHAT WILL BE A SERIES OF BLOGS OVER THE NEXT FEW MONTHS DESCRIBING SOME OF THE HISTORY AND CULTURE OF THE EXTRACARE CHARITABLE TRUST.  THIS WAS THE ORGANISATION I FOUNDED AND WORKED FOR FROM 1987 THROUGH TO THE TIME I RETIRED IN 2010.  I HOPE IT WILL INSPIRE OTHERS TO LOOK AT NEW WAYS OF LIVING IN LATER LIFE.

For other blogs in this series, click on “ExtraCare Traditions” in the TAG CLOUD

In 1992 the Olympics were held in Barcelona and in The ExtraCare Charitable Trust we decided to have our own version of the games for the residents of our nursing homes and the extracare housing schemes.  This was our first “Sports Day” which was held at Ernesford Grange Leisure Centre in Coventry.  Several hundred residents attended, wheelchairs, zimmer frames and all.  There weren’t any Paralympics at the time, otherwise I am sure some of our residents would have wished to compete in them.

The games we selected were designed to enable all residents to be able to take part.  Table skittles was one of the easiest challenges but we also had a wheelchair obstacle course, a mobile scooter driving experience, netball, football, archery and climbing.  A sort of schools sports day for grans and granddads.

 4. Sports Day

The biggest challenge was skiing with Eddie the Eagle Edwards, which on the day we did on a snowboard which an artificial ski slope.  It was a particularly hard challenge, especially for some of the more disabled residents but Eddie Edwards was a great coach and encouraged many residents to have a go.  In the years ahead we used many TV and Sports personalities to add to the glamour of the events we held.

We also continued with many of the sports we started and below is a resident on a dry ski slope at the Ackers Trust in Birmingham.

C50B5093After this first sports day we set up “Activity Captains” in each of our schemes and the promotion of a whole variety of sports created a whole range of opportunities for our residents.  They became more and more adventurous as time went on and included:-

CLAY PIGEON SHOOTING          ARCHERY          SNOOKER          BOWLS

SAILING, FIRSTLY ON LOCAL LAKES AND LATER ON A TALL SHIP ACROSS THE CHANNEL AND IN SAILING BOATS IN GREECE

WALKING THE PENINE WAY AND LATER ON THE GREAT WALL OF CHINA

CYCLING FROM LANDS END TO JOHN O’GROATS (IN THE FITNESS CENTRES)

CLIMBING ON LEISURE CENTRE CLIMBING WALLS AND LATER RISING TO THE THREE PEAKS CHALLENGE

THE PHOTOGRAPH BELOW IS RATHER MORE SEDATE BUT JUST AS EXCITING.  A GROUP OF RESIDENTS TROUT FISHING ON THE LAKES AT COOMBE ABBEY IN COVENTRY.

8. fishing competition wolvey

In 2006 our sporting ambitions culminated in us sending 10 residents to Melbourne in Australia to attend the Commonwealth Games.  This time they were just spectators but courtesy of a contact we had with the Welsh athlete Alan Pascoe, and also our long standing association with Geoff Capes, our residents were able to attend a BBC reception and meet many famous athletes at the time.

WE NEVER DID THINGS BY HALVES IN EXTRACARE !

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ExtraCare Traditions 2 – Buzzwords

THIS IS PART OF WHAT WILL BE A SERIES OF BLOGS OVER THE NEXT FEW MONTHS DESCRIBING SOME OF THE HISTORY AND CULTURE OF THE EXTRACARE CHARITABLE TRUST.  THIS WAS THE ORGANISATION I FOUNDED AND WORKED FOR FROM 1987 THROUGH TO THE TIME I RETIRED IN 2010.  I HOPE IT WILL INSPIRE OTHERS TO LOOK AT NEW WAYS OF LIVING IN LATER LIFE.

For other blogs in this series, click on “ExtraCare Traditions” in the TAG CLOUD

Many of the ideas we developed in ExtraCare started from very small beginnings.  The third nursing home we opened was called Sherbourne House in Coventry and one day I got talking to a tiny little lady, all scrunched up in a wheelchair with a blanket over her knees – her name was Sarah Cresswell.  Although she was riddled with arthritis, she always had a cheery smile on her face.  One day when I was talking to her, I asked her about the food and she told me that it was very good except for the cabbage.   The catering system was a cook chill service provided by the local hospital and cabbage seemed to be one of the things they just could not get right.

