Tag: Health and wellbeing

Care Inspectorate takes legal action over Skye’s Home Farm Care Home

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The Care Inspectorate has taken legal action over the running of a private care home on Skye where seven residents have died in a coronavirus outbreak.

The inspectorate has asked the Sheriff Court to cancel the registration of the HC-One-owned Home Farm 40-bed nursing home facility in Portree.

It follows an unannounced inspection of the home on Tuesday.

A spokesperson for the Care Inspectorate said: “An inspection has identified serious and significant concerns about the quality of care experienced by residents at Home Farm Care Home in Skye. 

“We understand this is a difficult and distressing time for residents, their loved ones and staff at the home.

“However, our first priority is always the health and wellbeing of residents.

“We have submitted an application to the sheriff court seeking cancellation of the care home’s registration.

“This could mean new care arrangements will be put in place for residents at Home Farm care home.

“We are working closely with partners including NHS Highland to ensure that residents experience appropriate care during this difficult time.”

In addition to the seven deaths, 30 of the nursing home’s 34 residents and 29 staff have tested positive for Covid-19.

A spokesman for HC- One, who operate 56 homes in Scotland, told the BBC: “We have accepted the shortcomings at Home Farm and apologise to our residents, their families, and the local community. We are fully committed to making significant improvements at the home and determined to put things right.”

On HC-One’s website – their slogan is ‘the kind care company’ – Home Farm is described:

‘The home’s caring team has created a family atmosphere, encouraging everyone to eat and celebrate special occasions together. Residents are invited to decorate their rooms with small items of their own furniture and treasured belongings so that it feels just like home. Daily life is carefully designed to support mind, body and soul.

‘Home Farm’s Home Manager makes sure that all Residents receive the kindest possible care. Our extensively trained team will deliver all the nursing and specialist care and support services that your loved one requires.

‘Personalised care plans consider not only medical, personal and dietary needs, but also the individual’s likes and dislikes, religious preferences, and suggestions from family members that might make their stay with us that little bit more enjoyable’.

On 29 April, HC-One wrote to local authorities seeking additional funds:

As we have done throughout the coronavirus crisis, we firmly believe we have a responsibility to our Residents, our Colleagues and to the wider public to highlight the challenges facing care homes at this unprecedented time.

This is why we have published online each day the total number of coronavirus cases and deaths experienced at our homes, and why we are also publishing in full the letter we have sent to the Local Authorities we work with regarding our request for financial support.

The Government has previously announced £3.2bn of additional funding for Local Authorities in response to the additional costs placed on them and their partners, which include all social care providers, by the coronavirus outbreak. We welcomed this announcement and the priority now is that this money reaches the front line.

As set out in our letter, HC-One has been significantly impacted by coronavirus including most importantly and most sadly the loss of more than 700 Residents and three Colleagues from this terrible virus. Alongside this, admissions have understandably fallen, and costs have significantly increased as we invest in the PPE needed to keep our Residents and Colleagues safe.

As a responsible provider, we entered this year and this crisis in a very strong financial position. In response to the financial impact of coronavirus we have taken a range of measures, including engaging with our lenders and our owners, to make sure we have the balance sheet resilience needed to see us through this challenging time.

These are prudent and responsible steps to take, as is looking at our income in the short term and engaging with the organisations that pay for the Residents living in our homes.

The Local Government Association and the Association of Directors of Adult Social Services, which represents Local Authorities and Social Care Commissioners respectively, have highlighted that care providers experienced a predicted 10% increase in costs linked to their coronavirus response.

Our letter therefore seeks to start a conversation with our Local Authority partners on how we can access some of the additional funding provided by Government to cover these additional costs.

We clearly set out the impact of the virus on our organisation, the statistical modelling we’ve completed that shows the predicted future impact of this deadly virus, the proactive steps we have taken to build financial resilience, and our request to discuss an income guarantee to assist us in the short term.
 
This request aligns with the Government’s COVID-19 Social Care Action Plan, which states Local Authorities must “protect providers’ cashflow”, and reflects the offers we’ve already received from some of our Local Authority partners who recognise the vital role our homes play in communities across the UK.
 
We are fortunate to be in a financially stable position, and to have the support of owners who are invested in the organisation and its mission for the long-term. We are therefore confident we can ‘weather the storm’ caused by coronavirus. Nevertheless, the responsible and prudent action was to engage with our funders, commissioners and lenders to make sure we build the most resilient financial position possible to achieve this.  
 
