Edinburgh Fringe comedians bring laughter to care home residents

Residents at two of the capital’s care homes felt the buzz of this year’s Edinburgh Fringe Festival after a series of on-site comedy performances at Randolph Hill Nursing Homes over the weekend.

Stand-up comedians Carey Marx and Jojo Sutherland brought their shows to Randolph Hill nursing homes across Scotland, including its Ashley Court and Blenham House sites located in the capital, enabling residents to share in the Edinburgh Fringe experience.

The stand-up shows were part of a series of performances by the pair which were held at each of Randolph Hill’s sites located in Edinburgh, The Lothians, and Stirlingshire over the course of last week.

Carey performs regularly across the UK comedy circuit and has appeared in numerous television programmes including Comedy Cuts, BBC Breakfast and Loose Women. In 2009 he gained global recognition after winning Best International Show at the New Zealand Comedy Festival.

Jojo has worked in the UK entertainment industry for more than two decades as a writer, actor, broadcaster, and comedian. A regular at the Edinburgh Fringe, she was a 2022 finalist for the title of British Comedian of the Year.

Randolph Hill currently cares for more than 350 residents and employs over 600 members of staff at its seven sites across east and central Scotland.

Randolph Hill Managing Director Peter McCormick said: “We were delighted to bring this year’s Edinburgh Fringe Festival to our nursing homes including our two sites in the capital. 

“With two highly regarded comedians bringing their acts to all of our seven sites, this series of performances brought a real festival buzz to our residents and enabled them to enjoy the Fringe experience in a familiar setting.

“We are grateful to Carey and Jojo for their great performances which were warmly received and thoroughly enjoyed by our residents, family members and our staff.”

Report calls for Scotland-wide framework and coordinated action on collection and use of care home data

The ‘GEAReD Up’ project examined how data about care home residents can currently be accessed and used

A study led by Edinburgh Napier University recommends developing a national framework for care home data – to benefit residents and inform Scotland’s health and social care services.

The research, entitled ‘GEAReD Up’, proposes a series of practical steps to strengthen the data of care homes and ensure that the currently available information can be used by providers, researchers, policy makers and innovators to make improvements.

A call for a robust Scotland-wide framework, is among eight recommendations in the final report, as well as a clear pathway for accessing ethical and governance approval for the re-use of data.

It also recommends backing greater care home involvement in these solutions with more support and resources, while establishing better communication and coherence between local and national systems.

Lucy Johnston, GEAReD Up lead and Senior Research Fellow at Edinburgh Napier University’s School of Health and Social Care, said: “Amid the prospect of a National Care Service, there is a real desire to understand and address the issues faced by the sector.

“Our work has helped to unravel some of problems relating to data and offer practical solutions for the management and accessibility of crucial information.

“It is so important to build these foundation blocks now. This work can help play a part in enhancing the use of routinely collected care home data being used to support care decisions, improve services, inform research and increase data-driven innovation”.

The study, which has been presented to industry leaders and delivery partners, will also feed into a Scotland-wide Care Home Data Review, which is currently underway.

It suggests that an overseeing body and a more established process for systematic curation of routinely collected care home data would allow more effective reuse of data in research and innovation projects, and benefit care home residents and providers.

Irina McLean from NHS Research Scotland Central Management Team, and co-author of the report, said: “In Scotland, there is currently no consensus or defined route for the legal, ethical and efficient access to permit reuse of care home data for research or service evaluation.

“The GEAReD Up report sets out practical steps for moving forward. Its recommendations can feed into ongoing work nationally and locally as it is critical to do what we can to enable high quality research and innovation in Scottish care homes and social care overall.”

Fellow co-author Dr Susan D Shenkin, Reader in Ageing and Health at the Usher Institute and Advanced Care Research Centre within the University of Edinburgh said: “This report builds on our work showing that a care home data platform must have strong foundations to ensure it meets the needs of care home residents, their families and the staff who care for them.

“This requires a clear understanding of how and why data are collected about the people who live in care homes.”

Protecting the rights of care home residents

Strengthened standards ensure fewer restrictions on visiting

Strengthened national guidance on visiting has improved residents’ quality of life Health Secretary Michael Matheson was told by staff and residents at a care home in Greenock.

The Health and Social Care Standards which came into force last April gave people living in care homes rights to see loved ones and name relatives or friends they wish to be involved in their care plans.

The standards have helped deliver the aims of Anne’s Law, ensuring people who live in adult care homes have rights to see and get support from those who are important to them, ahead of the Scottish Parliament considering entering it into legislation as part of the National Care Service (Scotland) Bill.

