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Managers: ‘we need Falls prevention: to be in the office’ managing the risk Suspension of ratings: Staffing remains fair to all concerned? the big worry
December 2019 Social care business management
DESIGNS FOR LIFE RETIREMENT LIVING TAKES UP THE CARE CHALLENGE 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 2 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 3
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OFF THE FLOOR Survey shows most managers think 4 their time is best spent in the office
INTERIM MEASURE Ridout’s CAROLINE BARKER questions 12 the fairness of suspension of ratings 30-33 RETIREMENT LIVING FALLS PREVENTION Lester Aldridge’s SARAH PRICE 14 advises on managing the risk TAKES UP THE CARE CHALLENGE NATIONAL TREASURES Care workers continue to be undervalued, 23 says Care Forum Wales’s MARIO KREFT
MEET THE REGULATORY RISK Caring Times editor GEOFF HODGSON FINALISTS! 26 reports on the Ridouts 2019 Symposium
SEE PAGE 18 MARKET SURVEY Knight Frank report shows staffing 42 remains the biggest concern Join us on Facebook Follow us on Twitter Find us on LinkedIn facebook.com/pages/Caring-Times/412487745449499 twitter.com/caring_times uk.linkedin.com/pub/richard-hawkins/16/118/28a
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December 2019 news www.careinfo.org Research suggests managers’ time is better spent in office
Market research conducted by the Professional divi- time caring for residents, and 38% said sion of Miele at Health Plus Care suggests that most their time is spent 50/50 between the care home managers believe their residents would two. When asked how highly they rated get greater benefit if they spent more time focusing themselves, care home managers were on management and back office responsibilities. generally confident in their skills in finance, More than half of respondents said they felt they operations and new business, marking spend too much time personally carrying out care, themselves at five out of 10 or above. Yet rather than managing the business. skills in HR and technology were generally The survey sample was taken from care home not rated as highly. managers who attended this year’s Health Plus Care Clare Humphrey, business account show at ExCeL London. Participants were asked how manager for care at the Professional highly they rated their business skills, and where they division of Miele, said it was promising thought their time was best spent. 44% of respon- to see that care home managers were dents said they don’t spend enough time managing generally confident in their ability to the business, with 6% saying they spend most of their carry out operations effectively, and that they realised the benefits of dedicating appropriate attention to the vital ‘behind the Editorial & advertising scenes’ administration. “Striking the ideal balance between time spent in Investor Publishing Ltd, 1st Floor, Greener House, 66-68 Haymarket, London, SW1Y 4RF “By dedicating time to managerial tasks, such as the back office and on the floor is difficult, but Tel: 020 7720 2109 • Fax: 020 7451 7051. recruiting and sourcing the most cost-effective managers should aim for a ratio of around 75% to Website: careinfo.org equipment and provisions, managers can drive 25%, so they can effectively manage the business, Annual subscriptions: UK £70 pa, efficiencies throughout the business to help it be but also take time to focus directly on the residents Europe £90 pa, Rest of world £100pa profitable and remain open despite the challenging to ensure all their needs are being met and that Cheques payable to: “HAV 2018 Ltd” 1st floor Greener market conditions,” said Ms Humphrey. they’re receiving the best standard of care possible.” House, 66-68 Haymarket, London, SW1Y 4RF Tel: 020 7104 2000 • Fax: 020 7451 7051 Editor Geoff Hodgson – 01929 556827 [email protected] Best wishes of the season to all our readers, advertisers, Design and production Andrew Chapman [email protected] residents and care workers everywhere. Editor-in-chief Dr Richard Hawkins Sub-editor Charles Wheeldon Managing director Vernon Baxter Caring Times is published eleven times a year by COMPANY INDEX Investor Publishing Ltd. ISSN 0953-4873 Printed by GD Web Offset Ltd, Wath-upon-Dearne Average net circulation of 9,606 (July 2017 – June 2018) Abbeyfield North Northumberland Hightown Support ...... 40 © Investor Publishing Ltd 2019 Extra Care Society ...... 8 Housing Plus ...... 41 Deadlines forJanuary issue accomplish ...... 8 Kepplegate House ...... 9 4 Display advert. space booking: November 18 Audley Group ...... 16 Display advertising copy: November 26 Malhotra Group ...... 16 Product news copy: November 26 Balhousie Care ...... 34 McCarthy & Stone ...... 33, 36 Editorial copy: November 22 BishopshouseRCG & StBenetsRCG . . 45 The views expressed in Caring Times are not necessarily Meallmore ...... 40 Borough Care ...... 17 those of the editor or publishers. MHA ...... 24 Brunelcare ...... 16, 17, 22 Caring Times™ and the CT® logo are registered trademarks of Outlook Care ...... 17 HAV 2018 Limited Bupa ...... 8 Priory Adult Care ...... 8 CareUK ...... 8 Reach the right audience... Caring Homes ...... 34 Randolph Hill Nursing Homes ...... 17 Runwood ...... 40 Contact Caroline Bowern to discuss your Cornerstone Healthcare ...... 17 advertising or sponsorship requirements Exemplar Health Care ...... 17 Silver Healthcare ...... 6 on 07974 643292 or email Hallmark Care Homes ...... 10 St Anne’s Community Services ...... 8 [email protected] Hft ...... 16 Whiteley Homes Trust ...... 38 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 5 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 6
December 2019 news www.careinfo.org
Nurse shortage and underfunding compel the closure of a nursing home in Sheffield
Inadequate government funding and qualified staff “Care providers like myself have been shortage are the reasons given by a Sheffield care desperately hanging on for the Government's home operator for closing his only nursing home. social care green paper which has promised to Roy Young, whose Silver Healthcare runs three address underfunding in the sector. This has now homes in Sheffield, says it was the hardest decision been delayed six times in the past 18 months and of his 30-year career in social care to close the has left me with no choice but to cease trading at 40-bed Fulwood Lodge at the end of September. Fulwood Lodge and concentrate my efforts on He has assured relatives that the seamless providing the very best care at my Rosebank and relocation of all residents is his top priority and he is Leahyrst homes.” working closely with Social Services and the NHS Mr Young said there were major differentials in on the transition. fee levels from area to area and city to city and care Silver Healthcare's two other homes – Rosebank homes in Sheffield were without doubt underfunded and Leahyrst, which specialise in dementia care when compared to other areas in the country. Shrinking provision: staff costs and and have substantially lower running costs as they “It is very difficult to understand, and confusing, inadequate fees have forced the closure don't require registered nurses like Fulwood does – why such significant differences should exist,” he of the 40-bed Fullwood Lodge. are unaffected by the closure. said. "The shortfall in fees can be very substantial “Government cuts, increased staff wages, and financially challenging of my career and I have with the difference in fee levels running into well agency costs and reducing local authority budgets ploughed a considerable amount of personal over six figures a year per home – this fact alone have made the future of the home unsustainable,” funding into Fulwood Lodge in a bid to keep it open highlights very strongly that we're not competing on said Mr Young. and maintain the highest standards of care possible.” a level playing field. More than 100 care homes “Central government's underfunding of the care Mr Young said his decision to close the nursing ceased trading across the country in 2018. sector has been a highly publicised issue for many home was purely a financial one and had nothing “I have always considered it totally unfair to rely years. Care providers have had to deal with to do with how the home is being run. on the continual increase in the fee level expected increasing expenditures year-on-year, making the “Fulwood is rated ‘Good' by the CQC , employs from private funders to help support the long-term future of many homes unmanageable. a good manager, a good deputy manager and a underfunding from the local council. Without it “The last two years have been the most stressful good staff team throughout,” he said. however, the majority of homes may not survive.” Younger people will consider a career in care
Younger people in England aged 18-34 are the right values to help fill the 122,000 vacancies Caroline Dinenage: most likely to consider applying for a job in adult across the sector. ‘We have over a million brilliant social care, according to a survey commissioned by The interest from younger people who will form people working in the sector, the Department of Health and Social Care. The the next generation of adult social care workers has but we urgently need new survey of 2,020 adults shows: been welcomed. The average age of those working talent to ensure we can I 64% of 18-34 year olds would consider a career in in the sector is 45 years old, and around 385,000 continue to provide support jobs are held by people aged 55 years old who are adult social care. for those who need it.’ likely to retire in the next ten years. I Over half of people aged 18-24 (57%) and 25-34 Minister for care Caroline Dinenage said the 580,000 workers needed by 2035. (56%) would consider changing career for a job campaign would continue to target 20-39 year olds, The campaign was launched in February aiming that helps or supports others. 6 to help capitalise on interest and raise awareness of to attract new people with the right values to the I More than one in ten people aged 18-24 (13%) the variety, benefits and progression offered by a sector and increase interest in adult social care as a and 25-34 (14%) are dissatisfied with their current career in care. vocation. The first phase of the campaign has job. “A career in adult social care offers the rewarding already generated a 14% increase in clicks on the I 59% would consider moving roles to a job which opportunity to make a real difference to the lives of apply button for care-related roles on DWP Find a offers more personal fulfilment. some of the most vulnerable people in society – a Job and 97% more searches for jobs containing I 65% of parents with dependent children would sentiment 96% of current care workers on the ‘care’ or ‘care worker’ during the campaign period. consider a role in adult social care. ground agree with,” said Ms Dinenage. One in four (26%) care employers surveyed after “We have over a million brilliant people working in the first phase saw an increase in either enquiries, BMG Research surveyed 2020 adults aged 18+ in the sector, but we urgently need new talent to applications, interviews or vacancies filled. England on behalf of the Department of Health and ensure we can continue to provide support for those The next phase of the campaign will run from Social Care. The survey was part of the next phase who need it.” autumn 2019 to April 2020, using outdoor posters, of the Department’s ‘When you care, every day Nearly 1.5 million people work in the sector, but online TV adverts, radio, social media and digital makes a difference’ adult social care recruitment an ageing population means that care workers are channels, as well as PR and partnerships activity, campaign, which aims to attract people with the more in demand than ever before, with an additional and career events. 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 7 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 8
December 2019 news DIGEST www.careinfo.org
FLASH PUTS ABBEYFIELD HOUSE ON FAST TRACK TO SUCCESS
Residents and staff at an Alnwick care home are him a forever home was the brainchild of Abbey- celebrating after bouncing back to a good rating, field House’s deputy manager Ewa Larmour, who with the help of a very special retiree. wanted to create a pet-friendly space, bring resi- Abbeyfield House on the outskirts of the dents together, give them a more positive outlook Northumberland market town was deemed as on life, and build a stronger community, having requiring improvement when it was inspected by seen for herself the positive benefits pet therapy the Care Quality Commission two years ago. can have on dementia sufferers. But the 25-bed residence managed by Flash has his own living area, joins in activities Abbeyfield North Northumberland Extra Care and is free to interact with residents and visitors, Society has now been graded as good across all who have all fallen under his spell. five key criteria – with the home’s newest four- Siblings Maureen and Ian McLellan are two of legged occupant coming in for Flash’s biggest fans. The pair had owned dogs all particular praise. their lives until moving to Abbeyfield House. Ian, Flash, a former racing greyhound has moved 92, says: “I’ve always liked having animals around into Abbeyfield House where he is enjoying life in and we always had dogs. Flash is a lovely, friendly the slow lane, quickly winning the hearts of animal. Just having him here is very calming. residents and staff. And the four-year-old rescue Mind, he likes the ladies!” dog’s charm and comforting presence haven’t Maureen, 94, adds: “Flash is good company gone unnoticed in the CQC’s 14-page inspection and he makes everyone feel happier. He’s my report which says: “Staff recognised the favourite wee doggie!” importance that animals had on people’s wellbeing. “The deputy manager told us of the positive effects that Flash had made on people. She said: ‘It’s enhanced their quality of life.’” Right: Brother and sister Maureen and Ian Adopting the retired racer and offering McLellan are two of Flash’s biggest fans.
