Scotland: Adult Support and Protection Bill approved

MSP's have approved a new Bill that offers greater protection to adults at risk of abuse.
The Adult Support and Protection (Scotland) Bill will give new powers and a statutory responsibility to local agencies to investigate any risk of harm or abuse to adults living in care homes or in the community.
Deputy Health Minister, Lewis Macdonald said:
"The passing of this new Bill sends out a clear message today - abuse of adults at risk will not be tolerated in Scotland.
"It's vital that we protect vulnerable adults from the risk of harm, whether this is caused by physical injury, neglect, sexual abuse or financial exploitation. This new legislation will mean that these often hidden problems can be tackled sensitively and constructively."
New powers remove uncertainties about the duty to act and will make it possible to investigate allegations of mistreatment. Assessment of the person and their circumstances can be carried out and appropriate support offered. In exceptional circumstances, a victim can be moved to a temporary place of safety and perpetrators excluded. Any actions taken must be to the benefit of the individual concerned.
Local councils and their partners are also placed under a duty to create Adult Protection Committees made up of a wide range of interested parties including social workers, health staff and the police to oversee adult protection work and to monitor its effectiveness and report their findings to Parliament on a regular basis.
David Manion, Chief Executive, Age Concern Scotland, said:
"Older people across Scotland welcome this long-awaited legislation which will make it a statutory responsibility to respond to incidents of harm or abuse of an adult who may be vulnerable.
"Scotland is now leading the way by legislating for improved safeguards and responses and is giving out a clear message that the mistreatment of any person will not be tolerated."
Part 1 of the Bill is concerned with adult protection. Parts 2 and 3 clarify aspects of both the Adults with Incapacity (Scotland) Act 2000 and the Mental Health (Care and Treatment) (Scotland) Act 2003 whilst also making some minor adjustments to the Social Work (Scotland) Act 1968.
Source : Scottish Exec

Elderly Care at Home gets EU boost

Care at Home for the elderly gets a significant boost with the announcement of
a consortium of 20 partners from European universities, public bodies and private companies to develop improved technology that should allow vulnerable older people to continue to live independently at home.

The Service Orientated Programmable Smart Environments for Older Europeans (SOPRANO) project is part-EU funded and aims to develop IT based assisted living services that promote the independence of older people, improve their quality of life and address the issue of ageing.

Mike Hodges, the Research and Development Director at Tunstall, the private company leading the research project, said: 'Against a background of accelerating demographic ageing across Europe, the latest telecare and telehealth solutions will play a pivotal role in helping to relieve some of the growing pressure on healthcare providers. Tunstall is proud to be leading this cutting-edge project which is addressing these key issues.'

The project will demonstrate how to use telecare technology, Information Technology (IT) and mobile communications to develop new community-based models of care and support. The research hopes to advance global knowledge in remote diagnostics, semantic IT, Radio Frequency Identification (RFID) location, and radar and integration architectures. 600 users will test the viability of these technologies in real homes.

The project will have two goals: to develop new ways of integrating assistive technology, telecare and telehealth solutions into users' homes to provide assistance; and to investigate the motor, sensory and cognitive difficulties experienced by older people and the best vision, voice or sensory-based means of communicating with users.

SOPRANO hopes to investigate the development of a fully networked home environment where integrated appliances support users in carrying out their everyday activities, and advanced telecare and telehealth solutions can monitor well-being to ensure that assistance is provided when required.

It is hoped that such low-level, round-the-clock telecare technology will offer a cost-effective alternative to traditional care, while also ensuring users get the support they need in the familiarity of their home environment.'

What such technology systems will never be able to offer though is real face to face meaningful human interaction and for many eldery people this can be the differenec between just living and enjoying a quality life. The development of these technology solutions to the problems of caring for the elderly must be supported and encouraged but we must never forget that the elderly, like the rest of us, need the warmth of human companionship and this is something that more traditional forms of care , at their best, have provided. The challenge is to develop systems of care which can meet these full range of needs.
http://www.tunstall.co.uk/

Elderly care: doctors discriminate says study

Half of doctors discriminate against elderly patients because of their age according to a study of elderly patients with angina. They were less likely to be prescribed a statin to lower their cholesterol, given appropriate tests, be referred to a cardiologistor or be offered surgical treatments. They were more likely to have current prescriptions changed and be told to come back later.

The survey questioned 28 GPs, 28 elderly care specialists and 29 cardiologists from southern England and the Midlands. The study of doctors treatment of the elderly (published in the journal Quality and Safety in Health Care)found patients over 65 were managed differently from younger patients.

In the study the doctors were interviewed about 72 fictional patients with varying degrees of heart problemsangina were presented using a specially-created computer programme.