The Bagatelle Care Home is one of two operated by the Greenock Medical Aid Society. Their “meaningful visits” team, set up during the pandemic to ensure residents had regular, safe contact with loved ones, won the Nursing Older People Award at the Royal College of Nursing Awards 2021.

Mr Matheson said: “Strengthening the standards has allowed us to meet our pledge to introduce the provisions of Anne’s Law as quickly as possible by using existing legal powers. This has minimised disruption to visiting and I am glad to hear how this is already helping residents and their loved ones.

“I would also like to congratulate the staff here at the Bagatelle Care Home on the Nursing Older People award and thank them for their continued hard work.”

Andrea Wyllie, Chief Executive of Greenock Medical Aid Society, said: “Since we introduced meaningful visits safely during the height of the pandemic we’ve seen improvements in residents’ and family members’ overall wellbeing.

“Our data showed an increase in appetites and a significant decrease in those at risk of malnutrition. We saw moods lift and a feeling of life and buzz return into our care homes. We  demonstrated that we could balance the rights of residents and family members in being back together, with the risks that increasing footfall could bring.”

Kevin Mitchell, the Care Inspectorate’s executive director of scrutiny and assurance, said: “We recognise that recent years have been an unprecedented challenge for all those living and working in care settings.

“We have seen countless examples of care services working extremely hard to support people to maintain contact with their loved ones in meaningful ways.

“The Care Inspectorate continues to work closely with partners across the sector and with the Scottish Government to ensure people experiencing care are supported to have meaningful contact with the people important to them.”

Cathie Russell of Care Home Relatives Scotland said: “We are pleased the Health Secretary is marking the one year anniversary of the new care standards which are helping to ensure people can still have contact with loved ones even during Covid and other outbreaks and look forward to this approach being enshrined in Anne’s Law as a matter of urgency.”

COVID-19 spring booster programme gets underway today

At-risk groups offered additional dose

Residents in care homes for older adults are receiving their spring COVID-19 booster from today (Monday) as the latest stage of the national vaccination programme gets underway.

Following recent advice from the Joint Committee on Vaccination and Immunisation (JCVI), a spring booster dose will also be offered to those aged 75 and over from 11 April and individuals aged five and over with a weakened immune system from 24 April. These groups will either receive appointment details through their preferred means of contact or will be sent details of how to book.

Health Secretary Humza Yousaf said: “We know that people in high-priority groups are at higher risk of serious illness from COVID-19 so I welcome the start of the spring rollout which will offer an additional dose to those who are most vulnerable, boosting their protection.  

 “Prioritising those most at risk has been our approach from the outset and vaccination has been our most effective tool against COVID-19. However, the degree of protection offered does fade over time, which is why booster vaccination is needed.

“I continue to encourage everyone to receive the doses they are eligible for as and when they become available.”

Spring coronavirus (COVID-19) booster | NHS inform

Renaissance residents show they care at Christmas

Two Edinburgh care homes have helped spread some Christmas cheer with a special charity donation.

The residents and staff of Letham Park and Mathieson House residential care homes on Ferry Road Edinburgh, operated by Renaissance Care, held a festive raffle to raise £350 for local homeless people as their way of giving back to the local community.

The money will be donated to Social Bite’s Festival of Kindness campaign, which uses funds raised to offer support to homeless people, such as accommodation for the night or a hot Christmas meal.

Up for grabs in the raffle was a Christmas hamper filled with specially designed glassware, coffee cups and special festive crafts, which were all handmade by Kevin Dignall, Deputy Manager at Mathieson Care Home.

Kevin said: “I had made things like that before for staff or families at the home and I just wanted to make a nice hamper for Christmas to raffle off as a prize.

“The residents are always keen to stay connected to their local community and it’s a tough enough time for lots of people at this time of year, so everyone felt it was only fitting to try to help some of the most vulnerable people in the community.

“It was all great fun, and we drew the raffle on the same day as our Christmas fayre, so we had music going, singing and Santa made an appearance as well.”

Social Bite Executive Director Founder, Josh Littlejohn MBE, said: “We’re very thankful to the residents at Renaissance Care for their donation to our Festival of Kindness.

“Acts of kindness like this are needed more so now than ever before and make a huge difference to those who need it most.

“The money they’ve raised through the various raffle events will go towards ensuring vulnerable people have delicious food, gifts and company this festive period.”

Choice in care for older people is all very well, but they must be made aware of the options available to them

For people who find themselves in need of care in the twilight of their lives, and for families who want to support them in their care journey, embarking on a particular course of action may be the most important decision they ever make (writes MIKE COLLIER).