OUTSTANDING SUPPORT FOR CQC’S CALL FOR A STATEGIC PLAN Provider representative body Care and commissioners support them,” Congratulations to the following care homes and services which have been recently England has welcomed the Care said Professor Green. rated as ‘Outstanding’ by the Care Quality Commission or an ‘Excellent’ rating by Quality Commission’s State of “Moreover, the report only the Scottish Care Inspectorate: Healthcare and Adult Social Care accentuates the fact that the I Orchard View, a five-bed care home I Bupa Aylesham Court, a 60-bed in England report published in Government cannot sideline social in Northampton, offering support for care home in Leicester offering mid-October. care reform for any longer. The risks of younger adults with a learning disability, residential care for older people. Care England chief executive further inaction are too grave.” autism or mental health needs. Operated by Bupa. Aylesham Professor Martin Green said the State of Care outlines the Operated by accomplish. Court is the 9th Bupa facility to be report identified workforce and challenges faced by the social care inadequate funding as major sector, namely funding and workforce, Manager: Michelle Bennett. rated ‘Outstanding’. concerns and echoed the sector’s but shows quality to be more uniform Manager: Katherine O'Sullivan. I Mills Meadow, a 60-bed care call for a long-term strategic plan for and on an upward trend. The CQC is adult social care. quite strident in its assessments and home in Framlingham, Suffolk I The Moorings, a six-bed care “The regulator recognises providers calls for a long-term strategy for adult offering residential care for older home in Poole, Dorset supporting 8 that have seized the initiative and social care, saying the fragility of the people. Operated by CareUK. Mills adults with learning disabilities, autism attempted to work in different ways to sector is of grave concern, highlighting Meadow is the 13th CareUK facility to and/or physical disabilities. Operated head off the impending crisis and the plight of learning disabilities services be rated ‘Outstanding’. by Priory Adult Care. asks that Parliament, local authorities and winter pressures. Manager: Martin Ashford. I Kings Mill Court, a supported living service in Kirklees, West Yorkshire, MURMURINGS AMONG THE RANKS IN CQC formed of 12 self-contained flats and Has your service been Specialist care sector lawyer Paul has fallen by 9%, with only 35% Ridout recently made the following of staff stating they believe senior providing care for people who live with rated ‘Outstanding’? observation on social media: leaders provide clear direction complex physical needs arising from “CQC has conducted its and leadership. learning disabilities and mental health let us help spread People Pulse Survey for August “There has also been a 6% fall conditions. Operated by St. Anne’s the word, email: 2019 (an internal survey of CQC in the number of staff who would Community Services. Manager at time staff) which has found that sup- recommend CQC as a good place [email protected] of inspection: Mohammed Naveed. port for CQC’s executive team to work (now 54%).” 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 9
December 2019 news DIGEST www.careinfo.org
NORFOLK COUNCIL RESPONDS TO PRESSURES ON SOCIAL CARE MARKET
A report on Norfolk’s social care assistive technology and support for Action being taken by the county services describes the pressures carers, so that people can remain council includes: facing the county’s care market and independent for as long as possible I Investing £29m to develop 2,800 how the county council is responding. and spend less time in formal care, extra care housing units, where Norfolk County Council spends as this is what residents tell us they people can live independently, with £328m a year commissioning care want to see.” care and support nearby; I services for around 17,500 people, the Key findings from the report include: Norfolk First Response and Norfolk vast majority from independent Swift Response, which help people I providers – but the care sector faces 12 care homes closed last year, with with urgent needs; rising demand, increasing costs and the loss of 173 beds – often following I Reablement, which helps people recruitment issues. care quality concerns; regain independence following time Even though most of these services I Only four new care homes opened, in hospital; are not run by it, the 2014 Care Act adding just 16 beds; I £1.9m on information and advice, to requires the county council to “shape a I There are 2,648 nursing care beds help people stay independent; I diverse, sustainable and quality” care and the council “has difficulties Work with the NHS on social market. making nursing care placements in prescribing, to signpost people to Councillor Bill Borrett, cabinet most areas of Norfolk”; advice and community support; member for adult social care, public I Assistive technology, such as I health and prevention, said the council 76.7% of care providers were rated telecare and falls sensors, to help relied on private companies to provide as good or outstanding by the Care around 3,000 people live at home the vast majority of care places in Quality Commission – putting Norfolk each year; as 10th out of 11 East of England Norfolk and they were facing major I A direct payments scheme for 2,500 social services areas; demand and cost pressures. people, enabling them to choose “That’s why we invested an extra I Annual turnover of care jobs is 37%. their own care. £11.3m in the care market last year,” said Cllr Borrett. KEPPLEGATE TAKES PART IN INCONTINENCE TRIAL “The council is also extending Kepplegate House care home in residents signed up to take part initiatives like extra care housing, Preesall, Lancashire has participated in the study, not only to help in a trial using electrical stimulation to themselves, but also in the hope reduce incontinence, conducted by that their participation in the trial TORIES STILL WORKING ON SOCIAL CARE PLAN Glasgow Caledonian University. would help many other people Health secretary Matt Hancock has said the The trial aims to help people with around the country. Government is still working on a plan to address incontinence by using electric The trial took about six months to longstanding issues on social care. stimulation (using a tens-style device) complete and Kepplegate can now Interviewed by BBC Radio 4’s Nick Robinson at to stimulate nerves, which in turn keep two of the machines so that ev- the end of October, Mr Hancock said the increases bladder retention and gives eryone living in the care home who Government was working on a plan but was not yet people more time to get to the toilet. qualifies can have the treatment, as ready to publish it. “We want to be clear about what A small group of Kepplegate staff are fully trained to provide it. we’re doing on social care,” he said. Matt Hancock “I very much hope we can do this in a way that brings parties together, ADULT SOCIAL CARE WAGE BILL UP BY 4% TO £21BN but the Prime Minister is absolutely clear about wanting to resolve this.” Using data from the Adult Social Care 2017 and 2018. Workforce Data Set supplied by thou- I Since 2009 the number of adult sands of employers, Skills for Care’s social care jobs has increased by REPORT SHOWS FEWER UNPAID CARERS BEING annual ‘The state of the adult social 22% (290,000 jobs). care sector and workforce in England, I The adult social care workforce was SUPPORTED BY LOCAL AUTHORITIES IN ENGLAND 2019’ report estimates that the annual found to be 83% female, compared 9 NHS Digital has released its 2018-19 time when more and more family wage bill for the adult social care sec- to 47% of the economically active data on adult social care spending in members were having to step in to tor has increased by 4% from £20.3bn population identifying as female. England, which includes support for care for loved ones. in 2017/18 to £21bn in 2018/19. The I Staff turnover rate of directly unpaid carers. “Unpaid carers are propping up our sector’s overall economic contribution employed staff working in the adult The data shows that for the fifth crumbling social care system and is estimated as being £40.5bn. social care sector was 30.8% in consecutive year, fewer carers in being left without vital practical An estimated 18,500 organisations 2018/19. England have been supported by their support and much-needed breaks are involved in providing or organising I Around 115,000 roles (8% of all local authority, with 22% fewer from caring,” said Ms Walker. adult social care in England, with ser- jobs) were held by people with a supported or assessed this year “Families desperately need vices being delivered in an estimated non-British EU nationality. compared to five years ago. government to act now to deliver 39,000 establishments. Other key To download ‘The state of the adult Responding to the data, Helen increased long-term funding for social findings include: social care sector and workforce in Walker, chief executive at Carers UK care, including more funding for I The number of adult social care jobs England, 2019’ report, go to said the diminishing support for breaks, so they can care without was estimated to have increased by skillsforcare.org.uk/ unpaid carers was happening at a putting their lives on hold.” around 1.2% (19,000 jobs) between StateOfEarlyRelease 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 10
December 2019 news www.careinfo.org Kirklees recruitment scheme helps hundreds into careers in social care
A local personal matching service between care and has been shortlisted for a Guardian Public excellent care workers are taking up careers in applicants and employers has been nominated for a Sector Award in the recruitment and HR category. other industries. national award after supporting hundreds of people Care providers struggle to recruit, causing major In2Care Kirklees pulls together applicants’ skills into a career in social care. issues on their ability to provide services. This leads and personal qualities and circulates their The In2Care Kirklees initiative, established in to a high volume of people waiting for services and details to potential employers. This removes the 2017, aims to attract more people to work in social delays in hospital discharges. Many potentially barriers of traditional application processes and means people aren’t applying for roles which are not right for them. Prof. says ageing can be slowed down The In2Care team also works alongside local Professor Richard Faragher, the University of major ageing mechanism because in experimental employment schemes to help people requiring Brighton’s professor of biogerontology, has told a animals where it has proved possible to delete additional support. This includes supporting harder House of Lords’ Science and Technology these cells these animals showed enormous to reach groups and giving them opportunities to Committee that the country’s scientists have the increase in their health. receive training, job shadowing and support to find expertise and potential to reverse or slow ageing “If you delete senescent cells in these mice they employment. In2Care has also engaged with and, in doing so, build a “formidable” industry. ran about three times as hard and as fast as their Kirklees care employers to establish a ‘one-stop Members of the House of Lords were meeting to little mates who are still full of senescent cells. shop’ advertisement space on Facebook for current question academic experts about the fundamental “Effectively it would rather be like taking job opportunities. processes of ageing. somebody of 80, putting something in their drinking The team also builds relationships with care The committee will use the information to help its water for a few weeks and watching them jog like a providers to challenge poor practice, identify missed inquiry into how science and technology can enable person of 30.” opportunities and inspire change. healthier living in old age. Lord Patel, the committee chair, jokingly Since 2017 the scheme has had a huge impact !!! !! !!!! Prof. Faragher said one of the culprits of ageing volunteered for experimental treatment. and has supported more than 530 local people into !!!!!!!!!! were senescent cells, cells that go rogue and start “If government leads, funds basic research, local social care jobs – including 190 in domiciliary !!!!!!!!!!!!! secreting chemicals that damage the body. Older establishes the full translation pipeline that our clini- care, 178 in residential care and 67 personal !!!!!!!!!!!!!! bodies were less good at getting rid of them. cal and pharmaceutical colleagues are proposing, assistants. Forty-three per cent of applicants He said if senescent cells were eliminated then then this country could build up a formidable indus- appointed were previously not in work and 39% !!! the result could be dramatic: “We know this is a trial base in this area,” said Prof. Faragher. were new to the industry. !!!!!!!!!! !! !!!!!!!! !!!!!!!!!!!! Care Sector Fundraising Ball 2019 raises £200,000 !!!!!!!!!!!! The second annual Care Sector Fundraising Ball Society chief executive Jeremy Hughes and chief towards uniting all parts of the sector, including !!!!!! !!!! has raised £200,000 for the Alzheimer’s Society executive of The Care Workers Charity Richard operators, suppliers, as well trade associations, !!!!!!!!!! and The Care Workers Charity. Muncaster who spoke about the critical work they most of which were represented on the night. It is !!!!!!!!!!! More than 500 people attended the fundraising do and the impact these charities have had. very exciting to see how many people are already !!!!!!!!!!! event at the Grosvenor House Hotel in Mayfair on “As well as raising such a significant amount of asking to be involved next year.” Saturday 28th September. Headline supporters for money, the event achieved its goal of raising I Next year’s Care Sector Ball will be on Saturday !!!!!!!!! the second-year running were CareTech, the awareness of the essential work of the Alzheimer’s 26th September. Places are already going fast so !!!!!!!!!! CareTech Foundation and Hallmark Care Homes, Society and The Care Workers Charity,” said Avnish please contact [email protected] to !!!!!!!!! with key support from Lawrence Baker, Welltower, Goyal. “I believe that it is also going some way sponsor a table now. !!!!!!!! 10 Precious Homes, Athena Care, Morgan LaRoche and ihl uk. !!!!!!!! ! Hosted by the original Stig from Top Gear, Perry !!!!!!!!! McCarthy, the event featured a silent and live !!!!!!!!!!!! auction with many prizes and pledges donated by !!!!!!!!!!! the care sector. Throughout the evening, guests enjoyed an In- !!!! dian feast with hilarious entertainment from celebrity auctioneer Jonny Gould, comedian Kev Orkian and stunning performances from Glam Slam, who per- formed songs from Motown, and brilliant dance act FroBacks. Speakers at the event included founder of the Care Sector Ball and chair of Care England and Left to right: comedian Kev Orkian; founder of the Care Sector Ball and chair of Care England and Hallmark Hallmark Care Homes Avnish Goyal, Alzheimer’s Care Homes Avnish Goyal; and the original Stig from Top Gear, Perry McCarthy, who compered the event. 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 11
2019 Congratulations to our next winner – Marika Maczkowska, Head Housekeeper, Murrayside, Care UK
! ! ! ! ! !! ! ! ! ! ! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !! !! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !! !! ! !! ! ! ! ! ! !! ! ! ! ! ! ! !! ! ! ! ! ! !! ! ! !! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! ! ! ! ! ! 11 ! !! ! ! ! ! ! ! ! ! ! ! ! !! ! ! ! ! ! ! ! ! ! ! ! !! ! ! !! ! ! ! ! ! ! ! ! !! ! ! 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 12
December 2019 legal landscape www.careinfo.org
CAROLINE BARKER, solicitor and director at Ridouts professional Services, says suspension of rating puts providers in an invidious position.