As we move forward during this public health emergency, HC-One will continue to focus solely on protecting the health and wellbeing of our Residents and Colleagues.

This includes providing the PPE, training and wellbeing support our teams need, but also engaging transparently in conversations with our funding partners about the additional financial support required to support our organisation.

Since the Care Inspectorate’s intervention it has been announced than an eighth resident has died.

Health Secretary Jeane Freeman and Scottish Care CEO Donald Macaskill have wriiten a joint letter to all care home staff in Scotland this morning.

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An inspection report will be published in due course.

Call to restart cancer services in Scotland

Scottish Conservatives Lothian MSP, Miles Briggs, has called for the Scottish Government to publish an NHS Scotland Recovery Plan to restart services disrupted by Covid-19, particularly cancer services.

In preparation for the Covid crisis NHS Scotland went to great lengths to free up capacity and many services were paused.

Elective surgeries were postponed for three months to free up beds and cancer screening programmes for breast, cervical and bowel cancer as well as some cancer operations were also indefinitely halted.

Now cancer charities have issued a plea to the Scottish government to get cancer services up and running again and the Scottish Conservatives have asked for a plan to deal with the backlog in treatment and operations.

In NHS England cancer treatments restarted over two weeks ago.

In addition, this morning ISD Scotland published figures showing that attendances at A&E services have dropped dramatically since the end of march, due to the measures put in place to respond to COVID-19.

The statistics highlight that during the week of the 3 May only 16,107 people were seen at A&E, compared to 27,845 for the same week in 2019, the previous year, a staggering drop of over 40%. 

Miles Briggs, Scottish Conservative shadow health secretary said: “It is vital that the Scottish Government brings forward an NHS Recovery Plan – a plan to restart our health service, particularly cancer services and operations, in Scotland.

“Over the last two months, in so many ways, people have selflessly put their own needs on hold.

“The A&E figures show that people have been staying away from the NHS meaning many people may be suffering in silence.

“But further delays will mean more patients could have poorer outcomes.

“It is now over two weeks since NHS England restarted cancer treatments, we could too.

“Thanks to the incredible work from everyone who works in our NHS, our health service has not been overwhelmed during this crisis.

“The Scottish Government must publish a plan to deal with the current backlog of operations and treatments and give everyone access to the healthcare they need before it’s too late.”

Student nurses share their experience of life on the frontline

Two student nurses have documented their experiences of life on the frontline at Glasgow’s Royal Alexandra Hospital in Paisley.

It has been just over one month since Stephanie Clark and Rebecca Mason, third year adult nursing students from the University of the West of Scotland (UWS) joined the fight against COVID-19.

Both nurses currently work alongside teams at the RAH to help care for COVID-19 patients and filmed their experience over the course of two weeks.

You can view the videos here: 

Rebecca, who was on placement in the orthopaedics department at the beginning of the out break, said: “The way the staff at the RAH initially responded to the outbreak really inspired me to want to opt in and help in any way I could.

“I was in Spain on placement when I heard about coronavirus,” Stephanie added. “But I knew the first thing I wanted to do upon travelling back was opt in to help.”

Stephanie and Rebecca are two of the 1,200 nursing, midwifery and biomedical science students from UWS supporting teams at hospitals and care settings across Scotland during the pandemic.

Both pre-registration student nurses in their final year of study, Stephanie and Rebecca have been based in elderly medicine and COVID-19 wards at the hospital since opting in.

“I’m helping by taking observations, supporting patients who can’t have any visitors just now, and helping clinical practitioners, whilst also learning as much as I possibly can,” Stephanie explained.

Rebecca added: “It can be tough at times, of course. One of my patients deteriorated really quickly and my role was to ensure I was providing comfort to the patient, who didn’t have any relatives with them.

“It can be hard when you’re wearing full PPE – the patients can only see your eyes, but it is so important to show empathy and compassion.”

“The patients are ill and vulnerable, but providing the best support I can to my team and my patients is my number one priority,” Stephanie said.

“The staff have been so supportive and I really feel like I’m starting to find my feet and my role within the team,” Rebecca said. “While it is challenging at times, I feel privileged to be involved and grateful for this opportunity.”

“It’s really important to me to follow the correct infection control policies that have been put in place for all staff at the hospital. While I am a third year student and I do work in the hospital, I’m also a mum and I need to make sure I’m doing what I can to protect my husband and two kids.”