Social Care Organisations fail to employ Learning Disabled

A survey of visitors at a Community Care Live event on Tuesday revealed that only one third of the social care organisations at the event employ people with a learning disability.

The survey was carried out by Avenues, a not-for-profit organisation that supports people with complex needs. It showed that 36% of visitors said they had people with a learning disability working at their organisation, 58% did not, 6% did not know.

9% thought their organisation had employed people with a learning disability in the past, and a number said their organisations did employ people with other disabilities, but not learning disabilities. Some claimed they had not had anyone with a learning disability apply, while others felt commercial firms such as supermarkets had a good track record in this area. A few were unsure what was meant by the term “learning disability"!

Avenues chief executive,Steve James said, “Avenues is proud to say it is in the one third of organisations that do employ people with learning disabilities. Our experience has shown that organisations have to be creative about the job opportunities they offer people with a learning disability and accept the fact that they may need quite a lot of support in the beginning. However the rewards, both for the employee with a learning disability and their colleagues, are worth the time and effort that goes in. I would strongly urge the social care sector to look at this area of recruitment. It would be a shame for social care organisations to be outdone by profit-making companies.”

Avenues is a not-for-profit organisation that provides support to people with complex needs, including learning disabilities, physical disabilities, autism and mental health problems. Our individualised support enables people to meet their needs and express their hopes and aspirations.

Avenues have over 900 staff supporting over 800 people every year, either in their own homes or in registered group homes. For more information about Avenues, visit: www.theavenuestrust.co.uk

CSCI star ratings

CSCI proposals for star ratings can be found here.

Plans by CSCI to develop a star rating system to judge care providers on how well they run their services were recently approved by CSCI Commissioners.
CSCI plans to invite people who use services, providers and councils to help them make sure the system is run properly and checked thoroughly by everyone involved.
A public consultation on star ratings was launched in August and nearly 3,000 people are reported to have supported the use of stars to describe ratings.

A survey of over 1,000 people found 96% want as much information as possible when making choices about services.
Dame Denise Platt said: “These new star ratings will be of significant benefit to people who use social care services, both now and in the future - so that they can make informed choices about the quality of care services in their area.”

CSCI will use a star ratings system ranging from 0-3 and use extra words such as poor, adequate, good and excellent to show what each star means.

Social Care Institute for Excellence

A useful link here to Social Care Online the website for the Social Care Institute for Excellence where you can access the UK's most complete range of information and research on all aspects of social care - for free.

Nutrition in Care Settings: problems in NHS.

30 August 2006


Health Minister Caroline Flint claimed yesterday that there is no excuse for pensioners starving on hospital wards when she admitted that some patients did suffer from malnutrition. She insists however that the problem is being tackled. Her comments came after Age Concern launched its Hungry to Help campaign.

Nine out of 10 nurses admitted they did not have time to help pensioners who needed help to eat and it has been estimated that almost 60 per cent of elderly patients are at risk of going hungry.

Undernourishment delays recovery and malnourished patients tend to stay in hospital longer. Age Concern estimates this costs the NHS an extra £7.3billion a year.

Mrs Flint said guidelines had been drawn up instructing staff how to help with nutrition. An autumn summit of nursing leaders is to discuss how to implement them.


She said on GMTV: "There is no excuse for people coming into our hospitals not being fed properly. I am afraid to say there are still places, probably too many, where this still happens."


The Royal College of Nursing spokeswoman Pauline Ford said Age Concern's findings proved wards were seriously understaffed. "For so many nurses, time has become a luxury. It is unacceptable if patients are not getting the help they need to eat or drink. Nurses desperately want to be able to give the standards of care they were trained to give but need the support and resources to do so. Most importantly, they need to be given the time to care." Liberal


Democrat health spokeswoman Sandra Gidley said it was due to frontline staff being overstretched and added; "All too often I hear of elderly patients who have had food placed in front of them with no one to help them eat it."


According to Gordon Lishman, director general of Age Concern ; "Hospitals are in danger of becoming bad for the health of older people. The majority of older patients are being denied some of the basic care they need, leaving hundreds of thousands of older patients malnourished. It is shocking that the dignity of patients is being overlooked and that Age Concern has to run a campaign to fight for the implementation of such simple measures. Food, and help with eating it, should be recognised by ward staff as an essential part of care and they should be given time to perform this task."

It is important to recognise though that this is not just a problem in NHS hospitals. In the Care Home sector there have also been problems identified with nutrition of residents. It is time that such fundamental aspects of care are given a much higher priority in all care settings. We cannot expect that people who are recieving care in any settng will enjoy either good health or a good quality of life if their basic human needs are not attended to.