ridout-law.com Suspension of ratings: 0207 317 0340 transparency or
matter but not charged – should people have underhandedness? the right to have their identity protected when action may amount to nothing? etween April and July 2019, the Care warning notices. Providers have the right to The suspension of a rating could have a Quality Commission suspended four make representations about a number of huge impact on a provider; it may not get providers’ ratings. “Their rating was things concerning a warning notice, any further placements, it may lose service suspended? Don’t you mean their including why the warning notice should not users, and it may even lose staff members Bregistration was suspended?” I hear you ask. be published. If CQC accepts these who fear for their jobs. This could result in A little known option available to CQC, representations then it won’t publish the fact irreversible damage which was wholly which has made its way into the provider that a warning notice was issued. However, unnecessary. guidance on how CQC monitors, inspects there is some information about enforcement Ian Trenholm recognised that CQC has an and regulates adult social care services, action that CQC ‘must’ publish and this obligation to providers and that it can only allows CQC to suspend a rating “if [it] includes action taken to cancel, suspend or change a provider’s rating when CQC has identif[ies] significant concerns that lead vary a provider’s registration. However, such done a full comprehensive inspection. This [CQC] to reconsider [its] previous rating. The information must not be published where an suggests that the rating does not even have to rating will be suspended until [CQC] have appeal is brought to the First-Tier Tribunal be suspended following an inspection. investigated the concerns and/or re- and the Tribunal orders that the enforcement Suspension is a nod and a wink to the inspected the service.” action taken by CQC either does not take gossip-mongers which could have the effect That’s all the guidance says; no criteria, effect or ceases to have effect. This means that on a provider desired by CQC without it no process that will be followed, no no one should know that action was taken. actually having to go to the trouble or cost of indicative timescales. With the introduction of suspension of proving its case. At the CQC’s September board meeting, ratings to let the public know “that At the CQC September board meeting Ian Trenholm said the suspension process something is going on”, it seems that this is Ian Trenholm said, in respect of rating was “created in order to make sure that we not only trying to circumvent the legislation, suspensions: “I think you’ll see that can be clear with the public that something but also lacks transparency and places the happening pretty routinely; I don’t think is going on, that we’re carrying out an provider in a difficult position – if the you’ll ever see very large numbers; but it investigation into something and that the provider responds publically to the will be a tool that we use in order to make previous rating is something that cannot be suspension to say it is challenging sure that our work is visible and clear to relied on until that investigation is enforcement action being taken by CQC, the public.” complete”. does it waive its right to have that CQC has tools to take action against Now, CQC has made noises before about information kept private? Keep quiet, and it providers where there is cause for concern the fact that it cannot always tell the public suggests it’s accepting of the action. over the service that they are providing. 12 about enforcement action that is in the This is on the assumption that the provider Suspension of ratings should not be used as process of being taken. So has the suspension is even told about any concerns that CQC has. an interim measure as CQC doesn’t have the process been created to get round legislation There have been numerous occasions when resources to carry out an inspection which which does not allow CQC to publish clients have been informed that a would ultimately justify a change in rating, information about certain enforcement action safeguarding investigation is ongoing but nor should it be used to circumvent the until that action is complete, and where any they cannot be informed of the detail. OK, legislation which is there for a reason. representations or appeal lodged has not that is a different remit, but it’s demonstrative I have requested information about CQC’s been successful? of external stakeholders taking action to the policies and guidance on ratings suspension Under the Care Quality Commission exclusion of a provider, which is the one party by way of a Freedom of Information Act (Registration) Regulations 2009, there is that could actually take action to put things request. At the date of submitting this article certain information that CQC ‘may’ publish right. That’s assuming that anything has gone I had not had a substantive response, but and ‘must’ publish. Information around wrong in the first place. This is similar to hope to keep readers updated when this matters which ‘may’ be published include naming people who have been arrested on a information is forthcoming. 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 13
December 2019 promotion www.careinfo.org P&G Professional Bio for care events
Procter & Gamble Professional™ is the names – Ariel® Professional, Lenor® • Flash Professional Cleaning System – Our Away-From-Home division of Procter & Professional, Fairy® Professional, Flash® multi-purpose concentrated cleaning Gamble. We leverage P&G’s scale, trusted Professional and Febreze® Professional – system uses just four products for your brands and consumer understanding to are your guarantee, and our professional core cleaning needs: floors, surfaces, meet the business needs for hospitality, systems are trusted, simple and effective. bathrooms and odours. Accurate wall foodservice, building, cleaning and mounted dispensing systems deliver cost maintenance, education and care home • Ariel Professional Laundry System – Our control and consistent results. Colour industries. automated laundry system contains deep coding and language-free icons keep the P&G Professional believes care cleaning technology, which leaves behind program safe and simple to use! establishments should feel just like home nothing but Ariel’s impeccable 1 Wash for residents. P&G Professional products Clean. Three Ariel Professional System • P&G Professional’s Ready-to-Use Range ensure a high standard of cleanliness in all options can meet all commercial or on – Professional products from Fairy and areas of a care home from streak-free premise laundry needs. Ariel Professional Flash cover cleaning and disinfecting surfaces to fresh bed sheets. Laundry Systems are installed with needs in care home kitchens, First impressions and lasting experiences accurate dispensing equipment and public/dining areas, and bathrooms. The are critical and a top priority for us to make programmable handsets to optimize packaging is colour and number coded every experience count. Our brand results. to ensure ease of use
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December 2019 legal landscape www.careinfo.org Falls prevention: managing the risk
Care providers should review their falls prevention and management policies and practices to ensure they are in line with the new guidance, says Lester Aldridge solicitor SARAH PRICE. [email protected] HS England and NHS Improvement 01202 786161 have recently published a quick Nguide designed to assist care homes In order to achieve and maintain best with an easy reference to best practice in practice, the guidance provides helpful prosecution cases. It is important to respect of falls prevention and management. advice and tools, such as: remember that there is no requirement for The guidance highlights the importance of • Advice on what should be included in a harm to have occurred in order for CQC to ensuring that every care home has a falls falls risk plan; prosecute; a significant risk of avoidable policy which sets out the organisation’s • A falls and fracture risk/intervention tool; harm occurring is sufficient. approach to the prevention and management and CQC is focusing on the adequacy of risk of falls. It is recommended that the guidance • A post fall assessment tool. assessments, so providers need to ensure is used to benchmark existing policies and they have robust policies and procedures in procedures to ensure the care provided It is always important for care providers to place and that staff follow them. reflects best practice. The ethos of the focus on providing safe care and treatment. Where a resident has a fatal fall in a care guidance is that the risk of falls can and This is particularly important given CQC’s home, it is likely that this will result in a should be reduced and that falls are not publicised intention to increase the use of its coroner’s inquest. Although inquests are simply a consequence of getting older. prosecution powers. We have certainly designed to be non-adversarial, care The guidance suggests that best practice in experienced an increase in CQC investigating providers are at risk of being criticised or fall and injury prevention includes: and prosecuting criminal offences. may even become subject to a prevention of 1. Identifying the risk; Recently published statistics support this future deaths report. In turn, this may lead to 2. Implementing standard falls prevention trend for increasing criminal enforcement adverse publicity or CQC taking an interest strategies; and action. Internally, CQC has employed in the concerns identified during the inquest. 3. Implementing targeted individualised criminal barristers in its legal department as We are seeing CQC take more interest in strategies that are monitored and reviewed well as ex-military personnel and police the evidence and conclusions arising from regularly. officers to review evidence and build its inquests. It is important to remember that even where CQC or the police have already investigated concerns, if any new evidence arises from other proceedings, such as an 14 inquest, then the investigation may be re- CQC is focusing opened. This is another reason why on the adequacy of providers need to have good policies in place risk assessments, that follow best practice. so providers need Providers of care services should review their falls prevention and management to ensure they have policies and practices to ensure they are robust policies in line with the new guidance. They and procedures in should also ensure staff are aware of the place and that staff policies and current best practice and follow them. provide them with the relevant information and training to ensure the policies and procedures are followed. 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 15
December 2019 promotion www.careinfo.org The challenges of finding a care home
Research commissioned by P&G ProfessionalTM has revealed we spend more time researching care accommodation for loved ones than selecting schools for children, finding the right job or even our own homes. Certainly, the responsibility of selecting a Care Home is not only extremely onerous but also traumatic and emotional. When looking for care there are a number of important issues to take into account, for example location, cost and provision of care. Once a location and funding have been established, I advise visiting at least four care homes to identify which is most suitable. Although much research has been done to establish what the ideal care setting is, it is still an undefinable subject matter as much depends upon personal choice. There has been a huge surge towards providing care in a 5 star hotel setting, however the main word we must remember when choosing a home is the word “care” at which point I would like to add the word “loving”. You can have the most loving care provision in both the hotel style care home and also in homes which are a little older. Davina LuDLow is a Consultant to the Care Home sector Outside appearance should not be the defining factor. and a member of P&G Professional’s Expert Advisory Council. When visiting a home you can tell immediately what the standard of care is like, just look at the faces of the happy residents and the staff’s safe, simple and effective products that are cooked on the premises, is there menu choice, smiles. It is much more important that staff are trusted by residents, such as Ariel Professional can dietary requirements be catered for? Food sitting with residents exchanging conversation, or Flash Professional, creates a clean that feels is one of the main topics of conversation in a 15 providing a stimulating atmosphere than talking comfortable and familiar. care home either in discussion with visitors or to their colleagues at the nursing station. Staff Once you have established location, care each other as it is the one point all residents should interact well with residents and be provision and staff, there are a number of have in common. engaged and attentive. important details to consider. Daily life: are Finally, activities, is there an “open door” Upon entering a home one of the first things residents able to make a choice as to when they policy for visitors, are trips arranged, do they that will greet you is the smell. If this is can have visitors, get out of bed, go outside, have an activities co-ordinator who will create a objectionable, it is not the home for your loved which clothes to wear? Accommodation: can calendar of pursuits? one. In a recent survey out of 42,472 residents residents bring their own furniture, do they have The above are a few topics which must be and their relatives, the standard of cleanliness in en-suite facilities, are the rooms cleaned daily? taken into consideration when choosing a care homes was given a score of 93.5% which Communal areas: is there easy access, is there home. But the most important thing is to indicates the priority homes give in ensuring a safe and secure garden, are the communal establish whether your loved one will be happy their settings maintain this high quality. Look for areas arranged to encourage social interaction, there and whether it’s somewhere they would somewhere that feels clean but homely. Using are toilet facilities within easy reach? Food: is it call home. 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 16
December 2019 moving around www.careinfo.org
in association with Mandy Collins has been appointed head of corporate Appointments governance at Brunelcare. Her role is to ensure sound governance throughout the charity organisation. Mandy Newcastle-based care and supports, advises and enables colleagues across hospitality provider Malhotra Brunelcare to do their job safely and in line with any legal or Group has appointed Andrew McColl as the group’s regulatory requirements. finance director. Previously Mandy worked in the public sector for 36 His appointment follows former group finance director years, starting her career as an internal auditor specialising Martin Greenwood’s decision to retire in March 2020 after five in governance reviews and investigations, before moving to years with the group. the NHS as a performance policy development officer. Andrew joins from Teesside-based housing association Thirteen Housing Group, where he held the post of director of finance (treasury & investment). National learning disabilities charity Hft has appointed He started his career in banking as a graduate at Northern Rock before leaving Steve White as its interim chief executive for the next to join NatWest and RBS, initially as a relationship manager in business banking, six months. before moving up to portfolio director in the corporate banking division. During a career spanning more than 20 years, Steve has held a number of executive and non-executive roles Luxury retirement village provider Audley Group has appointed across commercial and not-for-profit sectors, often in Nick Edwards to the newly created post of chief operating regulated, complex and politically challenging officer, reporting to Audley group chief executive Nick environments. Sanderson. He joins having previously held interim chief executive Mr Edwards also becomes an executive director of the positions at The Papworth Trust and Habinteg, where he helped these Audley Group board; he has been a non-executive director for organisations develop and implement sustainable services. Steve is also chair of the past five years during his tenure as chief financial officer at Moat, a large housing association. Moorfield Group, the private equity real estate fund manager Steve joins Hft as an experienced business leader to steer the charity through that manages the Moorfield Audley Real Estate Fund. a transition period between CEOs. He will be responsible for developing and Audley Group said the appointment signalled its scale of intent as it prepares for driving through Hft’s current change programme of transformation projects. This a sustained phase of accelerated growth. Audley Group has a portfolio of 20 villages will include leading on the implementation of ‘Fusion Biz’, Hft’s business model across the Audley Villages and Mayfield Villages brands. It added that the retirement which is designed to deliver successful commercial and financial performance living sector was growing exponentially. across all aspects of the charity’s operations.
NOVEMBER DECEMBER JANUARY FEBRUARY I Young Dementia I Caring Times I Caring Times I National Care Awards Annual Conference Christmas Lunch Achieving Outstanding Winners’ Lunch and Realising Value DATE: November 20 DATE: December 12 DATE: February 13 VENUE: St Giles Hotel, London VENUE: Dorchester Hotel, DATE: January 2020 VENUE: Coutts, London London VENUE: Brighton I HealthInvestor Power Fifty I Caring Times Introduction to 16 DATE: November 27 Corporate Finance VENUE: The Landmark London DATE: January 2020 VENUE: Brighton I National Care Awards I Health Investor DATE: November 29 Insight Series South VENUE: Hilton London DATE: January 2020 Metropole VENUE: Brighton