Stephanie added: “We are hugely grateful to the public too, who are staying at home to keep safe and protect the NHS.”

Paul Hendry, NHSGGC’s Lead Nurse for the Emergency Care Medical Specialty Team at the Royal Alexandra Hospital in Paisley, said: “The contribution made from the student nurse cohort has been a tremendous boost in supporting in the care of patients.

“Joining the frontline at the best of times can be daunting, and to see the skill, professionalism and enthusiasm brought by the students is a testament to their training.

“They work closely with the staff across services, who help support them in the delivery of everything from day-to-day tasks to planning and delivering care in both the COVID-19 and non-COVID-19 wards.

These are unprecedented times and everyone is working together, adapting to changing circumstances and experiencing new kinds of pressures. Despite this, by working jointly, we’re able to continue delivering effective person centred care throughout and I’m extremely proud of the way the whole team has responded to the pandemic.

“This has been a career defining moment for everyone within healthcare.”

UWS is Scotland’s largest provider of nursing and midwifery education, with all four of its Scottish campuses equipped with state-of-the-art clinical skills simulation facilities, replicating hospital, primary care and domestic environments.

Julie Edgar, Dean of the School of Health and Life Sciences at UWS, said: “It is hard to put into words how proud we are of all of our students who have risen to the challenge and opted in to help our NHS at this vital time.

“It has been fantastic to watch Rebecca and Stephanie’s video diaries of their time based at the Royal Alexandra Hospital.

“Hands-on experience is a key component of all of our programmes, with a large proportion of our pre-registration nursing and midwifery programmes delivered in practice. It is with this in mind that we had absolute confidence our students would be well-prepared to lend an important hand in supporting the NHS and others on the frontline at this time.

“Each and every one of our students should feel incredibly proud of themselves and know that UWS is here to support them every step of the way.”

“You look after us, so we’ll look after you”

New resources for staff, carers, volunteers and their families 

Organisations from across Scotland have worked together to create a new platform to help health and social care workers and carers look after their physical and mental health.

Launching today, a new national digital wellbeing hub will enable staff, carers, volunteers and their families to access relevant support when they need it, and provides a range of self-care and wellbeing resources designed to aid resilience as the whole workforce responds to the impact of coronavirus (COVID-19).

The hub is the first of its kind in the UK and its content has been created by trauma and other specialists in Scotland. Its launch follows the £3.8 million extra funding announced in March to increase the capacity of NHS 24’s mental health helpline services and expand digital therapies.

Specifically tailored to support the challenges being faced by everyone in health and social care, the hub will provide advice on self-care and personal resilience to help users to recognise their own ‘warning signs’. Comprehensive information about services and resources available at national and local level within NHS Boards, Health and Social Care Partnerships (HSCPs) and local authorities will also be available.

Health Secretary Jeane Freeman said: “This is a tremendously stressful time for our health and social care workforce and unpaid carers, juggling the demands of working in highly pressurised emotional environments with concerns for their own safety and that their families. We will do all we can to support them.

“The hub, the first of its kind in the UK, has the theme ‘You look after us, so we’ll look after you’ and has been developed with the support of a range of organisations, including professional bodies and trades unions. It actively encourages people to make use of available services such local NHS helplines for staff across health and social care services, including care home workers.

“Protecting health and social care staff, wherever they work, continues to be a priority for the Scottish Government and this includes doing all we can to protect people’s mental health. That is why, in addition to the wellbeing hub, we will also be providing staff with access to coaching and the opportunity to shape our future policies through a new Workforce Wellbeing Champion Network.”

The National Wellbeing Hub went live at 2pm on Monday 11 May.

Getting help for people at risk from harm

It’s vitally important during these unprecedented times that people know where to turn to if they feel someone is vulnerable in their communities.

We should all be following government guidance to stay at home to limit the spread of Coronavirus – however, being at home can increase tensions and affect mental health, meaning some people in our communities are more vulnerable now.

Children and adults can be at risk of harm, and some people will be experiencing financial difficulties or struggling with addiction – but help is available.

If you think a child or adult is at risk of harm, you should report your concerns so that professionals from social work, police, NHS and the voluntary sector can help.

The Council has already put in place measures to support people staying at home like support from our educational psychologists for families who may be struggling with home learning and wellbeing.

