Gransnet forums

Sponsored discussions

   Please note: This topic is for discussions paid for by Gransnet clients. If you'd like to have your own paid for discussion thread, please feel free to mail us at [email protected]. If you are a journalist, start-up or student and you want to request feedback from gransnetters, please post in Media Requests.

Q&A: Ask the Chief Inspector for Adult Social Care

(79 Posts)
Coolgran65 Mon 09-Mar-15 14:08:45

My mother had dementia. Her carer visited 4 times daily.
Officially, to get mother washed and ready for the day, to toilet her, give her breakfast, all in 15 minutes.

Mother told the carer that she was already washed when she clearly was not, this went on for days/weeks and when I spoke to the Carer I was told that the patient wishes were paramount and accepted. Difficult when the patient has dementia and has no idea if and when she was last washed.

Meals on Wheels were delivered and put into the fridge. Mother would tell the carer that she had already eaten. The fridge was jam packed with uneaten food. Again the carer said that if the patient said they had eaten, then so be it.

There were many emergency admissions into hospital because of dehydration, blood sugars et al.

I worked full time and visited at least twice a week, a 40 mile trip. Mid week I'd wash mum's hair, take some shopping, bring back to my home the laundry etc etc.
At the weekend I'd do some cleaning in her house. Rubber sheets off bed and sofa etc to be washed down and discinfected. Scrub the toilet that was never flushed, the bathroom floor that was wet with urine.

I arranged for folk to cut the hedges, and do minor maintenance work.

Social Services determined that home care was giving my mother the ability to live at home. They would not listen to me.

Eventually I got an emergency call from the Social Services. Mum's social worker had called and mum answered the door wearing only a continence pad. How sad. Social services finally agreed that she was at risk at home.

Mother was always a difficult person and my brother who lived just 3 miles from her, called with her every few weeks, read the paper for a half hour and left.

All this is a long winded way of saying.... how can care in the home be monitored. And as in the case of my mother, it is not necessarily the carer being neglectful..... to what extent can they take the word of a patient suffering from dementia.

And at what point should the paid carer be reporting to the authorities their doubts that the home care is or is not working for the particular patient.

Visiting paid carers are in a position of trust and honour, families rely heavily on them.
Tell me how a visiting carer can be monitored.

loopylou Mon 09-Mar-15 12:32:16

I worry about:
Announced inspections that give the provider notice and therefore time to prepare/cover up deficiencies.

15 minute Dom care visits where the client has to make a choice between say being toileted or eating. I don't know of many/any fit, healthy people who can get up, washed, dressed and fed in such a ludicrously short period of time.

There is no leeway for responsive, person-centred care whatsoever, what are you going to do about this with the pressures already evident on care services?

How do you ensure that private care providers don't put profit above care?

How does safeguarding fit with the employment of many non-English speaking carers, who are barely trained for the job (this is from personal experience)?

gillybob Mon 09-Mar-15 12:04:29

I am interested to know how the "inspection" of "in home" carers can possibly be carried out objectively? My grandma has carers going in to her three/four times a day. As her main carer I find this service (she pays a contribution towards this) invaluable as I hope it will enable her to stay in her own (rented) home for rest of her life. She will be 99 this year. It gives me the peace of mind to know someone will be looking in on her while I am at work or looking after my own grandchildren. However it worries me that my grandma does not like some of the carers who go in to see her. She moans that they only stay for 5 minutes (or less) and often don't even bother to take their coat off spending most of their time scribbling in their folder "to keep themselves right".Her night carer comes at 7.30 to put her to bed and she doesn't want to go to bed "like a child" however the company say that they have no other slots available. It's fine on the nights I can go but I can't be there every night at 9pm. I also worry that a couple of the carers are overly nice (sickly) when I am there. Grandma says "hmm you should hear her when you are not here". I appreciate that at her advanced age she can be quite challenging but I wonder how this type of service can possibly be inspected without the care provider knowing and therefore being on their best behaviour (so to speak). Surely if the carer is suddenly accompanied on a visit then they will know they are being checked up on.

Sorry for long winded post. I just worry.

LucyGransnet (GNHQ) Mon 09-Mar-15 11:38:05

As our ageing population grows, more and more of us will need to be involved in finding care for older loved ones. That might be care to help them be able to stay in their own homes, or to move into residential care.

We already know from a recent survey we carried out with Mumsnet and Gransnet that choosing the right care for an older loved one is one of the most stressful life experiences, particularly where people may live far away from their loved one and have little experience of the care system.

The Care Quality Commission (CQC) is the health and social care regulator for England. They inspect and rate services on areas that matter most to people who use services and their carers – is a service well-led, safe, caring, effective and responsive to their needs?

To help you choose care for an older loved one, you can look on the CQC website and find out what services are available in the area you are looking for care in and whether, for example, they provide specialist support for people with dementia. The CQC also publish inspection reports around what they find, and rate services – Outstanding, Good, Requires Improvement or Inadequate to help people choose care. This year, the CQC are also involved in the Care Home Open Day 2015.

Gransnetters are being given exclusive access to the CQC Chief Inspector of Adult Social Care, Andrea Sutcliffe who is happy to answer your questions around how the CQC inspect and rate residential and home care services, and offer advice on what you can look for when choosing care. Andrea says that when inspecting a service her over riding principle is always to think "is this care good enough for my mum".

Add your questions for Andrea below by midday on 23 March.