For further information on these events, or to book a place, telephone the Events Team on 0207 720 2109 Alternatively, please visit www.ipevents.net or www.careinfo.org/events or [email protected] or [email protected] 02-17CT1219gh.qxp_Layout 1 08/11/2019 14:28 Page 17
December 2019 moving around www.careinfo.org
Kinlay Burns has been appointed deputy manager at in association with Robinson House Care Home, a Brunelcare care home. Kinlay Appointments will be responsible for the clinical team which looks after the nursing needs of Brunelcare residents. The new role allows Complex care provider Exemplar Health Care has her to reach back to her paramedic routes and implement her appointed a commissioning home director at each skills into her new role, making a difference to the residents of of its three new care homes in Leeds, Hull and Preston. The new homes will the care home. welcome a total of 80 service users across the three sites. Her previous role, still within Brunelcare, was extra care Joining the team are Sharon Burton at the newly opened Copperfields in housing manager at Waverley Gardens Leeds, Denise Hampson at Ribble View in Preston and Kath Dye at St Andrew’s Court in Hull. Outlook Care, a not-for-profit health and social care Sharon Burton brings more than 30 years of experience in health and care to organisation which provides support and care to people with Exemplar’s Copperfields home in Leeds. Having worked across a range of roles – a learning disability, those with mental health needs and older from consultant nurse to director of governance – Sharon developed her expertise people across north and east London and Essex, has at the Royal Hospital for Neuro-disability, BMI Healthcare and Bupa. Copperfields welcomed Barbara Hunt as its new director of operations will provide specialist nursing care for 30 adults living with complex needs, and business development. including people living with complex dementia and long-term mental health Barbara qualified as a general nurse in 1986 and went on conditions. to work in a large institution for women who had learning Kath Dye has 35 years’ experience of working across mental health, learning disabilities. She was shocked that these people who were disability, autism, neuro-disability, dementia, older adults and secure services for not ill, but victims of social circumstance, were living in a hospital, cared for by employers including the NHS, Barchester Healthcare and The Huntercombe nurses, with no control over their lives simply because they had a learning disability. Group. St Andrew’s Court is a specialist nursing care home for up to 18 adults The horror of their plight affected Barbara profoundly and she was determined living with dementia, mental health conditions, physical and neuro-disabilities, to always do everything possible to represent the rights and autonomy of brain injury and stroke. vulnerable people. Denise Hampson joins Exemplar to lead Ribble View, the care provider’s new Following the Community Care Act of 1990, long-stay hospital closures began in specialist nursing care home for adults living with mental health conditions and earnest and Barbara worked as part of the resettlement programmes, mainly neuro-disabilities in Preston. Denise has more than 23 years’ experience of adult managing small community-based homes for adults with learning disabilities. and child complex care, having held roles with Bury Social Services and the She moved from the NHS into the voluntary sector, then later, in 2000, spent Pennine Acute Trust, as well as care home providers HC-One and Pearlcare. several years as service manager in two local authorities as principal officer for services for adults with disabilities. She held the position of safeguarding (POVA) lead for two years. Laura Oliver has been appointed centre manager at Barbara’s appointment is as a result of Anne Cooper’s retirement. Waverley Gardens, a Brunelcare extra care housing site in Bristol. Laura started her role in October and is responsible Borough Care has appointed Nick Pennell as its new head for the day-to-day running of the site including everything of finance, responsible for managing the group’s finance from staffing to ensuring happy tenants . team. The emphasis of his role will be updating the Laura has nearly eight years’ experience in community company’s financial processes and reporting capabilities, to care, starting her career as a reablement worker with help improve efficiency, through the introduction of new Brunelcare in 2011, then progressing to team leader and then technology and systems. operations manager in 2016. Nick joins Borough Care from KPMG, one of the ‘big four’ accounting firms. His most recent role was deputy finance Randolph Hill Nursing Homes Group has appointed director of KPMG Learning Services. Julie Kennedy to head up its marketing operations. In a Borough Care is the largest not-for-profit provider of care for older people in newly created role, she takes responsibility for setting up the Stockport and has eleven homes across the borough. group’s marketing function to promote its six nursing homes in Scotland through a variety of media channels. Hampshire-based specialist care provider Cornerstone Julie joins from Oscha Slings Ltd where she was head of 17 Healthcare has appointed Greg Pounds as its general customer, marketing & sales. She has also worked in senior manager for business development. marketing roles for Tesco Bank and RBS. Julie’s appointment Greg joined the growing company in September in this comes as part of Randolph Hill’s ongoing investment in its newly created position, bringing with him a wealth of business. In April the company reopened its nursing home in Gullane following an healthcare experience within this specialist market. £9m rebuilding and expansion project. Cornerstone Healthcare chief executive Johann van Zyl said Greg’s knowledge, experience and dedication were Made a recent senior appointment? exactly what the company needed to hit its expansion targets and help to care for residents in what was an underserved market. Let us know! “Over the next five years our aim is to open further homes to offer the same I Care home managers I Operations directors excellent levels of care and give those with the most complex needs the best quality I Senior nurses I Finance directors of life and Greg will be fundamental to making this happen,” he said. I Dementia specialists I Activities co-ordinators Cornerstone operates two specialist nursing homes in Hampshire: South Africa I Chief executives I Marketing & personnel Lodge and Kitnocks House. The homes care for people with challenging behaviours associated with complex neurological, physical and mental health needs. Email: [email protected] Hilton London Metropole 29 November 2019
Carer 2019 • Karen Brockschmidt, The Good Care Group • Fay Kirrage, Rowan Lodge, Forest Care Ltd • Mercy Odipe, Outlook Care • Lavinia Tanu, Balhousie Care Group • Ben Watts, Deansbrook, Consensus Support
Care Registered Nurse 2019 • Laxmi Bankar, Jubilee House, Care UK • Bijumen Joseph, Marigold Nursing Home • Anna Piaskowska, Merlewood Care Home, Elizabeth Finn Homes Ltd • Vanessa Peixoto, Ashley Gardens Care Centre, Healthcare Homes Group • Vicky Thrasher, Choices Housing Association
Care Team 2019 • Karen Gostic & Nadine Vail, Kimberley Care Village, Pearl Health Care Group • Brian Moyo & Louisa Bayliss, The Hawthorns, Shaw Healthcare • Alex Ball & Silvia Nunes, Ford Place Nursing Home, Stow Healthcare Group Ltd • Jody Sedgwick & Gill Dunn, Gracewell of Sutton Coldfi eld’s Care Team, Sunrise Senior Living UK & Gracewell Healthcare • Theresa Shell & Marie Forrester, Wisteria Lodge, Wisteria Lodge Ltd
Care Home Manager 2019 • Grace Adan, Oak Lodge, Forest Care Ltd • Samantha Evens, Dove Court, Doveleigh Care Ltd • Pat Haley, Belstead Mews, Consensus Support • Nicole Homewood, St Mary’s Residential Care Home, Institute of Our Lady of Mercy Wright Care Solutions • Gabriela Ogreanu, Sefton Hall Residential & Nursing Home, Southern Healthcare
Dementia Care Manager 2019 • Beverley Manzar, Ebury Court Care Home, Ebury Court Residential Home Ltd • Shahnaaz Mohammad, Sandown Park Care Home, Healthcare Homes Group • Michelle Phillips, EachStep Blackley, Community Integrated Care • Mary Tasker, The Hawthorns (Evesham), Shaw Healthcare • Richard White, Cedar Court, Four Seasons Health Care #CareAwards
Care Operations/Area Manager 2019 • Deborah Christian, Westgate Healthcare • Emma Dean, Sunrise Senior Living UK and Gracewell Healthcare • Ruth French, Stow Healthcare Group Ltd • Sue Houldey, Coate Water Care • Aderio Rocha, TLC Care
Care Activities Coordinator / Facilitator 2019 • Paul Dixon, Mill House Care Home, Caring Homes • Frankie Conroy, Community Integrated Care • Jane Shaw, Eastern County Care • Tanya Smith, Huntly Care Home, Balhousie Care Group • Maxine Wright, MHA
Care Housekeeper 2019 • Julie Doyle, Barton Brook Care Home, HC-One • Leah Howells, Ty Enfys Care Home, Hallmark Care Homes • Kim Oliver, Ferndown Manor, Care UK • Theresa Osbourne, Avondale Care Home, Porthaven Care
Care Chef 2019 • Wesley Brooks, Ashley Gardens Care Centre, Healthcare Homes Group • Carrie-Ann Higgs, Forest Healthcare • Michael Scannella, Banstead Manor, Hallmark Care Homes • Graham Watson, Lauder Lodge, Care UK • Carl Weston, Cuffl ey Manor, TLC Care
Care Home of the Year 2019 • Grace Adan & Chesca Ferguson, Oak Lodge, Forest Care Ltd • Nancy Rasool & Fatma Makalo, Bridgeside Lodge, Forest Healthcare • Mary Tasker & Lynda Hobday, The Hawthorns, Shaw Healthcare • Gabriela Ogreanu & Geoffrey Cox, Sefton Hall Residential & Nursing Home, Southern Healthcare • Alex Ball & Silvia Nunes, Ford Place Nursing Home, Stow Healthcare Group Ltd
The Dignity and Respect Care Home of the Year 2019 • Juliana Miles & Maggie Ziemianska, Manor Lodge, Care UK • Louise Waine & Paul Dixon, Mill House Care Home, Caring Homes • Helen Smith & Fiona Morris, Stroud Lodge, Choice Care Group • Ruben Hidalgo & Katriona Beeton, Alexandra Grange, Hallmark Care Homes • Sonya Fenwick & Bibi Pokeerbux, Coombe Hill Manor, Signature Senior Lifestyle
Care Apprentice 2019 • Keith Arnold, Quantum Care • Zoe Couchman, Appleby House, Care UK Care Champion 2019 • Paul Dixon, Mill House Care Home, Caring Homes • Sue Hinds, Birkdale Park Nursing Home • Gill Howard, Olive House Care Home, Healthcare Homes Group • Kerry Monaghan, Rowan Lodge, Forest Care Ltd • Vince Povey, Coate Water Care • Carly Smith, Manor Community
Care Leadership 2019 • Lorna Badrick, TLC Care • Jonathan Cunningham, Birkdale Park Nursing Home • Gillian Edwards, Community Integrated Care • Dominique Kent, The Good Care Group • Nadine Vail, Kimberley Care Home, Pearl Health Care Group
Care HR Manager/Director 2019 • Lucy Connolly, HC-One • Amanda Hardy, TLC Group • Marie Hart, Westgate Healthcare • Genevieve Glover, Barchester Healthcare • Chloé Moore, National Care Group
Care Home Group 2019 • Mark Sherriff & Tracey Fletcher-Ray, Caring Homes Group • Mark Aitchison & Elaine Farrer, Colten Care Ltd • Genevieve Glover, Barchester Healthcare • April Dobson & Aneurin Brown, Hallmark Care Homes • Ruth French & Silvia Nunes, Stow Healthcare Group Ltd
Lifetime Achievement in Care 2019 • Valerie Egan, Borough Care Ltd • Rose Hayes, Henry Nihill House, St John of God Hospitaller Services • Mary Houghton, Tudor Bank Nursing Home • Adam Knights, Dunston Innovation Centre, Knights Care • Marie Shillaw, Jack Dormand, HC One
Care Personality 2019 • Jonathan Cunningham, Birkdale Park Nursing Home • Justin Hutchens, HC-One • Robert Kilgour, Renaissance Care • Sylvie Silver, NAPA/Consultant We extend a huge thank you to our Sponsors, without whom this celebration would not be possible. Special thanks to our Main Sponsor, Christie & Co for their continued support!
main sponsor dinner programme sponsor entertainment sponsor
winners’ lunch partner photobooth sponsor drinks reception sponsor fi nalist’s prize sponsor
category sponsors
#CareAwards
We are so pleased that Coutts have once again partnered with Caring Times to host our Winners Lunch on Thursday 13th February 2020. This special event will take place at the gorgeous Coutts Headquarters on the Strand London, with a decadent lunch to celebrate with the winners, judges and sponsors of the 21st National Care Awards 2019! 22-27CT1219gh.qxp_Layout 1 07/11/2019 16:34 Page 22
December 2019 best practice www.careinfo.org Mindfulness in care It is believed that depression and anxiety affects one in five people and is even more common in later life. KAROLINA NOWADCZYK, a team leader at Bristol-based charity Brunelcare has been helping residents and staff to practise ‘mindfulness’. Here she talks about the techniques and how they have benefited both groups.
ith depression being the animals can help with most common mental health depression, anxiety, and problem in people aged over stress, as well as providing Karolina Nowadczyk with Brunelcare colleagues, whom she 75 it is vital that the invisible great companionship. encourages to look after themselves while they care for others. diseaseW is recognised and treated as having After the session we saw a reduction of the same significance as a physical ailment. stress levels and anxiety in our residents in dementia found that mindfulness was quite In recent years mindfulness has become the days that followed. a release. I was helping her with breathing increasingly popular as mental health Another project that was a huge success exercises so she could relax and reduce her awareness grows. The reported benefits of was introducing child-buddies into the care anxiety; she continued to practise this and practising mindfulness range from improved home. Children volunteers came into the we saw a real change in her. mental and physical health to reducing care home and the residents were able to Now, due to the success of the classes with chronic pain and facilitating recovery from interact with the children, have a the residents I have been reaching out to the illness. It’s time we start addressing mental conversation with them and play games. employees, imparting wisdom about health and implementing mindfulness This allowed residents not only to be mindfulness in the workplace. I have within the care sector. sociable but also build confidence, so devised a three-hour course which focuses Since 2017, I have been helping residents reducing their anxiety and stress levels. on how to recognise stress, mindful eating and colleagues in Brunelcare’s Deerhurst Touch is also very important for residents and guided meditation. The biggest benefit care home to learn mindful techniques to who are living with dementia and also have is how it has strengthened the team. They’ve help bolster their mental health and well- impaired hearing. I would offer soothing become even closer and are working being. I’ve been employed by Brunelcare, a hand and foot massages to relax and ease the together better than ever. It’s important to Bristol-based charity which has been residents that were not able to hear my teach them to look after themselves while providing housing, care and support for mindfulness teaching. they look after others. older people in the South West for 12 years. Another group I ran was a cognitive Practising mindfulness techniques such as In this time I have trained to become a stimulation therapy session which cognitive stimulation therapy and one-to- counsellor, obtaining a level 4 qualification stimulates engagement among people with one breathing sessions alongside 22 in humanistic counselling, a therapy that mild dementia. This is a therapy that focuses socialisation has helped alleviate anxiety and focuses on a person's individual needs, and on a different topic each week for several stress and promote the well-being of our a level 5 in cognitive behavioural therapy, weeks to help improve the mental abilities residents. I am excited to continue providing which addresses a person’s mental health and memory of residents with dementia. mindfulness support across Brunelcare. problems by altering the way they think What I found fascinating was that after I hope other care homes will take and behave. seven weeks of running this session a mindfulness on board. It has made a notable One project had a huge focus on residents resident with dementia was able to difference, helping to minimise the use of who are living with anxiety. The goal here remember what he needed from the shops antipsychotic medication and helping was to minimise their use of antipsychotic for the first time in 12 years. residents who are living with dementia to medication, drugs used to manage I have used mindfulness with residents on remain calm and relaxed. It is estimated that psychosis, schizophrenia and bipolar. To do a one-to-one basis too for years and I have 85% of older people (65 years old and this we did a number of activities, one was seen first-hand how I can minimise their above) receive no help at all for mental bringing in animals for the residents to meet, stress levels and promote their illness, something that needs to be as it has been scientifically proven that well-being. One resident who had advanced addressed in care. 22-27CT1219gh.qxp_Layout 1 07/11/2019 16:34 Page 23
December 2019 wales www.careinfo.org Social care By MARIO KREFT, workers chair of Care Forum Wales Do not undervalue our national treasures