Depute Council Leader Cammy Day said: “Now more than ever in these challenging times we should all be reaching out to anyone we think may be suffering and requires support. Many people may be unaware that there’s a wide range of networks in the city for those in need.

“We’ve all heard of many amazing tales of kindness and selfless acts in Edinburgh during this pandemic. It’s so important we raise awareness among our communities of the help that is out there. So, our appeal is … please if you have concerns about someone then contact the appropriate organisation to get them support – you can make a real difference just by making that vital phone call.

“As a Council we work really closely with partner organisations like the NHS, police and voluntary sector to support the most vulnerable in our society.

“A great example is our All of Us campaign with the NSPCC which encourages people to get in touch if they’re finding it hard to look after children, a family needs some extra help or someone they know could do with more support.

“It’s vital people know who to turn to if they have concerns – don’t hesitate to make your voice heard and change people’s lives for the better.”

If you’re concerned about your own safety or someone you know like a relative, friend or neighbour then you should contact Social Care Direct on socialcaredirect@edinburgh.gov.uk or call 0131 200 2324.

  • If you’re concerned for the immediate safety of a child or adult, phone the police on 999.
  • If an adult or child needs medical attention with or without COVID-19 symptoms, phone NHS on 111 or if it’s an emergency 999.

There are various forms of support such as Scotland’s Domestic Abuse and Forced Marriage helpline on 0800 027 1234,  Edinburgh Women’s Aid on 0131 315 8110 and our All of Us campaign, with NSPCC Scotland.

Scotland has poorest asthma care

Asthma UK Scotland have called for more radical action to improve the level of asthma care available folllowing the results of their yearly Asthma Survey, which shows the level of basic asthma care in Scotland has fallen by 7% in the last year – making it the worst nation in the UK for basic care provision.

The Asthma UK survey was conducted over the summer of 2019, with more than 12,000 people taking part and 1,403 of these respondents being based in Scotland.

It found that only 36% of Scottish asthma sufferers are receiving the most basic level of asthma care, a startling decrease of 7% in two years. Respondents with a lower household income were also found to suffer from asthma symptoms more frequently.

Across the UK, twice as many people (24.9%) from the top income band have well controlled asthma, compared to 11.9% of those in the lowest income band in the survey. The lowest income band is the only one where over half (57.4%) of people have uncontrolled asthma.

Whilst access to basic asthma care remains similar across income levels, the quality of asthma reviews is poorer for lower income groups. Without high quality asthma reviews assessing symptoms, inhaler and preventer usage, poorer outcomes are experienced.

There are other contributing factors that drive health inequalities for people with asthma. In deprived areas, air quality can be worse and poor housing increases exposure to mould, cold air and dust triggers. Almost half (48.8%) of Scottish respondents listed air pollution as a trigger.

In response to these shocking figures, Asthma UK Scotland are calling for more urgent work to be done to develop and implement the Respiratory Care Action Plan for Scotland in 2020.

Joseph Carter, Head of Asthma UK Scotland said: “This survey makes for grim reading and shows the scale of the task needed. It is very disappointing to see Scotland’s level of care decrease so sharply, leaving almost two thirds (64%) of people with Asthma unable to access basic care and asthma reviews.

“It’s also incredibly worrying to read that it is the most deprived communities that are being affected most by this shortfall in care provision. We need to ensure that everyone, regardless of their economic background or where they live, can access the care they need to live a healthy life and keep their lungs well.

“To do this we must also take action to improve the quality of air across Scotland, protecting people’s lung health and helping avoid the development of conditions like asthma and COPD, as well as cracking on with the new Respiratory Care Action Plan.

“The plan is needed now more than ever as we cannot afford to continue on this downward trend. We hope the Scottish Government will soon be forthcoming with proposals to help reverse this trend and that we can refocus our efforts to getting Scotland’s asthma care provision back on track.”

Dr Andy Whittamore, Clinical Lead for Asthma UK, said: “As a practising GP I understand the pressure to cover so much in any appointment, especially an annual asthma review.

“When we are providing basic asthma care, healthcare professionals need to have the time to fully assess someone’s asthma and the impact that it has on people’s diverse lives.

“We also need to be able to tailor treatments and their action plan to people’s lifestyles and help them to use their medicines and seek health care at appropriate times. By doing this we can bring down the high rates of asthma attacks particularly in at risk and disadvantaged groups and reduce the burden that poorly controlled asthma has on the NHS.”