Over the next few days, I mused on this and wondered why we could not get something as simple as cooking cabbage right.    I went out to a local greengrocer, bought two fresh cabbages, took them back to Sarah and assured her that the staff would cook them if she asked nicely.    That very much embodied the “can do culture” that we were trying to instil in all the staff in ExtraCare.    But it also highlighted for me the importance of walking the floor, listening to residents and most of all, acting on what they said.

In the photograph below, you can see Sarah Cresswell having a swimming lesson with physiotherapist Freda Laye and two care staff.  This was one of her later suggestions.

2. sarah cresswell

Shortly after this, we set up the “Buzzwords” suggestion scheme throughout ExtraCare.  Every nursing home and extracare housing scheme had a “Buzzwords Beehive” post box designed and built by Andy Hillier, our Development Director.  Residents were able to post any suggestion in the box and once a month the box was opened by the “Buzzwords” Captain and the responses to the suggestions were decided by the Captain and a group of residents in each location.

As the whole suggestion scheme became more popular, we held a promotion day at Coombe Abbey Banqueting Suite in Coventry.    Based on a medieval theme, the residents were all dressed up as Kings and Queens and the staff were dressed as serfs.    The programme for the day, including the entertainment and the refreshments, was determined by suggestions by the residents and the staff had to find a way of fulfilling their wishes.    Failure to do so resulted in the staff being placed in stocks and the residents  then throwing wet sponges at them.

3. Coombe Abbey Medieval Day

The symbolism of the event was designed to emphasise that residents’ views are paramount and staff should endeavour to always adopt a “can do” attitude rather than finding reasons why things cannot be achieved.    This was a far cry from the culture that existed in nursing and residential care at the time and in many places still to this day.

In its hay-day the “Buzzwords” scheme received over 3,500 suggestions a year.    There were small token prizes for every suggestor, every month.   The best overall suggestion each month was awarded a David Winter ceramic cottage.  Gradually these started to appear on mantelpieces, sideboards and bedside tables all over ExtraCare.    Most suggestions cost nothing to implement other than a little time and thought but Captains were free to spend up to £100 on each suggestion.    The naysayer’s would say that if everybody spent a £100 this would cost us an arm and a leg – £350,000.    Thankfully my Board of Trustees and my fellow Directors shared the ExtraCare vision and nobody ever suggested a 3 week holiday in the Caribbean  🙂   Well not straight away, although more  of this later.

The all-time best suggestor was a lovely lady called Elsie Norbury who came up with several suggestions every month for all the time she lived in one of our nursing homes.  For this she received a solid gold brooch of the ExtraCare logo (Rufus).  When Elsie died, her daughter asked for her to be buried with her Rufus badge.

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ExtraCare Traditions 1 – Talent Spotting

THIS IS THE START OF WHAT WILL BE A SERIES OF BLOGS OVER THE NEXT FEW MONTHS DESCRIBING SOME OF THE HISTORY AND CULTURE OF THE EXTRACARE CHARITABLE TRUST.  THIS WAS THE ORGANISATION I FOUNDED AND WORKED FOR FROM 1987 THROUGH TO THE TIME I RETIRED IN 2010.  I HOPE IT WILL INSPIRE OTHERS TO LOOK AT NEW WAYS OF LIVING IN LATER LIFE.

For other blogs in this series, click on “ExtraCare Traditions” in the TAG CLOUD

From the very beginning of our days in ExtraCare we always saw older people as unique individuals, with great stories to tell and a host of hidden talents.   For many people their natural sense of modesty kept them from seeing anything remarkable in their lives.  For others lack of confidence, or fear of being embarrassed, stopped them from having a go at things.    One of our core values was ” AGE IS NO BARRIER TO ACHIEVING THINGS”.   This is not always easy to believe when you are beset by the ravages of old age.   Over the years we set out to enable everyone to be able to live up to that value — staff, relatives and most of all residents themselves.