he people who work in care homes and Things are bad now. But be prepared for domiciliary care companies are them to get a lot worse unless urgent action is Tnational treasures and they need to be taken to sort it out. Very few individuals or appreciated as such. organisations are investing in building new Instead, the social care sector and in care homes. That’s down to the mathematics particular independent providers have of social care which are depressingly Welsh Government, which has included the traditionally been viewed as a Cinderella straightforward and this also resulted in low sector as one of the four main pillars of the service, something that is somehow separate pay for many working on the front line when Welsh foundation economy. It has completely from the NHS rather than being incorporated we should instead be investing in them. changed the dynamic; the recognition of as an essential part of an integrated health The fees paid by local authorities and social care as being important to the and social care regime in Wales. health boards are largely predicated on foundation economy was a game-changer. The truth is that social care has all too often keeping pay at low levels, often no more than That changing narrative now needs to feed been seen as a cost rather than something that the statutory minimum wage. into the calculations of local authorities and has great value to society and as a force for The social care workforce is largely made health boards when determining the fees good that binds our communities together. up of women and I believe there is an element they pay for social care, especially as the That is one of the underlying reasons why of discrimination here, not by any individual services they provide underpin the NHS and social care is in crisis. It is only in very recent or any particular organisation but by society help it keep functioning. times that this has been understood and as a whole. It’s a nonsense to say that social We need to ensure that older people and indeed there are some very encouraging care is a low-skill occupation. It is the people with disabilities and with special needs signs, but we have a great deal of ground to opposite of that. You may not need an ‘ology’ have the best possible quality of life. We need make up for past mistakes. from university but you do need some really to ensure that the procurement process for The upshot is that care homes and important qualities and skills. To be a great social care is fair and transparent and that the domiciliary care companies have been care practitioner you need things like a high fees set across Wales enable us to do the right chronically underfunded for decades, while level of emotional intelligence, kindness and thing by the people who work in the sector 23 the workforce has been chronically compassion. Sadly, as yet, an economic tag and the people for whom they provide care. undervalued. It’s a situation that has been has not been put on these qualities. That means establishing and following a made worse because we have a rapidly Social care is also an economic realistic toolkit to calculate fair fees so that growing number of people whose needs are powerhouse which contributes more than care homes and domiciliary care companies ever more acute. £2bn a year to the Welsh economy and are financially viable so they can pay staff Fact one: over the next 20 years the over employs six per cent of the Welsh workforce. what they truly deserve. Instead of being 85-year-old population is going to double. We set up the Wales Care Awards to predicated on paying the minimum wage, recognise the wonderful work that they do the pay formula adopted by local authorities Fact two: the number of beds available in and the so-called Oscars of social care are and health boards should be based on paying social care is diminishing because care homes now in their 17th year. the voluntary living wage. That should be the are closing across Wales. There are signs now that the tide of public baseline for all social care workers in Wales. Fact three: it is increasingly difficult to opinion is turning and the value of social care We cannot continue undervaluing our recruit and retain staff. has, to its great credit, been recognised by the national treasures. 22-27CT1219gh.qxp_Layout 1 07/11/2019 16:34 Page 24
December 2019 activities www.careinfo.org The play’s the thing at MHA
ecently, residents at MHA Elmside care home in Hitchin performed a Elmside in Hitchin Rplay they had been busily rehearsing for months. Written by Arthur Keyser and titled ‘Mother’s Day’, the play is a comedy which aptly takes place in a retirement apartment. It centres around a mischievous mother named Molly who, disappointed that her daughter isn’t visiting as many times as she would like, plays a trick on her with the help of her fellow residents. The play involved six residents including Gwen Johnston as Molly, Mary Sanchez as Molly’s daughter and Bill Shinn as the narrator – each of whom had to learn their lines and attend multiple rehearsal sessions before taking to the stage. The audience was made up of relatives, staff and other residents who all thoroughly enjoyed the performance – especially when one member of the audience was invited up on stage to play the part of ‘Frank, the man- ager’. Those from the home’s dementia area, Cedars, were also given walk-on parts so that they could be involved. Leon Coleman, an actor and professional performer who has experience working with the older generation to produce plays such as these, volunteered his time to work closely with the residents during numerous theatre workshop sessions, both individually and as a group. The selection of the storyline was a team effort, with Leon understanding that the set- ting and events in the play had to offer a Gwen Johnston and Jean Brotherton run through some animated dialogue during rehearsal. sense of familiarity to the residents so that they could relate to the characters they were for the kind of care home it is – a place that is MHA Elmside activities co-ordinator 24 playing. He also knew the residents would constantly looking for new ways to enhance Rhonda Challis said the play had given resi- enjoy the comedic elements of the story, as the lives of its residents. All props used were dents an opportunity to express themselves this was something they had previously donated and audience participation was and showcase their talents. expressed an interest in. encouraged throughout the performance. “I thoroughly believe that activities such The production encouraged relatives and The starring residents were even available to as this are groundbreaking,” said Rhonda. the local community to engage with Elmside sign autographs for their fans afterwards. “We can’t thank Leon enough. Everyone enjoyed the final performance – it was such a fantastic evening. For more great ideas on “Leon has helped our residents to build confidence and develop their acting abili- activities for residents, go to: ties – they have all loved taking part. It’s been lovely for the residents’ families too, Caring Times’ official website www.careinfo.org who have enjoyed seeing their loved ones so animated and engaged.” 22-27CT1219gh.qxp_Layout 1 07/11/2019 16:34 Page 25 22-27CT1219gh.qxp_Layout 1 07/11/2019 16:34 Page 26
December 2019 legal landscape www.careinfo.org
alling foul of the regulator is an ever- Having attended a one-day symposium on current legal present risk which all care providers Fmust run in their endeavours to issues affecting social care providers, hosted by Ridouts provide the best possible care while maintaining business viability. For many Professional Services, Caring Times editor Geoff Hodgson there is also the often vexing process of shares something of what he took away from a day packed negotiating local authority contracts and then making them work to everyone’s satisfaction. with useful information and guidance. Managing regulatory risk
All operators have to cope with the coils and activities programme, in correspondence director solicitor Jenny Wilde’s session on toils of employment law and know how best from families, posters, photographs and holding the CQC to account was that many to protect their reputation if things go pear- press cuttings. providers were either unaware that the shaped and they find themselves in the glare Managing director Paul Ridout took his regulator can be challenged, or were reluctant of the media spotlight. legal razor to local authority contracts, to do so, for fear this would damage their At its 2019 Symposium at the King’s Fund stressing their binding nature and the need future relationship with the CQC. in early November, Ridouts Professional for them to include provision for future “We have found that holding the CQC to Services, a long-established law firm which negotiation subject to tribunal. account makes the regulator more cautious exclusively champions providers, gave “Contract terms should be clear and when evaluating in the future,” said Jenny. those who attended the benefit of its “The key thing is that any many years’ experience in helping unchallenged report will be taken as providers deal with commissioners, accurate and even if the regulator does employment tribunals and, of course, not accept a provider’s position, the the Care Quality Commission. evidence used to make the challenge can In her presentation on managing and also be made available to other challenging CQC inspections, solicitor stakeholders such as commissioners or Anna Lemma stressed the need to concerned family members.” engage with inspectors; to point out Consultant Anne Smith spoke evidence of good care and best practice, about managing regulatory breaches, to steer them to the appropriate highlighting management documents and records, and to closely Managing director Paul Ridout and deficiencies which could lead to monitor the inspection process, making director solicitor Jenny Wilde. breaches occurring. notes and asking questions. “Care planning should be done at the “Ensure there is clarity about anything bedside,” said Anne. “We need to observe CQC requires during the inspection, write it simple,” he said. “If there is something a the residents and involve them. I think there down and provide it promptly,” she said. provider does not understand, they should is often a problem in that those in charge of Anna presented a very comprehensive and query it; it will often be the case that the shifts are not sufficiently trained to be detailed guide to managing an inspection commissioning body doesn’t understand it empowered to lead good practice. and on how to go about challenging either. What is crucial is that the provider Handovers are very important in the 26 subsequent findings and reports. What I took must consider how the contract will play out continuity of care and can be a valuable away was the need for providers to supply over the course of its legal lifetime.” element of training. Whenever possible any requested extra information promptly Associate solicitor Laura Paton’s address managers should be participating in and to ask for clarification about any issues on CQC’s ‘Registering the Right Support’ handovers and I’d like to see more care the provider is unsure about. guidance was aimed mainly at specialist care homes using documented management Also, at all stages, both during and after providers, but both Laura and Paul flagged walk-rounds.” the inspection, providers should challenge up that providers should be aware that the It was a very full day, with presentations any aspects of the inspection or inspection regulator may well be contemplating on dealing with staff grievances and reports they are unhappy with, supporting extending some of the concepts such as size handling media enquiries. their concerns with documentary evidence. of facility, location and market need to care So while the sixty or so providers who Anna pointed out that providers can find of elderly people as part of CQC’s ‘market- attended the symposium went away with a evidence to support their position not only in shaping function. worrying awareness of the multitude of statutory records such as care plans, but also, Two ‘breakout’ sessions were part of the pitfalls, they also took with them some sound for example, in demonstrating a dynamic programme and the core message I took from principles to apply. 22-27CT1219gh.qxp_Layout 1 07/11/2019 16:34 Page 27 MEET THE WINNERS MEET THE WINNERS
category sponsors
THURSDAY 7TH NOVEMBER DONCASTER RACECOURSE
Outstanding Dementia Care Resource 2019 Massive Open Online Courses, Newcastle University The Judges chose Massive Open Online Courses because of the quality of development and design, potential reach and accessibility. The product has comprehensive content which continues to be developed in response to carer needs and to meet the needs of an international audience. There is potential to enhance the MOOC to meet professional carers’ needs, which has been recognised and is being responded to. The MOOC is an example of facilitating the uptake of evidence.
Outstanding Dementia Care Innovation 2019 Downshall Intergenerational Provision, Downshall Primary School The service clearly demonstrates the potential for benefi tting people living with dementia, their care partners, the wider community and for developing skills and abilities of children. The Judges felt that this amazing service can be replicated as shown by the current expansion into more boroughs.
Best Dementia Carer 2019 Ebrahim Razavi, Maycroft Manor, Hallmark Care Homes Ebrahim demonstrated a real depth of compassion and empathy towards not only the residents but peers. A calm and patient, but engaging manner came across to the Judges with a maturity that is bound to develop over time. Ebrahim is a great example to others.
Best Activities Co-ordinator for People Living with Dementia 2019 Angela Hedley, The Oaks, Hill Care Ltd The Judges were very impressed with Angela’s quiet and confi dent, gentle demeanour. The way she described her work with people with dementia was authentic and inspiring. Her commitment to her residents and what makes them shine is why she was chosen as with winner.
Best Dementia Nurse Specialist / Dementia Lead 2019 Carol Rushton, Pennine Care NHS Mental Health Carol radiates a love and a passion for the people she cares for and works with, said the Judges. She and her team work in a unique way by off ering long term follow up in partnership with primary care and the voluntary sector. 31 years in the NHS and she obviously still loves it!
Best Dementia Care Manager 2019 Katherine Matthews, Perry Manor, Care UK The Judges chose Katherine because she has consistently demonstrated passionate, inspiring leadership to create an environment within which the unique assets of residents, families and staff are highlighted to deliver and improve care. Katherine is an innovator with fi re in her belly; a positive risk taker who prides herself in empowering others to be better.
Best Dementia Garden 2019 Broadwater Lodge, Care UK The Judges chose the outdoor space and farm at Broadwater Lodge because it is used imaginatively to ensure meaningful outdoor experiences for all residents and provides extensive and fun opportunities for ongoing relationships with the local community. MEET THE WINNERS MEET THE WINNERS
#DementiaCareAwards
Best Dementia Training Initiative 2019 Learning from Living with Dementia - A Dementia Awareness Course Dementia Trainers/Educate Learning from Living with Dementia was chosen by the Judges because they demonstrated that the best people to train and raise awareness in healthcare professionals about dementia, are those living with it. Innovative, thoughtful and inspiring.
Best Interior Dementia Design 2019 Old Silk Works Dementia Day Club, Alzheimer’s Support The Judges chose the Old Silk Works Dementia Day Club for three clear reasons: the design is inclusive, creative and imaginative. There is an ever-evolving use of open plan space, and the initial and ongoing collaboration with the community is outstanding.
Dementia Care Champion 2019 Paul Dixon, Mill House Care Home, Caring Homes Paul’s out of the box, inspirational attitude and his tenacious ‘can do’ approach makes a massive diff erence to many peoples’ lives, said the Judges. He believes everyone should have equal access to participation, creating opportunities for residents to work with local businesses.
Exceptional Contribution by a Person/People Living with Dementia 2019 Wendy Mitchell The Judges chose Wendy, author of a best-selling book and recipient of two honorary doctorates, because of her vigorous campaigning, magnifi cent achievements and encouragement of others in raising awareness and reducing stigma associated with dementia at a local, national and international level.
Outstanding Arts and Creativity in Dementia Care 2019 Collaboration between Imperial College Healthcare NHS Trust and Royal Central School of Speech and Drama, Imperial College Healthcare NHS TRust & Royal Central School of Speech and Drama This project has developed unique, innovative and creative initiatives to truly aff ect the lives of hospital bound people with dementia. Using the power of the arts, their ideas have brought together a wide spread of people, including hospital staff , primary school children and drama students. Impressively, the Judges felt that they have broken a typically medical and process-heavy system to embrace something new, exciting and impactful which aff ects lives through joy.
Best Dementia Team 2019 St Cuthbert’s Hospice Dementia Service, St Cuthbert’s Hospice With limited resources, this team have delivered so much, said the Judges. They are a fl agship for the hospice movement and a great partnership between Admiral Nurses and Namaste Care. They care for each other and share what they deliver in hospitals, with plans to take it into prisons as well. This award will help them take their service to the next level.
Best Dementia Friendly Hospital 2019 East Surrey Hospital, Surrey and Sussex Healthcare NHS Trust The Judges chose East Surrey Hospital because of an exceptional cultural driver towards making the whole hospital dementia friendly. As a result of this, there have been signifi cant changes involving the environment, music and garden, the clinical pathways and social experience. There is a ‘golden thread which runs from ward to board’. For them, “nothing is impossible”.
Best Dementia Care Home 2019 Munhaven, NorseCare Munhaven are a small home with a big heart, said the Judges. They recognise the importance of ‘being’, not ‘doing’ and the benefi t of accessing the outdoors with a real emphasis on community engagement.