Care and Carers: A Guide to Keeping in Touch

For people experiencing care, this pandemic may be worrying and confusing.  Alongside other organisations, The Care Inspectorate has produced information to support contact with loved ones during this time.

We have published a guide to keeping in touch, with practical information on using apps and mobile devices so  loved ones can stay in touch when those they care for can’t receive visitors.

The Scottish Council for Learning Disabilities website has published easy read information about the COVID-19.

Alzheimer Scotland have created a suite of resources for people with dementia, their carers and families to use throughout the coronavirus pandemic.

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Caring Communities campaign: Helping Out Safely

People helping those in their communities affected by coronavirus (COVID-19) are being encouraged to carry on while following advice to keep themselves and others safe.

The Scottish Government’s Caring Communities campaign will celebrate the help people are already giving each other, and encourage safe and effective help like keeping in touch, shopping, picking up prescriptions and running errands for those who are unable to.

Communities Secretary Aileen Campbell said: “Together we can help each other through the challenges ahead and our Caring Communities campaign will recognise the efforts of people from across Scotland who are supporting and helping others.

“It’s been inspiring to hear how people have responded to this pandemic by offering help to those around them. Whether that’s been formally volunteering or informally helping out neighbours and friends, we all have a part to play in supporting those around us, however we want to make sure that is done in a safe and effective way.

“There are lots of ways to help whilst minimising or avoiding face-to-face contact, including shopping, picking up prescriptions and medicines, general errands or a daily phone call to stay in touch.

“People can also offer help without the need for direct contact such as using social media to arrange activities and putting people in touch with other services or charities if there is need for further support.

“In rural areas, islands and other remote areas, your nearest neighbour may be some distance away and so you could consider whether help is needed around their home or farm, and make sure people have sufficient food, fuel and access to heating.

“The Scottish Government will continue working with communities across the country to help build cohesion and mutual support during this pandemic.”

National Clinical Director for the Scottish Government Jason Leitch said: “Many people need help and support and some will feel particularly isolated and lonely. If you are able to help alleviate that in your street, neighbourhood, or community, then we are asking you to do so.

“At times of crisis, we need each other more, yet we need to stay physically apart. We can still communicate and offer comfort. Phone or skype loved ones. Text neighbours or drop a note through their door to see if they need help. Maybe even write a letter to your grandparents. We are all in this together.”

More mental health support after forty days of lockdown

Key mental health services to support families, young people and autistic people are to receive more than £1 million additional funding.

Health Secretary Jeane Freeman made the announcement yesterday after 40 days of lockdown when many people have felt an effect on their mental health.

The allocation of funding comprises:

• £768,000 for a relationships helpline to be delivered by The Spark counselling service
• £105,000 to support Young Scot to develop enhanced digital content and resources on mental health
• £205,000 to support 47,000 autistic people across Scotland, including funding to increase capacity at the Scottish Autism Helpline and help for the National Autistic Society to keep people in touch online during lockdown

Ms Freeman said: “While everyone is experiencing different challenges at this time, the mental health of children, young people and families can be put under great strain.

“We appreciate that spending a lot of time together in isolation and home-working, home-schooling and juggling childcare can be really tough.

“This crisis means many people are dealing with anxiety, fear, uncertainty, anger or sadness. They may feel overwhelmed and relationships can be placed under a lot of pressure.

“We want to ensure that the right help and support is in place for the mental wellbeing of our children, young people and families. This package of measures focuses on prevention and recovery, and on maintaining healthy relationships throughout the current restrictions. It follows the launch of our national campaign, Clear Your Head, last week.”

The Clear Your Head campaign highlights practical ways to look after mental health and wellbeing while continuing to stay at home – and signposts sources of help and advice.

The Spark is a third sector organisation which delivers counselling services to families across Scotland, including relationship and couples counselling and counselling for children and young people.

They currently operate a Relationship Helpline on a small scale for nine hours a week. The number of the Relationship Helpline is 0808 802 2088 and this additional funding will enable the helpline to operate Monday-Thursday 9am to 9pm and Friday 9am to 4pm.

Scotland has launched a digital resource called Mind Yer Time specifically to help children and young people learn about the healthy use of screens and social media.

It supports mental and physical health online and was developed by the Scottish Youth Parliament and Children’s Parliament. In the first ten days since its launch the guide had almost 13,000 views.

The additional funding will allow the Scottish Autism Helpline to open 8am-8pm, seven days a week on 01259 222022.