The lady in the photograph below is one of our earliest finds.   Her name is May Bastock, she lived in one of our first nursing homes at Abbey Park in Coventry.   One day in a sing-a-long organised by my activities team leader – Mike Hallam – he noticed that May’s voice stood out among all the rest.  She said she had only ever sung at home on washing days, but she had a concert level contralto quality in her voice.  A few weeks later and after much persuasion, Mike got May to record a record and it was played on the local radio station  and she was featured in the local press.   Not quite the X Factor, but pretty good for a lady of 90 !

 

1. Recording Artist

In the following years there were many more stories like this.    Each one different, but all giving a lie to the idea that old people are ” old, past it and useless”.

Eventually in 1998 to celebrate The ExtraCare Charitable Trust’s 10th birthday, we published a book called “EVERYONE’S GOT A STORY TO TELL”.   It was collated and written by Maureen Hall, an Assistant Nursing Home Manager and Jeanne Elston our “Roundabout” newspaper Editor, from the memories and experiences of a host of residents who came to live with us in those early days.

In my enthusiasm I had 10,000 printed and I am sure we must have sold at least 100 copies 🙂     But, it set a path for the years ahead, that everyone is special and that age really is no barrier with a little encouragement and support. 

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“Unwelcome Breakfast Research”

I have always believed the adage that “breakfast sets you up for the rest of the day”.  I can never resist the “full English”, finished off with toast and Frank Cooper’s original marmalade – thick cut!  (See my earlier blogs on this subject by clicking on “Breakfast” in the TAG CLOUD”).

Of course it is only an occasional treat, usually when on holiday or staying in a hotel on business.  The rest of the time, breakfast is Muesli and Yoghurt or 2 minute porridge oats.  Still, either way you are off to a good start.

Morningcartoon

Remember:

  • Breakfast like a King;
  • Lunch like a Prince;
  • Dine like a Pauper

Well now some myth busting, party poopping, thin-as-a-rake researchers at the University of Bath, have suggested that those who don’t eat breakfast, consume less calories over the whole day.   They say that eating breakfast has little impact on snacking or portion sizes later in the day.

This is not what I want to hear.  I would be grumpy all day without at least some breakfast.  I think rather than busting myths and spreading misery, they would be better off spreading:

marmalade copy

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“Bungalow Brandon”

Raised in 2013 in a think tank paper by the Policy Exchange, bungalows have now resurfaced as a new Government policy.

The title of this blog is my nickname for the recently appointed Minister of Housing and Planning – Mr Brandon Lewis.  Few Housing Ministers last in post very long, because few Governments of any political complexion manage to develop a serious long-term housing policy.  Certainly not one which will address the country’s housing shortage.

A consequence of this is that each new Housing Minister feels obliged to come up with a comprehensive strategy within weeks of their appointment.  This is especially true if there is an election less than 12 months away.  Of course, in these circumstances, the need is to grab headlines and capture votes rather than build anything at all.

Mr Lewis’s new gimmick is good old bungalows.  What a unique idea?  Drawn from the 1950’s and 60’s, so not exactly new.

The problem is that Bungalow Brandon has not been reading my blog (see “Bungalow Mindset” and “Bungalow Metaphors” in the Archive dated September 2013).

If he had been he would know that bungalows take up rather a lot of land, which the planning half of his department will oppose till their dying day.  That is why only 2% of homes in England are bungalows.  In 2009 only 300 were built.

At least Mr Brandon Lewis sees the need for more retirement housing to free up homes for families.  Estimates suggest 2.2 million more homes will be needed by 2021 of which the over 65’s will make up 1.2 million.  It is a mammoth task that deserves much more than sound bite political answers.

Take the shackles off the planning system; speed up development; seed fund retirement housing and promote new forms of equity release financial models that allow wider access to retirement housing.  These are strategic ways forward though I doubt Mr Brandon will have had time to consider them in the short time since he has been appointed.  Neither are they quick fix issues since they probably require changes in legislation, all of which takes time.

Older people and housing developers could tell Bungalow Brandon what to do, but I doubt that he will listen.

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Posted in RETIREMENT HOUSING | 1 Comment