However, though it is crucial at this stressful time to make informed choices, many people do not fully understand which elements of care are which, or where to go and who to speak to in order to get the best impartial advice.

It is more than eight years now since Scotland made a first attempt to put the voice of the supported person at the heart of care processes with the passing of the Social Care (Self-directed Support) (Scotland) Act 2013 (SDS).

It was intended to deliver choice and control when accepting support, with agreement about individual outcomes and a range of options to achieve these outcomes if people were assessed as having identified needs and requiring a budget.

The Act imposed a duty on local authorities to take reasonable steps to facilitate a supported person’s dignity and involvement with the community and to explain the nature and effect of the four options available to them, which are:

  • A direct payment to individuals to allow them to manage their own budget and procure their own care provider.
  • The supported person chooses their own provider, but opts for a third party such as a local authority to manage their budget.
  • The local authority or someone on their framework manages both the budget and the support provision, which was essentially the status quo ante.
  • Lastly, a mix of all these.

Well-intentioned as these provisions may be, increasingly across the country social workers who are in place to advise clients are not even mentioning these options when they go to do assessments and, as a consequence, people remain in ignorance.

There has been intensive scrutiny by a number of agencies of SDS since it was implemented, mostly concluding that it had not yet been fully implemented and that its potential was not being realised.

Inconsistent knowledge across the workforce has been highlighted, which may explain the silence of social workers about the system, and it has been suggested that traditional care culture has been difficult to shift.

Certainly, option three – that is, direct delivery of services by the council, which prevailed before the Act – remains the dominant kind of provision and research shows that failure by social work staff to discuss the options is a common issue.

Most people would not of their own volition choose to go into live-in care and more needs to be done within the limitations of SDS to highlight alternatives such as domiciliary care, which enables older people to maintain a level of independence while staying in their own home.

In this milieu, professional carers can assist with meals, cleaning, shopping – and simple companionship – at a time and duration of the client’s choosing. It provides a sense of stability and normality which can be beyond value.

This is sometimes known as an hours service, since clients can choose the time carers are with them, in contrast to unpredictable, rushed and short home visits offered by councils which are under significant financial and resource constraints.

The main thing is for people to have a choice, and to be aware of the choices available to them. Speaking to a practicing care professional is often the best first step towards the right decision.

Mike Collier is Managing Director of Plus Homecare Ltd

Letters of Friendship initiative

Lisa Maynard from Care Inspectorate’s improvement team shares a great new initiative that is being rolled out in Fife to combat loneliness among people living in care homes:

During the pandemic Carol Hands, Care Home Liaison Nurse, reflected on how isolated people were feeling so she began a pen pal service called Letters of Friendship, Loneliness is not an option.

The poster has been distributed to care homes across the region and the team of care home liaison nurses to promote it when they are out on their visits or during their support calls.

There has already been a good interest in the scheme with around 50 residents starting to write letters. This communication tool can not only stimulate new conversations with new people but tackle loneliness and improve mental health.

If you would like to find out more about this initiative or share any initiatives of your own with us please contact Lisa Maynard, Interim Senior Improvement Adviser: Lisa.Maynard@careinspectorate.gov.scot

Facemasks no longer recommended in social care

Guidance relaxed in line with latest clinical advice

Social care staff and visitors are no longer being advised to wear facemasks at all times under new guidance published today (7 September).

The recommendation has been lifted due to a sharp drop in coronavirus infections and a reduction in severity of illness, which has been driven by Scotland’s successful vaccination programme which has so far seen more than 12 million Covid-19 vaccine doses administered in Scotland.

Care home residents and their loved ones will benefit from these more relaxed visiting arrangements. Masks and face coverings in social care may still be worn if recommended in certain situations, such as a local outbreak of COVID, or if staff deem it necessary. Staff and visitors remain free to wear one if they choose.

This guidance balances the risk of harm from COVID-19 with the impact masks can have on communication, mental wellbeing and rights and choices of those working in and using social care services.

Social Care Minister Kevin Stewart said: “Our phenomenally successful vaccination programme has driven down infections and saved the NHS from untold pressures.

“Removing the need for facemasks in social care settings including care homes is the latest step in our path to recovering from the pandemic.

“This will make communication and relationships easier in care settings, benefiting mental health and promoting the rights and choices of those working in and using social care.”

 Read the new guidance for face mask use in social care settings.

Care home residents make the most of Edinburgh’s glorious summer

Elderly residents at Glencairn Care Home in Edinburgh have been out enjoying the wonders of the capital this summer, with a programme of fun activities including rickshaw rides, theatre visits and musical performances.  