Lifetime Achievement in Dementia Care 2019 Dawn Brooker, University of Worcester The Judges said that Dawn has brought the concept of positive dementia care to the widest possible community, while maintaining the highest standards of academic research and creative project development. 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 30
December 2019 retirement living www.careinfo.org Integrated housing with care GARETH LYON, head of policy and comes of age communications for Associated Retirement Community Operators (ARCO), outlines the built the development) will agree to take on responsibility for repairs and maintenance thinking behind the latest integrated models which may be needed on the site, as well as of housing with care. the risk of rising costs in running the community. Residents can agree to lower modern smartphone would have this model will become than would be expected service charges and been hard to describe twenty years more prevalent in fix these at their current level in cash terms. Aago. Almost everyone could have people’s minds. In exchange for this certainty and peace of understood the concept of a telephone, a In the UK, two-thirds mind, residents will agree to transfer a camera, a web browser, a car key, a diary, a of retirement percentage of the resale value of their music player and a credit card. Yet the communities are currently provided as property to the operator when they concept of what an integrated model would affordable housing for people of modest eventually leave. Under ARCO’s Consumer look like would not have been easy to means by housing associations or not-for- Code (mirrored in forthcoming government imagine for most, but now many of these profit providers. This part of the sector is regulation) operators need to be fully traditionally separate devices are now continuing to see strong demand from local transparent and upfront with buyers about facing obsolescence. authorities, and the UK should be proud these costs right from the first contact they The first retirement community predates that we have found ways to cater for older have with customers. the smartphone by more than a hundred people who do not own their own home. But Most consumers can see the benefits of the years – Whiteley Village in Surrey was the really fast growth is aimed at the lifestyle, peace of mind and security founded in 1907 – yet it took the overwhelming majority of older people who provided, and are happy with the model, development and eventual levelling off (and do own their own home. provided the operator has been transparent in some cases, decline) of models which Those wanting to purchase their own throughout. The long-term operational provide some similar functions – sheltered retirement community apartment are model this creates has attracted institutional housing, retirement housing, care homes and woefully underserved at the moment, and capital into the retirement community sector domiciliary care, before retirement from the likes of Legal & communities could come into their own. General and AXA. Sometimes referred to as extra care, In the UK only 0.5% of over retirement living, retirement villages or 65s currently live in retirement about a dozen other terms, retirement communities. In comparable communities combine good housing with countries such as Australia, the option of on-site care whenever it may be New Zealand or the United needed, 24-hour staffing, as well as States there is more than ten restaurants, extensive communal facilities times the level of provision per and the convenience of an active community head of population – at 5-6%. on one’s doorstep. They enable older people We know that the 30 to enjoy a lifestyle which keeps them active, Government has also seen the social and independent for longer. opportunity of our sector and is Effectively then a retirement community should be enabled to benefit from the well- encouraging it to grow. In July both the is a smart device including housing, evidenced improvements in health, well- housing minister and the care ministers optional care, support, a restaurant, gym, being and independence which come from spoke at ARCO’s annual conference and cafe and social club. They are retirement communities. supported the sector’s ambition of growing fundamentally different to care homes and Many of these people describe themselves to 250,000 people by 2030 (up from 75,000 traditional retirement flats or sheltered as equity rich and cash nervous (rather than now). We were also told that housing with housing, both of which are far more well the traditional formulation of cash poor.) As care will play a key role in the long-delayed known throughout the UK. Over time, such, the business model used by most of the Social Care Green Paper. familiarity will breed understanding and – new entrants to the market depends on risk- There is strong cross-party support for the with three quarters of the planned growth transfer from the resident to the operator. sector and we know that the political, in older people’s housing consisting of This means that the operator (which will business, economic and demographic tides retirement communities – it is likely that usually be the same company which initially are all shifting our way. 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 31
Last chance for bookings
th 20 November 2019 St Giles Hotel, London
#YoungDementia
PROGRAMME Towards equity and excellence 08.30 Registration in clinical support 09.25 Welcome The Journal of Dementia Care is delighted to 09.30 Morning Session
announce our Youngth Dementia Annual Conference 11.15 Refreshments is returning on the 20 November 2019 at St Giles 11.30 Mid-morning Session Hotel, London. In association with the Division of 13.00 Lunch Psychiatry, University College London (UCL), the 13.45 Afternoon Session theme will be ‘Towards equity and excellence in 15.15 Refreshments clinical support’. 15.30 Afternoon Session 16.30 Close Our one-day conference hosts an inspiring agenda of expert speakers. It is an essential update for clinical staff, researchers and all those interested in young onset dementia, providing an excellent opportunity To see our full developing for networking, knowledge sharing and discussing programme and to book the latest developments in clinical support. your place:
careinfo.org/events Book your place: Tickets £155 + VAT
organised by in association with booking enquiries and queries: [email protected] sponsorship & exhibition opportunities: [email protected] 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 32
December 2019 retirement living www.careinfo.org Private senior living housing supply will grow by 30% in next five years
Knight Frank predicts the value of the senior living sector’s real estate assets into alternative markets. Phil Bayliss, chief executive of later living private rental market to increase by £2.1bn by 2024 at Legal & General, said that with clear social benefits such as a 50% reduction in GP visits n its latest Senior Living Annual Tom Scaife, head of senior living at Knight and 40% decrease in NHS spend, the senior Performance Review, global property Frank, said that on the rental side, there were living sector had the ability to transform the Iconsultancy Knight Frank says that, given more than 4,000 existing senior living private way that people age. the growth of investment into the senior rental units currently in the UK, with 93% “The predicted 30% step-up in supply over living sector in recent years, delivery is due incorporated within wider for-sale schemes, the next five years, identified by Knight to increase rapidly by 2024. while the remaining 7% was being delivered Frank in this latest report, is therefore Analysing the future plans of all major by purpose-built rental accommodation. significant,” said Mr Bayliss. operators against past delivery, Knight “The rental market for senior living is very “The increase in rental property for this Frank is forecasting a 30% increase to the likely to increase in line with the changing demographic is also promising as it is current stock of private senior living units tenure trends across the UK’s wider housing becomes increasingly important to offer over the next five years. This equals an market,” said Mr Scaife. choice and flexibility in all areas of the additional 50,000 private sales and rental “As well as increased interest in purpose- housing market. Whilst all good news, as a units being delivered. built rental, for-sale operators are also country, we still need to do more. The growth in private delivery will not be increasing their allocation of private rented “Clear long-term policy from spread evenly across the country. Knight units pepper-potted in their schemes.” government, which can level the playing Frank predicts that growth will be Knight Frank estimates that the value of field between retirement operators and concentrated largely in the South East, South the private rental market will increase from traditional housebuilders, will be vital to West, Midlands and East of England. And in £1.3 billion in 2019 to £3.4 billion by 2023. continuing to attract investment.” London, the number of available private units This is largely being driven by greater I Knight Frank’s Senior Living Annual priced at more than £1,000 per sq ft is likely to commitments from private equity and Performance Review can be accessed at: rise from 300 to 2,000 by the end of 2023. institutional capital looking to diversify their knightfrank.co.uk/research/ senior-living-annual-performance-review- Private senior living and care home models 2019-6699.aspx
247k*
213k*
153k • Property • Property • Property • Property 32 • Hospitality • Hospitality • Hospitality • Hospitality • Services • Services • Services • Property • Assistance with • Assistance with • Assistance with daily activities daily activities daily activities • Care • Specialised Care • Specialised Care • Nursing Care NUMBER OF EXISTING UNITS/BEDS 21k
AGE RESTRICTED INDEPENDENT ASSISTED PERSONAL NURSING HOUSING LIVING LIVING CARE CARE
Number of existing UK units * This includes privately-owned care homes
Source: Knight Frank Source: Knight Frank 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 33
December 2019 retirement living www.careinfo.org
hile the UK’s aging population has Boundaries between retirement housing and care been the most compelling Wfundamental issue driving communities offering care are becoming less well-defined. investment into the elderly care sector, retirement living has been some time getting Caring Times editor Geoff Hodgson spoke to McCarthy & off the blocks. There are several reasons for Stone’s chief executive JOHN TONKISS about the thinking the slow start; the 2008 recession put the brake on the housing market, discouraging behind its transition from housebuilder to service provider. Working towards more flexible, more affordable retirement living options
older people from selling their family home, question marks hovered above both purchase JOHN TONKISS: We need a radical and rental models, a lack of government support for this end of the housing market – increase in the supply and mix of specialist in contrast to Help to Buy – and capriciously housing schemes for later living, funded by inconsistent planning policies had using existing equity in housing stock. developers on the back foot. While these headwinds have not entirely abated, the retirement living sector is now smart technology, expanded care services and beginning to grow. Developers are road- more catering options. testing various models, both in terms of Drawing on his experience in developing services offered and rental/purchase options, student accommodation, Mr Tonkiss believes and major investors are beginning to take a new compact properties, built using high- real interest. The new provision is, however, tech construction methods, will enable aimed mainly at the upper third of the expensive stretch of residential real estate. Yet McCarthy & Stone to take £50,000 off its market and the rate of supply is falling well it is at facilities such as these that McCarthy & average £300,000 sale price over about 15 per short of projected demand, even within that Stone is now developing its service provision, cent of its product range. But he believes the defined marketplace. offering more care and support, a range of sector needs to continue to lobby McCarthy & Stone, which for more than 40 activities and different tenure options. government to develop policies which years has been the closest thing the UK “There is a big opportunity in the support the sector. retirement living sector has had to a retirement living space,” said Mr Tonkiss. McCarthy & Stone is the undisputed household name, having built and sold well “We have recognised this and so we are leader in the retirement living space and is over fifty thousand retirement properties, is evolving our business model – we are going to looking to build more than 2,000 retirement looking to widen that market and to reinvent be more flexible in the services we provide and units each year. While continuing to operate itself; hitherto perceived primarily as a offer a range of multi-tenure options including its 293 retirement living developments, the retirement housebuilder, the company now rental, part-rent and part-buy options, in company’s 100th Retirement Living PLUS describes itself as a developer, manager and addition to the traditional full purchase. development is due to open early next year, owner of retirement communities. “The shortage of specifically designed and by using standard, more efficient Overseeing the transformation is chief housing for older people is unnecessarily designs, plans to bring its increasingly 33 executive John Tonkiss who, as former chief drawing resources from elsewhere in the flexible options to a wider market. operating officer of the student NHS and local authorities. We need a radical “There’ll be five million more retirees and accommodation provider Unite, has seen increase in the supply and mix of specialist double the number of over-85-year-olds over how lower-cost building solutions can make housing schemes for later living, funded by the next 20 years,” said Mr Tonkiss. bespoke living environments affordable to using existing equity in housing stock.” “If they see the benefits of moving into more people. As part of its transformation from builder to accommodation which suits a retired lifestyle, We met at Horizons, a McCarthy & Stone service provider, earlier this year, McCarthy & that will free-up a lot of family homes, but development of high-quality extra care Stone brought all its care services delivered at many are at present held back by high stamp retirement apartments in Poole, Dorset. The its Retirement Living PLUS developments in- duties and uncertainties over Brexit and the spacious 65-unit, seven-storey development house. This move is seen by the company as a outcome of the general election. If we are overlooks Poole Harbour with views across to critical step towards its vision of creating going to address the needs of this ageing Sandbanks: the very antithesis of deeper and longer relationships with its population then this uncertainty needs to be affordability, much touted as the UK’s most customers, enabling new services including taken off the table.” 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 34
December 2019 building with care www.careinfo.org Go ahead for 22-bed extension at Balhousie Wheatlands
Balhousie Wheatlands, a care home in Bonnybridge, “The extension is part of a £10m capital investment Stirlingshire, is to have a 22-bedroom extension, commitment by Balhousie Care Group which will an award-winning outdoors project, and national include another home extension and work on a new media coverage. facility in Dundee.” Part of the Balhousie Care Group, Wheatlands An outdoors project which Wheatlands has been has gained planning permission for the £3.1m involved in for the last two years was recently named extension which will include 22 more bedrooms, two a winner in Scotland’s Dementia Awards. Organised residents’ lounges, a kitchen refit, new laundry by Forestry and Land Scotland in partnership with facility and new outdoor space. The work is Balhousie Wheatlands, Alzheimer’s Scotland and Balhousie Wheatlands is to have expected to take 12 months. NHS Forth Valley, it was named Best Dementia a £3.1m 22-bed extension. The decision to add more bedrooms follows high Friendly Community Initiative for encouraging care public demand and a long waiting list for Balhousie home residents to take part in woodlands activities. “Because of the focus on physical and mental Wheatlands, which is the only care home in its region The care home has been using the same well-being, we saw no reason why the award and in Balhousie Care Group to hold the Care woodlands initiative to work towards a Natural Health couldn’t be adapted for older adults in our care. The Inspectorate’s top rating of Grade 6. Award. Originally intended for child minders to use most recent Natural Health Award activities have “We’re delighted to be supporting Balhousie with children, the award demonstrates the ways in included building birdhouses that residents painted. Wheatlands and the local community by providing which care home residents can enrich their lives using The effects on the residents are striking with these much-needed bed spaces and facilities,” said nature as a focus, says Balhousie Wheatlands residents taking part clearly focused, smiling and Balhousie group chief executive Jill Kerr. manager Grace Sloan. enjoying the whole experience.” Last residents return to fire-damaged home in Fife Forth Bay nursing home located in Kincardine, close Caring Homes’ care workers, nurses and to the River Forth in Fife, has welcomed back the last hospitality colleagues from Forth Bay followed group of residents to return after the fire-stricken care residents to each of the three locations and home was damaged just over two years ago in August continued to provide care throughout the two years, 2017. despite many facing significant changes to their The return of 12 Forth Bay residents who enjoyed travel arrangements. Such was the dedication of the hospitality of Avondale Care at the Glenbervie care colleagues that some visited on days off with home, following the safe evacuation of residents and residents in other homes, maintaining valued links colleagues, completes the last step by owners Caring and shared passions. Homes to maintain and provide care for more than 51 Forth Bay has undergone a complete refurbishment residents in three different locations whilst investing in the wing that was left standing with a new wing Part of the new wing at Forth Bay nursing home, significantly in the refurbishment and rebuild of the enabling an increase in available beds by six to 58, built after the home was damaged by fire in 2017. nursing and dementia care home. with many new features and benefits. Ironmongery guides for care home specification
A new guide on architectural ironmongery and dimensional guidelines required for lever and pull 34 specialist applications has been launched for those handles, locks, keys, thumb turns and handrails to be specifying hardware in care homes. compliant with BS 8300. The Specifier’s Guide to Ironmongery for Specialist It also covers specifying ironmongery and signage Applications is one of five guides created by the Guild that has strong visual contrast and LRV to assist those of Architectural Ironmongers (GAI) to ensure that with visual impairments to meet BS 8300 guidelines, anyone involved in the specification of architectural as well as legislation that applies specifically to this ironmongery has access to the latest, best such as anti-ligature hardware, anti-microbial door area of architectural ironmongery. This includes the practice advice. All of the guides are available to furniture, finger protection and specialist signage, Equality Act and guidance documents to building download free from the GAI website. detailing relevant product information, current regulations on accessibility throughout the UK and The guide gives information on accessibility standards and best practice. Ireland, including Approved Document M. regulations that impact the specification of There is also a guide to accessibility that outlines The other Specifier’s Guides cover fire and ironmongery, including specialist closing devices, door the best practice guidelines of accessible and escape doors, security and access control. All five automation, visual contrast and light reflective value inclusive design. As well as covering all of the relevant guides can be downloaded for free from the GAI (LRV). It also covers more specific hardware solutions ironmongery, the guide includes information on the website: gai.org.uk 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 35 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 36
December 2019 www.careinfo.org building with care
McCarthy & Stone granted planning permission in Greater Manchester McCarthy & Stone, a major UK developer and completion of a legal agreement, and the packages from McCarthy & Stone’s on-site team. manager of retirement communities, has development will include 64 apartments built to Retirement Living PLUS offers a range of facilities to announced plans for a £20.5m development of 95 McCarthy & Stone’s Retirement Living PLUS residents, including an open-plan bistro, residents’ specialist retirement apartments in Standish, specification – a form of extra care housing. These will lounge, wellness suite and a guest suite. Greater Manchester. be made up of a mix of self-contained one and two- A further 31 apartments will be built to McCarthy & Planning permission has been granted by Wigan bedroom apartments, alongside the option of flexible Stone’s Retirement Living specification, which is aimed Metropolitan Borough Council, subject to the domestic and personalised care and support at the more active older homeowner, but still provides on-site support and maintenance, as well as a shared homeowners’ lounge. Gary Day, McCarthy & Stone’s Group land and planning director said there was significant appetite across the UK for downsizing to a home that is easier to maintain but which still provides independent living. “Despite this and the ageing population in the UK there remains a vast undersupply of suitable housing for older people,” said Mr Day. “Customers who choose to live in high-quality
apartments in the attractive and convenient location of Standish will have the opportunity to live an independent lifestyle, while also having the flexibility to opt for care packages, as required. This is available Impression of McCarthy & Stone’s £20.5m Retirement Living PLUS on-site and provides customers with peace of mind as development planned for Standish, Greater Manchester. their circumstances may change in future.” … and starts work on 92-unit scheme in Berkshire Retirement communities developer McCarthy & stated strategy to create deeper and longer to our 400 managed communities currently open,” Stone is about to begin construction on a £32.2m relationships with its customers. said Mr Day. “The number of older people in the UK is development of 92 specialist retirement apartments in McCarthy & Stone’s group land and planning set to significantly increase over the next few decades, Thatcham, Berkshire. director Gary Day said the Thatcham scheme had with around a third interested in downsizing to a home The development will include 52 apartments built to been granted planning earlier this year and first that is easier to maintain, but still offers them McCarthy & Stone’s Retirement Living PLUS occupations were due in Autumn 2020. independent living. specification, a form of extra care housing. These will “It comes as we continue our drive to purchase “Despite this, there remains a huge undersupply of be made up of a mix of self-contained one and two- high-quality brownfield sites across the country to add suitable housing for older people. bedroom apartments, alongside the option of flexible domestic and personalised care and support packages from McCarthy & Stone’s on-site team. Computer image of McCarthy & Stone’s 92-apartment retirement living scheme Retirement Living PLUS offers a range of facilities to now being built in Thatcham, Berkshire. 36 residents, including an open-plan bistro, residents’ lounge, wellness suite and a guest suite. A further 40 apartments will be built to McCarthy & Stone’s retirement living specification, which is aimed at the more active older homeowner, but still provides on-site support and maintenance, as well as a shared homeowners’ lounge. The development in Thatcham follows the news that McCarthy & Stone will now be directly delivering all the regulated care, domestic support and property management services provided in its 92 Retirement Living PLUS (extra care) developments, having agreed to conclude its partnership with Somerset Care in July this year. YourLife Management Services has now become a wholly-owned subsidiary of the company. This move represents part of McCarthy & Stone’s 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 37
N E c W ar e F EV h re E om e N e to T o pe rator s ACHIEVING ‘OUTSTANDING’ AND REALISING VALUE
23 January 2020 Jurys Inn Brighton Waterfront, Brighton
Learn from ‘outstanding’ operators and market experts in how they achieved
Outstanding from the siting l be vi e wil 020 W s in 2 Care Quality Commission, plus region these ark ase m so ple how to prepare your business iaries your d for growth investment and sale.