The care home residents, located at Marchmont, have a busy calendar of socialising and events to see them through the summer months as part of the home’s ongoing commitment to being a ‘people-first’ home that centres decisions around the needs of its residents.  

Exploring the streets of Edinburgh on pedal-powered rickshaw vehicles, the group have been experiencing the capital city at a much more leisurely pace while taking in the sites of the Meadows, Bruntsfield and Morningside.  

To ensure that the residents feel part of Edinburgh’s Fringe celebrations, the activities coordinators also arranged visits to shows throughout the month, while visits from a historian and a cello player have also been scheduled into the calendar of events.  

At Glencairn, as part of its people-first approach, residents are regularly consulted on the activities programme, asked for input and asked for reviews to determine what to plan and book next.  

The activity schedule has recently been awarded plaudits as part of the Care Inspectorate’s ongoing review programme. The home was awarded a rating of 5 which is considered ‘Very Good,’ scoring highly across areas including; care and wellbeing, leadership and meaningful contact.  

Debra Husband, Activities Coordinator, Glencairn Care Home, said: “We’ve had packed calendar of activities this summer which has been fantastic for the residents here at Glencairn. 

“The sun has been shining and it’s been fantastic to get out and about to enjoy the city. We’re so lucky to be located in the heart of Edinburgh and the rickshaw rides in particular have meant that we can take the residents out to enjoy and explore our surroundings on a regular basis.”  

Jozi Stables, Manager, Glencairn Care Home said: “Providing the residents of Glencairn with a full and enjoyable social calendar provides so much more than just a break from the daily routine of the home but it helps our residents to retain a sense of their identity, adventure and provides a rich and enjoyable life.  

“We pride ourselves on bringing unique experiences to the home and also creating fun and adventurous excursion for our residents. The activities feed into the overall care ethos we have here at Glencairn which is ensuring the needs of our residents come first and we work closely with them to design plans that suit their recreation, care and wellbeing needs.”  

The home, managed by Renaissance Care Homes, is one of sixteen homes located across Scotland and currently provides care provision for 26 residents.  

The care group which runs 16 homes across Scotland is known for its fun and inventive campaigns that engage residents and focus on bettering their health and wellbeing, as well as encouraging fun and physical activity, some of which includes hosting the Renaissance Care Olympic Games and an upcoming Foodies Festival.  

Edinburgh’s golden oldies enjoy their own summer music festival!

Care home residents in Edinburgh were boogying on down to silent discos, live performances and an ABBA tribute act last week as part of Music Festival Week in the homes.

Residents and staff in both Renaissance Care’s Letham and Milford Care Home’s were working together to give TRNSMT a run for its money with a week-long Music Festival initiative. From ice-cream vans and transfer tattoos, to glitter and bucket hats, staff pulled out all the stops to give the residents a summer to remember.

The care group which runs 16 homes across Scotland is known for its fun and inventive campaigns that engage residents and focus on bettering their health and wellbeing, as well as encouraging fun and physical activity.

Each home had its own bespoke musical line up throughout the week, all taking place around the homes and gardens which were especially decorated in a festival theme, as well as playing a range of games and enjoying festival style grub.

Music has proven to be an effective tool in boosting mood and memory, especially for those living with dementia and Alzheimer’s. The number of people living with dementia and Alzheimer’s has increased substantially over the past two decades, and  this initiative offered a fun way for residents of all abilities to enjoy some time together and let loose their inner-ravers.

Norma Liston (90), resident at Renaissance Letham Care Home, said: “I’ve been hearing a lot about the summer festivals from Glastonbury to TRNSMT, then of course The Fringe coming up too, so it was great that we could have our own celebration and enjoy a song and a dance together this summer.

“Renaissance Care never does anything by halves, the staff did a fantastic job at making this as much like a real festival as it could be without actually going to one – and thankfully there’s no camping involved!”

Yvonne Mackenzie, Operations Director at Renaissance Care, said: “Music has universal appeal, and we know from experience how much our residents enjoy a bit of a boogie and a song. This concept has been another brilliant way to get everyone involved, up and active in whichever way they feel comfortable.

“We have recently introduced a new danceSing platform across the homes for staff and residents to use to stay fit and healthy, so this has been the perfect complement to its launch which is part of a wider effort to further improve the culture within the business.

“Bucket hats and glow-sticks were in full swing and it was great to see everyone up and having a good time this July.”

Renaissance Care recently introduced a range of new benefits as part of its culture review including danceSing, a flexible approach to working and free period products in all staff bathrooms.