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December 2019 www.careinfo.org building with care
different senses associated with mealtimes Built by and staying connected to a sense of home Castleoak, the makes all the difference to quality of life. The Eliza Palmer Hub nursing home is sad reality for many UK nursing home prominently residents is that their world is overly confined positioned in The to their bedroom, whereas our approach is to Whitely Village create spaces and interaction where retirement friendships can flourish. community. “Respect for the individual is central to our personalised care strategy. At the heart of this is the understanding that our residents have lived their lives, usually in a mutually supportive ‘family’ unit, until the point of acknowledging a need for more help. We are determined to enable them to continue doing as much as possible for themselves – and for others. Where our residents have the capacity and desire to take control over their lives, we will do everything we can to help them maintain their own independence, as well as providing opportunities for them to contribute. This reflects the wider ethos of the New nursing home is the village and why the Hub is so key to enhancing opportunities for mutual support within our community.“ This approach is also reflected in the heart of Whiteley Village landscape. A new courtyard in the heart of the care centre offers private and sheltered new £10.5m nursing care centre for Roberts Architects, the residential facilities of external space with attractive plant beds to older people has just opened at the the two-storey building challenge the encourage residents to get outdoors. Whiteley Village retirement traditional nursing home model. A central, The Eliza Palmer Hub was facilitated with community in Walton on Thames, communal open-plan kitchen and living area loan funding from ethical banks Unity Trust Surrey,A which provides 25% of the specialist is the focal point on each floor, with adjacent Bank and Triodos Bank and was built by social housing for older people in the bedrooms enabling a sense of connection Castleoak, design and build specialists to the borough of Elmbridge. which Whiteley Homes Trust chief executive care sector. Whiteley Village is owned by Named after the first resident to move Chandra McGowan says is lacking in many Whiteley Homes Trust, a charity providing to the village when it opened in 1917, the nursing homes. affordable housing for more than 400 30-suite Eliza Palmer Hub blends clinical “Our ethos is that life is for living, so that pensioners of limited financial means. The support with a major emphasis on social even if your health or mobility is restricted, it majority live in almshouses or extra care interaction amongst the whole doesn’t mean you can’t engage with the apartments, with their rent funded through village community. normal rhythms of the day going on around housing benefits and social services for care Positioned at the heart of the village, the you,” said Ms McGowan. “Just as the kitchen costs. Set in 225 acres of parkland, the village
distinctive octagonal building features the is the heart of every home, the design makes was created in 1917 at the behest of the 38 stylish conservatory-style Lantern Café as a interaction around food as easy and normal philanthropist William Whiteley who left £1m social hub for all residents, as well as a hair as possible. in his will to create a dedicated community salon, therapy and consulting rooms and 30 “Many memories are evoked by the for the ‘elderly poor.’ studios for residents needing higher levels of support. Led by residents, Whiteley Village is active in recognising loneliness and taking action to support each other – and this was a pivotal consideration in deciding to locate the key social facilities of the village at the Eliza Palmer Hub, encouraging greater interaction between those residents living independently in the village and those who need more care. Designed by Levitt Bernstein and Francis The octagonal Lantern Café will be the key social centre of the village. 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 39
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December 2019 business & property www.careinfo.org Care Sourcer buys websites
Care Sourcer, a care services comparison and in care homes and those looking for care at home Care Sourcer with access to its data insights, whilst matching website, has acquired two social care across England, Scotland and Wales. Care Sourcer will share any updates or changes to consumer websites, Good Care Guide and Care Care Home Advisor aggregates data in real time care company information with LaingBuisson. Home Advisor, from healthcare business from a range of sources to enable people to find the Andrew Parfrey, chief executive and co-founder of intelligence provider LaingBuisson. best-quality care home for their needs. Care Sourcer, said the acquisition formed part of Good Care Guide is a website which helps The acquisition enables LaingBuisson to focus on Care Sourcer’s vision to provide those in need of people to find, rate and review care for older people its B2B market analysis. It will continue to provide care for their family members, with the highest quality of information, to ensure they can make an informed decision to find the right care for their Meallmore, Runwood sign-up to The Service Directory needs. Glasgow-based procurement start-up, The Service winning business from these national groups Directory is on track to achieve monthly turnover of confirmed The Service Directory as a disruptor in the £1m following new business wins across a number care sector and showed that clients were becoming of sectors. increasingly confident in the service and results Care software The company has secured deals with major, UK- delivered by the bespoke, web-based system The wide businesses, including Meallmore and Runwood Service Directory had developed in-house. marks milestone care home groups, along with soft play and leisure “Since launch in 2013 The Service Directory has group Gambado. The Service Directory is now on grown year-on-year and these new clients come on- Person Centred Software has celebrated the course to provide its procurement services to 1,500 board at an exciting time as we pursue our ambition 1,500th care home using its Mobile Care clients by the end of the year. to become one of the UK's largest procurement Monitoring system. In October, Oakview care The Service Directory founder Gary Maitles said groups,” said Mr Maitles. home in Birmingham was Person Centred “The addition of Meallmore, Runwood and Software’s 1,500th implementation. Gambado means we are on track to achieve monthly Across the UK, Mobile Care Monitoring turnover of £1m, and we look forward to hitting that now enables 42,000 users to jointly record milestone achievement in 2020. 2.4 million care notes every 24 hours. “Procurement may not be the most glamorous part Internationally, in Australia and New of business, but for our clients it is essential to their Zealand where the company launched in delivery. The Service Directory not only offers a bespoke 2018, 35 care homes are using the service to meet each individual company’s needs, the electronic care planning, monitoring and feedback we are receiving is that our clients also see reporting system. Gary Maitles significant cost and operational savings.” Hightown wins Aylesbury contract
Specialist care provider Hightown Support has won a contract to support a further 11 adults in Aylesbury. After a competitive tender process, Buckinghamshire County Council awarded Hightown the contract for two extra care supported living services for people aged over 50 in Aylesbury. Willow 40 House supports people with learning disabilities and The Elms supports people with mental ill health. Hightown retained the contract for The Elms and was chosen as the new care provider for Willow House. Both services enable people to live independently in their own home, while still having access to a higher level of care if needed. Residents live in self-contained flats, with 24-hour staff support available on-site. “It’s a reflection on the excellent support our dedicated care staff provide,” said Hightown’s chief executive David Bogle. “We’re looking forward to providing fantastic services that enable people to lead independent and fulfilling lives.” Residents at The Elms enjoying arts and craft 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 41
December 2019 business & property www.careinfo.org
Active deals market despite a cloudy Global Healthcare Property Report UK Edition Autumn/Winter 2019 economic climate
Against a backdrop of continued political and activity by the new entrant lenders will be extremely economic uncertainty it is pleasing to note that By PAUL J MILLER positive for the healthcare deal market as it demand for UK healthcare opportunities is strong significantly increases the range of financial products and is growing. Indeed 2019 has seen increased Chief Executive Officer and suppliers available to assist in enabling buyers to activity levels in the market and Redwoods Dowling complete their acquisition strategies. Kerr has completed a significant number of deals Redwoods Dowling Kerr At the time of writing, and as we approach yet throughout the UK. Demand and appetite are another ‘Brexit Deadline’, we are yet to see any prevalent for all types of care with a particular bias negative impact caused by the Government’s towards specialist care. received in 2010-11. Whilst we are not sure the PM indecision in resolving this position. It is undoubtedly The market overall demonstrates the resilient fully understands the scale of the issues and the the case that the economic uncertainty has caused strength of the sector in times where it would not be funding gap, if Boris does manage to deliver a plan to some UK-based operators to delay their expansion unusual for dealmaking activities to be placed on hold. “fix the crisis” then this will represent significant plans, however the increase in international buyers It also demonstrates the magnitude of the opportunity for the private sector. One thing that is seeking to acquire UK assets has assisted in opportunities which exist within the UK given the certain is that these issues will not go away and balancing out any negativity. ageing demographic of the population and the thankfully their profile is being raised. In fact, a recent report commented that 2019 has increasing need for quality care provision. seen the highest M&A activity since 2016 in the Redwoods Dowling Kerr welcomes the recent Challenger banks healthcare services sector. This increase in activity has announcement from new Prime Minister Boris Earlier in the year I commented on the funding market been partly due to interest from overseas buyers Johnson that he intends to “fix the crisis in social care and my expectation that the challenger banks would looking to take advantage of the weak sterling position once and for all”. It is fantastic to see such desire, but increase their underwriting capabilities to secure a and acquire high-quality UK assets. concerning that the words spoken were not backed larger share of the lending market and it is pleasing to Redwoods Dowling Kerr is looking forward to up with a robust plan of action. observe this take effect. closing out 2019 with a number of significant deals Indeed, it is startling to see that adult social care Out of our September completions, three deals which are currently in our pipeline and are anticipated funding is still £700m per annum below the levels were funded via challenger banks. The increase in to complete prior to the year end. As we look ahead to 2020, we expect the demand for good-quality elderly care homes to continue to be Merger creates Housing Plus Group strong with increasing focus on specialist care facilities Several housing and care associations have Plus, one of the region’s providers of housing, care for both children and adults, with the homecare sector officially merged, launching a new housing, care and and support for older people and Severn Homes continuing to consolidate. property group for Staffordshire and Shropshire – which specialises in private sector housing for rent, I Redwoods Dowling Kerr’s Global Healthcare Housing Plus Group. sale and shared ownership, along with repairs and Property Report UK Edition Autumn/Winter 2019 The merged group comprises landlords Severnside planned maintenance specialists Property Plus and can be downloaded from:businessbuyers. Housing, South Staffordshire Housing Association Housing Worx. The group will own and manage about co.uk/wp-content/uploads/2018/10/RDK_ and Stafford and Rural Homes. It also includes Care 18,000 homes across a wide operational area. Healthcare-Brochure-AutumnWinter-2019.pdf 41 Access to millions more markets
An online platform to assess elderly care home markets across England, Wales and now Scotland Scottish market Staffing data
NEW NEW Email [email protected] www.carterwood.co.uk to book your free online demo 08458 690777 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 42
December 2019 business & property www.careinfo.org 2019 market survey shows staffing costs remain the biggest concern
Average weekly fees are up for the eighth year in a row, staff costs continue to grow with operators increasingly dependent on agency workers, profit margins remain squeezed, but private pay continues to perform well. These are the headline findings of commercial property specialist Knight Frank in its 2019 Care Homes Trading Performance Review. In his outlook summary for the sector, Knight Frank’s head of healthcare Julian Evans said that, despite the moderate fall in occupancy recorded in 2018/19, it was hard to foresee any significant change in market conditions in the immediate future. “Demand for elderly care beds remains robust and new supply, while growing, is not enough to reverse the high occupancy rates seen in preceding years,” said Mr Evans in the report. “One thing is for sure, the record number of care homes in our index this year can only give a more Source: Knight Frank accurate picture of the market. This years’ index provides greater evidence of the polarisation within the Brexit negotiations and leadership changes have operators have already started to invest in various sector. Many homes, particularly those focused on the taken precedence. technologies, but there is certainly an opportunity for private pay market, continue to report excellent profit “Care operators, among many other UK more to follow.” margins of the level needed to enable operators to businesses, will be hoping for some political stability grow their businesses. Other homes are experiencing going forward to at least give a chance of resolving Elderly care meets senior living a more challenging operating environment, especially the issues. The trading review identifies senior living (or retirement those dependent on local authority money. Despite “Regulatory requirements across the UK are communities) property market as one of the fastest- the funding challenges, data shows that operators becoming more stringent and rightly so if the UK is growing residential markets in the UK. Mr Evans said have done superbly well to maintain high standards of to lead international standards of care. Despite the the sector could prove to be vital in improving health care and we should recognise this achievement.” newspaper headlines, group-run care homes rarely and well-being for the over 65s and allow for a fail their residents.” smoother transition from family home to full-time residential care. JULIAN EVANS: Opportunities “We expect to see greater synergies between the Mr Evans said the private pay market continued to senior living and care home sector as operators look Providers are grow with success stories common among operators to provide residents with both low-acuity assisted and individual homes. living and high-acuity care on the same site. Care hoping for some “The rise of the luxury care market reflects growing villages are already hitting the market, providing a political stability. consumer demand from affluent self-funded residents fantastic model for care.” and the ability of independent care operators and 42 developers to service that demand and deliver an Lessons from Europe Challenges exceptional standard of care,” he said. “The elderly care home sector is developing just as Staffing remains the biggest challenge to operators, “New care home development represents an fast across the continent, particularly in more both in terms of cost and recruitment. Knight Frank’s excellent opportunity for all stakeholders. Elderly developed markets like France, Germany, The report says the shortage of nurses is a huge concern population projections across the UK suggest there Netherlands and Spain. All nations are united by the given that demand for specialised nursing care will be unprecedented demand for residential care in expectation of rapid elderly population growth over (including dementia care) has never been greater. decades to come, creating a huge opportunity for the next few decades and this is opening up huge “A more comprehensive solution is needed to those ready to invest. opportunities in the private sector. address this and increase the number of registered “Innovation and technology is increasingly moving “There are certainly lessons to be exchanged with nurses available to the care sector,” said Mr Evans. its way into the sector as we search for ways to neighbouring countries as care models adapt to cope “Many providers continue to be affected by the improve operating efficiency and deliver better care. with future demand.” social care funding crisis, especially those drawing In June, a host of care organisations and bodies income from budget-constrained local authorities. partnered with NHS Digital to create Digital Social I The full report can be viewed at: The Green Paper hoped to address the funding Care, a dedicated online resource to advise the knightfrank.co.uk/research/care-homes-trading- problem has now been delayed several times, but sector on technology and data matters. Many performance-review-2019 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 43
December 2019 www.careinfo.org
MARKET ANALYSIS Good ratings have clout with bankers
By SAM WRIGHT, director with the healthcare team at CBRE.
“Deliver good care and the rest will follow” so goes the mantra. Although delivering good care and getting good CQC inspections are not necessarily the same thing, having ‘Good’ or ‘Outstanding’ CQC inspection grades is certainly becoming increasingly important to ‘make the rest follow’. Most people will have barely stepped into a care home before they have to place a loved one, which means that they are making a huge financial and emotional decision on very little information. Combine this with the lack of third party information available about the sector and it’s difficult for people to know where to turn. Searching online, what do they find? A CQC rating, but it’s not like the hotel sector where there is a star rating to tell you about the quality of the accommodation, and a plethora of TripAdvisor-style reviews to tell them about the service. While you may find some reviews online they’re likely to be limited. But what counts for many is the CQC rating and that’s it. This means that if a provider has two homes, one of which is ‘Good’ and the other ‘Requires Improvement’, all other things being equal, those looking are probably going to go for the ‘Good’ one. Bankers and financiers also place huge weightings on CQC inspection grades and it is easier for ‘Good’ or ‘Outstanding’ to get finance. For the bankers this reflects their experience which has shown homes with poor CQC inspection grades have a higher rate of default. Many of them also believe that poor CQC grades are a lead indicator for potential future distress because it suggests a provider has taken its eye off the ball and/or isn’t managing its regulatory obligations properly. Their worry with this is that it means the home is at risk of future regulatory action that could harm the business directly 43 via a fine or indirectly through lower occupancy, both of which could impact on the future repayment of their loan. Notwithstanding this, a poor rating does not mean that a care home is, or will be, in financial distress. In fact most of the care homes that I see with ‘Requires Improvement’ ratings trade perfectly well. Industry research, however, does show that those with ‘Good’ or ‘Outstanding’ ratings do generally perform better and achieve higher EBITDARM margins. It also shows that almost no ‘Outstanding’ homes have negative EBITDARMs. This means that it is in the interests of all operators to make sure they are achieving good CQC ratings. Perhaps then the mantra should be: “provide Good or Outstanding care and the rest will follow”. 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 44
December 2019 care businesses sold www.careinfo.org
PROPERTIES AND BUSINESSES RECENTLY SOLD IN THE CARE SECTOR
Development site Chipstead Lodge (former care home) Location Keynsham, to the south west of Bristol Location Chipstead, Surrey Registration Outline planning permission Registration Was 36, now closed for a 68-bed care home Agent Christie & Co Buyer Hamberley Development Tel 01622 656000 Seller Litfield Land Agent Carterwood Tel 08458 690777
The Gables Location Bedlington, Northumberland Registration 11 younger adults, mental health Agent Redwoods Dowling Kerr Tel 01772 775776
Fauld House Nursing Home Sun Court Nursing Home Location Tutbury, Staffordshire Location Sheringham, Norfolk Registration 48 elderly Registration 29 elderly Seller Mr S Sudera Seller Tim & Jan Leadbeater Agent Aldridge Care Homes Agent Christie & Co Tel 0330 1232066 Argentum Lodge Tel 01473 234904 Location Nailsea, Somerset Vendors retired after 33 years’ ownership of the home. Pen Y Bryn Registration 56 elderly, dementia Location Sketty, South Wales Buyer Impact REIT, Welford Healthcare Registration 35 nursing has entered into a 25-year lease of the property Buyer Oakcroft Care Seller The Cholwell Group Seller Steve & Debra Clarke Agent Carterwood Agent Christie & Co Tel 08458 690777 Tel 0117 946 8516
Wellcross Grange Location Slinfold, West Sussex Fairways Registration 45 nursing Location Bournemouth, Dorset Seller Balcombe Care Homes Ltd Registration 70 elderly Agent Christie & Co Buyer Bournemouth, Christchurch and Poole Counci Tel 01962 844455 Seller MD Care (UK) Ltd Agent Christie & Co Tel 01962 844455 44 Oakleigh Across the Bay Location Bradford, West Yorkshire Location Morecambe, Lancashire Registration Closed Registration 24 elderly Seller Bel-Air Care Agent Redwoods Dowling Kerr Agent Christie & Co Tel 01772 775776 Former Private Hospital Tel 0113 389 2705 Location Aberaman, South Wales Wallside Grange Nursing Home Registration Former private mental health hospital Location Tamfourhill, Falkirk Norwood Grange Buyer Rushcliffe Care Group Registration 30 elderly Location Sheffield, South Yorkshire Seller Priory Healthcare Seller Canterbury Care Registration 35 elderly Agent DC Care Asking price £725,000 Buyer Vitality Care Homes Tel 01937 849268 Agent Christie & Co Agent Christie & Co Rushcliffe Care intends to extensively refurbish and Tel 0131 524 3406 Tel 0113 389 2705 reconfigure the property 30-45CT1219gh.qxp_Layout 1 07/11/2019 11:33 Page 45
December 2019 business & property www.careinfo.org
PROPERTIES AND BUSINESSES RECENTLY SOLD IN THE CARE SECTOR
Development site Location Ewell, Surrey Registration Planning permission for 53 extra-care apartments Buyer Birchgrove Agent Christie & Co Tel 020 7227 0793 Care Services (MK) Ltd Location Milton Keynes, Buckinghamshire Registration 9 autistic spectrum Buyer Precious Homes Group Seller Mr Brackley Agent DC Care Tel 01937 849 268 129 London Road Location Redhill, Surrey Treetops (former care home) Registration Previously 5 learning disability Location Keynsham, Bristol Buyer Selfwood Capital Registration Formerly 24 elderly (now closed) Seller Active Prospects Seller Shaw Healthcare Agent DC Care Asking price £500,000 Tel 01937 849 268 Agent Christie & Co The property has been acquired with the intent to convert Tel 020 7227 0793 to a children’s service.
Three care homes sold in Devon deal Normanhurst Business property advisor and care home specialist, process, with multiple bids having been received. Location Maidenhead, Berkshire Christie & Co has reported the sale of three Devon Each home has a ‘Good’ CQC rating and a Registration 23 elderly, dementia care homes to BishopshouseRCG Ltd and registered manager. The group also benefited from a Agent Redwoods Dowling Kerr StBenetsRCG Ltd, an expanding group led by regional manager making the transition to the new Tel 01772 775777 managing director Paul Nery. owner a relatively seamless one. The homes – St Benet’s & Wolborough Court in “Having built up my group of care homes to three – I Information appearing in “Care Homes Sold” is Newton Abbot and Bishopsteignton House at one in Exeter, one in Exmouth and one near Bath – I published in good faith that the information is nearby Bishopsteignton, were sold in a multimillion- felt the time was right to seek further growth,” said accurate and cleared for publication. The onus for pound deal on behalf of outgoing owners Guy and Paul Nery. accuracy is on the property agent. Caring Times will not publish, in a subsequent issue, Nikki Rogers, to enable them to reduce their Simon Harvey, director at Christie & Co’s Exeter corrections or alterations to information supplied. workload and focus on their other care homes in the office, who handled the sale, said the transaction Agents, please note that items cannot be withdrawn South Hams area of Devon. was further evidence of the strong appetite that once the copy deadline has passed. The sale of the homes, which total 84 exists for well-managed and profitable care homes We advise readers to confirm any details with the property agent concerned. registrations, was conducted in an off-market with good reputations. 45 Reach the right audience...
Contact Caroline Bowern to discuss your advertising or sponsorship requirements on 020 7720 2109 or email [email protected] 46-48CT1219ads.qxp_Layout 1 07/11/2019 16:44 Page 50
Buy businesses.
Sell businesses. Grow businesses.
Alma Rest Home, Sheerness, Kent Care Home, West Yorkshire Freehold £625,000 Freehold £795,000 • 22 bedrooms (17 en suite) • Registered for 34 • Vacant care home • Fee income Y/E 31/08/18 of £845,066 T: 01622 656 007 T: 0113 389 2700 8877685 5471365
Grove Villa and Annexe, Deal, Kent
Freehold £850,000 • 2 freehold vacant double fronted care homes • 17 bedrooms across both homes T: 01622 656 007 8877680
Care Home, Newcastle upon Tyne 6478158 Former Auchinlea Care Home, Largs 6870506
Freehold £550,000 Freehold £350,000
• Previously registered for 20 older • Previously registered for 30 people • Close to local amenities • 20 bedrooms (19 en suite) T: 0191 222 1740 T: 0131 557 6666
Hilldales & North View, Ilfracombe, Residential Care Home, Denbighshire Devon
Freehold £950,000 Freehold £399,950 $GMXVWHGQHWSUR̰W<(0DU • Mental health care home registered for 56 • Registered for 12 service users FRQ̰GHQWLDOSURSHUW\ • EBITDA 30.4.19 £132,195 Annualised • £198,292 £84,474 T: 01392 285 600 T: 0161 833 3311 3270320 5679890 Care Home, East of Scotland
Freehold £750,000 • Registered for 13 older people • Very Good & Good Care Inspectorate grades
T: 0131 557 6666 5274607
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KRVSLWDOLW\OHLVXUHUHWDLODQGPHGLFDOVHFWRUV:LWKR̲FHVDFURVVWKH Christie & Co is a specialist property adviser in the care, childcare, We’ve consistently sold over 50% of the DQGFDQSURYLGHDFFHVVWR̰QDQFHDFURVVRXUNH\VHFWRUV UK’s individually transacted care homes UK, we focus on advisory, consultancy, valuation services, brokerage According to the Caring Times ‘Care homes sold’.
Business. Built around you.
Old Vicarage Nursing Home, Abergele Dunedin Residential Home, Manchester )UHHKROG2̯HUV,QYLWHG H̯HFWLYHEHGVRFFXSDQF\ FreeholdFreehold OIEO £2,500,000 £1,200,000 • Closed care home registered for 27 •• Vacant, converted residential care home • Large, rural plot within spacious grounds •• Located Forecast 3 ANP miles c. from £500,000 Manchester City Centre T: 0161 833 3311 T:T: 0161 0115 833 948 3311 3100 5679891 56798785770909
Fourways Development Site, Greater Manchester
Freehold £950,000 • 1.13 acre former care home site • Planning for a new 54 bed care facility T: 0161 833 3311 5679892
Development Site, Widnes 5679845 Former Meadow House , Swansea 3470609
Freehold £300,000 Freehold £690,000 • Permission granted for a 64 bed • Vacant care home previously ([FHOOHQWORFDWLRQGHPDQG care home registered for 29 • Potential to redevelop STTP or for a • increase by 2022 variety of care categories
T: 0161 833 3311 T: 01179 468500
Firlawn House Nursing Home, Cary Lodge, Torquay Trowbridge, Wiltshire
Freehold £850,000 Freehold £1,200,000 • Vacant care home (Lapsed CQC reg for 40) • Former care now closed - 37 rooms FRQ̰GHQWLDOSURSHUW\ • Potential redevelopment opportunity • Potential to re-develop STPP (STTP) T: 01392 285 600 T: 01179 468500 3270314 3470607
Care Home, East of Scotland )UHHKROG2̯HUV2YHUe
• Registered for 24 older people • 22 bedrooms (all en suite) T: 0131 557 6666
5274566
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